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Roflumilast foam 0.3% for adolescent and adult patients with seborrheic dermatitis: A randomized, double-blinded, vehicle-controlled, phase 3 trial
The topical phosphodiesterase 4 inhibitor roflumilast has been studied in several dermatologic conditions. Roflumilast foam 0.3% is being investigated as a topical treatment for seborrheic dermatitis (SD). In this phase 3, double-blinded trial, patients with SD were randomly assigned (2:1 ratio) to...
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Published in: | Journal of the American Academy of Dermatology 2024-05, Vol.90 (5), p.986-993 |
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creator | Blauvelt, Andrew Draelos, Zoe D. Stein Gold, Linda Alonso-Llamazares, Javier Bhatia, Neal DuBois, Janet Forman, Seth B. Gooderham, Melinda Green, Lawrence Guenthner, Scott T. Hebert, Adelaide A. Lain, Edward Moore, Angela Y. Papp, Kim A. Zirwas, Matthew Kato, Saori Snyder, Scott Krupa, David Burnett, Patrick Berk, David R. Chu, David H. |
description | The topical phosphodiesterase 4 inhibitor roflumilast has been studied in several dermatologic conditions.
Roflumilast foam 0.3% is being investigated as a topical treatment for seborrheic dermatitis (SD).
In this phase 3, double-blinded trial, patients with SD were randomly assigned (2:1 ratio) to once-daily roflumilast foam 0.3% or vehicle foam for 8 weeks. The primary efficacy outcome was Investigator Global Assessment (IGA) Success at week 8, defined as IGA of 0 (Clear) or 1 (Almost Clear) plus ≥2-point improvement from baseline. Safety was also assessed.
79.5% of roflumilast-treated and 58.0% of vehicle-treated patients met the primary endpoint (P |
doi_str_mv | 10.1016/j.jaad.2023.12.065 |
format | article |
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Roflumilast foam 0.3% is being investigated as a topical treatment for seborrheic dermatitis (SD).
In this phase 3, double-blinded trial, patients with SD were randomly assigned (2:1 ratio) to once-daily roflumilast foam 0.3% or vehicle foam for 8 weeks. The primary efficacy outcome was Investigator Global Assessment (IGA) Success at week 8, defined as IGA of 0 (Clear) or 1 (Almost Clear) plus ≥2-point improvement from baseline. Safety was also assessed.
79.5% of roflumilast-treated and 58.0% of vehicle-treated patients met the primary endpoint (P < .001); statistically significant differences in IGA Success also favored roflumilast at week 2 (roflumilast: 43.0%; vehicle: 25.7%; P < .001) and week 4 (roflumilast: 73.1%; vehicle: 47.1%; P < .001). Roflumilast was well-tolerated with a low rate of treatment-emergent adverse events.
Study limitations include the 8-week treatment period for this chronic condition.
Once-daily roflumilast foam was superior to vehicle in leading to IGA of Clear or Almost Clear plus ≥2-point improvement from baseline at 8 weeks in patients with SD. Longer trials are needed to determine durability and safety of roflumilast foam in SD.</description><identifier>ISSN: 0190-9622</identifier><identifier>EISSN: 1097-6787</identifier><identifier>DOI: 10.1016/j.jaad.2023.12.065</identifier><identifier>PMID: 38253129</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>phase 3 ; phosphodiesterase 4 inhibitor ; randomized controlled trial ; roflumilast foam 0.3 ; seborrheic dermatitis ; STRATUM</subject><ispartof>Journal of the American Academy of Dermatology, 2024-05, Vol.90 (5), p.986-993</ispartof><rights>2024 American Academy of Dermatology, Inc.</rights><rights>Copyright © 2024. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-f9cd6c6436f80ae31dd46f7fa21e875dae795177bd890f3f8e9894baba78fc273</citedby><cites>FETCH-LOGICAL-c400t-f9cd6c6436f80ae31dd46f7fa21e875dae795177bd890f3f8e9894baba78fc273</cites><orcidid>0000-0003-0084-3131</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38253129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blauvelt, Andrew</creatorcontrib><creatorcontrib>Draelos, Zoe D.</creatorcontrib><creatorcontrib>Stein Gold, Linda</creatorcontrib><creatorcontrib>Alonso-Llamazares, Javier</creatorcontrib><creatorcontrib>Bhatia, Neal</creatorcontrib><creatorcontrib>DuBois, Janet</creatorcontrib><creatorcontrib>Forman, Seth B.</creatorcontrib><creatorcontrib>Gooderham, Melinda</creatorcontrib><creatorcontrib>Green, Lawrence</creatorcontrib><creatorcontrib>Guenthner, Scott T.</creatorcontrib><creatorcontrib>Hebert, Adelaide A.</creatorcontrib><creatorcontrib>Lain, Edward</creatorcontrib><creatorcontrib>Moore, Angela Y.</creatorcontrib><creatorcontrib>Papp, Kim A.</creatorcontrib><creatorcontrib>Zirwas, Matthew</creatorcontrib><creatorcontrib>Kato, Saori</creatorcontrib><creatorcontrib>Snyder, Scott</creatorcontrib><creatorcontrib>Krupa, David</creatorcontrib><creatorcontrib>Burnett, Patrick</creatorcontrib><creatorcontrib>Berk, David R.</creatorcontrib><creatorcontrib>Chu, David H.</creatorcontrib><title>Roflumilast foam 0.3% for adolescent and adult patients with seborrheic dermatitis: A randomized, double-blinded, vehicle-controlled, phase 3 trial</title><title>Journal of the American Academy of Dermatology</title><addtitle>J Am Acad Dermatol</addtitle><description>The topical phosphodiesterase 4 inhibitor roflumilast has been studied in several dermatologic conditions.
Roflumilast foam 0.3% is being investigated as a topical treatment for seborrheic dermatitis (SD).
In this phase 3, double-blinded trial, patients with SD were randomly assigned (2:1 ratio) to once-daily roflumilast foam 0.3% or vehicle foam for 8 weeks. The primary efficacy outcome was Investigator Global Assessment (IGA) Success at week 8, defined as IGA of 0 (Clear) or 1 (Almost Clear) plus ≥2-point improvement from baseline. Safety was also assessed.
79.5% of roflumilast-treated and 58.0% of vehicle-treated patients met the primary endpoint (P < .001); statistically significant differences in IGA Success also favored roflumilast at week 2 (roflumilast: 43.0%; vehicle: 25.7%; P < .001) and week 4 (roflumilast: 73.1%; vehicle: 47.1%; P < .001). Roflumilast was well-tolerated with a low rate of treatment-emergent adverse events.
Study limitations include the 8-week treatment period for this chronic condition.
Once-daily roflumilast foam was superior to vehicle in leading to IGA of Clear or Almost Clear plus ≥2-point improvement from baseline at 8 weeks in patients with SD. Longer trials are needed to determine durability and safety of roflumilast foam in SD.</description><subject>phase 3</subject><subject>phosphodiesterase 4 inhibitor</subject><subject>randomized controlled trial</subject><subject>roflumilast foam 0.3</subject><subject>seborrheic dermatitis</subject><subject>STRATUM</subject><issn>0190-9622</issn><issn>1097-6787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9Uctu1TAQtRAVvRR-gAXyBokFCX4kcYy6qSoelSpVQrC2HHus6ysnvthOEf0NfhhHt7BkNTNnzjnSzEHoFSUtJXR4f2gPWtuWEcZbyloy9E_QjhIpmkGM4inaESpJIwfGztHznA-EENlx8Qyd85H1nDK5Q7-_RhfW2QedC3ZRz5i0_E3tEtY2BsgGloL1Yuu4hoKPuviKZPzTlz3OMMWU9uANtpDmuis-f8BXOFVFnP0D2HfYxnUK0EzBL3ab72HvTQVMXEqKIWzYca8zYI5L8jq8QGdOhwwvH-sF-v7p47frL83t3eeb66vbxnSElMZJYwczdHxwI9HAqbXd4ITTjMIoeqtByJ4KMdlREsfdCHKU3aQnLUZnmOAX6O3J95jijxVyUbOv94agF4hrVkxSMQ5935NKZSeqSTHnBE4dk591-qUoUVsY6qC2MNQWhqJM1TCq6PWj_zrNYP9J_n6_Ei5PBKhX3ntIKpv6XQPWJzBF2ej_5_8HTOSc_w</recordid><startdate>20240501</startdate><enddate>20240501</enddate><creator>Blauvelt, Andrew</creator><creator>Draelos, Zoe D.</creator><creator>Stein Gold, Linda</creator><creator>Alonso-Llamazares, Javier</creator><creator>Bhatia, Neal</creator><creator>DuBois, Janet</creator><creator>Forman, Seth B.</creator><creator>Gooderham, Melinda</creator><creator>Green, Lawrence</creator><creator>Guenthner, Scott T.</creator><creator>Hebert, Adelaide A.</creator><creator>Lain, Edward</creator><creator>Moore, Angela Y.</creator><creator>Papp, Kim A.</creator><creator>Zirwas, Matthew</creator><creator>Kato, Saori</creator><creator>Snyder, Scott</creator><creator>Krupa, David</creator><creator>Burnett, Patrick</creator><creator>Berk, David R.</creator><creator>Chu, David H.</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0084-3131</orcidid></search><sort><creationdate>20240501</creationdate><title>Roflumilast foam 0.3% for adolescent and adult patients with seborrheic dermatitis: A randomized, double-blinded, vehicle-controlled, phase 3 trial</title><author>Blauvelt, Andrew ; Draelos, Zoe D. ; Stein Gold, Linda ; Alonso-Llamazares, Javier ; Bhatia, Neal ; DuBois, Janet ; Forman, Seth B. ; Gooderham, Melinda ; Green, Lawrence ; Guenthner, Scott T. ; Hebert, Adelaide A. ; Lain, Edward ; Moore, Angela Y. ; Papp, Kim A. ; Zirwas, Matthew ; Kato, Saori ; Snyder, Scott ; Krupa, David ; Burnett, Patrick ; Berk, David R. ; Chu, David H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-f9cd6c6436f80ae31dd46f7fa21e875dae795177bd890f3f8e9894baba78fc273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>phase 3</topic><topic>phosphodiesterase 4 inhibitor</topic><topic>randomized controlled trial</topic><topic>roflumilast foam 0.3</topic><topic>seborrheic dermatitis</topic><topic>STRATUM</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blauvelt, Andrew</creatorcontrib><creatorcontrib>Draelos, Zoe D.</creatorcontrib><creatorcontrib>Stein Gold, Linda</creatorcontrib><creatorcontrib>Alonso-Llamazares, Javier</creatorcontrib><creatorcontrib>Bhatia, Neal</creatorcontrib><creatorcontrib>DuBois, Janet</creatorcontrib><creatorcontrib>Forman, Seth B.</creatorcontrib><creatorcontrib>Gooderham, Melinda</creatorcontrib><creatorcontrib>Green, Lawrence</creatorcontrib><creatorcontrib>Guenthner, Scott T.</creatorcontrib><creatorcontrib>Hebert, Adelaide A.</creatorcontrib><creatorcontrib>Lain, Edward</creatorcontrib><creatorcontrib>Moore, Angela Y.</creatorcontrib><creatorcontrib>Papp, Kim A.</creatorcontrib><creatorcontrib>Zirwas, Matthew</creatorcontrib><creatorcontrib>Kato, Saori</creatorcontrib><creatorcontrib>Snyder, Scott</creatorcontrib><creatorcontrib>Krupa, David</creatorcontrib><creatorcontrib>Burnett, Patrick</creatorcontrib><creatorcontrib>Berk, David R.</creatorcontrib><creatorcontrib>Chu, David H.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blauvelt, Andrew</au><au>Draelos, Zoe D.</au><au>Stein Gold, Linda</au><au>Alonso-Llamazares, Javier</au><au>Bhatia, Neal</au><au>DuBois, Janet</au><au>Forman, Seth B.</au><au>Gooderham, Melinda</au><au>Green, Lawrence</au><au>Guenthner, Scott T.</au><au>Hebert, Adelaide A.</au><au>Lain, Edward</au><au>Moore, Angela Y.</au><au>Papp, Kim A.</au><au>Zirwas, Matthew</au><au>Kato, Saori</au><au>Snyder, Scott</au><au>Krupa, David</au><au>Burnett, Patrick</au><au>Berk, David R.</au><au>Chu, David H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Roflumilast foam 0.3% for adolescent and adult patients with seborrheic dermatitis: A randomized, double-blinded, vehicle-controlled, phase 3 trial</atitle><jtitle>Journal of the American Academy of Dermatology</jtitle><addtitle>J Am Acad Dermatol</addtitle><date>2024-05-01</date><risdate>2024</risdate><volume>90</volume><issue>5</issue><spage>986</spage><epage>993</epage><pages>986-993</pages><issn>0190-9622</issn><eissn>1097-6787</eissn><abstract>The topical phosphodiesterase 4 inhibitor roflumilast has been studied in several dermatologic conditions.
Roflumilast foam 0.3% is being investigated as a topical treatment for seborrheic dermatitis (SD).
In this phase 3, double-blinded trial, patients with SD were randomly assigned (2:1 ratio) to once-daily roflumilast foam 0.3% or vehicle foam for 8 weeks. The primary efficacy outcome was Investigator Global Assessment (IGA) Success at week 8, defined as IGA of 0 (Clear) or 1 (Almost Clear) plus ≥2-point improvement from baseline. Safety was also assessed.
79.5% of roflumilast-treated and 58.0% of vehicle-treated patients met the primary endpoint (P < .001); statistically significant differences in IGA Success also favored roflumilast at week 2 (roflumilast: 43.0%; vehicle: 25.7%; P < .001) and week 4 (roflumilast: 73.1%; vehicle: 47.1%; P < .001). Roflumilast was well-tolerated with a low rate of treatment-emergent adverse events.
Study limitations include the 8-week treatment period for this chronic condition.
Once-daily roflumilast foam was superior to vehicle in leading to IGA of Clear or Almost Clear plus ≥2-point improvement from baseline at 8 weeks in patients with SD. Longer trials are needed to determine durability and safety of roflumilast foam in SD.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38253129</pmid><doi>10.1016/j.jaad.2023.12.065</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0084-3131</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | phase 3 phosphodiesterase 4 inhibitor randomized controlled trial roflumilast foam 0.3 seborrheic dermatitis STRATUM |
title | Roflumilast foam 0.3% for adolescent and adult patients with seborrheic dermatitis: A randomized, double-blinded, vehicle-controlled, phase 3 trial |
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