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Ingenol metabute

LEO Pharma · Phase 3 active Small molecule

Ingenol metabute is a Protein kinase C (PKC) activator Small molecule drug developed by LEO Pharma. It is currently in Phase 3 development for Actinic keratosis (field treatment on face or scalp). Also known as: Picato® gel, 0.015%.

Ingenol mebutate is a protein kinase C (PKC) activator that induces rapid necrosis of actinic keratosis cells and promotes immune-mediated clearance of treated lesions.

Ingenol mebutate is a protein kinase C (PKC) activator that induces rapid necrosis of actinic keratosis cells and promotes immune-mediated clearance of treated lesions. Used for Actinic keratosis (field treatment on face or scalp).

Likelihood of approval
58.3% vs 58.3% industry baseline
If approved by FDA: likely 2028–2030
Steps remaining: NDA/BLA submission
Confidence: High
Why this estimate
  • Baseline phase 3 → approval rate +58.3pp
    Industry-wide phase 3 drugs reach approval ~58.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2028–2030
EMA EU 2029–2031 +0.7 yr
MHRA GB 2029–2031 +0.7 yr
Health Canada CA 2029–2032 +0.9 yr
TGA AU 2029–2032 +1.2 yr
PMDA JP 2029–2032 +1.5 yr
NMPA CN 2030–2033 +2.3 yr
MFDS KR 2029–2032 +1.4 yr
CDSCO IN 2029–2033 +1.8 yr
ANVISA BR 2030–2033 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameIngenol metabute
Also known asPicato® gel, 0.015%
SponsorLEO Pharma
Drug classProtein kinase C (PKC) activator
TargetProtein kinase C (PKC)
ModalitySmall molecule
Therapeutic areaDermatology
PhasePhase 3

Mechanism of action

Ingenol mebutate activates protein kinase C, leading to direct cytotoxic effects on keratinocytes and induction of local inflammatory responses. This dual mechanism—direct cell death combined with immune activation—results in clearance of actinic keratosis lesions. The drug is applied topically and works through both intrinsic apoptotic pathways and PKC-dependent signaling.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about Ingenol metabute

What is Ingenol metabute?

Ingenol metabute is a Protein kinase C (PKC) activator drug developed by LEO Pharma, indicated for Actinic keratosis (field treatment on face or scalp).

How does Ingenol metabute work?

Ingenol mebutate is a protein kinase C (PKC) activator that induces rapid necrosis of actinic keratosis cells and promotes immune-mediated clearance of treated lesions.

What is Ingenol metabute used for?

Ingenol metabute is indicated for Actinic keratosis (field treatment on face or scalp).

Who makes Ingenol metabute?

Ingenol metabute is developed by LEO Pharma (see full LEO Pharma pipeline at /company/leo-pharma).

Is Ingenol metabute also known as anything else?

Ingenol metabute is also known as Picato® gel, 0.015%.

What drug class is Ingenol metabute in?

Ingenol metabute belongs to the Protein kinase C (PKC) activator class. See all Protein kinase C (PKC) activator drugs at /class/protein-kinase-c-pkc-activator.

What development phase is Ingenol metabute in?

Ingenol metabute is in Phase 3.

What are the side effects of Ingenol metabute?

Common side effects of Ingenol metabute include Application site erythema, Application site pain, Application site pruritus, Application site edema.

What does Ingenol metabute target?

Ingenol metabute targets Protein kinase C (PKC) and is a Protein kinase C (PKC) activator.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing