A Phase 3 interventional study of Ritlecitinib 100 mg and Ritlecitinib 50 mg in Alopecia Areata, sponsored by Pfizer. Recruiting at 148 sites in 11 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-10-20.
Sponsored by Pfizer · Phase 3, Interventional, and Treatment
The purpose of the study is to learn about the safety and effects of the study medicine (called ritlecitinib) for the treatment of alopecia areata. Alopecia areata is a disease that causes hair loss on the scalp, face, and areas of the body.
Ritlecitinib is approved in many countries at a dose of 50 mg (milligram) taken by mouth once a day for the treatment of patients 12 years and older with severe alopecia areata. This study will look at both the 50 mg dose and a 100 mg dose.
This study is seeking participants who:
About 550 participants will take part in Part 1 of this study. About 80 participants will take part in Part 2 of this study.
In Part 1, participants will be chosen by chance, like drawing names out of a hat, to receive 1 of 2 different amounts of ritlecitinib (50 mg and 100 mg) taken by mouth once daily.
The 2 doses of ritlecitinib in this study will be compared to each other and also to data from previous studies. This will help to see if the 100 mg dose of ritlecitinib is safe and effective.
In Part 2, all eligible participants will receive ritlecitinib 100 mg taken by mouth once daily. The data from this part of the study will be combined with the data from Part 1 of the study to help to see if the 100 mg dose of ritlecitinib is safe and effective in adolescent patients with alopecia areata.
People will be in this study for about 13 months. During the study, participants will need to visit the study site up to 9 times. Participants will undergo various tests and procedures such as:
220 studies on the registry are indexed under Alopecia Areata; 61 are open to participants now.
This study's planned enrollment of 674 is above the median of 50 across 171 interventional studies indexed under Alopecia Areata.
Browse Alopecia Areata studies →Pfizer is the lead sponsor of 3,334 studies on the registry; 149 are open to participants now.
Of its 601 completed or terminated interventional studies of FDA-regulated products, 391 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Age:
18 years of age or older at screening. Adolescents (12 to \<18 years of age at screening) are also eligible for this study, but only if permitted by the local IRB/EC and local regulatory health authority (if applicable). Where these approvals have not been granted, only participants 18 years of age and older at screening will be enrolled. In Part 2 of the study, only adolescents (12 to \<18 years of age at both Screening and Day 1) who did not participate in Part 1 will be enrolled.
Disease Characteristics:
Must meet the following alopecia areata criteria at both Screening and Baseline:
Exclusion Criteria:
Medical Conditions:
General Infection History:
Specific Viral Infection History:
Other Medical Conditions:
Adolescent participants 12 to \<18 years of age without one of the following:
Any medical or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
Prior/Concomitant Therapy:
Current or prior use of any prohibited medication(s), vaccine(s), or treatment(s) within the protocol-defined timelines.
Prior/Concurrent Clinical Study Experience:
Previous administration with an drug or vaccine within 8 weeks (or longer as determined by the local requirement) or 5 half-lives (whichever is longer) before the first dose of study intervention in this study. Participation in studies of other investigational products (drug or vaccine) at any time during their participation in this study. Receipt of study intervention in Study B7981094 or other studies of ritlecitinib.
Diagnostic Assessments:
Screening standard 12-lead that demonstrates clinically relevant abnormalities.
Other Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.
Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.
Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.
After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.
Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.
Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.
A drug or device being studied in a clinical trial.
It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.
A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.
Hypersensitivity
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Excipients
The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Clinically significant
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hepatitis B tests
Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.
Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hepatitis C tests
Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.
After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Cancer (malignancy)
Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.
Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Investigational drug or device
A drug or device being studied in a clinical trial.
It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
ECG (electrocardiogram)
A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants in Part 1 will be randomized to Ritlecitinib 50 mg QD for 24 weeks. Depending on response status at Week 24 (ie, whether the participant has a SALT score of less than or equal to 20), the participant may be re-randomized to Ritlecitinib 50 mg QD or Ritlecitinib 100 mg QD for another 24 weeks. Data from participants who are non-responders (ie, had a SALT score greater than 20) at Week 24 and re-randomized to Ritlecitinib 50 mg will be augmented with data from an External Ritlecitinib 50 mg QD Group for comparisons at Week 48. The External Ritlecitinib 50 mg QD Group will be constructed using patient-level data from the appropriately chosen Pfizer clinical study in participants who received Ritlecitinib 50 mg QD and were non-responders at Week 24 and continued receiving ritlecitinib 50 mg QD up to Week 48. In addition to the active Ritlecitinib 50 mg capsule, a placebo capsule matching the Ritlecitinib 100 mg capsule will be given in order to maintain the blind.
Drug: Ritlecitinib 50 mg · Drug: Placebo - 100 mg
This group will be constructed using participant-level data at Week 24 from placebo groups of the appropriately chosen Pfizer clinical studies of Ritlecitinib in participants with alopecia areata. This data will be used for comparison between each Ritlecitinib dose and placebo at Week 24. As this arm will utilize data from other studies, no participants will be randomized to receive only placebo in this study.
Participants in Part 2 will be assigned to receive one open-label Ritlecitinib 100 mg capsule once daily by mouth for 48 weeks.
Drug: Ritlecitinib 100 mg
Participants in Part 1 will be randomized to Ritlecitinib 100 mg QD for 48 weeks. In addition to the active Ritlecitinib 100 mg capsule, a placebo capsule matching the Ritlecitinib 50 mg capsule will be given in order to maintain the blind.
Drug: Ritlecitinib 100 mg · Drug: Placebo - 50 mg
This group will be constructed using participant-level data up to Week 36 from the placebo groups of the appropriately chosen Pfizer clinical studies of Ritlecitinib in participants with alopecia areata and a longitudinal model and extrapolation. This data will be used for comparison between Ritlecitinib 100 mg and placebo at Week 36. As this arm will utilize data from other studies, no participants will be randomized to receive only placebo in this study.
100 mg Capsule
Also known as: PF-06651600, Litfulo
50 mg Capsule
Also known as: PF-06651600, Litfulo
Capsule (to match Ritlecitinib 100 mg)
Capsule (to match Ritlecitinib 50 mg)
Part 1: Percentage of participants with absolute Severity of Alopecia Tool (SALT) score less than or equal to 20
Difference in the percentage of participants with SALT score less than or equal to 20 between ritlecitinib 100 mg once-daily (QD) versus placebo
Time frame: Week 24
Part 2: Percentage of participants with TEAEs, SAEs, and AEs leading to discontinuation
Percentage of participants with events, based on those reported in the study including the safety follow-up period for ritlecitinib 100 mg QD
Time frame: Baseline to Follow-up visit (Week 52)
Part 2: Percentage of participants with clinically significant laboratory abnormalities
Percentage of participants with clinically significant laboratory abnormalities, based on those reported in the study including the safety follow-up period for ritlecitinib 100 mg QD
Time frame: Baseline to Follow-up visit (Week 52)
Part 1: Percentage of participants with absolute SALT score less than or equal to 20
Difference in the percentage of participants with SALT score less than or equal to 20 between ritlecitinib 50 mg QD versus placebo
Time frame: Week 24
Part 1: EU Only: Percentage of participants with Patient Global Impression of Change (PGI-C) response, defined as a score of "moderately improved" or "greatly improved"
Difference in percentage of participants with PGI-C response between ritlecitinib 100 mg QD versus placebo and ritlecitinib 50 mg QD versus placebo
Time frame: Week 24
Part 1: US Only: Percentage of participants with absolute SALT score less than or equal to 20
Difference in the percentage of participants with SALT score less than or equal to 20 between ritlecitinib 100 mg QD versus placebo
Time frame: Week 36
Part 1: Change from baseline in SALT score
Difference in the mean absolute change from baseline in SALT score between ritlecitinib 100 mg QD versus ritlecitinib 50 mg QD
Time frame: Week 24
Part 1: Percentage of participants with absolute SALT score equal to 0
Difference in the percentage of participants with SALT score equal to 0 between ritlecitinib 100 mg QD versus placebo and ritlecitinib 50 mg QD versus placebo
Time frame: Week 24
Part 1: Percentage of participants with absolute SALT score less than or equal to 10
Difference in the percentage of participants with SALT score less than or equal to 10 between ritlecitinib 100 mg QD versus ritlecitinib 50 mg QD
Time frame: Baseline through Week 24
Part 1: Percentage of participants with absolute SALT score less than or equal to 20
Difference in the percentage of participants with SALT score less than or equal to 20 between ritlecitinib 100 mg QD versus ritlecitinib 50 mg QD
Time frame: Baseline through Week 24
Part 1: Percentage of participants with absolute SALT score equal to 0
Difference in the percentage of participants with SALT score equal to 0 between ritlecitinib 100 mg QD versus ritlecitinib 50 mg QD
Time frame: Baseline through Week 24
Part 1: Change from baseline in SALT score
Difference in the mean absolute change from baseline in SALT score between ritlecitinib 100 mg QD versus ritlecitinib 50 mg QD
Time frame: Baseline through Week 24
Part 1: Percentage of participants with EBA (Eyebrow Assessment) response, defined as at least a 2-grade improvement from baseline or a score of 3 (among participants without a normal EBA score at baseline)
Difference in the percentage of participants with EBA response (among participants without a normal EBA score at baseline) between ritlecitinib 100 mg QD versus ritlecitinib 50 mg QD
Time frame: Baseline through Week 24
Part 1: Percentage of participants with ELA (Eyelash Assessment) response, defined as at least a 2-grade improvement from baseline or a score of 3 (among participants without a normal ELA score at baseline)
Difference in the percentage of participants with ELA response (among participants without a normal ELA score at baseline) between ritlecitinib 100 mg QD versus ritlecitinib 50 mg QD
Time frame: Baseline through Week 24
Part 1: Percentage of participants with PGI-C response, defined as a score of "moderately improved" or "greatly improved"
Difference in the percentage of participants with PGI-C response between ritlecitinib 100 mg QD versus ritlecitinib 50 mg QD
Time frame: Baseline through Week 24
Part 1: Percentage of participants with absolute SALT score less than or equal to 10
Difference in the percentage of participants with SALT score less than or equal to 10 between ritlecitinib 100 mg QD versus placebo and ritlecitinib 50 mg QD versus placebo
Time frame: Week 24
Part 1: Percentage of participants with EBA response, defined as at least a 2-grade improvement from baseline or a score of 3 (among participants without a normal EBA score at baseline)
Difference in the percentage of participants with EBA response (among participants without a normal EBA score at baseline) between ritlecitinib 100 mg QD versus placebo and ritlecitinib 50 mg QD versus placebo
Time frame: Week 24
Part 1: Percentage of participants with ELA response, defined as at least a 2-grade improvement from baseline or a score of 3 (among participants without a normal ELA score at baseline)
Difference in the percentage of participants with ELA response (among participants without a normal ELA score at baseline) between ritlecitinib 100 mg QD versus placebo and ritlecitinib 50 mg QD versus placebo
Time frame: Week 24
Part 1: Percentage of participants with absolute SALT score less than or equal to 20
Difference in the percentage of participants with SALT score less than or equal to 20 between ritlecitinib 50 mg non-responder (NR)--\>ritlecitinib 100 mg QD versus ritlecitinib 50 mg NR--\>ritlecitinib 50 mg QD
Time frame: Week 48
Part 1: Percentage of participants with absolute SALT score less than or equal to 10
Difference in the percentage of participants with SALT score less than or equal to 10 between ritlecitinib 50 mg NR--\>ritlecitinib 100 mg QD versus ritlecitinib 50 mg NR--\>ritlecitinib 50 mg QD
Time frame: Week 48
Part 1: Change from Week 24 in SALT score
Difference in the mean absolute change from Week 24 in SALT score between ritlecitinib 50 mg NR--\>ritlecitinib 100 mg QD versus ritlecitinib 50 mg NR--\>ritlecitinib 50 mg QD
Time frame: Week 48
Part 1: Percentage of participants with PGI-C response, defined as a score of "moderately improved" or "greatly improved"
Percentage of participants with PGI-C response between ritlecitinib 50 mg NR--\>ritlecitinib 100 mg QD versus ritlecitinib 50 mg NR--\>ritlecitinib 50 mg QD
Time frame: Week 48
Part 1: Percentage of participants with absolute SALT score less than or equal to 20
Percentage of participants with SALT score less than or equal to 20 for ritlecitinib 100 mg QD, ritlecitinib 50 mg responder (R)--\>50 mg QD, ritlecitinib 50 mg NR--\>50 mg QD, and ritlecitinib 50 mg NR--\>100 mg QD
Time frame: Week 24 through Week 48
Part 1: Percentage of participants with absolute SALT score less than or equal to 10
Percentage of participants with SALT score less than or equal to 10 for ritlecitinib 100 mg QD, ritlecitinib 50 mg R--\>50 mg QD, ritlecitinib 50 mg NR--\>50 mg QD, and ritlecitinib 50 mg NR--\>100 mg QD
Time frame: Week 24 through Week 48
Part 1: Percentage of participants with absolute SALT score equal to 0
Percentage of participants with SALT score equal to 0 for ritlecitinib 100 mg QD, ritlecitinib 50 mg R--\>50 mg QD, ritlecitinib 50 mg NR--\>50 mg QD, and ritlecitinib 50 mg NR--\>100 mg QD
Time frame: Week 24 through Week 48
Part 1: Change from Week 24 in SALT score
Mean absolute change from Week 24 in SALT score for ritlecitinib 100 mg QD, ritlecitinib 50 mg R--\>50 mg QD, ritlecitinib 50 mg NR--\>50 mg QD, and ritlecitinib 50 mg NR--\>100 mg QD
Time frame: Week 24 through Week 48
Part 1: Percentage of participants with EBA response, defined as at least a 2-grade improvement from baseline or a score of 3 (among participants without a normal EBA score at baseline)
Percentage of participants with EBA response for ritlecitinib 100 mg QD, ritlecitinib 50 mg R--\>50 mg QD, ritlecitinib 50 mg NR--\>50 mg QD, and ritlecitinib 50 mg NR--\>100 mg QD
Time frame: Week 24 through Week 48
Part 1: Percentage of participants with ELA response, defined as at least a 2-grade improvement from baseline or a score of 3 (among participants without a normal ELA score at baseline)
Percentage of participants with ELA response for ritlecitinib 100 mg QD, ritlecitinib 50 mg R--\>50 mg QD, ritlecitinib 50 mg NR--\>50 mg QD, and ritlecitinib 50 mg NR--\>100 mg QD
Time frame: Week 24 through Week 48
Part 1: Percentage of participants with PGI-C response, defined as a score of "moderately improved" or "greatly improved"
Percentage of participants with PGI-C response for ritlecitinib 100 mg QD, ritlecitinib 50 mg R--\>50 mg QD, ritlecitinib 50 mg NR--\>50 mg QD, and ritlecitinib 50 mg NR--\>100 mg QD
Time frame: Week 24 through Week 48
Part 2: Percentage of participants with absolute SALT score less than or equal to 20
Percentage of participants with absolute SALT score less than or equal to 20 for ritlecitinib 100 mg QD
Time frame: Baseline through Week 48
Part 2: Percentage of participants with absolute SALT score less than or equal to 10
Percentage of participants with absolute SALT score less than or equal to 10 for ritlecitinib 100 mg QD
Time frame: Baseline through Week 48
Part 2: Percentage of participants with absolute SALT score equal to 0
Percentage of participants with absolute SALT score equal to 0 for ritlecitinib 100 mg QD
Time frame: Baseline through Week 48
Part 2: Change from baseline in SALT score
Mean change from baseline in SALT score for ritlecitinib 100 mg QD
Time frame: Baseline through Week 48
Part 2: Percentage of participants with EBA (Eyebrow Assessment) response, defined as at least a 2-grade improvement from baseline or a score of 3 (among participants without a normal EBA score at baseline)
Percentage of participants with EBA response for ritlecitinib 100 mg QD
Time frame: Baseline through Week 48
Part 2: Percentage of participants with ELA (Eyelash Assessment) response, defined as at least a 2-grade improvement from baseline or a score of 3 (among participants without a normal ELA score at baseline)
Percentage of participants with ELA response for ritlecitinib 100 mg QD
Time frame: Baseline through Week 48
Part 2: Percentage of participants with PGI-C response, defined as a score of "moderately improved" or "greatly improved"
Percentage of participants with PGI-C response for ritlecitinib 100 mg QD
Time frame: Baseline through Week 48
Part 1: Percentage of participants with TEAEs, SAEs, and AEs leading to discontinuation
Percentage of participants with events, based on those reported in the study including the safety follow-up period for ritlecitinib 100 mg QD and ritlecitinib 50 mg
Time frame: Baseline to Follow-up visit (Week 52)
Part 1: Percentage of participants with clinically significant laboratory abnormalities
Percentage of participants with clinically significant laboratory abnormalities, based on those reported in the study including the safety follow-up period for ritlecitinib 100 mg QD and ritlecitinib 50 mg
Time frame: Baseline to Follow-up visit (Week 52)
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Showing the first 100 of 148 sites across 11 countries. Choose a country and city above to see the rest.
Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
Data sharing details ↗ · www.pfizer.com
Started Apr 2025 (actual). Primary completion is estimated for Mar 2028, 35 months after the start.
Of 20 phase 3 interventional studies under Alopecia Areata, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 46. This study's planned 35 months is close to that.
How these figures are worked out, and which studies are left out of them.
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.
Contact study teamGet an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Studies of the drug tested here: PF-06651600