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Alopecia AreataPhase 2NCT04556734

Safety and Efficacy of Oral Etrasimod in Adult Participants With Moderate-to-Severe Alopecia Areata

A Phase 2 study testing Etrasimod in people with Alopecia Areata, run by Pfizer at 42 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the safety and efficacy of etrasimod monotherapy (2 milligrams [mg] and 3 mg) in participants with moderate-to-severe alopecia areata (AA). Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Alopecia Areata
What is being tested?
Etrasimod
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
42 sitesin 2 countries
Study dates
29 Jul 2020to 7 Jun 2023
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men or women between ≥18 and ≤70 years of age at the time of informed consent
  • Moderate-to-severe alopecia areata as assessed by a SALT score of ≥25 and <95 at Screening and Day 1/Baseline.
  • Current episode of hair loss for ≥6 months but <5 years
  • Stable disease condition (no significant growth of hair) in the last 6 months as assessed by the Investigator
  • Willing to keep the same hair style and color (eg, hair products, process, and timing for hair appointments) for the duration of the study

Who cannot join

  • History of male or female pattern hair loss >Hamilton stage III or >Ludwig stage II
  • Other types of alopecia (eg, cicatricial/scarring alopecia [including central centrifugal cicatricial alopecia], traction alopecia, or telogen effluvium) or other diseases that could cause hair loss
  • Active scalp inflammation, scalp infection, scalp psoriasis, or any other scalp condition that may interfere with the SALT assessment
  • Previous use of Janus kinase (JAK) inhibitor (oral or topical), including participation in clinical studies of JAK inhibitors

Trial locations and contacts

42 sites in 2 countries.

42 sites in 2 countries

United States39 sites
  • Dermatology Trial Associates

    Bryant, Arkansas, 72022

  • Michigan Center for Skin Care Research

    Clinton Township, Michigan, 48038

  • Advanced Sleep & Respiratory Institute, PA

    Daytona Beach, Florida, 32117

  • California Dermatology & Clinical Research Institute

    Encinitas, California, 92024

  • First OC Dermatology

    Fountain Valley, California, 92708

  • Dawes Fretzin Clinical Research Group, LLC

    Indianapolis, Indiana, 46250

  • Eye Surgeons of Indiana

    Indianapolis, Indiana, 46260

  • University of California,Irvine

    Irvine, California, 92697

  • Magnante Eye Care (Ophthalmological Assessments)

    Lafayette, Indiana, 47905

  • Prospect Optometry

    Lomita, California, 90717

  • Torrance Clinical Research Institute,Inc.

    Lomita, California, 90717

  • The Education & Research Foundation, Inc.

    Lynchburg, Virginia, 24501

  • International Clinical Research - Tennessee LLC

    Murfreesboro, Tennessee, 37130

  • Yale Eye Center

    New Haven, Connecticut, 06511

  • Yale Investigational Drug Services

    New Haven, Connecticut, 06511

  • Yale Center for Clinical Investigation

    New Haven, Connecticut, 06519

  • Yale New Haven Hospital Department of Respiratory Care

    New Haven, Connecticut, 06519

  • NYC Retina- Manhattan

    New York, New York, 10003

  • Bobby Buka MD, PC

    New York, New York, 10012

  • Physicians Research Group (Administrative Office Location)

    Noblesville, Indiana, 46060

  • International Eye Associates

    Ormond Beach, Florida, 32174

  • Leavitt Medical Associates of Florida d/ba Ameriderm Research

    Ormond Beach, Florida, 32174

  • UPMC Department of Dermatology

    Pittsburgh, Pennsylvania, 15213

  • UPMC Eye Center

    Pittsburgh, Pennsylvania, 15213

  • NW Dermatology Institute

    Portland, Oregon, 97210

  • Rochester Ophthalmological Group

    Rochester, New York, 14623

  • Skin Search of Rochester, Inc.

    Rochester, New York, 14623

  • Lawrence J. Green, MD LLC

    Rockville, Maryland, 20850

  • MediSearch Clinical Trials

    Saint Joseph, Missouri, 64506

  • Progressive Clinical Research, PA

    San Antonio, Texas, 78213

  • Advanced Medical Research PC

    Sandy Springs, Georgia, 30328

  • Investigate MD

    Scottsdale, Arizona, 85255

  • Dermatology Specialists of Spokane

    Spokane, Washington, 99202

  • PRINCIPLE RESEARCH SOLUTIONS (pulmonary function testing)

    Spokane, Washington, 99204

  • SPOKANE EYE CLINIC (OCT and optical exam

    Spokane, Washington, 99204

  • Advanced Clinical Research Institute

    Tampa, Florida, 33607

  • Physicians Research Group

    West Lafayette, Indiana, 47906

  • Randall Dermatology, PC

    West Lafayette, Indiana, 47906

  • WDC Cosmetic and Research, PLLC

    Wilmington, North Carolina, 28405

Other trials in United States

Canada3 sites
  • Dermatology Research Institute

    Calgary, Alberta, T2J 7E1

  • Laser Rejuvenation Clinics Edmonton D.T. Inc.

    Edmonton, Alberta, T5J 3S9

  • Innovaderm Research

    Montreal, Quebec, H2X 2V1

Other trials in Canada

About this study

Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, 24-Week Study, With a 28-Week Open-Label Extension, to Assess the Safety and Efficacy of Etrasimod in Subjects With Moderate-to-Severe Alopecia Areata

The purpose of this study is to evaluate the safety and efficacy of etrasimod monotherapy (2 milligrams [mg] and 3 mg) in participants with moderate-to-severe alopecia areata (AA).

Conditions
Alopecia Areata
Being tested
Etrasimod, Placebo
Keywords
T-cell-mediated autoimmune skin disorder, Alopecia areata, Alopecia, APD334, Etrasimod, Hair loss
Medical subject headings
Alopecia Areata, Alopecia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EtrasimodDrug

    Also called APD334

    Etrasimod 2 mg tablet by mouth, once daily

  • EtrasimodDrug

    Also called APD334

    Etrasimod 3 mg (1 mg and 2 mg tablets) by mouth, once daily

  • PlaceboDrug

    Etrasimod matching placebo tablet by mouth, once daily

Study groups in NCT04556734
Study groupRoleWhat they receive
Etrasimod 2 mgExperimentalNot described
Receives: Drug: Etrasimod
Etrasimod 3 mgExperimentalNot described
Receives: Drug: Etrasimod
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change From Baseline in Severity of Alopecia Tool I (SALT I) at Week 24: DB Treatment Period

    SALT I is a well-validated metric used to determine the degree of hair loss based on the percentage (%) of scalp surface area involved on the top (40%), back (24%), left side (18%) and right side (18%) of the scalp for AA. Investigator determines the % scalp hair loss in a given quadrant, multiply this by the total scalp area delineated by that quadrant, and sum the resultant numbers for each quadrant to give the total % scalp hair loss with a maximum score of 100. Score range from 0% (no scalp hair loss) to 100% (complete scalp hair loss), higher scores indicated more scalp hair loss. Percent change from baseline in SALT I is reported in terms of Least square mean and standard error.

    Measured: DB Treatment Period: Baseline (before dose on Day 1), Week 24

Secondary outcomes (2)
  1. Change From Baseline in SALT I at Week 24: DB Treatment Period

    SALT I is a well-validated metric used to determine the degree of hair loss based on the percentage (%) of scalp surface area involved on the top (40%), back (24%), left side (18%) and right side (18%) of the scalp for AA. Investigator determines the % scalp hair loss in a given quadrant, multiply this by the total scalp area delineated by that quadrant, and sum the resultant numbers for each quadrant to give the total % scalp hair loss with a maximum score of 100. Score range from 0% (no scalp hair loss) to 100% (complete scalp hair loss), higher scores indicated more scalp hair loss. Change from baseline in SALT I is reported in terms of Least square mean and standard error.

    Measured: DBT Period: Baseline, Week 24

  2. Percentage of Participants Who Achieved Greater Than or Equal to (>=) 30%, >= 50% and >=75% Improvement From Baseline in SALT I at Week 24: DB Treatment Period

    SALT I is a well-validated metric used to determine the degree of hair loss based on the percentage of scalp surface area involved on the top, back, and each side of the scalp for alopecia areata (AA). Investigator determine the percent scalp hair loss in a given quadrant, multiply this by the total scalp area delineated by that quadrant, and sum the resultant numbers for each quadrant to give the total percent scalp hair loss with a maximum score of 100. Score range from 0 to 100, where 0 =no scalp hair loss to 100 = complete scalp hair loss, higher scores indicated more scalp hair loss. Percentage of participants who achieved >=30%, >=50%, >=75% improvement from baseline in SALT I at Week 24 was reported in this outcome measure.

    Measured: DB Treatment Period: Baseline, Week 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Sep 2020
  2. Study start29 Jul 2020
  3. Primary completion7 Jun 2023
  4. Study completion7 Jun 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Double-Blind, Placebo-Controlled
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04556734
Sponsor's protocol ID
APD334-205
Other IDs
C5041008
Status last verified
May 2024
First submitted
15 Sep 2020
Last updated
26 Jun 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
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.

Publications

  • King B, Mesinkovska N, Senna M, Luo X, Minkiewicz J, Selfridge A. Efficacy and safety of etrasimod in alopecia areata: A multicentre, randomized, double-blind, placebo-controlled, Phase 2 study. J Eur Acad Dermatol Venereol. 2025 Jun;39(6):1174-1184. doi: 10.1111/jdv.20605. Epub 2025 Mar 27.

    PubMed 40145547
  • Dubinsky MC, Wu J, McDonnell A, Lazin K, Goetsch M, Branquinho D, Modesto I, Armuzzi A. Low Incidence of Macular Edema and Other Ocular Events in the Etrasimod Development Program. J Crohns Colitis. 2025 May 8;19(5):jjae173. doi: 10.1093/ecco-jcc/jjae173.

    PubMed 39575597

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Etrasimod in people with Alopecia Areata, run by Pfizer at 42 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Jun 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Change From Baseline in Severity of Alopecia Tool I (SALT I) at Week 24: DB Treatment Period (time frame: DB Treatment Period: Baseline (before dose on Day 1), Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04556734, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jun 2024.

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