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Maximal Usage Pharmacokinetics and Safety of ARQ-151 in Children With Plaque Psoriasis (ARQ-151-215)

Primary Purpose

Psoriasis, Plaque Psoriasis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ARQ-151 cream 0.3%
Sponsored by
Arcutis Biotherapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis

Eligibility Criteria

6 Years - 11 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Informed consent of parent(s) or legal guardian, and, if age appropriate, assent by the subject, as required by local laws.
  • Males or females, 6 to 11 years old (inclusive).
  • Clinical diagnosis of psoriasis vulgaris of at least 2 months duration as determined by the Investigator or through subject interview. Stable disease for the past 3 weeks.
  • Psoriasis vulgaris on the face, extremities, trunk, and/or intertriginous areas involving at least 2% of BSA (excluding the scalp, palms, and soles).
  • An Investigator Global Assessment of disease severity (IGA) of at least Mild ('2') at Baseline.
  • Subject has adequate venous access for PK sampling in areas not involved by plaque psoriasis and not being treated with ARQ-151 (e.g., back of the hands).
  • 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). In addition, sexually active FOCBP must agree to use at least one form of highly effective contraception throughout the duration of the trial and for one week after application of the last dose.
  • Females of non-childbearing potential must be pre-menarchal.
  • In good health as judged by the Investigator, based on medical history, physical examination, 12-lead electrocardiogram (ECG), serum chemistry labs, hematology values, and urinalysis.
  • Subjects and parent(s)/legal guardian(s) are considered reliable and capable of adhering to the Protocol and Visit Schedule, according to the judgment of the Investigator.

Exclusion Criteria:

  • Subjects with any serious medical or psychiatric condition or clinically significant laboratory, ECG, vital signs, or physical examination abnormality that would prevent study participation or place the subject at significant risk, as judged by the Investigator.
  • Planned initiation or changes to concomitant medication that could, in the opinion of the Investigator, affect psoriasis vulgaris
  • Current diagnosis of non-plaque form of psoriasis (e.g., guttate, erythrodermic/exfoliative, palmoplantar only involvement, or pustular psoriasis). Current diagnosis of drug-induced psoriasis.
  • Subjects with any condition on the treatment area which, in the opinion of the Investigator, could confound efficacy measurements.
  • Subjects who cannot discontinue the use of strong cytochrome P-450 CYP3A4 inducers for 2 weeks prior to Baseline/Day 1and during the study period.
  • Subjects who cannot discontinue the use of strong cytochrome P-450 CYP3A4 inhibitors for 2 weeks prior to Baseline/Day 1 and during the study period.
  • Subjects who are unwilling to refrain from prolonged sun exposure and from using a tanning bed or other artificial light emitting devices (LEDs) for 4 weeks prior to Baseline/Day 1 and during the study.
  • Subjects who cannot discontinue specific systemic therapies and/or topical therapies prior to the Baseline/Day 1 and during the study period according to the protocol.
  • Subjects with any infection requiring oral or intravenous administration of antibiotics, antifungal or antiviral agents within 2 weeks prior to Baseline/Day 1.
  • Subjects with a CDI-2 (parent report) raw score >20 at Screening/Baseline

Sites / Locations

  • Arcutis Clinical Site 503
  • Arcutis Clinical Site 504
  • Arcutis Clinical Site 509
  • Arcutis Site 518
  • Arcutis Clinical Site 508
  • Arcutis Clinical Site 511
  • Arcutis Clinical Site 510
  • Arcutis Clinical Site 502
  • Arcutis Clinical Site 513
  • Arcutis Clinical Site 501
  • Arcutis Clinical Site 507
  • Arcutis Clinical Site 527
  • Arcutis Clinical Site 506
  • Arcutis Clinical Site 519
  • Arcutis Clinical Site 505
  • Arcutis Clinical Site 521
  • Arcutis Clinical Site 530

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

ARQ-151 cream 0.3%

Arm Description

Open label study of ARQ-151 cream 0.3% applied once daily for 4 weeks

Outcomes

Primary Outcome Measures

Plasma pharmacokinetic (PK) profile of ARQ-151 cream 0.3% and its major N-oxide metabolite
Plasma levels of circulating roflumilast and its major N-oxide metabolite
Incidence of adverse events
Number of participants with adverse events during treatment will be assessed
Incidence of application site reactions
Number of subjects that experience an application site skin reaction by investigator assessment and application site reactions reported as adverse events will be assessed

Secondary Outcome Measures

Full Information

First Posted
November 30, 2020
Last Updated
December 20, 2022
Sponsor
Arcutis Biotherapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04655313
Brief Title
Maximal Usage Pharmacokinetics and Safety of ARQ-151 in Children With Plaque Psoriasis (ARQ-151-215)
Official Title
An Open Label, 4-Week, Phase 2, Maximal Usage Pharmacokinetics and Safety Study of ARQ-151 Cream 0.3% Administered QD in Pediatric Subjects (Ages 6 to 11 Years Old) With Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Completed
Study Start Date
November 30, 2020 (Actual)
Primary Completion Date
January 12, 2022 (Actual)
Study Completion Date
January 12, 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 a Phase 2, open label, maximal usage PK and safety study of ARQ-151 cream 0.3% in pediatric subjects (ages 6 to 11 years old) with plaque psoriasis:

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis, Plaque Psoriasis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ARQ-151 cream 0.3%
Arm Type
Experimental
Arm Description
Open label study of ARQ-151 cream 0.3% applied once daily for 4 weeks
Intervention Type
Drug
Intervention Name(s)
ARQ-151 cream 0.3%
Other Intervention Name(s)
Topical roflumilast
Intervention Description
ARQ-151 cream 0.3% applied to chronic plaque psoriasis lesions once a day for 4 weeks
Primary Outcome Measure Information:
Title
Plasma pharmacokinetic (PK) profile of ARQ-151 cream 0.3% and its major N-oxide metabolite
Description
Plasma levels of circulating roflumilast and its major N-oxide metabolite
Time Frame
Week 4
Title
Incidence of adverse events
Description
Number of participants with adverse events during treatment will be assessed
Time Frame
Week 4
Title
Incidence of application site reactions
Description
Number of subjects that experience an application site skin reaction by investigator assessment and application site reactions reported as adverse events will be assessed
Time Frame
Week 4

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Maximum Age & Unit of Time
11 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Informed consent of parent(s) or legal guardian, and, if age appropriate, assent by the subject, as required by local laws. Males or females, 6 to 11 years old (inclusive). Clinical diagnosis of psoriasis vulgaris of at least 2 months duration as determined by the Investigator or through subject interview. Stable disease for the past 3 weeks. Psoriasis vulgaris on the face, extremities, trunk, and/or intertriginous areas involving at least 2% of BSA (excluding the scalp, palms, and soles). An Investigator Global Assessment of disease severity (IGA) of at least Mild ('2') at Baseline. Subject has adequate venous access for PK sampling in areas not involved by plaque psoriasis and not being treated with ARQ-151 (e.g., back of the hands). 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). In addition, sexually active FOCBP must agree to use at least one form of highly effective contraception throughout the duration of the trial and for one week after application of the last dose. Females of non-childbearing potential must be pre-menarchal. In good health as judged by the Investigator, based on medical history, physical examination, 12-lead electrocardiogram (ECG), serum chemistry labs, hematology values, and urinalysis. Subjects and parent(s)/legal guardian(s) are considered reliable and capable of adhering to the Protocol and Visit Schedule, according to the judgment of the Investigator. Exclusion Criteria: Subjects with any serious medical or psychiatric condition or clinically significant laboratory, ECG, vital signs, or physical examination abnormality that would prevent study participation or place the subject at significant risk, as judged by the Investigator. Planned initiation or changes to concomitant medication that could, in the opinion of the Investigator, affect psoriasis vulgaris Current diagnosis of non-plaque form of psoriasis (e.g., guttate, erythrodermic/exfoliative, palmoplantar only involvement, or pustular psoriasis). Current diagnosis of drug-induced psoriasis. Subjects with any condition on the treatment area which, in the opinion of the Investigator, could confound efficacy measurements. Subjects who cannot discontinue the use of strong cytochrome P-450 CYP3A4 inducers for 2 weeks prior to Baseline/Day 1and during the study period. Subjects who cannot discontinue the use of strong cytochrome P-450 CYP3A4 inhibitors for 2 weeks prior to Baseline/Day 1 and during the study period. Subjects who are unwilling to refrain from prolonged sun exposure and from using a tanning bed or other artificial light emitting devices (LEDs) for 4 weeks prior to Baseline/Day 1 and during the study. Subjects who cannot discontinue specific systemic therapies and/or topical therapies prior to the Baseline/Day 1 and during the study period according to the protocol. Subjects with any infection requiring oral or intravenous administration of antibiotics, antifungal or antiviral agents within 2 weeks prior to Baseline/Day 1. Subjects with a CDI-2 (parent report) raw score >20 at Screening/Baseline
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 Clinical Site 503
City
Mountain Brook
State/Province
Alabama
ZIP/Postal Code
35223
Country
United States
Facility Name
Arcutis Clinical Site 504
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85255
Country
United States
Facility Name
Arcutis Clinical Site 509
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
Facility Name
Arcutis Site 518
City
Los Angeles
State/Province
California
ZIP/Postal Code
90017
Country
United States
Facility Name
Arcutis Clinical Site 508
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
Facility Name
Arcutis Clinical Site 511
City
Rancho Santa Margarita
State/Province
California
ZIP/Postal Code
92688
Country
United States
Facility Name
Arcutis Clinical Site 510
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33428
Country
United States
Facility Name
Arcutis Clinical Site 502
City
Coral Gables
State/Province
Florida
ZIP/Postal Code
33146
Country
United States
Facility Name
Arcutis Clinical Site 513
City
Delray Beach
State/Province
Florida
ZIP/Postal Code
33484
Country
United States
Facility Name
Arcutis Clinical Site 501
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
Facility Name
Arcutis Clinical Site 507
City
Miami
State/Province
Florida
ZIP/Postal Code
33155
Country
United States
Facility Name
Arcutis Clinical Site 527
City
West Lafayette
State/Province
Indiana
ZIP/Postal Code
47906
Country
United States
Facility Name
Arcutis Clinical Site 506
City
Arlington
State/Province
Texas
ZIP/Postal Code
76001
Country
United States
Facility Name
Arcutis Clinical Site 519
City
Frisco
State/Province
Texas
ZIP/Postal Code
75034
Country
United States
Facility Name
Arcutis Clinical Site 505
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Arcutis Clinical Site 521
City
Toronto
State/Province
Ontario
ZIP/Postal Code
MG5-1X8
Country
Canada
Facility Name
Arcutis Clinical Site 530
City
Santo Domingo
Country
Dominican Republic

12. IPD Sharing Statement

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Maximal Usage Pharmacokinetics and Safety of ARQ-151 in Children With Plaque Psoriasis (ARQ-151-215)

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