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Seborrheic DermatitisPhase 2NCT04445987

Long-Term Safety of ARQ-154 Foam in Subjects With Seborrheic Dermatitis

A Phase 2 study testing ARQ-154 in people with Seborrheic Dermatitis, run by Arcutis Biotherapeutics, Inc. at 39 sites in United States.

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 an open-label, long-term safety study of roflumilast ARQ-154 foam 0.3% in subjects with seborrheic dermatitis involving up to 20% total Body Surface Area (BSA). Study was applied topically once daily for 52 weeks. Read more about this study

Who is it for?
Ages 9 years and older
Conditions the study is for
Seborrheic Dermatitis
What is being tested?
ARQ-154
Could I receive a placebo?
No, everyone receives an active treatment
How many people
408 participants
Where
39 sitesUnited States
Study dates
12 Jun 2020to 19 Nov 2022
Phase
Phase 2
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 9 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 or (for adolescents) assent.
  • Males and females ages 9 years and older (inclusive) at the time of consent.
  • Females of childbearing potential (FOCBP) must have a negative serum pregnancy test at all study visits.
  • Post-menopausal women with spontaneous amenorrhea for at least 12 months or have undergone surgical sterilization.
  • Cohort 1 only:
  • Subjects with seborrheic dermatitis who met eligibility criteria for a prior ARQ-154 study, successfully completed a prior ARQ-154 study through final visit and are able to immediately enroll into this long-term safety study on the final visit of the previous ARQ-154 study.
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  • Cohort 2 subjects that have not participated in a prior ARQ-154 study:
  • Clinical diagnosis of seborrheic dermatitis of at least 3 months duration as determined by the Investigator. Stable disease for the past 4 weeks.
  • Seborrheic dermatitis of the scalp and/or face and/or trunk and/or intertriginous areas up to ≤20% BSA involvement.
  • An Investigator Global Assessment (IGA) of disease severity of at least Moderate ('3') at Day 1.
  • Overall Assessment of Erythema and Overall Assessment of Scaling scores of Moderate ('2') at Day 1.
  • Cohort 2 subjects that have participated in a prior ARQ-154 study:
  • Clinical diagnosis of seborrheic dermatitis of at least 3 months duration as determined by the Investigator.
  • Seborrheic dermatitis of the scalp and/or face and/or trunk and/or intertriginous areas up to ≤20% BSA involvement.

Who cannot join

  • Planned excessive exposure of treated area(s) to either natural or artificial sunlight, tanning bed or other LED.
  • Subjects with any condition on the treatment area which, in the opinion of the Investigator, could confound efficacy measurements.
  • Subjects unable to apply investigational product to the scalp due to physical limitation.
  • Known allergies to excipients in ARQ-154 foam.
  • Subjects who cannot discontinue the use of strong P-450 cytochrome inhibitors e.g., indinavir, nelfinavir, ritonavir, clarithromycin, itraconazole, ketoconazole, nefazodone, saquinavir, suboxone and telithromycin during the study period.
  • Known or suspected:
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  • severe renal insufficiency or moderate to severe hepatic disorders
  • history of severe depression, suicidal ideation or C-SSRS indicative of suicidal ideation, whether lifetime or recent/recurrent.
  • Females who are pregnant, wishing to become pregnant during the study, or are breast-feeding.
  • 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 drugs abuse within 6 months of initiation of investigational product.
  • Current or a history of cancer within 5 years with the exception of fully treated skin basal cell carcinoma, cutaneous squamous cell carcinoma or carcinoma in situ of the cervix.
  • 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.
  • Subjects who are family members of the clinical study site, clinical study staff, or sponsor, or family members that live in the same household of enrolled subjects.
  • Cohort 1 only:
  • Subjects who experienced an ARQ-154 treatment-related AE or a serious AE (SAE) that precluded further treatment with ARQ-154 foam in a prior ARQ-154 study.
  • Subjects that use any Excluded Medication and Treatments.
  • Cohort 2 only:
  • Subjects who cannot discontinue treatment with therapies for the treatment of seborrheic dermatitis prior to the Day 1 visit and during the study according to Excluded Medications and Treatments.
  • Subjects with PHQ-8 >10 or modified PHQ-A >10 at Screening or Day 1.
  • Cohort 2 subjects that have participated in a prior ARQ-154 study:
  • Subjects who experienced an ARQ-154 treatment-related AE or a serious AE (SAE) that precluded further treatment with ARQ-154 foam in a prior ARQ-154 study.

Trial locations and contacts

39 sites in 1 country.

39 sites in 1 country

United States39 sites
  • Arcutis Biotherapeutics Clinical Site 13

    Arlington, Texas, 76011

  • Arcutis Biotherapeutics Clinical Site 11

    Austin, Texas, 78759

  • Arcutis Biotherapeutics Clinical Site 53

    Aventura, Florida, 33180

  • Arcutis Biotherapeutics Clinical Site 59

    Beverly Hills, California, 90212

  • Arcutis Biotherapeutics Clinical Site 18

    Bexley, Ohio, 43209

  • Arcutis Biotherapeutics Clinical Site 73

    Brighton, Massachusetts, 02135

  • Arcutis Biotherapeutics Clinical Site 76

    Charleston, South Carolina, 29407

  • Arcutis Biotherapeutics Clinical Site 40

    Clinton Township, Michigan, 48038

  • Arcutis Biotherapeutics Clinical Site 41

    College Station, Texas, 77845

  • Arcutis Biotherapeutics Clinical Site 42

    Coral Gables, Florida, 33134

  • Arcutis Biotherapeutics Clinical Site 57

    Delray Beach, Florida, 33484

  • Arcutis Biotherapeutics Clinical Site 20

    Detroit, Michigan, 48202

  • Arcutis Biotherapeutics Clinical Site 51

    Encino, California, 91436

  • Arcutis Biotherapeutics Clinical Site 58

    Fort Gratiot, Michigan, 48059

  • Arcutis Biotherapeutics Clinical Site 75

    Fountain Valley, California, 92708

  • Arcutis Biotherapeutics Clinical Site 19

    Fremont, California, 94538

  • Arcutis Biotherapeutics Clinical Site 14

    Fridley, Minnesota, 55432

  • Arcutis Biotherapeutics Clinical Site 23

    High Point, North Carolina, 27262

  • Arcutis Biotherapeutics Clinical Site 25

    Houston, Texas, 77056

  • Arcutis Biotherapeutics Clinical Site 50

    Las Vegas, Nevada, 89148

  • Arcutis Biotherapeutics Clinical Site 62

    Los Angeles, California, 90036

  • Arcutis Biotherapeutics Clinical Site 15

    Louisville, Kentucky, 40217

  • Arcutis Biotherapeutics Clinical Site 52

    Metairie, Louisiana, 70006

  • Arcutis Biotherapeutics Clinical Site 24

    Miami, Florida, 33144

  • Arcutis Biotherapeutics Clinical Site 55

    New York, New York, 10029

  • Arcutis Biotherapeutics Clinical Site 17

    Norfolk, Virginia, 23502

  • Arcutis Biotherapeutics Clinical Site 26

    Pflugerville, Texas, 78660

  • Arcutis Biotherapeutics Clinical Site 27

    Pittsburgh, Pennsylvania, 15213

  • Arcutis Biotherapeutics Clinical Site 22

    Plainfield, Indiana, 46168

  • Arcutis Biotherapeutics Clinical Site 29

    Portland, Oregon, 97210

  • Arcutis Biotherapeutics Clinical Site 56

    Portsmouth, New Hampshire, 03801

  • Arcutis Biotherapeutics Clinical Site 28

    Rockville, Maryland, 20850

  • Arcutis Biotherapeutics Clinical Site 10

    Rolling Meadows, Illinois, 60008

  • Arcutis Biotherapeutics Clinical Site 54

    San Antonio, Texas, 78213

  • Arcutis Biotherapeutics Clinical Site 64

    San Diego, California, 92123

  • Arcutis Biotherapeutics Clinical Site 65

    Sanford, Florida, 32771

  • Arcutis Biotherapeutics Clinical Site 21

    Santa Monica, California, 90404

  • Arcutis Biotherapeutics Clinical Site 12

    Tampa, Florida, 33613

  • Arcutis Biotherapeutics Clinical Site 63

    The Bronx, New York, 10462

Other trials in United States

About this study

Official title: A Phase 2, Multicenter, Open-Label Study of the Long-Term Safety of ARQ-154 Foam 0.3% in Subjects With Seborrheic Dermatitis

This is an open-label, long-term safety study of roflumilast ARQ-154 foam 0.3% in subjects with seborrheic dermatitis involving up to 20% total Body Surface Area (BSA). Study was applied topically once daily for 52 weeks. Cohort 1 subjects are rollover subjects from study ARQ-154-203 (NCT04091646) and were rolled into treatment in the current study without interruption. Cohort 2 includes participants from ARQ-154-203 who began treatment in the current study after a gap from completing treatment in the prior study.

Being tested
ARQ-154
Medical subject headings
Dermatitis, Seborrheic

What participants receive

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

  • ARQ-154Drug

    ARQ-154 foam 0.3% applied once daily for 52 weeks

Study groups in NCT04445987
Study groupRoleWhat they receive
Long-term safety of ARQ-154ExperimentalOpen-label, Long-term Safety of ARQ-154
Receives: Drug: ARQ-154

What is being measured

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

  1. Number of Participants With ≥1 Adverse Event (AE)

    The number of participants with treatment-emergent AEs is reported. An AE is any untoward or unfavorable medical occurrence in a human participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to participation in the research. Data are presented according to cohort group assigned as treatment were identical in this study regardless of the treatment received in the prior study.

    Measured: Up to 52 weeks

  2. Number of Participants With ≥1 Serious Adverse Event (SAE)

    The number of participants with treatment-emergent SAEs is reported. An SAE is any AE that results in death, is life-threatening (places the subject at immediate risk of death from the event as it occurred), requires inpatient hospitalization or prolongation of existing hospitalization, results in a persistent or significant disability/incapacity, results in a congenital anomaly/birth defect, or is any other adverse event that, based upon appropriate medical judgment, may jeopardize the subject's health. Data are presented according to cohort group assigned as treatment were identical in this study regardless of the treatment received in the prior study.

    Measured: Up to 52 weeks

Secondary outcomes (4)
  1. Number of Participants With an Investigator Global Assessment (IGA) Score of Completely Clear or Almost Clear

    The number of participants with an IGA score of 0 ('completely clear') or 1 ('almost clear') is presented. The IGA is a 5-point scale assessing the severity of seborrheic dermatitis, with scores ranging from 0 ('clear') to 4 ('severe'), and higher scores indicate greater symptom severity.

    Measured: Weeks 4, 12, 24, 36, and 52

  2. Achievement of IGA Success

    The number of participants achieving "success" in IGA assessment of disease severity is presented. 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 seborrheic dermatitis, with scores ranging from 0 ('clear') to 4 ('severe'), and higher scores indicate greater symptom severity.

    Measured: Weeks 4, 12, 24, 36, and 52

  3. Duration of IGA Success

    The duration of "success" in IGA assessment of disease severity is presented. 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 seborrheic dermatitis, with scores ranging from 0 ('clear') to 4 ('severe'), and higher scores indicate greater symptom severity. The time from first observation of IGA success to the first subsequent time a participant's disease response did not meet the criteria for IGA success is presented. The duration of IGA success for subjects who ended treatment in IGA success was censored at the last disease assessment date.

    Measured: Weeks 4, 12, 24, 36, and 52

  4. IGA Treatment-Free Interval

    The treatment-free interval is defined as time from when the participant achieves disease clearance (IGA score of 0 ["completely clear"]) and stops treatment of all lesions until the time of restarting treatment.

    Measured: Weeks 4, 12, 24, 36, and 52

Timeline

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

  1. First posted24 Jun 2020
  2. Study start12 Jun 2020
  3. Primary completion19 Nov 2022
  4. Study completion19 Nov 2022

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Subjects that consent to enter this open-label safety study may or may not have previously completed a companion study (ARQ-154 trial)
Masking
None (open label)
Enrolment
408 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04445987
Sponsor's protocol ID
ARQ-154-214
Status last verified
May 2024
First submitted
22 Jun 2020
Last updated
11 Jun 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Alexis AF, Bukhalo M, Cook-Bolden FE, Del Rosso JQ, Draelos ZD, DuBois JC, Ferris LK, Forman SB, Kempers SE, Kircik LH, Lain E, Moore AY, Pariser DM, Raoof J, Zirwas MJ, Seal MS, Kato S, Chu DH, Krupa D, Snyder S, Burnett P, Berk DR. Long-Term Safety and Efficacy of Roflumilast Foam 0.3% in Patients with Seborrheic Dermatitis: A Phase II, Open-Label Trial of up to 52 Weeks. Am J Clin Dermatol. 2026 Jan;27(1):189-198. doi: 10.1007/s40257-025-00984-2. Epub 2025 Nov 1.

    PubMed 41175336

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ARQ-154 in people with Seborrheic Dermatitis, run by Arcutis Biotherapeutics, Inc. at 39 sites in United States.

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 14 inclusion and 22 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 11 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in United States. 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 11 Jun 2024). 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 With ≥1 Adverse Event (AE) (time frame: Up to 52 weeks). The study lists 2 primary outcomes in all. 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 NCT04445987, which also lists 1 linked publication.

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 11 Jun 2024.

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