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Chronic Plaque PsoriasisPhase 3DERMIS-1NCT04211363

Trial of PDE4 Inhibition With Roflumilast for the Management of Plaque Psoriasis

A Phase 3 study testing Roflumilast 0.3% cream in people with Chronic Plaque Psoriasis, run by Arcutis Biotherapeutics, Inc. at 40 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a double-blind, parallel group, vehicle-controlled study to assess the safety and efficacy of roflumilast (ARQ-151) 0.3% cream vs vehicle (placebo) cream for treatment of chronic plaque psoriasis (CPP) in adult participants with 2 to 20% body surface area (BSA) of CPP. Read more about this study

Who is it for?
Ages 2 years and older
Conditions the study is for
Chronic Plaque Psoriasis
What is being tested?
Roflumilast 0.3% cream
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
439 participants
Where
40 sitesin 2 countries
Study dates
20 Dec 2019to 16 Nov 2020
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participants legally competent to sign and give informed consent and if appropriate assent as required by local laws
  • Males and females ages 2 years and older (inclusive)
  • Clinical diagnosis of psoriasis vulgaris of at least 6 months duration (3 months for children) as determined by the Investigator
  • Females of childbearing potential (FOCBP) must have a negative pregnancy test at Screening (Visit 1) and Baseline (Visit 2). In addition, sexually active FOCBP must agree to use at least one form of highly effective contraception throughout the trial.
  • In good health as judged by the Investigator, based on medical history, physical examination, serum chemistry labs, hematology values, and urinalysis.
  • Subjects considered reliable and capable of adhering to the Protocol and visit schedule, according to the judgment of the Investigator.

Who cannot join

  • Planned excessive exposure of treated area(s) to either natural or artificial sunlight, tanning bed or other LED.
  • Females who are pregnant, wishing to become pregnant during the study, or are breast-feeding.
  • Previous treatment with ARQ-151 or its active ingredient
  • Subjects with any serious medical condition or laboratory abnormality that would prevent study participation or place the subject at significant risk, as determined by the Investigator.
  • Subjects with a history of chronic alcohol or drug abuse within 6 months of initiation of investigational product
  • Subjects who are unable to communicate, read or understand the local language, or who display another condition, which in the Investigator's opinion, makes them unsuitable for clinical study participation

Trial locations and contacts

40 sites in 2 countries.

40 sites in 2 countries

United States31 sites
  • Arcutis Biotherapeutics Clinical Site 111

    Baton Rouge, Louisiana, 70809

  • Arcutis Biotherapeutics Clinical Site 101

    Brighton, Massachusetts, 02135

  • Arcutis Biotherapeutics Clinical Site 116

    Clinton Township, Michigan, 48038

  • Arcutis Biotherapeutics Clinical Site 104

    College Station, Texas, 77845

  • Arcutis Biotherapeutics Clinical Site 119

    Dallas, Texas, 75246

  • Arcutis Biotherapeutics Clinical Site 118

    Delray Beach, Florida, 33484

  • Arcutis Biotherapeutics Clinical Site 128

    Duncansville, Pennsylvania, 16635

  • Arcutis Biotherapeutics Clinical Site 129

    East Windsor, New Jersey, 08520

  • Arcutis Biotherapeutics Clinical Site 127

    Encinitas, California, 92024

  • Arcutis Biotherapeutics Clinical Site 113

    Exton, Pennsylvania, 19003

  • Arcutis Biotherapeutics Clinical Site 124

    Fairborn, Ohio, 45324

  • Arcutis Biotherapeutics Clinical Site 112

    Fremont, California, 94538

  • Arcutis Biotherapeutics Clinical Site 115

    High Point, North Carolina, 27262

  • Arcutis Biotherapeutics Clinical Site 120

    Irvine, California, 92697

  • Arcutis Biotherapeutics Clinical Site 131

    Miami, Florida, 33174

  • Arcutis Biotherapeutics Clinical Site 121

    New York, New York, 10029

  • Arcutis Biotherapeutics Clinical Site 137

    Ocala, Florida, 34470

  • Arcutis Biotherapeutics Clinical Site 134

    Oklahoma City, Oklahoma, 73118

  • Arcutis Biotherapeutics Clinical Site 135

    Pittsburgh, Pennsylvania, 15213

  • Arcutis Biotherapeutics Clinical Site 114

    Plainfield, Illinois, 46168

  • Arcutis Biotherapeutics Clinical Site 139

    Reno, Nevada, 89509

  • Arcutis Biotherapeutics Clinical Site 130

    Rochester, New York, 14623

  • Arcutis Biotherapeutics Clinical Site 125

    Rockville, Maryland, 20850

  • Arcutis Biotherapeutics Clinical Site 138

    Rockville, Maryland, 20850

  • Arcutis Biotherapeutics Clinical Site 102

    Rolling Meadows, Illinois, 60008

  • Arcutis Biotherapeutics Clinical Site 110

    San Antonio, Texas, 78218

  • Arcutis Biotherapeutics Clinical Site 117

    San Antonio, Texas, 78229

  • Arcutis Biotherapeutics Clinical Site 123

    San Diego, California, 92123

  • Arcutis Biotherapeutics Clinical Site 136

    San Francisco, California, 94132

  • Arcutis Biotherapeutics Clinical Site 105

    Sanford, Florida, 32771

  • Arcutis Biotherapeutics Clinical Site 108

    Stony Brook, New York, 11790

Other trials in United States

Canada9 sites
  • Arcutis Biotherapeutics Clinical Site 132

    Calgary, Alberta, T1Y 0B4

  • Arcutis Biotherapeutics Clinical Site 103

    London, Ontario, N6H 5L5

  • Arcutis Biotherapeutics Clinical Site 122

    Markham, Ontario, L3P 1X2

  • Arcutis Biotherapeutics Clinical Site 133

    Mississauga, Ontario, L5H 1G9

  • Arcutis Biotherapeutics Clinical Site 107

    Montreal, Quebec, H3Z 2S6

  • Arcutis Biotherapeutics Clinical Site 140

    Ottawa, Ontario, K2C 3N2

  • Arcutis Biotherapeutics Clinical Site 109

    Peterborough, Ontario, K9J 5K2

  • Arcutis Biotherapeutics Clinical Site 126

    Québec, Quebec, G1V4X7

  • Arcutis Biotherapeutics Clinical Site 106

    Waterloo, Ontario, N2J 1C4

Other trials in Canada

About this study

Official title: A Phase 3, 8-Week, Parallel Group, Double Blind, Vehicle-Controlled Study of the Safety and Efficacy of ARQ-151 Cream 0.3% Administered QD in Subjects With Chronic Plaque Psoriasis

This is a double-blind, parallel group, vehicle-controlled study to assess the safety and efficacy of roflumilast (ARQ-151) 0.3% cream vs vehicle (placebo) cream for treatment of chronic plaque psoriasis (CPP) in adult participants with 2 to 20% body surface area (BSA) of CPP.

Being tested
Roflumilast 0.3% cream, Vehicle Cream

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Roflumilast 0.3% creamDrug

    Also called ARQ-151

    Roflumilast 0.3% cream for topical application.

  • Vehicle CreamDrug

    Vehicle cream for topical application.

Study groups in NCT04211363
Study groupRoleWhat they receive
Rofumilast Cream 0.3%ExperimentalParticipants receive roflumilast cream 0.3% once daily for 8 weeks.
Receives: Drug: Roflumilast 0.3% cream
Vehicle creamPlacebo comparatorParticipants receive vehicle cream once daily for 8 weeks.
Receives: Drug: Vehicle Cream

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants Achieving Success in Investigator Global Assessment (IGA) Scale Assessment of Disease Severity at Week 8

    The number of participants achieving "success" in IGA assessment of disease severity at Week 8 is presented (observed data only) for each arm. Success was defined as achievement of an IGA score of 0 ('clear') or 1 ('almost clear') at Week 8, accompanied by a ≥2-grade improvement from baseline IGA score. The IGA is a 5-point scale assessing the severity of plaque psoriasis, with scores ranging from 0 ('clear') to 4 ('severe'), and higher scores indicate greater symptom severity.

    Measured: Baseline (Day 1) and Week 8

Secondary outcomes (7)
  1. Time to Achieve Psoriasis Area Severity Index-50 (PASI-50)

    The Psoriasis Area and Severity Index (PASI) is widely used for the measurement of severity of psoriasis. PASI combines the assessment of the severity of lesions and the area affected into a single score in the range from 0 (no disease) to 72 (maximal disease), with higher scores indicating greater symptom severity. The time to achieve PASI-50 (defined as a 50% reduction from baseline in PASI score) is presented, and is based on observed data only.

    Measured: From start of treatment to achievement of PASI-50 or study completion/early termination (maximum duration = 121 days)

  2. Number of Participants Achieving Psoriasis Area Severity Index 75 (PASI-75)

    The Psoriasis Area and Severity Index (PASI) is widely used for the measurement of severity of psoriasis. PASI combines the assessment of the severity of lesions and the area affected into a single score in the range from 0 (no disease) to 72 (maximal disease), with higher scores indicating greater symptom severity. The number of participants achieving PASI-75 (defined as a 75% reduction from baseline in PASI score) at Week 8 is presented. Participant counts are based on observed data only.

    Measured: Baseline (Day 1) and Week 8

  3. Number of Participants Achieving Psoriasis Area Severity Index-90 (PASI-90)

    Psoriasis Area and Severity Index (PASI) is widely used for the measurement of severity of psoriasis. PASI combines the assessment of the severity of lesions and the area affected into a single score in the range 0 (no disease) to 72 (maximal disease) [higher scores indicate greater symptom severity]. The number of participants achieving PASI-90 (defined as a 90% reduction from baseline in PASI score) at Week 8 is presented. Participant counts are based on observed data only.

    Measured: Baseline (Day 1) and Week 8

  4. Number of Participants Achieving Intertriginous IGA (I-IGA) Success at Week 8

    The number of participants achieving I-IGA success at Week 8 is presented. Success is defined as achievement of I-IGA score of 0 ('clear') or 1 ('almost clear') at Week 8 PLUS a ≥2-grade improvement in score from Baseline. The I-IGA is a 5-point scale assessing the severity of plaque psoriasis in the intertriginous area, with scores ranging from 0 ('clear') to 4 ('severe'), with higher scores indicating greater symptom severity. Participant counts are based on observed data only.

    Measured: Baseline (Day 1) and Week 8

  5. Number of Participants Achieving Score of 'Clear' in I-IGA at Week 8

    The number of participants achieving an IGA score of 0 ('clear') at Week 8 is presented (observed data only) for each arm. The I-IGA is a 5-point scale assessing the severity of plaque psoriasis, with scores ranging from 0 ('clear') to 4 ('severe'); higher scores indicate greater symptom severity.

    Measured: Week 8

  6. Number of Participants Achieving Worst Itch Numerical Rating Score (WI-NRS) Success

    The number of participants achieving success in WI-NRS is presented. Success is defined as achievement of a ≥ 4-point reduction in WI-NRS pruritus score in participants with WI-NRS pruritus score ≥ 4 at baseline. The WI-NRS is a 10 point scale ranging from 0 ('no itch') to 10 ('worst itch imaginable'), with higher scores indicating greater symptoms severity. Results are based on observed data only.

    Measured: Baseline (Day 1) and Weeks 2, 4, and 8

  7. Change From Baseline in Psoriasis Symptoms Diary (PSD) Score

    The PSD is a 16-item questionnaire asking subjects to rate the severity of psoriasis-related symptoms in the past 24 hours. Each question is scored from 0 ("no symptoms") to 10 ("worst imaginable symptoms"). Scores range from 0 to 160, with higher scores indicating greater symptom severity. The least squares (LS) mean (95% CI) change in PSD total score relative to baseline is presented for each treatment arm, with decreases from baseline indicating symptom improvement.

    Measured: Weeks 4 and 8

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Dec 2019
  2. Study start20 Dec 2019
  3. Primary completion16 Nov 2020
  4. Study completion16 Nov 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
439 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04211363
Sponsor's protocol ID
ARQ-151-301
Acronym
DERMIS-1
Status last verified
Dec 2022
First submitted
23 Dec 2019
Last updated
7 Dec 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Papp KA, Del Rosso JQ, Lebwohl MG, Gooderham MJ, Hebert AA, Hong HC, Kircik LH, Pariser DM, Stein Gold L, Strober B, Seal MS, Krupa D, Chu DH, Burnett P, Berk DR, Higham RC. Roflumilast Cream 0.3% in Patients with Chronic Plaque Psoriasis: Pooled PASI and PASI-HD Results from the DERMIS Phase III Trials. Dermatol Ther (Heidelb). 2025 Dec;15(12):3733-3744. doi: 10.1007/s13555-025-01562-4. Epub 2025 Oct 24.

    PubMed 41134450
  • Thurston AW Jr, Osborne DW, Snyder S, Higham RC, Burnett P, Berk DR. Pharmacokinetics of Roflumilast Cream in Chronic Plaque Psoriasis: Data from Phase I to Phase III Studies. Am J Clin Dermatol. 2023 Mar;24(2):315-324. doi: 10.1007/s40257-022-00741-9. Epub 2022 Nov 24.

    PubMed 36422852
  • Lebwohl MG, Kircik LH, Moore AY, Stein Gold L, Draelos ZD, Gooderham MJ, Papp KA, Bagel J, Bhatia N, Del Rosso JQ, Ferris LK, Green LJ, Hebert AA, Jones T, Kempers SE, Pariser DM, Yamauchi PS, Zirwas M, Albrecht L, Devani AR, Lomaga M, Feng A, Snyder S, Burnett P, Higham RC, Berk DR. Effect of Roflumilast Cream vs Vehicle Cream on Chronic Plaque Psoriasis: The DERMIS-1 and DERMIS-2 Randomized Clinical Trials. JAMA. 2022 Sep 20;328(11):1073-1084. doi: 10.1001/jama.2022.15632.

    PubMed 36125472

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Roflumilast 0.3% cream in people with Chronic Plaque Psoriasis, run by Arcutis Biotherapeutics, Inc. at 40 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 40 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Nov 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants Achieving Success in Investigator Global Assessment (IGA) Scale Assessment of Disease Severity at Week 8 (time frame: Baseline (Day 1) and Week 8). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04211363, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Dec 2022.

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