Clinical trial • Phase IV • Dermatology

PIOGLITAZONE for Non-segmental vitiligo

Phase IV trial of PIOGLITAZONE for Non-segmental vitiligo.

Overview

Trial Therapeutic Area
Dermatology
Trial Disease
Non-segmental vitiligo
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
20-06-2024
First CTIS Authorization Date
09-10-2024

Trial design

NB-UVB alone (narrowband UVB phototherapy) as comparator to Pioglitazone + NB-UVB; dose/schedule not specified in available data.-controlled Phase IV trial across 2 sites in Italy.

Comparator
NB-UVB alone (narrowband UVB phototherapy) as comparator to Pioglitazone + NB-UVB; dose/schedule not specified in available data.
Target Sample Size
74
Trial Duration For Participant
224

Eligibility

Recruits 74 No vulnerable populations selected. Adults only (18-65). Informed consent required (evidence of a personally signed and dated informed consent). Adults lacking capacity are excluded. No pediatric assent procedures described..

Pregnancy Exclusion
Pregnant women and/or breastfeeding, or those who have recently delivered a baby within the past 6 months;
Vulnerable Population
No vulnerable populations selected. Adults only (18-65). Informed consent required (evidence of a personally signed and dated informed consent). Adults lacking capacity are excluded. No pediatric assent procedures described.

Inclusion criteria

  • {"criterion_text":"- Evidence of a personally signed and dated informed consent document indicating that the subject has been informed of all pertinent aspects of the study;"}
  • {"criterion_text":"- Adults between 18 Years and 65 Years of all genders;"}
  • {"criterion_text":"- Female subjects of childbearing potential and at risk for pregnancy must agree to use one method of contraception throughout the study and for at least 30 days after the last dose of assigned treatment;"}
  • {"criterion_text":"- Female subjects of non-childbearing potential must meet at least 1 of the following criteria: a. Achieved postmenopausal status, defined as follows: cessation of regular menses for at least 12 consecutive months with no alternative pathological or physiological cause; status may be confirmed with a serum follicle-stimulating hormone (FSH) level confirming the postmenopausal state; b. Have undergone a documented hysterectomy and/or bilateral oophorectomy; c. Have medically confirmed ovarian failure. All other female subjects (including female subjects with tubal ligations) are considered childbearing potential."}
  • {"criterion_text":"- Has a clinical diagnosis of non-segmental vitiligo for at least 6 months BSA ≥0.5% involvement on the face at screening and baseline (confirmed by photographs);"}

Exclusion criteria

  • {"criterion_text":"- Unable to consent (adults lacking capacity);"}
  • {"criterion_text":"- Partecipants that have diagnosis of other type of vitiligo including segmental and mixed vitiligo;"}
  • {"criterion_text":"- Has ≥50% leukotrichia on face or body;"}
  • {"criterion_text":"- Unable to return for follow-up visits;"}
  • {"criterion_text":"- Pregnant women and/or breastfeeding, or those who have recently delivered a baby within the past 6 months;"}
  • {"criterion_text":"- Has any other dermatological diseases that would interfere with vitiligo assessments;"}
  • {"criterion_text":"- History of type I or II diabetes"}
  • {"criterion_text":"- Has a transplanted organ, which requires continued immunosuppression;"}
  • {"criterion_text":"- Systemic immunosuppressive medication (oral corticosteroids) within prior 4 weeks;"}
  • {"criterion_text":"- Currently undergoing UVB light therapy or history of light therapy within the past 8 weeks;"}
  • {"criterion_text":"- Has a history of any malignancy, except for localized in situ skin carcinoma;"}
  • {"criterion_text":"- Has had major surgery within 3 months prior to Screening OR has a major surgery planned during the study;"}
  • {"criterion_text":"- Prior/Concurrent investigational clinical study experience;"}
  • {"criterion_text":"- Enrolled in a clinical study of any other investigational drug or device;"}
  • {"criterion_text":"- Diabetes, liver disease, or kidney disease;"}
  • {"criterion_text":"- Hypoglycemia as defined by fasting blood glucose <70 mg/dL assessed at a fasting study visit;"}
  • {"criterion_text":"- ANY of the following abnormalities in clinical laboratory tests at screening, as assessed by the study-specific laboratory and confirmed by a single repeat, if deemed necessary:"}
  • {"criterion_text":"- Absolute neutrophil count of <2.5 x 109/L (<2500/mm3);"}
  • {"criterion_text":"- Hemoglobin <10.0 g/dL or hematocrit <30%;"}
  • {"criterion_text":"- Platelet count below the lower limit of normal (LLN) at Screening;"}
  • {"criterion_text":"- Absolute lymphocyte count of <0.8 x 109 /L (<800/mm3);"}
  • {"criterion_text":"- Serum creatinine > upper limit of normal (ULN) or eGFR <60 ml/min/1.73m2 based on the age appropriate calculation."}
  • {"criterion_text":"- Enzymes aspartate aminotransferase (AST) or alanine aminotransferase (ALT) values >2 times the ULN;"}
  • {"criterion_text":"- Total bilirubin 1.5 times the ULN; subjects with a history of Gilbert's syndrome may have a direct bilirubin measured and would be eligible for this study provided the direct bilirubin is ULN;"}
  • {"criterion_text":"- Creatine kinase (CK) >3 times the ULN and positive urine myoglobin;"}
  • {"criterion_text":"- In the opinion of the investigator, have any uncontrolled clinically significant laboratory abnormality that would affect interpretation of study data or the subject’s participation in the study."}
  • {"criterion_text":"- In the investigator's judgment, any concomitant diseases or therapies that might interfere with the reliability of the study analyses."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Proportion of subjects achieving VASI-50 (defined as at least 50% improvement in VASI from baseline) at Week 32.","definition_or_measurement_approach":"VASI-50 defined as at least 50% improvement in VASI from baseline; assessed at Week 32."}
  • {"endpoint_text":"- Percent change from baseline in VASI, facial-VASI, vitiligo extent score (VES), and self-assessment VES (SA-VES) and absolute change from baseline in VASI at designated time points","definition_or_measurement_approach":"Percent change and absolute change from baseline in VASI, facial-VASI, VES, SA-VES measured at designated time points."}
  • {"endpoint_text":"- Change from baseline in vitiligo specific quality of life (VitiQoL) and dermatology quality life index (DLQI) at designated time points.","definition_or_measurement_approach":"Change from baseline in VitiQoL and DLQI scores measured at designated time points."}

Recruitment

Planned Sample Size
74
Recruitment Window Months
22
Consent Approach
Informed consent required: evidence of a personally signed and dated informed consent document for adult subjects. Adults lacking capacity are excluded. A Subject Information Sheet and Informed Consent Form for adults is listed among submitted documents. No pediatric consent/assent or languages specified in available data.

Geography

Total Number Of Sites
2
Total Number Of Participants
74

Italy

Earliest CTIS Part Ii Submission Date
22-07-2024
Latest Decision Or Authorization Date
09-10-2024
Processing Time Days
79
Number Of Sites
2
Number Of Participants
74

Sites

Site Name
I.F.O. Istituti Fisioterapici Ospitalieri
Department Name
Dipartimento Clinica e Ricerca Dermatologica, Laboratorio Fisiopatologia Cutanea
Contact Person Name
Barbara Bellei
Contact Person Email
barbara.bellei@ifo.it
Site Name
Fondazione Luigi Maria Monti
Department Name
Dermatologia Clinica
Contact Person Name
Mauro Michele Picardo
Contact Person Email
m.picardo@idi.it

Sponsor

Primary sponsor

Full Name
I.F.O. Istituti Fisioterapici Ospitalieri
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Italy

Investigational products

Investigational Product Name
Pioglitazone Morningside 15mg Tablets
Active Substance
PIOGLITAZONE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised (Marketing Authorisation PL 20117/0180; MIA EU/1/11/722)
Combination Treatment
Yes

Related trials

Other published trials that may interest you.