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A Study in Young People and Adults to Learn About the Medicine Ritlecitinib for Treatment of Patchy Hair Loss, Known by the Medical Term as Moderate Alopecia Areata

RecruitingPhase 3

A PHASE 3, RANDOMIZED, DOUBLE BLIND, PLACEBO-CONTROLLED STUDY TO INVESTIGATE THE SAFETY AND EFFICACY OF RITLECITINIB IN ADULT AND ADOLESCENT PARTICIPANTS 12 YEARS OF AGE AND OLDER WITH MODERATE ALOPECIA AREATA

Who can join

Ages 12 and older · All sexes

Full eligibility criteria
Key Inclusion Criteria

* 18 years or older (or the minimum age of consent in accordance with local regulations) at screening. Adolescents (12 to \<18 years of age at screening) are also eligible for this study, but only if permitted by the local IRB/EC and local regulatory health authority (if applicable). Where these approvals have not been granted, only participants 18 years of age and older at screening will be enrolled
* Have a clinical diagnosis of AA with no other etiology of hair loss.
* Have \>20% to \<50% hair loss of the scalp, as measured by SALT.
* Current AA episode of hair loss ≥6 months and ≤10 years (Current episode is defined as the continuous period of AA-related scalp hair loss since the last time the subject had no visible scalp patches).

Key Exclusion Criteria

1\. Diseases or conditions affecting hair loss, including:

* Other types of alopecia (including, but not limited to, traction and scarring alopecia, telogen effluvium). Participants with androgenetic alopecia will be excluded.
* Other scalp disease that may impact AA assessment (eg, scalp psoriasis, dermatitis, etc.).
* Active systemic diseases that may cause hair loss (eg, lupus erythematosus, thyroiditis, systemic sclerosis, lichen planus, etc).

About the study

The purpose of this clinical study is to learn about the safety and effects of the study medicine (called ritlecitinib) for the potential treatment of moderate alopecia areata (AA).

This study is seeking participants who are

* 12 years or older (if permitted by the local IRB/EC and local regulatory health authority) * have AA with patchy hair loss. The current episode of hair loss has lasted for 6 months or longer but 10 years or less * do not have any other diseases or conditions affecting hair loss.

Participants will have a 2 in 3 chance of receiving ritlecitinib 50 mg and a 1 in 3 chance of receiving placebo. The placebo looks like the study medicine but does not contain any active ingredients. Participants will not know what you have been assigned to receive. They will take ritlecitinib or placebo once daily by mouth at home for 24 weeks (6 months). After 24 weeks, the assigned treatment may stay the same or be changed to ritlecitinib 50 mg or 100 mg. This change will depend on how participants' alopecia areata responds to the treatment. Participants will receive the newly assigned treatment for another 23 weeks.

About 4 weeks after the last dose, there will be a follow-up visit. At this visit, the team will check on your health. Participants will take part in this study for about 57 weeks. During this time, they will have study visits at the study clinic. Some study checks will be done by phone.

We will compare the experiences of people receiving ritlecitinib to those of people who do not. This will help us determine if ritlecitinib is safe and effective.

What is being tested

Sponsor: Pfizer · Participants: 336 · Started: Jul 30, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07733765

Locations in the U.S.

CaliforniaCalifornia Dermatology & Clinical Research Institute, Encinitas (Not yet recruiting)
FloridaSkin Research of South Florida, Miami
IllinoisEndeavor Health, Skokie (Not yet recruiting)
IndianaDawes Fretzin Clinical Research Group, LLC, Indianapolis
IowaUniversity of Iowa, Iowa City (Not yet recruiting)
MarylandCutaneous Translational Research Program (CTReP), Baltimore (Not yet recruiting)
Johns Hopkins Hospital Investigational Drug Services (IDS) Pharmacy, Baltimore (Not yet recruiting)
MichiganRevival Research Institute, LLC, Troy
North CarolinaClinical and Translational Research Center (CTRC), Chapel Hill (Not yet recruiting)
UNC Dermatology and Skin Cancer Center, Chapel Hill (Not yet recruiting)
OhioBexley Dermatology Research, Bexley (Not yet recruiting)
OregonNW Dermatology Institute, Portland (Not yet recruiting)
PennsylvaniaDermatology Associates of Plymouth Meeting, Plymouth Meeting
TexasCenter for Clinical Studies, LTD. LLP, Houston (Not yet recruiting)
Texas Dermatology and Laser Specialists, San Antonio
WashingtonDermatology Specialists of Spokane, Spokane (Not yet recruiting)
Principle Research Solutions, Spokane (Not yet recruiting)

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.