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Data updated: Mar 10, 2026

OPZELURA

RUXOLITINIB PHOSPHATE
Immunology Approved 2021-09-21
3
Indications
--
Phase 3 Trials
2
Priority Reviews
4
Years on Market

Details

Status
Prescription
First Approved
2021-09-21
Routes
TOPICAL
Dosage Forms
CREAM

Companies

Active Ingredient: RUXOLITINIB PHOSPHATE

OPZELURA Approval History

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What OPZELURA Treats

2 indications

OPZELURA is approved for 2 conditions since its original approval in 2021. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Atopic Dermatitis
  • Vitiligo
Source: FDA Label

OPZELURA Boxed Warning

SERIOUS INFECTIONS, MORTALITY, MALIGNANCY, MAJOR ADVERSE CARDIOVASCULAR EVENTS, AND THROMBOSIS SERIOUS INFECTIONS Patients treated with oral Janus kinase inhibitors for inflammatory conditions are at risk for developing serious infections that may lead to hospitalization or death [see Warnings and Precautions ( 5.1 ) and Adverse Reactions ( 6.1 )] . Reported infections include: Active tuberculosis, which may present with pulmonary or extrapulmonary disease. Invasive fungal infections, including ...

OPZELURA Target & Pathway

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Target

JAK1 (Janus Kinase 1) Intracellular Kinase

A member of the JAK family involved in signaling for interferons and several interleukins. JAK1 inhibition is effective in rheumatoid arthritis, atopic dermatitis, and other inflammatory conditions by blocking multiple cytokine pathways.

OPZELURA Competitors

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10 other drugs also target JAK1. Compare mechanisms, indications, and trial activity.

View all 10 JAK1 drugs →
Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (JAK1). Earlier expiry dates signal biosimilar/generic opportunities.

Drugs Similar to OPZELURA

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

ADBRY
TRALOKINUMAB
1 shared
LEO PHARMA AS
Shared indications:
Atopic Dermatitis
BETAMETHASONE ACETATE AND BETAMETHASONE SODIUM PHOSPHATE
BETAMETHASONE ACETATE
1 shared
Hikma
Shared indications:
Atopic Dermatitis
CELESTONE SOLUSPAN
BETAMETHASONE ACETATE
1 shared
Merck
Shared indications:
Atopic Dermatitis
CIBINQO
ABROCITINIB
1 shared
Pfizer
Shared indications:
Atopic Dermatitis
DEPO-MEDROL
METHYLPREDNISOLONE ACETATE
1 shared
Pfizer
Shared indications:
Atopic Dermatitis
DEXAMETHASONE
DEXAMETHASONE
1 shared
ALVOGEN
Shared indications:
Atopic Dermatitis
DEXAMETHASONE INTENSOL
DEXAMETHASONE
1 shared
Hikma
Shared indications:
Atopic Dermatitis
DEXYCU KIT
DEXAMETHASONE
1 shared
EYEPOINT PHARMS
Shared indications:
Atopic Dermatitis
DUPIXENT
DUPILUMAB
1 shared
Regeneron
Shared indications:
Atopic Dermatitis
EBGLYSS
LEBRIKIZUMAB-LBKZ
1 shared
Eli Lilly
Shared indications:
Atopic Dermatitis
ELIDEL
PIMECROLIMUS
1 shared
BAUSCH
Shared indications:
Atopic Dermatitis
EUCRISA
CRISABOROLE
1 shared
ANACOR PHARMS INC
Shared indications:
Atopic Dermatitis
HYDROXYZINE PAMOATE
HYDROXYZINE PAMOATE
1 shared
Novartis
Shared indications:
Atopic Dermatitis
KENALOG-40
TRIAMCINOLONE ACETONIDE
1 shared
APOTHECON
Shared indications:
Atopic Dermatitis
LOCOID LIPOCREAM
HYDROCORTISONE BUTYRATE
1 shared
PRECISION DERMAT
Shared indications:
Atopic Dermatitis
METHYLPREDNISOLONE ACETATE
METHYLPREDNISOLONE ACETATE
1 shared
SAGENT PHARMS INC
Shared indications:
Atopic Dermatitis
NEMLUVIO
NEMOLIZUMAB-ILTO
1 shared
GALDERMA LABS LP
Shared indications:
Atopic Dermatitis
ORAPRED ODT
PREDNISOLONE SODIUM PHOSPHATE
1 shared
ADVANZ PHARMA
Shared indications:
Atopic Dermatitis
PEDIAPRED
PREDNISOLONE SODIUM PHOSPHATE
1 shared
SETON PHARM
Shared indications:
Atopic Dermatitis
PIMECROLIMUS
PIMECROLIMUS
1 shared
Teva
Shared indications:
Atopic Dermatitis
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

OPZELURA FDA Label Details

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Indications & Usage

FDA Label (PDF)

OPZELURA is a Janus kinase (JAK) inhibitor indicated for: the topical short-term and non-continuous chronic treatment of mild to moderate atopic dermatitis in non-immunocompromised adult and pediatric patients 2 years of age and older whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. the topical treatment of nonsegmental vitiligo in adult and pediatric patients 12 years of age and older. Limitations of Use Use of OPZELURA in combination with therapeutic biologics, other JAK inhibitors or potent immunosuppressants such as a...

⚠️ BOXED WARNING

WARNING: SERIOUS INFECTIONS, MORTALITY, MALIGNANCY, MAJOR ADVERSE CARDIOVASCULAR EVENTS, AND THROMBOSIS SERIOUS INFECTIONS Patients treated with oral Janus kinase inhibitors for inflammatory conditions are at risk for developing serious infections that may lead to hospitalization or death [see Warni...

OPZELURA Patents & Exclusivity

Latest Patent: May 2041
Exclusivity: Sep 2028

Patents (36 active)

US11602536 Expires May 5, 2041
US11510923 Expires Sep 4, 2040
US11590137 Expires Sep 4, 2040
US12233067 Expires Jul 28, 2040
US11590138 Expires Jun 10, 2040
US11219624*PED Expires Nov 20, 2031
US10758543*PED Expires Nov 20, 2031
US10869870*PED Expires Nov 20, 2031
US10869870 Expires May 20, 2031
US11219624 Expires May 20, 2031
+ 26 more patents

Exclusivity

I-896 Until Jul 2025
NPP Until Sep 2028
PED Until Jan 2026
Source: FDA Orange Book

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.