BfArM - Federal Institute for Drugs and Medical Devices

Navigation and service

Picato® (ingenol mebutate): evaluation of the benefit-risk ratio

Active substance: ingenol mebutate

05.05.2020 - CHMP opinion

The risks of Picato® for the treatment of actinic keratosis outweigh the benefits

The Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has completed its review of Picato® with the conclusion that the drug may increase the risk of skin cancer and that the risks outweigh the benefits.

20.04.2020 - Completion of the review - PRAC recommendation

The European Medicines Agency (EMA) concludes the review of Picato® with the result that the risks of the drug outweigh the benefits and the drug is therefore no longer approved.

13.02.2020 - Revocation of the marketing authorisation following an application by the previous marketing authorisation holder

By decision of February 11, 2020, the European Commission revoked the marketing authorization for Picato® (ingenolmebutate) upon request of the previous authorization holder.

20.01.2020 - European Commission decision

With the decision of January 17, 2020 pursuant to Art. 20 of Regulation (EC) No. 726/04, the European Commission has temporarily suspended the approvals. The drugs are no longer marketable.

17.01.2020 - PRAC recommendation

EMA recommended that patients stop using Picato (ingenol mebutate), a gel for treating the skin condition actinic keratosis, while it continues its review of the medicine’s safety.

06.09.2019 - Procedure started

EMA’s safety committee (PRAC) is currently reviewing data on skin cancer in patients using Picato, a gel for treating the skin condition actinic keratosis.

Further information

For details on the procedure please click on the following link to the homepage of the European Medicines Agency (EMA):

Zum Rote-Hand-Brief Picato®

To the risk assessment procedure (available in German only)