Long Term Extension Study of Tapinarof for Plaque Psoriasis in Adults (3003)
A Long-Term, Open-Label, Extension Study to Evaluate the Safety and Efficacy of Tapinarof Cream, 1% for the Treatment of Plaque Psoriasis in Adults
1 other identifier
interventional
763
2 countries
104
Brief Summary
This is a long-term, open-label, multicenter, study to evaluate the safety and efficacy of topical tapinarof cream, 1% in adults with plaque psoriasis. Subjects in this study completed treatment in 1 of 2 Phase 3 pivotal efficacy and safety studies (Study DMVT-505-3001 or Study DMVT-505-3002). This study will consist of up to 40 weeks of treatment and a 4-week safety follow-up period.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Aug 2019
104 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 23, 2019
CompletedFirst Posted
Study publicly available on registry
August 12, 2019
CompletedStudy Start
First participant enrolled
August 13, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 6, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
April 6, 2021
CompletedResults Posted
Study results publicly available
August 8, 2022
CompletedAugust 6, 2025
August 1, 2022
1.6 years
July 23, 2019
June 21, 2022
July 21, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (14)
Number of Subjects With Adverse Events and Serious Adverse Events
All AEs reported in this extension study were considered as TEAEs except for those AEs ongoing at the end of the pivotal Phase 3 studies but resolved prior to the Visit 1 date for this extension study. All SAEs were deemed unrelated to treatment with tapinarof cream, 1%.
Baseline to 44 weeks
Frequency of Adverse Events and Serious Adverse Events
All AEs reported in this extension study were considered as TEAEs except for those AEs ongoing at the end of the pivotal Phase 3 studies but resolved prior to the Visit 1 date for this extension study. Subjects could have reported more than one TEAE. All SAEs were deemed unrelated to treatment with tapinarof cream, 1%.
Baseline to 44 weeks
Number of Subjects With Clinically Meaningful Changes From Baseline in Clinical Laboratory Values and Vital Signs
The mean chemistry and hematology parameters were assessed for changes and trends over the course of the study. Shifts from Baseline in chemistry and hematology parameters for individual subjects were assessed for clinical relevance. The number of subjects with clinically significant changes from baseline in laboratory values was assessed for clinical relevance.
Baseline to 40 weeks
Remittive Effect of Treatment Success in Pivotal: Median Time to First Worsening (PGA ≥ 2) While Off Therapy for Subjects Who Entered LTE PGA = 0 (Clear)
Subjects who completed 1 of the phase 3 studies evaluating the safety and efficacy of tapinarof had the option to enter this extension study. Subjects entering with a PGA = 0 had treatment discontinued and were monitored for duration of remittive response. If/when disease worsening occurred, as evidenced by a PGA ≥ 2, treatment was re-initiated and continued until a PGA = 0 was achieved. This outcome measure assesses the median time for subjects entering with a PGA = 0 to first worsening (PGA ≥ 2) while off therapy during this extension study. The PGA is an assessment of a subject's psoriasis using a static 5-point scale to grade lesions on the clinical characteristics of erythema, scaling, and plaque thickness/elevation. The PGA ranges from 0 to 4, where 0 = clear, 1= almost clear, 2 = mild, 3 = moderate, and 4 = severe.
Baseline to 44 weeks
Complete Disease Clearance During LTE: Number of Subjects Achieving Disease Clearance PGA =0 (Clear) While on Therapy for Subjects Entered LTE PGA ≥ 1 (Almost Clear)
Subjects who completed 1 of the phase 3 studies evaluating the safety and efficacy of tapinarof had the option to enter this extension study. Subjects entering with a PGA ≥ 1 continued treatment with tapinarof until they achieved a PGA = 0, at which time treatment was discontinued and subjects were monitored for remittive response. If/when disease worsening occurred, as evidenced by a PGA ≥ 2, treatment was re-initiated and continued until a PGA = 0 was achieved. This outcome measure assesses the number of subjects who entered the extension study with a PGA ≥ 1 and achieved complete disease clearance (PGA=0) while on therapy during this extension study. The PGA is an assessment of a subject's psoriasis using a static 5-point scale to grade lesions on the clinical characteristics of erythema, scaling, and plaque thickness/elevation. The PGA ranges from 0 to 4, where 0 = clear, 1= almost clear, 2 = mild, 3 = moderate, and 4 = severe. Higher PGA scores represent more severe disease.
Baseline to 44 weeks
Response During LTE: Number of Subjects Achieving PGA =0 or 1 (Clear or Almost Clear) While on Therapy for Subjects Who Entered LTE With PGA ≥ 2 (Mild)
Subjects who completed 1 of the phase 3 studies evaluating the safety and efficacy of tapinarof had the option to enter this extension study. Subjects entering with a PGA ≥ 1 continued treatment with tapinarof until they achieved a PGA = 0, at which time treatment was discontinued and subjects were monitored for remittive response. If/when disease worsening occurred, as evidenced by a PGA ≥ 2, treatment was re-initiated and continued until a PGA = 0 was achieved. This outcome measure assesses the number of these subjects who entered the study with a PGA≥ 2 and achieved a PGA of 0 or 1 (clear or almost clear) while on therapy during this extension study. The PGA is an assessment of a subject's psoriasis using a static 5-point scale to grade lesions on the clinical characteristics of erythema, scaling, and plaque thickness/elevation. The PGA ranges from 0 to 4, where 0 = clear, 1= almost clear, 2 = mild, 3 = moderate, and 4 = severe. Higher PGA scores represent more severe disease.
Baseline to 44 weeks
Remittive Effect of Treatment Success: Number of Subjects Experiencing Worsening (PGA ≥ 2) While Off Therapy for Subjects Who Entered LTE With a PGA = 0 (Clear)
Subjects who completed 1 of the phase 3 studies evaluating the safety and efficacy of tapinarof had the option to enter this extension study. Subjects entering with a PGA = 0 had treatment discontinued and were monitored for duration of remittive response. If/when disease worsening occurred, as evidenced by a PGA ≥ 2, treatment was re-initiated and continued until a PGA = 0 was achieved. This treatment and re-treatment pattern of use was continued until the end of the study. This outcome measure assesses the number of these subjects entering the study with a PGA= 0 who experienced worsening (PGA ≥ 2) while off therapy at least once during this extension study. The PGA is an assessment of a subject's psoriasis using a static 5-point scale to grade lesions on the clinical characteristics of erythema, scaling, and plaque thickness/elevation. The PGA ranges from 0 to 4, where 0 = clear, 1= almost clear, 2 = mild, 3 = moderate, and 4 = severe.
Baseline to 44 weeks
Change From Baseline in %BSA Affected
Subjects received treatment with tapinarof intermittently guided by disease severity. This outcome measure assesses the change from baseline in %BSA affected in all subjects, including those on and those off therapy. BSA affected was estimated by the handprint method, where the full palmar hand of the subject represented approximately 1% of the total BSA. Body regions are assigned specific number of handprints (hp) with percentage \[Head and neck = 10% (10 hp), upper extremities = 20% (20 hp), Trunk (including axillae and groin) = 30% (30 hp), lower extremities (including buttocks) = 40% (40 hp)\]. The total %BSA involved was estimated = % involvement
Baseline to 40 weeks
Percent Change From Baseline in %BSA Affected
Subjects received treatment with tapinarof intermittently guided by disease severity. This outcome measure assesses the % change from baseline in %BSA affected in all subjects, including those on and those off therapy. BSA affected was estimated by the handprint method, where the full palmar hand of the subject represented approximately 1% of the total BSA. Body regions are assigned specific number of handprints (hp) with percentage \[Head and neck = 10% (10 hp), upper extremities = 20% (20 hp), Trunk (including axillae and groin) = 30% (30 hp), lower extremities (including buttocks) = 40% (40 hp)\]. The total %BSA involved was estimated = % involvement
Baseline to 40 weeks
Mean Duration (Days) of Treatment Course
Subjects who completed 1 of the phase 3 studies evaluating the safety and efficacy of tapinarof had the option to enter this extension study. Subjects entering with a PGA ≥ 1 continued tapinarof until they achieved a PGA = 0, at which time treatment was discontinued. If/when disease worsening occurred, as evidenced by a PGA ≥ 2, treatment was re-initiated and continued until a PGA = 0 was achieved. Mean duration (days) of treatment episode = time (days) from date of each PGA ≥ 2 (or PGA ≥ 1 for the first episode) to 1 day before each subsequent PGA = 0. The PGA is an assessment of a subject's psoriasis using a static 5-point scale to grade lesions on the clinical characteristics of erythema, scaling, and plaque thickness/elevation. The PGA ranges from 0 to 4, where 0 = clear, 1= almost clear, 2 = mild, 3 = moderate, and 4 = severe. Higher PGA scores represent more severe disease.
Baseline to 40 weeks
Change From Baseline in Psoriasis Area and Severity Index (PASI) Score
Subjects received treatment with tapinarof intermittently guided by disease severity. This outcome measure assesses the change from baseline in PASI score in all subjects, including those on and those off therapy. The PASI scoring system combines the assessment of lesion severity and extent of affected area into a single score: 0 (no disease) to 72 (maximal disease). The body is divided into 4 areas for scoring (head, arms, trunk, and legs). Each area is assessed for 3 signs: erythema (redness), induration (plaque thickness), and scale. The severity of each sign in each body area is assessed and scored independently using a 5-point scale, where 0=none, 1=slight, 2=mild, 3=moderate, 4=severe. Each area is also assessed for percent of skin involved: 0 = (0%), 1 = (1-\<10%), 2 = (10-\<30%), 3 = (30-\<50%), 4 = (50 -\<70%), 5 = (70-\<90%), 6 = (90-100%). Overall PASI = the sum of (individual scores x by a weighted factor for each body region).
Baseline to 40 weeks
Percent Change From Baseline in Psoriasis Area and Severity Index (PASI) Score
Subjects received treatment with tapinarof intermittently guided by disease severity. This outcome measure assesses the % change from baseline in PASI score in all subjects, including those on and those off therapy. The PASI scoring system combines the assessment of lesion severity and extent of affected area into a single score: 0 (no disease) to 72 (maximal disease). The body is divided into 4 areas for scoring (head, arms, trunk, and legs). Each area is assessed for 3 signs: erythema (redness), induration (plaque thickness), and scale. The severity of each sign in each body area is assessed and scored independently using a 5-point scale, where 0=none, 1=slight, 2=mild, 3=moderate, 4=severe. Each area is also assessed for percent of skin involved: 0 = (0%), 1 = (1-\<10%), 2 = (10-\<30%), 3 = (30-\<50%), 4 = (50 -\<70%), 5 = (70-\<90%), 6 = (90-100%). Overall PASI = the sum of (individual scores x by a weighted factor for each body region).
Baseline to 40 weeks
Change From Baseline in Disease Impact on Daily Activities, as Measured by the Dermatology Life Quality Index (DLQI)
Subjects received treatment with tapinarof intermittently guided by disease severity. This outcome measure assesses change from baseline in disease impact on daily activities, as measured by the DLQI, in all subjects including those on and those off therapy. The DLQI is a 10-item PRO measure that assesses the extent to which the skin condition has affected the subject's quality of life over the past week, including 6 domains (daily activities, personal relationships, symptoms and feelings, leisure, work/school, and treatment). The total score (0-30) is the sum of 10 questions with each ranging from 0 to 3. The scoring of each question is as follows: Very much= 3, A lot=2, A little = 1, Not at all = 0, Not relevant = 0, Question unanswered = 0. DLQI scores range from 0 to 30, with a higher score indicating a more impaired quality of life.
Baseline to 40 weeks
Percent Change From Baseline in Disease Impact on Daily Activities, as Measured by the Dermatology Life Quality Index (DLQI)
Subjects received treatment with tapinarof intermittently guided by disease severity. This outcome measure assesses % change from baseline in disease impact on daily activities, as measured by the DLQI, in all subjects including those on and those off therapy. The DLQI is a 10-item PRO measure that assesses the extent to which the skin condition has affected the subject's quality of life over the past week, including 6 domains (daily activities, personal relationships, symptoms and feelings, leisure, work/school, and treatment). The total score (0-30) is the sum of 10 questions with each ranging from 0 to 3. The scoring of each question is as follows: Very much= 3, A lot=2, A little = 1, Not at all = 0, Not relevant = 0, Question unanswered = 0.
Baseline to 40 weeks
Study Arms (1)
Tapinarof (DMVT-505) Cream Group
EXPERIMENTALSubjects who completed 1 of the phase 3 studies evaluating the safety and efficacy of tapinarof had the option to enter this extension study. Subjects entering with a PGA ≥ 1 received treatment with tapinarof cream, 1% until they achieve a PGA = 0, at which time treatment was discontinued and subjects were monitored for durability of response (remittive response). If/when disease worsening occurred, as evidenced by a PGA ≥ 2, treatment was re initiated and continued until a PGA = 0 was achieved. Subjects entering with a PGA = 0 had treatment discontinued and were monitored for duration of remittive response. If/when disease worsening occurred, as evidenced by a PGA ≥ 2, treatment was re initiated and continued until a PGA = 0 was achieved. This treatment and re treatment pattern of use was continued until the end of the study
Interventions
Intermittent use of Tapinarof cream, 1%, applied once daily according to PGA score
Eligibility Criteria
You may qualify if:
- Completed the 12-week treatment period in 1 of the 2 parent studies (Study DMVT-505-3001 or Study DMVT-505-3002);
- Male and female subjects
- Females of child bearing potential and male subjects who are engaging in sexual activity that could lead to pregnancy agree to follow the specified contraceptive guidance while on the study, and for at least 4 weeks after the last exposure to study treatment
- Capable of giving written informed consent
You may not qualify if:
- Used a prohibited concomitant product or procedure to treat psoriasis during parent study
- Had a serious adverse event (SAE) that was potentially related to treatment or experienced an adverse event (AE) that led to permanent discontinuation of treatment in the parent study
- History of or ongoing serious illness or medical, physical, or psychiatric condition(s) that, in the Investigator's opinion, may interfere with the subject's completion of the study
- Known hypersensitivity to tapinarof
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Organon and Colead
- IQVIA Biotechcollaborator
Study Sites (104)
Dermavant Investigative Site
Birmingham, Alabama, 35205, United States
Dermavant Investigative Site
Phoenix, Arizona, 85032, United States
Dermavant Investigative Site
Bryant, Arkansas, 72022, United States
Dermavant Investigative Site
Fort Smith, Arkansas, 72916, United States
Dermavant Investigative Site
Fountain Valley, California, 92708, United States
Dermavant Investigative Site
Fremont, California, 94538, United States
Dermavant Investigative Site
Fresno, California, 93720, United States
Dermavant Investigative Site
Los Angeles, California, 90033, United States
Dermavant Investigative Site
Los Angeles, California, 90045, United States
Dermavant Investigative Site
Northridge, California, 91324, United States
Dermavant Investigative Site
Oceanside, California, 92056, United States
Dermavant Investigative Site
San Diego, California, 92123, United States
Dermavant Investigative Site
Santa Ana, California, 92701, United States
Dermavant Investigative Site
Santa Monica, California, 90404, United States
Dermavant Investigative Site
Denver, Colorado, 80210, United States
Dermavant Investigative Site
Cromwell, Connecticut, 06416, United States
Dermavant Investigative Site
Boca Raton, Florida, 33431, United States
Dermavant Investigative Site
Boynton Beach, Florida, 33437, United States
Dermavant Investigative Site
Hialeah, Florida, 33016, United States
Dermavant Investigative Site
Margate, Florida, 33063, United States
Dermavant Investigative Site
Miami, Florida, 33144, United States
Dermavant Investigative Site
Miramar, Florida, 33027, United States
Dermavant Investigative Site
Boise, Idaho, 83713, United States
Dermavant Investigative Site
Rolling Meadows, Illinois, 60008, United States
Dermavant Investigative Site
Evansville, Indiana, 47714, United States
Dermavant Investigative Site
Indianapolis, Indiana, 46250, United States
Dermavant Investigative Site
New Albany, Indiana, 47150, United States
Dermavant Investigative Site
Plainfield, Indiana, 46168, United States
Dermavant Investigative Site
Overland Park, Kansas, 66215, United States
Dermavant Investigative Site
Louisville, Kentucky, 40217, United States
Dermavant Investigative Site
Owensboro, Kentucky, 42303, United States
Dermavant Investigative Site
Baton Rouge, Louisiana, 70809, United States
Dermavant Investigative Site
New Orleans, Louisiana, 70115, United States
Dermavant Investigative Site
Rockville, Maryland, 20850, United States
Dermavant Investigative Site
Boston, Massachusetts, 02115, United States
Dermavant Investigative Site
Bay City, Michigan, 48706, United States
Dermavant Investigative Site
Clarkston, Michigan, 48346, United States
Dermavant Clinical Site
Detroit, Michigan, 48202, United States
Dermavant Investigational Site
Detroit, Michigan, 48202, United States
Dermavant Investigative Site
Fort Gratiot, Michigan, 48059, United States
Dermavant Investigative Site
Warren, Michigan, 48088, United States
Dermavant Investigative Site
Fridley, Minnesota, 55432, United States
Dermavant Investigative Site
Saint Joseph, Missouri, 64506, United States
Dermavant Investigative Site
Omaha, Nebraska, 68144, United States
Dermavant Clinical Site
Las Vegas, Nevada, 89148, United States
Dermavant Investigative Site
Las Vegas, Nevada, 89148, United States
Dermavant Investigative Site
East Windsor, New Jersey, 08520, United States
Dermavant Investigative Site
Hackensack, New Jersey, 07601, United States
Dermavant Investigative Site
Verona, New Jersey, 07044, United States
Dermavant Clinical Site
Brooklyn, New York, 11203, United States
Dermavant Investigative Site
Kew Gardens, New York, 11374, United States
Dermavant Investigative Site
New York, New York, 10029, United States
Dermavant Investigative Site
Rochester, New York, 14623, United States
Dermavant Investigative Site
Stony Brook, New York, 11790, United States
Dermavant Clinical Site
Watertown, New York, 13601, United States
Dermavant Investigative Site
Cary, North Carolina, 27518, United States
Dermavant Investigative Site
High Point, North Carolina, 27262, United States
Dermavant Investigative Site
Wilmington, North Carolina, 28405, United States
Dermavant Investigative Site
Winston-Salem, North Carolina, 27157, United States
Dermavant Investigative Site
Beachwood, Ohio, 44122, United States
Dermavant Investigative Site
Bexley, Ohio, 43209, United States
Dermavant Investigative Site
Norman, Oklahoma, 73071, United States
Dermavant Investigate Site
Norman, Oklahoma, 73072, United States
Dermavant Investigative Site
Norman, Oklahoma, 73072, United States
Dermavant Clinical Site
Gresham, Oregon, 97030, United States
Dermavant Investigative Site
Portland, Oregon, 97210, United States
Dermavant Investigative Site
Portland, Oregon, 97223, United States
Dermavant Investigative Site
Pittsburgh, Pennsylvania, 15213, United States
Dermavant Investigative Site
Johnston, Rhode Island, 02919, United States
Dermavant Investigative Site
Charleston, South Carolina, 29407, United States
Dermavant Investigative Site
Nashville, Tennessee, 37215, United States
Dermavant Investigative Site
Arlington, Texas, 76011, United States
Dermavant Clinical Site
Bellaire, Texas, 77401, United States
Dermavant Investigative Site
College Station, Texas, 77845, United States
Dermavant Investigative Site
Dripping Springs, Texas, 78620, United States
Dermavant Investigative Site
Houston, Texas, 77004, United States
Dermavant Clinical Site
Houston, Texas, 77030, United States
Dermavant Investigative Site
Pflugerville, Texas, 78660, United States
Dermavant Investigative Site
Plano, Texas, 75024, United States
Dermavant Investigative Site
San Antonio, Texas, 78213, United States
Dermavant Investigative Site
San Antonio, Texas, 78229, United States
Dermavant Investigative Site
Webster, Texas, 77598, United States
Dermavant Investigative Site
West Jordan, Utah, 84088, United States
Dermavant Investigative Site
Norfolk, Virginia, 23502, United States
Dermavant Investigative Site
Spokane, Washington, 99202, United States
Dermavant Investigative Site
Edmonton, Alberta, T5K 1X3, Canada
Dermavant Investigative Site
Surrey, Bristish Columbia, V3V 0C6, Canada
Dermavant Investigative Site
Surrey, British Columbia, V3R 6A7, Canada
Dermavant Investigative Site
Ajax, Ontario, L1S 7K8, Canada
Dermavant Clinical Site
Burlington, Ontario, L7L 6W6, Canada
Dermavant Investigative Site
Cobourg, Ontario, K9A 0Z4, Canada
Dermavant Investigative Site
Etobicoke, Ontario, M8X 1Y9, Canada
Dermavant Investigative Site
Hamilton, Ontario, L8N 1Y2, Canada
Dermavant Clinical Site
Hamilton, Ontario, L8S 1G5, Canada
Dermavant Investigative Site
Markham, Ontario, L3P 1X2, Canada
Dermavant Clinical Site
Markham, Ontario, L3P 1X3, Canada
Dermavant Investigative Site
North Bay, Ontario, P1B 3Z7, Canada
Dermavant Investigative Site
Oakville, Ontario, L6J 7W5, Canada
Dermavant Investigative Site
Ottawa, Ontario, K2C 3N2, Canada
Dermavant Investigative Site
Richmond Hill, Ontario, L4C 9M7, Canada
Dermavant Investigative Site
Toronto, Ontario, M3H 5Y8, Canada
Dermavant Investigative Site
Waterloo, Ontario, N2J 1C4, Canada
Dermavant Investigative Site
Windsor, Ontario, N8W 5L7, Canada
Dermavant Investigative Site
Montreal, Quebec, H2X 2V1, Canada
Related Publications (2)
Gold LS, Bruno MJ, Lewitt GM, Hebert AA. Characteristics and management of follicular events and contact dermatitis in patients using tapinarof cream for the treatment of atopic dermatitis or plaque psoriasis. J Dermatolog Treat. 2025 Dec;36(1):2517388. doi: 10.1080/09546634.2025.2517388. Epub 2025 Jul 2.
PMID: 40600584DERIVEDDesai SR, Stein Gold L, Cameron MC, Golant A, Lewitt GM, Bruno MJ, Martin G, Brown PM, Rubenstein DS, Butners V, Tallman AM. Tapinarof Cream 1% Once Daily for the Treatment of Plaque Psoriasis: Case Photography of Clinical Outcomes from Three Phase 3 Trials. Dermatol Ther (Heidelb). 2023 Oct;13(10):2443-2460. doi: 10.1007/s13555-023-01008-9. Epub 2023 Sep 11.
PMID: 37697121DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Clinical Lead, Late-Stage Clinical Development
- Organization
- Organon and Co
Study Officials
- STUDY DIRECTOR
Victoria Butners
Dermavant Sciences GmbH
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 23, 2019
First Posted
August 12, 2019
Study Start
August 13, 2019
Primary Completion
April 6, 2021
Study Completion
April 6, 2021
Last Updated
August 6, 2025
Results First Posted
August 8, 2022
Record last verified: 2022-08
Data Sharing
- IPD Sharing
- Will not share