Macrolactam ascomycin derivative. Specific calcineurin inhibitor that blocks production of pro-inflammatory cytokines by T cells and mast cells. Prepn: K. Baumann, G. Emmer, EP 427680 (1991 to Sandoz); eidem, US 5912238 (1999 to Novartis). In vitro pharmacology: M. Grassberger et al., Br. J. Dermatol. 141, 264 (1999). Clinical evaluation in psoriasis: U. Mrowietz et al., ibid. 139, 992 (1998); in contact dermatitis: C. Queille-Roussel et al., Contact Dermatitis 42, 349 (2000). Review of clinical experience in inflammatory skin conditions: U. Wollina et al., Expert Opin. Pharmacother. 7, 1967-1975 (2006).
Immunosuppressant; dermatological in treatment of atopic eczema.
Immunosuppressant; Antieczematic; Calcineurin Inhibitor