Efficacy of Roflumilast in the Treatment of Psoriasis

NCT ID: NCT04549870

Last Updated: 2023-06-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-01

Study Completion Date

2022-12-12

Brief Summary

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Roflumilast (Daxas®), a selective, long-acting inhibitor of the enzyme phosphodiesterase-4 (PDE4), is used for severe chronic obstructive pulmonary disease. Recent research suggest roflumilast is effective in treating psoriasis. The aim of this investigator-initiated trial is to study the efficacy of oral roflumilast in patients with plaque psoriasis. This has not previously been done.

Detailed Description

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Aim: To investigate the efficacy of roflumilast in the treatment of psoriasis.

Design: Multicentre, double-blinded, randomised, placebo-controlled, clinical trial.

Participants: Patients ≥18 years with plaque psoriasis.

Method: Twelve weeks treatment with either roflumilast or placebo tablets. Both groups continue for an additional 12 weeks open-label treatment.

Primary endpoint: Proportion of patients achieving at least 75% reduction from baseline psoriasis area and severity index (PASI75) at week 12.

Conditions

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Psoriasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Roflumilast

Roflumilast 500 microgram daily (capsule)

Group Type ACTIVE_COMPARATOR

Roflumilast

Intervention Type DRUG

Treatment according to national roflumilast guidelines

Placebo

Placebo (capsule)

Group Type PLACEBO_COMPARATOR

Roflumilast

Intervention Type DRUG

Treatment according to national roflumilast guidelines

Interventions

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Roflumilast

Treatment according to national roflumilast guidelines

Intervention Type DRUG

Other Intervention Names

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Daxas

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years
* Chronic stable plaque psoriasis (min duration 6 months)
* PASI \>8
* Body mass index (BMI) \> 20 kg/m2
* Candidate for systemic treatment of psoriasis
* Negative pregnancy test (only women)
* Safe anticonception during entire study and at least 1 week after end of treatment (\~5 times plasma half-life of roflumilast) (only applying for fertile women)

Exclusion Criteria

* Severe immunological disease, e.g. HIV, systemic lupus, and systemic sclerosis
* Current tuberculosis
* Current viral hepatitis
* Heart failure (NYHA III-IV)
* Moderate or severe liver failure (Child-Pugh B-C)
* Current or former malignancy (basal cell carcinoma excluded)
* Current or former depression with suicidal ideation
* Topical therapy for psoriasis during within 2 of randomization or during study
* Systemic therapy for psoriasis or psoriatic arthritis within 4 weeks of randomization or during study
* Treatment with theophylline, phenobarbital, carbamazepine, or phenytoin
* Confirmed pregnancy
* Planned pregnancy within 6 months
* Breast feeding
* Blood donation during study
* Inability to complete study
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bispebjerg Hospital

OTHER

Sponsor Role lead

Responsible Party

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Mette Gyldenløve

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alexander Egeberg, MD, PhD

Role: STUDY_DIRECTOR

Bispebjerg Hospital

Locations

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Bispebjerg Hospital

Copenhagen, , Denmark

Site Status

Countries

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Denmark

References

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Baez E, Gyldenlove M, Ben Abdallah H, Emmanuel T, Sorensen JA, Thomsen SF, Zachariae C, Egeberg A, Skov L, Iversen L, Johansen C. Oral Roflumilast Suppresses Proinflammatory Cytokine Signaling and Reduces CD4+ T-Cell and Neutrophil Infiltration in Psoriasis. J Invest Dermatol. 2025 May 20:S0022-202X(25)00491-9. doi: 10.1016/j.jid.2025.04.034. Online ahead of print.

Reference Type DERIVED
PMID: 40403838 (View on PubMed)

Gyldenlove M, Meteran H, Sorensen JA, Fage S, Yao Y, Lindhardsen J, Nissen CV, Todberg T, Thomsen SF, Skov L, Zachariae C, Iversen L, Nielsen ML, Egeberg A. Efficacy and safety of oral roflumilast for moderate-to-severe psoriasis-a randomized controlled trial (PSORRO). Lancet Reg Health Eur. 2023 Apr 21;30:100639. doi: 10.1016/j.lanepe.2023.100639. eCollection 2023 Jul.

Reference Type DERIVED
PMID: 37465323 (View on PubMed)

Other Identifiers

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H-20013697

Identifier Type: -

Identifier Source: org_study_id

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