A Pilot Study to Assess How Safe and Effective Oral Roflumilast is for Treating Moderate to Severe Psoriasis in Adults
Recruiting
Phase 2Interventional Study
Psoriasis (PsO)
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
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At a Glance
Age
18 and older
Sex
Any
Trial phase
Phase 2
Study type
Interventional
Purpose
Treatment
Participants needed
36 (estimated)
Sponsor
Ahmed Ibrahim · Other
Who this trial is looking for
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This is a 12-week, single-arm, open-label pilot study to assess the safety and preliminary efficacy of oral roflumilast in adults with moderate-to-severe plaque psoriasis. All participants, both male and female, will receive oral roflumilast starting at 250 mcg once daily for 10 days, followed by 500 mcg once daily for the remainder of the study. The primary outcome is the mean change in Psoriasis…
This is a 12-week, single-arm, open-label pilot study to assess the safety and preliminary efficacy of oral roflumilast in adults with moderate-to-severe plaque psoriasis. All participants, both male and female, will receive oral roflumilast starting at 250 mcg once daily for 10 days, followed by 500 mcg once daily for the remainder of the study. The primary outcome is the mean change in Psoriasis Area and Severity Index (PASI) score from baseline to Week 12. Secondary outcomes include change in body mass index (BMI) and safety assessments, including treatment-emergent adverse events, serious adverse events, and laboratory abnormalities. Male and female participants will be analyzed as subgroups.
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Eligibility Criteria
Inclusion Criteria:
* Psoriatic patients ≥ 18 years in whom systemic therapy is indicated.
* Chronic stable plaque psoriasis.
* Patients who don't use other systemic therapy for psoriasis in the last 2 months (or naïve who didn't use any systemic therapy before).
* Safe contraception during the stu…
Inclusion Criteria:
* Psoriatic patients ≥ 18 years in whom systemic therapy is indicated.
* Chronic stable plaque psoriasis.
* Patients who don't use other systemic therapy for psoriasis in the last 2 months (or naïve who didn't use any systemic therapy before).
* Safe contraception during the study.
Exclusion Criteria:
* Pregnant or lactating women, as well as women of childbearing potential not using an effective method of contraception.
* Age \<18 years.
* Other concomitant psoriasis systemic treatments such as Acitretin and biologics.
* Previous systemic treatment of psoriasis in the last 2 months.
* Patients receiving inducers or inhibitors of cytochromes CYP3A4 and CYP1A.
* Other systemic diseases other than COPD, especially hepatic impairment.
* Hypersensitivity to the active substance of roflumilast or to any of its excipients
* The use of contraception with gestodene and ethinylestradiol
* Unreliable patients.
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