FDA Approves Novartis’ Rhapsido for Urticaria
FDA has approved a Novartis NDA for Rhapsido (remibrutinib), a Bruton’s tyrosine kinase (BTK) inhibitor for treating adults with chronic spontaneous urticaria (CSU) who remain symptomatic despite antihistamine therapy. Taken as a twice-daily pill, Rhapsido is designed to block BTK, a protein that activates immune cells responsible for the release of histamine and other inflammatory mediators linked to CSU symptoms, the company says. Unlike injectable options, the oral therapy requires no lab monitoring, it adds.
CSU (also referred to as chronic hives) affects about 1.7 million people in the U.S. Symptoms can be unpredictable, recurring for weeks or months at a time, and can significantly disrupt sleep, work, and quality of life, Novartis says. While antihistamines are the standard first-line treatment, more than half of patients remain symptomatic even at higher doses.
Approval was based on clinical trial data from Novartis’ Phase 3 REMIX-1 and REMIX-2 studies. Patients receiving Rhapsido showed significant improvements in itch, hives, and overall urticaria activity scores compared with placebo, it says. Well-controlled disease was observed as early as two weeks, with one-third of patients experiencing complete relief of itch and hives at 12 weeks. The most common side effects included mild respiratory symptoms, bleeding, headache, nausea, and abdominal pain.