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Study to Evaluate Adverse Events and Change in Disease Activity With Oral Tablets of Upadacitinib in Adult Participants With Non-Segmental Vitiligo

Primary Purpose

Non-Segmental Vitiligo

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Upadacitinib
Placebo
Sponsored by
AbbVie
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Segmental Vitiligo focused on measuring Vitiligo, Non-segmental vitiligo (NSV), Upadacitinib, ABT-494, RINVOQ

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Clinical diagnosis of non-segmental vitiligo (NSV) and no segmental or localized vitiligo.
  • Participants with all of the following at Screening and Baseline.

    • Visits: ≥ 0.5 F-VASI and ≥ 5 total vitiligo area scoring index (T-VASI).
    • Participants who have had prior exposure to immunomodulatory biologic therapy, for any indications, but discontinued the biologic therapy prior to the first dose of study drug. Recommended washout periods for biologic therapies include ≥ 4 weeks for etanercept; ≥ 8 weeks for adalimumab, infliximab, certolizumab, golimumab, abatacept, tocilizumab, and ixekizumab; ≥ 16 weeks for secukinumab; and ≥ 12 weeks for ustekinumab. For biologic therapies not specified, therapies must be discontinued at least 5 times the mean terminal elimination half-life of a drug or 3 months prior to Baseline, whichever is longer.

Exclusion Criteria:

  • Participants with segmental or localized vitiligo.
  • Participants with other skin conditions that would interfere with evaluation of vitiligo, participants with uncontrolled thyroid disease, and participants with > 33% leukotrichia on the face or > 33% leukotrichia on the body (including face).
  • Participants previously treated with any topical or systemic janus kinase (JAK) inhibitor or permanent skin bleaching agents.
  • Participants treated with any systemic vitiligo therapy (e.g., methotrexate, mycophenolate mofetil, corticosteroids), supplemental vitiligo therapy (antioxidants/vitamins/herbal medicine/traditional Chinese medicine), and/or topical vitiligo therapy including permanent or temporary tattoos within a minimum of 30 days prior to the first dose of study drug (Note: Camouflage and makeup may be used).
  • Participants treated with any phototherapy, including excimer (or other forms of laser therapy), within a minimum of 12 weeks prior to the first dose of study drug.
  • Participants have history of malignancy other than successfully treated non-melanoma skin cancer (NMSC) or localized carcinoma in situ of the cervix.
  • Recent (within past 6 months) cerebrovascular accident, myocardial infarction, coronary stenting, and aorto-coronary bypass surgery;
  • History of an organ transplant which requires continued immunosuppression;
  • History of gastrointestinal (GI) perforation (other than due to appendicitis or mechanical injury), diverticulitis, or significantly increased risk for GI perforation per investigator judgment;
  • Conditions that could interfere with drug absorption including but not limited to short bowel syndrome or gastric bypass surgery; subjects with a history of gastric banding/segmentation are not excluded;
  • Uncontrolled thyroid disease;

Sites / Locations

  • University of California Irvine /ID# 229390
  • Stanford University /ID# 228000
  • Clearlyderm Dermatology /ID# 227993
  • New Horizon Research Center /ID# 229403
  • Park Avenue Dermatology, PA /ID# 229400
  • ForCare Clinical Research /ID# 228010
  • Dawes Fretzin, LLC /ID# 227996
  • Tufts Medical Center /ID# 228087
  • UMass Chan Medical School /ID# 228066
  • Michigan Center for Research Company /ID# 228054
  • Hamzavi Dermatology /ID# 228056
  • Remington-Davis Clinical Research /ID# 229401
  • Essential Medical Research, LLC /ID# 228074
  • Oregon Dermatology and Research Center /ID# 228007
  • Oregon Medical Res Center PC /ID# 228073
  • Medical University of South Carolina /ID# 228067
  • International Clinical Research - Tennessee LLC /ID# 228059
  • Bellaire Dermatology Associates /ID# 228004
  • University of Texas Health Science Center at Houston /ID# 229399
  • Virginia Clinical Research, Inc. /ID# 228050
  • Dr. Chih-ho Hong Medical Inc. /ID# 228403
  • Wiseman Dermatology Research /ID# 228410
  • Research Toronto /ID# 228401
  • K. Papp Clinical Research /ID# 228877
  • Centre de Recherche dermatologique du Quebec Metropolitain /ID# 228388
  • Chu de Nice-Hopital L'Archet Ii /Id# 228192
  • Hopital Saint-Andre /ID# 228193
  • HCL - Hopital Edouard Herriot /ID# 228194
  • Hopital Henri Mondor /ID# 228198
  • CHU Toulouse - Hopital Larrey /ID# 228196
  • Nagoya City University Hospital /ID# 228725
  • Nippon Medical School Hospital /ID# 230361
  • Tokyo Medical University Hospital /ID# 230288
  • Yamagata University Hospital /ID# 230362
  • Yamanashi Prefectural Central Hospital /ID# 229441

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Dose A of Upadacitinib

Dose B of Upadacitinib

Dose C of Upadacitinib

Placebo Followed by Dose A of Upadacitinib

Placebo Followed by Dose B of Upadacitinib

Arm Description

Participants in this group will receive dose A of upadacitinib orally once daily (QD) for 52 weeks.

Participants in this group will receive dose B of upadacitinib orally QD for 52 weeks.

Participants in this group will receive dose C of upadacitinib orally QD for 52 weeks.

Participants in this group will receive placebo for 24 weeks followed by dose A of upadacitinib orally QD for 28 weeks.

Participants in this group will receive placebo for 24 weeks followed by dose B of upadacitinib orally QD for 28 weeks.

Outcomes

Primary Outcome Measures

Percent Change From Baseline in Facial-Vitiligo Area Scoring Index (F-VASI)
The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. The F-VASI includes contributions from the face, with a possible range from 0 to 3.

Secondary Outcome Measures

Percentage of Participants Achieving F-VASI 75 (≥ 75% Improvement in F-VASI From Baseline)
The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. The F-VASI includes contributions from the face, with a possible range from 0 to 3.
Percentage of Participants Achieving F-VASI 50 (≥ 50% Improvement in F-VASI From Baseline)
The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. The F-VASI includes contributions from the face, with a possible range from 0 to 3.
Percentage of Participants Achieving Total Vitiligo Area Scoring Index (T-VASI) 50 (≥ 50% Improvement in T-VASI From Baseline)
The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. It is based on a composite estimate of the overall area of vitiligo patches, measured by the number of hand units (palm plus 5 digits = 1% body surface area [BSA]) multiplied by the degree of depigmentation within each affected area (0%, 10%, 25%, 50%, 75%, 90%, or 100%). The T-VASI is calculated using a formula that includes contributions from all body regions, with a possible range from 0 to 100.
Percent Change From Baseline in T-VASI
The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. It is based on a composite estimate of the overall area of vitiligo patches, measured by the number of hand units (palm plus 5 digits = 1% body surface area [BSA]) multiplied by the degree of depigmentation within each affected area (0%, 10%, 25%, 50%, 75%, 90%, or 100%). The T-VASI is calculated using a formula that includes contributions from all body regions, with a possible range from 0 to 100.
Change From Baseline in the Vitiligo Quality-of-Life (VitiQoL) Instrument Total Score
The VitiQoL is a validated questionnaire used in clinical trials to assess stigma-related vitiligo impacts. The VitiQoL uses subject-elicited social, affective, and behavior items, asking the subject's appraisal of the vitiligo-related impacts over the last month. Fifteen items are scored on a 7-point scale ranging from 0 ("Not at all") to 6 ("All of the time"). Item scores (0 to 6) are summed to provide a total score range of 0 to 90; higher scores indicate greater impairment of quality of life (QoL).

Full Information

First Posted
June 11, 2021
Last Updated
September 7, 2023
Sponsor
AbbVie
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1. Study Identification

Unique Protocol Identification Number
NCT04927975
Brief Title
Study to Evaluate Adverse Events and Change in Disease Activity With Oral Tablets of Upadacitinib in Adult Participants With Non-Segmental Vitiligo
Official Title
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Dose-Ranging Study to Evaluate the Safety and Efficacy of Upadacitinib in Subjects With Non-Segmental Vitiligo
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
June 16, 2021 (Actual)
Primary Completion Date
January 13, 2023 (Actual)
Study Completion Date
August 29, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AbbVie

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Vitiligo is a common chronic autoimmune disease that causes the body's immune system to attack its own pigment producing skin cells. This study is to evaluate how safe and effective upadacitinib is in participants with non-segmental vitiligo. Adverse effects and change in disease activity will be assessed. Upadacitinib is being evaluated for the treatment of non-segmental vitiligo. The study will enroll approximately 160 participants aged 18-65 with non-segmental vitiligo in 5 treatment arms across 35 sites worldwide. Participants will either receive study drug vs placebo oral tablets once daily (QD) for 24 weeks (Period A). In Period B (up to 52 weeks), participants who received placebo during the first 24 weeks will switch to study drug. Participants who received study drug during the first 24 weeks, will continue to receive study drug. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Segmental Vitiligo
Keywords
Vitiligo, Non-segmental vitiligo (NSV), Upadacitinib, ABT-494, RINVOQ

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
185 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dose A of Upadacitinib
Arm Type
Experimental
Arm Description
Participants in this group will receive dose A of upadacitinib orally once daily (QD) for 52 weeks.
Arm Title
Dose B of Upadacitinib
Arm Type
Experimental
Arm Description
Participants in this group will receive dose B of upadacitinib orally QD for 52 weeks.
Arm Title
Dose C of Upadacitinib
Arm Type
Experimental
Arm Description
Participants in this group will receive dose C of upadacitinib orally QD for 52 weeks.
Arm Title
Placebo Followed by Dose A of Upadacitinib
Arm Type
Experimental
Arm Description
Participants in this group will receive placebo for 24 weeks followed by dose A of upadacitinib orally QD for 28 weeks.
Arm Title
Placebo Followed by Dose B of Upadacitinib
Arm Type
Experimental
Arm Description
Participants in this group will receive placebo for 24 weeks followed by dose B of upadacitinib orally QD for 28 weeks.
Intervention Type
Drug
Intervention Name(s)
Upadacitinib
Other Intervention Name(s)
ABT-494, RINVOQ
Intervention Description
Oral tablets
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral tablets
Primary Outcome Measure Information:
Title
Percent Change From Baseline in Facial-Vitiligo Area Scoring Index (F-VASI)
Description
The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. The F-VASI includes contributions from the face, with a possible range from 0 to 3.
Time Frame
At 24 weeks
Secondary Outcome Measure Information:
Title
Percentage of Participants Achieving F-VASI 75 (≥ 75% Improvement in F-VASI From Baseline)
Description
The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. The F-VASI includes contributions from the face, with a possible range from 0 to 3.
Time Frame
At 24 weeks
Title
Percentage of Participants Achieving F-VASI 50 (≥ 50% Improvement in F-VASI From Baseline)
Description
The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. The F-VASI includes contributions from the face, with a possible range from 0 to 3.
Time Frame
At 24 weeks
Title
Percentage of Participants Achieving Total Vitiligo Area Scoring Index (T-VASI) 50 (≥ 50% Improvement in T-VASI From Baseline)
Description
The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. It is based on a composite estimate of the overall area of vitiligo patches, measured by the number of hand units (palm plus 5 digits = 1% body surface area [BSA]) multiplied by the degree of depigmentation within each affected area (0%, 10%, 25%, 50%, 75%, 90%, or 100%). The T-VASI is calculated using a formula that includes contributions from all body regions, with a possible range from 0 to 100.
Time Frame
At 24 weeks
Title
Percent Change From Baseline in T-VASI
Description
The vitiligo area scoring index (VASI) is a validated scoring method used to assess the areas of depigmentation due to vitiligo. It is based on a composite estimate of the overall area of vitiligo patches, measured by the number of hand units (palm plus 5 digits = 1% body surface area [BSA]) multiplied by the degree of depigmentation within each affected area (0%, 10%, 25%, 50%, 75%, 90%, or 100%). The T-VASI is calculated using a formula that includes contributions from all body regions, with a possible range from 0 to 100.
Time Frame
At 24 weeks
Title
Change From Baseline in the Vitiligo Quality-of-Life (VitiQoL) Instrument Total Score
Description
The VitiQoL is a validated questionnaire used in clinical trials to assess stigma-related vitiligo impacts. The VitiQoL uses subject-elicited social, affective, and behavior items, asking the subject's appraisal of the vitiligo-related impacts over the last month. Fifteen items are scored on a 7-point scale ranging from 0 ("Not at all") to 6 ("All of the time"). Item scores (0 to 6) are summed to provide a total score range of 0 to 90; higher scores indicate greater impairment of quality of life (QoL).
Time Frame
At 24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Clinical diagnosis of non-segmental vitiligo (NSV) and no segmental or localized vitiligo. Participants with all of the following at Screening and Baseline. Visits: ≥ 0.5 F-VASI and ≥ 5 total vitiligo area scoring index (T-VASI). Participants who have had prior exposure to immunomodulatory biologic therapy, for any indications, but discontinued the biologic therapy prior to the first dose of study drug. Recommended washout periods for biologic therapies include ≥ 4 weeks for etanercept; ≥ 8 weeks for adalimumab, infliximab, certolizumab, golimumab, abatacept, tocilizumab, and ixekizumab; ≥ 16 weeks for secukinumab; and ≥ 12 weeks for ustekinumab. For biologic therapies not specified, therapies must be discontinued at least 5 times the mean terminal elimination half-life of a drug or 3 months prior to Baseline, whichever is longer. Exclusion Criteria: Participants with segmental or localized vitiligo. Participants with other skin conditions that would interfere with evaluation of vitiligo, participants with uncontrolled thyroid disease, and participants with > 33% leukotrichia on the face or > 33% leukotrichia on the body (including face). Participants previously treated with any topical or systemic janus kinase (JAK) inhibitor or permanent skin bleaching agents. Participants treated with any systemic vitiligo therapy (e.g., methotrexate, mycophenolate mofetil, corticosteroids), supplemental vitiligo therapy (antioxidants/vitamins/herbal medicine/traditional Chinese medicine), and/or topical vitiligo therapy including permanent or temporary tattoos within a minimum of 30 days prior to the first dose of study drug (Note: Camouflage and makeup may be used). Participants treated with any phototherapy, including excimer (or other forms of laser therapy), within a minimum of 12 weeks prior to the first dose of study drug. Participants have history of malignancy other than successfully treated non-melanoma skin cancer (NMSC) or localized carcinoma in situ of the cervix. Recent (within past 6 months) cerebrovascular accident, myocardial infarction, coronary stenting, and aorto-coronary bypass surgery; History of an organ transplant which requires continued immunosuppression; History of gastrointestinal (GI) perforation (other than due to appendicitis or mechanical injury), diverticulitis, or significantly increased risk for GI perforation per investigator judgment; Conditions that could interfere with drug absorption including but not limited to short bowel syndrome or gastric bypass surgery; subjects with a history of gastric banding/segmentation are not excluded; Uncontrolled thyroid disease;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
ABBVIE INC.
Organizational Affiliation
AbbVie
Official's Role
Study Director
Facility Information:
Facility Name
University of California Irvine /ID# 229390
City
Irvine
State/Province
California
ZIP/Postal Code
92697-1385
Country
United States
Facility Name
Stanford University /ID# 228000
City
Redwood City
State/Province
California
ZIP/Postal Code
94063
Country
United States
Facility Name
Clearlyderm Dermatology /ID# 227993
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33428
Country
United States
Facility Name
New Horizon Research Center /ID# 229403
City
Miami
State/Province
Florida
ZIP/Postal Code
33165-3372
Country
United States
Facility Name
Park Avenue Dermatology, PA /ID# 229400
City
Orange Park
State/Province
Florida
ZIP/Postal Code
32073
Country
United States
Facility Name
ForCare Clinical Research /ID# 228010
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613-1244
Country
United States
Facility Name
Dawes Fretzin, LLC /ID# 227996
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46256
Country
United States
Facility Name
Tufts Medical Center /ID# 228087
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02111-1552
Country
United States
Facility Name
UMass Chan Medical School /ID# 228066
City
Worcester
State/Province
Massachusetts
ZIP/Postal Code
01655
Country
United States
Facility Name
Michigan Center for Research Company /ID# 228054
City
Clarkston
State/Province
Michigan
ZIP/Postal Code
48346
Country
United States
Facility Name
Hamzavi Dermatology /ID# 228056
City
Fort Gratiot
State/Province
Michigan
ZIP/Postal Code
48059
Country
United States
Facility Name
Remington-Davis Clinical Research /ID# 229401
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43215
Country
United States
Facility Name
Essential Medical Research, LLC /ID# 228074
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74137-2842
Country
United States
Facility Name
Oregon Dermatology and Research Center /ID# 228007
City
Portland
State/Province
Oregon
ZIP/Postal Code
97210
Country
United States
Facility Name
Oregon Medical Res Center PC /ID# 228073
City
Portland
State/Province
Oregon
ZIP/Postal Code
97223
Country
United States
Facility Name
Medical University of South Carolina /ID# 228067
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
International Clinical Research - Tennessee LLC /ID# 228059
City
Murfreesboro
State/Province
Tennessee
ZIP/Postal Code
37130-2450
Country
United States
Facility Name
Bellaire Dermatology Associates /ID# 228004
City
Bellaire
State/Province
Texas
ZIP/Postal Code
77401
Country
United States
Facility Name
University of Texas Health Science Center at Houston /ID# 229399
City
Houston
State/Province
Texas
ZIP/Postal Code
77030-1501
Country
United States
Facility Name
Virginia Clinical Research, Inc. /ID# 228050
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23507
Country
United States
Facility Name
Dr. Chih-ho Hong Medical Inc. /ID# 228403
City
Surrey
State/Province
British Columbia
ZIP/Postal Code
V3R 6A7
Country
Canada
Facility Name
Wiseman Dermatology Research /ID# 228410
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3M 3Z4
Country
Canada
Facility Name
Research Toronto /ID# 228401
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4W 2N4
Country
Canada
Facility Name
K. Papp Clinical Research /ID# 228877
City
Waterloo
State/Province
Ontario
ZIP/Postal Code
N2J 1C4
Country
Canada
Facility Name
Centre de Recherche dermatologique du Quebec Metropolitain /ID# 228388
City
Québec
State/Province
Quebec
ZIP/Postal Code
G1V 4X7
Country
Canada
Facility Name
Chu de Nice-Hopital L'Archet Ii /Id# 228192
City
Nice
State/Province
Alpes-Maritimes
ZIP/Postal Code
06200
Country
France
Facility Name
Hopital Saint-Andre /ID# 228193
City
Bordeaux
State/Province
Gironde
ZIP/Postal Code
33075
Country
France
Facility Name
HCL - Hopital Edouard Herriot /ID# 228194
City
Lyon
State/Province
Rhone
ZIP/Postal Code
69003
Country
France
Facility Name
Hopital Henri Mondor /ID# 228198
City
Creteil
ZIP/Postal Code
94000
Country
France
Facility Name
CHU Toulouse - Hopital Larrey /ID# 228196
City
Toulouse
ZIP/Postal Code
31400
Country
France
Facility Name
Nagoya City University Hospital /ID# 228725
City
Nagoya shi
State/Province
Aichi
ZIP/Postal Code
467-8602
Country
Japan
Facility Name
Nippon Medical School Hospital /ID# 230361
City
Bunkyo-ku
State/Province
Tokyo
ZIP/Postal Code
113-8602
Country
Japan
Facility Name
Tokyo Medical University Hospital /ID# 230288
City
Shinjuku-ku
State/Province
Tokyo
ZIP/Postal Code
160-0023
Country
Japan
Facility Name
Yamagata University Hospital /ID# 230362
City
Yamagata-shi
State/Province
Yamagata
ZIP/Postal Code
990-9585
Country
Japan
Facility Name
Yamanashi Prefectural Central Hospital /ID# 229441
City
Kofu-shi
State/Province
Yamanashi
ZIP/Postal Code
400-8506
Country
Japan

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
IPD Sharing Time Frame
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
IPD Sharing Access Criteria
Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous independent scientific research, and will be provided following review and approval of a research proposal and statistical analysis plan and execution of a data sharing statement. Data requests can be submitted at any time after approval in the US and/or EU and a primary manuscript is accepted for publication. For more information on the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
IPD Sharing URL
https://vivli.org/ourmember/abbvie/
Links:
URL
https://www.rxabbvie.com/
Description
This clinical study may be evaluating a usage that is not currently FDA approved. Please see US Prescribing Information for approved uses.

Learn more about this trial

Study to Evaluate Adverse Events and Change in Disease Activity With Oral Tablets of Upadacitinib in Adult Participants With Non-Segmental Vitiligo

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