Roflumilast in Psoriasis of nail: NCT07725822 Clinical Landscape Report 2026

16 September 2026
9 min read

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This Clinical Landscape Report was built with PatSnap Life Sciences MCP workflows. Clinical Trials MCP supplies protocol and result records, Drug & Asset MCP adds asset context, and Company & Deal Intelligence MCP resolves sponsor background. Use the same structured MCP building blocks in your research workflow.

Data snapshot: 16 September 2026. This strategic research report is not medical, regulatory or investment advice. Trial status and dates can change.

Phase 4

Clinical phase

Not yet recruiting

Recruitment status

15

Planned enrollment

2027-07-01

Primary-completion proxy

Executive view

NCT07725822 evaluates Roflumilast in Psoriasis of nail. The disclosed sponsor is Modern Research Associates PLLC, the design is Interventional, and the geographic footprint is United States. The first listed primary endpoint is Mean Change in Nail Psoriasis Severity Index (NAPSI), assessed over 24 weeks.

The key landscape question is whether this protocol can generate a clinically interpretable signal relative to nearby programs. Phase alone is not a measure of evidence quality. Endpoint relevance, comparator choice, masking, enrollment feasibility, patient selection, country coverage and follow-up must be considered together.

PatSnap MCP Servers make this assessment reproducible by keeping protocol facts, result evidence, asset attributes and sponsor identity in separate structured calls.

How the MCP evidence stack was assembled

Clinical Trials MCP clinical_trial_fetch retrieved the design, outcomes, phase, status, enrollment, sponsor, countries and timing for NCT07725822 and selected peers. clinical_trial_result_fetch supplied detailed result records from the wider Psoriasis of nail landscape. Drug & Asset MCP drug_fetch was queried for Roflumilast, while Company & Deal Intelligence MCP organization_fetch was queried for Modern Research Associates PLLC.

This separation reduces a common diligence error: treating a registry label, a company description or a result excerpt as if each represented the complete evidence package. Explore the source workflow at the PatSnap MCP marketplace.

Trial landscape table

TrialAsset / interventionPhase / statusSponsorGeographyPrimary endpointReadout proxy
NCT07725822RoflumilastPhase 4 / Not yet recruitingModern Research Associates PLLCUnited StatesMean Change in Nail Psoriasis Severity Index (NAPSI)
24 weeks
2027-07-01
NCT07746479LecankitugPhase 3 / CompletedLivzon Pharmaceutical Group, Inc.ChinaPASI100 response rate
At week 12
2026-01-26
NCT07744191Clopidogrel BisulfatePhase 4 / Not yet recruitingNYU Langone HealthUnited StatesMean change in the composite endothelial pro-inflammatory transcript expression
Baseline, Follow-up Visit 1 (Week 4)
2031-09-01
ACTRN12626000951358Semaglutide (Novo Nordisk)Not Applicable / Not yet recruitingBayside HealthAustralia
Timing not reported
NCT07733089ZP-9830Phase 1 / RecruitingZealand Pharma A/SNetherlandsNumber of Treatment Emergent Adverse Events (TEAEs)
From baseline (Day 1, predose) to follow-up (Day 85)
2027-04-01

The table aligns endpoints, sponsors, phases, geographies and readout proxies. It is descriptive, not a head-to-head efficacy comparison. Differences in population, baseline risk, intervention schedule and follow-up can dominate apparent cross-trial differences.

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Protocol design and endpoint interpretation

NCT07725822 is a Phase 4, not yet recruiting study with 15 planned participants. Allocation is N/A, masking is None (Open Label), and the intervention model is Single Group Assignment.

The primary endpoint is “Mean Change in Nail Psoriasis Severity Index (NAPSI)” over “24 weeks.” The retrieved endpoint description is: The Primary Efficacy Endpoint is NAPSI mean change from baseline at week 24.

Interpretation should test whether the endpoint captures a clinically meaningful change, whether its time horizon matches the proposed biology, and whether treatment discontinuation or missing data can bias the estimate. The planned enrollment of 15 should be assessed against expected effect size, event frequency, multiplicity, subgroup plans and attrition.

No named control drug was returned in the protocol field set. A placebo comparator can strengthen internal efficacy assessment, while an active comparator may better test clinical differentiation. Single-arm and open-label programs require greater weight on objective outcomes, independent assessment and external benchmarks.

Indexed readouts in the surrounding landscape

5 recent result records were selected as contextual evidence for Psoriasis of nail. These records do not establish direct evidence for NCT07725822 unless the registration number matches.

Real-world outcomes of deucravacitinib in Chinese plaque psoriasis patients: a 24-week prospective study

Phase 4; n=101; PASI75(24-week) = 77.2 % Source: https://pubmed.ncbi.nlm.nih.gov/41769731/

A Phase 3, Multicenter, Open-Label Extension Study of the Long-Term Safety of ARQ-151 Cream 0.3% in Subjects With Chronic Plaque Psoriasis

Phase 3; n=337; Percentage of Participants With ≥1 Treatment-Emergent Adverse Events (TEAEs) = 26.1 percentage of participants ; Percentage of Participants With ≥1 Treatment-Emergent Adverse Events (TEAEs) = 33.3 percentage of participants Source: https://clinicaltrials.gov/ct2/show/results/NCT04286607

Multi-Center, Double-Blind, Randomized, Vehicle-Controlled, Parallel-Group Study to Compare Padagis' Roflumilast Cream 0.3% to Arcutis's Zoryve™ (Roflumilast Cream 0.3%) Cream and…

Phase 3; n=416; IGA = 78 Participants ; IGA = 79 Participants Source: https://clinicaltrials.gov/ct2/show/results/NCT05763082

Result fields should be reconciled with the source record before quantitative comparison. Population definitions, analysis sets, dose cohorts, estimands, confidence intervals, rescue therapy and follow-up can materially change the meaning of a numerical endpoint. Clinical Trials MCP supports repeatable refreshes as result records change.

Asset and sponsor context

Roflumilast is indexed as Small molecule drug with PDE4 biology and a global stage of Approved. The asset profile lists Takeda Pharmaceutical Co., Ltd. as an originator or developer.

Modern Research Associates PLLC is indexed in United States with the website https://www.mradallas.com/. The organization record is used to resolve sponsor identity. The record lists an unreported number of development-stage drug assets.

For execution diligence, monitor sponsor ownership, collaborator additions, site expansion, protocol amendments and enrollment revisions. A change in ownership or geography can alter operational confidence as well as the commercial meaning of a future readout.

Development white space

  1. Endpoint white space. Determine whether a more patient-relevant outcome, longer durability window or blinded central assessment would resolve uncertainty left by the current endpoint.
  2. Population white space. Test biomarker-defined, treatment-line or risk-stratified subgroups where effect size and unmet need could be clearer.
  3. Comparator white space. Identify whether the study can support differentiation against the current standard of care rather than only activity against baseline or placebo.
  4. Geographic white space. Assess whether the disclosed footprint supports recruitment, regulatory transferability and commercial generalizability.
  5. Sequencing white space. Clarify whether Roflumilast is intended for monotherapy, combination, maintenance, rescue or an earlier treatment line.

White space should be framed as an unanswered development question, not merely an unoccupied mechanism label. A credible program closes a measurable clinical uncertainty with a design that can be executed and interpreted.

Strategic implications and next readouts

For sponsors, the endpoint hierarchy, safety window, enrollment pace and protocol amendment history should all support the same target product profile. Advancement criteria should be set before the readout and tied to clinical effect, uncertainty, tolerability and operational feasibility.

For business-development teams, differentiation may come from a sharper population, stronger comparator, more durable benefit, simpler delivery or clearer sequencing role. For investors, the central risk is evidence quality relative to time and capital, not the phase label in isolation.

Track recruitment status, enrollment changes, primary-completion timing, endpoint revisions, new result records, sponsor ownership and collaborator changes. Re-run the PatSnap MCP workflow when a surrogate becomes a clinical outcome, a single-country study expands, the comparator changes or a new result materially shifts the competitive benchmark.

Source trail and bottom line

Anchor trial: NCT07725822
Protocol source: https://clinicaltrials.gov/study/NCT07725822
MCP sources: Clinical Trials MCP (clinical_trial_fetch and clinical_trial_result_fetch); Drug & Asset MCP (drug_fetch); Company & Deal Intelligence MCP (organization_fetch).
Data snapshot: 16 September 2026.

Roflumilast in Psoriasis of nail is best understood through the interaction of protocol design, surrounding readouts, asset context and sponsor execution. The current record makes Mean Change in Nail Psoriasis Severity Index (NAPSI) and 2027-07-01 the leading decision points.

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