VitiligoPhase 2BARVITNCT04822584
Evaluation of Effect and Tolerance of the Association of Baricitinib and Phototherapy Versus Phototherapy in Adults With Progressive Vitiligo
A Phase 2 study testing Baricitinib Oral Product in people with Vitiligo, run by University Hospital, Bordeaux at 4 sites in France.
Trial summary
The purpose of this phase 2 study is to evaluate the effect and the safety of the combination of Baricitinib in combination with phototherapy in adult participants with non-segmental progressive vitiligo. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Vitiligo
- What is being tested?
- Baricitinib Oral Product
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 49 participants
- Where
- 4 sitesFrance
- Study dates
- 16 Jul 2021to 26 Apr 2023
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subject: male or female aged ≥ 18 years and ≤ 75 years
- Diagnosis of non-segmental (symmetrical) vitiligo with a body surface area involved >5% excluding hands and feet
- Active non-segmental vitiligo is defined by:
- Non-segmental vitiligo with new patches or extension of old lesions during the last 6 months AND
- Presence of hypochromic aspect under Wood's lamp examination and/or perifollicular hypopigmentation under Wood's lamp examination.
- Able to read, understand, and give documented (electronic or paper signature) informed consent
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- Registered in the French Social Security
- Agree to discontinue the use of the following excluded medications/treatments for at least 4 weeks prior to randomization (Visit 2) and throughout the study: systemic steroids, phototherapy, methotrexate, cyclosporine, mycophenolate mofetil, and azathioprine.
- Agree to discontinue the use of the following excluded medications for at least 2 weeks prior to randomization (Visit 2) and throughout the study:
- TCS or topical immune modulators (e.g., tacrolimus or pimecrolimus)
- Topical phosphodiesterase type 4 (PDE-4) inhibitor (crisaborole)
- Topical JAK inhibitor (e.g., tofacitinib or ruxolitinib) and/or any other investigational topical treatments.
- Patient characteristics
- Are male or nonpregnant, nonbreastfeeding female patients, except:
- Male patients must agree to use 2 forms of birth control (1 must be highly effective, see below) while engaging in sexual intercourse with female partners of childbearing potential while enrolled in the study and for at least 4 weeks following the last dose of investigational product.
- Female patients of childbearing potential must agree to use 2 forms of birth control, when engaging in sexual intercourse with a male partner while enrolled in the study and for at least 4 weeks following the last dose of investigational product.
- The following birth control methods are considered acceptable (the patient should choose 2 to be used with their male partner, and 1 must be highly effective):
- Highly effective birth control methods: oral, injectable, or implanted hormonal contraceptives (combined estrogen/progesterone or progesterone only, associated with inhibition of ovulation); intrauterine device or intrauterine system (e.g., progestin-releasing coil); or vasectomized male (with appropriate post vasectomy documentation of the absence of sperm in the ejaculate).
- Effective birth control methods: condom with a spermicidal foam, gel, film, cream, or suppository; occlusive cap (diaphragm or cervical/vault caps) with a spermicidal foam, gel, film, cream, or suppository; or oral hormonal contraceptives.
- Females of nonchildbearing potential are not required to use birth control and they are defined as:
- Women ≥60 years of age or women who are congenitally sterile, or
- Women ≥40 and <60 years of age who have had a cessation of menses for ≥12 months and a follicle-stimulating hormone (FSH) test confirming nonchildbearing potential (≥40 mIU/mL or ≥40 IU/L), or women who are surgically sterile (i.e., have had a hysterectomy or bilateral oophorectomy or tubal ligation).
- Signed informed consent form (ICF)
Who cannot join
- Segmental or mixed vitiligo
- Patients that are currently experiencing or have a history of other concomitant skin conditions (e.g., psoriasis or lupus erythematosus) that would interfere with evaluations of the effect of study medication on vitiligo
- Patients who are currently experiencing a skin infection that requires treatment, or who are currently being treated with topical or systemic antibiotics.
- Note: Patients may not be rescreened until at least 4 weeks after the date of their previous screen failure and at least 2 weeks after resolution of the infection.
- Patients that have any serious concomitant illness that is anticipated to require the use of systemic corticosteroids or otherwise interfere with study participation or require active frequent monitoring. (e.g., unstable chronic asthma).
- Patients that have been treated with the following therapies:
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- Monoclonal antibody (e.g., ustekinumab, omalizumab, dupilumab) for less than 5 half-lives prior to randomization.
- Received prior treatment with any oral JAK inhibitor (e.g., tofacitinib,ruxolitinib)
- Received any systemic corticosteroid administered within 4 weeks prior to planned randomization or are anticipated to require systemic corticosteroids during the study.
- Have had an intra-articular corticosteroid injection within 4 weeks prior to planned randomization.
- Have received more than 250 sessions of UV lights therapies.
- Patients that are largely or wholly incapacitated permitting little or no self-care, such as being bedridden.
- Patients that have uncontrolled arterial hypertension characterized by a repeated systolic blood pressure >160 mm Hg or diastolic blood pressure >100 mm Hg in a seated position.
- Patients that have had any major surgery within 8 weeks prior to screening or that will require major surgery during the study that, in the opinion of the investigator, would pose an unacceptable risk to the patient.
- Patients that are immunocompromised and, in the opinion of the investigator, at an unacceptable risk for participating in the study.
- Patients that have experienced any of the following event within 12 weeks of screening: venous thromboembolic event (VTE), myocardial infarction (MI), unstable ischemic heart disease, stroke, or New York Heart Association Stage III/IV heart failure.
- Patients that have a history of recurrent (≥ 2) VTE or are considered at high risk of VTE as deemed by the investigator.
- Patients that have a history or presence of cardiovascular, respiratory, hepatic, gastrointestinal, endocrine, hematological, neurological, or neuropsychiatric disorders or any other serious and/or unstable illness that, in the opinion of the investigator, could constitute an unacceptable risk when taking investigational product or interfere with the interpretation of data.
- Patients that have a history of lymphoproliferative disease; or have signs or symptoms suggestive of possible lymphoproliferative disease, including lymphadenopathy or splenomegaly; or have active primary or recurrent malignant disease; or have been in remission from clinically significant malignancy for less than 5 years :
- Patients with cervical carcinoma in situ that has been resected with no evidence of recurrence or metastatic disease for at least 3 years may participate in the study.
- Patients with basal cell or squamous epithelial skin cancers that have been completely resected with no evidence of recurrence for at least 3 years may participate in the study.
- Patients that have a current or recent clinically serious viral, bacterial, fungal, or parasitic infection, including but not limited to the following:
- Note: A recent viral upper respiratory tract infection or uncomplicatedurinary tract infection should not be considered clinically serious.
- symptomatic herpes zoster infection within 12 weeks prior to screening.
- history of disseminated/complicated herpes zoster (e.g., multidermatomal involvement, ophthalmic zoster, CNS involvement, or post-herpetic neuralgia).
- symptomatic herpes simplex at the time of randomization.
- active or chronic viral infection from hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV).
- household contact with a person with active tuberculosis (TB) and did not receive appropriate and documented prophylaxis for TB.
- evidence of active TB or have previously had evidence of active TB and did not receive appropriate and documented treatment.
- clinically serious infection or received intravenous antibiotics for an infection, within the past 4 weeks of randomization.
- any other active or recent infection within 4 weeks of randomization that, in the opinion of the investigator, would pose an unacceptable risk to the patient if participating in the study.
- Patients that have been exposed to a live vaccine within 12 weeks prior to planned randomization or are expected to need/receive a live vaccine during the course of the study (with the exception of herpes zoster vaccination).
- Note: Patients eligible for herpes zoster vaccine, who have not received it prior to screening will be encouraged (per local guidelines) to do so prior to randomization; vaccination must occur >4 weeks prior to randomization and start of investigational product. Patients will be excluded if they were exposed to herpes zoster vaccination within 4 weeks of planned randomization.
- Investigators should review the vaccination status of their patients and follow the local guidelines for vaccination of those ≥18 years of age with nonlive vaccines intended to prevent infectious disease prior to entering patients into the study
- Have a history of chronic alcohol abuse, IV drug abuse, or other illicit drug abuse within the 2 years prior to screening.
- Presence of significant uncontrolled neuropsychiatric disorder, are clinically judged by the investigator to be at risk for suicide.
- Have donated more than a single unit of blood within 4 weeks prior to screening or intend to donate blood during the course of the study.
- Other non inclusion criteria:
- Are unable or unwilling to make themselves available for the duration of the study and/or are unwilling to follow study restrictions/procedures.
- Are currently enrolled in any other clinical trial involving an investigational product or any other type of medical research judged not to be scientifically or medically compatible with this study.
- Have participated within the last 30 days in a clinical study involving an investigational product. If the previous investigational product has a long half-life (2 weeks or longer), at least 3 months or 5 half-lives (whichever is longer) should be allowed between the end of the previous treatment and the inclusion.
- Have previously been randomized in this study or any other study investigating baricitinib.
- Are investigator site personnel directly affiliated with this study and/or their immediate families. Immediate family is defined as a spouse, parent, child, or sibling, whether biological or legally adopted.
- Diagnostic Assessments
- Have screening electrocardiogram (ECG) abnormalities that, in the opinion of the investigator, are clinically significant and indicate an unacceptable risk for the patient's participation in the study.
- Have evidence of active TB or latent TB:
- have evidence of active TB, defined in this study as the following:
- Documented by a positive PPD test (≥5 mm induration between approximately 48 and 72 hours after application, regardless of vaccination history), medical history, clinical features, and abnormal chest x-ray at screening.
- The QuantiFERON®-TB Gold test or T-SPOT®.TB test (as available and if compliant with local TB guidelines) may be used instead of the PPD test. Patients are excluded from the study if the test is not negative and there is clinical evidence of active TB.
- Exception: Patients with a history of active TB who have documented evidence of appropriate treatment, have no history of re-exposure since their treatment was completed, and have a screening chest x-ray with no evidence of active TB may be enrolled if other entry criteria are met. Such patients would not be required to undergo the protocol-specific TB testing for PPD, QuantiFERON®-TB Gold test, or T-SPOT® TB test but must have a chest x-ray at screening.
Trial locations and contacts
4 sites in 1 country.
France4 sites
Service de Dermatologie - Hôpital Saint-André
Bordeaux, Bordeaux, 33075
Service de dermatologie - Hôpital Henri Mondor - EA EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques)
Créteil, 94010
Centre Hospitalier Universitaire de Nice - Service de Dermatologie
Nice, 06000
Service de dermatologie Centre de Référence des Maladies Rares de la Peau et des muqueuses d'origine génétique - Hôpital Larrey
Toulouse, 31059 cedex 9
About this study
Official title: Evaluation of Effect and Tolerance of the Association of Baricitinib (4 mg) and Phototherapy Versus Phototherapy in Adults With Progressive Vitiligo: a Randomized, Double-blind, Prospective, Non-comparative Phase II Study.
The purpose of this phase 2 study is to evaluate the effect and the safety of the combination of Baricitinib in combination with phototherapy in adult participants with non-segmental progressive vitiligo.
Read the detailed description
Treatment Strategy: Multicentric, parallel double blind randomized phase 2 prospective study comparing baricitinib (4mg/day) + narrowband UVB TL01 versus placebo + narrowband UVB TL01 Follow-up of the study: patients included in this study will start Baricitinib 3 months before starting narrowband UVB TL01. Phototherapy will be performed twice a week during 6 months. Follow-up visit will be done at week 12, 24, 36 and 48.
- Conditions
- Vitiligo
- Being tested
- Baricitinib Oral Product, Placebo
- Keywords
- vitiligo, phototherapy, baricitinib, randomized
- Medical subject headings
- Vitiligo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Baricitinib Oral ProductDrug
Baricitinib 4 mg/day orally for 36 weeks
PlaceboDrug
Placebo once a day orally for 36 weeks
| Study group | Role | What they receive |
|---|---|---|
| Phototherapy associated with active treatment | Experimental | Baricitinib 4 mg/day orally for 36 weeks + UVB TL01: 2 times a week during 24 weeks.
(Phototherapy will be started 12 weeks after the beginning of baricitinib) Receives: Drug: Baricitinib Oral Product |
| Phototherapy associated with placebo | Placebo comparator | Placebo once a day orally for 36 weeks + UVB TL01: 2 times a week during 24 weeks.
(Phototherapy will be started 12 weeks after the beginning of placebo of baricitinib). Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Score with Vitiligo Area Scoring Index (VASI)
The VASI Score is used to assess the severity and extent of Vitilgo. VASI is calculated using a formula that includes contributions from all body regions (possible range, 0-100). The body is divided into 6 separate and mutually exclusive sites (head/neck, hands, upper extremities [excluding hands], trunk, lower extremities [excluding feet], and feet), with percentage of vitiligo involvement estimated in hand units by the same investigator throughout the study.
Measured: week 36
Secondary outcomes (27)
Score with VASI score
Change in percentage of repigmented Surface area 12 weeks after-inclusion, by using the VASI score at week 12.
The VASI Score is used to assess the severity and extent of Vitilgo. VASI is calculated using a formula that includes contributions from all body regions (possible range, 0-100). The body is divided into 6 separate and mutually exclusive sites (head/neck, hands, upper extremities [excluding hands], trunk, lower extremities [excluding feet], and feet), with percentage of vitiligo involvement estimated in hand units by the same investigator throughout the study.
Measured: week 12
Score with VASI score
Change in percentage of repigmented Surface area 24 weeks after-inclusion, by using the VASI score at week 24.
The VASI Score is used to assess the severity and extent of Vitilgo. VASI is calculated using a formula that includes contributions from all body regions (possible range, 0-100). The body is divided into 6 separate and mutually exclusive sites (head/neck, hands, upper extremities [excluding hands], trunk, lower extremities [excluding feet], and feet), with percentage of vitiligo involvement estimated in hand units by the same investigator throughout the study.
Measured: week 24
Score with VASI score
Change in percentage of repigmented Surface area 48 weeks after-inclusion, by using the VASI score at week 48.
The VASI Score is used to assess the severity and extent of Vitilgo. VASI is calculated using a formula that includes contributions from all body regions (possible range, 0-100). The body is divided into 6 separate and mutually exclusive sites (head/neck, hands, upper extremities [excluding hands], trunk, lower extremities [excluding feet], and feet), with percentage of vitiligo involvement estimated in hand units by the same investigator throughout the study.
Measured: week 48
Evaluation of Face Vitiligo Aera Scoring Index (F-VASI) score
Mean variation in percentage of Face Vitiligo Aera Scoring Index (F-VASI) score between baseline , week 12
Measured: week 12
Evaluation of Face Vitiligo Aera Scoring Index (F-VASI) score
Mean variation in percentage of Face Vitiligo Aera Scoring Index (F-VASI) score between baseline , week 24
Measured: week 24
Evaluation of Face Vitiligo Aera Scoring Index (F-VASI) score
Mean variation in percentage of Face Vitiligo Aera Scoring Index (F-VASI) score between baseline , week 36
Measured: week 36
Evaluation of Face Vitiligo Aera Scoring Index (F-VASI) score
Mean variation in percentage of Face Vitiligo Aera Scoring Index (F-VASI) score between baseline , week 48
Measured: week 48
Number of Adverse Events (AE) and serious adverse events (SAE), as well as the proportion of discontinuation due to AEs and/or SAEs
AE is defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related, that occurs after a subject provides informed consent. Abnormal laboratory values or test results occurring after informed consent constitute AEs only if they induce clinical signs or symptoms, are considered clinically meaningful, require therapy, or require changes in the study drug.
Measured: week 36
Evaluation of score Vitiligo European Task Force (VETF)
Variation of the score Vitiligo European Task Force (VETF) The VETF score is used to assess the severity and extent of vitiligo. The VETF assesses 3 dimensions of the disease in 5 areas (Head/neck, hands and feet, trunk, arms, legs) namely 1/ extent: percentage of vitiligo involvement estimated using the rule of nines, 2/ depigmentation severity grading (stage 0: normal pigmentation Stage 1: incomplete pigmentation , stage 2 complete depigmentation, stage 3: partial hair whitening <30% stage 4: complete hair whitening) and 3/ spreading (score O: similar limits, Score 1: progressive vitiligo; score -1: regressive vitiligo).
Measured: Week 12
Evaluation of score Vitiligo European Task Force (VETF)
Variation of the score Vitiligo European Task Force (VETF) The VETF score is used to assess the severity and extent of vitiligo. The VETF assesses 3 dimensions of the disease in 5 areas (Head/neck, hands and feet, trunk, arms, legs) namely 1/ extent: percentage of vitiligo involvement estimated using the rule of nines, 2/ depigmentation severity grading (stage 0: normal pigmentation Stage 1: incomplete pigmentation , stage 2 complete depigmentation, stage 3: partial hair whitening <30% stage 4: complete hair whitening) and 3/ spreading (score O: similar limits, Score 1: progressive vitiligo; score -1: regressive vitiligo).
Measured: Week 24
Evaluation of score of the Vitiligo Extent Score (VES)
Variation in percentage of the Vitiligo Extent Score (VES). The VES score is used to assess the severity and extent of vitiligo. Using the VES calculator www.vitiligo-calculator.com, investigator choose the pictures that best represent the patient's skin lesions and then the percentage of depigmented area is calculated.
Measured: Week 36
Evaluation of score of the Vitiligo Extent Score (VES)
Variation in percentage of the Vitiligo Extent Score (VES). The VES score is used to assess the severity and extent of vitiligo. Using the VES calculator www.vitiligo-calculator.com, investigator choose the pictures that best represent the patient's skin lesions and then the percentage of depigmented area is calculated.
Measured: Week 48
Evaluation of score of the Vitiligo Signs of Activity Score (VSAS)
Variation in percentage of the Vitiligo Signs of Activity Score (VSAS). The VSAS score is used to assess the activity of the disease. It is assessed by evaluating the number of location with at least one disease sign of activity.
Measured: Week 12
Evaluation of score of the Vitiligo Signs of Activity Score (VSAS)
Variation in percentage of the Vitiligo Signs of Activity Score (VSAS). The VSAS score is used to assess the activity of the disease. It is assessed by evaluating the number of location with at least one disease sign of activity.
Measured: Week 24
Evaluation of score of the Vitiligo Signs of Activity Score (VSAS)
Variation in percentage of the Vitiligo Signs of Activity Score (VSAS). The VSAS score is used to assess the activity of the disease. It is assessed by evaluating the number of location with at least one disease sign of activity.
Measured: Week 36
Evaluation of score of the Vitiligo Signs of Activity Score (VSAS)
Variation in percentage of the Vitiligo Signs of Activity Score (VSAS). The VSAS score is used to assess the activity of the disease. It is assessed by evaluating the number of location with at least one disease sign of activity.
Measured: Week 48
Evaluation of score of the Dermatology Life Quality Index (DLQI)
Variation of the score of the Dermatology Life Quality Index (DLQI). DLQI is a 10-item instrument, each item scored from 0 to 3 where higher scores correspond to worse symptom impact, full range from 0 to 30.
Measured: week 12
Evaluation of score of the Dermatology Life Quality Index (DLQI)
Variation of the score of the Dermatology Life Quality Index (DLQI). DLQI is a 10-item instrument, each item scored from 0 to 3 where higher scores correspond to worse symptom impact, full range from 0 to 30.
Measured: week 24
Evaluation of score of the Dermatology Life Quality Index (DLQI)
Variation of the score of the Dermatology Life Quality Index (DLQI). DLQI is a 10-item instrument, each item scored from 0 to 3 where higher scores correspond to worse symptom impact, full range from 0 to 30.
Measured: week 36
Evaluation of score of the Dermatology Life Quality Index (DLQI)
Variation of the score of the Dermatology Life Quality Index (DLQI). DLQI is a 10-item instrument, each item scored from 0 to 3 where higher scores correspond to worse symptom impact, full range from 0 to 30.
Measured: week 48
Evaluation of the score of the Skindex 29
Variation of the score of the Skindex 29. SkinDex29 is a 30-item instrument, each item scored from 1 to 5 where higher scores correspond to worse symptom impact, full range from 0 to 150.
Measured: Week 12
Evaluation of the score of the Skindex 29
Variation of the score of the Skindex 29. SkinDex29 is a 30-item instrument, each item scored from 1 to 5 where higher scores correspond to worse symptom impact, full range from 0 to 150.
Measured: Week 24
Evaluation of the score of the Skindex 29
Variation of the score of the Skindex 29. SkinDex29 is a 30-item instrument, each item scored from 1 to 5 where higher scores correspond to worse symptom impact, full range from 0 to 150.
Measured: Week 36
Evaluation of the score of the Skindex 29
Variation of the score of the Skindex 29. SkinDex29 is a 30-item instrument, each item scored from 1 to 5 where higher scores correspond to worse symptom impact, full range from 0 to 150.
Measured: Week 48
Evaluation of blood inflammatory markers using immunofluorescence on skin biopsies and ELISA multiplex.
Expression of IFN-α, TNF-α, IFN-γ, IL-4, IL-5, IL-12, IL-13, IL-15, IL-17, IL-22, IL-23, IL-33 CXCL4, CXCL9, CXCL10, CXCL11, CXCL12, CXCL16, CCL20, soluble HSP70.
Measured: day 1
Evaluation of blood inflammatory markers using immunofluorescence on skin biopsies and ELISA multiplex.
Expression of IFN-α, TNF-α, IFN-γ, IL-4, IL-5, IL-12, IL-13, IL-15, IL-17, IL-22, IL-23, IL-33 CXCL4, CXCL9, CXCL10, CXCL11, CXCL12, CXCL16, CCL20, soluble HSP70.
Measured: week 12
Evaluation of blood inflammatory markers using immunofluorescence on skin biopsies and ELISA multiplex.
Expression of IFN-α, TNF-α, IFN-γ, IL-4, IL-5, IL-12, IL-13, IL-15, IL-17, IL-22, IL-23, IL-33 CXCL4, CXCL9, CXCL10, CXCL11, CXCL12, CXCL16, CCL20, soluble HSP70.
Measured: week 36
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Mar 2021
- Study start16 Jul 2021
- Primary completion26 Apr 2023
- Study completion26 Apr 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for VitiligoStudies of the same condition, open and under way.
- More trials run by University Hospital, BordeauxThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This is a multicenter, randomized, non-comparative, phase II proof-of-concept trial involved patients with progressive vitiligo and uses one of the most common regimens in this phase of study. Assessment of the experimental treatment efficacy will be estimated only on the results obtained in the experimental treatment arm (baricitinib 4 mg/day + narrowband UVB TL01 arm).
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 49 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospital, Bordeaux
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Julien Seneschal, MD, PhD, Principal investigator, University Hospital, Bordeaux
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04822584
- Sponsor's protocol ID
- CHUBX 2019/21
- Other IDs
- 2020-005079-12
- Acronym
- BARVIT
- Status last verified
- Jun 2023
- First submitted
- 26 Mar 2021
- Last updated
- 12 Jun 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Seneschal J, Guyon M, Merhi R, Mazereeuw-Hautier J, Andreu N, Cazenave S, Ezzedine K, Passeron T, Boniface K. Combination of Baricitinib and Phototherapy in Adults With Active Vitiligo: A Randomized Clinical Trial. JAMA Dermatol. 2025 Apr 1;161(4):375-382. doi: 10.1001/jamadermatol.2024.5737.
PubMed 39841460
Study at a glance
From the registry record, last updated by the sponsor on 12 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of Effect and Tolerance of the Association of Baricitinib (4 mg) and Phototherapy Versus Phototherapy in Adults With Progressive Vitiligo: a Randomized, Double-blind, Prospective, Non-comparative Phase II Study.
- ClinicalTrials.gov ID
- NCT04822584
- Acronym / sponsor ID
- BARVIT / CHUBX 2019/21
- Conditions
- Vitiligo
- Keywords
- vitiligo, phototherapy, baricitinib, randomized
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 49 participants (actual)
- Lead sponsor
- University Hospital, BordeauxUniversity, hospital or other
- Study start
- 16 Jul 2021 (actual)
- Primary completion
- 26 Apr 2023 (actual)
- Study completion
- 26 Apr 2023 (actual)
- First posted
- 30 Mar 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this phase 2 study is to evaluate the effect and the safety of the combination of Baricitinib in combination with phototherapy in adult participants with non-segmental progressive vitiligo.
Detailed description
Treatment Strategy: Multicentric, parallel double blind randomized phase 2 prospective study comparing baricitinib (4mg/day) + narrowband UVB TL01 versus placebo + narrowband UVB TL01 Follow-up of the study: patients included in this study will start Baricitinib 3 months before starting narrowband UVB TL01. Phototherapy will be performed twice a week during 6 months. Follow-up visit will be done at week 12, 24, 36 and 48.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
- Model description
- This is a multicenter, randomized, non-comparative, phase II proof-of-concept trial involved patients with progressive vitiligo and uses one of the most common regimens in this phase of study. Assessment of the experimental treatment efficacy will be estimated only on the results obtained in the experimental treatment arm (baricitinib 4 mg/day + narrowband UVB TL01 arm).
| Arm | Type | Receives |
|---|---|---|
| Phototherapy associated with active treatment | Experimental | Drug: Baricitinib Oral ProductBaricitinib 4 mg/day orally for 36 weeks + UVB TL01: 2 times a week during 24 weeks. (Phototherapy will be started 12 weeks after the beginning of baricitinib) |
| Phototherapy associated with placebo | Placebo comparator | Drug: PlaceboPlacebo once a day orally for 36 weeks + UVB TL01: 2 times a week during 24 weeks. (Phototherapy will be started 12 weeks after the beginning of placebo of baricitinib). |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (23 listed)
- Subject: male or female aged ≥ 18 years and ≤ 75 years
- Diagnosis of non-segmental (symmetrical) vitiligo with a body surface area involved >5% excluding hands and feet
- Active non-segmental vitiligo is defined by:
- Able to read, understand, and give documented (electronic or paper signature) informed consent
- Registered in the French Social Security
Key exclusion criteria (50 listed)
- Segmental or mixed vitiligo
- Patients that are currently experiencing or have a history of other concomitant skin conditions (e.g., psoriasis or lupus erythematosus) that would interfere with evaluations of the effect of study medication on vitiligo
- Patients who are currently experiencing a skin infection that requires treatment, or who are currently being treated with topical or systemic antibiotics.
- Note: Patients may not be rescreened until at least 4 weeks after the date of their previous screen failure and at least 2 weeks after resolution of the infection.
- Patients that have any serious concomitant illness that is anticipated to require the use of systemic corticosteroids or otherwise interfere with study participation or require active frequent monitoring. (e.g., unstable chronic asthma).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Baricitinib Oral ProductBaricitinib 4 mg/day orally for 36 weeks | Drug | Phototherapy associated with active treatment |
| PlaceboPlacebo once a day orally for 36 weeks | Drug | Phototherapy associated with placebo |
Primary outcome
Score with Vitiligo Area Scoring Index (VASI)
Time frame: week 36
The VASI Score is used to assess the severity and extent of Vitilgo. VASI is calculated using a formula that includes contributions from all body regions (possible range, 0-100). The body is divided into 6 separate and mutually exclusive sites (head/neck, hands, upper extremities [excluding hands], trunk, lower extremities [excluding feet], and feet), with percentage of vitiligo involvement estimated in hand units by the same investigator throughout the study.
27 secondary outcomes
Score with VASI score
Time frame: week 12
Score with VASI score
Time frame: week 24
Score with VASI score
Time frame: week 48
Evaluation of Face Vitiligo Aera Scoring Index (F-VASI) score
Time frame: week 12
Evaluation of Face Vitiligo Aera Scoring Index (F-VASI) score
Time frame: week 24
Evaluation of Face Vitiligo Aera Scoring Index (F-VASI) score
Time frame: week 36
Evaluation of Face Vitiligo Aera Scoring Index (F-VASI) score
Time frame: week 48
Number of Adverse Events (AE) and serious adverse events (SAE), as well as the proportion of discontinuation due to AEs and/or SAEs
Time frame: week 36
Evaluation of score Vitiligo European Task Force (VETF)
Time frame: Week 12
Evaluation of score Vitiligo European Task Force (VETF)
Time frame: Week 24
Evaluation of score of the Vitiligo Extent Score (VES)
Time frame: Week 36
Evaluation of score of the Vitiligo Extent Score (VES)
Time frame: Week 48
Evaluation of score of the Vitiligo Signs of Activity Score (VSAS)
Time frame: Week 12
Evaluation of score of the Vitiligo Signs of Activity Score (VSAS)
Time frame: Week 24
Evaluation of score of the Vitiligo Signs of Activity Score (VSAS)
Time frame: Week 36
Evaluation of score of the Vitiligo Signs of Activity Score (VSAS)
Time frame: Week 48
Evaluation of score of the Dermatology Life Quality Index (DLQI)
Time frame: week 12
Evaluation of score of the Dermatology Life Quality Index (DLQI)
Time frame: week 24
Evaluation of score of the Dermatology Life Quality Index (DLQI)
Time frame: week 36
Evaluation of score of the Dermatology Life Quality Index (DLQI)
Time frame: week 48
Evaluation of the score of the Skindex 29
Time frame: Week 12
Evaluation of the score of the Skindex 29
Time frame: Week 24
Evaluation of the score of the Skindex 29
Time frame: Week 36
Evaluation of the score of the Skindex 29
Time frame: Week 48
Evaluation of blood inflammatory markers using immunofluorescence on skin biopsies and ELISA multiplex.
Time frame: day 1
Evaluation of blood inflammatory markers using immunofluorescence on skin biopsies and ELISA multiplex.
Time frame: week 12
Evaluation of blood inflammatory markers using immunofluorescence on skin biopsies and ELISA multiplex.
Time frame: week 36
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jun 2026.
- Results publication: PubMed 39841460Seneschal J, Guyon M, Merhi R, Mazereeuw-Hautier J, Andreu N, Cazenave S, Ezzedine K, Passeron T, Boniface K. Combination of Baricitinib and Phototherapy in Adults With Active Vitiligo: A Randomized Clinical Trial. JAMA Dermatol. 2025 Apr 1;161(4):375-382. doi: 10.1001/jamadermatol.2024.5737.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Julien Seneschal, MD, PhD principal investigator
University Hospital, Bordeaux
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Baricitinib Oral Product in people with Vitiligo, run by University Hospital, Bordeaux at 4 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 23 inclusion and 50 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Score with Vitiligo Area Scoring Index (VASI) (time frame: week 36). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04822584, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jun 2026.