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CTRI Number  CTRI/2025/02/080526 [Registered on: 13/02/2025] Trial Registered Prospectively
Last Modified On: 26/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare the safety and efficacy of oral tofacitinib ans oral azathioprine in unstable vitiligo  
Scientific Title of Study   A comparative study to evaluate the safety and efficacy of oral tofacitinib and oral azathioprine in unstable vitiligo:A one year hospital based randomised control trial at a tertiary care hospital 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Aishwarya Acharya 
Designation  Junior Resident 
Affiliation  Jawaharlal Nehru Medical College, Belgavi 
Address  OPD 23, KLE Dr. Prabhakar kore hospital, Department of Dermatology,Venereology and leprosy,Jawaharlal Nehru Medical College ,Belgavi-590010

Belgaum
KARNATAKA
590010
India 
Phone  8970161543  
Fax    
Email  aishwaryaacharya1398@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bhavana Doshi 
Designation  Head of Department,Dermatology, Venereology and leprosy  
Affiliation  Jawaharlal Nehru Medical College, Belgavi-590010  
Address  OPD 23,1st floor,KLE dr Prabhakar kore hospital, Department of Dermatology, Venereology,Leprosy, Jawaharlal Nehru Medical College, Belgavi-590010

Belgaum
KARNATAKA
590010
India 
Phone  9422306523  
Fax    
Email  bhavs1982@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Aishwarya Acharya 
Designation  Junior Resident 
Affiliation  Jawaharlal Nehru Medical College, Belgavi-590010  
Address  Department of Dermatology, Venereology,Leprosy, Jawaharlal Nehru Medical College, Belgavi-590010

Belgaum
KARNATAKA
590010
India 
Phone  08970161543  
Fax    
Email  aishwaryaacharya1398@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr Aishwarya Acharya  
Address  Department of Dermatology, Venereology,Leprosy, Jawaharlal Nehru Medical College, Belgavi-590010  
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aishwarya Acharya  KLEs Dr. Prabhakar Kore hospital  OPD 23 , 1st Floor , dermatology , venereology and leprosy department, KLEs Dr. Prabhakar Kore hospital, belagavi-590010
Belgaum
KARNATAKA 
8970161543

aishwaryaacharya1398@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NMC Institutional Ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L80||Vitiligo,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Oral azathioprine (Group B)  Patients in group B will be given oral azathioprine 50 mg twice daily for 12 weeks.  
Intervention  oral drugs  oral drugs i.e. oral tofacitinib and oral azathioprine will be given in group A and B respectively for 12 weeks 
Comparator Agent  Oral tofacitinib(Group A )   Patients of Group A will be given oral tofacitinib 5mg BD daily for 12 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patients with clinical signs of unstable vitiligo
2.Patients who have not taken any systemic treatment in last 1 month , topical treatment in last 2 weeks and excimer laser in last 8 weeks
3. When body surface area more than 10% involved
5.Patient willing to participate in the study 
 
ExclusionCriteria 
Details  1.Patient with exclusive segmental and mucosal vitiligo
2. Pregnancy and lactation
3. Patients with active TB infection or any contact with TB patient
4. Patients with chronic liver disease , cirrhosis, HIV/AIDS, renal dysfunction , malignancies
5.Patients on drugs interacting with azathioprine / tofacitinib
6.Patient with history of hypersensitivity to tofacitinib / azathioprine 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To evaluate the efficacy of oral tofacitinib and oral azathioprine in unstable vitiligo   one year 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the safety of oral tofacitinib & oral azathioprine in unstable vitiligo  One year 
 
Target Sample Size   Total Sample Size="19"
Sample Size from India="19" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   01/03/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

    All patients diagnosed with unstable non-segmental vitiligo aged 18-60 years attending dermatology out patient department at KLE’s Dr. Prabhakar Kore hospital and MRC, Belagavi will be recruited after taking written informed consent.

 All patients in study will undergo a detailed history taking, general physical, systemic and dermatological examination. Data will be collected by a single examiner and recorded in case record proforma.

   The treatment plan will be discussed with patients, along with the anticipated outcomes, length of treatment, follow-ups, side effects to be reported, and treatment prognosis.

 Patients will be randomly divided into two equal groups, namely Group A and Group B. 

   Complete hemogram, liver function test, Renal function test, Lipid profile, Hepatitis B, Hepatitis C, Mantoux test will be done at Baseline.

       Patients of Group A will be given oral tofacitinib 5mg BD daily and those of the Group B will be given oral azathioprine 50 mg twice daily.

 Complete hemogram, liver function test, Renal function test , Lipid profile repeated monthly once for the rest 3 months .

   Digital photographs will be taken using identical camera settings, patient positioning and room lighting at baseline and at every followup.  

   The treatment duration in both groups is 3 months with follow-up at 1st month , 2nd month and 3rd month.

   Digital photographs will be taken at each visit.

Side effects if any will be noted at each follow up.

    After 3 months, the digital photographs will be compared with baseline.

    Patient’s assessment of improvement will be recorded by visual analog scale.

Physician’s assessment of improvement will also be recorded by VASI.

   The efficacy of the treatment will be calculated based on percent of regimentation.

   The safety of the treatment will be assessed by the side effects associated with the treatment.


 
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