A Phase 1/2 interventional study of ARQ-151 cream 0.5% and ARQ-151 cream 0.15% in Psoriasis, sponsored by Arcutis Biotherapeutics, Inc.. Completed at 8 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-08-04.
Sponsored by Arcutis Biotherapeutics, Inc. · Phase 1/2, Interventional, and Treatment
This study assessed the safety and pharmacokinetics (PK) of a single dose application of ARQ-151 cream 0.5% to 25 cm\^2 of psoriatic plaque(s) (Cohort 1). The study also assessed the safety, PK and efficacy of ARQ-151 cream 0.5% vs vehicle and ARQ-151 cream 0.15% vs vehicle applied once a day for 28 days to individuals with 0.5% to 5.0% body surface area (BSA) of chronic plaque psoriasis (Cohort 2).
There were 2 cohorts of participants. Cohort 1 was a single dose study of ARQ-151 0.5% cream applied to 25 cm\^2 of psoriatic plaque(s) in 8 psoriasis participants. Cohort 2 was a parallel group, double blind, vehicle controlled study in which ARQ-151 cream 0.5%, ARQ-151 cream 0.15% or vehicle cream was applied once a day for 28 days to participants with between 0.5% to 5.0% BSA of chronic plaque psoriasis. Participants were adult (≥18 years old) males or females with chronic plaque psoriasis.
Exclusion Criteria:
Single-dose application of ARQ-151 cream 0.5% to 25 cm\^2 of psoriatic plaque(s)
Drug: ARQ-151 cream 0.5%
ARQ-151 cream 0.5% applied daily for 28 days to all psoriatic plaques, not exceeding an application area of 5% BSA
Drug: ARQ-151 cream 0.5%
ARQ-151 cream 0.15% applied daily for 28 days to all psoriatic plaques, not exceeding an application area of 5% BSA
Drug: ARQ-151 cream 0.15%
Vehicle cream applied daily for 28 days to all psoriatic plaques, not exceeding an application area of 5% BSA
Drug: ARQ-151 vehicle cream
0.5% active concentration
0.15% active concentration
Vehicle cream
Percent Change From Baseline in 4 Week Target Plaque Severity Score x Target Plaque Area in Cohort 2
Difference in least squares mean percent change from baseline at Week 4 in the product of target plaque severity score (TPSS) x target plaque area (TPA) between each dose concentration level of ARQ-151 cream and vehicle using mixed model repeated measures (MMRM) analysis with center within country, treatment, study visit, and treatment-by-study visit interaction as fixed effects and baseline TPSS x TPA score as a covariate. For TPSS, all target lesions were scored individually for signs of induration, scaling, and erythema using a 5-point severity scale: 0 = none; 1 = mild; 2 = moderate; 3 = severe; 4 = very severe. TPA (cm\^2) was determined by multiplying the longest diameter (cm) of the target plaque by the widest perpendicular diameter (cm) (perpendicular to the longest diameter of the target plaque). A negative percent change indicates improvement.
Time frame: Baseline and Week 4
Percent Change From Baseline in 1, 2, 3 Week Target Plaque Severity Score x Target Plaque Area in Cohort 2
Difference in least squares mean percent change from baseline at Weeks 1, 2 and 3 in target plaque severity score (TPSS) x target plaque area (TPA) between each dose concentration level of ARQ-151 cream and vehicle using mixed model repeated measures (MMRM) analysis with center within country, treatment, study visit, and treatment-by-study visit interaction as fixed effects and baseline TPSS x TPA score as a covariate. For TPSS, all target lesions were scored individually for signs of induration, scaling, and erythema using a 5-point severity scale: 0 = none; 1 = mild; 2 = moderate; 3 = severe; 4 = very severe. TPA (cm\^2) was determined by multiplying the longest diameter (cm) of the target plaque by the widest perpendicular diameter (cm) (perpendicular to the longest diameter of the target plaque). A negative percent change indicates improvement.
Time frame: Baseline and Weeks 1, 2 and 3
Percent Change From Baseline in Total Plaque Severity Score in Cohort 2
Difference in least squares mean percent change from baseline at Weeks 1, 2, 3 and 4 in total plaque severity score (TPSS) between each dose concentration level of ARQ-151 cream and vehicle using mixed model repeated measures (MMRM) analysis with center within country, treatment, study visit, and treatment-by-study visit interaction as fixed effects and baseline TPSS score as a covariate. For TPSS, all target lesions were scored individually for signs of induration, scaling, and erythema using a 5-point severity scale: 0 = none; 1 = mild; 2 = moderate; 3 = severe; 4 = very severe. A negative percent change indicates improvement.
Time frame: Baseline and Weeks 1, 2, 3, and 4
Percent Change From Baseline in Target Plaque Area in Cohort 2
Difference in least squares mean percent change from baseline at Weeks 1, 2, 3, and 4 in target plaque area (TPA) between each dose concentration level of ARQ-151 cream and vehicle using mixed model repeated measures (MMRM) analysis with center within country, treatment, study visit, and treatment-by-study visit interaction as fixed effects and baseline TPA score as a covariate. Target plaque area (cm\^2) was determined by multiplying the longest diameter (cm) of the target plaque by the widest perpendicular diameter (cm) (perpendicular to the longest diameter of the target plaque). A negative percent change indicates improvement.
Time frame: Baseline and Weeks 1, 2, 3, and 4
The study was conducted in 7 centers in Canada and 1 center in the United States (US). There was a total of 91 unique participants; 6 participants who completed Cohort 1 also participated in Cohort 2, with 2 per treatment group.
| Milestone | Cohort 1 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.15% | Cohort 2 - ARQ-151 Vehicle Cream |
|---|---|---|---|---|
| Started | 8 | 0 | 0 | 0 |
| Completed | 8 | 0 | 0 | 0 |
| Not completed | 0 | 0 | 0 | 0 |
| Milestone | Cohort 1 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.15% | Cohort 2 - ARQ-151 Vehicle Cream |
|---|---|---|---|---|
| Started | 0 | 30 | 28 | 31 |
| Completed | 0 | 28 | 27 | 30 |
| Not completed | 0 | 2 | 1 | 1 |
| Withdrew: Lost to follow-up | 0 | 1 | 1 | 1 |
| Withdrew: Other | 0 | 1 | 0 | 0 |
Difference in least squares mean percent change from baseline at Week 4 in the product of target plaque severity score (TPSS) x target plaque area (TPA) between each dose concentration level of ARQ-151 cream and vehicle using mixed model repeated measures (MMRM) analysis with center within country, treatment, study visit, and treatment-by-study visit interaction as fixed effects and baseline TPSS x TPA score as a covariate. For TPSS, all target lesions were scored individually for signs of induration, scaling, and erythema using a 5-point severity scale: 0 = none; 1 = mild; 2 = moderate; 3 = severe; 4 = very severe. TPA (cm\^2) was determined by multiplying the longest diameter (cm) of the target plaque by the widest perpendicular diameter (cm) (perpendicular to the longest diameter of the target plaque). A negative percent change indicates improvement.
| Percent change | Cohort 2 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.15% | Cohort 2 - ARQ-151 Vehicle Cream |
|---|---|---|---|
| Percent Change From Baseline in 4 Week Target Plaque Severity Score x Target Plaque Area in Cohort 2 | -66.6 ± 7.27 | -66.0 ± 7.61 | -38.1 ± 7.34 |
Difference in least squares mean percent change from baseline at Weeks 1, 2 and 3 in target plaque severity score (TPSS) x target plaque area (TPA) between each dose concentration level of ARQ-151 cream and vehicle using mixed model repeated measures (MMRM) analysis with center within country, treatment, study visit, and treatment-by-study visit interaction as fixed effects and baseline TPSS x TPA score as a covariate. For TPSS, all target lesions were scored individually for signs of induration, scaling, and erythema using a 5-point severity scale: 0 = none; 1 = mild; 2 = moderate; 3 = severe; 4 = very severe. TPA (cm\^2) was determined by multiplying the longest diameter (cm) of the target plaque by the widest perpendicular diameter (cm) (perpendicular to the longest diameter of the target plaque). A negative percent change indicates improvement.
| Percent change | Cohort 2 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.15% | Cohort 2 - ARQ-151 Vehicle Cream |
|---|---|---|---|
| Week 1 | -34.7 ± 5.79 | -36.4 ± 6.16 | -31.5 ± 5.99 |
| Week 2 | -48.7 ± 6.40 | -50.1 ± 6.75 | -30.4 ± 6.55 |
| Week 3 | -61.5 ± 6.69 | -55.6 ± 7.03 | -32.6 ± 6.81 |
Difference in least squares mean percent change from baseline at Weeks 1, 2, 3 and 4 in total plaque severity score (TPSS) between each dose concentration level of ARQ-151 cream and vehicle using mixed model repeated measures (MMRM) analysis with center within country, treatment, study visit, and treatment-by-study visit interaction as fixed effects and baseline TPSS score as a covariate. For TPSS, all target lesions were scored individually for signs of induration, scaling, and erythema using a 5-point severity scale: 0 = none; 1 = mild; 2 = moderate; 3 = severe; 4 = very severe. A negative percent change indicates improvement.
| Percent change | Cohort 2 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.15% | Cohort 2 - ARQ-151 Vehicle Cream |
|---|---|---|---|
| Week 1 | -30.5 ± 4.96 | -34.3 ± 5.20 | -26.2 ± 5.16 |
| Week 2 | -41.9 ± 5.01 | -45.6 ± 5.22 | -26.4 ± 5.19 |
| Week 3 | -51.5 ± 5.46 | -52.0 ± 5.63 | -30.1 ± 5.56 |
| Week 4 | -55.1 ± 5.41 | -58.2 ± 5.56 | -36.5 ± 5.50 |
Difference in least squares mean percent change from baseline at Weeks 1, 2, 3, and 4 in target plaque area (TPA) between each dose concentration level of ARQ-151 cream and vehicle using mixed model repeated measures (MMRM) analysis with center within country, treatment, study visit, and treatment-by-study visit interaction as fixed effects and baseline TPA score as a covariate. Target plaque area (cm\^2) was determined by multiplying the longest diameter (cm) of the target plaque by the widest perpendicular diameter (cm) (perpendicular to the longest diameter of the target plaque). A negative percent change indicates improvement.
| Percent change | Cohort 2 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.15% | Cohort 2 - ARQ-151 Vehicle Cream |
|---|---|---|---|
| Week 1 | -9.15 ± 2.981 | -8.22 ± 3.198 | -11.82 ± 3.089 |
| Week 2 | -14.95 ± 4.211 | -16.19 ± 4.407 | -10.37 ± 4.225 |
| Week 3 | -22.63 ± 4.666 | -17.00 ± 4.844 | -9.95 ± 4.636 |
| Week 4 | -31.87 ± 6.014 | -28.28 ± 6.228 | -11.61 ± 5.938 |
Collected over Up to approximately 5 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Cohort 1 - ARQ-151 Cream 0.5% | 0/8 (0%) | 0/8 (0%) | 1/8 (12.5%) |
| Cohort 2 - ARQ-151 Cream 0.5% | 0/30 (0%) | 0/30 (0%) | 9/30 (30%) |
| Cohort 2 - ARQ-151 Cream 0.15% | 0/28 (0%) | 0/28 (0%) | 5/28 (17.9%) |
| Cohort 2 - ARQ-151 Vehicle Cream | 0/31 (0%) | 0/31 (0%) | 11/31 (35.5%) |
| Event | Cohort 1 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.15% | Cohort 2 - ARQ-151 Vehicle Cream |
|---|---|---|---|---|
| Application site painGeneral disorders | 0/8 | 2/30 | 1/28 | 5/31 |
| Application site erythemaGeneral disorders | 0/8 | 4/30 | 1/28 | 4/31 |
| CandiduriaInfections and infestations | 1/8 | 0/30 | 0/28 | 0/31 |
| NasopharyngitisInfections and infestations | 0/8 | 2/30 | 2/28 | 0/31 |
| InfluenzaInfections and infestations | 0/8 | 0/30 | 0/28 | 2/31 |
| Muscle strainInjury, poisoning and procedural complications | 0/8 | 1/30 | 1/28 | 2/31 |
Baseline characteristics for Cohort 2 arms are shown for participants who were not in Cohort 1.
| Age, Continuous(Years) | Cohort 1 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.15% | Cohort 2 - ARQ-151 Vehicle Cream | Total |
|---|---|---|---|---|---|
| Mean | 51.6 ± 16.92 | 50.8 ± 15.76 | 54.8 ± 13.50 | 47.0 ± 13.97 | 50.80 ± 14.75 |
| Sex: Female, Male(Participants) | Cohort 1 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.15% | Cohort 2 - ARQ-151 Vehicle Cream | Total |
|---|---|---|---|---|---|
| Female | 7 | 12 | 7 | 12 | 38 |
| Male | 1 | 16 | 19 | 17 | 53 |
| Ethnicity (NIH/OMB)(Participants) | Cohort 1 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.15% | Cohort 2 - ARQ-151 Vehicle Cream | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 1 | 0 | 0 | 1 |
| Not Hispanic or Latino | 8 | 27 | 26 | 29 | 90 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Cohort 1 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.5% | Cohort 2 - ARQ-151 Cream 0.15% | Cohort 2 - ARQ-151 Vehicle Cream | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 2 | 2 | 8 | 12 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 2 | 2 | 0 | 4 |
| White | 8 | 23 | 22 | 20 | 73 |
| More than one race | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 1 | 0 | 1 | 2 |
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Arcutis Biotherapeutics, Inc.