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Synonyms: BBI-4000 (sofpironium bromide) | Ecclock® | Sofdra®
sofpironium is an approved drug (Japan (2020))
Compound class:
Synthetic organic
Comment: Sofpironium is an anticholinergic drug. It is a structural analogue of glycopyrrolate which was modified to be rapidly converted to an inactive metabolite in the circulation so as to restrict action to local sites of administration (i.e. it is a so-called retrometabolic or "soft" drug) and minimise potential systemic side-effects. In relation to its use to reduce sweating in axillary hyperhidrosis its effect is mediated by antagonism of M3 muscarinic acetylcholine receptors in eccrine glands.
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No information available. |
Summary of Clinical Use ![]() |
Sofpironium (bromide) was first approved in Japan (September 2020) for the topical treatment of primary axillary hyperhidrosis, following successful phase 3 clinical evaluation [1-3]. FDA approval for this indication was granted in June 2024. |
Clinical Trials | |||||
Clinical Trial ID | Title | Type | Source | Comment | References |
NCT03836287 | Safety and Efficacy Study of Sofpironium Bromide in Subjects With Axillary Hyperhidrosis (BBI-4000-CL-301) | Phase 3 Interventional | Botanix Pharmaceuticals | ||
NCT03948646 | Safety and Efficacy Study of Sofpironium Bromide in Subjects With Axillary Hyperhidrosis (BBI-4000-CL-302) | Phase 3 Interventional | Botanix Pharmaceuticals | ||
NCT03627468 | A Safety Study of BBI-4000 Gel in Patients With Axillary Hyperhidrosis | Phase 3 Interventional | Botanix Pharmaceuticals |