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Pimecrolimus

Phase 4FDA approved

Atopic Dermatitis | Small molecule | Dermatology |Novartis AG|Trials Updated: May 27, 2020

Pimecrolimus development status

FDA approval on record Dec 13, 2001 as Elidel
Approval holderBausch
ApplicationNDA021302
Highest phase Phase 4 (NCT00139581)
Phase scored for NVSPhase 3
Registered trials 19 across 8 sponsors since Jul 2005

Label indication Pimecrolimus Cream, 1% is indicated as second-line therapy for the short-term and non-continuous chronic treatment of mild to moderate atopic dermatitis in non-immunocompromised adults and children 2 years of age and older, who have failed to respond adequately to other topical prescription treatments, or when those treatments are not advisable. FDA label

Pimecrolimus target and mechanism

Molecular targetFKBP1A
Target classInhibitor
ModalitySmall molecule

Also known as Pimecrolimus Cream 1%, Pimecrolimus 1%, Elidel, ASM981

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials7
Total Enrollment1,838

FDA Designations

No designations recorded

Pimecrolimus clinical trials

Pimecrolimus · 7 trials · 5 indications

Phase 3 5Phase 2 2
NCT00232115Pimecrolimus Cream 1% in Adult Patients With Perioral DermatitisPerioral Dermatitis
COMPLETED124 Analytics
NCT00226707Pimecrolimus Cream 1% in Patients (18 Years of Age and Over) With Mild to Moderate Chronic Hand DermatitisChronic Hand Dermatitis
COMPLETED652 Analytics
NCT00231998Extension Study of Pimecrolimus Cream in Pediatric Patients With Atopic DermatitisAtopic Dermatitis
COMPLETED240 Analytics
NCT00232011Extension Study to Assess Safety and Efficacy of Pimecrolimus in Adult Patients With Atopic DermatitisAtopic Dermatitis
COMPLETED160 Analytics
NCT00351052Steroid-Sparing Effect With Pimecrolimus in Pediatric Patients With Atopic DermatitisAtopic Dermatitis
COMPLETED184 Analytics
PHASE3COMPLETED
Pimecrolimus Cream 1% in Adult Patients With Perioral Dermatitis
Perioral DermatitisUnlock trial analytics
PHASE3COMPLETED
Pimecrolimus Cream 1% in Patients (18 Years of Age and Over) With Mild to Moderate Chronic Hand Dermatitis
Chronic Hand DermatitisUnlock trial analytics
PHASE3COMPLETED
Extension Study of Pimecrolimus Cream in Pediatric Patients With Atopic Dermatitis
Atopic DermatitisUnlock trial analytics
PHASE3COMPLETED
Extension Study to Assess Safety and Efficacy of Pimecrolimus in Adult Patients With Atopic Dermatitis
Atopic DermatitisUnlock trial analytics
PHASE3COMPLETED
Steroid-Sparing Effect With Pimecrolimus in Pediatric Patients With Atopic Dermatitis
Atopic DermatitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Reduction of the Perioral Dermatitis Severity Index
Investigators Global Assessment (IGA) of the target hand at day 43 or at time of early discontinuation.
Safety assessed by adverse events (AEs)
Corticoid-sparing effect of pimecrolimus cream 1%
Change in inflammation
3 months
12 week's treatment with 2 concentrations of pimecrolimus (0.3% and 1 %)in one sign and one symptom
change from baseline in fluorescein corneal staining and ocular discomfort(worst symptom,VAS)

Secondary Endpoints

Time to disease recurrence
Response rates
Patient's quality of life assessment
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTALPimecrolimus
2PLACEBO_COMPARATORVehicle
Pimecrolimus 0.3%EXPERIMENTALASM981 0.3%
Pimecrolimus 1%EXPERIMENTALASM981 1%
Vehicle with carbopolPLACEBO_COMPARATOR -
Vehicle without carbopolPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
PimecrolimusDRUGPimecrolimus cream 1 %
PlaceboDRUGVehicle cream (placebo)
Pimecrolimus Cream 1%DRUG -
pimecrolimus and clobetasolDRUG -
clobetasol 0.05% creamDRUGtwice daily for three months
VehicleDRUGPlacebo
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * clinically diagnosed perioral dermatitis associated or not associated with topical steroid use (the periorbital area may also be involved in addition to the perioral region) * minimum severity score (PODSI) ≥ 4 * age 18 and older Exclusion Criteria: * Ongoing use of the foll...

Countries:GermanyJapanUnited States
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Frequently asked questions about Pimecrolimus

What is Pimecrolimus used for?

Pimecrolimus is a topical small-molecule therapy studied for inflammatory skin conditions, including atopic dermatitis, chronic hand dermatitis, perioral dermatitis, and lichen sclerosus. It has also been investigated in keratoconjunctivitis sicca. Clinical development has focused on dermatology, with trials in pediatric and adult patients.

How does Pimecrolimus work?

Pimecrolimus is an inhibitor that binds to the molecular target FKBP1A. By interacting with FKBP1A, it modulates calcineurin-dependent signaling in T cells, reducing the release of inflammatory cytokines. This mechanism underlies its topical anti-inflammatory activity in conditions such as atopic dermatitis and other dermatologic disorders.

Who makes Pimecrolimus?

Pimecrolimus is developed by Novartis AG, which trades under the ticker NVS. Novartis has sponsored clinical trials of the drug across several dermatologic indications, including atopic dermatitis, perioral dermatitis, and lichen sclerosus.

What phase is Pimecrolimus in?

Pimecrolimus is in Phase 3 development. The program includes completed Phase 3 trials in atopic dermatitis and perioral dermatitis, as well as a completed Phase 2 trial in lichen sclerosus. No active trials are currently listed, and all three completed studies have finished.

What clinical trials is Pimecrolimus in?

Pimecrolimus has been evaluated in completed trials including NCT00393263 (clobetasol versus pimecrolimus for vulvar lichen sclerosus), NCT00351052 (steroid-sparing effect in pediatric atopic dermatitis), NCT00232115 (Pimecrolimus Cream 1% in adult perioral dermatitis), and NCT00232011 (an extension study in adult atopic dermatitis).