Lilly’s Ulcerative Colitis Therapy Approved
FDA has approved an Eli Lilly BLA for Omvoh (mirikizumab-mrkz) infusion (300 mg/15 mL)/injection (100 mg/mL), described as the first interleukin-23p19 (IL-23p19) antagonist for treating moderately to severely active ulcerative colitis in adults.
Approval was based on data from two Phase 3 trials (LUCENT) showing that after 12 weeks of Omvoh treatment, “nearly two-thirds (65%) of patients achieved clinical response and nearly one-fourth (24%) achieved clinical remission compared to placebo (43% and 15%, for clinical response and clinical remission, respectively),” Lilly says. “Among those who achieved clinical response at 12 weeks, Omvoh demonstrated consistent efficacy across subgroups, with 51% of all patients and 45% of patients who failed prior treatment with a biologic or Janus kinase inhibitor (JAKi) achieving clinical remission at one year compared to placebo (27% and 15%, respectively). Among those who achieved clinical response at 12 weeks, one-half (50%) achieved steroid-free clinical remission at one year, compared to placebo (27%).”
On the safety side, Lilly says that patients taking Omvoh were less likely to discontinue treatment due to adverse events compared to placebo. The most common adverse reactions associated with Omvoh were upper respiratory infections, injection site reactions, arthralgia, rash, headache and herpes viral infection, it says.