Phase 2
N=408
Long-Term Safety of ARQ-154 Foam in Subjects With Seborrheic Dermatitis
Seborrheic Dermatitis
Bottom Line
View on ClinicalTrials.gov: NCT04445987 ↗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
| Outcome | Result | p-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
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.