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Trial · NCT04804605

Open Label Extension Trial of PDE4 Inhibition With Roflumilast for the Management of Atopic Dermatitis

NCT04804605, Phase 3, Completed, Arcutis Biotherapeutics, Inc.; results first posted 2025-12-23

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Open Label Extension Trial of PDE4 Inhibition With Roflumilast for the Management of Atopic Dermatitis. Trials, record NCT04804605. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04804605

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Trial

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

Title
Open Label Extension Trial of PDE4 Inhibition With Roflumilast for the Management of Atopic Dermatitis
NCT number
NCT04804605
Status
Completed
Phases
Phase 3
Enrollment
1,220 participants, actual
Lead sponsor
Arcutis Biotherapeutics, Inc.
Conditions
Atopic Dermatitis Eczema
Interventions
ARQ-151 Cream 0.15% or ARQ-151 Cream 0.05%
First posted
2021-03-18
Last updated
2025-12-23
Results first posted
2025-12-23

Source ClinicalTrials.gov

Registered outcomes5

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

ListOutcomeTime frameDescription
PrimaryNumber of Participants With ≥1 Treatment-emergent Adverse Event (TEAE)Up to 52 weeksThe number of participants with ≥1 TEAE(s) is reported.
SecondaryValidated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each AssessmentWeeks 4, 12, 24, 36, and 52
The vIGA-AD is a static evaluation of qualitative overall AD severity. This global assessment scale is an ordinal scale with five severity grades (reported as score of 0 'clear' to 4 'severe' ), with lower scores indicating reduced symptom severity and vice versa. Multiple imputation was used to handle missing data up to Week 24 or 52 for 24- and 52-week cohorts.
SecondaryPercentage of Participants With vIGA-AD SuccessWeeks 4, 12, 24, 36, and 52
The percentage of participants with vIGA-AD "success" is presented. Success is defined as vIGA-AD value of 0 or 1 plus a 2-grade improvement from baseline. Multiple imputation was used to handle missing data up to Week 24 or 52 for 24- and 52-week cohorts.
SecondaryChange From Baseline in Worst Itch-Numeric Rating Scale (WI-NRS) Score Over Time in Participants ≥12 Years of Age in Parent StudyWeeks 4, 12, 24, 36, and 52
Change from baseline in WI-NRS score is reported. WI-NRS is a subject-reported severity of itch at its highest intensity during the previous 24-hour period. The scale is from '0 to 10' ("no itch" to "worst imaginable itch"), with lower scores indicating reduced symptom severity and vice versa.
SecondaryPercent Change From Baseline in EASI ScoreWeeks 4, 12, 24, 36, and 52
EASI is an instrument to measure the severity and extent of AD. The body is first divided into 4 areas: head (10% of skin), arms (20%), trunk (30%), and legs (40%). Then, the area affected is scored from 0 (0% involvement) to 6 (90%-100% involvement), and severity is scored from 0 ('none') to 3 ('severe'). EASI combines the area affected and severity ratings to get a final composite score ranging from 0 (no disease) to 72 (severe disease). Note that palms and soles were treated as appropriate but were not counted towards any measurements of EASI.

Outcomes5

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With ≥1 Treatment-emergent Adverse Event (TEAE)Up to 52 weeksAll treated participants are included.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYValidated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each AssessmentWeeks 4, 12, 24, 36, and 52All randomized participants are included.percentage of participantsNUMBER
SECONDARYPercentage of Participants With vIGA-AD SuccessWeeks 4, 12, 24, 36, and 52All randomized participants are included.percentage of participantsNUMBER
SECONDARYChange From Baseline in Worst Itch-Numeric Rating Scale (WI-NRS) Score Over Time in Participants ≥12 Years of Age in Parent StudyWeeks 4, 12, 24, 36, and 52All randomized participants who were ≥12 years of age at the start of the parent studies are included.WI-NRS Score ChangeMEAN
SECONDARYPercent Change From Baseline in EASI ScoreWeeks 4, 12, 24, 36, and 52All randomized participants with data available are included.Percent change in EASI scoreMEAN

Results by group74

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With ≥1 Treatment-emergent Adverse Event (TEAE)ARQ-151-311/312: RC/RC 0.15% Group151Participants
Number of Participants With ≥1 Treatment-emergent Adverse Event (TEAE)ARQ-151-311/312: VC/RC 0.15% Group90Participants
Number of Participants With ≥1 Treatment-emergent Adverse Event (TEAE)ARQ-151-315: RC/RC 0.05% or 0.15% Group189Participants
Number of Participants With ≥1 Treatment-emergent Adverse Event (TEAE)ARQ-151-315: VC/RC 0.05% or 0.15% Group91Participants
Validated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each AssessmentARQ-151-311/312: RC/RC 0.15% GroupWeek 440.195% Confidence Interval 35.61 to 44.83percentage of participants
Validated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each AssessmentARQ-151-311/312: VC/RC 0.15% GroupWeek 435.795% Confidence Interval 29.60 to 42.36percentage of participants
Validated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each AssessmentARQ-151-315: RC/RC 0.05% or 0.15% GroupWeek 437.795% Confidence Interval 32.98 to 42.77percentage of participants
Validated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each AssessmentARQ-151-315: VC/RC 0.05% or 0.15% GroupWeek 440.895% Confidence Interval 33.88 to 48.20percentage of participants
Validated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each AssessmentARQ-151-311/312: RC/RC 0.15% GroupWeek 1242.295% Confidence Interval 37.42 to 47.08percentage of participants
Validated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each AssessmentARQ-151-311/312: VC/RC 0.15% GroupWeek 1236.995% Confidence Interval 30.55 to 43.68percentage of participants

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDARQ-151-311/312: RC/RC 0.15% Group439
Overall StudySTARTEDARQ-151-311/312: VC/RC 0.15% Group219
Overall StudySTARTEDARQ-151-315: RC/RC 0.05% or 0.15% Group382
Overall StudySTARTEDARQ-151-315: VC/RC 0.05% or 0.15% Group180
Overall StudyCOMPLETEDARQ-151-311/312: RC/RC 0.15% Group289
Overall StudyCOMPLETEDARQ-151-311/312: VC/RC 0.15% Group145
Overall StudyCOMPLETEDARQ-151-315: RC/RC 0.05% or 0.15% Group254
Overall StudyCOMPLETEDARQ-151-315: VC/RC 0.05% or 0.15% Group123
Overall StudyNOT COMPLETEDARQ-151-311/312: RC/RC 0.15% Group150
Overall StudyNOT COMPLETEDARQ-151-311/312: VC/RC 0.15% Group74

Adverse events140

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherCOVID-19Infections and infestationsARQ-151-311/312: RC/RC 0.15% Group18439
otherCOVID-19Infections and infestationsARQ-151-311/312: VC/RC 0.15% Group12218
otherCOVID-19Infections and infestationsARQ-151-315: RC/RC 0.05% or 0.15% Group13382
otherCOVID-19Infections and infestationsARQ-151-315: VC/RC 0.05% or 0.15% Group5180
otherUpper respiratory tract infectionInfections and infestationsARQ-151-311/312: RC/RC 0.15% Group9439
otherUpper respiratory tract infectionInfections and infestationsARQ-151-311/312: VC/RC 0.15% Group12218
otherUpper respiratory tract infectionInfections and infestationsARQ-151-315: RC/RC 0.05% or 0.15% Group33382
otherUpper respiratory tract infectionInfections and infestationsARQ-151-315: VC/RC 0.05% or 0.15% Group16180
otherNasopharyngitisInfections and infestationsARQ-151-311/312: RC/RC 0.15% Group12439
otherNasopharyngitisInfections and infestationsARQ-151-311/312: VC/RC 0.15% Group8218

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityARQ-151-311/312: RC/RC 0.15% Group0439
Total, all-cause mortalityARQ-151-311/312: VC/RC 0.15% Group0218
Total, all-cause mortalityARQ-151-315: RC/RC 0.05% or 0.15% Group0382
Total, all-cause mortalityARQ-151-315: VC/RC 0.05% or 0.15% Group0180
Total, other adverse eventsARQ-151-311/312: RC/RC 0.15% Group18439
Total, other adverse eventsARQ-151-311/312: VC/RC 0.15% Group12218
Total, other adverse eventsARQ-151-315: RC/RC 0.05% or 0.15% Group82382
Total, other adverse eventsARQ-151-315: VC/RC 0.05% or 0.15% Group40180
Total, serious adverse eventsARQ-151-311/312: RC/RC 0.15% Group5439
Total, serious adverse eventsARQ-151-311/312: VC/RC 0.15% Group3218

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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/NCT04804605

GET https://conductscience.org/api/trials/v1/NCT04804605/results?page=2