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Long-Term Safety of ARQ-154 Foam in Subjects With Seborrheic Dermatitis

Primary Purpose

Seborrheic Dermatitis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
ARQ-154
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

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

Inclusion Criteria:

  1. Participants legally competent to sign and give informed consent or (for adolescents) assent.
  2. Males and females ages 9 years and older (inclusive) at the time of consent.
  3. Females of childbearing potential (FOCBP) must have a negative serum pregnancy test at all study visits.
  4. Post-menopausal women with spontaneous amenorrhea for at least 12 months or have undergone surgical sterilization.

    Cohort 1 only:

  5. 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:

  6. Clinical diagnosis of seborrheic dermatitis of at least 3 months duration as determined by the Investigator. Stable disease for the past 4 weeks.
  7. Seborrheic dermatitis of the scalp and/or face and/or trunk and/or intertriginous areas up to ≤20% BSA involvement.
  8. An Investigator Global Assessment (IGA) of disease severity of at least Moderate ('3') at Day 1.
  9. 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:

  10. Clinical diagnosis of seborrheic dermatitis of at least 3 months duration as determined by the Investigator.
  11. Seborrheic dermatitis of the scalp and/or face and/or trunk and/or intertriginous areas up to ≤20% BSA involvement.

Exclusion Criteria:

  1. Planned excessive exposure of treated area(s) to either natural or artificial sunlight, tanning bed or other LED.
  2. Subjects with any condition on the treatment area which, in the opinion of the Investigator, could confound efficacy measurements.
  3. Subjects unable to apply investigational product to the scalp due to physical limitation.
  4. Known allergies to excipients in ARQ-154 foam.
  5. 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.
  6. 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.
  7. Females who are pregnant, wishing to become pregnant during the study, or are breast-feeding.
  8. 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.
  9. Subjects with a history of chronic alcohol or drugs abuse within 6 months of initiation of investigational product.
  10. 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.
  11. 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.
  12. 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:

  13. 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.
  14. Subjects that use any Excluded Medication and Treatments.

    Cohort 2 only:

  15. 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.
  16. 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:

  17. 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.

Sites / Locations

  • Arcutis Biotherapeutics Clinical Site 59
  • Arcutis Biotherapeutics Clinical Site 51
  • Arcutis Biotherapeutics Clinical Site 75
  • Arcutis Biotherapeutics Clinical Site 19
  • Arcutis Biotherapeutics Clinical Site 62
  • Arcutis Biotherapeutics Clinical Site 64
  • Arcutis Biotherapeutics Clinical Site 21
  • Arcutis Biotherapeutics Clinical Site 53
  • Arcutis Biotherapeutics Clinical Site 42
  • Arcutis Biotherapeutics Clinical Site 57
  • Arcutis Biotherapeutics Clinical Site 24
  • Arcutis Biotherapeutics Clinical Site 65
  • Arcutis Biotherapeutics Clinical Site 12
  • Arcutis Biotherapeutics Clinical Site 10
  • Arcutis Biotherapeutics Clinical Site 22
  • Arcutis Biotherapeutics Clinical Site 15
  • Arcutis Biotherapeutics Clinical Site 52
  • Arcutis Biotherapeutics Clinical Site 28
  • Arcutis Biotherapeutics Clinical Site 73
  • Arcutis Biotherapeutics Clinical Site 40
  • Arcutis Biotherapeutics Clinical Site 20
  • Arcutis Biotherapeutics Clinical Site 58
  • Arcutis Biotherapeutics Clinical Site 14
  • Arcutis Biotherapeutics Clinical Site 50
  • Arcutis Biotherapeutics Clinical Site 56
  • Arcutis Biotherapeutics Clinical Site 63
  • Arcutis Biotherapeutics Clinical Site 55
  • Arcutis Biotherapeutics Clinical Site 23
  • Arcutis Biotherapeutics Clinical Site 18
  • Arcutis Biotherapeutics Clinical Site 29
  • Arcutis Biotherapeutics Clinical Site 27
  • Arcutis Biotherapeutics Clinical Site 76
  • 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 54
  • Arcutis Biotherapeutics Clinical Site 17

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Long-term safety of ARQ-154

Arm Description

Open-label, Long-term Safety of ARQ-154

Outcomes

Primary Outcome Measures

Treatment Emergent Adverse Events
Occurrence of treatment emergent adverse events
Serious Adverse Events
Occurrence of treatment serious adverse events

Secondary Outcome Measures

Investigator Global Assessment
Achievement of an IGA score of 'completely clear' or 'almost clear' as observed over time. This global assessment scale has five severity grades reported from 0-4 and defined as Clear (0), Almost Clear (1), Mild (2), Moderate (3), Severe (4).
Investigator Global Assessment
A 2-grade improvement in IGA from Baseline as observed over time. This global assessment scale has five severity grades reported from 0-4 and defined as Clear (0), Almost Clear (1), Mild (2), Moderate (3), Severe (4).
Investigator Global Assessment
Achievement of an IGA score of 'completely clear' or 'almost clear' plus a 2-grade improvement in IGA from baseline as observed at Week 12, Week 24. This global assessment scale has five severity grades reported from 0-4 and defined as Clear (0), Almost Clear (1), Mild (2), Moderate (3), Severe (4).
Duration of Response
Duration of IGA Success, defined as the time from the first observation of IGA Success to the last time a subject's disease response meets the criteria for IGA Success. The duration of IGA Success for subjects who end treatment in IGA Success will be censored at the last disease assessment date.
Treatment Free Interval
Treatment-free interval, defined among subjects who achieve a 'completely clear' IGA and stop treatment to all lesions, as the time from attainment of a score of 'clear' to re-starting study drug.

Full Information

First Posted
June 22, 2020
Last Updated
October 17, 2023
Sponsor
Arcutis Biotherapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04445987
Brief Title
Long-Term Safety of ARQ-154 Foam in Subjects With Seborrheic Dermatitis
Official Title
A Phase 2, Multicenter, Open-Label Study of the Long-Term Safety of ARQ-154 Foam 0.3% in Subjects With Seborrheic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Completed
Study Start Date
June 12, 2020 (Actual)
Primary Completion Date
November 19, 2022 (Actual)
Study Completion Date
November 19, 2022 (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 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). Investigational product will be applied topically once daily for 52 weeks. Cohort 1 will be rollover participants from study ARQ-154-203 (NCT04091646) and will roll into treatment in the current study without interruption. Cohort 2 will include participants from ARQ-154-203 who began treatment in the current study after a gap from completing treatment in the prior study.

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
Single Group Assignment
Model Description
Subjects that consent to enter this open-label safety study may or may not have previously completed a companion study (ARQ-154 trial)
Masking
None (Open Label)
Allocation
N/A
Enrollment
408 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Long-term safety of ARQ-154
Arm Type
Experimental
Arm Description
Open-label, Long-term Safety of ARQ-154
Intervention Type
Drug
Intervention Name(s)
ARQ-154
Other Intervention Name(s)
Roflumilast foam
Intervention Description
ARQ-154 foam 0.3% applied once daily for 52 weeks
Primary Outcome Measure Information:
Title
Treatment Emergent Adverse Events
Description
Occurrence of treatment emergent adverse events
Time Frame
52 Weeks
Title
Serious Adverse Events
Description
Occurrence of treatment serious adverse events
Time Frame
52 Weeks
Secondary Outcome Measure Information:
Title
Investigator Global Assessment
Description
Achievement of an IGA score of 'completely clear' or 'almost clear' as observed over time. This global assessment scale has five severity grades reported from 0-4 and defined as Clear (0), Almost Clear (1), Mild (2), Moderate (3), Severe (4).
Time Frame
52 Weeks
Title
Investigator Global Assessment
Description
A 2-grade improvement in IGA from Baseline as observed over time. This global assessment scale has five severity grades reported from 0-4 and defined as Clear (0), Almost Clear (1), Mild (2), Moderate (3), Severe (4).
Time Frame
52 Weeks
Title
Investigator Global Assessment
Description
Achievement of an IGA score of 'completely clear' or 'almost clear' plus a 2-grade improvement in IGA from baseline as observed at Week 12, Week 24. This global assessment scale has five severity grades reported from 0-4 and defined as Clear (0), Almost Clear (1), Mild (2), Moderate (3), Severe (4).
Time Frame
52 Weeks
Title
Duration of Response
Description
Duration of IGA Success, defined as the time from the first observation of IGA Success to the last time a subject's disease response meets the criteria for IGA Success. The duration of IGA Success for subjects who end treatment in IGA Success will be censored at the last disease assessment date.
Time Frame
52 Weeks
Title
Treatment Free Interval
Description
Treatment-free interval, defined among subjects who achieve a 'completely clear' IGA and stop treatment to all lesions, as the time from attainment of a score of 'clear' to re-starting study drug.
Time Frame
52 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
9 Years
Accepts Healthy Volunteers
No
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 study: 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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Berk, MD
Organizational Affiliation
Arcutis Biotherapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Arcutis Biotherapeutics Clinical Site 59
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90212
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 51
City
Encino
State/Province
California
ZIP/Postal Code
91436
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 75
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
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 62
City
Los Angeles
State/Province
California
ZIP/Postal Code
90036
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 64
City
San Diego
State/Province
California
ZIP/Postal Code
92123
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 53
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
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 57
City
Delray Beach
State/Province
Florida
ZIP/Postal Code
33484
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 65
City
Sanford
State/Province
Florida
ZIP/Postal Code
32771
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 52
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70006
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 73
City
Brighton
State/Province
Massachusetts
ZIP/Postal Code
02135
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 58
City
Fort Gratiot
State/Province
Michigan
ZIP/Postal Code
48059
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 50
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89148
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 56
City
Portsmouth
State/Province
New Hampshire
ZIP/Postal Code
03801
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 63
City
Bronx
State/Province
New York
ZIP/Postal Code
10462
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 55
City
New York
State/Province
New York
ZIP/Postal Code
10029
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 76
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29407
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 54
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78213
Country
United States
Facility Name
Arcutis Biotherapeutics Clinical Site 17
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Long-Term Safety of ARQ-154 Foam in Subjects With Seborrheic Dermatitis

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