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CompletedPhase 4

Evaluation of the Efficacy and Safety of Oral Roflumilast Versus Intralesional Corticosteroids Injection (ILCs) in the Treatment of Alopecia Areata

Key facts

Who runs it
Cairo University
Where
Egypt1 site in 1 countryChoose a country to see its sites
Trial code
Status
Completed
Phase
Phase 4
People taking part
50 people enrolled
Started
12 Jan 2025
Ended
20 Aug 2025
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Roflumilast
  • intralesional steroid
Record updated
15 September 2025

Who can take part

Age
18 weeks and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 14 criteriaShow less

Who can take part

  • Patients with mild to moderate patchy alopecia areata as assessed by SALT score (S1: 1-24% hair loss (limited); S2: 25-49% hair loss (moderate))
  • Patients with patchy alopecia areata with viable hair follicles by trichoscopy
  • Patients of both genders aged \>18 years
  • Patients able and willing to provide informed consent

Who cannot take part

  • Patients receiving systemic treatment relevant to AA or biologics, phototherapy, or topical treatment within 4 weeks before enrollment into the study
  • Patients with a history of/ or existing scalp skin diseases apart from AA, such as eczema, seborrheic dermatitis, psoriasis, scalp infections, or skin cancer
  • Patients with a history of other inflammatory skin conditions
  • History of hypersensitivity to roflumilast or its components
  • History of severe anxiety or depression (Gupta, 2012)
  • Patients with history of bleeding disorders or on anticoagulant medications,
  • Patients with active infection at the local site, patients with keloidal tendency, and patients with low pain threshold
  • Patients less than 18 years old
  • Patients with other types of AA (surface area \>50%, alopecia totalis, alopecia universalis and ophiasis)
  • Pregnant and lactating females

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

Evaluation of the Efficacy and Safety of a drug called Oral Roflumilast versus Intralesional Corticosteroids Injection (ILCs) in the Treatment of Alopecia Areata.

The 2 groups in the trial

  • Arm A: 25 participants with AA will be on Roflumilast groupExisting treatment, for comparison

    patients in arm A will receive daily oral Roflumilast (immunomodulator) 500 mcg for 16Consecutive weeks.

    Treatment: Roflumilast

  • 25 participants will receive intralesional steroid injectionExisting treatment, for comparison

    ILCs group: 5 mg/mL every 4 weeks for 16 weeks

    Treatment: intralesional steroid

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Evaluation of the Efficacy and Safety of Oral Roflumilast Versus Intralesional Corticosteroids Injection (ILCs) in the Treatment of Alopecia Areata: A Randomized Controlled Trial.
Record updated
15 September 2025