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
- Contact Person Email
- prenota@privato.ospedaleisraelitico.it
- 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
Related trials
Other published trials that may interest you.