Trial Outcomes & Findings for Open Label Extension Trial of PDE4 Inhibition With Roflumilast for the Management of Atopic Dermatitis (NCT NCT04804605)

NCT ID: NCT04804605

Last Updated: 2025-12-23

Results Overview

The number of participants with ≥1 TEAE(s) is reported.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1220 participants

Primary outcome timeframe

Up to 52 weeks

Results posted on

2025-12-23

Participant Flow

Participants were rolled over upon completion of parent studies ARQ-151-311 (NCT04773587), ARQ-151-312 (NCT03638258), and ARQ-151-315 (NCT04845620). Rollovers from 311/312 were analyzed separately from 315 rollovers.

Participants with atopic dermatitis were enrolled at 153 sites in the United States (US), Canada, and Poland.

Participant milestones

Participant milestones
Measure
ARQ-151-311/312: RC/RC 0.15% Group
Participants who received roflumilast cream 0.15% in parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-311/312: VC/RC 0.15% Group
Participants who received vehicle cream in the parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-315: RC/RC 0.05% or 0.15% Group
Participants who received roflumilast cream 0.05% or 0.15% in the parent study received roflumilast 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
ARQ-151-315: VC/RC 0.05% or 0.15% Group
Participants who received vehicle cream in the parent study received roflumilast 0.05% or 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
Overall Study
STARTED
439
219
382
180
Overall Study
COMPLETED
289
145
254
123
Overall Study
NOT COMPLETED
150
74
128
57

Reasons for withdrawal

Reasons for withdrawal
Measure
ARQ-151-311/312: RC/RC 0.15% Group
Participants who received roflumilast cream 0.15% in parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-311/312: VC/RC 0.15% Group
Participants who received vehicle cream in the parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-315: RC/RC 0.05% or 0.15% Group
Participants who received roflumilast cream 0.05% or 0.15% in the parent study received roflumilast 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
ARQ-151-315: VC/RC 0.05% or 0.15% Group
Participants who received vehicle cream in the parent study received roflumilast 0.05% or 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
Overall Study
Withdrawal by Subject
46
26
37
21
Overall Study
Lost to Follow-up
47
21
30
17
Overall Study
Lack of Efficacy
28
11
37
8
Overall Study
Adverse Event
10
10
10
7
Overall Study
Non-compliance
8
3
5
1
Overall Study
Physician Decision
3
0
5
0
Overall Study
Protocol Violation
1
0
0
1
Overall Study
Miscellaneous
7
3
4
2

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ARQ-151-311/312: RC/RC 0.15% Group
n=439 Participants
Participants who received roflumilast cream 0.15% in parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-311/312: VC/RC 0.15% Group
n=218 Participants
Participants who received vehicle cream in the parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-315: RC/RC 0.05% or 0.15% Group
n=382 Participants
Participants who received roflumilast cream 0.05% or 0.15% in the parent study received roflumilast 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
ARQ-151-315: VC/RC 0.05% or 0.15% Group
n=180 Participants
Participants who received vehicle cream in the parent study received roflumilast 0.05% or 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
Total
n=1219 Participants
Total of all reporting groups
Race (NIH/OMB)
Asian
63 Participants
n=68 Participants
35 Participants
n=4 Participants
30 Participants
n=219 Participants
15 Participants
n=219 Participants
143 Participants
n=880 Participants
Race (NIH/OMB)
American Indian or Alaska Native
6 Participants
n=68 Participants
0 Participants
n=4 Participants
1 Participants
n=219 Participants
1 Participants
n=219 Participants
8 Participants
n=880 Participants
Age, Continuous
19.4 years
STANDARD_DEVIATION 16.4 • n=68 Participants
20.5 years
STANDARD_DEVIATION 17.9 • n=4 Participants
3.4 years
STANDARD_DEVIATION 1.11 • n=219 Participants
3.4 years
STANDARD_DEVIATION 1.17 • n=219 Participants
12.2 years
STANDARD_DEVIATION 14.9 • n=880 Participants
Sex: Female, Male
Female
244 Participants
n=68 Participants
122 Participants
n=4 Participants
185 Participants
n=219 Participants
91 Participants
n=219 Participants
642 Participants
n=880 Participants
Sex: Female, Male
Male
195 Participants
n=68 Participants
96 Participants
n=4 Participants
197 Participants
n=219 Participants
89 Participants
n=219 Participants
577 Participants
n=880 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
75 Participants
n=68 Participants
34 Participants
n=4 Participants
70 Participants
n=219 Participants
25 Participants
n=219 Participants
204 Participants
n=880 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
361 Participants
n=68 Participants
182 Participants
n=4 Participants
310 Participants
n=219 Participants
155 Participants
n=219 Participants
1008 Participants
n=880 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=68 Participants
2 Participants
n=4 Participants
2 Participants
n=219 Participants
0 Participants
n=219 Participants
7 Participants
n=880 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=68 Participants
0 Participants
n=4 Participants
0 Participants
n=219 Participants
0 Participants
n=219 Participants
1 Participants
n=880 Participants
Race (NIH/OMB)
Black or African American
58 Participants
n=68 Participants
31 Participants
n=4 Participants
58 Participants
n=219 Participants
22 Participants
n=219 Participants
169 Participants
n=880 Participants
Race (NIH/OMB)
White
272 Participants
n=68 Participants
139 Participants
n=4 Participants
262 Participants
n=219 Participants
137 Participants
n=219 Participants
810 Participants
n=880 Participants
Race (NIH/OMB)
More than one race
20 Participants
n=68 Participants
7 Participants
n=4 Participants
25 Participants
n=219 Participants
3 Participants
n=219 Participants
55 Participants
n=880 Participants
Race (NIH/OMB)
Unknown or Not Reported
19 Participants
n=68 Participants
6 Participants
n=4 Participants
6 Participants
n=219 Participants
2 Participants
n=219 Participants
33 Participants
n=880 Participants

PRIMARY outcome

Timeframe: Up to 52 weeks

Population: All treated participants are included.

The number of participants with ≥1 TEAE(s) is reported.

Outcome measures

Outcome measures
Measure
ARQ-151-311/312: RC/RC 0.15% Group
n=439 Participants
Participants who received roflumilast cream 0.15% in parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-311/312: VC/RC 0.15% Group
n=218 Participants
Participants who received vehicle cream in the parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-315: RC/RC 0.05% or 0.15% Group
n=382 Participants
Participants who received roflumilast cream 0.05% or 0.15% in the parent study received roflumilast 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
ARQ-151-315: VC/RC 0.05% or 0.15% Group
n=180 Participants
Participants who received vehicle cream in the parent study received roflumilast 0.05% or 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
Number of Participants With ≥1 Treatment-emergent Adverse Event (TEAE)
151 Participants
90 Participants
189 Participants
91 Participants

SECONDARY outcome

Timeframe: Weeks 4, 12, 24, 36, and 52

Population: All randomized participants are included.

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.

Outcome measures

Outcome measures
Measure
ARQ-151-311/312: RC/RC 0.15% Group
n=439 Participants
Participants who received roflumilast cream 0.15% in parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-311/312: VC/RC 0.15% Group
n=219 Participants
Participants who received vehicle cream in the parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-315: RC/RC 0.05% or 0.15% Group
n=382 Participants
Participants who received roflumilast cream 0.05% or 0.15% in the parent study received roflumilast 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
ARQ-151-315: VC/RC 0.05% or 0.15% Group
n=180 Participants
Participants who received vehicle cream in the parent study received roflumilast 0.05% or 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
Validated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each Assessment
Week 4
40.1 percentage of participants
Interval 35.61 to 44.83
35.7 percentage of participants
Interval 29.6 to 42.36
37.7 percentage of participants
Interval 32.98 to 42.77
40.8 percentage of participants
Interval 33.88 to 48.2
Validated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each Assessment
Week 12
42.2 percentage of participants
Interval 37.42 to 47.08
36.9 percentage of participants
Interval 30.55 to 43.68
40.0 percentage of participants
Interval 35.1 to 45.07
53.0 percentage of participants
Interval 45.62 to 60.25
Validated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each Assessment
Week 24
48.2 percentage of participants
Interval 43.25 to 53.18
46.3 percentage of participants
Interval 39.27 to 53.48
46.4 percentage of participants
Interval 41.25 to 51.54
54.3 percentage of participants
Interval 46.72 to 61.75
Validated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each Assessment
Week 36
45.5 percentage of participants
Interval 38.75 to 52.33
49.6 percentage of participants
Interval 39.36 to 59.82
42.5 percentage of participants
Interval 37.31 to 47.82
47.6 percentage of participants
Interval 39.94 to 55.45
Validated Investigator Global Assessment-Atopic Dermatitis (vIGA-AD) Score of 0 or 1 at Each Assessment
Week 52
47.9 percentage of participants
Interval 40.82 to 55.07
45.0 percentage of participants
Interval 34.99 to 55.41
50.4 percentage of participants
Interval 44.86 to 55.99
56.9 percentage of participants
Interval 48.53 to 64.83

SECONDARY outcome

Timeframe: Weeks 4, 12, 24, 36, and 52

Population: All randomized participants are included.

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.

Outcome measures

Outcome measures
Measure
ARQ-151-311/312: RC/RC 0.15% Group
n=439 Participants
Participants who received roflumilast cream 0.15% in parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-311/312: VC/RC 0.15% Group
n=219 Participants
Participants who received vehicle cream in the parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-315: RC/RC 0.05% or 0.15% Group
n=382 Participants
Participants who received roflumilast cream 0.05% or 0.15% in the parent study received roflumilast 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
ARQ-151-315: VC/RC 0.05% or 0.15% Group
n=180 Participants
Participants who received vehicle cream in the parent study received roflumilast 0.05% or 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
Percentage of Participants With vIGA-AD Success
Week 24
39.7 percentage of participants
Interval 35.02 to 44.67
21.6 percentage of participants
Interval 16.3 to 28.15
36.1 percentage of participants
Interval 31.31 to 41.13
24.1 percentage of participants
Interval 18.16 to 31.22
Percentage of Participants With vIGA-AD Success
Week 36
37.4 percentage of participants
Interval 31.01 to 44.3
23.5 percentage of participants
Interval 15.6 to 33.77
34.4 percentage of participants
Interval 29.5 to 39.61
22.4 percentage of participants
Interval 16.45 to 29.7
Percentage of Participants With vIGA-AD Success
Week 52
42.7 percentage of participants
Interval 35.78 to 50.01
24.2 percentage of participants
Interval 16.2 to 34.53
42.5 percentage of participants
Interval 37.11 to 48.15
28.5 percentage of participants
Interval 21.41 to 36.79
Percentage of Participants With vIGA-AD Success
Week 12
33.7 percentage of participants
Interval 29.25 to 38.46
15.8 percentage of participants
Interval 11.46 to 21.48
29.5 percentage of participants
Interval 25.12 to 34.33
24.9 percentage of participants
Interval 19.01 to 31.93
Percentage of Participants With vIGA-AD Success
Week 4
30.8 percentage of participants
Interval 26.65 to 35.33
7.8 percentage of participants
Interval 4.86 to 12.23
28.7 percentage of participants
Interval 24.38 to 33.48
11.1 percentage of participants
Interval 7.32 to 16.57

SECONDARY outcome

Timeframe: Weeks 4, 12, 24, 36, and 52

Population: All randomized participants who were ≥12 years of age at the start of the parent studies are included.

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.

Outcome measures

Outcome measures
Measure
ARQ-151-311/312: RC/RC 0.15% Group
n=256 Participants
Participants who received roflumilast cream 0.15% in parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-311/312: VC/RC 0.15% Group
n=139 Participants
Participants who received vehicle cream in the parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-315: RC/RC 0.05% or 0.15% Group
Participants who received roflumilast cream 0.05% or 0.15% in the parent study received roflumilast 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
ARQ-151-315: VC/RC 0.05% or 0.15% Group
Participants who received vehicle cream in the parent study received roflumilast 0.05% or 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
Change From Baseline in Worst Itch-Numeric Rating Scale (WI-NRS) Score Over Time in Participants ≥12 Years of Age in Parent Study
Week 4
-2.1 WI-NRS Score Change
Standard Deviation 2.80
-0.3 WI-NRS Score Change
Standard Deviation 2.23
Change From Baseline in Worst Itch-Numeric Rating Scale (WI-NRS) Score Over Time in Participants ≥12 Years of Age in Parent Study
Week 24
-2.7 WI-NRS Score Change
Standard Deviation 2.85
-0.8 WI-NRS Score Change
Standard Deviation 2.69
Change From Baseline in Worst Itch-Numeric Rating Scale (WI-NRS) Score Over Time in Participants ≥12 Years of Age in Parent Study
Week 12
-2.4 WI-NRS Score Change
Standard Deviation 3.06
-0.2 WI-NRS Score Change
Standard Deviation 2.65
Change From Baseline in Worst Itch-Numeric Rating Scale (WI-NRS) Score Over Time in Participants ≥12 Years of Age in Parent Study
Week 36
-2.6 WI-NRS Score Change
Standard Deviation 2.81
-0.3 WI-NRS Score Change
Standard Deviation 2.40
Change From Baseline in Worst Itch-Numeric Rating Scale (WI-NRS) Score Over Time in Participants ≥12 Years of Age in Parent Study
Week 52
-3.2 WI-NRS Score Change
Standard Deviation 2.85
-1.2 WI-NRS Score Change
Standard Deviation 2.41

SECONDARY outcome

Timeframe: Weeks 4, 12, 24, 36, and 52

Population: All randomized participants with data available are included.

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.

Outcome measures

Outcome measures
Measure
ARQ-151-311/312: RC/RC 0.15% Group
n=439 Participants
Participants who received roflumilast cream 0.15% in parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-311/312: VC/RC 0.15% Group
n=219 Participants
Participants who received vehicle cream in the parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-315: RC/RC 0.05% or 0.15% Group
n=382 Participants
Participants who received roflumilast cream 0.05% or 0.15% in the parent study received roflumilast 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
ARQ-151-315: VC/RC 0.05% or 0.15% Group
n=180 Participants
Participants who received vehicle cream in the parent study received roflumilast 0.05% or 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
Percent Change From Baseline in EASI Score
Week 12
-68.39 Percent change in EASI score
Standard Deviation 34.195
-17.95 Percent change in EASI score
Standard Deviation 152.845
-62.02 Percent change in EASI score
Standard Deviation 49.438
-16.11 Percent change in EASI score
Standard Deviation 241.787
Percent Change From Baseline in EASI Score
Week 24
-72.81 Percent change in EASI score
Standard Deviation 34.462
-33.34 Percent change in EASI score
Standard Deviation 116.997
-71.04 Percent change in EASI score
Standard Deviation 36.124
-32.65 Percent change in EASI score
Standard Deviation 16.532
Percent Change From Baseline in EASI Score
Week 36
-73.81 Percent change in EASI score
Standard Deviation 31.300
-39.20 Percent change in EASI score
Standard Deviation 104.744
-69.75 Percent change in EASI score
Standard Deviation 40.467
-39.39 Percent change in EASI score
Standard Deviation 148.094
Percent Change From Baseline in EASI Score
Week 52
-74.57 Percent change in EASI score
Standard Deviation 35.160
-27.94 Percent change in EASI score
Standard Deviation 137.809
-77.78 Percent change in EASI score
Standard Deviation 35.095
-52.36 Percent change in EASI score
Standard Deviation 74.751
Percent Change From Baseline in EASI Score
Week 4
-63.23 Percent change in EASI score
Standard Deviation 39.702
-36.93 Percent change in EASI score
Standard Deviation 63.272
-59.51 Percent change in EASI score
Standard Deviation 40.684
-41.29 Percent change in EASI score
Standard Deviation 53.042

Adverse Events

ARQ-151-311/312: RC/RC 0.15% Group

Serious events: 5 serious events
Other events: 18 other events
Deaths: 0 deaths

ARQ-151-311/312: VC/RC 0.15% Group

Serious events: 3 serious events
Other events: 12 other events
Deaths: 0 deaths

ARQ-151-315: RC/RC 0.05% or 0.15% Group

Serious events: 12 serious events
Other events: 82 other events
Deaths: 0 deaths

ARQ-151-315: VC/RC 0.05% or 0.15% Group

Serious events: 3 serious events
Other events: 40 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ARQ-151-311/312: RC/RC 0.15% Group
n=439 participants at risk
Participants who received roflumilast cream 0.15% in parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-311/312: VC/RC 0.15% Group
n=218 participants at risk
Participants who received vehicle cream in the parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-315: RC/RC 0.05% or 0.15% Group
n=382 participants at risk
Participants who received roflumilast cream 0.05% or 0.15% in the parent study received roflumilast 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
ARQ-151-315: VC/RC 0.05% or 0.15% Group
n=180 participants at risk
Participants who received vehicle cream in the parent study received roflumilast 0.05% or 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
Infections and infestations
Gastrointestinal bacterial overgrowth
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.26%
1/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Influenza
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.26%
1/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Laryngitis
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.26%
1/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Pneumonia viral
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.26%
1/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Respiratory syncytial virus infection
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.26%
1/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Skin bacterial infection
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.56%
1/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Viral upper respiratory tract infection
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.56%
1/180 • Up to 52 weeks
All treated participants are included.
Injury, poisoning and procedural complications
Penetrating abdominal trauma
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.26%
1/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.56%
1/180 • Up to 52 weeks
All treated participants are included.
Musculoskeletal and connective tissue disorders
Joint swelling
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.56%
1/180 • Up to 52 weeks
All treated participants are included.
Respiratory, thoracic and mediastinal disorders
Bronchial hyperreactivity
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.26%
1/382 • Up to 52 weeks
All treated participants are included.
0.56%
1/180 • Up to 52 weeks
All treated participants are included.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.26%
1/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.56%
1/180 • Up to 52 weeks
All treated participants are included.
Gastrointestinal disorders
Diarrhoea
0.23%
1/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Gastrointestinal disorders
Vomiting
0.23%
1/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.56%
1/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Appendicitis
0.23%
1/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Device related infection
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.46%
1/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Gastroenteritis
0.23%
1/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.56%
1/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Pneumonia
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.46%
1/218 • Up to 52 weeks
All treated participants are included.
0.52%
2/382 • Up to 52 weeks
All treated participants are included.
0.56%
1/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Sepsis
0.23%
1/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Nervous system disorders
Headache
0.23%
1/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Respiratory, thoracic and mediastinal disorders
Asthma
0.23%
1/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Vascular disorders
Aortic aneurysm
0.23%
1/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Vascular disorders
Hypertension
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.46%
1/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Blood and lymphatic system disorders
Lymphadenopathy
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.26%
1/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Immune system disorders
Anaphylactic shock
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.26%
1/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Bronchitis
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.52%
2/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Injury, poisoning and procedural complications
Abscess jaw
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.26%
1/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Application site cellulitis
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.26%
1/382 • Up to 52 weeks
All treated participants are included.
0.00%
0/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Eczema infected
0.00%
0/439 • Up to 52 weeks
All treated participants are included.
0.00%
0/218 • Up to 52 weeks
All treated participants are included.
0.00%
0/382 • Up to 52 weeks
All treated participants are included.
0.56%
1/180 • Up to 52 weeks
All treated participants are included.

Other adverse events

Other adverse events
Measure
ARQ-151-311/312: RC/RC 0.15% Group
n=439 participants at risk
Participants who received roflumilast cream 0.15% in parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-311/312: VC/RC 0.15% Group
n=218 participants at risk
Participants who received vehicle cream in the parent studies received roflumilast 0.15% cream qd for up to 52 weeks in the present study.
ARQ-151-315: RC/RC 0.05% or 0.15% Group
n=382 participants at risk
Participants who received roflumilast cream 0.05% or 0.15% in the parent study received roflumilast 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
ARQ-151-315: VC/RC 0.05% or 0.15% Group
n=180 participants at risk
Participants who received vehicle cream in the parent study received roflumilast 0.05% or 0.15% cream qd for up to 52 weeks in the present study. Participants received 0.05% until the first study visit after turning 6 years of age, and were then switched to 0.15%.
Infections and infestations
COVID-19
4.1%
18/439 • Up to 52 weeks
All treated participants are included.
5.5%
12/218 • Up to 52 weeks
All treated participants are included.
3.4%
13/382 • Up to 52 weeks
All treated participants are included.
2.8%
5/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Upper respiratory tract infection
2.1%
9/439 • Up to 52 weeks
All treated participants are included.
5.5%
12/218 • Up to 52 weeks
All treated participants are included.
8.6%
33/382 • Up to 52 weeks
All treated participants are included.
8.9%
16/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Nasopharyngitis
2.7%
12/439 • Up to 52 weeks
All treated participants are included.
3.7%
8/218 • Up to 52 weeks
All treated participants are included.
6.0%
23/382 • Up to 52 weeks
All treated participants are included.
2.8%
5/180 • Up to 52 weeks
All treated participants are included.
General disorders
Pyrexia
0.91%
4/439 • Up to 52 weeks
All treated participants are included.
0.46%
1/218 • Up to 52 weeks
All treated participants are included.
4.7%
18/382 • Up to 52 weeks
All treated participants are included.
5.6%
10/180 • Up to 52 weeks
All treated participants are included.
Infections and infestations
Influenza
1.6%
7/439 • Up to 52 weeks
All treated participants are included.
1.4%
3/218 • Up to 52 weeks
All treated participants are included.
2.6%
10/382 • Up to 52 weeks
All treated participants are included.
6.1%
11/180 • Up to 52 weeks
All treated participants are included.

Additional Information

Arcutis Medical Information

Arcutis Biotherapeutics

Phone: +1 (844) 692-6729

Results disclosure agreements

  • Principal investigator is a sponsor employee The process of coordinating publication efforts is described in the Clinical Trial Agreement.
  • Publication restrictions are in place

Restriction type: OTHER