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Pimecrolimus

Phase 4FDA approved

Atopic Dermatitis | Small molecule | Dermatology |Viatris Inc.|Trials Updated: Mar 7, 2022

Pimecrolimus development status

FDA approval on record Dec 13, 2001 as Elidel
Approval holderBausch
ApplicationNDA021302
Highest phase Phase 4 run by Novartis (NCT00139581)
Phase scored for VTRSPhase 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 Elidel

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials2
Total Enrollment3,072

FDA Designations

No designations recorded

Pimecrolimus clinical trials

Pimecrolimus · 2 trials · 1 indication

Phase 3 2
NCT001205235-Year Safety Study of Pimecrolimus Cream 1% in Infants 3 - 12 Months of Age With Mild to Moderate Atopic DermatitisAtopic Dermatitis
COMPLETED2,418 Analytics
NCT03107611Bioequivalence Study of Pimecrolimus Cream, 1% and Elidel® Cream, 1% in Mild to Moderate Atopic DermatitisAtopic Dermatitis
COMPLETED654 Analytics
PHASE3COMPLETED
5-Year Safety Study of Pimecrolimus Cream 1% in Infants 3 - 12 Months of Age With Mild to Moderate Atopic Dermatitis
Atopic DermatitisUnlock trial analytics
PHASE3COMPLETED
Bioequivalence Study of Pimecrolimus Cream, 1% and Elidel® Cream, 1% in Mild to Moderate Atopic Dermatitis
Atopic DermatitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Safety Assessed by Adverse Events
throughout the 5-year study

crude incidence of adverse events of primary interest and most frequent adverse events (greater than or equal to 5% crude incidence in either treatment group) in the treatment period

Growth Velocity (Height)
throughout the 5-year study
Growth Velocity (Weight)
throughout the 5-year study
Potential Effect on the Developing Immune System
throughout the 5-year study

number (%) of patients with positive antibody titers to tetanus, hepatitis B, and measles vaccines at baseline, weeks 26 (6 months), 52 (1 year), 104 (2 years), 156 (3 years), 208 (4 years) and 260 (5 years) Varicella antibody titers were measured at the above time points in US patients only.

Proportion of Modified Intent to Treat Subjects With Success on Investigator's Global Assessment of Disease Severity (Success Being a Score of Clear [0] or Almost Clear [1])
Day 15

Investigator's Global Assessment of Disease Severity Scale: Clear (0) Minor residual discoloration, no erythema or induration/papulation, no oozing/crusting; Almost Clear (1) Trace faint pink erythema with almost no induration/papulation and no oozing/crusting; Mild disease (1) Faint pink erythema with mild induration/papulation and no oozing/crusting; Moderate disease (3) Pink-red erythema with moderate induration/papulation and there may be some oozing/crusting; Severe disease (4) Deep/bright red erythema with severe induration/papulation with oozing/crusting

Proportion of Per Protocol Subjects With Success on Investigator's Global Assessment of Disease Severity (Success Being a Score of Clear [0] or Almost Clear [1])
Day 15

Investigator's Global Assessment of Disease Severity Scale: Clear (0) Minor residual discoloration, no erythema or induration/papulation, no oozing/crusting; Almost Clear (1) Trace faint pink erythema with almost no induration/papulation and no oozing/crusting; Mild disease (1) Faint pink erythema with mild induration/papulation and no oozing/crusting; Moderate disease (3) Pink-red erythema with moderate induration/papulation and there may be some oozing/crusting; Severe disease (4) Deep/bright red erythema with severe induration/papulation with oozing/crusting

Secondary Endpoints

Investigator's Global Assessment (to Assess Disease Severity) of the Whole Body and of the Face: Treatment Success Rate
throughout the 5-year study
Body Surface Area Involved With Atopic Dermatitis
throughout the 5-year study
Parent's Index of Quality of Life - Atopic Dermatitis (PIQoL-AD)
throughout the 5-year study
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTALPimecrolimus
2ACTIVE_COMPARATORTopical corticosteroids
TestEXPERIMENTALPimecrolimus Cream, 1%, topical, thin layer applied to all affected skin areas twice daily for 14 days
Reference StandardACTIVE_COMPARATORPimecrolimus Cream, 1%, topical, thin layer applied to all affected skin areas twice daily for 14 days
PlaceboPLACEBO_COMPARATORPlacebo cream, topical, thin layer applied to all affected skin areas twice daily for 14 days

Interventions

NameTypeDescription
PimecrolimusDRUGPimecrolimus cream 1 %
Topical corticosteroidsDRUGTCS
Pimecrolimus Cream, 1%DRUG -
Placebo CreamDRUG -
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Eligibility Criteria

Age Range3 Months to 12 Months
SexALL
Healthy VolunteersNo
Study Sites31

Inclusion Criteria: * Aged 3 to \< 12 months * Diagnosis of AD fulfilling the diagnostic criteria of Seymour * AD affecting at least 5% total body surface area * Investigator's Global Assessment (IGA) score of 2 or 3, corresponding to mild-to-moderate disease at baseline * Informed consent Exclusi...

Countries:United StatesGermanyDominican RepublicHonduras
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Frequently asked questions about Pimecrolimus

What is Pimecrolimus used for?

Pimecrolimus is used for the treatment of atopic dermatitis, a form of eczema. It is being developed as a cream formulation for patients with mild to moderate atopic dermatitis. Clinical trials have enrolled adults and children, including infants as young as 3 months of age.

What does Pimecrolimus target?

Pimecrolimus targets FKBP1A and acts as an inhibitor. By binding to FKBP1A, it interferes with calcineurin-dependent signaling in T cells, which reduces the inflammatory response in the skin that drives atopic dermatitis. This makes it a non-steroidal option for topical treatment.

Who makes Pimecrolimus?

Pimecrolimus is being developed by Viatris Inc., which trades under the ticker VTRS. Viatris is the sponsor of the clinical development program for pimecrolimus cream, 1% in atopic dermatitis.

What phase is Pimecrolimus in?

Pimecrolimus is in Phase 3 clinical development for atopic dermatitis. It is an investigational product and is not described as approved. Two Phase 3 trials have been completed, and no trials are currently listed as active.

What clinical trials is Pimecrolimus in?

Pimecrolimus has been studied in two completed Phase 3 trials. NCT03107611 was a bioequivalence study of pimecrolimus cream, 1% versus Elidel cream, 1% in mild to moderate atopic dermatitis, enrolling 654 patients. NCT00120523 was a 5-year safety study in infants aged 3 to 12 months, enrolling 2,418 patients.

Is Pimecrolimus the same as Pimecrolimus Cream, 1%?

Yes. Pimecrolimus is also known as pimecrolimus cream, 1%, and pimecrolimus, 1%. These names refer to the same topical product, a 1% cream formulation of the small molecule pimecrolimus that is being developed for atopic dermatitis.