ClinicalTrials.gg
RecruitingNCT07453602Updated Oct 23, 2026

Ph 1a/1b Single Ascending Dose and Multiple Ascending Dose Study of ARQ-234

A Phase 1 interventional study of ARQ-234 and Placebo in Atopic Dermatitis (AD) and Eczema, sponsored by Arcutis Biotherapeutics, Inc.. Recruiting at 7 sites in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by Arcutis Biotherapeutics, Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 8 months later.
Updated Oct 23, 20262 sites addedGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
125
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a first-in-human, Phase 1, double-blind, randomized, placebo-controlled, dose-escalation study evaluating ARQ-234. The study is designed to assess the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of ARQ-234 in two populations: healthy volunteers and participants with moderate to severe atopic dermatitis (AD). Healthy volunteers will participate in Single Ascending Dose (SAD) Cohorts 1-5. Participants with moderate to severe AD will be enrolled in SAD Cohorts 6-7, Multiple Ascending Dose (MAD) Cohorts, and a Proof-of-Concept (POC) expansion cohort.

Read the detailed description

The study consists of 3 parts with staggered initiation:

  • Part A - Phase 1a SAD: ARQ-234 will be assessed in single ascending dose cohorts in healthy volunteer participants and participants with atopic dermatitis.
  • Part B - Phase 1b MAD: ARQ-234 will be assessed in multiple ascending cohorts in participants with atopic dermatitis.
  • Part C - Phase 1b POC Expansion: ARQ-234 will be assessed in participants with atopic dermatitis.
02

Conditions studied

  • Atopic Dermatitis (AD)
  • Eczema

Keywords

  • ARQ-234
03

In context

Dermatitis, Atopic

1,591 studies on the registry are indexed under Dermatitis, Atopic; 286 are open to participants now.

This study's planned enrollment of 125 is above the median of 82 across 1,246 interventional studies indexed under Dermatitis, Atopic.

Browse Dermatitis, Atopic studies →

Lead sponsor

Arcutis Biotherapeutics, Inc. is the lead sponsor of 26 studies on the registry; 2 are open to participants now.

Of its 24 completed or terminated interventional studies of FDA-regulated products, 20 (83%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Able and willing to provide written .
  • Adults 18-65 years (inclusive) at consent.
  • Generally healthy at screening/baseline (no findings on medical history, exam, vitals, , or safety labs, per investigator).
  • requirements: Females of : negative pregnancy tests at screening and baseline and agree to use highly effective contraception (plus barrier method) during the study and for 4 months after last dose. Males if sexually active with a pregnant partner or a female of childbearing potential, agree to condom use during the study and for 4 months after last dose.
  • Body weight by study part: Part A (SAD) \& Part B (MAD): 50-100 kg (inclusive), Part C (POC): 50-125 kg (inclusive)

Inclusion Criteria for atopic dermatitis (AD) Participants (Parts A Cohorts 6-7, Part B, Part C):

  • Diagnosis of moderate-to-severe atopic dermatitis for ≥ 6 months prior to screening.
  • Meets minimum disease severity at baseline: Part A Cohorts 6-7: BSA ≥7%, vIGA-AD 3-4, EASI ≥10 at Baseline, Parts B and C: BSA ≥10%, vIGA-AD 3-4, EASI ≥16 at Baseline.
  • Inadequate response, intolerance, or medical inappropriateness of topical AD therapies (and/or prior systemic AD therapy failure within the last year may qualify as inadequate response).

Exclusion criteria

Exclusion Criteria (All Participants):

  • Any medical or psychiatric condition that could increase risk, interfere with participation, or confound results (per investigator).
  • Significant renal impairment or clinically significant hepatic impairment (per protocol/part-specific definitions).
  • Clinically significant cytopenias or clinically significant abnormal liver tests at screening (per protocol).
  • History of anaphylaxis/serious (including significant hypersensitivity to local anesthetics).
  • History of attempted suicide or significant current risk, per investigator).
  • Chronic or significant infection history or positive screening tests for , , , or tuberculosis (including positive QuantiFERON or history of active/latent TB).
  • Known/suspected or history of invasive opportunistic infections or unusually frequent/recurrent/prolonged infections (per investigator).
  • Recent herpes zoster that poses risk or may affect interpretation (per investigator).
  • within 5 years prior to screening
  • Positive urine drug screen at screening (Part A/Part B only) or drug/alcohol abuse within 12 months, or other condition likely to impair compliance (per investigator).
  • Unable to discontinue prohibited medications/treatments per protocol.
  • Major surgery within 4 weeks prior to baseline or planned during participation.
  • Participation in another trial or receipt of product within 12 weeks (or 5 half-lives, whichever longer) before baseline.
  • Prior cell-depleting therapy (e.g., rituximab) within 6 months prior to baseline (or until lymphocytes normalize, whichever longer).
  • Blood products within 4 weeks prior to baseline or planned during participation.
  • Live (attenuated) vaccines within 28 days prior to baseline or planned during the study.
  • Pregnant or breastfeeding, or planning pregnancy during the study or within 4 months after last dose.
  • Known/suspected allergy to ARQ-234 or its .
  • Unable to communicate/understand the local language or otherwise unsuitable per investigator.
  • Family member of study staff or sponsor.

Exclusion Criteria for atopic dermatitis (AD) Participants (Parts A Cohorts 6-7, Part B, Part C):

  • Skin disease(s) other than AD that would interfere with assessments.
  • Active systemic/local infection, including actively infected AD, or infection requiring oral/IV antimicrobials within 14 days before baseline.
  • Phototherapy/tanning bed use within 4 weeks prior to baseline.
  • Biologic therapy for AD within 3 months or 5 half-lives (whichever longer) prior to baseline.
  • Expected need for rescue therapy for AD within the first 2 weeks after baseline.
  • History of eczema herpeticum within 12 months or ≥2 prior episodes.
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
125 participants (estimated)

Study arms

  • Experimental
    ARQ-234

    Biological: ARQ-234

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • BiologicalARQ-234

    ARQ-234 subcutaneous injectable solution

  • DrugPlacebo

    Placebo subcutaneous injectable solution

06

What researchers measure

Primary outcomes

  1. Number and percentage of participants who experience an adverse event (AE) or serious adverse event (SAE)

    Time frame: From screening to the last follow up visit for each study part (Part A: 16 weeks, Part B: 30 weeks, Part C: 30 weeks)

  2. Percent change from Baseline in the Eczema Area and Severity Index (EASI) score, a validated measure of disease severity in atopic dermatitis.

    Time frame: From Baseline to Week 16

Secondary outcomes

  1. Serum concentrations of study drug to characterize the pharmacokinetic (PK) profile

    Time frame: From Baseline to Week 16

  2. Percentage of participants achieving at least a 50% improvement from baseline in EASI total score (EASI-50)

    Time frame: From Baseline to Week 16

  3. Percentage of participants achieving at least a 75% improvement from baseline in EASI total score (EASI-75)

    Time frame: From Baseline to Week 16

  4. Absolute change and percent change from baseline in the percentage of body surface area affected by atopic dermatitis

    Time frame: From Baseline to Week 16

  5. Absolute change and percent change from baseline in itch severity as measured by the Itch Numeric Rating Scale

    Time frame: From Baseline to Week 16

  6. Absolute change and percent change from baseline in SCORing Atopic Dermatitis (SCORAD) score

    Time frame: From Baseline to Week 16

  7. Percentage of participants achieving at least a 50% improvement from baseline in SCORAD total score

    Time frame: From Baseline to Week 16

  8. Percentage of participants achieving at least a 75% improvement from baseline in SCORAD score

    Time frame: From Baseline to Week 16

  9. Absolute change and percent change from baseline in Patient-Oriented Eczema Measure (POEM) score

    Time frame: From Baseline to Week 16

  10. Percentage of participants achieving a Validated Investigator's Global Assessment (vIGA-AD) score of 0 (Clear) or 1 (Almost Clear) with at least a 2-grade improvement from baseline

    Time frame: From Baseline to Week 16

  11. Percentage of participants with a vIGA-AD score of 0 (Clear)

    Time frame: From Baseline to Week 16

07

Study locations

7 of 7 sites recruiting
  • Clinical Site 112
    Miami, Florida 33126, United States
    Recruiting
  • Clinical Site 110
    Miami, Florida 33174, United States
    Recruiting
  • Clinical Site 106
    Plainfield, Indiana 46168, United States
    Recruiting
  • Clinical Site 101
    Fair Lawn, New Jersey 07410, United States
    Recruiting
  • Clinical Site 102
    College Station, Texas 77845, United States
    Recruiting
  • Clinical Site 104
    San Antonio, Texas 78213, United States
    Recruiting
  • Clinical Site 109
    South Jordan, Utah 84095, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Sites
2 sites added
Show 2 added (2 United States)
  • Clinical Site 110 · Miami, United States
  • Clinical Site 112 · Miami, United States
across 2 updates, Sep 29, 2026 – Oct 23, 2026
Show all 2 updates
  1. Oct 23, 2026
    1 site added
    Show site
    • Clinical Site 112 · Miami, United States
    + 1 other change: verification date
  2. Sep 29, 2026
    1 site added
    Show site
    • Clinical Site 110 · Miami, United States

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07453602
Responsible party
Sponsor
First posted
Mar 6, 2026
Start date
Mar 2, 2026
Primary completion
Apr 2028 (estimated)
Completion
Apr 2028 (estimated)
Last update
Oct 23, 2026

Study contacts

Arcutis Medical Information
Contact
medinfo@arcutis.com
1-844-692-6729
David Berk, MD
study director · Arcutis Biotherapeutics

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion