Arcutis expands ZORYVE label with FDA approval for young children

1 min read     Updated on 30 Jun 2026, 01:32 PM
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Arcutis Biotherapeutics secured FDA approval for ZORYVE cream 0.3% to treat plaque psoriasis in children aged 2 and older, marking the seventh approval for the portfolio. The decision is supported by data from a 4-week MUSE study and an extension study, confirming safety and efficacy.

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Arcutis Biotherapeutics announced that the U.S. Food and Drug Administration (FDA) has approved the supplemental New Drug Application (sNDA) for ZORYVE (roflumilast) cream 0.3% to treat plaque psoriasis in children as young as 2 years old. This approval expands the indication for the once-daily, steroid-free topical therapy, which is now suitable for use anywhere on the body with no restrictions on duration of use. The decision addresses a significant treatment gap for young children with a chronic, immune-mediated inflammatory skin disease. ZORYVE cream 0.3% is the first once-daily, non-steroidal therapy approved for this patient population.

The FDA approval is based on data from a 4-week Maximal Usage Systemic Exposure (MUSE) study (ARQ-151-216) evaluating ZORYVE cream 0.3% in children ages 2 to 5 years with plaque psoriasis. The open-label study assessed pharmacokinetics, safety, tolerability, and exploratory efficacy in children with plaque psoriasis involving at least 2% body surface area. Supportive long-term safety data came from an open-label extension study (ARQ-151-306), which evaluated the treatment for up to 24 weeks.

Frank Watanabe, president and chief executive officer of Arcutis, stated that the approval demonstrates the company's commitment to delivering meaningful innovation to the youngest children and their families. ZORYVE cream 0.3% is a potent and selective PDE4 inhibitor. This marks the seventh FDA approval for the ZORYVE portfolio in four years.

ZORYVE cream 0.3% was previously approved for the treatment of plaque psoriasis in adults and children down to age 6. The therapy is widely available via key wholesaler and dermatology pharmacy channels. Arcutis offers the ZORYVE Direct Program to help patients navigate insurance and reduce out-of-pocket costs, as well as the Arcutis Cares patient assistance program for eligible uninsured or underinsured patients.

Key Indications for ZORYVE

Product Indication Patient Age
ZORYVE cream 0.3% Plaque psoriasis 2 years and older
ZORYVE topical foam 0.3% Plaque psoriasis (scalp and body) 12 years and older
ZORYVE topical foam 0.3% Seborrheic dermatitis 9 years and older
ZORYVE cream 0.15% Mild to moderate atopic dermatitis 6 years and older
ZORYVE cream 0.05% Mild to moderate atopic dermatitis 2 to 5 years

How will this pediatric approval impact Arcutis's market share in the competitive plaque psoriasis treatment landscape?

What are the expected timelines and regulatory strategies for expanding ZORYVE's approval to international markets?

Will Arcutis pursue additional label expansions for the 0.3% cream formulation in other inflammatory skin conditions?

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