A Phase 2 interventional study of Upadacitinib and Placebo in Non-Segmental Vitiligo, sponsored by AbbVie. Completed at 35 sites in 4 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-10-08.
Sponsored by AbbVie · Phase 2, Interventional, and Treatment
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.
298 studies on the registry are indexed under Vitiligo; 69 are open to participants now.
This study's enrollment of 185 is above the median of 30 across 227 interventional studies indexed under Vitiligo.
Browse Vitiligo studies →AbbVie is the lead sponsor of 953 studies on the registry; 136 are open to participants now.
Of its 350 completed or terminated interventional studies of FDA-regulated products, 210 (60%) have results posted.
Counted across the registry records on this site, refreshed daily.
Participants with all of the following at Screening and Baseline.
Exclusion Criteria:
Participants received upadacitinib 22 mg administered orally once a day (QD) as tablets for 24 weeks during Period 1. Participants then received upadacitinib 22 mg administered orally once a day (QD) as tablets for 28 weeks during Period 2.
Drug: Upadacitinib
Participants received upadacitinib 11 mg administered orally once a day (QD) as tablets for 24 weeks during Period 1. Participants then received upadacitinib 11 mg administered orally once a day (QD) as tablets for 28 weeks during Period 2.
Drug: Upadacitinib
Participants received upadacitinib 6 mg administered orally once a day (QD) as tablets for 24 weeks during Period 1. Participants then received upadacitinib 6 mg administered orally once a day (QD) as tablets for 28 weeks during Period 2.
Drug: Upadacitinib
Participants received Placebo for upadacitinib administered orally once a day (QD) as tablets for 24 weeks during Period 1. Participants then received upadacitinib 22 mg administered orally once a day (QD) as tablets for 28 weeks during Period 2.
Drug: Upadacitinib · Drug: Placebo
Participants received Placebo for upadacitinib administered orally once a day (QD) as tablets for 24 weeks during Period 1. Participants then received upadacitinib 11 mg administered orally once a day (QD) as tablets for 28 weeks during Period 2.
Drug: Upadacitinib · Drug: Placebo
Oral tablets
Also known as: ABT-494, RINVOQ
Oral tablets
Percent Change From Baseline in Facial-Vitiligo Area Scoring Index (F-VASI) at Week 24
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, with higher scores indicating more severe disease. Negative changes from baseline indicate improvement.
Time frame: Baseline, Week 24
Percentage of Participants Achieving F-VASI 75 (≥ 75% Improvement in F-VASI From Baseline) at Week 24
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, with higher scores indicating more severe disease.
Time frame: Baseline, Week 24
Percentage of Participants Achieving F-VASI 50 (≥ 50% Improvement in F-VASI From Baseline) at Week 24
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, with higher scores indicating more severe disease.
Time frame: Baseline, Week 24
Percentage of Participants Achieving Total Vitiligo Area Scoring Index (T-VASI) 50 (≥ 50% Improvement in T-VASI From Baseline) at Week 24
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, with higher scores indicating more severe disease.
Time frame: Baseline, Week 24
Percent Change From Baseline in T-VASI at Week 24
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, with higher scores indicating more severe disease. Negative changes from baseline indicate improvement.
Time frame: Baseline, Week 24
Change From Baseline in the Vitiligo Quality-of-Life (VitiQoL) Instrument Total Score at Week 24
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). Negative changes from baseline indicate improvement.
Time frame: Baseline, Week 24
| Milestone | Placebo Period 1 | Placebo Period 1, Then Upa 11 mg Period 2 | Placebo Period 1, Then Upa 22 mg Period 2 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 |
|---|---|---|---|---|---|---|
| Started | 46 | 0 | 0 | 49 | 47 | 43 |
| Completed | 44 | 0 | 0 | 46 | 45 | 38 |
| Not completed | 2 | 0 | 0 | 3 | 2 | 5 |
| Withdrew: Withdrawal by subject | 2 | 0 | 0 | 1 | 1 | 4 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 2 | 1 | 0 |
| Withdrew: Death | 0 | 0 | 0 | 0 | 0 | 1 |
| Milestone | Placebo Period 1 | Placebo Period 1, Then Upa 11 mg Period 2 | Placebo Period 1, Then Upa 22 mg Period 2 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 |
|---|---|---|---|---|---|---|
| Started | 0 | 21 | 22 | 45 | 45 | 33 |
| Completed | 0 | 19 | 21 | 39 | 38 | 30 |
| Not completed | 0 | 2 | 1 | 6 | 7 | 3 |
| Withdrew: Lost to follow-up | 0 | 1 | 0 | 2 | 6 | 2 |
| Withdrew: Withdrawal by subject | 0 | 1 | 1 | 4 | 1 | 1 |
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, with higher scores indicating more severe disease. Negative changes from baseline indicate improvement.
| Percent change from baseline | Placebo Period 1 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 |
|---|---|---|---|---|
| Percent Change From Baseline in Facial-Vitiligo Area Scoring Index (F-VASI) at Week 24 | -14.36 (-24.86 to -3.85) | -21.96 (-32.18 to -11.75) | -35.63 (-46.11 to -25.14) | -33.96 (-45.41 to -22.50) |
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, with higher scores indicating more severe disease.
| percentage of participants | Placebo Period 1 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 |
|---|---|---|---|---|
| Percentage of Participants Achieving F-VASI 75 (≥ 75% Improvement in F-VASI From Baseline) at Week 24 | 2.2 (0.0 to 6.4) | 8.2 (0.5 to 15.8) | 19.1 (7.9 to 30.4) | 14.0 (3.6 to 24.3) |
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, with higher scores indicating more severe disease.
| percentage of participants | Placebo Period 1 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 |
|---|---|---|---|---|
| Percentage of Participants Achieving F-VASI 50 (≥ 50% Improvement in F-VASI From Baseline) at Week 24 | 10.9 (1.9 to 19.9) | 16.3 (6.0 to 26.7) | 38.3 (24.4 to 52.2) | 39.5 (24.9 to 54.1) |
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, with higher scores indicating more severe disease.
| percentage of participants | Placebo Period 1 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 |
|---|---|---|---|---|
| Percentage of Participants Achieving Total Vitiligo Area Scoring Index (T-VASI) 50 (≥ 50% Improvement in T-VASI From Baseline) at Week 24 | 2.2 (0.0 to 6.4) | 6.1 (0.0 to 12.8) | 6.4 (0.0 to 13.4) | 11.6 (2.0 to 21.2) |
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, with higher scores indicating more severe disease. Negative changes from baseline indicate improvement.
| Percent change from baseline | Placebo Period 1 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 |
|---|---|---|---|---|
| Percent Change From Baseline in T-VASI at Week 24 | -6.42 (-13.17 to 0.34) | -13.87 (-20.45 to -7.29) | -17.26 (-24.00 to -10.52) | -20.69 (-28.05 to -13.32) |
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). Negative changes from baseline indicate improvement.
| units on a scale | Placebo Period 1 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 |
|---|---|---|---|---|
| Change From Baseline in the Vitiligo Quality-of-Life (VitiQoL) Instrument Total Score at Week 24 | -5.5 (-10.3 to -0.8) | -7.5 (-12.0 to -3.0) | -3.7 (-8.2 to 0.9) | -6.6 (-11.6 to -1.6) |
Collected over All-cause mortality/adverse events were collected from informed consent through the end of the study. Median time on follow-up was 168 days for all groups in Period 1. Median time on follow-up for Period 2 was as follows: Placebo Period 1, Then Upa 11 mg Period 2 (198 days); Placebo Period 1, Then Upa 22 mg Period 2 and Upa 22 mg Period 1, Then Upa 22 mg Period 2 (212 days); Upa 6 mg Period 1, Then Upa 6 mg Period 2 (204 days); and Upa 11 mg Period 1, Then Upa 11 mg Period 2 (207 days).. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo Period 1 | 0/46 (0%) | 1/46 (2.2%) | 26/46 (56.5%) |
| Upa 6 mg Period 1 | 0/49 (0%) | 1/49 (2%) | 19/49 (38.8%) |
| Upa 11 mg Period 1 | 0/47 (0%) | 0/47 (0%) | 28/47 (59.6%) |
| Upa 22 mg Period 1 | 1/43 (2.3%) | 3/43 (7%) | 23/43 (53.5%) |
| Placebo Period 1, Then Upa 11 mg Period 2 | 0/21 (0%) | 1/21 (4.8%) | 9/21 (42.9%) |
| Placebo Period 1, Then Upa 22 mg Period 2 | 0/22 (0%) | 0/22 (0%) | 11/22 (50%) |
| Upa 6 mg Period 1, Then Upa 6 mg Period 2 | 0/45 (0%) | 0/45 (0%) | 12/45 (26.7%) |
| Upa 11 mg Period 1, Then Upa 11 mg Period 2 | 0/45 (0%) | 2/45 (4.4%) | 22/45 (48.9%) |
| Upa 22 mg Period 1, Then Upa 22 mg Period 2 | 0/33 (0%) | 0/33 (0%) | 17/33 (51.5%) |
| Event | Placebo Period 1 | Upa 6 mg Period 1 | Upa 11 mg Period 1 | Upa 22 mg Period 1 | Placebo Period 1, Then Upa 11 mg Period 2 | Placebo Period 1, Then Upa 22 mg Period 2 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 |
|---|---|---|---|---|---|---|---|---|---|
| CLAVICLE FRACTUREInjury, poisoning and procedural complications | 0/46 | 0/49 | 0/47 | 0/43 | 1/21 | 0/22 | 0/45 | 0/45 | 0/33 |
| DEATHGeneral disorders | 0/46 | 0/49 | 0/47 | 1/43 | 0/21 | 0/22 | 0/45 | 0/45 | 0/33 |
| PAINGeneral disorders | 0/46 | 0/49 | 0/47 | 1/43 | 0/21 | 0/22 | 0/45 | 0/45 | 0/33 |
| COVID-19 PNEUMONIAInfections and infestations | 0/46 | 0/49 | 0/47 | 1/43 | 0/21 | 0/22 | 0/45 | 0/45 | 0/33 |
| INVASIVE LOBULAR BREAST CARCINOMANeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/46 | 0/49 | 0/47 | 0/43 | 0/21 | 0/22 | 0/45 | 1/45 | 0/33 |
| ISCHAEMIC STROKENervous system disorders | 0/46 | 0/49 | 0/47 | 0/43 | 0/21 | 0/22 | 0/45 | 1/45 | 0/33 |
| NEPHROLITHIASISRenal and urinary disorders | 1/46 | 0/49 | 0/47 | 0/43 | 0/21 | 0/22 | 0/45 | 0/45 | 0/33 |
| ARTERIOSCLEROSIS CORONARY ARTERYCardiac disorders | 0/46 | 1/49 | 0/47 | 0/43 | 0/21 | 0/22 | 0/45 | 0/45 | 0/33 |
| Event | Placebo Period 1 | Upa 6 mg Period 1 | Upa 11 mg Period 1 | Upa 22 mg Period 1 | Placebo Period 1, Then Upa 11 mg Period 2 | Placebo Period 1, Then Upa 22 mg Period 2 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 |
|---|---|---|---|---|---|---|---|---|---|
| COVID-19Infections and infestations | 8/46 | 7/49 | 9/47 | 9/43 | 1/21 | 5/22 | 7/45 | 12/45 | 5/33 |
| HEADACHENervous system disorders | 4/46 | 0/49 | 9/47 | 2/43 | 2/21 | 1/22 | 2/45 | 5/45 | 2/33 |
| NASOPHARYNGITISInfections and infestations | 3/46 | 4/49 | 2/47 | 4/43 | 3/21 | 3/22 | 1/45 | 2/45 | 2/33 |
| UPPER RESPIRATORY TRACT INFECTIONInfections and infestations | 1/46 | 3/49 | 2/47 | 0/43 | 3/21 | 0/22 | 1/45 | 4/45 | 3/33 |
| ACNESkin and subcutaneous tissue disorders | 1/46 | 3/49 | 4/47 | 6/43 | 1/21 | 2/22 | 1/45 | 2/45 | 3/33 |
| URINARY TRACT INFECTIONInfections and infestations | 3/46 | 1/49 | 4/47 | 2/43 | 0/21 | 3/22 | 2/45 | 1/45 | 0/33 |
| FATIGUEGeneral disorders | 1/46 | 2/49 | 2/47 | 5/43 | 1/21 | 0/22 | 2/45 | 0/45 | 0/33 |
| SKIN LACERATIONInjury, poisoning and procedural complications | 0/46 | 0/49 | 0/47 | 0/43 | 2/21 | 0/22 | 0/45 | 0/45 | 0/33 |
| NAUSEAGastrointestinal disorders | 3/46 | 0/49 | 2/47 | 4/43 | 0/21 | 0/22 | 0/45 | 1/45 | 0/33 |
| ABDOMINAL PAIN UPPERGastrointestinal disorders | 4/46 | 0/49 | 0/47 | 0/43 | 0/21 | 0/22 | 0/45 | 0/45 | 0/33 |
ITT Population in Period 1 (ITT_1): all randomized participants in Period 1, analyzed according to the treatment groups that they were randomized to.
| Age, Continuous(years) | Placebo Period 1 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 | Total |
|---|---|---|---|---|---|
| Mean | 46.8 ± 10.48 | 45.1 ± 11.68 | 45.5 ± 11.90 | 48.2 ± 11.13 | 46.3 ± 11.30 |
| Sex: Female, Male(Participants) | Placebo Period 1 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 | Total |
|---|---|---|---|---|---|
| Female | 29 | 26 | 34 | 26 | 115 |
| Male | 17 | 23 | 13 | 17 | 70 |
| Ethnicity (NIH/OMB)(Participants) | Placebo Period 1 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 5 | 6 | 4 | 5 | 20 |
| Not Hispanic or Latino | 41 | 43 | 43 | 38 | 165 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Placebo Period 1 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 1 | 1 |
| Asian | 6 | 6 | 7 | 6 | 25 |
| Native Hawaiian or Other Pacific Islander | 0 | 1 | 0 | 0 | 1 |
| Black or African American | 4 | 3 | 3 | 1 | 11 |
| White | 34 | 35 | 36 | 33 | 138 |
| More than one race | 0 | 3 | 1 | 1 | 5 |
| Unknown or Not Reported | 2 | 1 | 0 | 1 | 4 |
| Total Vitiligo Area Scoring Index (T-VASI)(units on a scale) | Placebo Period 1 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 | Total |
|---|---|---|---|---|---|
| Mean | 21.014 ± 16.9516 | 20.993 ± 15.9672 | 22.322 ± 18.1784 | 21.843 ± 15.9324 | 21.534 ± 16.6634 |
| Facial Vitiligo Area Scoring Index (F-VASI)(units on a scale) | Placebo Period 1 | Upa 6 mg Period 1, Then Upa 6 mg Period 2 | Upa 11 mg Period 1, Then Upa 11 mg Period 2 | Upa 22 mg Period 1, Then Upa 22 mg Period 2 | Total |
|---|---|---|---|---|---|
| Mean | 1.043 ± 0.6094 | 1.154 ± 0.7655 | 1.021 ± 0.5781 | 1.159 ± 0.6585 | 1.094 ± 0.6559 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — 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.
Supporting information: Study protocol, Sap, Csr
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