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RecruitingNCT07487948Updated Jul 10, 2026

Safety and Biomarker Responses of Delgocitinib (JAK1,2,3/TYK2 Inhibitor) in Central Centrifugal Cicatricial Alopecia and Lichen Planopilaris

A Phase 2 interventional study of Delgocitinib in Central Centrifugal Cicatricial Alopecia and Lichen Planopilaris, sponsored by Icahn School of Medicine at Mount Sinai. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-10.

Sponsored by Icahn School of Medicine at Mount Sinai · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study evaluates the safety, tolerability, and biomarker effects of twice-daily topical delgocitinib 2% cream in adults with lichen planopilaris (LPP) or central centrifugal cicatricial alopecia (CCCA) over a 48-week treatment period. Approximately 30 participants will be enrolled: 15 CCCA and 15 LPP. The study will take place at the Icahn School of Medicine at Mount Sinai (ISMMS).

02

Conditions studied

  • Central Centrifugal Cicatricial Alopecia
  • Lichen Planopilaris

Browse trials for

03

In context

Lichen Planus

74 studies on the registry are indexed under Lichen Planus; 15 are open to participants now.

This study's planned enrollment of 30 is close to the median of 30 across 55 interventional studies indexed under Lichen Planus.

Browse Lichen Planus studies →

Lead sponsor

Icahn School of Medicine at Mount Sinai is the lead sponsor of 776 studies on the registry; 176 are open to participants now.

Of its 125 completed or terminated interventional studies of FDA-regulated products, 83 (66%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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.

Inclusion criteria

  • Participants of any gender, age 18 years or older, at the time of at Screening.
  • Participants who are willing and able to adhere to the study visit schedule and comply with protocol requirements.
  • Participant self-reports a history of at least 6 months of CA (LPP or CCCA). Diagnosis will be made clinically (according to the LPPAI10, and/or CHLG11) and/or histopathologically.
  • Participants who are females of must have a negative urine pregnancy test at screening and must be practicing an adequate and medically acceptable method of for at least 30 days prior to Day 0 and at least 28 days after the last dose of study drug. Acceptable methods of birth control include intrauterine device (IUD) oral, transdermal, implanted or injected hormonal contraceptives (must have been initiated at least 1 month before entering the study); tubal ligation; abstinence; barrier methods with spermicide. If not of child-bearing potential, Participants must have a sterile or vasectomized partner; have had a hysterectomy, a bilateral oophorectomy or be clinically diagnosed infertile; or be in a menopausal state for at least a year.
  • Participant is judged to be in otherwise good overall health following a detailed medical and medication history, physical examination, and laboratory testing.

Exclusion criteria

Exclusion Criteria:

  • Participants of hair loss is indeterminable and/or they have concomitant causes of alopecia, such pregnancy-related, drug-induced, telogen effluvium, or advanced androgenetic alopecia.
  • Participant has a history of CA for ≥ 4 years since the disease onset, severe fibrosing disease, or very rapid hair loss at screening.
  • Participant has a history of moderate to severe keloids on the scalp, as determined by clinical examination at screening.
  • Other scalp disease that may impact assessment (e.g., scalp psoriasis, dermatitis, etc.).
  • Participant is pregnant or breastfeeding.
  • Participation in other studies involving drug(s) within 4 weeks or within 5 half-lives (if known), whichever is longer, prior to study entry and/or during study participation (de novo patients only).
  • Active systemic diseases that may cause hair loss (e.g., systemic lupus erythematosus, thyroiditis, systemic sclerosis, etc.).
  • Any Psychiatric condition in the opinion of the investigator precludes participation in the study.
  • Current or recent history of severe, progressive, or uncontrolled renal (including but not limited to active renal disease or recent kidney stones), hepatic, hematological, gastrointestinal, metabolic, endocrine (particularly thyroid disease which can be associated with hair loss), pulmonary, cardiovascular, psychiatric, immunologic/rheumatologic or neurologic disease; or have any other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration, or interfere with the interpretation of study results; or in the opinion of the investigator, the participant is inappropriate for entry into this study, or unwilling/unable to comply with STUDY PROCEDURES.
  • History of thromboembolic events including DVT and PE or history of inherited coagulopathies.
  • Any present or history of malignancies with the exception of adequately treated or excised non- basal cell or squamous cell cancer of the skin or cervical carcinoma in situ.
  • History of any lymphoproliferative disorder such as Epstein Barr Virus (EBV) related lymphoproliferative disorder, history of lymphoma, history of leukemia, or signs and symptoms suggestive of current lymphatic or lymphoid disease.
  • History of systemic infection requiring hospitalization, parenteral antimicrobial therapy, or as otherwise judged clinically significant by the investigator within 6 months prior to Day 0.
  • Active acute or chronic infection requiring treatment with oral antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 4 weeks prior to Day 0 or superficial skin infection within 1 week prior to Baseline.
  • Considered in imminent need for surgery or with elective surgery scheduled to occur during the study.
  • Have an active history of alcohol or substance abuse within 1 year prior to Day 0.
  • Participant has any uncertain or clinically significant laboratory abnormalities that may affect interpretation of study data or endpoints, at determined by the PI.
  • History of adverse systemic or allergic reactions to components of study drug.
  • Use of systemic medications, including, but not limited to, cyclosporine, systemic , mycophenolate mofetil, azathioprine, methotrexate, within 8 weeks prior to baseline visit.
  • Use of other non-biologic systemic agent for CA, including, 5α-reductase inhibitors, hydroxychloroquine, or retinoids, within 4 weeks prior to baseline visit.
  • Use of an intralesional corticosteroids or oral JAK inhibitor (tofacitinib, ruxolitinib, or any JAK1/TYK2 product) within 4 weeks prior to the baseline visit.
  • Participant has used topical corticosteroids, and/or tacrolimus, and/or pimecrolimus or cyclosporine within 1 week before the baseline visit.
  • Participant has been previously treated with biological drugs in the last 12 weeks for other indications.
Terms in these criteria, in plain language(9)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

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.

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Centrifugal Cicatricial Alopecia (CCCA)

    Individuals in the study diagnosed with CCCA are in this arm.

    Drug: Delgocitinib

  • Experimental
    Lichen Planopilaris (LPP)

    Individuals in the study diagnosed with LPP are in this arm.

    Drug: Delgocitinib

Interventions

06

What researchers measure

Primary outcomes

  1. Changes in IFNγ in CA scalp in delgocitinib-treated patients

    Changes in Th1 markers in CA scalp from baseline to week 36 in delgocitinib-treated patients

    Time frame: Baseline to Week 36

  2. Changes in CCL5 in CA scalp in delgocitinib-treated patients

    Changes in Th1 markers in CA scalp from baseline to week 36 in delgocitinib-treated patients

    Time frame: Baseline to Week 36

  3. Changes CXCL9 markers in CA scalp in delgocitinib-treated patients

    Changes in Th1 markers in CA scalp from baseline to week 36 in delgocitinib-treated patients

    Time frame: Baseline to Week 36

  4. Changes in CXCL10 in CA scalp in delgocitinib-treated patients

    Changes in Th1 markers in CA scalp from baseline to week 36 in delgocitinib-treated patients

    Time frame: Baseline to Week 36

Secondary outcomes

  1. Changes in IFNγ in CA scalp in delgocitinib-treated patients

    Changes in Th1 markers in CA scalp from baseline to week 48 and from week 36 to week 48

    Time frame: Week 36 to Week 48

  2. Changes in CCL5 in CA scalp in delgocitinib-treated patients

    Changes in Th1 markers in CA scalp from baseline to week 48 and from week 36 to week 48

    Time frame: Week 36 to Week 48

  3. Changes in CXCL9 in CA scalp in delgocitinib-treated patients

    Changes in Th1 markers in CA scalp from baseline to week 48 and from week 36 to week 48

    Time frame: Week 36 to Week 48

  4. Changes in Th1 markersCXCL10in CA scalp in delgocitinib-treated patients

    Changes in Th1 markers in CA scalp from baseline to week 48 and from week 36 to week 48

    Time frame: Week 36 to Week 48

  5. Changes in TGFB1/2

    Changes in biomarkers of fibrosis at weeks 36 and at weeks 48

    Time frame: Baseline to Week 36; Baseline to Week 48

  6. Changes in vimentin

    Changes in biomarkers of fibrosis at weeks 36 and at weeks 48

    Time frame: Baseline to Week 36; Baseline to Week 48

  7. Changes in fibronectin

    Changes in biomarkers of fibrosis at weeks 36 and at weeks 48

    Time frame: Baseline to Week 36; Baseline to Week 48

  8. Changes in CTGF

    Changes in biomarkers of fibrosis at weeks 36 and at weeks 48

    Time frame: Baseline to Week 36; Baseline to Week 48

  9. Change in Central Hair Loss Grade (CHLG)

    The Central Hair Loss Grade is a clinical measure of severity that uses a 6 points scale (0 no central scalp hair loss, 1 - minimal central scalp hair loss, 2 - clinically evident central scalp hair loss, 3-5 advanced central scalp hair loss)

    Time frame: Baseline to Week 24; Baseline to Week 36; Baseline to Week 48

  10. Change in Lichen Planopilaris Activity Index (LPPAI)

    The Lichen Planopilaris Activity Index is a standardized validated quantitative measure of disease activity. LPPAI score (0-10) is calculated as follows: (pruritus + pain + burning)/3 + (scalp erythema + perifollicular erythema + perifollicular scale)/3 + 2.5 (pull test) + 1.5 (spreading/2). Symptoms and signs are graded on a 4-point scale with 0 = absent, 1 = mild, 2 = moderate, and 3 =severe. Clinical progression and a positive hair pull test are graded 1=yes; 0=no.

    Time frame: Baseline to Week 24; Baseline to Week 36; Baseline to Week 48

  11. Molecular cutaneous phenotype of CCCA and LPP by molecular studies in scalp tissues acquired via biopsies

    An Analysis of Covariance will be used to analyze the changes induced by Delgocitinib in CCL5 (a surrogate for IFNγ activity) and biomarkers of fibrosis expression in CA scalp from baseline to week 48 and from week 24 to week 48.

    Time frame: Baseline to Week 48; Week 24 to Week 48

  12. Change in Dermatology Quality of Life Index (DLQI)

    Full score on scale from 0 to 30, with higher indicating higher impact on quality of life.

    Time frame: Baseline to Week 24, Baseline to Week 36, Baseline to Week 48

  13. Change in hair count per cm2

    Change in number of hairs present in a 1cm2 area

    Time frame: Baseline to Week 24; Baseline to Week 36; Baseline to Week 48

  14. Change in sum of hair width per cm2

    Change in total hair diameter in a 1cm2 area

    Time frame: Baseline to Week 24; Baseline to Week 36; Baseline to Week 48

  15. Change in terminal:vellus ratio

    Change in the ratio of thick pigmented long hair to fine-barely visible hairs

    Time frame: Baseline to Week 24; Baseline to Week 36; Baseline to Week 48

  16. Change in average hairs per follicular unit

    Change in average number of hairs growing out of each pore

    Time frame: Baseline to Week 24; Baseline to Week 36; Baseline to Week 48

  17. Change in average hair width

    Change in average width of each individual hair

    Time frame: Baseline to Week 24; Baseline to Week 36; Baseline to Week 48

  18. Change in follicular units per cm2

    Change in hair density in a 1cm2 area

    Time frame: Baseline to Week 24; Baseline to Week 36; Baseline to Week 48

  19. Change in inter-follicular mean distance

    Change in average gap between hairs

    Time frame: Baseline to Week 24; Baseline to Week 36; Baseline to Week 48

  20. Change in Peak Pruritus Numerical Rating Scale (PP-NRS)

    The score ranges from 0 - 10 with 0 representing no itch and 10 representing worse possible itch.

    Time frame: Baseline to Week 24, Baseline to Week 36, Baseline to Week 48

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — Results will be analyzed and published as aggregate data

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07487948
Collaborators
LEO Pharma
Responsible party
Benjamin Ungar (Assistant Professor, Icahn School of Medicine at Mount Sinai) — Principal investigator
First posted
Mar 23, 2026
Start date
May 19, 2026
Primary completion
Apr 5, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Jul 10, 2026

Study contacts

Giselle Singer
Contact
giselle.singer@mssm.edu
2122413288
Benjamin Ungar, MD
principal investigator · Icahn School of Medicine at Mount Sinai

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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