Clascoterone cream 1% is under investigation as a first-in-class topical androgen receptor inhibitor for the treatment of acne.

Cassiopea SpA submitted a New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) seeking marketing approval for clascoterone cream 1% for the treatment of acne.

Clascoterone cream 1% is under investigation as a first-in-class topical androgen receptor inhibitor for the treatment of acne. It is a topically delivered small molecule that penetrates the skin to reach the androgen receptors of the sebaceous gland.

Clascoterone cream 1% targets androgen receptors at the site of application, inhibiting the skin effects of dihydrotestosterone (DHT) a key driver of acne lesion development. Laboratory studies show that clascoterone inhibits lipid production from sebocytes and reduces proinflammatory cytokines. Unlike oral hormonal therapies for acne, it may be used in both male and female patients.

"This is noteworthy because it's been so long since there has been a new, first-in-class molecule for the treatment of acne, particularly given that it is a topical treatment that targets the androgen receptor and works on sebocytes to mediate lipid production and inflammation," says Lawrence Eichenfield, MD, Chief of Pediatric and Adolescent Dermatology at Rady Children's Hospital–San Diego, in a news release. "Giving physicians another treatment option for their patients who struggle with acne is tremendously important."

Last year, Cassiopea announced topline results from two pivotal phase III clinical trials for clascoterone cream 1% demonstrating highly statistically significant improvements for all primary clinical endpoints. No treatment-related serious adverse events among patients have been recorded during the trials; local skin reactions, if present, were similar to vehicle and predominantly classified as mild. Safety results, announced earlier this year, were confirmed in an open-label safety study for a treatment period of up to one year, with an expanded drug application surface area that included both the face and trunk. The extended duration and coverage of the topically applied drug did not increase the incidence of significant side effects.

"If approved, clascoterone cream 1% will be the first new mechanism of action in the treatment of acne in nearly 40 years, offering dermatologists and patients a new and effective therapeutic alternative," says Diana Harbort, CEO of Cassiopea. "We're focused on the urgency to treat skin conditions that can leave not only physical scars, but also emotional scars. That's why innovation is so critical. We are committed to finding a way to treat acne that addresses the root causes of the condition."