Tremfya Secures Approval for Ulcerative Colitis

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FDA has approved Johnson & Johnson’s Tremfya (guselkumab) for treating adults with moderately to severely active ulcerative colitis (UC). Approval was based on data from the ongoing Phase 2b/3 QUASAR study evaluating Tremfya in adult patients with moderately to severely active UC who experienced an inadequate response or who demonstrated intolerance to conventional therapy, other biologics or JAK inhibitors. The data showed that 50% of patients receiving Tremfya 200 mg subcutaneous (SC) every four weeks and 45% of patients receiving Tremfya 100 mg SC every eight weeks achieved the primary endpoint of clinical remission at Week 44 compared to 19% of placebo-treated patients, according to the company. And 34% (200 mg) and 35% (100 mg) of patients achieved endoscopic remission at one year with Tremfya compared to 15% of those on placebo.

Tremfya is described as a dual-acting monoclonal antibody that blocks IL-23 while also binding to CD64, a receptor on cells that produce IL-23. “IL-23 is a cytokine secreted by activated monocyte/macrophages and dendritic cells that is known to be a driver of immune-mediated diseases including UC,” J&J says.

The therapy was first approved in 2017 for treating adult patients with moderate-to-severe plaque psoriasis and received subsequent approval for adults with active psoriatic arthritis in 2020. A supplemental BLA was submitted in June and is pending review for patients with moderately to severely active Crohn’s disease.

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