AbbVie sBLA for Skyrizi in Crohn’s

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AbbVie has submitted a supplemental BLA for Skyrizi (risankizumab) 1,200 mg intravenous (IV) (induction dose) and 180 mg and 360 mg subcutaneous (maintenance doses) for treating adults with moderately to severely active ulcerative colitis. Currently, the drug is approved for treating plaque psoriasis, psoriatic arthritis and Crohn’s disease.

Skyrizi is an interleukin-23 (IL-23) inhibitor that selectively blocks IL-23 by binding to its p19 subunit, according to AbbVie. “IL-23, a cytokine involved in inflammatory processes, is thought to be linked to a number of chronic immune-mediated diseases,” it says.

The submission is based on data from two Phase 3 clinical trials: an induction study, INSPIRE, and a maintenance study, COMMAND. “Significantly more patients treated with risankizumab 1200 mg IV at week 12 in the induction study and 180 mg or 360 mg SC at week 52 in the maintenance study achieved the primary endpoint of clinical remission (per Adapted Mayo Score), compared to patients receiving placebo,” the company says. “Additionally, more risankizumab-treated patients in both the induction and maintenance studies achieved the key secondary endpoints of endoscopic improvement… and histologic endoscopic mucosal improvement compared to placebo,” it adds.

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