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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04006457
Registration number
NCT04006457
Ethics application status
Date submitted
1/07/2019
Date registered
5/07/2019
Titles & IDs
Public title
Long-Term PF-06651600 for the Treatment of Alopecia Areata
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Scientific title
A PHASE 3 OPEN-LABEL, MULTI-CENTER, LONG-TERM STUDY INVESTIGATING THE SAFETY AND EFFICACY OF PF-06651600 IN ADULT AND ADOLESCENT PARTICIPANTS WITH ALOPECIA AREATA
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Secondary ID [1]
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2019-001084-71
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Secondary ID [2]
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B7981032
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Universal Trial Number (UTN)
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Trial acronym
ALLEGRO-LT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Alopecia Areata
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Condition category
Condition code
Inflammatory and Immune System
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Autoimmune diseases
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Skin
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Other skin conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - PF-06651600
Treatment: Other - Tetanus and diphtheria toxoids and acellular pertussis (Tdap) vaccine
Treatment: Other - Meningococcal (groups A, C, W-135 and Y [ACWY]) oligosaccharide diphtheria CRM197 conjugate vaccine
Experimental: Treatment sequence 1 - Participants who did not previously receive study intervention in either study B7931005 or B7981015 will receive 200 milligrams (mg) PF-06651600, given as four 50 mg tablets once daily (QD) for 1 month, followed by 50 mg PF-06651600 tablet or capsule given QD for 59 months.
Patients participating in the vaccine sub-study will receive the 2 vaccines or one of the 2 vaccines at the vaccine sub-study Day 1, which will occur at a scheduled study visit on or after the Month 9 visit and prior to or on the Month 56 visit of the main B7981032 study.
Experimental: Treatment sequence 2 - Participants who previously received study intervention in either study B7931005 or B7981015 will receive 50 mg PF-06651600 tablet or capsule given QD for 59 months.
Patients participating in the vaccine sub-study will receive the 2 vaccines or 1 of the 2 vaccines at the vaccine sub-study Day 1, which will occur at a scheduled study visit on or after the Month 6 visit and prior to or on the Month 56 visit of the main B7981032 study.
Treatment: Drugs: PF-06651600
50 mg oral tablets/capsules
Treatment: Other: Tetanus and diphtheria toxoids and acellular pertussis (Tdap) vaccine
Single intramuscular injection administered to patients participating in the vaccine sub-study
Treatment: Other: Meningococcal (groups A, C, W-135 and Y [ACWY]) oligosaccharide diphtheria CRM197 conjugate vaccine
Single intramuscular injection administered to patients participating in the vaccine sub-study
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of subjects reporting treatment-emergent adverse events
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Assessment method [1]
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Timepoint [1]
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Baseline through Month 36
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Primary outcome [2]
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Number of subjects reporting serious adverse events
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Assessment method [2]
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Timepoint [2]
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Baseline through Month 36
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Primary outcome [3]
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Number of subjects reporting adverse events leading to discontinuation
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Assessment method [3]
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Timepoint [3]
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Baseline through Month 36
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Primary outcome [4]
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Number of subjects with clinically significant abnormalities in vital signs
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Assessment method [4]
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Timepoint [4]
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Baseline through Month 36
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Primary outcome [5]
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Number of subjects with clinically significant abnormalities in clinical laboratory values
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Assessment method [5]
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Timepoint [5]
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Baseline through Month 36
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Primary outcome [6]
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Vaccine sub-study: Percentage of subjects with a tetanus booster response
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Assessment method [6]
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Tetanus booster response is defined as 1) =4 fold rise in anti-tetanus toxoid IgG antibody concentration at Day 30 if the pre-vaccination concentration was =2.7 IU/mL; 2) =2 fold rise in anti tetanus toxoid IgG antibody if the pre-vaccination concentration was \>2.7 IU/mL
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Timepoint [6]
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Vaccine sub-study Month 1
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Secondary outcome [1]
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Percentage of subjects with an absolute Severity of Alopecia Tool (SALT) Score <=10
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Assessment method [1]
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SALT is a quantitative assessment of scalp hair loss with scores ranging from 0 (no scalp hair loss) to 100 (complete scalp hair loss).
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Timepoint [1]
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Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, and 36
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Secondary outcome [2]
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Percentage of subjects with an absolute Severity of Alopecia Tool (SALT) Score <=20
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Assessment method [2]
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SALT is a quantitative assessment of scalp hair loss with scores ranging from 0 (no scalp hair loss) to 100 (complete scalp hair loss).
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Timepoint [2]
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Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, and 36
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Secondary outcome [3]
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Change from baseline in SALT score
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Assessment method [3]
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SALT is a quantitative assessment of scalp hair loss with scores ranging from 0 (no scalp hair loss) to 100 (complete scalp hair loss).
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Timepoint [3]
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Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, and 36
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Secondary outcome [4]
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Percentage of subjects with a 75% improvement in SALT score from baseline
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Assessment method [4]
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SALT is a quantitative assessment of scalp hair loss with scores ranging from 0 (no scalp hair loss) to 100 (complete scalp hair loss).
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Timepoint [4]
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Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32, and 36
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Secondary outcome [5]
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Percentage of subjects with at least a 2 grade improvement or a score of 3 in Eyebrow Assessment (EBA) score
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Assessment method [5]
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EBA is a numeric rating scale developed to characterize eyebrow hair loss. The numeric rating scale ranges from 0 (none) to 3 (normal).
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Timepoint [5]
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Months 1, 3, 6, 12, 18, 24, and 36
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Secondary outcome [6]
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Percentage of subjects with at least a 2 grade improvement or a score of 3 in Eyelash Assessment (ELA) score
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Assessment method [6]
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ELA is a numeric rating scale developed to characterize eyelash hair loss. The numeric rating scale ranges from 0 (none) to 3 (normal).
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Timepoint [6]
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Months 1, 3, 6, 12, 18, 24, and 36
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Secondary outcome [7]
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Patient's Global Impression of Change (PGI-C) response, defined as PGI-C score of "moderately improved" or "greatly improved"
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Assessment method [7]
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PGI-C is a self administered questionnaire evaluating improvement or worsening of the participant's alopecia areata as compared to the start of the study and uses a single item, "Since the start of the study, my alopecia areata has: ...", with 7 responses ranging from "greatly improved" to "greatly worsened."
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Timepoint [7]
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Months 1, 3, 6, 9, 12, 18, 24, and 36
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Secondary outcome [8]
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Change from baseline in Alopecia Areata Patient Priority Outcomes (AAPPO) domains
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Assessment method [8]
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The AAPPO scale is a self administered questionnaire that measures the symptoms of AA as well as psychological and functional impacts over the past week.
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Timepoint [8]
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Months 1, 3, 6, 9, 12, 18, 24, and 36
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Secondary outcome [9]
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Change from baseline in the depression subscale score of the Hospital Anxiety and Depression Scale (HADS)
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Assessment method [9]
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HADS is a participant rated questionnaire with 2 subscales. HADS-A assesses state of generalized anxiety; HADS-D assesses state of lost interest and diminished pleasure response. Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score 0 to 21 for each subscale; higher score indicates greater severity of anxiety and depression symptoms.
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Timepoint [9]
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Months 1, 3, 6, 9, 12, 18, 24, and 36
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Secondary outcome [10]
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Change from baseline in the anxiety subscale score of the Hospital Anxiety and Depression Scale (HADS)
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Assessment method [10]
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HADS is a participant rated questionnaire with 2 subscales. HADS-A assesses state of generalized anxiety; HADS-D assesses state of lost interest and diminished pleasure response. Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score 0 to 21 for each subscale; higher score indicates greater severity of anxiety and depression symptoms.
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Timepoint [10]
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Months 1, 3, 6, 9, 12, 18, 24, and 36
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Secondary outcome [11]
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Improvement on the Hospital Anxiety and Depression Scale (HADS) among participants with a baseline subscale score indicative of depression who achieved a "normal" subscale score indicative of an absence of depression
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Assessment method [11]
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HADS is a participant rated questionnaire with 2 subscales. HADS-A assesses state of generalized anxiety; HADS-D assesses state of lost interest and diminished pleasure response. Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score 0 to 21 for each subscale; higher score indicates greater severity of anxiety and depression symptoms.
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Timepoint [11]
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Months 1, 3, 6, 9, 12, 18, 24, and 36
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Secondary outcome [12]
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Improvement on the Hospital Anxiety and Depression Scale (HADS) among participants with a baseline subscale score indicative of anxiety who achieved a "normal" subscale score indicative of an absence of anxiety
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Assessment method [12]
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HADS is a participant rated questionnaire with 2 subscales. HADS-A assesses state of generalized anxiety; HADS-D assesses state of lost interest and diminished pleasure response. Each subscale comprised of 7 items with range 0 (no presence of anxiety or depression) to 3 (severe feeling of anxiety or depression). Total score 0 to 21 for each subscale; higher score indicates greater severity of anxiety and depression symptoms.
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Timepoint [12]
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Months 1, 3, 6, 9, 12, 18, 24, and 36
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Secondary outcome [13]
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Vaccine sub-study: Percentage of subjects with a meningococcal serogroup C response
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Assessment method [13]
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Meningococcal serogroup C response is defined as achieving =1:8 human serum bactericidal activity (hSBA) (in participants with undetectable pre-vaccination assay titers)
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Timepoint [13]
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Vaccine sub-study Month 1
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Secondary outcome [14]
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Vaccine sub-study: Percentage of subjects with anti-tetanus antibody level =1.0 IU/mL
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Assessment method [14]
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Timepoint [14]
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Vaccine sub-study Month 1
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Secondary outcome [15]
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Vaccine sub-study: Percentage of subjects with anti-tetanus antibody level =0.1 IU/mL
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Assessment method [15]
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Timepoint [15]
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Vaccine sub-study Month 1
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Secondary outcome [16]
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Vaccine sub-study: Percentage of subjects with =4x increase in anti-tetanus antibody level from baseline
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Assessment method [16]
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Timepoint [16]
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Vaccine sub-study Month 1
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Secondary outcome [17]
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Vaccine sub-study: Fold increase in anti-tetanus levels above baseline values
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Assessment method [17]
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Timepoint [17]
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Vaccine sub-study Month 1
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Secondary outcome [18]
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Vaccine sub-study: Geometric mean concentrations (GMCs) of anti-tetanus antibody levels
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Assessment method [18]
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Timepoint [18]
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Vaccine sub-study Month 1
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Secondary outcome [19]
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Vaccine sub-study: Percentage of subjects with =1:4 hSBA (in subjects with undetectable pre-vaccination assay titers) for meningococcal serogroup C
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Assessment method [19]
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Timepoint [19]
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Vaccine sub-study Month 1
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Secondary outcome [20]
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Vaccine sub-study: Geometric mean titers (GMTs) of antibodies for meningococcal serogroup C
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Assessment method [20]
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Timepoint [20]
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Vaccine sub-study Day 1 and Month 1
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Secondary outcome [21]
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Number of subjects reporting treatment-emergent adverse events
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Assessment method [21]
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Timepoint [21]
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Month 37 through Month 60
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Secondary outcome [22]
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Number of subjects reporting serious adverse events
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Assessment method [22]
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Timepoint [22]
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Month 37 through Month 60
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Secondary outcome [23]
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Number of subjects reporting adverse events leading to discontinuation
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Assessment method [23]
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Timepoint [23]
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Month 37 through Month 60
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Secondary outcome [24]
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Number of subjects with clinically significant abnormalities in vital signs
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Assessment method [24]
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Timepoint [24]
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Month 37 through Month 60
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Secondary outcome [25]
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Number of subjects with clinically significant abnormalities in clinical laboratory values
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Assessment method [25]
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Timepoint [25]
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Month 37 through Month 60
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Secondary outcome [26]
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Vaccine sub-study: Number of subjects reporting serious adverse events
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Assessment method [26]
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Timepoint [26]
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Vaccine sub-study Month 1
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Secondary outcome [27]
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Vaccine sub-study: Number of subjects reporting adverse events
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Assessment method [27]
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Timepoint [27]
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Vaccine sub-study Month 1
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Secondary outcome [28]
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Vaccine sub-study: Number of subjects reporting adverse events leading to discontinuation
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Assessment method [28]
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Timepoint [28]
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Vaccine sub-study Month 1
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Eligibility
Key inclusion criteria
Inclusion Criteria-
For de novo participants and participants from Study B7931005 and B7981015 with >30 days between first visit in B7981032 and last dose in the prior study:
* Clinical diagnosis of alopecia areata (AA) with no other cause of hair loss. Androgenetic alopecia coexistent with AA is allowed.
* De novo participants >=12 to <18 years of age: >=50% terminal hair loss of the scalp due to AA, including alopecia totalis and alopecia universalis
* De novo participants >=18 years of age and participants from Study B7931005 or B7981015 with >30 days between first visit in B7981032 and last dose in the prior study: >=25% terminal hair loss of the scalp due to AA, including alopecia totalis and alopecia universalis
* No evidence of terminal scalp hair regrowth within 6 months (de novo only)
* Current episode of terminal scalp hair loss <=10 years (de novo only)
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Minimum age
12
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion Criteria-
For de novo participants and participants from Study B7931005 and B7981015 with >30 days between first visit in B7981032 and last dose in the prior study:
* Hearing loss with progression over previous 5 years, or sudden hearing loss, or middle or inner ear disease, or other auditory condition that is considered acute, fluctuating or progressive
* History of or current malignancies with the exception of adequately treated or excised non metastatic basal cell or squamous cell cancer of the skin or cervical carcinoma in situ
* History of a single episode of disseminated herpes zoster or disseminated herpes simplex, or a history of more than one episode of localized, dermatomal herpes zoster
* Infection requiring hospitalization, or parenteral antimicrobial therapy within 6 months prior to Day 1
Exclusion criteria for all participants:
- Participants who have previously taken Janus kinase (JAK) inhibitors other than PF-06651600 must have received the last dose >12 weeks prior to the screening visit
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
18/07/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
23/01/2026
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Actual
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Sample size
Target
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Accrual to date
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Final
1051
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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0
Premier Specialists Pty Ltd - Kogarah
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Recruitment hospital [2]
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St George Dermatology & Skin Cancer Centre - Kogarah
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Recruitment hospital [3]
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The Skin Centre - Benowa
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Recruitment hospital [4]
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0
Veracity Clinical Research Pty Ltd - Woolloongabba
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Recruitment hospital [5]
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Skin Health Institute - Carlton
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Recruitment hospital [6]
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Sinclair Dermatology - East Melbourne
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Recruitment hospital [7]
0
0
Royal Melbourne Hospital, Melbourne Health - Parkville
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Recruitment hospital [8]
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0
Royal Melbourne Hospital - Parkville
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Recruitment postcode(s) [1]
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0
2217 - Kogarah
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Recruitment postcode(s) [2]
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0
4217 - Benowa
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Recruitment postcode(s) [3]
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0
4102 - Woolloongabba
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Recruitment postcode(s) [4]
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0
3053 - Carlton
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Recruitment postcode(s) [5]
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0
3002 - East Melbourne
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Recruitment postcode(s) [6]
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0
3050 - Parkville
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Recruitment postcode(s) [7]
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0
3052 - Parkville
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Recruitment outside Australia
Country [1]
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0
United States of America
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State/province [1]
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0
Alabama
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Country [2]
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0
United States of America
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State/province [2]
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0
California
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0
United States of America
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State/province [3]
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0
Colorado
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0
United States of America
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State/province [4]
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0
Connecticut
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Country [5]
0
0
United States of America
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State/province [5]
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0
District of Columbia
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Country [6]
0
0
United States of America
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State/province [6]
0
0
Florida
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Country [7]
0
0
United States of America
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State/province [7]
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Idaho
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Country [8]
0
0
United States of America
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State/province [8]
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0
Illinois
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Country [9]
0
0
United States of America
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State/province [9]
0
0
Indiana
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Country [10]
0
0
United States of America
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State/province [10]
0
0
Iowa
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Country [11]
0
0
United States of America
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State/province [11]
0
0
Maryland
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Country [12]
0
0
United States of America
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State/province [12]
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Massachusetts
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0
0
United States of America
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State/province [13]
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Minnesota
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0
0
United States of America
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State/province [14]
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0
Nebraska
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0
0
United States of America
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New Jersey
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0
0
United States of America
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New York
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0
United States of America
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North Carolina
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Ohio
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0
United States of America
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Oklahoma
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Oregon
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Texas
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Virginia
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Country [23]
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Argentina
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Buenos Aires
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Argentina
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Caba
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Canada
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0
Manitoba
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Country [26]
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Canada
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Nova Scotia
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Canada
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0
Ontario
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Country [28]
0
0
Canada
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Quebec
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Country [29]
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Chile
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LAS Condes
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Chile
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Recoleta
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Chile
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Valparaiso
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Chile
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Vitacura
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China
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Beijing
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0
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China
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Guangdong
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0
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China
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Hubei
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0
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China
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Jiangsu
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0
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China
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Shanghai
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0
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China
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Zhejiang
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Colombia
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Antioquia
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0
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Colombia
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Bogota D.C.
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Czechia
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Nachod
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0
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Czechia
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Olomouc
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Czechia
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Praha 10
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Czechia
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Praha 1
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0
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Germany
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State/province [45]
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Lower Saxony
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Germany
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Bad Bentheim
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Germany
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Berlin
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Germany
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Erlangen
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Germany
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Frankfurt am Main
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Germany
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Luebeck
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Germany
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Muenster
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Japan
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Aichi
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Japan
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Miyagi
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Japan
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Shizuoka
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Japan
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Tokyo
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Japan
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Osaka
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Korea, Republic of
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Busan
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Korea, Republic of
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Seoul
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Mexico
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Veracruz
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Poland
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Zachodniopomorskie
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Poland
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Grodzisk Mazowiecki
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Poland
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Krakow
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Poland
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Lodz
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Poland
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Ostrowiec Swietokrzyski
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Poland
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Szczecin
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Poland
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Warszawa
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Poland
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Wroclaw
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Russian Federation
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Chelyabinsk
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Russian Federation
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Kirov
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Russian Federation
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Moscow
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Russian Federation
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Rostov-on-Don
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Russian Federation
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Saint Petersburg,
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Russian Federation
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Saint Petersburg
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Russian Federation
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Yaroslavl
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Spain
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Barcelona
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Spain
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Cordoba
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Spain
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Madrid
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Spain
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Valencia
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Taiwan
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R.o.c.
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Taiwan
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Kaohsiung City
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Taiwan
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Kaohsiung
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Taiwan
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New Taipei City
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Taiwan
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Taipei
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Taiwan
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Taoyuan City
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United Kingdom
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Hampshire
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United Kingdom
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Brighton
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United Kingdom
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Glasgow
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United Kingdom
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Pfizer
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a global Phase 3 study to evaluate the safety and effectiveness of an investigational study drug (called PF-06651600) in adults and adolescents (12 years and older) who have alopecia areata. Eligible patients from the prior studies B7931005 (NCT02974868) and B7981015 (NCT03732807) will have an opportunity to enroll as well as patients who have not previously participated in either of these studies. The study is open-label and all patients entering the study will receive active study drug. A sub-study of approximately 60 adult patients who are participating in the B7981032 study will be conducted at select sites in the US, Australia and Canada. The sub-study will evaluate the immune response to tetanus and meningococcal vaccines in patients who have received a minimum of 6 months of 50 mg PF-06651600.
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Trial website
https://clinicaltrials.gov/study/NCT04006457
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Pfizer CT.gov Call Center
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Address
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Pfizer
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
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.
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04006457