A Phase 2 interventional study of ARQ-154 in Seborrheic Dermatitis, sponsored by Arcutis Biotherapeutics, Inc.. Completed at 39 sites in United States. Open to participants aged 9 Years and older. Per ClinicalTrials.gov, last updated 2024-06-11.
Sponsored by Arcutis Biotherapeutics, Inc. · Phase 2, Interventional, and Treatment
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.
1,435 studies on the registry are indexed under Dermatitis; 131 are open to participants now.
This study's enrollment of 408 is above the median of 64 across 1,131 interventional studies indexed under Dermatitis.
Browse Dermatitis studies →Arcutis Biotherapeutics, Inc. is the lead sponsor of 24 studies on the registry; 1 is open to participants now.
Of its 23 completed or terminated interventional studies of FDA-regulated products, 19 (83%) have results posted.
Counted across the registry records on this site, refreshed daily.
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:
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:
Exclusion Criteria:
Known or suspected:
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 that use any Excluded Medication and Treatments.
Cohort 2 only:
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:
Open-label, Long-term Safety of ARQ-154
Drug: ARQ-154
ARQ-154 foam 0.3% applied once daily for 52 weeks
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.
Time frame: Up to 52 weeks
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.
Time frame: Up to 52 weeks
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.
Time frame: Weeks 4, 12, 24, 36, and 52
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.
Time frame: Weeks 4, 12, 24, 36, and 52
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.
Time frame: Weeks 4, 12, 24, 36, and 52
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.
Time frame: Weeks 4, 12, 24, 36, and 52
Participants were enrolled at 39 study centers in the US.
| Milestone | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 1 Group 1: ARQ 154-203 Vehicle Foam Rolled Over Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% With Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Vehicle Foam With Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover |
|---|---|---|---|---|---|---|
| Started | 52 | 23 | 41 | 17 | 267 | 8 |
| Completed | 43 | 20 | 37 | 16 | 211 | 7 |
| Not completed | 9 | 3 | 4 | 1 | 56 | 1 |
| Withdrew: Adverse event | 0 | 0 | 1 | 0 | 4 | 0 |
| Withdrew: Lost to follow-up | 4 | 3 | 1 | 1 | 29 | 0 |
| Withdrew: Physician decision | 0 | 0 | 0 | 0 | 1 | 0 |
| Withdrew: Protocol violation | 1 | 0 | 0 | 0 | 2 | 0 |
| Withdrew: Withdrawal by subject | 4 | 0 | 1 | 0 | 18 | 1 |
| Withdrew: Other reason | 0 | 0 | 1 | 0 | 2 | 0 |
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.
| Participants | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 2 Groups 3 and 4: ARQ-154-203 Roflumilast Foam 0.3% With Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover |
|---|---|---|---|---|
| Number of Participants With ≥1 Adverse Event (AE) | 17 | 23 | 90 | 3 |
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.
| Participants | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% With Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover |
|---|---|---|---|---|
| Number of Participants With ≥1 Serious Adverse Event (SAE) | 2 | 0 | 5 | 0 |
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.
| Participants | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 1 Group 1: ARQ 154-203 Vehicle Foam Rolled Over Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% With Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Vehicle Foam With Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover |
|---|---|---|---|---|---|---|
| Week 4 | 36 | 7 | 20 | 10 | 137 | 5 |
| Week 12 | 35 | 7 | 25 | 12 | 172 | 5 |
| Week 24 | 31 | 10 | 24 | 11 | 177 | 3 |
| Week 36 | — | — | 0 | 0 | 37 | — |
| Week 52 | — | — | 1 | 1 | 35 | — |
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.
| Participants | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 1 Group 1: ARQ 154-203 Vehicle Foam Rolled Over Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% With Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Vehicle Foam With Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover |
|---|---|---|---|---|---|---|
| Week 4 | 36 | 6 | 20 | 8 | 137 | 5 |
| Week 12 | 35 | 7 | 25 | 11 | 172 | 5 |
| Week 24 | 31 | 10 | 24 | 11 | 177 | 3 |
| Week 36 | 0 | 0 | 0 | 0 | 37 | 0 |
| Week 52 | 0 | 0 | 1 | 1 | 35 | 0 |
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.
| weeks | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 1 Group 1: ARQ 154-203 Vehicle Foam Rolled Over Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% With Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Vehicle Foam With Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover |
|---|---|---|---|---|---|---|
| Duration of IGA Success | 18.786 (0.14 to 32.29) | 12.143 (0.14 to 22.29) | 7.714 (0.14 to 30.43) | 13.143 (0.14 to 31.86) | 19.00 (0.14 to 50.14) | 10.00 (3.57 to 23.71) |
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.
| weeks | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 1 Group 1: ARQ 154-203 Vehicle Foam Rolled Over Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% With Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Vehicle Foam With Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover |
|---|---|---|---|---|---|---|
| IGA Treatment-Free Interval | 19.143 (0.57 to 24.00) | 11.766 (2.57 to 24.43) | 11.929 (1.14 to 22.14) | 14.143 (2.43 to 22.00) | 12.143 (0.29 to 49.14) | 20.143 (8.143 to 23.14) |
Collected over Up to 52 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | 0/75 (0%) | 2/75 (2.7%) | 3/75 (4%) |
| Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | 0/58 (0%) | 0/58 (0%) | 4/58 (6.9%) |
| Cohort 2 Group 4: De Novo Participants | 1/267 (0.4%) | 5/267 (1.9%) | 11/267 (4.1%) |
| Cohort 1 Group 2: ARQ-154-116 Rollover | 0/8 (0%) | 0/8 (0%) | 6/8 (75%) |
| Event | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover |
|---|---|---|---|---|
| Small intestinal obstructionGastrointestinal disorders | 1/75 | 0/58 | 0/267 | 0/8 |
| Cerebrovascular accidentNervous system disorders | 1/75 | 0/58 | 0/267 | 0/8 |
| Abdominal painGastrointestinal disorders | 0/75 | 0/58 | 1/267 | 0/8 |
| Performance status decreasedGeneral disorders | 0/75 | 0/58 | 1/267 | 0/8 |
| COVID-19 pneumoniaInfections and infestations | 0/75 | 0/58 | 1/267 | 0/8 |
| Brain neoplasm malignantNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/75 | 0/58 | 1/267 | 0/8 |
| HypertensionVascular disorders | 0/75 | 0/58 | 1/267 | 0/8 |
| Event | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover |
|---|---|---|---|---|
| Weight decreasedInvestigations | 0/75 | 0/58 | 0/267 | 1/8 |
| TicPsychiatric disorders | 0/75 | 0/58 | 0/267 | 1/8 |
| DyspepsiaGastrointestinal disorders | 0/75 | 0/58 | 0/267 | 1/8 |
| Application site alopeciaGeneral disorders | 0/75 | 0/58 | 0/267 | 1/8 |
| Transaminases increasedInvestigations | 0/75 | 0/58 | 0/267 | 1/8 |
| Pyogenic granulomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/75 | 0/58 | 0/267 | 1/8 |
| Urinary tract infectionInfections and infestations | 0/75 | 4/58 | 3/267 | 0/8 |
| COVID-19Infections and infestations | 3/75 | 3/58 | 9/267 | 0/8 |
Efficacy data were not summarized for participants from Cohort 1 Group 2.
| Age, Continuous(years) | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 1 Group 1: ARQ 154-203 Vehicle Foam Rolled Over Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% With Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Vehicle Foam With Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover | Total |
|---|---|---|---|---|---|---|---|
| Mean | 44.5 ± 15.99 | 41.0 ± 15.53 | 46.7 ± 17.20 | 48.8 ± 14.99 | 42.4 ± 16.45 | 13.5 ± 2.1 | 42.8 ± 16.8 |
| Sex: Female, Male(Participants) | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 1 Group 1: ARQ 154-203 Vehicle Foam Rolled Over Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% With Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Vehicle Foam With Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover | Total |
|---|---|---|---|---|---|---|---|
| Female | 27 | 9 | 21 | 8 | 138 | 4 | 207 |
| Male | 25 | 14 | 20 | 9 | 129 | 4 | 201 |
| Ethnicity (NIH/OMB)(Participants) | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 1 Group 1: ARQ 154-203 Vehicle Foam Rolled Over Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% With Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Vehicle Foam With Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover | Total |
|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 11 | 10 | 8 | 0 | 86 | 6 | 121 |
| Not Hispanic or Latino | 41 | 13 | 33 | 17 | 179 | 2 | 285 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 2 | 0 | 2 |
| Race/Ethnicity, Customized(Participants) | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 1 Group 1: ARQ 154-203 Vehicle Foam Rolled Over Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% With Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Vehicle Foam With Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover | Total |
|---|---|---|---|---|---|---|---|
| Asian | 3 | 0 | 1 | 0 | 13 | 1 | 18 |
| Black or African-American | 5 | 2 | 4 | 2 | 38 | 0 | 51 |
| Native Hawaii or Other Pacific Islander | 0 | 0 | 0 | 0 | 1 | 0 | 1 |
| White | 42 | 19 | 36 | 15 | 207 | 6 | 325 |
| Other | 0 | 2 | 0 | 0 | 4 | 0 | 6 |
| More than one race | 2 | 0 | 0 | 0 | 1 | 1 | 4 |
| Missing | 0 | 0 | 0 | 0 | 3 | 0 | 3 |
| Investigator Global Assessment (IGA) Baseline Score(Participants) | Cohort 1 Group 1: ARQ-154-203 Roflumilast Foam 0.3% Without Treatment Gap | Cohort 1 Group 1: ARQ 154-203 Vehicle Foam Rolled Over Without Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Roflumilast Foam 0.3% With Treatment Gap | Cohort 2 Group 3: ARQ-154-203 Vehicle Foam With Treatment Gap | Cohort 2 Group 4: De Novo Participants | Cohort 1 Group 2: ARQ-154-116 Rollover | Total |
|---|---|---|---|---|---|---|---|
| 0 - Completely clear | 0 | 2 | 0 | 0 | 0 | 0 | 2 |
| 1 = Almost clear | 0 | 7 | 0 | 2 | 0 | 0 | 9 |
| 2 = Mild | 0 | 2 | 0 | 2 | 0 | 0 | 4 |
| 3 = Moderate | 44 | 11 | 38 | 13 | 235 | 5 | 346 |
| 4 = Severe | 8 | 1 | 3 | 0 | 32 | 3 | 47 |
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Arcutis Biotherapeutics, Inc.