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Safety and Efficacy of ARQ-154 Foam in Subjects With Seborrheic Dermatitis

Primary Purpose

Seborrheic Dermatitis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Roflumilast Foam 0.3%
Vehicle foam
Sponsored by
Arcutis Biotherapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Seborrheic Dermatitis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Participants legally competent to sign and give informed consent.
  2. Males and females ages 18 years and older (inclusive) at the time of consent.
  3. Clinical diagnosis of seborrheic dermatitis of at least 3 months duration as determined by the Investigator. Stable disease for the past 4 weeks.
  4. Seborrheic dermatitis of the scalp and/or face and/or trunk and/or intertriginous areas
  5. An Investigator Global Assessment (IGA) of disease severity of at least Moderate ('3') at Baseline.
  6. Overall Assessment of Erythema and Overall Assessment of Scaling scores of at least Moderate ('2') at Baseline.
  7. Females of childbearing potential (FOCBP) must have a negative serum pregnancy test at Screening (Visit 1) and a negative urine pregnancy test at Baseline (Visit 2).
  8. Females of non-childbearing potential must either be post-menopausal with spontaneous amenorrhea for at least 12 months or have undergone surgical sterilization.
  9. Subjects in good health as judged by the Investigator, based on medical history, physical examination, vital signs, serum chemistry labs, hematology values, and urinalysis.
  10. Subjects are considered reliable and capable of adhering to the Protocol and visit schedule according to the Investigator judgment.

Exclusion Criteria:

  1. Subjects who cannot discontinue treatment with therapies for the treatment of seborrheic dermatitis prior to the Baseline visit and during the study according to Excluded Medications and Treatments
  2. Planned excessive exposure of treated area(s) to either natural or artificial sunlight, tanning bed or other LED
  3. 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 for two weeks prior to the Baseline visit (Visit 2) and during the study
  4. Subjects who cannot discontinue the use of strong P-450 cytochrome inducers e.g., efavirenz, nevirapine, glucocorticoids, barbiturates (including phenobarbital), phenytoin, rifampin, and carbamazepine for two weeks prior to the Baseline visit (Visit 2) and during the study.
  5. Subjects with PHQ-8 >10 at Screening or Baseline visits.
  6. Previous treatment with ARQ-151 and ARQ-154.
  7. Subjects who have received oral roflumilast (Daliresp®, Daxas®) or other PDE-4 inhibitors (apremilast) within the past 4 weeks
  8. Known allergies to excipients in ARQ-154 foam
  9. Known or suspected:

    • severe renal insufficiency or moderate to severe hepatic disorders
    • hypersensitivity to component(s) of the investigational products
    • history of severe depression, suicidal ideation, or Baseline/Screening C-SSRS indicative of suicidal ideation, whether lifetime or recent/current
  10. Subjects with a history of a major surgery within 8 weeks prior to Baseline (Visit 2) or has a major surgery planned during the study
  11. Subjects with any condition on the treatment area which, in the opinion of the Investigator, could confound efficacy measurements.
  12. Subjects unable to apply product to the scalp due to physical limitations.
  13. Females who are pregnant, wishing to become pregnant during the study, or are breast-feeding.
  14. A clinically relevant history of abuse of alcohol or other drugs, at the discretion of the Investigator.
  15. 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.
  16. Subjects who are family members of the clinical study site, clinical study staff, or sponsor, or family members of enrolled subjects.
  17. Any condition that in the Investigator's assessment would preclude the subject from participating in the study.

Sites / Locations

  • Arcutis Biotherapeutics Clinical Site 19
  • Arcutis Biotherapeutics Clinical Site 21
  • Arcutis Biotherapeutics Clinical Site 42
  • Arcutis Biotherapeutics Clinical Site 24
  • Arcutis Biotherapeutics Clinical Site 12
  • Arcutis Biotherapeutics Clinical Site 10
  • Arcutis Biotherapeutics Clinical Site 22
  • Arcutis Biotherapeutics Clinical Site 15
  • Arcutis Biotherapeutics Clinical Site 28
  • Arcutis Biotherapeutics Clinical Site 40
  • Arcutis Biotherapeutics Clinical Site 20
  • Arcutis Biotherapeutics Clinical Site 14
  • Arcutis Biotherapeutics Clinical Site 23
  • Arcutis Biotherapeutics Clinical Site 18
  • Arcutis Biotherapeutics Clinical Site 29
  • Arcutis Biotherapeutics Clinical Site 27
  • Arcutis Biotherapeutics Clinical Site 13
  • Arcutis Biotherapeutics Clinical Site 11
  • Arcutis Biotherapeutics Clinical Site 41
  • Arcutis Biotherapeutics Clinical Site 25
  • Arcutis Biotherapeutics Clinical Site 26
  • Arcutis Biotherapeutics Clinical Site 17
  • Arcutis Biotherapeutics Clinical Site 31
  • Arcutis Biotherapeutics Clinical Site 30

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Roflumilast Foam 0.3%

Vehicle Foam

Arm Description

Participants apply roflumilast foam 0.3% once daily (QD) to all areas of seborrheic dermatitis once daily for 8 weeks.

Participants apply inactive vehicle foam matched to roflumilast foam QD for 8 weeks.

Outcomes

Primary Outcome Measures

Achievement of Investigator Global Assessment (IGA) Success at Week 8
The number of participants achieving "success" in IGA assessment of disease severity at Week 8 is presented for each arm. Success was defined as achievement of an IGA score of 0 ('completely clear') or 1 ('almost clear'), accompanied by a ≥2-grade improvement from baseline IGA score. The IGA is 5-point scale assessing the severity of Seborrheic Dermatitis, with scores ranging from 0 ('completely clear') to 4 ('severe'), and higher scores indicate greater severity. The IGA scores are based on observed data, whereas odds ratio and p-values were calculated using multiple imputation of missing values.

Secondary Outcome Measures

Achievement of IGA Success at Weeks 2 and 4
The number of participants achieving "success" in IGA assessment of disease severity at Weeks 2 and 4 is presented for each arm. Success was defined as achievement of an IGA score of 0 ('completely clear') or 1 ('almost clear'), accompanied by a ≥2-grade improvement from baseline IGA score. The IGA is 5-point scale assessing the severity of Seborrheic Dermatitis, with scores ranging from 0 ('completely clear') to 4 ('severe'), and higher scores indicate greater severity. The IGA scores are based on observed data, whereas odds ratio and p-values were calculated using multiple imputation of missing values.
Change From Baseline in Overall Assessment of Erythema Score
The mean (SD) change from baseline in Overall Assessment of Erythema score at Weeks 2, 4, and 8 is shown. The Erythema Assessment is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("None: no evidence of erythema.") to 3 ("Severe: Intense [fiery red] erythema."). Higher scores indicate greater severity.
Achievement of Overall Assessment of Erythema Success
The number of participants achieving "success" in Overall Assessment of Erythema at Weeks 2, 4, and 8 is presented for each arm. Success was defined as achievement of an overall score of 0 or 1 plus a ≥2 grade improvement from Baseline. The Overall Assessment of Erythema is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("None: no evidence of erythema.") to 3 ("Severe: Intense [fiery red] erythema."). Higher scores indicate greater severity.
Change From Baseline in Overall Assessment of Scaling Score
The mean (SD) change from baseline in Overall Assessment of Scaling score at Weeks 2, 4, and 8 is shown. The Overall Assessment of Scaling is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("No scaling: No scaling evident on lesions.") to 3 ("Severe: Coarse, thick scales, with flaking into clothes or skin."). Higher scores indicate greater severity.
Achievement of Overall Assessment of Scaling Success
The number of participants achieving "success" in Overall Assessment of Scaling score at Weeks 2, 4, and 8 is presented for each arm. Success was defined as achievement of an Overall Assessment of Scaling score of 0 or 1 plus a ≥2 grade improvement from Baseline. The Overall Assessment of Scaling is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("No scaling: No scaling evident on lesions.") to 3 ("Severe: Coarse, thick scales, with flaking into clothes or skin."). Higher scores indicate greater severity.
Change From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) Score
The change from baseline in WI-NRS is shown. The WI-NRS is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("no itch") to 10 ("worst imaginable itch") the subject experienced in the previous 24 hours. Negative values represent a decrease in worst itch from baseline, and positive values indicate an increase.
Achievement of WI-NRS Success
The number of participants achieving WI-NRS "success" at Weeks 2, 4, and 8 is presented. Success was defined as achievement of a ≥4-point improvement from baseline WI-NRS score. The WI-NRS is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("no itch") to 10 ("worst imaginable itch") the subject experienced in the previous 24 hours.

Full Information

First Posted
September 13, 2019
Last Updated
June 12, 2023
Sponsor
Arcutis Biotherapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04091646
Brief Title
Safety and Efficacy of ARQ-154 Foam in Subjects With Seborrheic Dermatitis
Official Title
A Phase 2b, 8-Week, Parallel Group, Double Blind, Vehicle-Controlled Study of the Safety and Efficacy of ARQ-154 Foam 0.3% Administered QD in Subjects With Seborrheic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
December 4, 2019 (Actual)
Primary Completion Date
August 18, 2020 (Actual)
Study Completion Date
August 21, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Arcutis Biotherapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This was a parallel group, double blind, vehicle-controlled study assessed the safety and efficacy of roflumilast foam (ARQ-154) vs placebo foam in participants with seborrheic dermatitis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Seborrheic Dermatitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
226 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Roflumilast Foam 0.3%
Arm Type
Active Comparator
Arm Description
Participants apply roflumilast foam 0.3% once daily (QD) to all areas of seborrheic dermatitis once daily for 8 weeks.
Arm Title
Vehicle Foam
Arm Type
Placebo Comparator
Arm Description
Participants apply inactive vehicle foam matched to roflumilast foam QD for 8 weeks.
Intervention Type
Drug
Intervention Name(s)
Roflumilast Foam 0.3%
Other Intervention Name(s)
ARQ-154
Intervention Description
Roflumilast foam for topical application.
Intervention Type
Drug
Intervention Name(s)
Vehicle foam
Other Intervention Name(s)
Placebo
Intervention Description
Vehicle foam for topical application.
Primary Outcome Measure Information:
Title
Achievement of Investigator Global Assessment (IGA) Success at Week 8
Description
The number of participants achieving "success" in IGA assessment of disease severity at Week 8 is presented for each arm. Success was defined as achievement of an IGA score of 0 ('completely clear') or 1 ('almost clear'), accompanied by a ≥2-grade improvement from baseline IGA score. The IGA is 5-point scale assessing the severity of Seborrheic Dermatitis, with scores ranging from 0 ('completely clear') to 4 ('severe'), and higher scores indicate greater severity. The IGA scores are based on observed data, whereas odds ratio and p-values were calculated using multiple imputation of missing values.
Time Frame
Week 8
Secondary Outcome Measure Information:
Title
Achievement of IGA Success at Weeks 2 and 4
Description
The number of participants achieving "success" in IGA assessment of disease severity at Weeks 2 and 4 is presented for each arm. Success was defined as achievement of an IGA score of 0 ('completely clear') or 1 ('almost clear'), accompanied by a ≥2-grade improvement from baseline IGA score. The IGA is 5-point scale assessing the severity of Seborrheic Dermatitis, with scores ranging from 0 ('completely clear') to 4 ('severe'), and higher scores indicate greater severity. The IGA scores are based on observed data, whereas odds ratio and p-values were calculated using multiple imputation of missing values.
Time Frame
Weeks 2 and 4
Title
Change From Baseline in Overall Assessment of Erythema Score
Description
The mean (SD) change from baseline in Overall Assessment of Erythema score at Weeks 2, 4, and 8 is shown. The Erythema Assessment is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("None: no evidence of erythema.") to 3 ("Severe: Intense [fiery red] erythema."). Higher scores indicate greater severity.
Time Frame
Weeks 2, 4, and 8
Title
Achievement of Overall Assessment of Erythema Success
Description
The number of participants achieving "success" in Overall Assessment of Erythema at Weeks 2, 4, and 8 is presented for each arm. Success was defined as achievement of an overall score of 0 or 1 plus a ≥2 grade improvement from Baseline. The Overall Assessment of Erythema is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("None: no evidence of erythema.") to 3 ("Severe: Intense [fiery red] erythema."). Higher scores indicate greater severity.
Time Frame
Weeks 2, 4, and 8
Title
Change From Baseline in Overall Assessment of Scaling Score
Description
The mean (SD) change from baseline in Overall Assessment of Scaling score at Weeks 2, 4, and 8 is shown. The Overall Assessment of Scaling is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("No scaling: No scaling evident on lesions.") to 3 ("Severe: Coarse, thick scales, with flaking into clothes or skin."). Higher scores indicate greater severity.
Time Frame
Weeks 2, 4, and 8
Title
Achievement of Overall Assessment of Scaling Success
Description
The number of participants achieving "success" in Overall Assessment of Scaling score at Weeks 2, 4, and 8 is presented for each arm. Success was defined as achievement of an Overall Assessment of Scaling score of 0 or 1 plus a ≥2 grade improvement from Baseline. The Overall Assessment of Scaling is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("No scaling: No scaling evident on lesions.") to 3 ("Severe: Coarse, thick scales, with flaking into clothes or skin."). Higher scores indicate greater severity.
Time Frame
Weeks 2, 4, and 8
Title
Change From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) Score
Description
The change from baseline in WI-NRS is shown. The WI-NRS is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("no itch") to 10 ("worst imaginable itch") the subject experienced in the previous 24 hours. Negative values represent a decrease in worst itch from baseline, and positive values indicate an increase.
Time Frame
Weeks 2, 4, and 8
Title
Achievement of WI-NRS Success
Description
The number of participants achieving WI-NRS "success" at Weeks 2, 4, and 8 is presented. Success was defined as achievement of a ≥4-point improvement from baseline WI-NRS score. The WI-NRS is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("no itch") to 10 ("worst imaginable itch") the subject experienced in the previous 24 hours.
Time Frame
Weeks 2, 4, and 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants legally competent to sign and give informed consent. Males and females ages 18 years and older (inclusive) at the time of consent. 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. An Investigator Global Assessment (IGA) of disease severity of at least Moderate ('3') at Baseline. Overall Assessment of Erythema and Overall Assessment of Scaling scores of at least Moderate ('2') at Baseline. Females of childbearing potential (FOCBP) must have a negative serum pregnancy test at Screening (Visit 1) and a negative urine pregnancy test at Baseline (Visit 2). Females of non-childbearing potential must either be post-menopausal with spontaneous amenorrhea for at least 12 months or have undergone surgical sterilization. Subjects in good health as judged by the Investigator, based on medical history, physical examination, vital signs, serum chemistry labs, hematology values, and urinalysis. Subjects are considered reliable and capable of adhering to the Protocol and visit schedule according to the Investigator judgment. Exclusion Criteria: Subjects who cannot discontinue treatment with therapies for the treatment of seborrheic dermatitis prior to the Baseline visit and during the study according to Excluded Medications and Treatments. Planned excessive exposure of treated area(s) to either natural or artificial sunlight, tanning bed or other LED. 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 for two weeks prior to the Baseline visit (Visit 2) and during the study. Subjects who cannot discontinue the use of strong P-450 cytochrome inducers e.g., efavirenz, nevirapine, glucocorticoids, barbiturates (including phenobarbital), phenytoin, rifampin, and carbamazepine for two weeks prior to the Baseline visit (Visit 2) and during the study. Subjects with PHQ-8 ≥10 at Screening or Baseline visits. Previous treatment with ARQ-151 and ARQ-154. Subjects who have received oral roflumilast (Daliresp®, Daxas®) or other PDE-4 inhibitors (apremilast) within the past 4 weeks. Known allergies to excipients in ARQ-154 foam. Known or suspected: severe renal insufficiency or moderate to severe hepatic disorders; hypersensitivity to component(s) of the investigational products; or history of severe depression, suicidal ideation, or Baseline/Screening C-SSRS indicative of suicidal ideation, whether lifetime or recent/current. Subjects with a history of a major surgery within 8 weeks prior to Baseline (Visit 2) or has a major surgery planned during the study. Subjects with any condition on the treatment area which, in the opinion of the Investigator, could confound efficacy measurements. Subjects unable to apply product to the scalp due to physical limitations. Females who are pregnant, wishing to become pregnant during the study, or are breast-feeding. A clinically relevant history of abuse of alcohol or other drugs, at the discretion of the Investigator. 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 of enrolled subjects. Any condition that in the Investigator's assessment would preclude the subject from participating in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Berk, MD
Organizational Affiliation
Arcutis Biotherapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Arcutis Biotherapeutics Clinical Site 19
City
Fremont
State/Province
California
ZIP/Postal Code
94538
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 21
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 42
City
Coral Gables
State/Province
Florida
ZIP/Postal Code
33134
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 24
City
Miami
State/Province
Florida
ZIP/Postal Code
33144
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 12
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 10
City
Rolling Meadows
State/Province
Illinois
ZIP/Postal Code
60008
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 22
City
Plainfield
State/Province
Indiana
ZIP/Postal Code
46168
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 15
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40217
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 28
City
Rockville
State/Province
Maryland
ZIP/Postal Code
20850
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 40
City
Clinton Township
State/Province
Michigan
ZIP/Postal Code
48038
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 20
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 14
City
Fridley
State/Province
Minnesota
ZIP/Postal Code
55432
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 23
City
High Point
State/Province
North Carolina
ZIP/Postal Code
27262
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 18
City
Bexley
State/Province
Ohio
ZIP/Postal Code
43209
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 29
City
Portland
State/Province
Oregon
ZIP/Postal Code
97210
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 27
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 13
City
Arlington
State/Province
Texas
ZIP/Postal Code
76011
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 11
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 41
City
College Station
State/Province
Texas
ZIP/Postal Code
77845
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 25
City
Houston
State/Province
Texas
ZIP/Postal Code
77056
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 26
City
Pflugerville
State/Province
Texas
ZIP/Postal Code
78660
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 17
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 31
City
Markham
State/Province
Ontario
ZIP/Postal Code
L3P 1X2
Country
Canada
Facility Name
Arcutis Biotherapeutics Clinical Site 30
City
Windsor
State/Province
Ontario
ZIP/Postal Code
N8W 1E6
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety and Efficacy of ARQ-154 Foam in Subjects With Seborrheic Dermatitis

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