Chronic Plaque PsoriasisPhase 3DERMIS-OLENCT04286607
Open-Label Extension Trial of PDE4 Inhibition With Roflumilast for the Management of Plaque Psoriasis
A Phase 3 study testing Topical roflumilast in people with Chronic Plaque Psoriasis, run by Arcutis Biotherapeutics, Inc. at 85 sites in 3 countries.
Trial summary
This study will assess the safety and efficacy of ARQ-151 cream applied once a day for 24 weeks by subjects with chronic plaque psoriasis Read more about this study
- Who is it for?
- Ages 2 to 11 years
- Conditions the study is for
- Chronic Plaque Psoriasis
- What is being tested?
- Topical roflumilast
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 337 participants
- Where
- 85 sitesin 3 countries
- Study dates
- 12 Feb 2020to 22 Jan 2024
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 2 to 11 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Participants legally competent to sign and give informed consent or informed consent of legal guardian, and, if age appropriate, assent by the subject, as required by local laws
- Males and females ages 2 years and older (inclusive)
- Subjects with chronic plaque psoriasis who meet eligibility criteria and:
- Successfully completed a prior ARQ-151 cream study in psoriasis (Cohort 1) or
- Are naïve to treatment with ARQ-151 cream (Cohort 2)
- Females of childbearing potential (FOCBP) must have a negative pregnancy test at all study visits. In addition, sexually active FOCBP must agree to use at least one form of highly effective contraception throughout the trial.
Who cannot join
- Subjects who experienced an ARQ-151 treatment-related AE or a serious AE (SAE) that precluded further treatment with ARQ-151 cream in a prior ARQ-151 cream study.
- Planned excessive exposure of treated area(s) to either natural or artificial sunlight, tanning bed or other LED.
- 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 drug abuse within 6 months of initiation of investigational product.
- 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.
Trial locations and contacts
85 sites in 3 countries.
85 sites in 3 countries
United States68 sites
Arcutis Biotherapeutics Clinical Site 206
Arlington, Texas, 76011
Arcutis Biotherapeutics Clinical Site 111
Baton Rouge, Louisiana, 70809
Arcutis Biotherapeutics Clinical Site 239
Beverly Hills, California, 90212
Arcutis Clinical Site 602
Boise, Idaho, 83706
Arcutis Biotherapeutics Clinical Site 223
Boynton Beach, Florida, 91436
Arcutis Biotherapeutics Clinical Site 101
Brighton, Massachusetts, 02135
Arcutis Biotherapeutics Clinical Site 229
Broomall, Pennsylvania, 19008
Arcutis Biotherapeutics Clinical Site 116
Clinton Township, Michigan, 48038
Arcutis Biotherapeutics Clinical Site 104
College Station, Texas, 77845
Arcutis Biotherapeutics Clinical Site 119
Dallas, Texas, 75246
Arcutis Biotherapeutics Clinical Site 237
DeLand, Florida, 32720
Arcutis Biotherapeutics Clinical Site 118
Delray Beach, Florida, 33484
Arcutis Biotherapeutics Clinical Site 212
Detroit, Michigan, 48202
Arcutis Biotherapeutics Clinical Site 128
Duncansville, Pennsylvania, 16635
Arcutis Biotherapeutics Clinical Site 129
East Windsor, New Jersey, 08520
Arcutis Biotherapeutics Clinical Site 127
Encinitas, California, 92024
Arcutis Biotherapeutics Clinical Site 225
Encino, California, 91436
Arcutis Biotherapeutics Clinical Site 113
Exton, Pennsylvania, 19003
Arcutis Biotherapeutics Clinical Site 124
Fairborn, Ohio, 45324
Arcutis Biotherapeutics Clinical Site 509
Fountain Valley, California, 92708
Arcutis Biotherapeutics Clinical Site 112
Fremont, California, 94538
Arcutis Biotherapeutics Clinical Site 216
Fridley, Minnesota, 55432
Arcutis Biotherapeutics Clinical Site 519
Frisco, Texas, 75034
Arcutis Biotherapeutics Clinical Site 202
Hialeah, Florida, 33016
Arcutis Biotherapeutics Clinical Site 115
High Point, North Carolina, 27262
Arcutis Biotherapeutics Clinical Site 238
Houston, Texas, 77030
Arcutis Biotherapeutics Clinical Site 214
Indianapolis, Indiana, 46250
Arcutis Biotherapeutics Clinical Site 120
Irvine, California, 92697
Arcutis Biotherapeutics Clinical Site 233
Knoxville, Tennessee, 37922
Arcutis Biotherapeutics Clinical Site 211
Lake Charles, Louisiana, 70605
Arcutis Biotherapeutics Clinical Site 228
Largo, Florida, 33770
Arcutis Biotherapeutics Clinical Site 219
Las Vegas, Nevada, 89148
Arcutis Biotherapeutics Clinical Site 231
Las Vegas, Nevada, 89148
Arcutis Biotherapeutics Clinical Site 508
Los Angeles, California, 90057
Arcutis Biotherapeutics Clinical Site 217
Louisville, Kentucky, 40217
Arcutis Biotherapeutics Clinical Site 213
Metairie, Louisiana, 70006
Arcutis Biotherapeutics Clinical Site 131
Miami, Florida, 33174
Arcutis Biotherapeutics Clinical Site 221
Murfreesboro, Tennessee, 37130
Arcutis Biotherapeutics Clinical Site 224
New Orleans, Louisiana, 70115
Arcutis Biotherapeutics Clinical Site 121
New York, New York, 10029
Arcutis Biotherapeutics Clinical Site 201
North Miami Beach, Florida, 33162
Arcutis Biotherapeutics Clinical Site 137
Ocala, Florida, 34470
Arcutis Biotherapeutics Clinical Site 222
Oklahoma City, Oklahoma, 73112
Arcutis Biotherapeutics Clinical Site 134
Oklahoma City, Oklahoma, 73118
Arcutis Biotherapeutics Clinical Site 135
Pittsburgh, Pennsylvania, 15213
Arcutis Biotherapeutics Clinical Site 114
Plainfield, Illinois, 46168
Arcutis Biotherapeutics Clinical Site 236
Portsmouth, New Hampshire, 03801
Arcutis Biotherapeutics Clinical Site 511
Rancho Santa Margarita, California, 92688
Arcutis Biotherapeutics Clinical Site 139
Reno, Nevada, 89509
Arcutis Biotherapeutics Clinical Site 240
Reno, Nevada, 89703
Arcutis Biotherapeutics Clinical Site 230
Richmond, Virginia, 23220
Arcutis Biotherapeutics Clinical Site 130
Rochester, New York, 14623
Arcutis Biotherapeutics Clinical Site 125
Rockville, Maryland, 20850
Arcutis Biotherapeutics Clinical Site 138
Rockville, Maryland, 20850
Arcutis Biotherapeutics Clinical Site 102
Rolling Meadows, Illinois, 60008
Arcutis Biotherapeutics Clinical Site 227
Saint Joseph, Missouri, 64506
Arcutis Biotherapeutics Clinical Site 110
San Antonio, Texas, 78218
Arcutis Biotherapeutics Clinical Site 117
San Antonio, Texas, 78229
Arcutis Biotherapeutics Clinical Site 123
San Diego, California, 92123
Arcutis Biotherapeutics Clinical Site 220
San Diego, California, 92123
Arcutis Biotherapeutics Clinical Site 136
San Francisco, California, 94132
Arcutis Biotherapeutics Clinical Site 105
Sanford, Florida, 32771
Arcutis Biotherapeutics Clinical Site 208
Santa Monica, California, 90404
Arcutis Biotherapeutics Clinical Site 215
Santa Monica, California, 90503
Arcutis Biotherapeutics Clinical Site 203
Scottsdale, Arizona, 85255
Arcutis Biotherapeutics Clinical Site 108
Stony Brook, New York, 11790
Arcutis Biotherapeutics Clinical Site 209
Sweetwater, Florida, 33172
Arcutis Biotherapeutics Clinical Site 210
West Jordan, Utah, 84088
Canada16 sites
Arcutis Biotherapeutics Clinical Site 205
Ajax, Ontario, L1S 7K8
Arcutis Biotherapeutics Clinical Site 218
Barrie, Ontario, L4M 7G1
Arcutis Biotherapeutics Clinical Site 132
Calgary, Alberta, T1Y 0B4
Arcutis Biotherapeutics Clinical Site 234
Fredericton, New Brunswick, E3B 1G9
Arcutis Biotherapeutics Clinical Site 103
London, Ontario, N6H 5L5
Arcutis Biotherapeutics Clinical Site 133
Mississauga, Ontario, L5H 1G9
Arcutis Biotherapeutics Clinical Site 107
Montreal, Quebec, H3Z 2S6
Arcutis Biotherapeutics Clinical Site 140
Ottawa, Ontario, K2C 3N2
Arcutis Biotherapeutics Clinical Site 109
Peterborough, Ontario, K9J 5K2
Arcutis Biotherapeutics Clinical Site 126
Québec, Quebec, G1V4X7
Arcutis Biotherapeutics Clinical Site 207
Surrey, British Columbia, V3R 6A7
Arcutis Biotherapeutics Clinical Site 226
Surrey, British Columbia, V3V0C6
Arcutis Biotherapeutics Clinical Site 235
Toronto, Ontario, M4W 2N2
Arcutis Biotherapeutics Clinical Site 106
Waterloo, Ontario, N2J 1C4
Arcutis Biotherapeutics Clinical Site 204
Windsor, Ontario, N8W 1E6
Arcutis Biotherapeutics Clinical Site 232
Winnepeg, Manitoba, R3M 3Z4
About this study
Official title: A Phase 3, Multicenter, Open-Label Extension Study of the Long-Term Safety of ARQ-151 Cream 0.3% in Subjects With Chronic Plaque Psoriasis
This study will assess the safety and efficacy of ARQ-151 cream applied once a day for 24 weeks by subjects with chronic plaque psoriasis
Read the detailed description
This is an open-label study in which ARQ-151 cream is applied once daily x 24 weeks to subjects with psoriasis
- Conditions
- Chronic Plaque Psoriasis
- Being tested
- Topical roflumilast
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Topical roflumilastDrug
Also called ARQ-151 Cream 0.3%
Active treatment
| Study group | Role | What they receive |
|---|---|---|
| ARQ-151 Cream 0.3% | Experimental | Not described Receives: Drug: Topical roflumilast |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With ≥1 Treatment-Emergent Adverse Events (TEAEs)
The percentage of participants with ≥TEAE is reported.
Measured: Up to 24 weeks
Percentage of Participants With ≥1 Serious Adverse Events (SAEs)
The percentage of participants with ≥1 SAE is reported.
Measured: Up to 24 weeks
Secondary outcomes (8)
Achievement of an Investigator Global Assessment (IGA) Score of 'Clear' or 'Almost Clear' Over Time
The percentage of participants achieving an IGA score of 0 or 1 is reported. The IGA is a 5-point scale assessing the severity of skin issues, with scores ranging from 0 ('clear') to 4 ('severe'), and higher scores indicate greater symptom severity.
Measured: Weeks 4, 12, and 24
Duration of Response (DOR) for Participants Achieving an IGA Score of 'Clear' or 'Almost Clear'
The Kaplan-Meier (KM) median DOR (days) of IGA score of clear or almost clear is reported. The IGA is a 5-point scale assessing the severity of skin issues, with scores ranging from 0 ('clear') to 4 ('severe'), and higher scores indicate greater symptom severity. The duration of response starts with the first assessment of clear or almost clear, which could be as early as the Week 2 assessment in the feeder study, and continues until the participant's disease worsens or completes their involvement in the study. Therefore, the time variable could be as long as 30 weeks, 6 weeks in the feeder study plus 24 weeks in the ARQ-151-306 study.
Measured: Up to Week 30
Return to IGA Score of ≥2 After Achieving an IGA Score of 'Clear' or 'Almost Clear'
The percentage of participants worsening to IGA Score of ≥2 after achieving an IGA score of clear or almost clear is reported. The IGA is a 5-point scale assessing the severity of skin issues, with scores ranging from 0 ('clear') to 4 ('severe'), and higher scores indicate greater symptom severity.
Measured: Up to Week 24
Achievement of a 50% Reduction in Psoriasis Area Severity Index (PASI-50) Score Over Time
The percentage of participants achieving PASI-50 is reported. The PASI is widely used for the measurement of severity of psoriasis. PASI combines the assessment of the severity of lesions and the area affected into a single score in the range from 0 (no disease) to 72 (maximal disease), with higher scores indicating greater symptom severity.
Measured: Weeks 4, 12, and 24
Achievement of a 75% Reduction in Psoriasis Area Severity Index (PASI-75) Score Over Time
The percentage of participants achieving PASI-75 is reported. The PASI is widely used for the measurement of severity of psoriasis. PASI combines the assessment of the severity of lesions and the area affected into a single score in the range from 0 (no disease) to 72 (maximal disease), with higher scores indicating greater symptom severity.
Measured: Weeks 4, 12, and 24
Achievement of a 90% Reduction in Psoriasis Area Severity Index (PASI-90) Score Over Time
The percentage of participants achieving PASI-90 is reported. The PASI is widely used for the measurement of severity of psoriasis. PASI combines the assessment of the severity of lesions and the area affected into a single score in the range from 0 (no disease) to 72 (maximal disease), with higher scores indicating greater symptom severity.
Measured: Weeks 4, 12, and 24
Achievement of a 100% Reduction in Psoriasis Area Severity Index (PASI-100) Score Over Time
The percentage of participants achieving PASI-100 is reported. The PASI is widely used for the measurement of severity of psoriasis. PASI combines the assessment of the severity of lesions and the area affected into a single score in the range from 0 (no disease) to 72 (maximal disease), with higher scores indicating greater symptom severity.
Measured: Weeks 4, 12, and 24
Achievement of Success in Worst Itch Numeric Rating Scale (WI-NRS) Score Over Time
The percentage of participants achieving WI-NRS success is reported. WI-NRS "success" is defined as a ≥4 point improvement from a baseline score of ≥4. The WI-NRS is a simple, single item scale to assess the participant-reported severity of this symptom, on a scale ranging from 0 ("no itch") to 10 ("worst imaginable itch") the participant experienced in the past 24 hours. Higher scores indicate greater symptom severity.
Measured: Weeks 4, 12, and 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Feb 2020
- Study start12 Feb 2020
- Primary completion22 Jan 2024
- Study completion22 Jan 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Chronic Plaque PsoriasisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 337 participants (actual)
Sponsor and investigators
- Lead sponsor
- Arcutis Biotherapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- David Berk, MD, Study director, Arcutis Biotherapeutics, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04286607
- Sponsor's protocol ID
- ARQ-151-306
- Acronym
- DERMIS-OLE
- Status last verified
- Jul 2026
- First submitted
- 25 Feb 2020
- Last updated
- 9 Sep 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Open-Label Extension Study of the Long-Term Safety of ARQ-151 Cream 0.3% in Subjects With Chronic Plaque Psoriasis
- ClinicalTrials.gov ID
- NCT04286607
- Acronym / sponsor ID
- DERMIS-OLE / ARQ-151-306
- Conditions
- Chronic Plaque Psoriasis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 337 participants (actual)
- Lead sponsor
- Arcutis Biotherapeutics, Inc.Industry (pharma, biotech, devices)
- Study start
- 12 Feb 2020 (actual)
- Primary completion
- 22 Jan 2024 (actual)
- Study completion
- 22 Jan 2024 (actual)
- First posted
- 27 Feb 2020 (actual)
- Results
- Posted 9 Sep 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will assess the safety and efficacy of ARQ-151 cream applied once a day for 24 weeks by subjects with chronic plaque psoriasis
Detailed description
This is an open-label study in which ARQ-151 cream is applied once daily x 24 weeks to subjects with psoriasis
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| ARQ-151 Cream 0.3% | Experimental | Drug: Topical roflumilast |
Who may qualify
- Ages
- 2 to 11 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (6 listed)
- Participants legally competent to sign and give informed consent or informed consent of legal guardian, and, if age appropriate, assent by the subject, as required by local laws
- Males and females ages 2 years and older (inclusive)
- Subjects with chronic plaque psoriasis who meet eligibility criteria and:
- Females of childbearing potential (FOCBP) must have a negative pregnancy test at all study visits. In addition, sexually active FOCBP must agree to use at least one form of highly effective contraception throughout the trial.
Key exclusion criteria (6 listed)
- Subjects who experienced an ARQ-151 treatment-related AE or a serious AE (SAE) that precluded further treatment with ARQ-151 cream in a prior ARQ-151 cream study.
- Planned excessive exposure of treated area(s) to either natural or artificial sunlight, tanning bed or other LED.
- 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 drug abuse within 6 months of initiation of investigational product.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Topical roflumilastAlso: ARQ-151 Cream 0.3%Active treatment | Drug | ARQ-151 Cream 0.3% |
Primary outcome
Percentage of Participants With ≥1 Treatment-Emergent Adverse Events (TEAEs)
Time frame: Up to 24 weeks
The percentage of participants with ≥TEAE is reported.
Percentage of Participants With ≥1 Serious Adverse Events (SAEs)
Time frame: Up to 24 weeks
The percentage of participants with ≥1 SAE is reported.
8 secondary outcomes
Achievement of an Investigator Global Assessment (IGA) Score of 'Clear' or 'Almost Clear' Over Time
Time frame: Weeks 4, 12, and 24
Duration of Response (DOR) for Participants Achieving an IGA Score of 'Clear' or 'Almost Clear'
Time frame: Up to Week 30
Return to IGA Score of ≥2 After Achieving an IGA Score of 'Clear' or 'Almost Clear'
Time frame: Up to Week 24
Achievement of a 50% Reduction in Psoriasis Area Severity Index (PASI-50) Score Over Time
Time frame: Weeks 4, 12, and 24
Achievement of a 75% Reduction in Psoriasis Area Severity Index (PASI-75) Score Over Time
Time frame: Weeks 4, 12, and 24
Achievement of a 90% Reduction in Psoriasis Area Severity Index (PASI-90) Score Over Time
Time frame: Weeks 4, 12, and 24
Achievement of a 100% Reduction in Psoriasis Area Severity Index (PASI-100) Score Over Time
Time frame: Weeks 4, 12, and 24
Achievement of Success in Worst Itch Numeric Rating Scale (WI-NRS) Score Over Time
Time frame: Weeks 4, 12, and 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Sep 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
Related trials for Chronic Plaque Psoriasis
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A Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of Subcutaneously Administered Guselkumab for the Treatment of Chronic Plaque Psoriasis in Pediatric Participants
Psoriasis
RecruitingObservational study
Collection of Samples From Subjects With Various Skin Conditions and Healthy Volunteers
Acne, Atopic Dermatitis
RecruitingPhase 4
An Open Label Trial to Evaluate Efficacy and Safety of Roflumilast 0.3% Cream for Chronic Plaque and Nail Psoriasis
Chronic Plaque Psoriasis, Nail Psoriasis
RecruitingPhase 2
Early Intervention in Plaque Psoriasis: is Bimekizumab Able to Delay Chronic Inflammation?
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
David Berk, MD study director
Arcutis Biotherapeutics, Inc.
85 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Topical roflumilast in people with Chronic Plaque Psoriasis, run by Arcutis Biotherapeutics, Inc. at 85 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 85 sites in United States, Canada, Dominican Republic. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 9 Sep 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With ≥1 Treatment-Emergent Adverse Events (TEAEs) (time frame: Up to 24 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Sep 2026.