Stable Nonsegmental VitiligoPhase 3TranquilloNCT05583526
A 52-Week Study of Ritlecitinib Oral Capsules in Adults and Adolescents With Nonsegmental Vitiligo (Active and Stable) Tranquillo
A Phase 3 study testing Ritlecitinib in people with Stable Nonsegmental Vitiligo and Active Nonsegmental Vitiligo, run by Pfizer at 115 sites in 15 countries.
Trial summary
A 52-Week Study of Ritlecitinib Oral Capsules in Adults and Adolescents with Nonsegmental Vitiligo (Active and Stable) Tranquillo Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Stable Nonsegmental Vitiligo, Active Nonsegmental Vitiligo
- What is being tested?
- Ritlecitinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 607 participants
- Where
- 115 sitesin 15 countries
- Study dates
- 1 Dec 2022to 5 Feb 2026
- Phase
- Phase 3
- 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 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Participants ≥18 years of age at Screening. Adolescents (12 to <18 years of age) are also eligible for this study, but only if approved by the local IRB/EC and regulatory health authority. Where these approvals have not been granted, only participants ≥18 years of age will be enrolled.
- Disease Characteristics:
- Eligible participants must have at both Screening and Baseline:
- A clinical diagnosis of nonsegmental vitiligo for at least 3 months; and
- BSA involvement 4%-60% inclusive, excluding involvements at palms of the hands, soles of the feet, or dorsal aspect of the feet; and
- BSA ≥0.5% involvement on the face (face is defined as including the area on the forehead to the original hairline, on the cheek vertically to the jawline, and laterally from the corner of the mouth to the tragus. The face will not include scalp, ears, neck, or surface area of the lips, but will include the nose and the eyelids; and
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- F-VASI ≥0.5 \& T-VASI ≥3; and
- Either active or stable disease nonsegmental vitiligo at both Screening and Baseline visits. All participants who do not have the features of active vitiligo (defined below) are required to have stable disease.
- Active vitiligo is defined as:
- Participants will be classified as having active vitiligo based on the presence of at least one active lesion at baseline defined as one of the following:
- New/extending lesion(s) in the 3 months prior to Screening visit (confirmed by photographs or medical record):
- Confetti-like lesion(s); Confetti-like depigmentation is characterized by the presence of numerous 1-mm to 5-mm depigmented macules in clusters;
- Trichrome lesion(s);Trichrome lesions have a hypopigmented zone of varying width between normal and completely depigmented skin, resulting in 3 different hues of skin;
- Koebner phenomenon/phenomena (excluding Type 1 [history based on isomorphic reaction]). The Koebner phenomenon manifests as depigmentation at sites of trauma, usually in a linear arrangement.
- Stable vitiligo is defined as an absence of signs of active disease. All participants who do not have the features of active vitiligo (defined above) are required to have stable disease.
- Eligibility is determined at Screening and Baseline based on the resulting scores from the local in-person reads of F-VASI, T-VASI, and BSA.
- Other Inclusion Criteria:
- If receiving concomitant medications for any reason other than vitiligo, participant must be on a stable regimen, which is defined as not starting a new drug or changing dosage within 7 days or 5 half-lives (whichever is longer) prior to Day 1. Participant must be willing to stay on a stable regimen during the duration of the study.
- Must agree to stop all other treatments for vitiligo from Screening through the final follow-up visit.
Who cannot join
- Any psychiatric condition including recent or active suicidal ideation or behavior that meets any of the following criteria:
- Suicidal ideation associated with actual intent and a method or plan in the past year: "Yes" answers on items 4 or 5 of the C-SSRS administered at the screening visit.
- Previous history of suicidal behaviors in the past 5 years: "Yes" answer (for events that occurred in the past 5 years) to any of the suicidal behavior items of the C-SSRS.
- For adults, any lifetime history of serious suicidal behavior or recurrent suicidal behavior. For adolescents, any previous lifetime history of suicidal behavior.
- Medical conditions pertaining to vitiligo and other diseases/conditions affecting the skin:
- Participants that have other types of vitiligo that do not meet criteria for active or stable vitiligo as noted in inclusion criterion #2 (including, but not limited to, segmental vitiligo and mixed vitiligo).
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- Currently have active forms of other disorders of pigmentation (including but not limited to Vogt-Koyanagi-Harada disease, malignancy-induced hypopigmentation [melanoma and mycosis fungoides], post-inflammatory hypopigmentation, pityriasis alba [minor manifestation of atopic dermatitis], senile leukoderma [age-related depigmentation], chemical/drug-induced leukoderma, ataxia telangiectasia, tuberous sclerosis, melasma (all types, including mixed), and congenital hypopigmentation disorder including piebaldism, Waardenburg syndrome, hypomelanosis of Ito, incontinentia pigmenti, dyschromatosis symmetrica hereditarian, xeroderma pigmentosum, and nevus depigmentosus). NOTE: Coexistence of halo nevus/nevi (also known as Sutton nevus/nevi) is permitted.
- Currently have active forms of inflammatory skin disease(s) or evidence of skin conditions (for example, morphea, discoid lupus, leprosy, syphilis, psoriasis, seborrheic dermatitis) at the time of the Screening or Baseline Visit that in the opinion of the investigator would interfere with evaluation of vitiligo or response to treatment.
- Leukotrichia in more than 33% of the face surface area affected with vitiligo lesions OR leukotrichia in more than 33% of the total body surface area affected with vitiligo lesions.
- Have a superficial skin infections within 2 weeks prior to first dose on Day 1. NOTE: participants may be rescreened after the infection resolves.
- General Infection History:
- Having a history of systemic infection requiring hospitalization, parenteral antimicrobial, antiviral (including biologic treatment), antiparasitic, antiprotozoal, or antifungal therapy, or as otherwise judged clinically significant by the investigator within 6 months prior to Day 1.
- Have active acute or chronic infection requiring treatment with oral antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 4 weeks prior to Day 1. NOTE: participants may be rescreened after the infection resolves.
- Evidence or history of untreated, currently treated or inadequately treated active or latent infection with Mycobacterium TB
- Specific Viral Infection History:
- History (single episode) of disseminated herpes zoster or disseminated herpes simplex, or a recurrent (more than one episode of) localized, dermatomal herpes zoster.
- Infected with hepatitis B or hepatitis C viruses: all participants will undergo screening for hepatitis B and C for eligibility.
- Participants who are positive for HCVAb and HCV RNA will not be eligible for this study.
- Have a known immunodeficiency disorder (including positive serology for HIV at screening) or a first-degree relative with a hereditary immunodeficiency.
- Medical Conditions, Other:
- Current or recent history of clinically significant severe, progressive, or uncontrolled renal (including but not limited to active renal disease or recent kidney stones), hepatic, hematological, gastrointestinal, metabolic, endocrine (eg, untreated hypovitaminosis D or hypothyroidism), pulmonary, cardiovascular, psychiatric, immunologic/rheumatologic or neurologic disease; or have any other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration, or interfere with the interpretation of study results; or in the opinion of the investigator or Pfizer (or designee), the participant is inappropriate for entry into this study, or unwilling/unable to comply with study procedures and lifestyle requirements.
- History of severe allergic or anaphylactoid reaction to any kinase inhibitor or a known allergy/hypersensitivity to any component (including excipients) of the study intervention.
- Have hearing loss with progression over the previous 5 years, sudden hearing loss, or middle or inner ear disease such as otitis media, cholesteatoma, Meniere's disease, labyrinthitis, or other auditory condition that is considered acute, fluctuating or progressive.
- Have a history of any lymphoproliferative disorder such as EBV-related lymphoproliferative disorder, history of lymphoma, history of leukemia, or signs and symptoms suggestive of current lymphatic or lymphoid disease.
- Abnormal findings on the Screening chest imaging (eg, chest x-ray) that may increase the risk associated with study participation including, but not limited to, presence of active TB, general infections, cardiomyopathy, or malignancy. Chest imaging may be performed up to 12 weeks prior to screening. Documentation of the official reading must be located and available in the source documentation.
- Long QT Syndrome, a family history of Long QT Syndrome, or a history of TdP.
- Have any malignancies or have a history of malignancies with the exception of adequately treated or excised nonmetastatic basal cell or squamous cell cancer of the skin or cervical carcinoma in situ.
- Significant trauma or major surgery within 1 month of the first dose of study drug or considered in imminent need for surgery or with elective surgery scheduled to occur during the study.
- Prior/Concomitant Therapy:
- Have received any of the prohibited treatment regimens specified.
- Prior/Concurrent Clinical Study Experience:
- Previous administration with an investigational drug or vaccine that do not affect vitiligo within 4 weeks of Day 1 [Baseline] or within 5 half-lives, whichever is longer.
- Diagnostic Assessments:
- Any of the following abnormalities in laboratory values at Screening, as assessed by the study-specific laboratory and, if deemed necessary, confirmed by a single repeat:
- Renal impairment
- Hepatic dysfunction
- Screening standard 12-lead ECG that demonstrates clinically relevant abnormalities
- Other Exclusion Criteria:
- Investigator site staff directly involved in the conduct of the study and their family members, site staff otherwise supervised by the investigator, and sponsor and sponsor delegate employees directly involved in the conduct of the study and their family members.
- Adolescent participants 12 to <18 years of age without one of the following:
- Documented evidence from a health professional of having received varicella vaccination (2 doses); or
- Evidence of prior exposure to VZV based on serological testing (ie, a positive VZV IgG Ab result) at Screening.
Trial locations and contacts
115 sites in 15 countries.
115 sites in 15 countries
United States46 sites
University of New Mexico Health Sciences Center
Albuquerque, New Mexico, 87102
University of Michigan
Ann Arbor, Michigan, 48109
Velocity Clinical Research at The Dermatology Clinic, Baton Rouge
Baton Rouge, Louisiana, 70808
DelRicht Research
Baton Rouge, Louisiana, 70809
The NeuroMedical Center (XRay)
Baton Rouge, Louisiana, 70810
Bellaire Dermatology Associates
Bellaire, Texas, 77401
University of Alabama at Birmingham
Birmingham, Alabama, 35233
University of Alabama at Birmingham Faculty Office Towers (Regulatory
Birmingham, Alabama, 35294
Massachusetts General Hospital
Boston, Massachusetts, 02114
Visage Dermatology and Aesthetic Center
Bowie, Maryland, 20716
Encore Medical Research of Boynton Beach
Boynton Beach, Florida, 33436
SUNY Downstate Health Sciences University
Brooklyn, New York, 11203
Hamzavi Dermatology - Canton
Canton, Michigan, 48187
University of North Carolina Medical Center
Chapel Hill, North Carolina, 27516
Clinical & Translational Research Center (CTRC)
Chapel Hill, North Carolina, 27599
Medical University of South Carolina
Charleston, South Carolina, 29425
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
Remington Davis Clinical Research
Columbus, Ohio, 43215
Remington-Davis, Inc
Columbus, Ohio, 43215
Modern Research Associates, PLLC
Dallas, Texas, 75231
California Dermatology & Clinical Research Institute
Encinitas, California, 92024
Skin Care Research
Hollywood, Florida, 33021
Alpesh D. Desai, DO PLLC - Research
Houston, Texas, 77008
Austin Institute for Clinical Research
Houston, Texas, 77056
Marvel Clinical Research
Huntington Beach, California, 92647
Dawes Fretzin Clinical Research Group, LLC
Indianapolis, Indiana, 46250
Wallace Medical Group, Inc
Los Angeles, California, 90056
Clever Medical Research
Miami, Florida, 33126
DelRicht Research
New Orleans, Louisiana, 70115
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
Ziaderm Research LLC
North Miami Beach, Florida, 33162
Skin Specialists, PC
Omaha, Nebraska, 68144
Prairieville Family Hospital (XRay)
Prairieville, Louisiana, 70769
Lawrence J Green, MD LLC
Rockville, Maryland, 20850
Progressive Clinical Research
San Antonio, Texas, 78213
Texas Dermatology and Laser Specialists
San Antonio, Texas, 78218
Dermatology Clinical Research Center of San Antonio
San Antonio, Texas, 78229
Advanced Medical Research, PC.
Sandy Springs, Georgia, 30328
Olympian Clinical Research
St. Petersburg, Florida, 33709
ForCare Clinical Research
Tampa, Florida, 33613
Audiology
Washington D.C., District of Columbia, 20007
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010
Center for Dermatology and Dermatologic Surgery
Washington D.C., District of Columbia, 20037
Accellacare - Wilmington
Wilmington, North Carolina, 28411
Accellacare
Wilmington, North Carolina, 28411
PMG Research of Wilmington, LLC
Wilmington, North Carolina, 28411
China11 sites
Fujian Medical University Affiliated First Hospital
Fuzhou, Fujian, 350005
Dermatology Hospital of Southern Medical University
Guangzhou, Guangdong, 510091
Guangzhou First People's Hospital
Guangzhou, Guangdong, 510180
Zhejiang Provincial People's Hospital/Dermatology Department
Hangzhou, Zhejiang, 310014
Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University
Hangzhou, Zhejiang, 310016
First Affiliated Hospital of Kunming Medical University
Kunming, Yunnan, 650032
Huashan Hospital Fudan University
Shanghai, Shanghai Municipality, 200040
The First Hospital of China Medical University/Dermatology and STD Department
Shenyang, Liaoning, 110001
Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300052
The first Affiliated hospital of Wenzhou medical University
Wenzhou, Zhejiang, 325000
The First Hospital of Wuhan
Wuhan, Hubei, 430022
Canada8 sites
Dermatology Research Institute
Calgary, Alberta, T2J 7E1
Lynderm Research Inc.
Markham, Ontario, L3P 1X3
DermEdge Research
Mississauga, Ontario, L4Y 4C5
Centre de Recherche Dermatologique du Quebec metropolitain
Québec, G1V 4X7
Centre de Recherche Saint-Louis inc.
Québec, G1W 4R4
CaRe Clinic
Red Deer, Alberta, T4P 1K4
North York Research Inc
Toronto, Ontario, M2N3A6
Whitby Health Centre Dermatology trials
Whitby, Ontario, L1P 0p9
Japan7 sites
Yamanashi Prefectural Central Hospital
Kofu, Yamanashi, 400-8506
Nagoya City University Hospital
Nagoya, Aichi-ken, 467-8602
Dermatology and Ophthalmology Kume Clinic
Sakai, Osaka, 593-8324
Tohoku University Hospital
Sendai, Miyagi, 980-8574
Tokyo Medical University Hospital
Shinjuku-ku, Tokyo, 160-0023
Nippon Medical School Hospital
Tokyo, 113-8603
Sugamo Kobayashi Derma Clinic
Toshima-Ku, Tokyo, 170-0002
Australia5 sites
North Eastern Health Specialists
Campbelltown, South Australia, 5074
Skin Health Institute Inc.
Carlton, Victoria, 3053
The Skin Hospital
Darlinghurst, New South Wales, 2010
Dr Rodney Sinclair Pty Ltd
East Melbourne, Victoria, 3002
The Alfred Hospital
Melbourne, Victoria, 3004
Mexico5 sites
Hospital Infantil de Mexico Federico Gomez
Mexico City, Mexico City, 06720
Centro de Dermatologia de Monterrey
Monterrey, Nuevo León, 64460
Sociedad de Metabolismo y Corazon S.C.
Veracruz, 91900
Sociedad de Metabolismo Y Corazon Sc
Veracruz, 91900
Arké SMO S.A de C.V
Veracruz, 91910
Poland5 sites
Dermoklinika - Centrum Medyczne spółka cywilna M. Kierstan, J. Narbutt, A. Lesiak
Lodz, Łódź Voivodeship, 90-436
DermoDent Centrum Medyczne Aldona Czajkowska Rafał Czajkowski s.c.
Osielsko, Kuyavian-Pomeranian Voivodeship, 86-031
Dermedic Jacek Zdybski
Ostrowiec Witokrzyski, Świętokrzyskie Voivodeship, 27-400
Twoja Przychodnia SCM
Szczecin, West Pomeranian Voivodeship, 71-500
Royalderm Agnieszka Nawrocka
Warsaw, Masovian Voivodeship, 02-962
Spain5 sites
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital Universitario Reina Sofia
Córdoba, Andalusia, 14004
AUDIKA
Córdoba, 14001
Hospital Universitario de Gran Canaria Doctor Negrín
Las Palmas de Gran Canaria, Canary Islands, 35010
Hospital Universitario Ramón y Cajal
Madrid, 28034
Germany4 sites
Fachklinik Bad Bentheim
Bad Bentheim, Lower Saxony, 48455
Universitaetsklinikum Erlangen
Erlangen, Bavaria, 91054
Universitätsklinikum Münster
Münster, North Rhine-Westphalia, 48149
Praxis Leitz und Kollegen
Stuttgart, Baden-Wurttemberg, 70178
South Africa4 sites
Task Central
Cape Town, Western Cape, 7530
Clinresco Centres
Kempton Park, Gauteng, 1619
Phoenix Pharma
Port Elizabeth, Eastern Cape, 6001
Botho Ke Bontle Health Services
Pretoria, Gauteng, 0184
South Korea4 sites
Dongguk University Ilsan Hospital
Goyang-si, Kyǒnggi-do, 10326
Severance Hospital, Yonsei University Health System
Seoul, Seoul-teukbyeolsi [seoul], 03722
The Catholic University Of Korea St. Vincent's Hospital
Suwon, Kyǒnggi-do, 16247
Ajou University Hospital
Suwon, Kyǒnggi-do, 16499
Turkey (Türkiye)4 sites
Istanbul Universitesi- Cerrahpasa, Cerrahpasa Tip Fakultesi
Istanbul, 34098
Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi
Istanbul, 34890
Erciyes Universitesi Tıp Fakultesi Hastaneleri
Kayseri, 38039
Celal Bayar Universitesi Hafta Sultan Hastanesi
Manisa, 45030
Bulgaria3 sites
MC "Asklepiy" OOD
Dupnitsa, 2600
DCC Aleksandrovska EOOD
Sofia, 1431
UMHAT "Prof. dr. Stoyan Kirkovich" AD
Stara Zagora, 6000
Italy3 sites
Policlinico S. Orsola- Malpighi
Bologna, 40138
Istituti Fisioterapici Ospitalieri (IFO)
Roma, RM, 00144
Istituto Clinico Humanitas, IRCCS
Rozzano, Milano, 20089
United Kingdom1 site
Guy's & St Thomas' NHS Foundation Trust
London, SE1 9RT
About this study
Official title: A PHASE 3 RANDOMIZED, DOUBLE-BLIND, 52-WEEK PLACEBO-CONTROLLED, MULTI-CENTER STUDY INVESTIGATING THE EFFICACY, SAFETY, AND TOLERABILITY OF RITLECITINIB IN ADULT AND ADOLESCENT PARTICIPANTS WITH NON SEGMENTAL VITILIGO
A 52-Week Study of Ritlecitinib Oral Capsules in Adults and Adolescents with Nonsegmental Vitiligo (Active and Stable) Tranquillo
Read the detailed description
Study B7981040 is a Phase 3 randomized, double-blind, 52-week placebo-controlled, multi center study investigating the efficacy, safety, and tolerability of ritlecitinib in adult and adolescent participants with nonsegmental vitiligo (both active and stable vitiligo).
- Being tested
- Ritlecitinib, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RitlecitinibDrug
50 mg capsule
PlaceboDrug
Matching capsule
| Study group | Role | What they receive |
|---|---|---|
| Ritlecitinib 50 mg | Experimental | Ritlecitinib 50 mg QD (ritilecitinib 50 mg QD arm; approximately 400 participants) Receives: Drug: Ritlecitinib |
| Placebo | Placebo comparator | Placebo (placebo arm; approximately 200 participants) Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
US only Co-Primary Endpoints: Response based on Facial Vitiligo Area Scoring Index 75 (F-VASI75) at Week 52 and T-VASI50 at Week 52
Proportion of participants achieving F-VASI75 (defined as at least 75% improvement in F-VASI from Baseline) and T-VASI50 (defined as at least 50% improvement in T-VASI from Baseline)
Measured: Week 52
Global (Other than US): Response based on Facial Vitiligo Area Scoring Index 75 (F-VASI75) at Week 52
Proportion of participants achieving F-VASI75 (defined as at least 75% improvement in F-VASI from Baseline)
Measured: Week 52
Incidence of Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Adverse Events (AEs), leading to discontinuation, and clinically significant laboratory abnormalities
Safety and tolerability of ritlecitinib in participants with nonsegmental vitiligo
Measured: Baseline through Week 52
Secondary outcomes (35)
US-Only: Response based on F-VASI75 at 24 and 36 weeks
Proportion of participants achieving at least a 75% improvement in F-VASI from Baseline
Measured: Weeks 24 and 36
US-Only: Response based on T-VASI50 at 24 and 36 weeks
Proportion of participants achieving T-VASI50 (defined as at least 50% improvement in T-VASI from Baseline)
Measured: Weeks 24 and 36
US-Only: Response based on T-VASI75 at 52 weeks
Proportion of participants achieving T-VASI75 (defined as at least 75% improvement in T-VASI from Baseline)
Measured: Week 52
US-Only: Percentage change from baseline (% CFB) in F-VASI at 24, 36, and 52 weeks
Median % CFB in F-VASI in participants treated with ritlecitinib 50 mg QD versus placebo
Measured: Weeks 24, 36, and 52
US-Only: Percentage change from baseline (% CFB) in T-VASI at 24, 36, and 52 weeks
Median % CFB in T-VASI in participants treated with ritlecitinib 50 mg QD versus placebo
Measured: Weeks 24, 36, and 52
US-Only: Patient Global Impression of Severity-Face (PGIS-F)
Proportion of responders based on PGIS-F at 52 weeks
Measured: Week 52
US-Only: Patient Global Impression of Severity-Overall Vitiligo (PGIS-V)
Proportion of responders based on PGIS-V at 52 weeks
Measured: Week 52
Global (Other than US): Response based on F-VASI75 at 24 and 36 weeks
Proportion of participants achieving F-VASI75 (defined as at least 75% improvement in F-VASI from Baseline)
Measured: Weeks 24 and 36
Global (Other Than US): Response based on T-VASI50 at 24, 36, and 52 weeks
Proportion of participants achieving T-VASI50 (defined as at least 50% improvement in T-VASI from Baseline)
Measured: Weeks 24, 36, and 52
Global (Other than US): Percentage change from baseline (% CFB) in F-VASI at 24, 36, and 52 weeks
Median % CFB in F-VASI in participants treated with ritlecitinib 50 mg QD versus placebo
Measured: Weeks 24, 36, and 52
Global (Other than US): Percentage change from baseline (% CFB) in T-VASI at 24, 36, and 52 weeks
Median % CFB in T-VASI in participants treated with ritlecitinib 50 mg QD versus placebo
Measured: Weeks 24, 36, and 52
Global (Other than US): Patient Global Impression of Severity-Face (PGIS-F)
Proportion of responders based on PGIS-F at 24, 36, and 52 weeks
Measured: Weeks 24, 36, and 52
Global (Other than US): Patient Global Impression of Severity-Overall Vitiligo (PGIS-V)
Proportion of responders based on PGIS-V at 24, 36, and 52 weeks
Measured: Weeks 24, 36, and 52
All Countries: Proportion of participants achieving disease stabilization
The difference in the proportion of participants with stable disease at all timepoints in participants with non segmental vitiligo treated with ritlecitinib 50 mg QD compared to placebo
Measured: Baseline through week 52
Response based on T-VASI50
Proportion of participants achieving T-VASI50 (defined as at least 50% improvement in T-VASI from Baseline)
Measured: Baseline through week 4, week 8, week 12, week 48
Response based on F-VASI75
Proportion of participants achieving F-VASI75 (defined as at least 75% improvement in F-VASI from Baseline)
Measured: Baseline through week 4, week 8, week 12, week 48
Response based on T-VASI75
Proportion of participants achieving T-VASI75 (defined as at least 75% improvement in T-VASI from Baseline)
Measured: Baseline through week 4, week 8, week 12, week 24, week 36, week 48
Proportion of participants with sustained improvement in T-VASI
Defined as maintenance of ≥T-VASI50 from Week 36 to Week 52
Measured: Week 36 through week 52
Proportion of participants with sustained improvement in F-VASI
Defined as maintenance of ≥F-VASI75 from Week 36 to 52
Measured: Week 36 through week 52
All Countries: Time to rescue medication
Comparing time to rescue medication curves and difference in probabilities of using rescue medication
Measured: Baseline through week 52
Percentage change from baseline in F-VASI
Median % CFB in F-VASI at appropriate timepoints in participants treated with ritlecitinib 50 mg QD versus placebo
Measured: Baseline through week 52
Percentage change from baseline in T-VASI
Median % CFB in T-VASI at appropriate timepoints in participants treated with ritlecitinib 50 mg QD versus placebo
Measured: Baseline through week 52
Response based on T-VASI90
Proportion of participants achieving T-VASI90 (defined as at least 90% improvement in T-VASI from Baseline)
Measured: Baseline through week 52
Response based on T-VASI100
Proportion of participants achieving T-VASI100 (defined as at least 100% improvement in T-VASI from Baseline)
Measured: Baseline through week 52
Response based on F-VASI50
Proportion of participants achieving F-VASI50 (defined as at least 50% improvement in F-VASI from Baseline).
Measured: Baseline through week 52
Response based on F-VASI90
Proportion of participants achieving F-VASI90 (defined as at least 50% improvement in F-VASI from Baseline).
Measured: Baseline through week 52
Response based on F-VASI100
Proportion of participants achieving F-VASI100 (defined as at least 100% improvement in F-VASI from Baseline).
Measured: Baseline through week 52
Patient Global Impression of Severity-Face (PGIS-F)
Proportion of responders based on PGIS-F at 24 and 26 weeks
Measured: Weeks 24 and 36
Patient Global Impression of Severity-Overall Vitiligo (PGIS-V)
Proportion of responders based on PGIS-V at 24 and 36 weeks
Measured: Weeks 24 and 36
Patient Global Impression of Change-Face (PGIC-F)
To assess the effect of ritlecitinib compared to placebo on the PGIC-F at 24, 36, and 52 weeks
Measured: Weeks 24, 36, and 52
Patient Global Impression of Change- Overall Vitiligo (PGIC-V)
To assess the effect of ritlecitinib compared to placebo on the PGIC-V at 24, 36, and 52 weeks
Measured: Weeks 24, 36, and 52
Change from baseline in Dermatology Life Quality Index (DLQI) or Children Dermatology Life Quality Index (CDLQI)
To evaluate the change from baseline in DLQI or CDLQI at week 52
Measured: Week 52
Change from baseline in the Hospital Anxiety and Depression Scale (HADS)
To assess the effect of ritlecitinib compared to placebo on depression and anxiety subscales of the HADS at week 52
Measured: Week 52
The proportion of patients achieving absence of depression on HADS depression subscale
Response based on a 'normal' subscale score indicative of an absence of depression (in participants with baseline HADS subscale scores indicative of depression)
Measured: Week 52
The proportion of patients achieving absence of anxiety on HADS anxiety subscale
Response based on a 'normal' subscale score indicative of an absence of anxiety (in participants with baseline HADS subscale scores indicative of anxiety)
Measured: Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Oct 2022
- Study start1 Dec 2022
- Primary completion5 Feb 2026
- Study completion5 Feb 2026
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 Stable Nonsegmental VitiligoStudies of the same condition, open and under way.
- More trials run by PfizerThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Double-blind, parallel-group, vehicle controlled.
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 607 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05583526
- Sponsor's protocol ID
- B7981040
- Other IDs
- Tranquillo, 2022-501668-16-00
- Acronym
- Tranquillo
- Status last verified
- Feb 2026
- First submitted
- 6 Oct 2022
- Last updated
- 27 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Lukic T, Ghosh P, Napatalung L, Wang C, Kurosky SK, Hamzavi I, Sinclair R, Xiang L, Steil K, Rosmarin D, Parsad D, Ezzedine K, Adiri R. Description of the Tranquillo Phase 3 Clinical Trial Designs/Study Protocols to Assess Ritlecitinib in Adults and Adolescents with Nonsegmental Vitiligo. Dermatol Ther (Heidelb). 2026 Jul;16(7):3709-3727. doi: 10.1007/s13555-026-01724-y. Epub 2026 May 22.
PubMed 42171987
Study at a glance
From the registry record, last updated by the sponsor on 27 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 3 RANDOMIZED, DOUBLE-BLIND, 52-WEEK PLACEBO-CONTROLLED, MULTI-CENTER STUDY INVESTIGATING THE EFFICACY, SAFETY, AND TOLERABILITY OF RITLECITINIB IN ADULT AND ADOLESCENT PARTICIPANTS WITH NON SEGMENTAL VITILIGO
- ClinicalTrials.gov ID
- NCT05583526
- Acronym / sponsor ID
- Tranquillo / B7981040
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 607 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 1 Dec 2022 (actual)
- Primary completion
- 5 Feb 2026 (actual)
- Study completion
- 5 Feb 2026 (actual)
- First posted
- 17 Oct 2022 (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.
A 52-Week Study of Ritlecitinib Oral Capsules in Adults and Adolescents with Nonsegmental Vitiligo (Active and Stable) Tranquillo
Detailed description
Study B7981040 is a Phase 3 randomized, double-blind, 52-week placebo-controlled, multi center study investigating the efficacy, safety, and tolerability of ritlecitinib in adult and adolescent participants with nonsegmental vitiligo (both active and stable vitiligo).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Double-blind, parallel-group, vehicle controlled.
| Arm | Type | Receives |
|---|---|---|
| Ritlecitinib 50 mg | Experimental | Drug: RitlecitinibRitlecitinib 50 mg QD (ritilecitinib 50 mg QD arm; approximately 400 participants) |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo (placebo arm; approximately 200 participants) |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (19 listed)
- Participants ≥18 years of age at Screening. Adolescents (12 to <18 years of age) are also eligible for this study, but only if approved by the local IRB/EC and regulatory health authority. Where these approvals have not been granted, only participants ≥18 years of age will be enrolled.
- Eligible participants must have at both Screening and Baseline:
- Stable vitiligo is defined as an absence of signs of active disease. All participants who do not have the features of active vitiligo (defined above) are required to have stable disease.
- Eligibility is determined at Screening and Baseline based on the resulting scores from the local in-person reads of F-VASI, T-VASI, and BSA.
- If receiving concomitant medications for any reason other than vitiligo, participant must be on a stable regimen, which is defined as not starting a new drug or changing dosage within 7 days or 5 half-lives (whichever is longer) prior to Day 1. Participant must be willing to stay on a stable regimen during the duration of the study.
Key exclusion criteria (42 listed)
- Any psychiatric condition including recent or active suicidal ideation or behavior that meets any of the following criteria:
- Medical conditions pertaining to vitiligo and other diseases/conditions affecting the skin:
- General Infection History:
- Specific Viral Infection History:
- Medical Conditions, Other:
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 |
|---|---|---|
| Ritlecitinib50 mg capsule | Drug | Ritlecitinib 50 mg |
| PlaceboMatching capsule | Drug | Placebo |
Primary outcome
US only Co-Primary Endpoints: Response based on Facial Vitiligo Area Scoring Index 75 (F-VASI75) at Week 52 and T-VASI50 at Week 52
Time frame: Week 52
Proportion of participants achieving F-VASI75 (defined as at least 75% improvement in F-VASI from Baseline) and T-VASI50 (defined as at least 50% improvement in T-VASI from Baseline)
Global (Other than US): Response based on Facial Vitiligo Area Scoring Index 75 (F-VASI75) at Week 52
Time frame: Week 52
Proportion of participants achieving F-VASI75 (defined as at least 75% improvement in F-VASI from Baseline)
Incidence of Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Adverse Events (AEs), leading to discontinuation, and clinically significant laboratory abnormalities
Time frame: Baseline through Week 52
Safety and tolerability of ritlecitinib in participants with nonsegmental vitiligo
35 secondary outcomes
US-Only: Response based on F-VASI75 at 24 and 36 weeks
Time frame: Weeks 24 and 36
US-Only: Response based on T-VASI50 at 24 and 36 weeks
Time frame: Weeks 24 and 36
US-Only: Response based on T-VASI75 at 52 weeks
Time frame: Week 52
US-Only: Percentage change from baseline (% CFB) in F-VASI at 24, 36, and 52 weeks
Time frame: Weeks 24, 36, and 52
US-Only: Percentage change from baseline (% CFB) in T-VASI at 24, 36, and 52 weeks
Time frame: Weeks 24, 36, and 52
US-Only: Patient Global Impression of Severity-Face (PGIS-F)
Time frame: Week 52
US-Only: Patient Global Impression of Severity-Overall Vitiligo (PGIS-V)
Time frame: Week 52
Global (Other than US): Response based on F-VASI75 at 24 and 36 weeks
Time frame: Weeks 24 and 36
Global (Other Than US): Response based on T-VASI50 at 24, 36, and 52 weeks
Time frame: Weeks 24, 36, and 52
Global (Other than US): Percentage change from baseline (% CFB) in F-VASI at 24, 36, and 52 weeks
Time frame: Weeks 24, 36, and 52
Global (Other than US): Percentage change from baseline (% CFB) in T-VASI at 24, 36, and 52 weeks
Time frame: Weeks 24, 36, and 52
Global (Other than US): Patient Global Impression of Severity-Face (PGIS-F)
Time frame: Weeks 24, 36, and 52
Global (Other than US): Patient Global Impression of Severity-Overall Vitiligo (PGIS-V)
Time frame: Weeks 24, 36, and 52
All Countries: Proportion of participants achieving disease stabilization
Time frame: Baseline through week 52
Response based on T-VASI50
Time frame: Baseline through week 4, week 8, week 12, week 48
Response based on F-VASI75
Time frame: Baseline through week 4, week 8, week 12, week 48
Response based on T-VASI75
Time frame: Baseline through week 4, week 8, week 12, week 24, week 36, week 48
Proportion of participants with sustained improvement in T-VASI
Time frame: Week 36 through week 52
Proportion of participants with sustained improvement in F-VASI
Time frame: Week 36 through week 52
All Countries: Time to rescue medication
Time frame: Baseline through week 52
Percentage change from baseline in F-VASI
Time frame: Baseline through week 52
Percentage change from baseline in T-VASI
Time frame: Baseline through week 52
Response based on T-VASI90
Time frame: Baseline through week 52
Response based on T-VASI100
Time frame: Baseline through week 52
Response based on F-VASI50
Time frame: Baseline through week 52
Response based on F-VASI90
Time frame: Baseline through week 52
Response based on F-VASI100
Time frame: Baseline through week 52
Patient Global Impression of Severity-Face (PGIS-F)
Time frame: Weeks 24 and 36
Patient Global Impression of Severity-Overall Vitiligo (PGIS-V)
Time frame: Weeks 24 and 36
Patient Global Impression of Change-Face (PGIC-F)
Time frame: Weeks 24, 36, and 52
Patient Global Impression of Change- Overall Vitiligo (PGIC-V)
Time frame: Weeks 24, 36, and 52
Change from baseline in Dermatology Life Quality Index (DLQI) or Children Dermatology Life Quality Index (CDLQI)
Time frame: Week 52
Change from baseline in the Hospital Anxiety and Depression Scale (HADS)
Time frame: Week 52
The proportion of patients achieving absence of depression on HADS depression subscale
Time frame: Week 52
The proportion of patients achieving absence of anxiety on HADS anxiety subscale
Time frame: Week 52
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 27 Feb 2026.
- Derived from this study: PubMed 42171987Lukic T, Ghosh P, Napatalung L, Wang C, Kurosky SK, Hamzavi I, Sinclair R, Xiang L, Steil K, Rosmarin D, Parsad D, Ezzedine K, Adiri R. Description of the Tranquillo Phase 3 Clinical Trial Designs/Study Protocols to Assess Ritlecitinib in Adults and Adolescents with Nonsegmental Vitiligo. Dermatol Ther (Heidelb). 2026 Jul;16(7):3709-3727. doi: 10.1007/s13555-026-01724-y. Epub 2026 May 22.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
Related trials for Stable Nonsegmental Vitiligo
Active, not recruitingPhase 3
A 104-Week Study of Ritlecitinib Oral Capsules in Adults With Nonsegmental Vitiligo (Active and Stable) Tranquillo 2
Stable Nonsegmental Vitiligo, Active Nonsegmental Vitiligo
Active, not recruitingPhase 3
A 52-Week Study to Learn About the Safety and Effects of Ritlecitinib in Participants With Nonsegmental Vitiligo
Vitiligo
RecruitingPhase 2
Melanotan II (MT-II) as an Adjunct to NB-UVB Phototherapy for Repigmentation in Stable Nonsegmental Vitiligo
NonSegmental Vitiligo, Nonsegmental Vitiligo (Stable)
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.
Pfizer CT.gov Call Center study director
Pfizer
115 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ritlecitinib in people with Stable Nonsegmental Vitiligo and Active Nonsegmental Vitiligo, run by Pfizer at 115 sites in 15 countries.
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 19 inclusion and 42 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 27 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 115 sites in United States, China, Canada, Japan, Australia and 10 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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?
US only Co-Primary Endpoints: Response based on Facial Vitiligo Area Scoring Index 75 (F-VASI75) at Week 52 and T-VASI50 at Week 52 (time frame: Week 52). The study lists 3 primary outcomes in all. 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 NCT05583526, 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 27 Feb 2026.