FDA Expands Pediatric Roflumilast Use - Summary - MDSpire

FDA Expands Pediatric Roflumilast Use

  • By

  • Kathryn Wighton

  • June 30, 2026

  • 3 min

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Objective:

To announce the FDA's approval of roflumilast cream 0.3% for the treatment of plaque psoriasis in pediatric patients aged 2 years and older.

Approach:
  • Study Overview: The approval was based on data from the open-label, 4-week Maximal Usage Systemic Exposure (MUSE; ARQ-151-216) study and additional long-term safety data from the open-label extension study (ARQ-151-306).
Key Findings:
  • Roflumilast cream 0.3% is now approved for pediatric patients aged 2 years and older.
  • The therapy was previously approved for adults and children aged 6 years and older at a 0.15% dose.
  • Safety and efficacy findings were consistent with those in phase 3 trials for adolescents and adults.
Interpretation:

Limitations:
  • Roflumilast cream 0.3% is contraindicated in patients with moderate to severe liver impairment.
Conclusion:

Sources:

Original Source(s)

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