Clinical Trials

Numerous clinical trials spanning Phase 1 through Phase 4 have evaluated roflumilast across various inflammatory, dermatological, and hematologic conditions, including plaque psoriasis, atopic dermatitis, chronic obstructive pulmonary disease, hidradenitis suppurativa, chronic hand eczema, and diffuse large B-cell lymphoma. Sponsored by pharmaceutical entities like Arcutis Biotherapeutics Inc. as well as academic institutions such as Cairo University and Beth Israel Deaconess Medical Center, these studies range in status from completed to actively recruiting. Collectively, this extensive research portfolio demonstrates the broad therapeutic investigation of roflumilast in mitigating severe inflammatory pathologies.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06643221 RECRUITING
Leukemia; Hematopoetic Stem Cell Transplantation; Donor Lymphocyte Infusion; CAR T-Cell Therapy; Lymphoma; Cell Therapy
University of Arizona
2018-01-24 EARLY_PHASE1
NCT07352566 NOT_YET_RECRUITING
Psoriasis; Atopic Dermatitis
University of California, San Francisco
2026-08-01 PHASE4
NCT07263230 RECRUITING
Hidradenitis Suppurativa (HS)
Beth Israel Deaconess Medical Center
2026-09-01 PHASE2
NCT07689188 NOT_YET_RECRUITING
Hidradenitis Suppurativa (HS)
Harrison Dermatology
2026-08-10 PHASE2
NCT07314242 NOT_YET_RECRUITING
COPD (Chronic Obstructive Pulmonary Disease)
Ganzhou Hemay Pharmaceutical Co., Ltd
2026-01-01 PHASE2
NCT07639840 NOT_YET_RECRUITING
Immune-related Dermatitis
Massachusetts General Hospital
2026-08-01 PHASE2
NCT07560618 RECRUITING
ITCH; Atopic Dermatitis
Integrative Skin Science and Research
2026-07-21 PHASE4
NCT07725822 NOT_YET_RECRUITING
Chronic Plaque Psoriasis; Nail Psoriasis
Modern Research Associates, PLLC
2026-08 PHASE4
NCT07683806 NOT_YET_RECRUITING
Seborrheic Dermatitis
Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd.
2026-08-24 PHASE3
NCT07566351 RECRUITING
Rheumatoid Arthritis
Horus University
2026-04-23 PHASE2
NCT06860958 RECRUITING
Depressive Disorder, Major
Tanta University
2025-03-01 PHASE3
NCT07795086 NOT_YET_RECRUITING
Chronic Obstructive Pulmonary Disease With Exacerbation
Sidra Aziz
2027-02 PHASE4
NCT05796271 WITHDRAWN
Lymphoma, B-Cell
The University of Texas Health Science Center at San Antonio
2024-01 PHASE1
NCT06977711 RECRUITING
Diffuse Large B-cell Lymphoma
The University of Texas Health Science Center at San Antonio
2025-06-20 PHASE1
NCT07632846 RECRUITING
Rheumatoid Arthritis; Rheumatoid Arthritis (RA)
Horus University
2026-05-19 PHASE2
NCT07077902 RECRUITING
Hidradenitis Suppurativa
Tulane University
2025-09-25 PHASE2
NCT07543640 NOT_YET_RECRUITING
Flexural Psoriasis (Also Known as Inverse or Intertriginous Psoriasis) and Genital Psoriasis
Eman Raafat Said
2026-04-01 PHASE2
NCT07297602 RECRUITING
Atopic Dermatitis
Nora Mohamed Abdelrazik
2025-11-20 PHASE2
NCT07105254 RECRUITING
Non-segmental Vitiligo
Derm Texas, PLLC
2025-08-01 PHASE2
NCT04069312 COMPLETED
Chronic Obstructive Pulmonary Disease Severe; Chronic Bronchitis
Johns Hopkins University
2020-02-11 PHASE3
NCT07233291 RECRUITING
Psoriasis (PsO)
Ahmed Ibrahim
2025-08-20 PHASE2
NCT04636814 TERMINATED
Chronic Obstructive Pulmonary Disease
Chiesi Farmaceutici S.p.A.
2021-07-12 PHASE3
NCT06998056 COMPLETED
Atopic Dermatitis (Eczema)
Arcutis Biotherapeutics, Inc.
2025-06-09 PHASE2
NCT05418049 ACTIVE_NOT_RECRUITING
Fragile X Syndrome
Children's Hospital Medical Center, Cincinnati
2022-09-08 PHASE2
NCT06648772 COMPLETED
Plaque Psoriasis
Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd.
2024-11-14 PHASE3
NCT06457191 ACTIVE_NOT_RECRUITING
Other Conditions of Brain
University of Calgary
2024-11-06 PHASE1
NCT05682859 COMPLETED
Chronic Hand Eczema
Jacob Pontoppidan Thyssen
2023-09-25 PHASE4
NCT06631170 COMPLETED
Atopic Dermatitis (AD)
Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd.
2024-11-21 PHASE3
NCT07174011 COMPLETED
Alopecia; Alopecia Areata
Cairo University
2025-01-12 PHASE4
NCT04751071 WITHDRAWN
Major Depressive Disorder
Sadat City University
2021-02-01 PHASE1; PHASE2
NCT06677788 COMPLETED
Non-Alcoholic Steatohepatitis (NASH)
Tanta University
2022-04-01 PHASE2
NCT04322929 COMPLETED
Non-cystic Fibrosis Bronchiectasis
The University of Hong Kong
2020-11-12 PHASE2
NCT06440473 UNKNOWN
Healthy Skin
Rao Dermatology
2024-05-28 PHASE4
NCT05684484 COMPLETED
Ulcerative Colitis
Tanta University
2023-02-01 PHASE4
NCT04286607 COMPLETED
Chronic Plaque Psoriasis
Arcutis Biotherapeutics, Inc.
2020-02-12 PHASE3
NCT04854811 COMPLETED
Cerebrovascular Disorders; Memory; Functional Recovery; Drug Intervention
Maastricht University
2021-07-07 PHASE2
NCT05884281 UNKNOWN
Peripheral Neuropathy
Mansoura University
2023-07 PHASE1; PHASE2
NCT05369793 COMPLETED
Type 2 Diabetes (Adult Onset); Diabetic Neuropathies
Tanta University
2022-08-01 PHASE3
NCT04658654 UNKNOWN
Mild Cognitive Impairment; Mild Dementia; Amnestic Mild Cognitive Disorder
Maastricht University Medical Center
2021-11-19 PHASE2
NCT04369547 WITHDRAWN
Synaptic Plasticity
University of Calgary
2022-01 PHASE1
NCT05763082 COMPLETED
Plaque Psoriasis
Padagis LLC
2023-02-07 PHASE3
NCT04845620 COMPLETED
Atopic Dermatitis Eczema
Arcutis Biotherapeutics, Inc.
2021-04-07 PHASE3
NCT05684744 COMPLETED
Psoriasis
Cairo University
2023-01-09 PHASE2; PHASE3
NCT05278624 COMPLETED
Rosacea
Dermatology Consulting Services, PLLC
2022-04-15 PHASE2
NCT05684744 Completed
Psoriasis
Cairo University
2023-01-09 Phase 2|Phase 3
NCT04549870 COMPLETED
Psoriasis
Bispebjerg Hospital
2021-01-01 PHASE2
NCT04108377 TERMINATED
Asthma
University of California, Davis
2019-01-21 PHASE1
NCT04773600 COMPLETED
Atopic Dermatitis Eczema
Arcutis Biotherapeutics, Inc.
2021-02-24 PHASE3
NCT04773587 COMPLETED
Atopic Dermatitis Eczema
Arcutis Biotherapeutics, Inc.
2021-01-27 PHASE3
NCT05028582 COMPLETED
Scalp Psoriasis
Arcutis Biotherapeutics, Inc.
2021-08-24 PHASE3
NCT04973228 COMPLETED
Seborrheic Dermatitis
Arcutis Biotherapeutics, Inc.
2021-07-08 PHASE3
NCT04800172 COMPLETED
Obesity; PreDiabetes
Tanta University
2021-05-01 PHASE3
NCT03458546 COMPLETED
Lymphoma, B-Cell
The University of Texas Health Science Center at San Antonio
2018-05-21 PHASE1
NCT04744090 COMPLETED
Respiratory Distress Syndrome, Adult
Cairo University
2021-03-21 PHASE2
NCT03532490 COMPLETED
Asthma; Obesity
Johns Hopkins University
2018-08-03 PHASE2
NCT04755946 UNKNOWN
Diabetic Nephropathies
Tanta University
2021-03-10 PHASE3
NCT03988816 UNKNOWN
Bronchiectasis Adult
University of Sao Paulo General Hospital
2019-12-06 PHASE2
NCT04211363 COMPLETED
Chronic Plaque Psoriasis
Arcutis Biotherapeutics, Inc.
2019-12-20 PHASE3
NCT04655313 Completed
Psoriasis|Plaque Psoriasis
Arcutis Biotherapeutics Inc.
2020-11-30 Phase 2
NCT03764475 COMPLETED
Plaque Psoriasis
Arcutis Biotherapeutics, Inc.
2018-12-18 PHASE2
NCT04128007 COMPLETED
Plaque Psoriasis
Arcutis Biotherapeutics, Inc.
2020-01-13 PHASE2
NCT04090294 UNKNOWN
Bronchiectasis
Assiut University
2019-10-01 EARLY_PHASE1
NCT04091646 COMPLETED
Seborrheic Dermatitis
Arcutis Biotherapeutics, Inc.
2019-12-04 PHASE2
NCT04279119 Completed
Plaque Psoriasis
Arcutis Biotherapeutics Inc.
2020-03-10 Phase 1
NCT04156191 Completed
Atopic Dermatitis (Eczema)
Arcutis Biotherapeutics Inc.
2019-12-23 Phase 1
NCT03916081 COMPLETED
Atopic Dermatitis
Arcutis Biotherapeutics, Inc.
2019-05-31 PHASE2
NCT02743377 COMPLETED
Nervous System Disease
National Institute of Mental Health (NIMH)
2018-04-04 PHASE1; PHASE2
NCT03428334 COMPLETED
Non-cystic Fibrosis Bronchiectasis
The University of Hong Kong
2018-05-10 PHASE2
NCT03638258 COMPLETED
Plaque Psoriasis
Arcutis Biotherapeutics, Inc.
2018-09-21 PHASE2
NCT03762330 Unknown status
Chronic Obstructive Pulmonary Disease
Fundacio d''Investigacio en Atencio Primaria Jordi Gol i Gurina|Institut Catala de Salut
2019-01-19 Not Applicable
NCT02671942 TERMINATED
Chronic Obstructive Pulmonary Disease
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
2016-03 PHASE2
NCT01973998 COMPLETED
COPD
Temple University
2013-11 PHASE3
NCT02451540 TERMINATED
Pulmonary Disease, Chronic Obstructive
FLUIDDA nv
2015-09 PHASE2
NCT01862029 COMPLETED
Obesity
National Heart, Lung, and Blood Institute (NHLBI)
2013-05-22 PHASE1; PHASE2
NCT02363335 COMPLETED
Healthy Volunteers
National Institute on Aging (NIA)
2015-02-13 PHASE1
NCT02340520 COMPLETED
COPD
UConn Health
2014-12 PHASE3
NCT01745848 COMPLETED
Chronic Obstructive Pulmonary Disease
University of Pittsburgh
2013-02 PHASE4
NCT01830959 UNKNOWN
Sarcoidosis
University of Cincinnati
2013-04 PHASE4
NCT01509677 COMPLETED
COPD; Chronic Obstructive Pulmonary Disease
AstraZeneca
2012-02-01 PHASE3
NCT01630200 COMPLETED
Chronic Obstructive Pulmonary Disease and Allied Conditions
LudwLudwig Boltzmann Institute for COPD and Respiratory Epidemiology
2012-05 PHASE4
NCT04122547 COMPLETED
Exacerbation Copd; Bronchiectasis; Lung Function Decreased
Prince of Songkla University
2015-01 PHASE3
NCT02018432 UNKNOWN
Chronic Obstructive Pulmonary Disease
Asan Medical Center
2013-12 PHASE4
NCT01443845 COMPLETED
COPD; COPD Exacerbation; Lung Diseases; Respiratory Disorders; Pulmonary Disease; Chronic Obstructive Lung Diseases; Chronic Obstructive Airway Disease
AstraZeneca
2011-09-30 PHASE4
NCT02165826 COMPLETED
Chronic Obstructive Pulmonary Disease (COPD)
AstraZeneca
2014-05-01 PHASE3
NCT02097992 COMPLETED
COPD
University of Miami
2013-02 PHASE1; PHASE2
NCT02079844 COMPLETED
Schizophrenia
Takeda
2014-03 PHASE1
NCT03073798 COMPLETED
COPD; Chronic Bronchitis; Emphysema
Johns Hopkins University
2013-03-18 PHASE4
NCT01888952 COMPLETED
Advanced B-cell Lymphoid Malignancies
Anand B. Karnad
2013-07 EARLY_PHASE1
NCT01701934 TERMINATED
Chronic Obstructive Pulmonary Disease; Metabolic Syndrome
Laval University
2013-02 PHASE2
NCT01703260 TERMINATED
Nonalcoholic Steatohapatitis
AstraZeneca
2013-06 PHASE2
NCT01572948 COMPLETED
COPD
University of Alabama at Birmingham
2012-06
NCT02187250 COMPLETED
PCOS; Obesity
University Medical Centre Ljubljana
2014-03 PHASE4
NCT02051335 COMPLETED
Memory Impairment; Alzheimer's Disease
AstraZeneca
2014-01 PHASE1
NCT01329029 COMPLETED
Chronic Obstructive Pulmonary Disease
AstraZeneca
2011-05 PHASE4
NCT01856764 COMPLETED
Atopic Dermatitis
AstraZeneca
2013-06 PHASE2
NCT01473758 TERMINATED
Chronic Obstructive Pulmonary Disease With (Acute) Exacerbation
AstraZeneca
2012-02 PHASE2
NCT01849341 COMPLETED
Chronic Obstructive Pulmonary Disease (COPD)
Fundación Pública Andaluza Progreso y Salud
2012-07 PHASE4
NCT02037672 COMPLETED
PCOS; Obesity
University Medical Centre Ljubljana
2013-09 PHASE4
NCT01730404 COMPLETED
COPD
Chiesi Farmaceutici S.p.A.
2012-10 PHASE2
NCT01765192 COMPLETED
Asthma
AstraZeneca
2013-02 PHASE2
NCT01480661 COMPLETED
Pulmonary Disease, Chronic Obstructive
FLUIDDA nv
2011-12 PHASE4
NCT01580748 UNKNOWN
Symptomatic Bronchiectasis
Seoul National University Bundang Hospital
2012-05 PHASE2
NCT01664624 COMPLETED
Type 2 Diabetes
AstraZeneca
2012-07 PHASE1
NCT01433666 COMPLETED
Dementia
Maastricht University Medical Center
2011-09 PHASE2
NCT01595750 UNKNOWN
Chronic Obstructive Pulmonary Disease
Spanish Research Center for Respiratory Diseases
2012-05 PHASE4
NCT01313494 COMPLETED
COPD
AstraZeneca
2011-03 PHASE3
NCT01354782 COMPLETED
Chronic Obstructive Pulmonary Disease
AstraZeneca
2011-05 PHASE1
NCT00746382 WITHDRAWN
Dermatitis
AstraZeneca
2008-11 PHASE2
NCT00746434 WITHDRAWN
Plaque Psoriasis
AstraZeneca
2008-11 PHASE2
NCT00297102 COMPLETED
Chronic Obstructive Pulmonary Disease (COPD)
AstraZeneca
2006-02 PHASE3
NCT00297115 COMPLETED
Chronic Obstructive Pulmonary Disease (COPD)
AstraZeneca
2006-03 PHASE3
NCT00424268 COMPLETED
Chronic Obstructive Pulmonary Disease
AstraZeneca
2007-01 PHASE3
NCT01140542 COMPLETED
Diabetes Mellitus Type 2
AstraZeneca
2006-08 PHASE2
NCT00313209 COMPLETED
Chronic Obstructive Pulmonary Disease (COPD)
AstraZeneca
2006-04 PHASE3
NCT00242320 COMPLETED
COPD
AstraZeneca
2005-08 PHASE3
NCT00246922 COMPLETED
Bronchial Asthma
AstraZeneca
2004-12-01 PHASE3
NCT00246935 COMPLETED
Chronic Obstructive Pulmonary Disease (COPD)
AstraZeneca
2005-05 PHASE3
NCT00242307 COMPLETED
Bronchial Asthma
AstraZeneca
2004-05-01 PHASE2; PHASE3
NCT00242294 COMPLETED
Chronic Obstructive Pulmonary Disease (COPD)
AstraZeneca
2004-11 PHASE2; PHASE3
NCT00076089 COMPLETED
Chronic Obstructive Pulmonary Disease; COPD
AstraZeneca
2003-12 PHASE3
NCT00163527 COMPLETED
Asthma
AstraZeneca
2003-04 PHASE3
NCT00163475 COMPLETED
Asthma
AstraZeneca
2004-05 PHASE3
NCT01365533 COMPLETED
Allergic Asthma
AstraZeneca
2004-12 PHASE2
NCT00940329 COMPLETED
Healthy
AstraZeneca
2004-04 PHASE1
NCT00108823 COMPLETED
Chronic Obstructive Pulmonary Disease, COPD
AstraZeneca
2004-10 PHASE3
NCT00430729 COMPLETED
Chronic Obstructive Pulmonary Disease; COPD
AstraZeneca
2003-01 PHASE3
NCT00073177 COMPLETED
Asthma
AstraZeneca
2003-11 PHASE3
NCT00062582 COMPLETED
Chronic Obstructive Pulmonary Disease; COPD
AstraZeneca
2003-06 PHASE3
NCT00076076 COMPLETED
Asthma
AstraZeneca
2003-12 PHASE3

(data from https://clinicaltrials.gov, updated on 2026-06-05)

Check the Roflumilast product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Roflumilast selectively binds to and inhibits phosphodiesterase-4 (PDE4), thereby preventing the hydrolysis of cyclic adenosine monophosphate (cAMP) and elevating intracellular cAMP levels to suppress pro-inflammatory cytokine production and immune cell activation. This targeted enzymatic inhibition attenuates localized inflammatory responses, providing clinical therapeutic utility in conditions such as chronic obstructive pulmonary disease, psoriasis, and atopic dermatitis.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.