FDA Approves Janssen’s Stelara for Crohn’s

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FDA has approved a Janssen Biotech BLA for Stelara (ustekinumab) for treating moderately to severely active Crohn’s disease in adults (18 years or older) who have failed or were intolerant to treatment with immunomodulators or corticosteroids but never failed treatment with a tumor necrosis factor blocker, or who failed or were intolerant to treatment with one or more TNF blockers. The therapy works by targeting interleukin (IL)-12 and IL-23 cytokines, which play a key role in inflammatory and immune responses, according to the company.

Approval was based on data from a Phase 3 study called UNITI, which showed ustekinumab inducing a clinical response and clinical remission in Crohn’s patients who had previously failed conventional therapy, the majority of whom were naïve to treatment with anti-tumor necrosis factor-alpha therapy, Janssen says. “Major secondary endpoints of clinical response and clinical remission at week 8 were also significantly higher among patients receiving Stelara compared with patients receiving placebo,” it adds.

Stelara is currently FDA-approved for treating adult patients with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy. It is also approved for treating adult patients with active psoriatic arthritis and can be used alone or in combination with methotrexate.

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