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NCT07233291RecruitingPhase 2

A Pilot Study to Assess How Safe and Effective Oral Roflumilast is for Treating Moderate to Severe Psoriasis in Adults

Evaluation of Efficacy and Safety of Oral Roflumilast in Treatment of Moderate to Severe Psoriasis: a Pilot Study

Source: ClinicalTrials.gov · Last updated 2 Dec 2025

Brief summary (registry, in English)

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.

Status (registry)
Recruiting
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
36 (estimated)
First submitted
14 Nov 2025
Start date
20 Aug 2025
Primary completion date
28 Feb 2026
Lead sponsor
Ahmed Ibrahim
Diseases
Psoriasis
NCT number
NCT07233291

What you commit to

  • Study type: Interventional · Phase 2
  • Planned participants: 36
  • From 20 Aug 2025 to the primary completion date, 28 Feb 2026
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • 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 illness

  • Other systemic diseases other than COPD, especially hepatic impairment.
  • Hypersensitivity to the active substance of roflumilast or to any of its excipients

Age

  • Age \<18 years.

Other

  • Pregnant or lactating women, as well as women of childbearing potential not using an effective method of contraception.
  • The use of contraception with gestodene and ethinylestradiol
  • Unreliable patients.

Who the study is looking for

  • 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.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Mansoura university Hospital
Coordinator of this site? Confirm its status
Al MansurahEgyptRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.