LEO Pharma Secures NMPA Approval for Enstilar Foam in China – First and Only Calcipotriol/Betamethasone Foam Formulation for Plaque Psoriasis Demonstrates Superior Efficacy vs. Ointment

LEO Pharma Secures NMPA Approval for Enstilar Foam in China – First and Only Calcipotriol/Betamethasone Foam Formulation for Plaque Psoriasis Demonstrates Superior Efficacy vs. Ointment

LEO Pharma A/S has received marketing approval from China’s National Medical Products Administration (NMPA) for Enstilar (calcipotriol 50 mcg/g, betamethasone dipropionate 0.5 mg/g), a foam formulation for the treatment of plaque psoriasis in adult patients. The approval establishes Enstilar as the first and only foam-based therapy for this indication in China, backed by Phase III data demonstrating superior efficacy compared to the established Daivobet ointment, with enhanced patient convenience through a patented foam applicator designed for even application on hair-bearing skin areas.

Regulatory Milestone

Approval ParameterDetail
CompanyLEO Pharma A/S (Denmark)
ProductEnstilar (calcipotriol/betamethasone dipropionate foam)
Approving AuthorityNational Medical Products Administration (NMPA)
IndicationAdult patients with plaque psoriasis
Formulation StatusFirst and only foam formulation approved in China for plaque psoriasis
DosageOnce daily application
Key DifferentiatorPatented foam applicator for hair-bearing areas

Clinical Evidence – Phase III Superiority Trial

Trial ParameterDetail
Study DesignPhase III randomized, controlled trial
Patient Population604 adult patients with stable plaque psoriasis
ComparatorDaivobet (calcipotriol/betamethasone ointment)
Treatment DurationFour weeks, once daily
Primary EndpointMet with statistical significance
Secondary EndpointsAll met with Enstilar demonstrating superior efficacy
Key FindingEnstilar more effective than Daivobet ointment

Technology & Formulation Innovation

  • Foam Delivery System: Patented applicator enables easy, even medication distribution across skin surfaces
  • Hair-Bearing Areas: Specifically designed for application to scalp and other hair-covered regions where traditional formulations struggle
  • Supersaturated Solution: Forms supersaturated solution on skin surface, accelerating active ingredient penetration
  • Rapid Symptom Relief: Enhanced bioavailability translates to faster onset of therapeutic effect
  • Patient Compliance: Improved ease of use expected to enhance treatment adherence compared to ointments

Market Opportunity & Competitive Landscape

Market ElementImpact
China Psoriasis PrevalenceEstimated 6-7 million plaque psoriasis patients, representing significant unmet need
Current Treatment GapLimited topical options optimized for scalp and difficult-to-treat areas
Formulation AdvantageFoam technology addresses key limitation of existing ointments and creams
Pricing PositionPremium pricing potential due to superior efficacy and convenience benefits
Competitive DifferentiationOnly foam formulation creates unique market positioning vs. generic ointments

Commercial Strategy & Market Access

  • Launch Focus: Initial targeting of dermatology specialty centers and major hospitals in Tier 1 cities
  • Physician Education: Comprehensive training program on foam application advantages and clinical superiority data
  • Reimbursement Strategy: Pursuing inclusion in provincial reimbursement catalogs leveraging superior efficacy profile
  • Patient Support: Implementation of adherence programs and educational materials on proper foam application technique
  • Market Penetration: Leveraging LEO Pharma’s established dermatology presence in China for rapid commercial rollout

Strategic Implications for LEO Pharma

  • China Market Expansion strengthens LEO’s position in one of the world’s fastest-growing pharmaceutical markets
  • Innovation Leadership reinforces reputation for developing differentiated dermatological formulations
  • Portfolio Enhancement complements existing psoriasis portfolio with premium, patent-protected product
  • Global Harmonization aligns Chinese launch with international markets where Enstilar is already established

Industry Context & Regulatory Environment

  • Topical Psoriasis Market in China dominated by generic ointments with limited innovation
  • NMPA Priority Review reflects recognition of meaningful therapeutic advancement over existing options
  • Patient-Centric Innovation aligns with China’s healthcare reform emphasis on improving quality of life outcomes
  • Dermatology Focus benefits from increasing awareness and diagnosis rates of psoriasis in urban Chinese populations

Forward‑Looking Statements
This brief contains forward-looking statements regarding commercial performance, market penetration, and competitive dynamics. Actual results may differ due to risks including reimbursement decisions, market adoption rates, competitive pressures, and regulatory developments.-Fineline Info & Tech