pimecrolimus ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | PK/Tox | Related Drugs | BioActivity |

Stem definitionDrug idCAS RN
immunosuppressants, rapamycin derivatives 2168 137071-32-0

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • elidel
  • pimecrolimus
  • picrolimus
an ascomycin derivative; mechanism of action involves calcineurin inhibition, blockage of T cell activation, blocking signal transduction pathways in T cells, and inhibition of the synthesis of inflammatory cytokines, specifically Th1- and Th2-type cytokines
  • Molecular weight: 810.46
  • Formula: C43H68ClNO11
  • CLOGP: 7.10
  • LIPINSKI: 3
  • HAC: 12
  • HDO: 2
  • TPSA: 158.13
  • ALOGS: -5.73
  • ROTB: 6

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

None

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 2 Benet LZ, Broccatelli F, Oprea TI
EoM (Fraction excreted unchanged in urine) 0 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 0.62 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 0 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H

Predicted pharmacokinetic/toxicological properties (PK-AZ):

PropertyDescriptionValueUnitConfidenceSimilarity
kinase-safety-class ACVR2B,CAMK2D,CDK5,EIF2AK3,ERBB2,GRK2,ITK,NTRK2,PDK1,PDK2,PDK4,PRKDC,TEK 13
kinase-selectivity-class GRK2 1
mdck-mdr1-bcrp-efflux MDCK-MDR1-BCRP efflux ratio 1.021 High 0.83
pfas-class PFAS structural alert (1 = True, 0 = False) 0
rat-kpuu-brain Rat brain Kpuu 0.394 % High 0.83

Approvals:

DateAgencyCompanyOrphan
Dec. 13, 2001 FDA VALEANT BERMUDA

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Dermatitis atopic 472.53 26.30 127 4344 23345 90600631
Eczema 166.72 26.30 71 4400 52799 90571177
Drug ineffective 162.89 26.30 262 4209 1384036 89239940
Dry skin 149.30 26.30 77 4394 87996 90535980
Pruritus 140.77 26.30 152 4319 541373 90082603
Skin exfoliation 113.94 26.30 59 4412 67854 90556122
Rash 98.59 26.30 155 4316 795945 89828031
Sleep disorder due to a general medical condition 84.12 26.30 42 4429 44696 90579280
Therapeutic response shortened 79.63 26.30 33 4438 22846 90601130
Psoriasis 69.87 26.30 58 4413 147696 90476280
Skin fissures 65.68 26.30 28 4443 20781 90603195
Erythema 63.86 26.30 67 4404 229179 90394797
Product use in unapproved indication 62.91 26.30 80 4391 336156 90287820
Injection site pain 61.76 26.30 58 4413 173641 90450335
Steroid withdrawal syndrome 58.68 26.30 12 4459 664 90623312
Drug ineffective for unapproved indication 51.18 26.30 35 4436 66609 90557367
Product dose omission issue 41.74 26.30 61 4410 291626 90332350
Treatment failure 41.25 26.30 62 4409 303866 90320110
Lymphadenitis 41.23 26.30 13 4458 4124 90619852
Dry eye 41.13 26.30 29 4442 57902 90566074
Wound complication 39.43 26.30 13 4458 4750 90619226
Subcutaneous abscess 38.87 26.30 14 4457 6652 90617324
Skin burning sensation 38.58 26.30 19 4452 19592 90604384
Impaired quality of life 38.45 26.30 20 4451 23124 90600852
Incorrect dose administered 37.29 26.30 31 4440 78899 90545077
Eye pruritus 36.87 26.30 21 4450 29006 90594970
Skin plaque 36.77 26.30 15 4456 9960 90614016
Rash pruritic 36.19 26.30 31 4440 82183 90541793
Application site pain 31.65 26.30 11 4460 4709 90619267
Skin haemorrhage 31.34 26.30 17 4454 21363 90602613
Eye irritation 31.30 26.30 20 4451 33958 90590018
Product availability issue 30.29 26.30 12 4459 7392 90616584
Therapeutic response decreased 30.00 26.30 29 4442 89700 90534276
Neurodermatitis 28.02 26.30 9 4462 3029 90620947
Conjunctivitis 27.82 26.30 17 4454 26689 90597287
Ocular hyperaemia 26.52 26.30 18 4453 33780 90590196

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Dermatitis atopic 302.11 40.66 77 1900 12327 42607031
Drug ineffective 142.19 40.66 158 1819 630039 41989319
Pruritus 134.93 40.66 92 1885 188679 42430679
Treatment failure 98.63 40.66 51 1926 62573 42556785
Eczema 78.40 40.66 36 1941 34050 42585308
Skin exfoliation 65.78 40.66 34 1943 41519 42577839
Rash 64.10 40.66 71 1906 276883 42342475
Dry skin 60.94 40.66 34 1943 48304 42571054
Sleep disorder due to a general medical condition 54.91 40.66 23 1954 17430 42601928
Psoriasis 50.10 40.66 30 1947 48574 42570784
Discomfort 46.80 40.66 23 1954 25196 42594162
Papule 41.58 40.66 14 1963 5812 42613546

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Dermatitis atopic 525.06 26.52 136 4528 25405 110559230
Pruritus 159.02 26.52 156 4508 581404 110003231
Eczema 156.05 26.52 71 4593 72222 110512413
Drug ineffective 140.22 26.52 237 4427 1520303 109064332
Dry skin 132.02 26.52 72 4592 107581 110477054
Rash 124.37 26.52 162 4502 820802 109763833
Skin exfoliation 92.09 26.52 53 4611 87598 110497037
Sleep disorder due to a general medical condition 90.24 26.52 44 4620 52068 110532567
Steroid withdrawal syndrome 86.02 26.52 17 4647 928 110583707
Treatment failure 84.11 26.52 79 4585 277155 110307480
Psoriasis 71.67 26.52 54 4610 139939 110444696
Therapeutic response shortened 66.74 26.52 30 4634 29553 110555082
Skin fissures 65.54 26.52 28 4636 24430 110560205
Eye pruritus 60.73 26.52 29 4635 32746 110551889
Erythema 59.23 26.52 67 4597 291380 110293255
Lichen nitidus 56.24 26.52 9 4655 143 110584492
Drug ineffective for unapproved indication 55.58 26.52 41 4623 102797 110481838
Ocular hyperaemia 52.90 26.52 28 4636 39258 110545377
Product dose omission issue 52.26 26.52 66 4598 321716 110262919
Androgenetic alopecia 51.11 26.52 9 4655 260 110584375
Injection site pain 50.63 26.52 49 4615 177873 110406762
Eye irritation 48.34 26.52 25 4639 33427 110551208
Application site pain 43.66 26.52 14 4650 5485 110579150
Rash pruritic 41.86 26.52 34 4630 98035 110486600
Limbic encephalitis 41.23 26.52 9 4655 799 110583836
Chronic cutaneous lupus erythematosus 39.15 26.52 9 4655 1010 110583625
Dry eye 36.49 26.52 25 4639 55768 110528867
Incorrect dose administered 34.18 26.52 31 4633 103610 110481025
Impaired quality of life 33.76 26.52 19 4645 29998 110554637
Intertrigo 32.31 26.52 8 4656 1230 110583405
Product use in unapproved indication 32.04 26.52 63 4601 447314 110137321
Pain of skin 31.93 26.52 16 4648 20013 110564622
Skin haemorrhage 31.46 26.52 17 4647 24810 110559825
Product availability issue 31.37 26.52 12 4652 7878 110576757
Skin burning sensation 30.63 26.52 16 4648 21809 110562826
Inappropriate schedule of product administration 30.23 26.52 40 4624 203597 110381038
Therapeutic response decreased 30.13 26.52 28 4636 96471 110488164
Discomfort 30.09 26.52 41 4623 214666 110369969
Rosacea 28.36 26.52 10 4654 5226 110579409
Dermatitis contact 27.84 26.52 13 4651 13940 110570695
Tinea versicolour 26.94 26.52 6 4658 584 110584051

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC D11AH02 DERMATOLOGICALS
OTHER DERMATOLOGICAL PREPARATIONS
OTHER DERMATOLOGICAL PREPARATIONS
Agents for dermatitis, excluding corticosteroids
FDA EPC N0000175457 Calcineurin Inhibitor Immunosuppressant
FDA MoA N0000175458 Calcineurin Inhibitors
MeSH PA D000700 Analgesics
MeSH PA D000893 Anti-Inflammatory Agents
MeSH PA D000894 Anti-Inflammatory Agents, Non-Steroidal
MeSH PA D003879 Dermatologic Agents
MeSH PA D004791 Enzyme Inhibitors
MeSH PA D007155 Immunologic Factors
MeSH PA D007166 Immunosuppressive Agents
MeSH PA D018373 Peripheral Nervous System Agents
MeSH PA D018501 Antirheumatic Agents
MeSH PA D018689 Sensory System Agents
MeSH PA D018712 Analgesics, Non-Narcotic
MeSH PA D065095 Calcineurin Inhibitors
CHEBI has role CHEBI:50177 dermatologic drug
CHEBI has role CHEBI:66981 ophthalmology drug

Related Drugs by ATC class:

D11AH Agents for dermatitis, excluding corticosteroids 11 drugs

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Atopic dermatitis indication 24079001 DOID:3310
Intractable Eczema indication
Herpes zoster contraindication 4740000 DOID:8536
Lymphadenopathy contraindication 30746006
Immunosuppression contraindication 38013005
Varicella contraindication 38907003 DOID:8659
Verruca vulgaris contraindication 57019003 DOID:11165
Herpes simplex contraindication 88594005 DOID:8566
Viral infection of skin contraindication 128937004
Eczema herpeticum contraindication 186535001 DOID:9123
Infectious mononucleosis contraindication 271558008 DOID:8568
Netherton's syndrome contraindication 312514006
Impetiginized atopic dermatitis contraindication 402201001
Pre-Malignant Skin Lesion contraindication




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 12.4 acidic
pKa2 13.57 acidic

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Peptidyl-prolyl cis-trans isomerase FKBP1A Enzyme INHIBITOR Kd 9 WOMBAT-PK CHEMBL
Interleukin-2 Cytokine WOMBAT-PK
Interleukin-5 Cytokine WOMBAT-PK
Interferon gamma Cytokine WOMBAT-PK
Serine/threonine-protein phosphatase 2B catalytic subunit gamma isoform Enzyme WOMBAT-PK
Peptidyl-prolyl cis-trans isomerase FKBP1A Enzyme INHIBITOR IC50 8.22 IUPHAR

External reference:

IDSource
4021291 VUID
N0000148728 NUI
D05480 KEGG_DRUG
4021291 VANDF
C1099414 UMLSCUI
CHEBI:135888 CHEBI
CHEMBL1200686 ChEMBL_ID
DB00337 DRUGBANK_ID
C117268 MESH_SUPPLEMENTAL_RECORD_UI
6783 IUPHAR_LIGAND_ID
7632 INN_ID
7KYV510875 UNII
6509979 PUBCHEM_CID
306865 RXNORM
16235 MMSL
302773 MMSL
42597 MMSL
009525 NDDF
385580005 SNOMEDCT_US
385581009 SNOMEDCT_US
7KYV510875 INXIGHT DRUGS

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
pimecrolimus HUMAN PRESCRIPTION DRUG LABEL 1 0591-2944 CREAM 10 mg TOPICAL ANDA 25 sections
Elidel HUMAN PRESCRIPTION DRUG LABEL 1 54868-4878 CREAM 10 mg TOPICAL NDA 25 sections
Pimecrolimus HUMAN PRESCRIPTION DRUG LABEL 1 68462-609 CREAM 10 mg TOPICAL ANDA 25 sections
Pimecrolimus HUMAN PRESCRIPTION DRUG LABEL 1 68462-609 CREAM 10 mg TOPICAL ANDA 25 sections
Pimecrolimus HUMAN PRESCRIPTION DRUG LABEL 1 68682-110 CREAM 10 mg TOPICAL NDA authorized generic 27 sections
Pimecrolimus HUMAN PRESCRIPTION DRUG LABEL 1 68682-111 CREAM 10 mg TOPICAL NDA authorized generic 27 sections
Pimecrolimus HUMAN PRESCRIPTION DRUG LABEL 1 68682-112 CREAM 10 mg TOPICAL NDA authorized generic 27 sections
Pimecrolimus HUMAN PRESCRIPTION DRUG LABEL 1 71335-2988 CREAM 10 mg TOPICAL NDA authorized generic 26 sections