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Safety and Efficacy of ARQ-154 Foam in Subjects With Seborrheic Dermatitis

A Phase 2b, 8-Week, Parallel Group, Double Blind, Vehicle-Controlled Study of the Safety and Efficacy of ARQ-154 Foam 0.3% Administered QD in Subjects With Seborrheic Dermatitis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04091646
Enrollment
226
Registered
2019-09-17
Start date
2019-12-04
Completion date
2020-08-21
Last updated
2023-07-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Seborrheic Dermatitis

Brief summary

This was a parallel group, double blind, vehicle-controlled study assessed the safety and efficacy of roflumilast foam (ARQ-154) vs placebo foam in participants with seborrheic dermatitis.

Interventions

Roflumilast foam for topical application.

DRUGVehicle foam

Vehicle foam for topical application.

Sponsors

Arcutis Biotherapeutics, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Participants legally competent to sign and give informed consent. 2. Males and females ages 18 years and older (inclusive) at the time of consent. 3. Clinical diagnosis of seborrheic dermatitis of at least 3 months duration as determined by the Investigator. Stable disease for the past 4 weeks. 4. Seborrheic dermatitis of the scalp and/or face and/or trunk and/or intertriginous areas. 5. An Investigator Global Assessment (IGA) of disease severity of at least Moderate ('3') at Baseline. 6. Overall Assessment of Erythema and Overall Assessment of Scaling scores of at least Moderate ('2') at Baseline. 7. Females of childbearing potential (FOCBP) must have a negative serum pregnancy test at Screening (Visit 1) and a negative urine pregnancy test at Baseline (Visit 2). 8. Females of non-childbearing potential must either be post-menopausal with spontaneous amenorrhea for at least 12 months or have undergone surgical sterilization. 9. Subjects in good health as judged by the Investigator, based on medical history, physical examination, vital signs, serum chemistry labs, hematology values, and urinalysis. 10. Subjects are considered reliable and capable of adhering to the Protocol and visit schedule according to the Investigator judgment.

Exclusion criteria

1. Subjects who cannot discontinue treatment with therapies for the treatment of seborrheic dermatitis prior to the Baseline visit and during the study according to Excluded Medications and Treatments. 2. Planned excessive exposure of treated area(s) to either natural or artificial sunlight, tanning bed or other LED. 3. Subjects who cannot discontinue the use of strong P-450 cytochrome inhibitors e.g., indinavir, nelfinavir, ritonavir, clarithromycin, itraconazole, ketoconazole, nefazodone, saquinavir, suboxone and telithromycin for two weeks prior to the Baseline visit (Visit 2) and during the study. 4. Subjects who cannot discontinue the use of strong P-450 cytochrome inducers e.g., efavirenz, nevirapine, glucocorticoids, barbiturates (including phenobarbital), phenytoin, rifampin, and carbamazepine for two weeks prior to the Baseline visit (Visit 2) and during the study. 5. Subjects with PHQ-8 ≥10 at Screening or Baseline visits. 6. Previous treatment with ARQ-151 and ARQ-154. 7. Subjects who have received oral roflumilast (Daliresp®, Daxas®) or other PDE-4 inhibitors (apremilast) within the past 4 weeks. 8. Known allergies to excipients in ARQ-154 foam. 9. Known or suspected: severe renal insufficiency or moderate to severe hepatic disorders; hypersensitivity to component(s) of the investigational products; or history of severe depression, suicidal ideation, or Baseline/Screening C-SSRS indicative of suicidal ideation, whether lifetime or recent/current. 10. Subjects with a history of a major surgery within 8 weeks prior to Baseline (Visit 2) or has a major surgery planned during the study. 11. Subjects with any condition on the treatment area which, in the opinion of the Investigator, could confound efficacy measurements. 12. Subjects unable to apply product to the scalp due to physical limitations. 13. Females who are pregnant, wishing to become pregnant during the study, or are breast-feeding. 14. A clinically relevant history of abuse of alcohol or other drugs, at the discretion of the Investigator. 15. 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. 16. Subjects who are family members of the clinical study site, clinical study staff, or sponsor, or family members of enrolled subjects. 17. Any condition that in the Investigator's assessment would preclude the subject from participating in the study.

Design outcomes

Primary

MeasureTime frameDescription
Achievement of Investigator Global Assessment (IGA) Success at Week 8Week 8The number of participants achieving success in IGA assessment of disease severity at Week 8 is presented for each arm. Success was defined as achievement of an IGA score of 0 ('completely clear') or 1 ('almost clear'), accompanied by a ≥2-grade improvement from baseline IGA score. The IGA is 5-point scale assessing the severity of Seborrheic Dermatitis, with scores ranging from 0 ('completely clear') to 4 ('severe'), and higher scores indicate greater severity. The IGA scores are based on observed data, whereas odds ratio and p-values were calculated using multiple imputation of missing values.

Secondary

MeasureTime frameDescription
Change From Baseline in Overall Assessment of Erythema ScoreWeeks 2, 4, and 8The mean (SD) change from baseline in Overall Assessment of Erythema score at Weeks 2, 4, and 8 is shown. The Erythema Assessment is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 (None: no evidence of erythema.) to 3 (Severe: Intense \[fiery red\] erythema.). Higher scores indicate greater severity.
Achievement of Overall Assessment of Erythema SuccessWeeks 2, 4, and 8The number of participants achieving success in Overall Assessment of Erythema at Weeks 2, 4, and 8 is presented for each arm. Success was defined as achievement of an overall score of 0 or 1 plus a ≥2 grade improvement from Baseline. The Overall Assessment of Erythema is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 (None: no evidence of erythema.) to 3 (Severe: Intense \[fiery red\] erythema.). Higher scores indicate greater severity.
Change From Baseline in Overall Assessment of Scaling ScoreWeeks 2, 4, and 8The mean (SD) change from baseline in Overall Assessment of Scaling score at Weeks 2, 4, and 8 is shown. The Overall Assessment of Scaling is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 (No scaling: No scaling evident on lesions.) to 3 (Severe: Coarse, thick scales, with flaking into clothes or skin.). Higher scores indicate greater severity.
Achievement of IGA Success at Weeks 2 and 4Weeks 2 and 4The number of participants achieving success in IGA assessment of disease severity at Weeks 2 and 4 is presented for each arm. Success was defined as achievement of an IGA score of 0 ('completely clear') or 1 ('almost clear'), accompanied by a ≥2-grade improvement from baseline IGA score. The IGA is 5-point scale assessing the severity of Seborrheic Dermatitis, with scores ranging from 0 ('completely clear') to 4 ('severe'), and higher scores indicate greater severity. The IGA scores are based on observed data, whereas odds ratio and p-values were calculated using multiple imputation of missing values.
Change From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) ScoreWeeks 2, 4, and 8The change from baseline in WI-NRS is shown. The WI-NRS is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 (no itch) to 10 (worst imaginable itch) the subject experienced in the previous 24 hours. Negative values represent a decrease in worst itch from baseline, and positive values indicate an increase.
Achievement of WI-NRS SuccessWeeks 2, 4, and 8The number of participants achieving WI-NRS success at Weeks 2, 4, and 8 is presented. Success was defined as achievement of a ≥4-point improvement from baseline WI-NRS score. The WI-NRS is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 (no itch) to 10 (worst imaginable itch) the subject experienced in the previous 24 hours.
Achievement of Overall Assessment of Scaling SuccessWeeks 2, 4, and 8The number of participants achieving success in Overall Assessment of Scaling score at Weeks 2, 4, and 8 is presented for each arm. Success was defined as achievement of an Overall Assessment of Scaling score of 0 or 1 plus a ≥2 grade improvement from Baseline. The Overall Assessment of Scaling is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 (No scaling: No scaling evident on lesions.) to 3 (Severe: Coarse, thick scales, with flaking into clothes or skin.). Higher scores indicate greater severity.

Countries

Canada, United States

Participant flow

Participants by arm

ArmCount
Roflumilast Foam 0.3%
Participants apply roflumilast foam 0.3% once daily for 8 weeks.
154
Vehicle Foam
Participants apply vehicle foam matched to roflumilast foam once daily for 8 weeks.
72
Total226

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event21
Overall StudyLost to Follow-up62
Overall StudyParticipant Incarcerated10
Overall StudyProtocol Violation01
Overall StudyWithdrawal by Subject41

Baseline characteristics

CharacteristicVehicle FoamRoflumilast Foam 0.3%Total
Age, Continuous44.2 years
STANDARD_DEVIATION 16.27
45.3 years
STANDARD_DEVIATION 17.01
44.9 years
STANDARD_DEVIATION 16.75
Ethnicity (NIH/OMB)
Hispanic or Latino
16 Participants29 Participants45 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
56 Participants125 Participants181 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Investigator Global Assessment (IGA) Baseline Score
0 Completely Clear
0 Participants0 Participants0 Participants
Investigator Global Assessment (IGA) Baseline Score
1 Almost Clear
0 Participants0 Participants0 Participants
Investigator Global Assessment (IGA) Baseline Score
2 Mild
0 Participants0 Participants0 Participants
Investigator Global Assessment (IGA) Baseline Score
3 Moderate
69 Participants141 Participants210 Participants
Investigator Global Assessment (IGA) Baseline Score
4 Severe
3 Participants13 Participants16 Participants
Overall Assessment of Erythema Baseline Score
Mild
0 Participants0 Participants0 Participants
Overall Assessment of Erythema Baseline Score
Moderate
66 Participants135 Participants201 Participants
Overall Assessment of Erythema Baseline Score
None
0 Participants0 Participants0 Participants
Overall Assessment of Erythema Baseline Score
Severe
6 Participants19 Participants25 Participants
Overall Assessment of Scaling Baseline Score
Mild
0 Participants0 Participants0 Participants
Overall Assessment of Scaling Baseline Score
Moderate
58 Participants130 Participants188 Participants
Overall Assessment of Scaling Baseline Score
None
0 Participants0 Participants0 Participants
Overall Assessment of Scaling Baseline Score
Severe
14 Participants24 Participants38 Participants
Race/Ethnicity, Customized
American-Indian or Alaska Native
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Asian
1 Participants7 Participants8 Participants
Race/Ethnicity, Customized
Black or African-American
6 Participants17 Participants23 Participants
Race/Ethnicity, Customized
More than One Race
1 Participants5 Participants6 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Other
2 Participants1 Participants3 Participants
Race/Ethnicity, Customized
White
62 Participants123 Participants185 Participants
Sex: Female, Male
Female
32 Participants78 Participants110 Participants
Sex: Female, Male
Male
40 Participants76 Participants116 Participants
Worst Itch Numerical Rating Scale (WI-NRS) Baseline Score
0
2 Participants7 Participants9 Participants
Worst Itch Numerical Rating Scale (WI-NRS) Baseline Score
1
2 Participants6 Participants8 Participants
Worst Itch Numerical Rating Scale (WI-NRS) Baseline Score
10
2 Participants9 Participants11 Participants
Worst Itch Numerical Rating Scale (WI-NRS) Baseline Score
2
5 Participants9 Participants14 Participants
Worst Itch Numerical Rating Scale (WI-NRS) Baseline Score
3
4 Participants7 Participants11 Participants
Worst Itch Numerical Rating Scale (WI-NRS) Baseline Score
4
8 Participants18 Participants26 Participants
Worst Itch Numerical Rating Scale (WI-NRS) Baseline Score
5
11 Participants13 Participants24 Participants
Worst Itch Numerical Rating Scale (WI-NRS) Baseline Score
6
5 Participants20 Participants25 Participants
Worst Itch Numerical Rating Scale (WI-NRS) Baseline Score
7
17 Participants27 Participants44 Participants
Worst Itch Numerical Rating Scale (WI-NRS) Baseline Score
8
16 Participants24 Participants40 Participants
Worst Itch Numerical Rating Scale (WI-NRS) Baseline Score
9
0 Participants14 Participants14 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 1540 / 72
other
Total, other adverse events
0 / 1540 / 72
serious
Total, serious adverse events
0 / 1540 / 72

Outcome results

Primary

Achievement of Investigator Global Assessment (IGA) Success at Week 8

The number of participants achieving success in IGA assessment of disease severity at Week 8 is presented for each arm. Success was defined as achievement of an IGA score of 0 ('completely clear') or 1 ('almost clear'), accompanied by a ≥2-grade improvement from baseline IGA score. The IGA is 5-point scale assessing the severity of Seborrheic Dermatitis, with scores ranging from 0 ('completely clear') to 4 ('severe'), and higher scores indicate greater severity. The IGA scores are based on observed data, whereas odds ratio and p-values were calculated using multiple imputation of missing values.

Time frame: Week 8

Population: All randomized participants are included, with the exception of those who missed the Week 8 assessment due to COVID-19 disruption.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Roflumilast Foam 0.3%Achievement of Investigator Global Assessment (IGA) Success at Week 8104 Participants
Vehicle FoamAchievement of Investigator Global Assessment (IGA) Success at Week 827 Participants
Comparison: IGA Success at Week 8 Odds Ratiop-value: <0.000195% CI: [2.51, 9.76]Cochran-Mantel-Haenszel
Secondary

Achievement of IGA Success at Weeks 2 and 4

The number of participants achieving success in IGA assessment of disease severity at Weeks 2 and 4 is presented for each arm. Success was defined as achievement of an IGA score of 0 ('completely clear') or 1 ('almost clear'), accompanied by a ≥2-grade improvement from baseline IGA score. The IGA is 5-point scale assessing the severity of Seborrheic Dermatitis, with scores ranging from 0 ('completely clear') to 4 ('severe'), and higher scores indicate greater severity. The IGA scores are based on observed data, whereas odds ratio and p-values were calculated using multiple imputation of missing values.

Time frame: Weeks 2 and 4

Population: All randomized participants are included, with the exception of those who missed the Week 8 assessment due to COVID-19 disruption.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Roflumilast Foam 0.3%Achievement of IGA Success at Weeks 2 and 4Week 251 Participants
Roflumilast Foam 0.3%Achievement of IGA Success at Weeks 2 and 4Week 481 Participants
Vehicle FoamAchievement of IGA Success at Weeks 2 and 4Week 210 Participants
Vehicle FoamAchievement of IGA Success at Weeks 2 and 4Week 419 Participants
Comparison: IGA Success at Week 2 Odds Ratiop-value: 0.003395% CI: [1.46, 7.52]Cochran-Mantel-Haenszel
Comparison: IGA Success at Week 4 Odds Ratiop-value: 0.000295% CI: [1.94, 7.38]Cochran-Mantel-Haenszel
Secondary

Achievement of Overall Assessment of Erythema Success

The number of participants achieving success in Overall Assessment of Erythema at Weeks 2, 4, and 8 is presented for each arm. Success was defined as achievement of an overall score of 0 or 1 plus a ≥2 grade improvement from Baseline. The Overall Assessment of Erythema is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 (None: no evidence of erythema.) to 3 (Severe: Intense \[fiery red\] erythema.). Higher scores indicate greater severity.

Time frame: Weeks 2, 4, and 8

Population: All randomized participants who provided data are included, with the exception of those who missed the Week 8 assessment due to COVID-19 disruption.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Roflumilast Foam 0.3%Achievement of Overall Assessment of Erythema SuccessWeek 234 Participants
Roflumilast Foam 0.3%Achievement of Overall Assessment of Erythema SuccessWeek 451 Participants
Roflumilast Foam 0.3%Achievement of Overall Assessment of Erythema SuccessWeek 863 Participants
Vehicle FoamAchievement of Overall Assessment of Erythema SuccessWeek 24 Participants
Vehicle FoamAchievement of Overall Assessment of Erythema SuccessWeek 814 Participants
Vehicle FoamAchievement of Overall Assessment of Erythema SuccessWeek 47 Participants
Comparison: Erythema Success at Week 2p-value: 0.006595% CI: [1.49, 17.13]Cochran-Mantel-Haenszel
Comparison: Erythema Success at Week 4p-value: 0.000295% CI: [2.15, 13.38]Cochran-Mantel-Haenszel
Comparison: Erythema Success at Week 8p-value: 0.002195% CI: [1.5, 6.63]Cochran-Mantel-Haenszel
Secondary

Achievement of Overall Assessment of Scaling Success

The number of participants achieving success in Overall Assessment of Scaling score at Weeks 2, 4, and 8 is presented for each arm. Success was defined as achievement of an Overall Assessment of Scaling score of 0 or 1 plus a ≥2 grade improvement from Baseline. The Overall Assessment of Scaling is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 (No scaling: No scaling evident on lesions.) to 3 (Severe: Coarse, thick scales, with flaking into clothes or skin.). Higher scores indicate greater severity.

Time frame: Weeks 2, 4, and 8

Population: All randomized participants who provided data are included, with the exception of those who missed the Week 8 assessment due to COVID-19 disruption.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Roflumilast Foam 0.3%Achievement of Overall Assessment of Scaling SuccessWeek 240 Participants
Roflumilast Foam 0.3%Achievement of Overall Assessment of Scaling SuccessWeek 459 Participants
Roflumilast Foam 0.3%Achievement of Overall Assessment of Scaling SuccessWeek 863 Participants
Vehicle FoamAchievement of Overall Assessment of Scaling SuccessWeek 814 Participants
Vehicle FoamAchievement of Overall Assessment of Scaling SuccessWeek 210 Participants
Vehicle FoamAchievement of Overall Assessment of Scaling SuccessWeek 414 Participants
Comparison: Scaling Success at Week 2p-value: 0.075995% CI: [0.9, 4.33]Cochran-Mantel-Haenszel
Comparison: Scaling Success at Week 4p-value: 0.012295% CI: [1.18, 4.61]Cochran-Mantel-Haenszel
Comparison: Scaling Success at Week 8p-value: 0.000395% CI: [1.74, 6.55]Cochran-Mantel-Haenszel
Secondary

Achievement of WI-NRS Success

The number of participants achieving WI-NRS success at Weeks 2, 4, and 8 is presented. Success was defined as achievement of a ≥4-point improvement from baseline WI-NRS score. The WI-NRS is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 (no itch) to 10 (worst imaginable itch) the subject experienced in the previous 24 hours.

Time frame: Weeks 2, 4, and 8

Population: All randomized participants who provided data are included, with the exception of those who missed the Week 8 assessment due to COVID-19 disruption or those with baseline WI-NRS \<4.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Roflumilast Foam 0.3%Achievement of WI-NRS SuccessWeek 265 Participants
Roflumilast Foam 0.3%Achievement of WI-NRS SuccessWeek 470 Participants
Roflumilast Foam 0.3%Achievement of WI-NRS SuccessWeek 873 Participants
Vehicle FoamAchievement of WI-NRS SuccessWeek 818 Participants
Vehicle FoamAchievement of WI-NRS SuccessWeek 213 Participants
Vehicle FoamAchievement of WI-NRS SuccessWeek 415 Participants
Comparison: WI-NRS Success at Week 2p-value: 0.000795% CI: [1.72, 7.63]Cochran-Mantel-Haenszel
Comparison: WI-NRS Success at Week 4p-value: 0.000995% CI: [1.63, 6.68]Cochran-Mantel-Haenszel
Comparison: WI-NRS Success at Week 8p-value: 0.000795% CI: [1.6, 6.35]Cochran-Mantel-Haenszel
Secondary

Change From Baseline in Overall Assessment of Erythema Score

The mean (SD) change from baseline in Overall Assessment of Erythema score at Weeks 2, 4, and 8 is shown. The Erythema Assessment is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 (None: no evidence of erythema.) to 3 (Severe: Intense \[fiery red\] erythema.). Higher scores indicate greater severity.

Time frame: Weeks 2, 4, and 8

Population: All randomized participants who provided data are included, with the exception of those who missed the Week 8 assessment due to COVID-19 disruption.

ArmMeasureGroupValue (MEAN)Dispersion
Roflumilast Foam 0.3%Change From Baseline in Overall Assessment of Erythema ScoreWeek 2-1.0 score on a scaleStandard Deviation 0.73
Roflumilast Foam 0.3%Change From Baseline in Overall Assessment of Erythema ScoreWeek 4-1.3 score on a scaleStandard Deviation 0.73
Roflumilast Foam 0.3%Change From Baseline in Overall Assessment of Erythema ScoreWeek 8-1.4 score on a scaleStandard Deviation 0.78
Vehicle FoamChange From Baseline in Overall Assessment of Erythema ScoreWeek 2-0.4 score on a scaleStandard Deviation 0.65
Vehicle FoamChange From Baseline in Overall Assessment of Erythema ScoreWeek 4-0.7 score on a scaleStandard Deviation 0.68
Vehicle FoamChange From Baseline in Overall Assessment of Erythema ScoreWeek 8-0.8 score on a scaleStandard Deviation 0.85
Comparison: Week 2 Erythema Scorep-value: <0.0001Wilcoxon (Mann-Whitney)
Comparison: Week 4 Erythema Scorep-value: <0.0001Wilcoxon (Mann-Whitney)
Comparison: Week 8 Erythema Scorep-value: <0.0001Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Overall Assessment of Scaling Score

The mean (SD) change from baseline in Overall Assessment of Scaling score at Weeks 2, 4, and 8 is shown. The Overall Assessment of Scaling is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 (No scaling: No scaling evident on lesions.) to 3 (Severe: Coarse, thick scales, with flaking into clothes or skin.). Higher scores indicate greater severity.

Time frame: Weeks 2, 4, and 8

Population: All randomized participants who provided data are included, with the exception of those who missed the Week 8 assessment due to COVID-19 disruption.

ArmMeasureGroupValue (MEAN)Dispersion
Roflumilast Foam 0.3%Change From Baseline in Overall Assessment of Scaling ScoreWeek 2-1.0 Score on a scaleStandard Deviation 0.77
Roflumilast Foam 0.3%Change From Baseline in Overall Assessment of Scaling ScoreWeek 4-1.3 Score on a scaleStandard Deviation 0.76
Roflumilast Foam 0.3%Change From Baseline in Overall Assessment of Scaling ScoreWeek 8-1.5 Score on a scaleStandard Deviation 0.75
Vehicle FoamChange From Baseline in Overall Assessment of Scaling ScoreWeek 2-0.6 Score on a scaleStandard Deviation 0.78
Vehicle FoamChange From Baseline in Overall Assessment of Scaling ScoreWeek 4-0.8 Score on a scaleStandard Deviation 0.81
Vehicle FoamChange From Baseline in Overall Assessment of Scaling ScoreWeek 8-1.0 Score on a scaleStandard Deviation 0.83
Comparison: Week 2 Scaling Scorep-value: <0.0001Wilcoxon (Mann-Whitney)
Comparison: Week 4 Scaling Scorep-value: <0.0001Wilcoxon (Mann-Whitney)
Comparison: Week 8 Scaling Scorep-value: <0.0001Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) Score

The change from baseline in WI-NRS is shown. The WI-NRS is a simple, single-item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 (no itch) to 10 (worst imaginable itch) the subject experienced in the previous 24 hours. Negative values represent a decrease in worst itch from baseline, and positive values indicate an increase.

Time frame: Weeks 2, 4, and 8

Population: All randomized participants who provided data are included, with the exception of those who missed the Week 8 assessment due to COVID-19 disruption.

ArmMeasureGroupValue (MEAN)Dispersion
Roflumilast Foam 0.3%Change From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) ScoreWeek 2-3.0 score on a scaleStandard Deviation 2.8
Roflumilast Foam 0.3%Change From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) ScoreWeek 4-3.5 score on a scaleStandard Deviation 2.72
Roflumilast Foam 0.3%Change From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) ScoreWeek 8-3.7 score on a scaleStandard Deviation 2.83
Vehicle FoamChange From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) ScoreWeek 8-2.0 score on a scaleStandard Deviation 2.37
Vehicle FoamChange From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) ScoreWeek 2-1.7 score on a scaleStandard Deviation 2.08
Vehicle FoamChange From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) ScoreWeek 4-1.9 score on a scaleStandard Deviation 2.22

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026