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Ritlecitinib higher dose

Phase 3

Severe Alopecia Areata | Small molecule | Dermatology |Pfizer, Inc.|Last Updated: Aug 26, 2026

Target and mechanism

Molecular targetJAK3, ITK, BMX, TEC, TXK, BTK
Target classInhibitor
ModalitySmall molecule

Also known as Ritlecitinib

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment348

FDA Designations

No designations recorded

Clinical trial landscape

Ritlecitinib higher dose · 2 trials · 1 indication

Phase 3 2
NCT07029828A Long-Term Study to Learn About The Study Medicine Called Ritlecitinib in Children With Severe Alopecia Areata.Severe Alopecia Areata
RECRUITING140 Analytics
NCT07029711A Study to Learn About Medicine Called Ritlecitinib in Children Aged Between 6 to 12 Years With Severe Alopecia AreataSevere Alopecia Areata
ACTIVE NOT_RECRUITING208 Analytics
PHASE3RECRUITING
A Long-Term Study to Learn About The Study Medicine Called Ritlecitinib in Children With Severe Alopecia Areata.
Severe Alopecia AreataUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Learn About Medicine Called Ritlecitinib in Children Aged Between 6 to 12 Years With Severe Alopecia Areata
Severe Alopecia AreataUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of treatment-emergent adverse events (AEs).
From the time participant signs informed consent/assent, through and including a minimum of 28 calendar days after the last administration of the study intervention (up to approximately 3 years).
Incidence of Serious Adverse Events (SAEs) and AEs leading to permanent discontinuation from the study.
From the time participant signs informed consent/assent, through and including a minimum of 28 calendar days after the last administration of the study intervention (up to approximately 3 years).
For US and Countries Following US Analysis Plan: Response based on achieving an absolute Severity of Alopecia Tool (SALT) score ≤20.
Week 24

The difference in proportions of participants with the SALT ≤20 response at Week 24 between each ritlecitinib dose and placebo groups in pediatric AA participants defined by the inclusion and exclusion criteria.

For EU/UK and Countries Following EU/UK Analysis Plan: Response based on achieving an absolute SALT score ≤10.
Week 24

The difference in proportions of participants with the SALT ≤10 response at Week 24 between each ritlecitinib dose and placebo groups in pediatric AA participants defined by the inclusion and exclusion criteria.

Secondary Endpoints

Proportion of participants achieving absolute Severity of Alopecia Tool (SALT) score ≤10.
Months 3,6,9,12,15,18,21,24,27,30,33 and 36.
Proportion of participants achieving absolute SALT score ≤20.
Months 3,6,9,12,15,18,21,24,27,30,33 and 36.
Change from baseline (CFB) in SALT score.
Baseline, Months 3,6,9,12,15,18,21,24,27,30,33 and 36.
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Ritlecitinib higher doseEXPERIMENTALParticipants will receive 1 ritlecitinib higher dose capsule once a day (QD) and 1 placebo lower dose capsule QD orally for up to 3 years. Participants who meet the protocol-defined treatment discontinuation criteria based on not achieving the required efficacy threshold will be switched to placebo but will remain in the study. Those participants will receive 1 placebo higher dose capsule QD and 1 placebo lower dose capsule QD.
Ritlecitinib lower doseEXPERIMENTALParticipants will receive 1 ritlecitinib lower dose capsule once a day (QD) and 1 placebo higher dose capsule QD orally for up to 3 years. Participants who meet the protocol-defined treatment discontinuation criteria based on not achieving the required efficacy threshold will be switched to placebo but will remain in the study. Those participants will receive 1 placebo higher dose capsule QD and 1 placebo lower dose capsule QD.
PlaceboPLACEBO_COMPARATORParticipants will receive 1 placebo higher dose capsule QD and 1 placebo lower dose capsule QD orally for 24 weeks.

Interventions

NameTypeDescription
Ritlecitinib higher doseDRUGStudy intervention will be provided as oral capsules centrally by the sponsor in HDPE bottles.
Ritlecitinib lower doseDRUGStudy intervention will be provided as oral capsules centrally by the sponsor in HDPE bottles.
PlaceboDRUGStudy intervention will be provided as oral capsules centrally by the sponsor in HDPE bottles.
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Eligibility Criteria

Age Range6 Years to 14 Years
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: 1. Participants with alopecia areata (AA) (including alopecia totalis \[AT\] and alopecia universalis \[AU\]) who completed the studies B7981027 or B7981031. 2. For participants originating from Study B7981031: At least 50% scalp hair loss due to AA (ie, a SALT score of ≥50) at ...

Countries:United StatesChinaCzechiaFranceJapanPolandItalySpainUnited Kingdom
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Recent Changes (Last 90 Days)

LOWAug 26, 2026NCT07029711lastUpdatePostDate: changed
LOWAug 26, 2026NCT07029711lastUpdatePostDate: changed
MEDIUMJun 18, 2026NCT07029711Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJun 18, 2026NCT07029711Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJun 18, 2026NCT07029711Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJun 18, 2026NCT07029711Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about Ritlecitinib higher dose

What is Ritlecitinib used for?

Ritlecitinib is an investigational small molecule being studied for dermatologic conditions including stable nonsegmental vitiligo, alopecia areata, and chronic spontaneous urticaria. It is also used in healthy volunteer studies to evaluate pharmacokinetics and drug formulations. The drug is in clinical development and has not been approved for any indication.

What does Ritlecitinib target?

Ritlecitinib is a kinase inhibitor, belonging to the -tinib class of drugs. It works by inhibiting kinase enzymes involved in inflammatory and autoimmune signaling pathways. The specific molecular target is not disclosed in the available data, but its mechanism is consistent with other kinase inhibitors used in dermatology.

Who makes Ritlecitinib?

Ritlecitinib is being developed by Pfizer, Inc., a biopharmaceutical company listed on the New York Stock Exchange under the ticker symbol PFE. Pfizer is conducting clinical trials to evaluate the drug's safety and efficacy across multiple dermatologic indications.

What phase is Ritlecitinib in?

Ritlecitinib is in Phase 3 clinical development for dermatologic indications such as vitiligo and alopecia areata. It is also being studied in Phase 2 trials for chronic spontaneous urticaria and in Phase 1 trials for healthy volunteer pharmacokinetic studies. The drug remains investigational and is not FDA approved.

What clinical trials is Ritlecitinib in?

Ritlecitinib has been studied in four clinical trials. Completed Phase 1 trials include NCT05097716, NCT05852340, and NCT06369454, which evaluated pharmacokinetics and drug formulations in healthy volunteers. An ongoing Phase 2 trial, NCT07219615, is recruiting adults with chronic spontaneous urticaria across multiple countries.

Is Ritlecitinib the same as Ritlecitinib 50 mg or 100 mg?

Ritlecitinib 50 mg and Ritlecitinib 100 mg refer to specific dosage strengths of the same drug, Ritlecitinib. These higher-dose formulations are being evaluated in clinical trials for conditions like vitiligo and alopecia areata. The drug is also referred to simply as Ritlecitinib across different studies.