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Dermatological Conditions, Vitiligo
Watch Time: 2 mins

Amit G. Pandya, Dermatology Meeting News 2023: Efficacy & safety of ruxolitinib cream in vitiligo – findings from the TRuE-V phase 3 studies

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Published Online: Apr 14th 2023

TRuE-V1 (NCT04052425) and TRuE-V2 (NCT04057573) were randomized, double-blind, vehicle-controlled phase 3 studies that investigated ruxolinitib cream for the treatment of vitiligo over 52 weeks. We were delighted to speak to Dr. Amit G. Pandya (Palo Alto Foundation Medical Group, Sunnyvale, CA, USA) around the efficacy and safety findings from the TRuE-V phase 3 studies and whether these were consistent with the oral version of ruxolitinib.

The abstract ‘Treatment-Emergent Adverse Events of Interest for Janus Kinase Inhibitors: Pooled Analysis of the 52-Week TRuE-V Phase 3 Studies of Ruxolitinib Cream Treatment for Vitiligo.’ (Poster ID: 43978) was presented at AAD 2023, 17-21 March, 2023.

This information is brought to you by Touch Medical Media and is not sponsored by, nor a part of, the AAD.  

Questions

  1. What do we already know about the clinical efficacy of ruxolitinib cream from the TRuE-V phase 3 studies? (0:21)
  2. Are the safety findings with ruxolitinib cream consistent with the oral version? (1:30)

Disclosures: Amit G. Pandya discloses consulting for: Abbvie, Arcutis, Avita, Chromaderm, Incyte, Pfizer, Viela Bio, Villaris, Immune Tolerance Network, Thalocan, Trifecta, TWi, and Vyne; receiving grant/ research support from: Incyte and stock options with Tara Medical and Zerigo Health.

Support: Interview and filming supported by Touch Medical Media Ltd. Interview conducted by Victoria Jones.

Filmed in coverage of the 2023 AAD Annual Meeting.

Click here for more content on dermatological conditions.

Transcript

What do we already know about the clinical efficacy of ruxolitinib cream from the TRuE-V phase 3 studies? (0:21)

In the phase 3 studies of ruxolitinib, we found that the results were similar to the phase 2 studies, the F-VASI 75, which means 75% of the colour returns to the face in vitiligo lesions was 50 or 50% after one year. So in other words, a patient has a 50/50 chance of getting 75% of their colour coming back on their face after one year of application. When it comes to the body, the F-VASI 50 was also 50% In other words, the patient has a 50/50 chance of getting 50% of the colour back over the whole body, and that would be the average over the whole body. Certainly all the patients will do better on the face and the upper arms, the upper legs, the trunk, and will do worse on the hands and feet, ankles and wrists. But those are the results that we found in the TRUE-V studies.

Are the safety findings with ruxolitinib cream consistent with the oral version? (1:30)

Well, the good thing about the TRUE-V studies is that the safety was excellent. About 6% of patients had acne where they applied it. But when it comes to other side effects, especially side effects that would be associated with the oral form of ruxolitinib, these were just not seen there was no bone marrow toxicity or any increased infections in those patients who applied the ruxolitinib cream to their skin. And so it seems to be very safe.

Subtitles and transcript are autogenerated.

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Thierry Passeron: Efficacy of Ruxolitinib Cream by Body Region in Vitiligo – A Pooled Analysis of the TRuE-V Phase 3 Studies
Watch Time: 4 mins

TRuE-V1 (NCT04052425) and TRuE-V2 (NCT04057573) were randomized, double-blind, vehicle-controlled phase 3 studies investigating ruxolitinib cream in adults and adolescents with vitiligo. touchIMMUNOLOGY were delighted to speak with Prof. Thierry Passeron (University Hospital of Nice, Nice, France) to discuss the rationale and findings from his pooled analysis looking at the effect of ruxolitinib cream on achievement of VASI50 by body region. The abstract 'Effect of Ruxolitinib Cream on Achievement of VASI50 by Body Region: Week 52 Pooled Analysis of the TRuE-V Phase 3 Studies.' (Abstract number: 3640) was presented at EADV 2022, 7-10 September, 2022. Questions Could you give us a brief overview of the clinical development of ruxolitinib cream which has led to its approval for the treatment of vitiligo? (0:11) What have been the efficacy and safety findings of the TRuE-V studies, and how clinically meaningful are these findings? (0:52) What was the rationale for the pooled analysis you are presenting? (1:45) What were the findings of this analysis and what are the implications of these findings? (2:38) What has been the clinical impact of ruxolitinib cream in this indication since its approval? (3:27) Disclosures: Thierry Passeron discloses consulting for Almirall, Abbvie, Amgen, Astellas, BMS, Celgene, Galderma, GSK, Incyte, Isocell, Janssen, LEO Pharma, Lilly, MSD, Novartis, Pfizer, Sanofi-Genzyme, SUN pharma, and UCB pharma; receiving grant/ research support from Abbvie, Almirall, BMS, Celgene, Incyte, Isocell, LEO Pharma, and Lilly; and receiving honoraria from Almirall, Abbvie, Amgen, Astellas, BMS, Celgene, Galderma, GSK, Incyte, Isocell, Janssen, LEO Pharma, Lilly, MSD, Novartis, Pfizer, Sanofi-Genzyme, SUN pharma, and UCB pharma. Support: Interview and filming supported by Touch Medical Media Ltd. Interview conducted by Victoria Jones. This content was developed by Touch Medical Media and is not affiliated with the  European Academy of Dermatology & Venereology  (EADV) or the congress. 

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