FDA Delays Decisions on Rinvoq Supplemental NDAs

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FDA has told AbbVie that it will not meet the user fee action dates for two supplemental NDAs for Rinvoq (upadacitinib), a JAK inhibitor for treating adults with active psoriatic arthritis and adults with active ankylosing spondylitis. The agency cited its ongoing review of Pfizer’s post-marketing study, ORAL Surveillance, that is evaluating Xeljanz (tofacitinib) in patients with rheumatoid arthritis, AbbVie says.

 

Ongoing FDA safety concerns with JAK inhibitors have caused review extensions for Eli Lilly/Incyte and Pfizer submissions. The drug class concerns arose from an FDA-required safety study when Pfizer’s Xeljanz (tofacitinib) was approved in 2012 for rheumatoid arthritis. In 2/2019 and 7/2019, FDA warned that interim trial results showed an increased risk of blood clots and death with the 10 mg twice daily dosage, and as a result, approved a Boxed Warning.

 

Rinvoq was approved in 2019 for adult patients with moderately to severely active rheumatoid arthritis who have had an inadequate response or intolerance to methotrexate.

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