ClinicalTrials.gg
Active, not recruitingNCT07821216Updated Nov 6, 2026

Real-World Effectiveness of Ritlecitinib in Alopecia Areata Patients in the US: A Retrospective Analysis Using EHR and Claims Data

An observational study in Alopecia Areata, sponsored by Pfizer. Active, not recruiting at 1 site in United States. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Pfizer · Observational

Updated Oct 16, 2026Primary completion movedStudy completion moved+1 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
1
Ages
12 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 17 studies in Alopecia Areata by Pfizer — 5 open to participants now, 9 under way, 4 of them phase 3. Alopecia Areata · Pfizer.

Started
2026
with 1 other
Observational
6 of 17
1 open now
Registered
17th of 17
by date

Among the 17 studies in Alopecia Areata by Pfizer, this one is one of 2 that started in 2026, is one of 6 observational ones, and was the 17th registered.

By phase

17 studies; the count open now beside each. This study's row is marked.

Observationalthis study6 · 1 open
Phase 35 · 3 open
Phase 23 · 0 open
Other kind1 · 1 open
Phase 11 · 0 open
Phase 2/31 · 0 open

By the year they started

First in 2016; this study’s year is marked. 2 started in 2026.

Size and results

Median enrollment 175 across the 10 interventional studies, 375 across the 6 observational. Of the 8 that completed or were terminated, 6 (75%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 17 studies in Alopecia Areata by Pfizer, or all of them as a file.
02

Study summary

This study will use US electronic health records (EHR) linked to US healthcare claims data to describe the baseline demographic and clinical characteristics of AA patients prescribed ritlecitinib; assess its real-world effectiveness based on dermatologist-recorded outcomes; and evaluate ritlecitinib treatment patterns and concomitant use of SOC (Standard of care) medications among patients aged 12 years and older.

Data Management All study data exist as structured data by the time of study. ModMed structured EHR data will be delivered to HealthVerity. HealthVerity will then normalize the data to comply with HealthVerity's HIPAA Certification and Expert Determination. HealthVerity will then deliver the transformed ModMed data to the sponsor's de-identified environment. HealthVerity also will deliver structured claims data to the sponsor's de-identified environment. The sponsor will then link the claims data with the transformed ModMed data. The sponsor will conduct data analyses using SAS (SAS Institute, Cary, NC, US) or R (The R Foundation for Statistical Computing, Vienna, Austria). Versions of packages will be documented to assure reproducibility. Analyses will extract data according to all details in the study design, e.g., inclusion and exclusion criteria.

03

Conditions studied

  • Alopecia Areata

Browse trials for

04

Who can participate

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

A physician-confirmed AA diagnosis, a ritlecitinib prescription fill (the first of which must occur after the date of an AA diagnosis; this first prescription fill date serves as the index date), and be at least 12 years old on the index date. Participants will be followed from the index date until the earliest of: the end of continuous health plan enrollment (defined as the day before a gap of ≥ 45 days in enrollment), or the date of the last available data in the linked dataset. The index date must occur after 23 June 2023.

Eligibility criteria

Inclusion Criteria

Patients must meet all of the following inclusion criteria to be eligible for inclusion in the study:

1. ≥1 ritlecitinib prescription fill after 23 June 2023; the date of the first prescription fill is the index date, provided criterion 2 below is satisfied.

1.1. ≥1 ModMed AA diagnosis on or within 365 days before the index date, identified using diagnosis-related variables (defined in the SAP) as well as any of the following ICD-10-CM codes:

  • L63.0: alopecia (capitis) totalis
  • L63.1: alopecia universalis
  • L63.2: ophiasis
  • L63.8: other alopecia areata
  • L63.9: alopecia areata, unspecified 1.2. Age ≥12 years on the index date. Exclusion Criteria

Patients meeting any of the following criteria will not be included in the study:

1. ≥ 2 of the same diagnoses in the data source of other types of alopecia or diseases that can cause hair loss (e.g., androgenetic alopecia, traction and scarring alopecia, telogen effluvium) in the 365 days before the index date.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
1 participant (actual)
Patient registry
No

Groups and cohorts

  • Ritlecitinib Arm

    All included participants must have: a physician-confirmed AA diagnosis, a ritlecitinib prescription fill (the first of which must occur after the date of an AA diagnosis; this first prescription fill date serves as the index date), and be at least 12 years old on the index date. Participants will be followed from the index date until the earliest of: the end of continuous health plan enrollment (defined as the day before a gap of ≥ 45 days in enrollment), or the date of the last available data in the linked dataset. The index date must occur after 23 June 2023.

    Drug: ritlecitinib

Interventions

  • As provided in real world practice

    Also known as: Litfulo

06

What researchers measure

Primary outcomes

  1. Patient Outcome Measure: Counts and proportions of study participants in each SALT score category

    Overall and for each stratifying variable.

    Time frame: Baseline

  2. Patient Outcome Measure: Change and mean percentage change in SALT scores from baseline

    Overall and for each stratifying variable.

    Time frame: Week 24; week 48; week 72; week 96; week 120; week 144

  3. Patient Outcome Measure: Percentage of patients with SALT scores >20 at baseline who first achieve SALT scores of ≤20,

    Time frame: Week 24; week 48; week 72; week 96; week 120; week 144

  4. Patient Outcome Measure: Percentage of patients with SALT scores >20 at baseline who first achieve SALT scores of ≤10,

    Time frame: Week 24; week 48; week 72; week 96; week 120; week 144

  5. Patient Outcome Measure: Percentage of patients with SALT scores >20 at baseline who first achieve SALT scores of ≤5,

    Time frame: Week 24; week 48; week 72; week 96; week 120; week 144

  6. Patient Outcome Measure: Percentage of patients with SALT scores >20 at baseline who first achieve SALT scores of 0,

    Time frame: Week 24; week 48; week 72; week 96; week 120; week 144

Secondary outcomes

  1. Patient demographics and characteristics: race

    number of AA patients prescribed ritlecitinib in the real-world in the US

    Time frame: Baseline

  2. Patient demographics and characteristics: age at index date

    Number of percentages of patients by age at index date

    Time frame: Baseline

  3. Patient demographics and characteristics: sex

    Number of percentages of patients by sex

    Time frame: Baseline

  4. Patient demographics and characteristics: ethnicity

    Number of percentages of patients by ethnicity

    Time frame: Baseline

  5. Patient pre-index clinical characteristic: AA duration of disease

    Time frame: Baseline

  6. Patient clinical characteristic: AA body locations

    Time frame: Baseline

  7. Patient clinical characteristics and outcome: Physician assessment

    Time frame: Baseline through 144 weeks

  8. Patient clinical characteristics: progressors

    Among those with a PA assessment in the 45 days before index, yes = those with an assessment consistent with worsening AA; no = those with an assessment consistent with a stable or improving AA assessment.

    Time frame: Baseline

  9. Patient clinical characteristics: comorbidities

    Time frame: Baseline

  10. Patient clinical characteristics: JAKi exposure

    Any prescribed JAKi inhibitor before index date.

    Time frame: Baseline

  11. Patient clinical characteristics: Standard of care treatments

    Pre-index and concomitant standard of care treatments other than ritlecitinib

    Time frame: Baseline through 144 weeks

  12. Patient Outcome Measure: Ritlecitinib persistence

    Among those with ≥ 183 days of continuous enrollment post-index date. Continuous: number of ritlecitinib days' supply (will be reported as months where 30.4 days = 1 month; months range = \~0.5 to \~36) up to the earliest of: a gap of 90+ days in ritlecitinib days' supply; end of continuous enrollment (a gap in enrollment lasting ≥ 45 days); last day of data availability.

    Time frame: Week 24; week 48; week 72; week 96; week 120; week 144

  13. Patient Outcome Measure: Ritlecitinib adherence

    Among those with ≥ 183 days of continuous enrollment post-index date.

    Time frame: Week 24; week 48; week 72; week 96; week 120; week 144

  14. Patient Outcome Measure: Augmenting ritlecitinib with concomitant treatment

    Among those with ≥ 183 days of continuous enrollment post-index date. Binary for each SOC treatment class in each follow-up window: yes/no.

    Time frame: Week 24; week 48; week 72; week 96; week 120; week 144

  15. Patient Outcome Measure: Treatment switching

    Among those with ≥ 183 days of continuous enrollment post-index date. Binary for each SOC treatment class, and for the JAKi treatment class, in each follow-up window: yes/no.

    Time frame: Week 24; week 48; week 72; week 96; week 120; week 144

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No — 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.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started Aug 2026 (actual). Primary completion is estimated for Nov 2026, 3 months after the start.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 16, 2026: primary completion Apr 2027 → Nov 2026 and completion Apr 2027 → Nov 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Aug 17, 2026
First posted
Sep 15, 2026
StartActual
Aug 17, 2026
Primary completionEst.
Nov 20, 2026was Apr 2027
CompletionEst.
Nov 20, 2026was Apr 2027
Last update
Nov 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Primary completion
Apr 20, 2027→Nov 20, 2026
Oct 16, 2026
Study completion
Apr 20, 2027→Nov 20, 2026
Oct 16, 2026
Enrollment
7500 (estimated)→1 (actual)
Oct 16, 2026
Show all 2 updates
  1. Nov 6, 2026
    Minor edits only
    + 1 other change: verification date
  2. Oct 16, 2026
    Primary completion Apr 20, 2027→Nov 20, 2026
    Study completion Apr 20, 2027→Nov 20, 2026
    Enrollment 7500 (estimated)→1 (actual)
    + 1 other change: verification date

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 ↗

10

Registry details

Key details

Study ID
NCT07821216
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Sep 15, 2026
Start date
Aug 17, 2026
Primary completion
Nov 20, 2026 (estimated)
Completion
Nov 20, 2026 (estimated)
Last update
Nov 6, 2026

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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