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EU Approves Winlevi: Innovative Acne Treatment Advances Dermatological Treatment Options



Winlevi Acne Treatment Approved for wider Use in Europe Following Reassessment

Brussels, Belgium – In a landmark decision for dermatological treatments, the European Medicines Agency (EMA) has endorsed the broader approval of Winlevi, a topical cream designed to combat acne in individuals aged 12 and above. the Irish pharmaceutical company Cosmo announced the positive assessment, a reversal of an earlier, limited approval issued earlier this year.

A new Mechanism for Acne Treatment

Winlevi, formulated with the molecule clascoterone, represents a breakthrough in acne therapeutics, offering a distinct approach compared to existing medications. Current acne treatments primarily focus on either eliminating acne-causing bacteria with antibiotics or managing the buildup of dead skin cells that contribute to inflammation. Clascoterone, however, operates by reducing the skin’s sensitivity to hormones that trigger excessive sebum production, a key factor in acne progress.

Years of Availability Elsewhere

The treatment has been readily accessible in the United States and the United Kingdom for several years. Cosmo strategically delayed seeking European Union approval, citing unspecified strategic considerations. This decision previously drew criticism from dermatologists who anticipated Winlevi’s potential benefits for patients.

Initial Concerns and Subsequent Reassessment

During an initial evaluation earlier this year, the EMA declined to approve Winlevi for adolescent use, expressing concerns about potential hormonal side effects during a critical developmental period. The agency also noted potential local adverse reactions, including skin irritation, redness, and itching, as well as a rarer risk of adrenal insufficiency. Following this initial rejection, Cosmo presented a complete reassessment of clinical data, compiled by a panel of dermatologists and endocrinologists, to address the EMA’s concerns.

Expert Endorsement

Professor Brigitte Dréno, a leading dermatologist and former president of the French society of Dermatology, hailed the approval as a significant advancement. “We have been anticipating an innovation like this-a topical treatment that is both well-tolerated,effective,and safe for adolescent patients,” Dréno stated. “It will serve as a valuable addition to our range of treatment options.”

National Approval Still Pending

While the EMA’s approval is a crucial step, Winlevi will not be immediately available across all European Union member states. National health authorities, such as France’s High Authority for Health (HAS), will now evaluate the treatment’s value and determine whether it will be covered by public health insurance programs.

Feature Winlevi (Clascoterone) Traditional Acne Treatments
Mechanism of Action Reduces skin’s sensitivity to hormones Antibiotics or reduce dead skin cell buildup
Availability (as of 2025) Approved in US, UK, now expanding to EU Widely available globally
Potential Side Effects Skin irritation, adrenal insufficiency (rare) Antibiotic resistance, skin dryness

Did You Know? Acne affects approximately 85% of teenagers and can persist into adulthood for up to 30% of individuals, making novel treatments like Winlevi highly anticipated.

Pro Tip: maintaining a consistent skincare routine, including gentle cleansing and non-comedogenic moisturizers, can complement any acne treatment plan.

What are your thoughts on this new acne treatment? Do you feel there is enough innovation in dermatological care today?

Understanding Acne and Treatment options

Acne is a common skin condition caused by a combination of factors, including excess sebum production, clogged pores, bacteria, and inflammation. While numerous treatments are available, ranging from over-the-counter remedies to prescription medications, finding the right approach can be challenging. Factors like acne severity, skin type, and individual response to treatment all play a role in determining the most effective course of action. According to the American Academy of Dermatology, early and consistent treatment is key to preventing scarring and improving long-term outcomes. (American Academy of Dermatology)

Frequently Asked Questions About winlevi

  • What is Winlevi used for? Winlevi is a topical cream used to treat acne in adults and adolescents aged 12 and older.
  • how does Winlevi differ from other acne treatments? It works by reducing the skin’s sensitivity to hormones, unlike traditional treatments that focus on bacteria or skin cell buildup.
  • Is Winlevi available in all European countries? Not yet. The EMA has approved it,but national health authorities must still approve it for use in each country.
  • What are the potential side effects of Winlevi? Common side effects include skin irritation, redness, and itching. Rare side effects may include adrenal insufficiency.
  • Will Winlevi be covered by insurance? This will depend on the decisions made by national health authorities in each European country.
  • What age group is Winlevi now approved for? Winlevi is now approved for use in patients aged 12 and above.
  • How long has Winlevi been available in the US? Winlevi has been available in the United States for several years.

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EU Approves Winlevi: Innovative Acne Treatment Advances Dermatological Treatment Options

What is Winlevi (clascoterone cream 1%)?

Winlevi, containing the active ingredient clascoterone, represents a meaningful step forward in acne treatment.Approved by the European Union in August 2025, it’s the first topical androgen receptor (AR) inhibitor specifically designed for moderate to severe facial acne in adults.Unlike traditional treatments like benzoyl peroxide or retinoids, Winlevi targets the root cause of acne – androgen hormones – within the skin. This novel mechanism of action offers a new hope for individuals struggling with persistent inflammatory acne, papules, and pustules.

How Does Clascoterone Work?

androgens, like testosterone, play a crucial role in sebum (oil) production. Excess sebum contributes to clogged pores and the growth of acne. Clascoterone works by blocking androgen receptors in the sebaceous glands.

Here’s a breakdown of the process:

  1. Androgen Binding: Androgens normally bind to ARs in the skin.
  2. Sebum Production: This binding stimulates sebum production.
  3. Winlevi intervention: Clascoterone competitively binds to these ARs, preventing androgens from attaching.
  4. Reduced Sebum: This leads to a reduction in sebum production, minimizing pore clogging and acne formation.

This targeted approach minimizes systemic absorption,possibly reducing the risk of widespread side effects often associated with oral acne medications.

Winlevi vs. Traditional Acne Treatments

| Feature | Winlevi (Clascoterone) | Traditional Treatments (Benzoyl Peroxide, Retinoids) |

|—|—|—|

| Mechanism of Action | Androgen Receptor Inhibitor | Keratolytic, Comedolytic, Anti-inflammatory |

| Target | Androgen Hormone Activity in skin | Skin Surface & Pore Level |

| Systemic Absorption | Minimal | Variable |

| Common Side Effects | itching, redness, dryness | Dryness, irritation, peeling, sun sensitivity |

| Best Suited For | Moderate to Severe Inflammatory Acne | Mild to Moderate Acne, Comedonal Acne |

while traditional treatments remain effective, Winlevi offers a valuable alternative, especially for those who haven’t responded adequately to other therapies or experience intolerable side effects.Hormonal acne,often resistant to conventional treatments,may be particularly responsive to winlevi.

Clinical Trial Results & Efficacy

The approval of Winlevi was based on robust clinical trial data. Key findings include:

Significant Reduction in Inflammatory Lesions: Studies demonstrated a statistically significant decrease in the number of facial inflammatory lesions (papules and pustules) after 12 weeks of treatment.

Improved Acne Severity: Participants experienced an overall advancement in their acne severity as assessed by the Investigator Global Assessment (IGA) scale.

Well-Tolerated Profile: The most commonly reported side effects were mild and transient, including request site redness, itching, and dryness.

Long-Term Efficacy: Ongoing studies are evaluating the long-term efficacy and safety of Winlevi for chronic acne.

These results highlight Winlevi’s potential to provide lasting relief for individuals with moderate to severe facial acne.

Who is a Good Candidate for Winlevi?

Winlevi is generally considered a suitable option for:

Adults (18 years and older) with moderate to severe facial acne.

Individuals who haven’t achieved satisfactory results with other topical or oral acne treatments.

Patients seeking a non-steroidal treatment option.

Those with polycystic ovary syndrome (PCOS) related acne, where hormonal imbalances contribute to breakouts. (Consultation with an endocrinologist is recommended).

It’s crucial to consult with a dermatologist to determine if Winlevi is the right choice for your specific acne type and skin condition.

How to Use Winlevi Effectively: Practical Tips

Application: Apply a thin layer of winlevi to the entire affected facial area onc daily.

Cleanse First: Ensure your skin is clean and dry before application.

Sun Protection: Winlevi can increase skin sensitivity to the sun. Use a broad-spectrum sunscreen with an SPF of 30 or higher daily.

Moisturize: To combat potential dryness, incorporate a gentle, non-comedogenic moisturizer into your skincare routine.

Consistency is Key: continue using Winlevi as prescribed by your dermatologist, even if you see improvements, to maintain optimal results.

Avoid Concurrent Use: Avoid using other topical acne products containing benzoyl peroxide or retinoids in the same application as Winlevi, unless directed by your dermatologist.

Potential Side Effects & Precautions

While generally well-tolerated, Winlevi can cause some side effects:

Common: Application site reactions (redness, itching, dryness, burning).

Less Common: Skin peeling, scaling.

Rare: Allergic reactions.

Inform your dermatologist if you experience any persistent or bothersome side effects. Winlevi is not recommended for use during pregnancy or breastfeeding.

The Future of Acne Treatment

The approval of Winlevi signifies a paradigm shift in dermatological treatment. Its unique mechanism of action opens doors for further research into targeted therapies addressing the hormonal aspects of acne. Future developments may include:

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