Actively Recruiting

Phase 2
Age: 18Years - 90Years
All Genders
ID07077902

An Open Label Study Evaluating Safety and Efficacy of Topical Roflumilast 0.3% Foam as Mono or Add-on Therapy for Hidradenitis Suppurativa with Gene Expression Analysis

Led by Tulane University · Updated on 2025-12-23

10

Participants Needed

4

Research Sites

N/A

Total Duration

On this page

Sponsors

T

Tulane University

Lead Sponsor

A

Arcutis Biotherapeutics, Inc.

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating topical roflumilast 0.3% foam as a treatment for patients with Hidradenitis Suppurativa (HS), a skin condition involving inflammatory lesions. This phase 2a, open-label study explores its safety and effectiveness both as a stand-alone treatment for mild HS and as an add-on therapy for moderate to severe cases. The study includes gene expression analysis to understand changes before and after treatment. Participants will apply topical roflumilast foam once daily to affected areas. Those with mild HS (Hurley stage I) will use it as monotherapy, while patients with moderate to severe HS (Hurley stage II or III) will add it to their stable existing treatments. The treatment period lasts 4 months, with gene expression profiling performed to assess molecular changes resulting from therapy. Participants will undergo evaluations including gene expression testing via tape strip collections at baseline and week 16. Other assessments will measure treatment response, quality of life, and pain levels at baseline, 1 month, and 4 months. Safety and tolerability will be monitored throughout the study, which runs from screening through 4 months of treatment to understand how the foam affects HS symptoms and patient well-being.

CONDITIONS

Brief Title

A Study for Evaluating Safety & Efficacy of Topical Roflumilast 0.3% Foam in Hidradenitis Suppurativa

Who Can Participate

Age: 18Years - 90Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Must understand the study risks and benefits and provide signed informed consent.
  • Must be 18 years or older at time of consent.
  • Willing to participate in all study evaluations and able to apply topical medication.
  • Have a diagnosis of Hidradenitis Suppurativa with at least 5 typical lesions in flexural sites that recur over time.
  • Suitable for topical therapy with active Hurley stage I or stage II/III disease after prior systemic or biologic therapy.
  • On a stable dose of current therapy for at least 3 months before and during the study.
  • Female participants of childbearing potential must have a negative pregnancy test at baseline and use contraception throughout the study.
Not Eligible

You will not qualify if you...

  • Use of topical antibiotics, corticosteroids, resorcinol, benzoyl peroxide, vitamin D analogs, or Hibiclens wash within 1 week before enrollment.
  • Changes or increases in concurrent therapy doses within 90 days before study start or during the study.
  • History of major uncontrolled diseases affecting heart, endocrine, lung, nervous system, psychiatric, liver, kidney, blood, immune system, or other serious conditions.
  • Conditions or lab abnormalities that increase risk or interfere with study data.
  • Pregnant or breastfeeding individuals.
  • Major surgery or life-threatening illness within 2 weeks before study.
  • Active hepatitis B or C infection or known HIV positivity.
  • Known active cancer.
  • Severe systemic illness requiring IV antibiotics within 2 weeks before treatment.
  • Active or recent substance abuse within 6 months before screening.
  • Use of investigational drugs within 4 weeks or 5 half-lives prior to randomization.

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 4 months

Participants apply topical roflumilast 0.3% foam once a day to affected areas as monotherapy or add-on therapy for their Hidradenitis Suppurativa.

Baseline visit and follow-up visits during treatment

Trial Site Locations

Total: 4 locations

1

Lakeview Hospital

Covington, Louisiana, United States, 70433

Actively Recruiting

2

Lakeside Hospital

New Orleans, Louisiana, United States, 70001

Actively Recruiting

3

LCMC Multi-speciality Clinic

New Orleans, Louisiana, United States, 70112

Actively Recruiting

4

University Medical Center

New Orleans, Louisiana, United States, 70112

Actively Recruiting

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Research Team

C

Carole Bitar, MD

E

Edward Coleman, MS

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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