J&J Files BLA for Myasthenia Gravis Therapy
Johnson & Johnson has submitted a BLA for nipocalimab, indicated for treating people living with generalized myasthenia gravis (MG). The submission is based on data from the Phase 3 Vivacity-MG3 study that “showed that outcomes for a broad population of antibody-positive participants who received nipocalimab plus standard of care (SOC) were superior compared to those who received placebo plus SOC,” the company says. It adds that safety and tolerability were in line with other nipocalimab studies.
J&J says nipocalimab is the first FcRn blocker to demonstrate sustained disease control as measured by improvement in the measurement tool “Myasthenia Gravis – Activities of Daily Living” when the drug was added to the SOC compared with placebo plus SOC over a period of six months of consistent dosing (every other week). “Characteristics such as its high binding affinity and specificity to the immunoglobulin G (IgG) binding site of FcRn have the potential to differentiate nipocalimab in the FcRn blocker class of treatments,” the company adds.
MG is described as an autoantibody disease that targets proteins at the neuromuscular junction, disrupting neuromuscular signaling, and impairing or preventing muscle contraction. “Initial disease manifestations are usually ocular but in 85% or more cases, the disease generalizes (gMG), which is characterized by fluctuating weakness of the skeletal muscles leading to symptoms like limb weakness, drooping eyelids, double vision and difficulties with chewing, swallowing, speech, and breathing,” J&J says.