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FDA approves roflumilast cream for patients aged ≥2 years with plaque PsO

By Amy Hopkins

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Jun 30, 2026

Learning objective: After reading this article, learners will be able to cite a new clinical development in plaque psoriasis.


On June 29, 2026, the U.S. Food and Drug Administration (FDA) approved a label expansion for roflumilast 0.3% cream for the treatment of children aged ≥2 years with plaque psoriasis (PsO), including intertriginous areas.1 The cream was previously approved for pediatric patients aged 6–11 years with plaque psoriasis in October 2023.

This label expansion was supported by results from a phase II, 4-week Maximal Usage Systemic Exposure (MUSE) study (NCT04746911), which evaluated the pharmacokinetics, safety, tolerability, and exploratory efficacy of roflumilast 0.3% cream in children aged 2–5 years with plaque PsO involving ≥2% body surface area.1 Supportive long-term safety data were obtained from the phase III, open-label extension DERMIS-OLE study (NCT04286607), in which roflumilast demonstrated safety and efficacy profiles similar to those observed in adolescents and adults in the phase III DERMIS-1 (NCT04211363) and DERMIS-2 (NCT04211389) trials.1

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