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Trial ยท NCT04006457

Long-Term PF-06651600 for the Treatment of Alopecia Areata

NCT04006457, Phase 3, Completed, Pfizer; results first posted 2025-08-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Long-Term PF-06651600 for the Treatment of Alopecia Areata. Trials, record NCT04006457. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04006457

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Long-Term PF-06651600 for the Treatment of Alopecia Areata
NCT number
NCT04006457
Status
Completed
Phases
Phase 3
Enrollment
1,057 participants, actual
Lead sponsor
Pfizer
Conditions
Alopecia Areata
Interventions
PF-06651600, Tetanus and diphtheria toxoids and acellular pertussis (Tdap) vaccine, Meningococcal (groups A, C, W-135 and Y [ACWY]) oligosaccharide diphtheria CRM197 conjugate vaccine
First posted
2019-07-05
Last updated
2026-04-09
Results first posted
2025-08-14

Source ClinicalTrials.gov

Registered outcomes37

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMain Study: Number of Participants With Treatment Emergent Adverse Events (TEAEs) Until Follow-up VisitFrom start of study intervention (Day 1) until follow-up visit (4 weeks after last dose in Treatment period 1) (Up to Month 40)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE was considered treatment emergent if the event had start date on or after the first dosing date of this study.
PrimaryMain Study: Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Discontinuation Until Follow-up VisitFrom start of study intervention (Day 1) until follow-up visit (4 weeks after last dose in Treatment period 1) (Up to Month 40)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was any untoward medical occurrence that at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; was a congenital anomaly/birth defect; other important medical events. AEs leading to discontinuation included participants who had an AE record that indicated that the AE caused the participant to be discontinued from the study or that action taken with study treatment was drug withdrawn.
PrimaryMain Study: Number of Participants According to Categorization of Vital Signs Data Until Follow-up VisitFrom start of study intervention (Day 1) until follow-up visit (4 weeks after last dose in Treatment period 1) (Up to Month 40)
Vital signs including blood pressure included systolic blood pressure (SBP) \[Millimeters of mercury, mmHg\]) and diastolic blood pressure (DBP) and pulse rate \[beats per minute (bpm)\] were measured using an automated device in a sitting position after at least 5 minutes of rest for the participant in a quiet setting without distractions. Criteria for vital sign abnormalities included: SBP\<90mmHg, DBP\<50 mmHg and pulse rate\<40mmHg.
PrimaryMain Study: Number of Participants With Clinically Significant Abnormalities in Clinical Laboratory Values Until Follow-up VisitFrom start of study intervention (Day 1) until follow-up visit (4 weeks after last dose in Treatment period 1) (Up to Month 40)
Criteria for laboratory abnormalities included:Hemoglobin, Hematocrit, Erythrocytes (\<0.8\*LLN); Ery. Volume, Hemoglobin,Mean Corpuscular HGB Concentration \<0.8\*LLN or \>1.5\*LLN;Reticulocytes, Leukocytes, Lymphocytes, Neutrophils, Neutrophils, Basophils, Eosinophils, Monocytes (\>1.2\*ULN), Prothrombin Time(\>1.1\*ULN).Clinical Chemistry: Bilirubin, Direct Bilirubin, Indirect Bilirubin (1.5\*ULN), Aspartate Aminotransferase, Alanine Aminotransferase, Gamma Glutamyl Transferase, Alkaline Phosphatase (\>3.0\*ULN); Albumin, Urate (\<0.8\*LLN and \>1.2\*ULN; Urea Nitrogen,Creatinine Cholesterol \>1.3\*ULN; Cholesterol \<0.8\*LLN or \>1.2\*LLN, Triglycerides,Potassium,Calcium \< 0.9x LLN \& \> 1.1x ULN; Bicarbonate, Glucose, Creatine Kinase. Urinalysis: Glucose, Ketones, Protein, Hemoglobin, Urobilinogen, Bilirubin, Nitrite \>=1; Leukocyte Erythrocytes, Leukocytes \>=20; Epithelial Cells\>=6, Hyaline Cast\>1; Bacteria\>20. Number of participants with any laboratory abnormality meeting specified criteria is included.
PrimaryVaccine Sub-study: Percentage of Participants With Tetanus Booster ResponseMonth 1
Booster response to tetanus toxoid was defined as: \>=4-fold rise in anti-tetanus toxoid immunoglobulin G (IgG) antibody concentration at Month 1 if the pre-vaccination concentration was \<=2.7 International Units per milliliter (IU/mL); OR \>=2-fold rise in anti-tetanus toxoid IgG antibody concentration if the pre-vaccination concentration was \>2.7 IU/mL. Two-sided 95% confidence interval (CI) was based on Clopper-Pearson exact method.
SecondaryMain Study: Number of Participants With Treatment Emergent Adverse Events (TEAEs) Until End of StudyFrom start of study intervention (Day 1) until end of study
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE was considered treatment emergent if the event had start date on or after the first dosing date of this study.
SecondaryMain Study: Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Discontinuation Until End of StudyFrom start of study intervention (Day 1) until end of study
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An SAE was any untoward medical occurrence that at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent disability/incapacity; was a congenital anomaly/birth defect; other important medical events. AEs leading to discontinuation included participants who had an AE record that indicated that the AE caused the participant to be discontinued from the study or that action taken with study treatment was drug withdrawn.
SecondaryMain Study: Number of Participants With Clinically Significant Abnormalities in Vital Signs Until End of StudyFrom start of study intervention (Day 1) until end of study
Vital signs including blood pressure (systolic and diastolic blood pressure \[Millimeters of mercury, mmHg\]) and pulse rate (beats per minute \[bpm\]) were measured using an automated device in a sitting position after at least 5 minutes of rest for the participant in a quiet setting without distractions. Clinically significant abnormalities will be determined by investigator.
SecondaryMain Study: Number of Participants With Clinically Significant Laboratory Abnormalities Until End of StudyFrom start of study intervention (Day 1) until end of study
Following laboratory parameters were assessed: Hemoglobin, Hematocrit, Erythrocytes Erythrocyte (ery.) corpuscular volume, Ery. Mean Corpuscular hemoglobin concentration, Reticulocytes, Leukocytes, Lymphocytes, Neutrophils, Basophils, Eosinophils, Monocytes, Prothrombin Time, Bilirubin, Direct Bilirubin, Indirect Bilirubin, Aspartate Aminotransferase, Alanine Aminotransferase, Gamma Glutamyl Transferase, Alkaline Phosphatase; Albumin, Urate; Urea Nitrogen, Creatinine, Cholesterol, Triglycerides, Potassium, Calcium, Bicarbonate, Glucose, Creatine Kinase. Urinalysis: Glucose, Ketones, Protein, Hemoglobin, Urobilinogen, Bilirubin, Nitrite, Leukocyte Erythrocytes, Leukocytes; Epithelial Cells, Hyaline Cast, Bacteria. Clinically significant abnormalities will be determined by investigator.
SecondaryMain Study: Percentage of Participants Achieving Response Based on Severity of Alopecia Tool (SALT) Overall Score <=10 at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32 and 36At Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32 and 36
SALT is a quantitative assessment of AA severity based on the scalp terminal hair loss. A visual aid was utilized showing the division of the scalp hair into four quadrants (back, top of scalp, right side and left side), with each of the four quadrants given an accurate determination of the percentage of scalp surface area covered, representing 24%, 40%, 18%, and 18% of the total scalp surface area, respectively. Percentage of hair loss in these areas is multiplied by percent surface area of the scalp in that area. SALT score is the sum of percentage of hair loss in all areas and ranged from 0 (no hair loss) to 100 (complete scalp hair loss) with lower score indicating less hair loss. The SALT overall score included any hair loss regardless of etiology (e.g., including scalp hair loss due to both androgenetic alopecia and AA). In this outcome measure, percentage of participants with SALT overall score \<= 10 were reported. 95% CI was calculated based on normal approximation.

Outcomes37

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMain Study: Number of Participants With Treatment Emergent Adverse Events (TEAEs) Until Follow-up VisitFrom start of study intervention (Day 1) until follow-up visit (4 weeks after last dose in Treatment period 1) (Up to Month 40)SAS was defined as all participants who took at least 1 dose of study intervention.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYMain Study: Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Discontinuation Until Follow-up VisitFrom start of study intervention (Day 1) until follow-up visit (4 weeks after last dose in Treatment period 1) (Up to Month 40)SAS was defined as all participants who took at least 1 dose of study intervention.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYMain Study: Number of Participants According to Categorization of Vital Signs Data Until Follow-up VisitFrom start of study intervention (Day 1) until follow-up visit (4 weeks after last dose in Treatment period 1) (Up to Month 40)SAS was defined as all participants who took at least 1 dose of study intervention. Here, Overall Number of Participants Analyzed signifies number of participants evaluable for this outcome measure.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYMain Study: Number of Participants With Clinically Significant Abnormalities in Clinical Laboratory Values Until Follow-up VisitFrom start of study intervention (Day 1) until follow-up visit (4 weeks after last dose in Treatment period 1) (Up to Month 40)
SAS was defined as all participants who took at least 1 dose of study intervention. Here, the Overall number of participants analyzed signifies the total number of participants evaluable for laboratory abnormalities, i.e. the number with at least one observation of the given laboratory test while on study treatment or during lag time (35 days after the last dose).
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYVaccine Sub-study: Percentage of Participants With Tetanus Booster ResponseMonth 1
Safety Analysis Set (SAS) was defined as all participants from this sub-study who received at least 1 vaccine (Tdap or meningococcal ACWY). Here, Overall Number of Participants Analyzed signifies number of participants evaluable for this outcome measure.
Percentage of participantsNUMBER
SECONDARYMain Study: Number of Participants With Treatment Emergent Adverse Events (TEAEs) Until End of StudyFrom start of study intervention (Day 1) until end of study
SECONDARYMain Study: Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Discontinuation Until End of StudyFrom start of study intervention (Day 1) until end of study
SECONDARYMain Study: Number of Participants With Clinically Significant Abnormalities in Vital Signs Until End of StudyFrom start of study intervention (Day 1) until end of study
SECONDARYMain Study: Number of Participants With Clinically Significant Laboratory Abnormalities Until End of StudyFrom start of study intervention (Day 1) until end of study
SECONDARYMain Study: Percentage of Participants Achieving Response Based on Severity of Alopecia Tool (SALT) Overall Score <=10 at Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32 and 36At Months 1, 3, 6, 9, 12, 15, 18, 21, 24, 28, 32 and 36
Full Analysis Set (FAS) was defined as all participants regardless of whether they received study intervention. All participants reported under Overall Number of Participants Analyzed contributed data to the table; however, may not have evaluable data for every row. Here, Number Analyzed signifies number of participants evaluable at specified time points.
Percentage of participantsNUMBER

Results by group436

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Main Study: Number of Participants With Treatment Emergent Adverse Events (TEAEs) Until Follow-up VisitMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)401Participants
Main Study: Number of Participants With Treatment Emergent Adverse Events (TEAEs) Until Follow-up VisitMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)515Participants
Main Study: Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Discontinuation Until Follow-up VisitMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)SAEs30Participants
Main Study: Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Discontinuation Until Follow-up VisitMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)SAEs42Participants
Main Study: Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Discontinuation Until Follow-up VisitMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)AEs Leading to Discontinuation36Participants
Main Study: Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Discontinuation Until Follow-up VisitMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)AEs Leading to Discontinuation46Participants
Main Study: Number of Participants According to Categorization of Vital Signs Data Until Follow-up VisitMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)Diastolic blood pressure (mmHg): value <5011Participants
Main Study: Number of Participants According to Categorization of Vital Signs Data Until Follow-up VisitMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)Diastolic blood pressure (mmHg): value <5015Participants
Main Study: Number of Participants According to Categorization of Vital Signs Data Until Follow-up VisitMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)Diastolic blood pressure (mmHg): change >=20 increase39Participants
Main Study: Number of Participants According to Categorization of Vital Signs Data Until Follow-up VisitMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)Diastolic blood pressure (mmHg): change >=20 increase70Participants

Participant flow45

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Main Study: Treatment Period 1STARTEDMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)449
Main Study: Treatment Period 1STARTEDMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)603
Main Study: Treatment Period 1STARTEDVaccine Sub-study: Tdap With or Without Meningococcal ACWY Vaccine0
Main Study: Treatment Period 1TreatedMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)447
Main Study: Treatment Period 1TreatedMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)603
Main Study: Treatment Period 1TreatedVaccine Sub-study: Tdap With or Without Meningococcal ACWY Vaccine0
Main Study: Treatment Period 1COMPLETEDMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)289
Main Study: Treatment Period 1COMPLETEDMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)332
Main Study: Treatment Period 1COMPLETEDVaccine Sub-study: Tdap With or Without Meningococcal ACWY Vaccine0
Main Study: Treatment Period 1NOT COMPLETEDMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)160

Adverse events368

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGASTROINTESTINAL DISORDERSMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)24447
otherDiarrhoeaGASTROINTESTINAL DISORDERSMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)25603
otherDiarrhoeaGASTROINTESTINAL DISORDERSVaccine Sub-study: Tdap Vaccination017
otherDiarrhoeaGASTROINTESTINAL DISORDERSVaccine Sub-study: Meningococcal ACWY Vaccination013
otherGastrooesophageal reflux diseaseGASTROINTESTINAL DISORDERSMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)0447
otherGastrooesophageal reflux diseaseGASTROINTESTINAL DISORDERSMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)0603
otherGastrooesophageal reflux diseaseGASTROINTESTINAL DISORDERSVaccine Sub-study: Tdap Vaccination117
otherGastrooesophageal reflux diseaseGASTROINTESTINAL DISORDERSVaccine Sub-study: Meningococcal ACWY Vaccination013
otherNauseaGASTROINTESTINAL DISORDERSMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)27447
otherNauseaGASTROINTESTINAL DISORDERSMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)27603

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)1447
Total, all-cause mortalityMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)1603
Total, all-cause mortalityVaccine Sub-study: Tdap Vaccination017
Total, all-cause mortalityVaccine Sub-study: Meningococcal ACWY Vaccination013
Total, other adverse eventsMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)309447
Total, other adverse eventsMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)372603
Total, other adverse eventsVaccine Sub-study: Tdap Vaccination317
Total, other adverse eventsVaccine Sub-study: Meningococcal ACWY Vaccination113
Total, serious adverse eventsMain Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants)33447
Total, serious adverse eventsMain Study: Ritlecitinib 50 mg QD (Roll-over Participants)43603

Papers10

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
38263353DERIVEDPubMed
39423930DERIVEDPubMed
39432738DERIVEDPubMed
39846397DERIVEDPubMed
39962358DERIVEDPubMed
41579233DERIVEDPubMed
41645877DERIVEDPubMed
41917311DERIVEDPubMed
42481842DERIVEDPubMed
42823604DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons5

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Vaccine Sub-study: Tdap Vaccination vs Vaccine Sub-study: Meningococcal ACWY Vaccination: Vaccine Sub-study: Number of Participants With AEs Leading to DiscontinuationTrial comparisons
Vaccine Sub-study: Tdap Vaccination vs Vaccine Sub-study: Meningococcal ACWY Vaccination: Vaccine Sub-study: Number of Participants With AEsTrial comparisons
Main Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants) vs Main Study: Ritlecitinib 50 mg QD (Roll-over Participants): Main Study: Number of Participants With Clinically Significant Abnormalities in Clinical Laboratory Values Until Follow-up Visit
Trial comparisons
Vaccine Sub-study: Tdap Vaccination vs Vaccine Sub-study: Meningococcal ACWY Vaccination: Vaccine Sub-study: Number of Participants With SAEsTrial comparisons
Main Study: Ritlecitinib 200 mg/ 50 mg QD (de Novo Participants) vs Main Study: Ritlecitinib 50 mg QD (Roll-over Participants): Main Study: Number of Participants With Treatment Emergent Adverse Events (TEAEs) Until Follow-up Visit
Trial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04006457

GET https://conductscience.org/api/trials/v1/NCT04006457/registered?page=2