A Double-Arm, Open Label, Phase III Study to Compare the Efficacy and Safety of SCENESSE® and Narrow-Band Ultraviolet B (NB-UVB) Light versus NB-UVB Light Alone in the Treatment of Vitiligo

2023-507470-40-00 Protocol CUV105 Phase II and Phase III (Integrated) Authorised, recruiting

Start 27 Aug 2024 · Status Authorised, recruiting · 2 EU/EEA countries · 3 sites · Protocol CUV105

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Authorised, recruiting
Participants planned 200
Countries 2
Sites 3

Vitiligo

To evaluate the efficacy of SCENESSE® and NB-UVB compared to NB-UVB alone in repigmentation of vitiligo

Key facts

Sponsor
Clinuvel Inc.
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Skin and Connective Tissue Diseases [C17]
Trial duration
27 Aug 2024 → ongoing
Decision date (initial)
2024-04-19
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
CLINUVEL Inc

External identifiers

EU CT number
2023-507470-40-00
ClinicalTrials.gov
NCT06109649

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy

To evaluate the efficacy of SCENESSE® and NB-UVB compared to NB-UVB alone in repigmentation of vitiligo

Secondary objectives 3

  1. To determine the safety of SCENESSE® and NB-UVB light treatment in participants with vitiligo
  2. To evaluate the efficacy of SCENESSE® and NB-UVB compared to NB-UVB alone in repigmentation of vitiligo
  3. To compare the maintenance of pigmentation achieved with SCENESSE® and NB-UVB versus NB-UVB alone in participants with vitiligo

Conditions and MedDRA coding

Vitiligo

VersionLevelCodeTermSystem organ class
21.1 PT 10047642 Vitiligo 100000004858

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Phase III Vitiligo Study
20-week Phase III study with three and six months follow-up period
Randomised Controlled None Group A: Participants will receive NB-UVB (twice weekly) and SCENESSE® (one implant administered every three weeks) for 20 weeks
Group B: Participants will receive NB-UVB light only (administered twice weekly for 20 weeks)

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Male and female participants with a confirmed diagnosis of generalized vitiligo in the face and body
  2. Stable or active vitiligo diagnosed for at least three months
  3. Fitzpatrick skin types III-VI
  4. Willing and able to comply with the conditions specified in this protocol and study procedures in the opinion of the Investigator
  5. Providing written Informed Consent prior to the performance of any study-specific procedure

Exclusion criteria 14

  1. Fitzpatrick skin types I-II
  2. Presence of severe hepatic disease or hepatic impairment
  3. Female who is pregnant or lactating
  4. Female of child-bearing potential not using effective contraceptive methods
  5. Sexually active man with a partner of child-bearing potential who is not using effective contraceptive methods
  6. Use of any prior and concomitant therapy which may interfere with the objective of the study
  7. Extensive leukotrichia
  8. Treatment with NB-UVB phototherapy in the last three months prior to phototherapy
  9. Allergy to afamelanotide or the polymer contained in the implant
  10. Any other treatment for vitiligo within 30 days prior to the Screening Visit
  11. History of melanoma or lentigo maligna
  12. History of dysplastic nevus syndrome
  13. Any malignant skin lesions
  14. Any skin disease that may interfere with the study evaluation

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Percentage of participants achieving re pigmentation in those treated with SCENESSE® and NB-UVB compared to NB-UVB alone.

Secondary endpoints 2

  1. Time to onset of repigmentation
  2. Time to onset of repigmentation of face

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

SCENESSE 16 mg implant

PRD7367850 · Product

Active substance
Afamelanotide
Pharmaceutical form
IMPLANT
Route of administration
SUBCUTANEOUS
Max daily dose
16 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
5 Month(s)
Authorisation status
Authorised
ATC code
D02BB02 — -
Marketing authorisation
EU/1/14/969/001
MA holder
CLINUVEL EUROPE LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/1/14/969/001
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Clinuvel Inc.

Sponsor organisation
Clinuvel Inc.
Address
1350 Old Bayshore Hwy, Ste 520 Ste 520
City
Burlingame
Postcode
94010-1814
Country
United States

Scientific contact point

Organisation
Clinuvel Inc.
Contact name
Head of Clinical Operations

Public contact point

Organisation
Clinuvel Inc.
Contact name
Head of Clinical Operations

Locations

2 EU/EEA countries · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruitment ended 30 2
Italy Ended 10 1
Rest of world
United States, United Kingdom, Mexico, Kenya
160

Investigational sites

France

2 sites · Ongoing, recruitment ended
Centre Hospitalier Universitaire De La Reunion
Dermatology, Allee Des Topazes, Cs 11021, Saint-Denis
Centre Hospitalier Universitaire De Nice
Dermatology, 151 Route De Saint Antoine, 06200, Nice

Italy

1 site · Ended
Ospedale Israelitico
Dermatology, Piazza Di San Bartolomeo All'isola 21, 00186, Rome

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2024-08-27 2024-08-27 2025-05-06

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 91 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-507470-40-00 EU_FP 4.2
Protocol (for publication) D1_Study Protocol 2023-507470-40-00 Signature Page_for public 2.1
Protocol (for publication) D1_Study Protocol 2023-507470-40-00_for public 2.1
Recruitment arrangements (for publication) K1_Recruitment Arrangements IT_FP 2.1
Recruitment arrangements (for publication) K1_Template Recruitment and ICF procedure France FR_for public 2.2
Recruitment arrangements (for publication) K1. Template Recruitment and ICF procedure IT_for public 1.1
Recruitment arrangements (for publication) K2_Recruiting material Advertisement IT in English_V2.0_FP 2.0
Recruitment arrangements (for publication) K2_Recruiting material Advertisement IT in English_V3.1_FP 3.1
Recruitment arrangements (for publication) K2_Recruiting material Advertisement IT_V3.1_FP 3.1
Recruitment arrangements (for publication) K2_Recruiting material Digital Banners IT in English_FP 1.1
Recruitment arrangements (for publication) K2_Recruiting material Digital Banners IT_FP 1.1
Recruitment arrangements (for publication) K2_Recruiting material eFlyer FR_V2.1_FP 2.1
Recruitment arrangements (for publication) K2_Recruiting material eFlyer IT in English_V1.0_FP 1.0
Recruitment arrangements (for publication) K2_Recruiting material eFlyer IT in English_V2.1_FP 2.1
Recruitment arrangements (for publication) K2_Recruiting material eFlyer IT_V2.1_FP 2.1
Recruitment arrangements (for publication) K2_Recruiting material Flyer FR_FP 1.2
Recruitment arrangements (for publication) K2_Recruiting material Flyer IT in English_FP 1.1
Recruitment arrangements (for publication) K2_Recruiting material Flyer IT_FP 1.1
Recruitment arrangements (for publication) K2_Recruiting material Internet Adverts IT in English_V1.1_FP 1.1
Recruitment arrangements (for publication) K2_Recruiting material Internet Adverts IT_V1.2_FP 1.2
Recruitment arrangements (for publication) K2_Recruiting material Patient Brochure FR_FP 2.2
Recruitment arrangements (for publication) K2_Recruiting material Patient Brochure IT in English_FP 2.1
Recruitment arrangements (for publication) K2_Recruiting material Patient Brochure IT_FP 2.1
Recruitment arrangements (for publication) K2_Recruiting material Poster FR_FP 2.2
Recruitment arrangements (for publication) K2_Recruiting material Poster IT in English_V1.2_FP 1.2
Recruitment arrangements (for publication) K2_Recruiting material Poster IT in English_V2.1_FP 2.1
Recruitment arrangements (for publication) K2_Recruiting material Poster IT_V2.1_FP 2.1
Recruitment arrangements (for publication) K2_Recruiting material Radio Advertisement Script IT in English_FP 1.1
Recruitment arrangements (for publication) K2_Recruiting material Radio Advertisement Script IT_FP 1.1
Recruitment arrangements (for publication) K2_Recruiting material Video Advertisement IT in English_FP 1.1
Recruitment arrangements (for publication) K2_Recruiting material Video Advertisement IT_FP 1.1
Recruitment arrangements (for publication) K2_Recruiting material Webpage content IT in English_V7.0_FP 7.0
Recruitment arrangements (for publication) K2_Recruiting material Webpage content IT_V5.0_FP 5.0
Recruitment arrangements (for publication) K2_Recruiting material Webpage content IT_V7.0_FP 7.0
Recruitment arrangements (for publication) K2_Recruitment Material Poster IT TC_for public 1.1
Recruitment arrangements (for publication) K2_Recruitment Material Poster IT_for public 1.1
Recruitment arrangements (for publication) K2_Recruitment material Poster IT_for public 1.2
Recruitment arrangements (for publication) K2_Recruitment Material Social media Internet adverts content IT TC_for public 1.1
Recruitment arrangements (for publication) K2_Recruitment Material Social media Internet adverts content IT_for public 1.1
Recruitment arrangements (for publication) K2. Recruitment material Advertisement IT_for public 2.0
Recruitment arrangements (for publication) K2. Recruitment material eFlyer IT_for public 1.0
Recruitment arrangements (for publication) K2. Recruitment Material Poster IT_for public 1.1
Recruitment arrangements (for publication) K2. Recruitment Material Social media Internet adverts content IT_for public 1.1
Recruitment arrangements (for publication) K2. Recruitment Material Webpage content_for public 5.0
Subject information and informed consent form (for publication) B1_Cover letter nSA01_for public 1
Subject information and informed consent form (for publication) L1_SIS and ICF Adult and Parent IT_For public 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF Adult FR_FP 3.3
Subject information and informed consent form (for publication) L1_SIS and ICF Adult IT TC_for public 2.5
Subject information and informed consent form (for publication) L1_SIS and ICF Adult IT_for public 2.5
Subject information and informed consent form (for publication) L1_SIS and ICF Adult IT_FP 3.1
Subject information and informed consent form (for publication) L1_SIS and ICF Paediatric Assent FR_FP 3.2
Subject information and informed consent form (for publication) L1_SIS and ICF Paediatric Assent IT TC_for public 2.4
Subject information and informed consent form (for publication) L1_SIS and ICF Paediatric Assent IT_for public 2.4
Subject information and informed consent form (for publication) L1_SIS and ICF Paediatric Assent IT_FP 3.1
Subject information and informed consent form (for publication) L1_SIS and ICF Parent FR_FP 3.3
Subject information and informed consent form (for publication) L1_SIS and ICF Parent IT TC_for public 2.4
Subject information and informed consent form (for publication) L1_SIS and ICF Parent IT_for public 2.4
Subject information and informed consent form (for publication) L1_SIS and ICF Parent IT_FP 3.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnancy Monitoring for Follow up of child FR_for public 1.5
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnancy Monitoring for Pregnant Participant FR_for public 1.5
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnancy Monitoring for Pregnant Partner FR_for public 1.6
Subject information and informed consent form (for publication) L1. SIS and ICF Adult IT_for public 2.3
Subject information and informed consent form (for publication) L1. SIS and ICF For Pregnancy Monitoring for Partner IT_for public 1.2
Subject information and informed consent form (for publication) L1. SIS and ICF Paediatric Assent IT_for public 2.2
Subject information and informed consent form (for publication) L1. SIS and ICF Parent IT_for public 2.2
Subject information and informed consent form (for publication) L2_Other subject information material GP letter IT_FP 2.1
Subject information and informed consent form (for publication) L2. Other subject information material Afamelanotide educational video script FR_for public 1.0
Subject information and informed consent form (for publication) L2. Other subject information material Afamelanotide educational video script IT_for public 1.1
Subject information and informed consent form (for publication) L2. Other subject information material GP Letter IT_for public 1.1
Subject information and informed consent form (for publication) L2. Other subject information material Participation card FR_for public 1.2
Subject information and informed consent form (for publication) L2. Other subject information material Participation card IT_for public 1.2
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC afamelanotide 16mg_EN CLEAN_FP 1
Summary of Product Characteristics (SmPC) (for publication) E2. SmPC afamelanotide16mg FR_for public 1
Summary of Product Characteristics (SmPC) (for publication) G1. SmPC afamelanotide16mg IT_For public 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis FR_for public 2.1
Synopsis of the protocol (for publication) D1_Protocol synopsis_EN_2023-507470-40-00_FP 4.2
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR_2023-507470-40-00_FP 4.2
Synopsis of the protocol (for publication) D1_Protocol synopsis_IT_2023-507470-40-00_FP 4.2
Synopsis of the protocol (for publication) D1. Protocol Synopsis IT _for public 2.0
Synopsis of the protocol (for publication) D4. Patient facing documents Questionnaire D FR_for public 1.0
Synopsis of the protocol (for publication) D4. Patient facing documents Questionnaire E FR _for public 1.0
Synopsis of the protocol (for publication) D4. Patient facing documents Questionnaire E IT _for public 1.0
Synopsis of the protocol (for publication) D4. Patient facing documents Questionnaires A FR_for public 1.0
Synopsis of the protocol (for publication) D4. Patient facing documents Questionnaires A IT_for public 1.0
Synopsis of the protocol (for publication) D4. Patient facing documents Questionnaires B FR 1.0
Synopsis of the protocol (for publication) D4. Patient facing documents Questionnaires B IT_for public 1.0
Synopsis of the protocol (for publication) D4. Patient facing documents Questionnaires C FR_for public 1.0
Synopsis of the protocol (for publication) D4. Patient facing documents Questionnaires C IT _for public 1.0
Synopsis of the protocol (for publication) D4. Patient facing documents Questionnaires D IT _for public 1.0
Synopsis of the protocol (for publication) D4. Patient facing documents Questionnaires F FR_for public 1
Synopsis of the protocol (for publication) D4. Patient facing documents Questionnaires F IT_for public 1

Application history

6 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-12-06 France Acceptable
2024-04-15
2024-04-18
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-04-23 France Acceptable
2024-04-15
2024-04-23
3 NON SUBSTANTIAL MODIFICATION NSM-2 2024-07-31 France Acceptable
2024-04-15
2024-07-31
4 NON SUBSTANTIAL MODIFICATION NSM-3 2025-01-06 Acceptable
2024-04-15
2025-01-06
5 SUBSTANTIAL MODIFICATION SM-2 2025-01-23 France Acceptable
2025-04-18
2025-04-23
6 SUBSTANTIAL MODIFICATION SM-3 2025-10-24 France Acceptable
2026-01-20
2026-01-21