UCB (EBR:UCB) UCB Media Room: New Long-Term Data on Bimekizumab in Psoriatic Arthritis and Axial Spondyloarthritis Presented at EULAR 2023

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31/05/2023 07:00
https://mb.cision.com/Public/18595/3777400/84a390fae205c254_800x800ar.png ** New Long-Term Data on Bimekizumab in Psoriatic Arthritis and Axial Spond= yloarthritis Presented at EULAR 2023 ------------------------------------------------------------ =C2=B7 In patients with psoriatic arthritis with prior inadequate response = to tumour necrosis factor inhibitors, bimekizumab demonstrated sustained jo= int and skin clearance responses to week 52=C2=A0 =C2=B7 Across the spectrum of axial spondyloarthritis, bimekizumab demonstr= ated sustained reduction of inflammatory lesions of the sacroiliac joints a= nd spine, as well as sustained improvements in the main peripheral manifest= ations of disease, to week 52=C2=A0 Brussels (Belgium), 31st May 2023 =E2=80=93 07:00 (CET) =C2=A0=E2=80=93 UCB= , a global biopharmaceutical company, today announced new long-term 52-week= data from three Phase 3 studies =E2=80=93 BE COMPLETE with its long-term e= xtension study, BE MOBILE 1 and BE MOBILE 2 =E2=80=93 evaluating the effica= cy and safety profile of bimekizumab, an inhibitor of IL-17F in addition to= IL-17A, in adults with active psoriatic arthritis (PsA), active non-radiog= raphic axial spondyloarthritis (nr-axSpA) and active ankylosing spondylitis= (AS), also known as radiographic axSpA (r-axSpA), respectively.^1,2,3=C2= =A0These results from the bimekizumab phase 3 program in PsA and axSpA are = being presented at the European Congress of Rheumatology, EULAR 2023, in Mi= lan, Italy, May 31=E2=80=93June 3. The safety and efficacy of bimekizumab i= n PsA, nr-axSpA and r-axSpA have not been established, and it is not approv= ed for use in PsA, nr-axSpA or AS by any regulatory authority worldwide. =E2=80=9CPsoriatic arthritis and axial spondyloarthritis are chronic and pr= ogressive inflammatory diseases requiring long-term management. The new lon= g-term bimekizumab data presented at EULAR 2023 showed sustained clinical r= esponses across multiple disease manifestations and patient populations up = to one year. These results reinforce our belief in bimekizumab as a potenti= al new future treatment for patients living with psoriatic arthritis and ax= ial spondyloarthritis,=E2=80=9D said Emmanuel Caeymaex, Executive Vice Pres= ident, Immunology and U.S. Solutions, UCB. Bimekizumab 52-week PsA data: patients with prior inadequate response to tu= mour necrosis factor inhibitors (TNFi-IR) Key 52-week results from the BE COMPLETE open-label extension study (BE VIT= AL) are shared below and build on the previously announced 16-week results = (https://www.ucb.com/stories-media/Press-Releases/article/UCB-Announces-Fir= st-Detailed-Data-from-Two-Phase-3-Bimekizumab-Studies-in-Psoriatic-Arthriti= s-to-be-Presented-at-EULAR-2022) from the BE COMPLETE study and 52-week res= ults (https://www.ucb.com/stories-media/Press-Releases/article/Bimekizumab-= Demonstrated-Sustained-Clinical-Responses-to-Week-52-in-Phase-3-Studies-in-= Psoriatic-Arthritis-Non-Radiographic-Axial-Spondyloarthritis-and-Ankylosing= -Spondylitis) from the BE OPTIMAL study.^1 =E2=80=9CThe long-term data from BE COMPLETE showed that over six out of 10= patients continuously treated with bimekizumab achieved complete skin clea= rance and almost one in two had minimal disease activity at week 52. These = results complement the previously reported 52-week results from the BE OPTI= MAL study and highlight the consistent and sustained response seen with bim= ekizumab in both biologic-na=C3=AFve and TNF inhibitor-experienced patients= with psoriatic arthritis,=E2=80=9D said Professor Iain McInnes, University= of Glasgow, College of Medicinal Veterinary and Life Sciences, Glasgow, Sc= otland.=C2=A0 =C2=B7 American College of Rheumatology (ACR) 50: At week 52, 51.7 percent = of psoriatic arthritis patients (TNFi-IR) continuously treated with bimekiz= umab (160 mg every four weeks [Q4W]; n=3D267), and 40.6 percent of patients= who switched from placebo to bimekizumab at week 16 (n=3D133) achieved ACR= 50.^1=C2=B1 =C2=B7 Complete Skin Clearance (PASI100): At week 52, in patients with base= line psoriasis =E2=89=A53 percent body surface area, 65.9 percent of patien= ts continuously treated with bimekizumab (n=3D176) and 60.2 percent of pati= ents who switched from placebo to bimekizumab at week 16 (n=3D88) achieved = complete skin clearance (PASI100).^1=C2=B1=C2=A0 =C2=B7 Minimal Disease Activity (MDA): At week 52, 47.2 percent (n=3D126/26= 7) of patients continuously treated with bimekizumab and 33.1 percent (n=3D= 44/133) of patients who switched from placebo to bimekizumab achieved MDA.^= 1=C2=B1 Over 52 weeks, 62.6 percent (n=3D243/388) of patients treated with bimekizu= mab had =E2=89=A51 treatment emergent adverse event (TEAE) and 5.9 percent = (n=3D23/388) reported a serious TEAE.^1 Candida infections were reported by= 6.4 percent (n=3D25/388) of patients receiving bimekizumab with all cases = reported as mild or moderate and none reported as systemic.^1=C2=A0 Bimekizumab 52-week axSpA data: inflammation of the sacroiliac joints and s= pine and peripheral manifestations Key 52-week results from the phase 3 BE MOBILE 1 and BE MOBILE 2 studies ev= aluating the effect of bimekizumab on inflammatory lesions of the sacroilia= c joints (SIJ) and spine as measured objectively by magnetic resonance imag= ing (MRI), and on the main peripheral manifestations of axSpA are shared be= low and build on previously announced 16-week (https://www.ucb.com/stories-= media/Press-Releases/article/First-Presentations-of-Phase-3-Data-for-Bimeki= zumab-Across-the-Full-Spectrum-of-Axial-Spondyloarthritis-to-be-Shared-at-E= ULAR-2022) and 52-week results (https://www.ucb.com/stories-media/Press-Rel= eases/article/Bimekizumab-Demonstrated-Sustained-Clinical-Responses-to-Week= -52-in-Phase-3-Studies-in-Psoriatic-Arthritis-Non-Radiographic-Axial-Spondy= loarthritis-and-Ankylosing-Spondylitis) from BE MOBILE 1 and BE MOBILE 2.^2= ,3=C2=A0 =E2=80=9CTreatment with bimekizumab versus placebo reduced inflammation of = the spine and sacroiliac joints as detected by magnetic resonance imaging. = In the two studies, approximately one in two patients with MRI inflammation= at baseline achieved MRI remission at week 16, which was sustained out to = week 52,=E2=80=9D said Xenofon Baraliakos, Professor of Internal Medicine a= nd Rheumatology, Ruhr-University Bochum, Bochum, Germany. =C2=B7 Inflammation SIJ: At week 52, in the BE MOBILE 1 imaging sub-study, = 80.0 percent (n=3D32/40) of patients with inflammation at baseline receivin= g continuous bimekizumab and 57.1 percent (n=3D20/35) who switched from pla= cebo to bimekizumab at week 16 achieved remission in inflammatory lesions o= f the SIJs (Spondyloarthritis Research Consortium of Canada [SPARCC SIJ<2])= ; in BE MOBILE 2, 75.7 percent (n=3D28/37) receiving bimekizumab and 66.7 p= ercent (n=3D12/18) who switched from placebo to bimekizumab at week 16 achi= eved remission in inflammatory lesions of the SIJ.^2=C2=A5=C2=A0 =C2=B7 Inflammation Spine: At week 52, in the BE MOBILE 1 imaging sub-study= , 40.0 percent (n=3D6/15) of patients with inflammation at baseline receivi= ng continuous bimekizumab and 27.3 percent (n=3D3/11) who switched from pla= cebo to bimekizumab at week 16 achieved remission (Berlin Spine=E2=89=A42);= in BE MOBILE 2, 76.7 percent (n=3D23/30) receiving continuous bimekizumab = and 62.5 percent (n=3D10/16) who switched from placebo to bimekizumab at we= ek 16 achieved remission.^2=C2=A5 =C2=B7 Enthesitis: At week 52, in BE MOBILE 1, 54.3 percent of patients rec= eiving continuous bimekizumab (n=3D94) and 44.6 percent who switched from p= lacebo to bimekizumab (n=3D92) at week 16 achieved resolution of enthesitis= (Maastricht Ankylosing Spondylitis Enthesitis=3D0); in BE MOBILE 2, 50.8 p= ercent receiving continuous bimekizumab (n=3D132) and 46.3 percent who swit= ched from placebo to bimekizumab at week 16 (n=3D67) achieved resolution of= enthesitis.^3=C2=B1=C2=A0 =C2=B7 Peripheral arthritis: At week 52, in BE MOBILE 1, 62.2 percent of pa= tients receiving continuous bimekizumab (n=3D45) and 65.1 percent who switc= hed from placebo to bimekizumab at week 16 (n=3D43) achieved resolution (Sw= ollen Joint Count=3D0); in BE MOBILE 2, 72.7 percent receiving continuous b= imekizumab (n=3D44) and 81.8 percent who switched from placebo to bimekizum= ab at week 16 (n=3D22) achieved resolution (Swollen Joint Count=3D0).^3=C2= =B1 In addition, in the largest pool of bimekizumab phase 2b and phase 3 data a= vailable, the exposure-adjusted incidence rate of uveitis in patients with = axSpA treated with bimekizumab (160 mg Q4W) remains low at 1.2/100 patient-= years. In this pooled data, the total bimekizumab exposure was 2,034.4 pati= ent years (N=3D848) and 15.3 percent of patients (n=3D130) had a history of= uveitis. All uveitis TEAEs reported were mild to moderate and one event le= d to discontinuation.^4 Notes to editors: =C2=B1=E2=80=93Non-responder imputation =C2=A5 =E2=80=93 Observed Case About BE COMPLETE BE COMPLETE was a 16-week randomized, double-blind, placebo-controlled stud= y in which patients with active psoriatic arthritis and prior inadequate re= sponse to tumor necrosis factor inhibitors (TNFi-IR) were randomized (2:1) = to bimekizumab (160 mg every four weeks [Q4W]; N=3D267) or placebo (N=3D133= ).^1 Week 16 completers were eligible to enter the open-label extension up = to one year.^1 Patients initially randomized to placebo were switched to bi= mekizumab at week 16 and received 36 weeks=E2=80=99 bimekizumab treatment u= p to week 52.^1 A total of 86.8 percent (n=3D347) of randomized patients co= mpleted week 52.^1 The primary endpoint in the BE COMPLETE study was ACR50 = at week 16 with ranked secondary endpoints including PASI90 at week 16 and = minimal disease activity (MDA) at week 16, with other endpoints including c= omplete skin clearance (PASI100) at week 16.^5 About BE MOBILE 1 and BE MOBILE 2 ^2,3=C2=A0 The phase 3 studies BE MOBILE 1 and BE MOBILE 2 comprised a 16-week double-= blind treatment period followed by a 36-week maintenance period. In BE MOBI= LE 1 and BE MOBILE 2, patients were randomized to bimekizumab (160 mg Q4W; = N=3D128 for BE MOBILE 1 and N=3D221 for BE MOBILE 2) or to placebo (N=3D126= for BE MOBILE 1 and N=3D111 for BE MOBILE 2). Patients initially randomize= d to placebo were switched to bimekizumab (160 mg Q4W) at week 16. The prim= ary endpoint in the BE MOBILE 1 and BE MOBILE 2 studies was ASAS40 at week = 16.^6 About bimekizumab Bimekizumab is a humanized monoclonal IgG1 antibody that is designed to sel= ectively inhibit both interleukin 17A (IL-17A) and interleukin 17F (IL-17F)= , two key cytokines driving inflammatory processes.^7,8=C2=A0 In August 202= 1, bimekizumab was first approved in the European Union (EU)/European Econo= mic Area (EEA) and in Great Britain, for the treatment of moderate to sever= e plaque psoriasis in adults who are candidates for systemic therapy.^8,9 T= he label information may differ in other countries. Please check local pres= cribing information where approved.=C2=A0 BIMZELX^=C2=AE =E2=96=BC=C2=A0(bimekizumab) EU/EEA Important Safety Informa= tion in Psoriasis^8 The most frequently reported adverse reactions with bimekizumab were upper = respiratory tract infections (14.5%) (most frequently nasopharyngitis) and = oral candidiasis (7.3%). Common adverse reactions (=E2=89=A51/100 to <1/10)= were oral candidiasis, tinea infections, ear infections, herpes simplex in= fections, oropharyngeal candidiasis, gastroenteritis, folliculitis, headach= e, dermatitis and eczema, acne, injection site reactions and fatigue. Elder= ly may be more likely to experience certain adverse reactions such as oral = candidiasis, dermatitis and eczema when using bimekizumab. Bimekizumab is contraindicated in patients with hypersensitivity to the act= ive substance or any of the excipients and in patients with clinically impo= rtant active infections (e.g. active tuberculosis).=C2=A0 Bimekizumab may increase the risk of infections. Treatment with bimekizumab= must not be administered in patients with any clinically important active = infection. Patients treated with bimekizumab should be instructed to seek m= edical advice if signs or symptoms suggestive of an infection occur. Prior = to initiating treatment with bimekizumab, patients should be evaluated for = tuberculosis (TB) infection. Bimekizumab should not be given in patients wi= th active TB and patients receiving bimekizumab should be monitored for sig= ns and symptoms of active TB.=C2=A0 Cases of new or exacerbations of inflammatory bowel disease have been repor= ted with bimekizumab. Bimekizumab is not recommended in patients with infla= mmatory bowel disease. If a patient develops signs and symptoms of inflamma= tory bowel disease or experiences an exacerbation of pre-existing inflammat= ory bowel disease, bimekizumab should be discontinued and appropriate medic= al management should be initiated. Serious hypersensitivity reactions inclu= ding anaphylactic reactions have been observed with IL-17 inhibitors. If a = serious hypersensitivity reaction occurs, administration of bimekizumab sho= uld be discontinued immediately and appropriate therapy initiated.=C2=A0 Live vaccines should not be given in patients treated with bimekizumab. Please consult the summary of product characteristics in relation to other = side effects, full safety and prescribing information. https://www.ema.euro= pa.eu/en/documents/product-information/bimzelx-epar-product-information_en.= pdf EU summary of product characteristics date of revision: May 2022. Last accessed: May 2023. =C2=A0=C2=A0 =C2=A0 =C2=A0=E2=96=BC =C2=A0This medicinal product is subject to additional monit= oring. This will allow quick identification of new safety information. Heal= thcare professionals are asked to report any suspected adverse reactions.= =C2=A0 For further information, contact UCB:=C2=A0 Investor Relations Antje Witte T +32.2.559.94.14=C2=A0 email antje.witte@ucb.com=C2=A0 Corporate Communications Laurent Schots=C2=A0 T +32.2.559.92.64=C2=A0 email laurent.schots@ucb.com Brand Communications Eimear O=E2=80=99Brien T +32.2.559.92.71 email eimear.obrien@ucb.com=C2=A0 About UCB=C2=A0 UCB, Brussels, Belgium (www.ucb.com) is a global biopharmaceutical company = focused on the discovery and development of innovative medicines and soluti= ons to transform the lives of people living with severe diseases of the imm= une system or of the central nervous system. 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UCB expressly disclaims any duty t= o update any information contained in this press release, either to confirm= the actual results or to report or reflect any change in its forward-looki= ng statements with regard thereto or any change in events, conditions or ci= rcumstances on which any such statement is based, unless such statement is = required pursuant to applicable laws and regulations.=C2=A0 Additionally, information contained in this document shall not constitute a= n offer to sell or the solicitation of an offer to buy any securities, nor = shall there be any offer, solicitation or sale of securities in any jurisdi= ction in which such offer, solicitation or sale would be unlawful prior to = the registration or qualification under the securities laws of such jurisdi= ction.=C2=A0 References=C2=A0 1. Coates LC, Landew=C3=A9 R, McInnes IB, et al. Sustained efficacy and saf= ety of bimekizumab in patients with active psoriatic arthritis and prior in= adequate response to tumour necrosis factor inhibitors: Results from the ph= ase 3 BE COMPLETE study and its open-label extension up to 1 year. Abstract= #POS0231 presented at EULAR 2023, Milan, Italy. 2. Baraliakos X, Navarro-Compan V, Poddubnyy D, et al. Bimekizumab reduced = MRI inflammatory lesions in patients with axial spondyloarthritis: Week 52 = results from the BE MOBILE 1 and BE MOBILE 2 phase 3 studies. Abstract #POS= 0246 presented at EULAR 2023, Milan, Italy. 3. Ramiro S, Poddubnyy D, Mease PJ, et al. Resolution of enthesitis and per= ipheral arthritis with bimekizumab in patients with axial spondyloarthritis= : Week 52 results from the BE MOBILE 1 and BE MOBILE 2 phase 3 studies. Abs= tract #POS0247 presented at EULAR 2023, Milan, Italy. 4. Brown M, van Gaalen FA, van der Horst-Bruinsma IE, et al. Low uveitis ra= tes in patients with axial spondyloarthritis treated with bimekizumab: Pool= ed results from phase 2b/3 trials. Abstract #POS0668 presented at EULAR 202= 3, Milan, Italy. 5. Merola JF, Landew=C3=A9 R, McInnes IB, et al. Bimekizumab in patients wi= th active psoriatic arthritis and previous inadequate response or intoleran= ce to tumour necrosis factor-=CE=B1 inhibitors: a randomised, double-blind,= placebo-controlled, phase 3 trial (BE COMPLETE). Lancet. 2023;401(10370):3= 8=E2=80=9348. 6. van der Heijde D, Deodhar A, Baraliakos X, et al. Efficacy and safety of= bimekizumab in axial spondyloarthritis: results of two parallel phase 3 ra= ndomized controlled trials. Ann Rheum Dis. Published Online First: January = 2023. doi:10.1136/ard-2022-223595 (https://ard.bmj.com/content/early/2023/0= 1/16/ard-2022-223595) . Last accessed: May 2023. 7. Glatt S, Helmer E, Haier B, et al. First-in-human randomized study of bi= mekizumab, a humanized monoclonal antibody and selective dual inhibitor of = IL-17A and IL-17F, in mild psoriasis. Br J Clin Pharmacol. 2017;83(5):991-1= 001. 8. BIMZELX^=C2=AE (bimekizumab) EU SmPC. =C2=A0https://www.ema.europa.eu/en= /documents/product-information/bimzelx-epar-product-information_en.pdf. Acc= essed on May 2023. 9. BIMZELX^=C2=AE (bimekizumab) GB SmPC. https://www.medicines.org.uk/emc/p= roduct/12834. https://www.medicines.org.uk/emc/product/12833 Accessed on Ma= y 2023. GenericFile UCB PR EULAR BKZ 31 May 2023 ENG (https://mb.cision.com/Public/18595/377740= 0/9d18488c8a249283.pdf) ______________________ If you would rather not receive future communications from UCB SA, please g= o to https://eu.vocuspr.com/OptOut.aspx?2973226x20421x137461x1x6868579x2400= 0x6&Email=3Dregnews%40symexglobal.com. UCB SA, All=C3=A9e de la Recherche, 60 ., Brussels, . B - 1070 Belgium