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Trial · NCT04053387

Long Term Extension Study of Tapinarof for Plaque Psoriasis in Adults (3003)

NCT04053387, Phase 3, Completed, Organon and Co; results first posted 2022-08-08

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Long Term Extension Study of Tapinarof for Plaque Psoriasis in Adults (3003). Trials, record NCT04053387. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04053387

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Long Term Extension Study of Tapinarof for Plaque Psoriasis in Adults (3003)
NCT number
NCT04053387
Status
Completed
Phases
Phase 3
Enrollment
763 participants, actual
Lead sponsor
Organon and Co
Conditions
Plaque Psoriasis
Interventions
tapinarof cream, 1%
First posted
2019-08-12
Last updated
2025-08-06
Results first posted
2022-08-08

Source ClinicalTrials.gov

Registered outcomes14

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Subjects With Adverse Events and Serious Adverse EventsBaseline to 44 weeks
All AEs reported in this extension study were considered as TEAEs except for those AEs ongoing at the end of the pivotal Phase 3 studies but resolved prior to the Visit 1 date for this extension study. All SAEs were deemed unrelated to treatment with tapinarof cream, 1%.
PrimaryFrequency of Adverse Events and Serious Adverse EventsBaseline to 44 weeks
All AEs reported in this extension study were considered as TEAEs except for those AEs ongoing at the end of the pivotal Phase 3 studies but resolved prior to the Visit 1 date for this extension study. Subjects could have reported more than one TEAE. All SAEs were deemed unrelated to treatment with tapinarof cream, 1%.
PrimaryNumber of Subjects With Clinically Meaningful Changes From Baseline in Clinical Laboratory Values and Vital SignsBaseline to 40 weeks
The mean chemistry and hematology parameters were assessed for changes and trends over the course of the study. Shifts from Baseline in chemistry and hematology parameters for individual subjects were assessed for clinical relevance. The number of subjects with clinically significant changes from baseline in laboratory values was assessed for clinical relevance.
PrimaryRemittive Effect of Treatment Success in Pivotal: Median Time to First Worsening (PGA ≥ 2) While Off Therapy for Subjects Who Entered LTE PGA = 0 (Clear)Baseline to 44 weeks
Subjects who completed 1 of the phase 3 studies evaluating the safety and efficacy of tapinarof had the option to enter this extension study. Subjects entering with a PGA = 0 had treatment discontinued and were monitored for duration of remittive response. If/when disease worsening occurred, as evidenced by a PGA ≥ 2, treatment was re-initiated and continued until a PGA = 0 was achieved. This outcome measure assesses the median time for subjects entering with a PGA = 0 to first worsening (PGA ≥ 2) while off therapy during this extension study. The PGA is an assessment of a subject's psoriasis using a static 5-point scale to grade lesions on the clinical characteristics of erythema, scaling, and plaque thickness/elevation. The PGA ranges from 0 to 4, where 0 = clear, 1= almost clear, 2 = mild, 3 = moderate, and 4 = severe.
PrimaryComplete Disease Clearance During LTE: Number of Subjects Achieving Disease Clearance PGA =0 (Clear) While on Therapy for Subjects Entered LTE PGA ≥ 1 (Almost Clear)Baseline to 44 weeks
Subjects who completed 1 of the phase 3 studies evaluating the safety and efficacy of tapinarof had the option to enter this extension study. Subjects entering with a PGA ≥ 1 continued treatment with tapinarof until they achieved a PGA = 0, at which time treatment was discontinued and subjects were monitored for remittive response. If/when disease worsening occurred, as evidenced by a PGA ≥ 2, treatment was re-initiated and continued until a PGA = 0 was achieved. This outcome measure assesses the number of subjects who entered the extension study with a PGA ≥ 1 and achieved complete disease clearance (PGA=0) while on therapy during this extension study. The PGA is an assessment of a subject's psoriasis using a static 5-point scale to grade lesions on the clinical characteristics of erythema, scaling, and plaque thickness/elevation. The PGA ranges from 0 to 4, where 0 = clear, 1= almost clear, 2 = mild, 3 = moderate, and 4 = severe. Higher PGA scores represent more severe disease.
PrimaryResponse During LTE: Number of Subjects Achieving PGA =0 or 1 (Clear or Almost Clear) While on Therapy for Subjects Who Entered LTE With PGA ≥ 2 (Mild)Baseline to 44 weeks
Subjects who completed 1 of the phase 3 studies evaluating the safety and efficacy of tapinarof had the option to enter this extension study. Subjects entering with a PGA ≥ 1 continued treatment with tapinarof until they achieved a PGA = 0, at which time treatment was discontinued and subjects were monitored for remittive response. If/when disease worsening occurred, as evidenced by a PGA ≥ 2, treatment was re-initiated and continued until a PGA = 0 was achieved. This outcome measure assesses the number of these subjects who entered the study with a PGA≥ 2 and achieved a PGA of 0 or 1 (clear or almost clear) while on therapy during this extension study. The PGA is an assessment of a subject's psoriasis using a static 5-point scale to grade lesions on the clinical characteristics of erythema, scaling, and plaque thickness/elevation. The PGA ranges from 0 to 4, where 0 = clear, 1= almost clear, 2 = mild, 3 = moderate, and 4 = severe. Higher PGA scores represent more severe disease.
PrimaryRemittive Effect of Treatment Success: Number of Subjects Experiencing Worsening (PGA ≥ 2) While Off Therapy for Subjects Who Entered LTE With a PGA = 0 (Clear)Baseline to 44 weeks
Subjects who completed 1 of the phase 3 studies evaluating the safety and efficacy of tapinarof had the option to enter this extension study. Subjects entering with a PGA = 0 had treatment discontinued and were monitored for duration of remittive response. If/when disease worsening occurred, as evidenced by a PGA ≥ 2, treatment was re-initiated and continued until a PGA = 0 was achieved. This treatment and re-treatment pattern of use was continued until the end of the study. This outcome measure assesses the number of these subjects entering the study with a PGA= 0 who experienced worsening (PGA ≥ 2) while off therapy at least once during this extension study. The PGA is an assessment of a subject's psoriasis using a static 5-point scale to grade lesions on the clinical characteristics of erythema, scaling, and plaque thickness/elevation. The PGA ranges from 0 to 4, where 0 = clear, 1= almost clear, 2 = mild, 3 = moderate, and 4 = severe.
PrimaryChange From Baseline in %BSA AffectedBaseline to 40 weeks
Subjects received treatment with tapinarof intermittently guided by disease severity. This outcome measure assesses the change from baseline in %BSA affected in all subjects, including those on and those off therapy. BSA affected was estimated by the handprint method, where the full palmar hand of the subject represented approximately 1% of the total BSA. Body regions are assigned specific number of handprints (hp) with percentage \[Head and neck = 10% (10 hp), upper extremities = 20% (20 hp), Trunk (including axillae and groin) = 30% (30 hp), lower extremities (including buttocks) = 40% (40 hp)\]. The total %BSA involved was estimated = % involvement
PrimaryPercent Change From Baseline in %BSA AffectedBaseline to 40 weeks
Subjects received treatment with tapinarof intermittently guided by disease severity. This outcome measure assesses the % change from baseline in %BSA affected in all subjects, including those on and those off therapy. BSA affected was estimated by the handprint method, where the full palmar hand of the subject represented approximately 1% of the total BSA. Body regions are assigned specific number of handprints (hp) with percentage \[Head and neck = 10% (10 hp), upper extremities = 20% (20 hp), Trunk (including axillae and groin) = 30% (30 hp), lower extremities (including buttocks) = 40% (40 hp)\]. The total %BSA involved was estimated = % involvement
PrimaryMean Duration (Days) of Treatment CourseBaseline to 40 weeks
Subjects who completed 1 of the phase 3 studies evaluating the safety and efficacy of tapinarof had the option to enter this extension study. Subjects entering with a PGA ≥ 1 continued tapinarof until they achieved a PGA = 0, at which time treatment was discontinued. If/when disease worsening occurred, as evidenced by a PGA ≥ 2, treatment was re-initiated and continued until a PGA = 0 was achieved. Mean duration (days) of treatment episode = time (days) from date of each PGA ≥ 2 (or PGA ≥ 1 for the first episode) to 1 day before each subsequent PGA = 0. The PGA is an assessment of a subject's psoriasis using a static 5-point scale to grade lesions on the clinical characteristics of erythema, scaling, and plaque thickness/elevation. The PGA ranges from 0 to 4, where 0 = clear, 1= almost clear, 2 = mild, 3 = moderate, and 4 = severe. Higher PGA scores represent more severe disease.

Outcomes14

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Subjects With Adverse Events and Serious Adverse EventsBaseline to 44 weeks
Subjects entering with a PGA = 0 had treatment discontinued. Subjects entering with a PGA ≥ 1 received tapinarof until they achieved a PGA = 0 and had treatment discontinued. If/when disease worsening (PGA ≥ 2) occurred treatment was re-initiated and continued until a PGA = 0 was achieved. This treatment and re-treatment pattern of use was continued until the end of the study. The ITT population includes all subjects who signed the informed consent and enrolled in this extension study.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYFrequency of Adverse Events and Serious Adverse EventsBaseline to 44 weeks
Subjects entering with a PGA = 0 had treatment discontinued. Subjects entering with a PGA ≥ 1 received tapinarof until they achieved a PGA = 0 and had treatment discontinued. If/when disease worsening (PGA ≥ 2) occurred treatment was re-initiated and continued until a PGA = 0 was achieved. This treatment and re-treatment pattern of use was continued until the end of the study. The ITT population includes all subjects who signed the informed consent and enrolled in this extension study.
eventsNUMBER
PRIMARYNumber of Subjects With Clinically Meaningful Changes From Baseline in Clinical Laboratory Values and Vital SignsBaseline to 40 weeks
Subjects entering with a PGA = 0 had treatment discontinued. Subjects entering with a PGA ≥ 1 received tapinarof until they achieved a PGA = 0 and had treatment discontinued. If/when disease worsening (PGA ≥ 2) occurred treatment was re-initiated and continued until a PGA = 0 was achieved. This treatment and re-treatment pattern of use was continued until the end of the study. The ITT population includes all subjects who signed the informed consent and enrolled in this extension study.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYRemittive Effect of Treatment Success in Pivotal: Median Time to First Worsening (PGA ≥ 2) While Off Therapy for Subjects Who Entered LTE PGA = 0 (Clear)Baseline to 44 weeks
Subjects entering with a PGA = 0 had treatment discontinued. Subjects entering with a PGA ≥ 1 received tapinarof until they achieved a PGA = 0 and had treatment discontinued. If/when disease worsening (PGA ≥ 2) occurred treatment was re-initiated and continued until a PGA = 0 was achieved. This treatment and re-treatment pattern of use was continued until the end of the study. The ITT population includes all subjects who signed the informed consent and enrolled in this extension study.
days from baseline visitMEDIAN
PRIMARYComplete Disease Clearance During LTE: Number of Subjects Achieving Disease Clearance PGA =0 (Clear) While on Therapy for Subjects Entered LTE PGA ≥ 1 (Almost Clear)Baseline to 44 weeks
Subjects entering with a PGA = 0 had treatment discontinued. Subjects entering with a PGA ≥ 1 received tapinarof until they achieved a PGA = 0 and had treatment discontinued. If/when disease worsening (PGA ≥ 2) occurred treatment was re-initiated and continued until a PGA = 0 was achieved. This treatment and re-treatment pattern of use was continued until the end of the study. The ITT population includes all subjects who signed the informed consent and enrolled in this extension study.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYResponse During LTE: Number of Subjects Achieving PGA =0 or 1 (Clear or Almost Clear) While on Therapy for Subjects Who Entered LTE With PGA ≥ 2 (Mild)Baseline to 44 weeks
Subjects entering with a PGA = 0 had treatment discontinued. Subjects entering with a PGA ≥ 1 received tapinarof until they achieved a PGA = 0 and had treatment discontinued. If/when disease worsening (PGA ≥ 2) occurred treatment was re-initiated and continued until a PGA = 0 was achieved. This treatment and re-treatment pattern of use was continued until the end of the study. The ITT population includes all subjects who signed the informed consent and enrolled in this extension study.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYRemittive Effect of Treatment Success: Number of Subjects Experiencing Worsening (PGA ≥ 2) While Off Therapy for Subjects Who Entered LTE With a PGA = 0 (Clear)Baseline to 44 weeks
Subjects entering with a PGA = 0 had treatment discontinued. Subjects entering with a PGA ≥ 1 received tapinarof until they achieved a PGA = 0 and had treatment discontinued. If/when disease worsening (PGA ≥ 2) occurred treatment was re-initiated and continued until a PGA = 0 was achieved. This treatment and re-treatment pattern of use was continued until the end of the study. The ITT population includes all subjects who signed the informed consent and enrolled in this extension study.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYChange From Baseline in %BSA AffectedBaseline to 40 weeks
Subjects entering with a PGA = 0 had treatment discontinued. Subjects entering with a PGA ≥ 1 received tapinarof until they achieved a PGA = 0 and had treatment discontinued. If/when disease worsening (PGA ≥ 2) occurred treatment was re-initiated and continued until a PGA = 0 was achieved. This treatment and re treatment pattern of use was continued until the end of the study. The ITT population includes all subjects who signed the informed consent and enrolled in this extension study.
percentage of BSA affectedMEAN
PRIMARYPercent Change From Baseline in %BSA AffectedBaseline to 40 weeks
Subjects entering with a PGA = 0 had treatment discontinued. Subjects entering with a PGA ≥ 1 received tapinarof until they achieved a PGA = 0 and had treatment discontinued. If/when disease worsening (PGA ≥ 2) occurred treatment was re-initiated and continued until a PGA = 0 was achieved. This treatment and re treatment pattern of use was continued until the end of the study. The ITT population includes all subjects who signed the informed consent and enrolled in this extension study.
percentage changeMEAN
PRIMARYMean Duration (Days) of Treatment CourseBaseline to 40 weeks
Subjects entering with a PGA = 0 had treatment discontinued. Subjects entering with a PGA ≥ 1 received tapinarof until they achieved a PGA = 0 and had treatment discontinued. If/when disease worsening (PGA ≥ 2) occurred treatment was re-initiated and continued until a PGA = 0 was achieved. This treatment and re-treatment pattern of use was continued until the end of the study. The ITT population includes all subjects who signed the informed consent and enrolled in this extension study.
daysMEAN

Results by group22

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Subjects With Adverse Events and Serious Adverse EventsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA ScoreAdverse Events474Participants
Number of Subjects With Adverse Events and Serious Adverse EventsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA ScoreSerious Adverse Events19Participants
Frequency of Adverse Events and Serious Adverse EventsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA ScoreAdverse Events1190events
Frequency of Adverse Events and Serious Adverse EventsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA ScoreSerious Adverse Events21events
Number of Subjects With Clinically Meaningful Changes From Baseline in Clinical Laboratory Values and Vital SignsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA ScoreClinically Meaningful changes in hematology0Participants
Number of Subjects With Clinically Meaningful Changes From Baseline in Clinical Laboratory Values and Vital SignsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA ScoreClinically meaningful changes in chemistry0Participants
Number of Subjects With Clinically Meaningful Changes From Baseline in Clinical Laboratory Values and Vital SignsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA ScoreClinically meaningful changes in urinalysis0Participants
Number of Subjects With Clinically Meaningful Changes From Baseline in Clinical Laboratory Values and Vital SignsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA ScoreClinically meaningful changes in pulse rate7Participants
Number of Subjects With Clinically Meaningful Changes From Baseline in Clinical Laboratory Values and Vital SignsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA ScoreClinically meaningful changes in systolic blood pressure6Participants
Number of Subjects With Clinically Meaningful Changes From Baseline in Clinical Laboratory Values and Vital SignsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA ScoreClinically meaningful changes in diastolic blood pressure16Participants

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score763
Overall StudyCOMPLETEDContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score531
Overall StudyNOT COMPLETEDContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score232

Adverse events21

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherFolliculitisInfections and infestationsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score173763
otherDermatitis contactSkin and subcutaneous tissue disordersContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score42763
seriousArrhythmiaCardiac disordersContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score1763
seriousMyocardial InfarctionCardiac disordersContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score1763
seriousPericardial effusionCardiac disordersContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score1763
seriousPancreatitisGastrointestinal disordersContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score2763
seriousAppendicitisInfections and infestationsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score1763
seriousDiverticulitisInfections and infestationsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score1763
seriousPelvic inflammatory diseaseInfections and infestationsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score1763
seriousPneumoniaInfections and infestationsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score1763

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score1763
Total, other adverse eventsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score204763
Total, serious adverse eventsContinuous or Intermittent Use of Tapinarof (DMVT-505) Cream According to PGA Score19763

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37076998DERIVEDPubMed
37697121DERIVEDPubMed
40600584DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04053387

GET https://conductscience.org/api/trials/v1/NCT04053387/results?page=2