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Phase 2 N=408 Treatment

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

Seborrheic Dermatitis

Enrolled (actual)
408
Serious AEs
1.7%
Results posted
Jun 2024
Primary outcome: Primary: Number of Participants With ≥1 Adverse Event (AE) — 17; 23; 90; 3 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
ARQ-154 (Drug)
Age
Pediatric, Adult, Older Adult · 9+ yrs
Sex
All
Sponsor
Arcutis Biotherapeutics, Inc.
Primary completion
Nov 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With ≥1 Adverse Event (AE)
17; 23; 90; 3
PRIMARY
Number of Participants With ≥1 Serious Adverse Event (SAE)
2; 0; 5; 0
SECONDARY
Number of Participants With an Investigator Global Assessment (IGA) Score of Completely Clear or Almost Clear
36; 7; 20; 10; 137; 5
SECONDARY
Achievement of IGA Success
36; 6; 20; 8; 137; 5
SECONDARY
Duration of IGA Success
18.786; 12.143; 7.714; 13.143; 19.00; 10.00
SECONDARY
IGA Treatment-Free Interval
19.143; 11.766; 11.929; 14.143; 12.143; 20.143

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. 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.

Eligibility Criteria

Inclusion Criteria

  • 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.

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.

Exclusion Criteria

  • 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:
  • 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 s

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04445987). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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