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Chronic Hand EczemaPhase 4NCT05682859

Treatment of Chronic Hand Eczema With Oral Roflumilast (HERO)

A Phase 4 study testing Roflumilast 500 Mcg Oral Tablet in people with Chronic Hand Eczema, run by Jacob Pontoppidan Thyssen at 1 site in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is a multicentre, double-blinded, randomized, placebo-controlled, clinical trial with open-label extension. The purpose and aim of this study is to investigate the efficacy and safety of roflumilast (PDE4-inhibitor) in adult patients with chronic hand eczema (CHE). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Chronic Hand Eczema
What is being tested?
Roflumilast 500 Mcg Oral Tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
41 participants
Where
1 siteDenmark
Study dates
25 Sep 2023to 1 Sep 2025
Phase
Phase 4
Are there results?
None posted in the registry

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 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years
  • Age ≤ 75 years
  • HECSI ≥ 18 (moderate to severe hand eczema)
  • IGA-CHE ≥ 3
  • Body mass index (BMI) ≥ 20 kg/m2
  • Negative pregnancy test (only women of child-bearing potential (see section 2.8))
  • Willing to use safe anticonception during entire study and at least 1 week after end of treatment (-5 times plasma half-life of Roflumilast). This only account for women child-bearing potential
  • Speaks, understands, and reads danish.

Who cannot join

  • Severe immunological disease, e.g. HIV, systemic lupus, and systemic sclerosis
  • Diagnosis of current tuberculosis
  • Current viral hepatitis
  • History of heart failure (NYHA III-IV)
  • History of moderate or severe liver failure (Child-Pugh B-C)
  • Current or former depression with suicidal ideation
Show all 18Show fewer
  • Topical therapy (anti-inflammatory) for chronic hand eczema 14 days before randomization
  • Topical therapy (anti-inflammatory) for chronic hand eczema during study
  • Systemic therapy for chronic hand eczema 28 days before randomization
  • Systemic therapy for chronic hand eczema during study
  • Current treatment with oral dicloxacillin or macrolide
  • Current treatment with topical antibiotics
  • Diagnosis of contact eczema of clinical significance 3 months before randomization
  • Previous treatment with apremilast (Otezla®) or roflumilast (Daxas®)
  • Confirmed pregnancy
  • Breast feeding
  • Blood donation during study
  • Allergy to roflumilast or any other PDE-4 inhibitor

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Department of dermatology and veneorology, Bispebjerg Hospital

    Copenhagen, 2400

Other trials in Denmark

About this study

Official title: Treatment of Chronic Hand Eczema With Oral Roflumilast (HERO) - a Randomized Controlled Trial

This study is a multicentre, double-blinded, randomized, placebo-controlled, clinical trial with open-label extension.

The purpose and aim of this study is to investigate the efficacy and safety of roflumilast (PDE4-inhibitor) in adult patients with chronic hand eczema (CHE).

Patients will receive 16-week treatment with either roflumilast or placebo tablets. Hereafter, both groups continue in open-label treatment for 12 weeks where both groups will receive treatment with roflumilast.

Read the detailed description

This study will investigate the efficacy and safety of roflumilast in adult patients with CHE and it is hypothesized that patients treated with oral roflumilast (500 microgram once daily) will experience an improvement in their moderate-to-severe CHE (measured by hand eczema severity index (HECSI)) and alter the skin microbiome. Secondly, it is hypothesized that patients treated with oral roflumilast will experience improved lung function and weight loss.

This study includes two phases:

Phase 1: 20 patients will receive 500 microgram tablet of roflumilast once daily for 16 weeks while 20 patients will receive placebo once daily for 16 weeks.

Phase 2: All 40 patients from phase 1 will receive 500 microgram tablet of roflumilast once daily for 12 weeks.

Being tested
Roflumilast 500 Mcg Oral Tablet, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Roflumilast 500 Mcg Oral TabletDrug

    Also called Daxas

    Randomized to either systemic roflumilast or placebo in phase 1. All participating patients will receive roflumilast in phase 2.

  • PlaceboDrug

    Placebo tablets

Study groups in NCT05682859
Study groupRoleWhat they receive
RoflumilastActive comparator20 of the participating patients are randomized to the active arm where systemic roflumilast 500 microgram tablets are received.
Receives: Drug: Roflumilast 500 Mcg Oral Tablet
PlaceboPlacebo comparator20 of the participating patients are randomized to the active arm where systemic placebo tablets are received.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of patients achieving at least 75% reduction in hand eczema severity index (HECSI75) at week 16 when compared to HECSI at baseline.

    HECSI is a measure of hand eczema disease severity considering the extent and intensity of the disease. Each hand is divided into five areas (fingertips, fingers (except the tips), palms, back of hands and wrists) and each area is graded on the intensity of six clinical signs: erythema, induration/papulation, vesicles, fissuring, scaling, and oedema. The grading scale used is: 0, no skin change; 1, mild disease; 2, moderate and 3, severe. The affected area for each location (total of both hands) are given a score from 0 to 4 (0, 0%; 1, 1-25%; 2, 26-50%; 3, 51-75% and 4, 76-100%) for the extent of clinical symptoms. Finally, the total sum of the intensity of the six clinical signs multiplied by the extent of each location is called HECSI score and it may vary from 0 to a maximum of 360 points, with higher scores reflecting greater disease severity. The score reflects HE severity as following: 1-16, mild HE; 17-37, moderate HE; 38-116 severe HE and 117-360, very severe HE.

    Measured: Through study completion, an average of 28 weeks

Secondary outcomes (17)
  1. Proportion of patients achieving at least 50% reduction in baseline HECSI (HECSI50) at assessments.

    HECSI is a measure of hand eczema disease severity considering the extent and intensity of the disease. Each hand is divided into five areas (fingertips, fingers (except the tips), palms, back of hands and wrists) and each area is graded on the intensity of six clinical signs: erythema, induration/papulation, vesicles, fissuring, scaling, and oedema. The grading scale used is: 0, no skin change; 1, mild disease; 2, moderate and 3, severe. The affected area for each location (total of both hands) are given a score from 0 to 4 (0, 0%; 1, 1-25%; 2, 26-50%; 3, 51-75% and 4, 76-100%) for the extent of clinical symptoms. Finally, the total sum of the intensity of the six clinical signs multiplied by the extent of each location is called HECSI score and it may vary from 0 to a maximum of 360 points, with higher scores reflecting greater disease severity. The score reflects HE severity as following: 1-16, mild HE; 17-37, moderate HE; 38-116 severe HE and 117-360, very severe HE.

    Measured: Through study completion, an average of 28 weeks

  2. Proportion of patients achieving at least 90% reduction in baseline HECSI (HECSI90) at assessments.

    HECSI is a measure of hand eczema disease severity considering the extent and intensity of the disease. Each hand is divided into five areas (fingertips, fingers (except the tips), palms, back of hands and wrists) and each area is graded on the intensity of six clinical signs: erythema, induration/papulation, vesicles, fissuring, scaling, and oedema. The grading scale used is: 0, no skin change; 1, mild disease; 2, moderate and 3, severe. The affected area for each location (total of both hands) are given a score from 0 to 4 (0, 0%; 1, 1-25%; 2, 26-50%; 3, 51-75% and 4, 76-100%) for the extent of clinical symptoms. Finally, the total sum of the intensity of the six clinical signs multiplied by the extent of each location is called HECSI score and it may vary from 0 to a maximum of 360 points, with higher scores reflecting greater disease severity. The score reflects HE severity as following: 1-16, mild HE; 17-37, moderate HE; 38-116 severe HE and 117-360, very severe HE.

    Measured: Through study completion, an average of 28 weeks

  3. Proportion of patients achieving at least 100% reduction in baseline HECSI (HECSI100) at assessments

    HECSI is a measure of hand eczema disease severity considering the extent and intensity of the disease. Each hand is divided into five areas (fingertips, fingers (except the tips), palms, back of hands and wrists) and each area is graded on the intensity of six clinical signs: erythema, induration/papulation, vesicles, fissuring, scaling, and oedema. The grading scale used is: 0, no skin change; 1, mild disease; 2, moderate and 3, severe. The affected area for each location (total of both hands) are given a score from 0 to 4 (0, 0%; 1, 1-25%; 2, 26-50%; 3, 51-75% and 4, 76-100%) for the extent of clinical symptoms. Finally, the total sum of the intensity of the six clinical signs multiplied by the extent of each location is called HECSI score and it may vary from 0 to a maximum of 360 points, with higher scores reflecting greater disease severity. The score reflects HE severity as following: 1-16, mild HE; 17-37, moderate HE; 38-116 severe HE and 117-360, very severe HE.

    Measured: Through study completion, an average of 28 weeks

  4. Percent change from baseline in HECSI score at assessments.

    HECSI is a measure of hand eczema disease severity considering the extent and intensity of the disease. Each hand is divided into five areas (fingertips, fingers (except the tips), palms, back of hands and wrists) and each area is graded on the intensity of six clinical signs: erythema, induration/papulation, vesicles, fissuring, scaling, and oedema. The grading scale used is: 0, no skin change; 1, mild disease; 2, moderate and 3, severe. The affected area for each location (total of both hands) are given a score from 0 to 4 (0, 0%; 1, 1-25%; 2, 26-50%; 3, 51-75% and 4, 76-100%) for the extent of clinical symptoms. Finally, the total sum of the intensity of the six clinical signs multiplied by the extent of each location is called HECSI score and it may vary from 0 to a maximum of 360 points, with higher scores reflecting greater disease severity. The score reflects HE severity as following: 1-16, mild HE; 17-37, moderate HE; 38-116 severe HE and 117-360, very severe HE.

    Measured: Through study completion, an average of 28 weeks

  5. Change (2 or more points) in physician global assessment for chronic hand eczema IGA-CHE) at assessments.

    The IGA-CHE rates the severity of the patient's global disease assessed by the physician and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).

    Measured: Through study completion, an average of 28 weeks

  6. Change from baseline in dermatology life quality index (DLQI) at assessments.

    DLQI is a validated, self-administered, 10-item questionnaire that measure the impact of skin disease on patients' quality of life, based on recall over the past week. Domains include symptoms, feeling, daily activities, social, leisure, work or studying, personal relationships, and treatment. Each question is answered on a scale of 0 (not at all) to 3 (very much) and the total score may vary from 0 to 30.

    Measured: Through study completion, an average of 28 weeks

  7. Change from baseline in patient's global assessment (PaGA) at assessments.

    The PaGA rates the severity of the patient's global disease assessed by the patient and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).

    Measured: Through study completion, an average of 28 weeks

  8. Change from baseline in numeric rating scale (NRS) - Peak skin pain on hands within the last 24 hours at assessments.

    NRS is a simple and commonly used numeric scale in which the patient rates patient symptoms such as pain, itch and sleeplessness on a scale from 0 (no pain, no itch, no sleeplessness) to 10 (worst pain, worst itch, worst sleeplessness).

    Measured: Through study completion, an average of 28 weeks

  9. Change from baseline in numeric rating scale (NRS) - Peak skin pain on hands within the last 7 days at assessments.

    NRS is a simple and commonly used numeric scale in which the patient rates patient symptoms such as pain, itch and sleeplessness on a scale from 0 (no pain, no itch, no sleeplessness) to 10 (worst pain, worst itch, worst sleeplessness).

    Measured: Through study completion, an average of 28 weeks

  10. Change from baseline in NRS - Peak itch on hands within the last 24 hours at assessments.

    NRS is a simple and commonly used numeric scale in which the patient rates patient symptoms such as pain, itch and sleeplessness on a scale from 0 (no pain, no itch, no sleeplessness) to 10 (worst pain, worst itch, worst sleeplessness).

    Measured: Through study completion, an average of 28 weeks

  11. Change from baseline in NRS - Peak itch on hands within the last 7 days at assessments.

    NRS is a simple and commonly used numeric scale in which the patient rates patient symptoms such as pain, itch and sleeplessness on a scale from 0 (no pain, no itch, no sleeplessness) to 10 (worst pain, worst itch, worst sleeplessness).

    Measured: Through study completion, an average of 28 weeks

  12. Change from baseline in NRS - sleeplessness within the last 24 hours at assessments.

    NRS is a simple and commonly used numeric scale in which the patient rates patient symptoms such as pain, itch and sleeplessness on a scale from 0 (no pain, no itch, no sleeplessness) to 10 (worst pain, worst itch, worst sleeplessness).

    Measured: Through study completion, an average of 28 weeks

  13. Change from baseline in NRS - sleeplessness within the last 7 at assessments.

    NRS is a simple and commonly used numeric scale in which the patient rates patient symptoms such as pain, itch and sleeplessness on a scale from 0 (no pain, no itch, no sleeplessness) to 10 (worst pain, worst itch, worst sleeplessness).

    Measured: Through study completion, an average of 28 weeks

  14. Change from baseline in NRS - Patient treatment satisfaction within the last 7 at assessments.

    NRS is a simple and commonly used numeric scale in which the patient rates patient treatment satisfaction on a scale from 0 (very unsatisfied) to 10 (very satisfied).

    Measured: Through study completion, an average of 28 weeks

  15. Change from baseline in quality of life hand eczema questionnaire (QOLHEQ) at assessments.

    QOLHEQ is a validated, self-administered 30-question questionnaire that measures impairment of health-related quality of life (HRQoL) in patients with HE. Domains include symptoms, emotions, functioning and treatment/prevention. 0 (not at all) to 4 (all the time) and the total score may vary from 0 to 120. A QOLHEQ score greater than 86 is indicative of very strong impairment.

    Measured: Through study completion, an average of 28 weeks

  16. Change from baseline in work productivity and activity impairment: CHE (WPAI:CHE) at assessments.

    WPAI is a validated, self-administered questionnaire that measures the impact of CHE on work. Domains include time missed from work and impairment of work and regular activities due to CHE.

    Measured: Through study completion, an average of 28 weeks

  17. Adverse events (AEs), serious adverse events (SAEs), serious adverse reactions (SARs), and suspected unexpected serious adverse reactions (SUSARS) documented at assessments.

    AE are any unfavorable and/or unintended sign or incident, symptoms or disease, whether related to roflumilast or placebo. This also includes laboratory results outside the reference range, though only laboratory results with clinical relevance will be examined. Any AE from the first administration of the trial medication to 8 days after the last administration of the trial medicine will be recorded, though unfavorable event reported in questionnaires will not be recorded as AE. SAE and SAR are any AE or adverse reaction that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability or incapacity, or is a congenital anomaly of birth defect.

    Measured: Through study completion, an average of 28 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jan 2023
  2. Study start25 Sep 2023
  3. Primary completion17 Jun 2025
  4. Study completion1 Sep 2025

Resources

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Multicentre, double-blinded, randomized, placebo-controlled, clinical trial with open-label extension
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05682859
Sponsor's protocol ID
MC-HE-RO
Other IDs
2022-503011-42-00
Status last verified
Jun 2025
First submitted
16 Dec 2022
Last updated
6 Aug 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Roflumilast 500 Mcg Oral Tablet in people with Chronic Hand Eczema, run by Jacob Pontoppidan Thyssen at 1 site in Denmark.

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 8 inclusion and 18 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 6 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. 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. Some participants in this study may receive a placebo. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Proportion of patients achieving at least 75% reduction in hand eczema severity index (HECSI75) at week 16 when compared to HECSI at baseline. (time frame: Through study completion, an average of 28 weeks). 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 6 Aug 2026.

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