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Pimecrolimus

Phase 3

Atopic Dermatitis | Small molecule | Immunology |Viatris Inc.|Last Updated: Mar 7, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials2
Total Enrollment3,072
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT001205235-Year Safety Study of Pimecrolimus Cream 1% in Infants 3 - 12 Months of Age With Mild to Moderate Atopic DermatitisPHASE3 COMPLETED 2,418Apr 1, 2004Oct 1, 2010Feb 11, 202231 United States, Germany
NCT03107611Bioequivalence Study of Pimecrolimus Cream, 1% and Elidel® Cream, 1% in Mild to Moderate Atopic DermatitisPHASE3 COMPLETED 654Feb 29, 2016May 15, 2017Mar 7, 202227 United States, Dominican Republic +1
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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 — 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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