search
Back to results

Afamelanotide and Narrow-Band Ultraviolet B (NB-UVB) Light in the Treatment of Nonsegmental Vitiligo (NSV) (CUV102)

Primary Purpose

Vitiligo

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Afamelanotide
Narrow-Band UVB Light Treatment
Sponsored by
Clinuvel Pharmaceuticals Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Vitiligo focused on measuring vitiligo, depigmentation, phototherapy, non-segmental vitiligo

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female subjects with a confirmed diagnosis nonsegmental vitiligo with 15% to 50% of total body surface involvement
  • Stable or slowly progressive vitiligo over a 3-month period
  • Aged 18 or more
  • Fitzpatrick skin types III-VI
  • Willing and able to comply with the conditions specified in this protocol and study procedures in the opinion of the Investigator
  • Providing written Informed Consent prior to the performance of any study-specific procedure.

Exclusion Criteria:

  • Fitzpatrick skin types I-II
  • Vitiligo involving the hands and feet only
  • Extensive leukotrichia, in the opinion of the Investigator
  • Vitiligo of more than 5 years duration
  • Previous treatment with NB-UVB within 6 months prior to the Screening Visit
  • Patient not responsive to previous NB-UVB treatment, defined as a patient who has undergone at least 30 NB-UVB sessions with no or minimal clinically relevant pigmentary response, in the opinion of the Investigator
  • Allergy to afamelanotide or the polymer contained in the implant or to lignocaine/lidocaine or other local anesthetic to be used during the administration of the implant
  • Previous treatment with topical immunomodulators (corticosteroids, calcineurin inhibitors) for vitiligo within 4 weeks prior to the Screening Visit
  • History of photosensitivity disorders
  • Claustrophobia
  • History of photosensitive lupus
  • Any active and/or unstable autoimmune disease judged to be clinically significant by the Investigator
  • History of melanoma or lentigo maligna
  • History of dysplastic nevus syndrome
  • Any malignant skin lesions
  • Any skin disease that may interfere with the study evaluation
  • Any evidence of organ dysfunction or deviation from normal in clinical or laboratory determinations judged to be clinically significant by the Investigator
  • History of systemic or psychiatric disease judged to be clinically significant by the Investigator and which may interfere with the study evaluation
  • Female who is pregnant (confirmed by positive β-HCG pregnancy test), are lactating
  • Female of child-bearing potential (pre-menopausal, not surgically sterile) not using adequate contraceptive measures (i.e. oral contraceptives, diaphragm plus spermicide, intrauterine device) during the trial and for a period of three months thereafter
  • Sexually active man with a partner of child-bearing potential not using barrier contraception during the trial and for a period of three months hereafter
  • Participation in a clinical trial for an investigational agent within 30 days prior to the Screening Visit
  • Use of any prior and concomitant therapy which may interfere with the objective of the study, including drugs that cause photosensitivity or skin pigmentation within 60 days prior to the Screening Visit
  • Subjects assessed as not suitable for the study in the opinion of the Investigator

Sites / Locations

  • Henry Ford Medical Center
  • The Mount Sinai School of Medicine

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Afamelanotide + NB-UVB: Experimental

NB-UVB alone: Active Comparator

Arm Description

Subject in this arm will receive both afamelanotide implants (one implant administered every 28 days, 4 implants in total) and NB-UVB light (administered thrice weekly, 72 treatments in total).

Subjects in this arm will receive NB-UVB light only (administered thrice weekly, 72 treatments in total).

Outcomes

Primary Outcome Measures

Pigmentation of full body, face, trunk and extremities using the VASI and VETF scores

Secondary Outcome Measures

Time to onset of repigmentation of full body, face, trunk and extremities
Quality of life using the Dermatology Life Quality Index (DLQI)
Vitiligo biopsies assessments (optional, selected sites only)
Short term safety of both treatments: Routine laboratory assessments - Full body anterior and posterior photography - Vitiligo lesion photography - Examination of the skin and oral mucosa and digital photography - Ophthalmologic examination
Maintenance of pigmentation using the VASI and VETF scores

Full Information

First Posted
August 18, 2011
Last Updated
March 21, 2013
Sponsor
Clinuvel Pharmaceuticals Limited
search

1. Study Identification

Unique Protocol Identification Number
NCT01430195
Brief Title
Afamelanotide and Narrow-Band Ultraviolet B (NB-UVB) Light in the Treatment of Nonsegmental Vitiligo (NSV)
Acronym
CUV102
Official Title
Proof of Concept Study to Compare Efficacy and Safety of Subcutaneous, Bioresorbable Afamelanotide Implants and Narrow-Band Ultraviolet B (NB-UVB) Light Versus NB-UVB Light Alone in the Treatment of Nonsegmental Vitiligo
Study Type
Interventional

2. Study Status

Record Verification Date
March 2013
Overall Recruitment Status
Completed
Study Start Date
June 2011 (undefined)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
November 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Clinuvel Pharmaceuticals Limited

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to look at the efficacy of afamelanotide, when combined with narrow-band ultraviolet B (NB-UVB) light, in patients with nonsegmental vitiligo. Afamelanotide is expected to speed up the repigmentation induced by NB-UVB light, leading to reducing frequency and doses of NB-UVB.
Detailed Description
Vitiligo is the most common depigmentation disorder. Interventions in the treatment of vitiligo include phototherapy with narrow-band (NB) ultraviolet B (UVB) irradiation (NB-UVB). Further therapeutic approaches are desired and currently being evaluated. The investigational product, afamelanotide, is a synthetic analogue of the human alpha melanocyte stimulating hormone (alpha-MSH). The earliest described function of alpha-MSH is its ability to stimulate melanin synthesis in the skin and therefore stimulate pigmentation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vitiligo
Keywords
vitiligo, depigmentation, phototherapy, non-segmental vitiligo

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
56 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Afamelanotide + NB-UVB: Experimental
Arm Type
Experimental
Arm Description
Subject in this arm will receive both afamelanotide implants (one implant administered every 28 days, 4 implants in total) and NB-UVB light (administered thrice weekly, 72 treatments in total).
Arm Title
NB-UVB alone: Active Comparator
Arm Type
Active Comparator
Arm Description
Subjects in this arm will receive NB-UVB light only (administered thrice weekly, 72 treatments in total).
Intervention Type
Drug
Intervention Name(s)
Afamelanotide
Other Intervention Name(s)
CUV1647
Intervention Description
NB-UVB phototherapy with or without subcutaneous, bioresorbable Afamelanotide 16 mg implants, contained in a poly(D,L-lactide-co-glycolide) implant core released over 7-10 days following implantation Other Name: CUV1647
Intervention Type
Procedure
Intervention Name(s)
Narrow-Band UVB Light Treatment
Other Intervention Name(s)
NB-UVB light treatment
Intervention Description
To be administered 3 times/week for 6 months. 72 treatments in total.
Primary Outcome Measure Information:
Title
Pigmentation of full body, face, trunk and extremities using the VASI and VETF scores
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Time to onset of repigmentation of full body, face, trunk and extremities
Time Frame
6 months
Title
Quality of life using the Dermatology Life Quality Index (DLQI)
Time Frame
6 months
Title
Vitiligo biopsies assessments (optional, selected sites only)
Time Frame
6 months
Title
Short term safety of both treatments: Routine laboratory assessments - Full body anterior and posterior photography - Vitiligo lesion photography - Examination of the skin and oral mucosa and digital photography - Ophthalmologic examination
Time Frame
6 months
Title
Maintenance of pigmentation using the VASI and VETF scores
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects with a confirmed diagnosis nonsegmental vitiligo with 15% to 50% of total body surface involvement Stable or slowly progressive vitiligo over a 3-month period Aged 18 or more Fitzpatrick skin types III-VI Willing and able to comply with the conditions specified in this protocol and study procedures in the opinion of the Investigator Providing written Informed Consent prior to the performance of any study-specific procedure. Exclusion Criteria: Fitzpatrick skin types I-II Vitiligo involving the hands and feet only Extensive leukotrichia, in the opinion of the Investigator Vitiligo of more than 5 years duration Previous treatment with NB-UVB within 6 months prior to the Screening Visit Patient not responsive to previous NB-UVB treatment, defined as a patient who has undergone at least 30 NB-UVB sessions with no or minimal clinically relevant pigmentary response, in the opinion of the Investigator Allergy to afamelanotide or the polymer contained in the implant or to lignocaine/lidocaine or other local anesthetic to be used during the administration of the implant Previous treatment with topical immunomodulators (corticosteroids, calcineurin inhibitors) for vitiligo within 4 weeks prior to the Screening Visit History of photosensitivity disorders Claustrophobia History of photosensitive lupus Any active and/or unstable autoimmune disease judged to be clinically significant by the Investigator History of melanoma or lentigo maligna History of dysplastic nevus syndrome Any malignant skin lesions Any skin disease that may interfere with the study evaluation Any evidence of organ dysfunction or deviation from normal in clinical or laboratory determinations judged to be clinically significant by the Investigator History of systemic or psychiatric disease judged to be clinically significant by the Investigator and which may interfere with the study evaluation Female who is pregnant (confirmed by positive β-HCG pregnancy test), are lactating Female of child-bearing potential (pre-menopausal, not surgically sterile) not using adequate contraceptive measures (i.e. oral contraceptives, diaphragm plus spermicide, intrauterine device) during the trial and for a period of three months thereafter Sexually active man with a partner of child-bearing potential not using barrier contraception during the trial and for a period of three months hereafter Participation in a clinical trial for an investigational agent within 30 days prior to the Screening Visit Use of any prior and concomitant therapy which may interfere with the objective of the study, including drugs that cause photosensitivity or skin pigmentation within 60 days prior to the Screening Visit Subjects assessed as not suitable for the study in the opinion of the Investigator
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Henry Lim, MD
Organizational Affiliation
Henry Ford Hospital, 3031 W. Grand Blvd., Suite 800, Detroit, MI 48202, USA
Official's Role
Principal Investigator
Facility Information:
Facility Name
Henry Ford Medical Center
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Facility Name
The Mount Sinai School of Medicine
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
25230094
Citation
Lim HW, Grimes PE, Agbai O, Hamzavi I, Henderson M, Haddican M, Linkner RV, Lebwohl M. Afamelanotide and narrowband UV-B phototherapy for the treatment of vitiligo: a randomized multicenter trial. JAMA Dermatol. 2015 Jan;151(1):42-50. doi: 10.1001/jamadermatol.2014.1875.
Results Reference
derived

Learn more about this trial

Afamelanotide and Narrow-Band Ultraviolet B (NB-UVB) Light in the Treatment of Nonsegmental Vitiligo (NSV)

We'll reach out to this number within 24 hrs