Clinical trial • Phase III • Dermatology

AFAMELANOTIDE for Vitiligo

Phase III trial of AFAMELANOTIDE for Vitiligo.

Overview

Trial Therapeutic Area
Dermatology
Trial Disease
Vitiligo
Trial Stage
Phase III
Drug Modality
Peptide/protein/enzyme
Paediatric Trial
Yes
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
06-12-2023
First CTIS Authorization Date
18-04-2024

Trial design

Randomised, open-label, nb-uvb light alone (administered twice weekly for 20 weeks) is the comparator arm; investigational arm: nb-uvb (twice weekly) plus scenesse® (one implant administered every three weeks) for 20 weeks.-controlled Phase III trial in Italy, France.

Randomised
Yes
Open Label
Yes
Comparator
NB-UVB light alone (administered twice weekly for 20 weeks) is the comparator arm; investigational arm: NB-UVB (twice weekly) plus SCENESSE® (one implant administered every three weeks) for 20 weeks.
Target Sample Size
160
Trial Duration For Participant
320

Eligibility

Recruits 160 paediatric patients.

Pregnancy Exclusion
Female who is pregnant or lactating
Vulnerable Population
Vulnerable population not selected in the population questionnaire; however paediatric assent and parent informed consent documents are provided (Paediatric Assent, Parent ICF), indicating that for minors consent by a parent/legal guardian and paediatric assent will be used. Adult ICF documents are also available in multiple language versions.

Inclusion criteria

  • {"criterion_text":"- Male and female participants with a confirmed diagnosis of generalized vitiligo in the face and body\n- Stable or active vitiligo diagnosed for at least three months\n- Fitzpatrick skin types III-VI\n- Willing and able to comply with the conditions specified in this protocol and study procedures in the opinion of the Investigator\n- Providing written Informed Consent prior to the performance of any study-specific procedure"}

Exclusion criteria

  • {"criterion_text":"- Fitzpatrick skin types I-II\n- Any other treatment for vitiligo within 30 days prior to the Screening Visit\n- History of melanoma or lentigo maligna\n- History of dysplastic nevus syndrome\n- Any malignant skin lesions\n- Any skin disease that may interfere with the study evaluation\n- Presence of severe hepatic disease or hepatic impairment\n- Female who is pregnant or lactating\n- Female of child-bearing potential not using effective contraceptive methods\n- Sexually active man with a partner of child-bearing potential who is not using effective contraceptive methods\n- Use of any prior and concomitant therapy which may interfere with the objective of the study\n- Extensive leukotrichia\n- Treatment with NB-UVB phototherapy in the last three months prior to phototherapy\n- Allergy to afamelanotide or the polymer contained in the implant"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Percentage of participants achieving re pigmentation in those treated with SCENESSE® and NB-UVB compared to NB-UVB alone.","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- Time to onset of repigmentation","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Time to onset of repigmentation of face","definition_or_measurement_approach":""}

Recruitment

Digital Remote Recruitment
True, recruitment materials include web page content, social media adverts, digital banners, internet adverts, and video advertisements; country-specific digital materials available for Italy and France (and English versions).
Planned Sample Size
160
Recruitment Window Months
20
Consent Approach
Written informed consent required prior to any study-specific procedure. Adult ICF is provided; for minors a Parent ICF is provided and a Paediatric Assent form is available. Documents are available in Italian, French and English (multiple language versions listed). Contact details for sponsor clinical operations provided for enquiries.

Methods

  • Posters (multiple versions: IT, FR, EN) - target audience: patients with vitiligo; country-specific versions for Italy and France
  • eFlyers / Flyers (IT, FR, EN) - online and in-clinic distribution targeting people with vitiligo
  • Webpage content (site-specific content, IT and FR versions) - online recruitment targeting patients and caregivers
  • Social media / Internet adverts (digital banners, social media content) - online targeting people with vitiligo in relevant countries (Italy, France)
  • Video advertisement (IT and EN) - online/TV targeting potential participants
  • Radio advertisement scripts (IT and EN) - broadcast targeting general public in Italy
  • Patient brochure and participation card (IT, FR, EN) - clinic-based recruitment materials
  • GP Letter (Italy) - engagement of primary care physicians to refer patients

Geography

Total Number Of Sites
3
Total Number Of Participants
40

Italy

Earliest CTIS Part Ii Submission Date
02-04-2024
Latest Decision Or Authorization Date
23-04-2025
Processing Time Days
386
Number Of Sites
1
Number Of Participants
10

Sites

Site Name
Ospedale Israelitico
Department Name
Dermatology
Contact Person Name
Giovanni Leone
Number Of Participants
10

France

Earliest CTIS Part Ii Submission Date
02-04-2024
Latest Decision Or Authorization Date
21-01-2026
Processing Time Days
659
Number Of Sites
2
Number Of Participants
30

Sites

Site Name
Centre Hospitalier Universitaire De Nice
Department Name
Dermatology
Contact Person Name
Thierry Passeron
Contact Person Email
generale@chu-nice.fr
Site Name
Centre Hospitalier Universitaire De La Reunion
Department Name
Dermatology
Contact Person Name
Antoine Bertolotti
Contact Person Email
drci@chu-reunion.fr

Sponsor

Primary sponsor

Full Name
Clinuvel Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Investigational products

Investigational Product Name
SCENESSE 16 mg implant
Active Substance
AFAMELANOTIDE
Modality
Peptide/protein/enzyme
Routes Of Administration
Subcutaneous (implant)
Route
Subcutaneous (implant)
Authorisation Status
Marketing authorisation (EU) EU/1/14/969/001
Orphan Designation
Yes
Starting Dose
16 mg (implant)
Dose Levels
16 mg
Frequency
One implant administered every three weeks (as per arm description)
Maximum Dose
16 mg per administration
Combination Treatment
Yes

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