FDA Expands Rinvoq Label for Crohn’s, Ulcerative Colitis
FDA has approved an updated indication for AbbVie’s Rinvoq (upadacitinib), expanding its use in treating adults with moderately to severely active ulcerative colitis (UC) and Crohn’s disease (CD). The label update allows physicians to prescribe Rinvoq prior to tumor necrosis factor (TNF) blocker therapy for patients who have received at least one approved systemic therapy and for whom TNF inhibitors are considered clinically inadvisable. Previously, the therapy was indicated only for adults with UC or CD who had an inadequate response or intolerance to one or more TNF blockers.
Rinvoq, a Janus kinase (JAK) inhibitor, carries several serious safety warnings. According to AbbVie, the therapy may increase the risk of:
- Serious and sometimes fatal infections, including tuberculosis
- Death in adults aged 50 or older with cardiovascular risk factors
- Certain cancers, including lymphoma and lung cancer, particularly in current or former smokers
- Major cardiovascular events such as heart attack or stroke
- Blood clots in the veins or lungs
- Serious allergic reactions and gastrointestinal tears
Rinvoq is also undergoing Phase 3 trials for conditions such as alopecia areata, hidradenitis suppurativa, systemic lupus erythematosus, and vitiligo, according to the company.