AMGEN WINS PATENT APPEAL ON OTEZLA® (APREMILAST)
Amgen announced that the U.S. Court of Appeals for the Federal Circuit upheld the validity of its patent for Otezla (apremilast), which is set to expire in February 2028. This ruling affirms a previous injunction preventing Sandoz and Zydus Pharmaceuticals from producing generic versions of Otezla during this period. The court validated U.S. Patent No. 7,427,638 and U.S. Patent No. 7,893,101 related to Otezla, while ruling against Amgen on U.S. Patent No. 10,092,541. Otezla is approved for treating plaque psoriasis, psoriatic arthritis, and oral ulcers associated with Behçet's Disease.
- U.S. Court of Appeals upheld two key patents for Otezla, maintaining exclusivity until February 2028.
- The ruling prevents generic competition from Sandoz and Zydus, potentially securing future revenue.
- Amgen lost on U.S. Patent No. 10,092,541, which could allow some competition in treating psoriasis.
Appeals Court Affirms Validity of Patent Expiring in 2028
Three of
In the U.S., Otezla is approved for the treatment of adult patients with plaque psoriasis who are candidates for phototherapy or systemic therapy, adult patients with active psoriatic arthritis and adult patients with oral ulcers associated with Behçet's Disease.
About Otezla® (apremilast)
OTEZLA® (apremilast) is an oral small-molecule inhibitor of phosphodiesterase 4 (PDE4) specific for cyclic adenosine monophosphate (cAMP). PDE4 inhibition results in increased intracellular cAMP levels, which is thought to indirectly modulate the production of inflammatory mediators. The specific mechanism(s) by which Otezla exerts its therapeutic action in patients is not well defined.
Otezla® (apremilast)
INDICATIONS
Otezla® (apremilast) is indicated for the treatment of adult patients with plaque psoriasis who are candidates for phototherapy or systemic therapy.
Otezla is indicated for the treatment of adult patients with active psoriatic arthritis.
Otezla is indicated for the treatment of adult patients with oral ulcers associated with Behçet's Disease.
IMPORTANT SAFETY INFORMATION
Contraindications
- Otezla® is contraindicated in patients with a known hypersensitivity to apremilast or to any of the excipients in the formulation
Warnings and Precautions
- Hypersensitivity: Hypersensitivity reactions, including angioedema and anaphylaxis, have been reported during postmarketing surveillance. If signs or symptoms of serious hypersensitivity reactions occur, discontinue Otezla and institute appropriate therapy
- Diarrhea, Nausea, and Vomiting: Cases of severe diarrhea, nausea, and vomiting were associated with the use of Otezla. Most events occurred within the first few weeks of treatment. In some cases patients were hospitalized. Patients 65 years of age or older and patients taking medications that can lead to volume depletion or hypotension may be at a higher risk of complications from severe diarrhea, nausea, or vomiting. Monitor patients who are more susceptible to complications of diarrhea or vomiting; advise patients to contact their healthcare provider. Consider Otezla dose reduction or suspension if patients develop severe diarrhea, nausea, or vomiting
- Depression: Carefully weigh the risks and benefits of treatment with Otezla for patients with a history of depression and/or suicidal thoughts/behavior, or in patients who develop such symptoms while on Otezla. Patients, caregivers, and families should be advised of the need to be alert for the emergence or worsening of depression, suicidal thoughts or other mood changes, and they should contact their healthcare provider if such changes occur
- Plaque Psoriasis: Treatment with Otezla is associated with an increase in depression. During clinical trials in patients with moderate to severe plaque psoriasis,
1.3% (12/920) of patients reported depression compared to0.4% (2/506) on placebo. Depression was reported as serious in0.1% (1/1308) of patients exposed to Otezla, compared to none in placebo-treated patients (0/506). Suicidal behavior was observed in0.1% (1/1308) of patients on Otezla, compared to0.2% (1/506) on placebo. One patient treated with Otezla attempted suicide; one patient on placebo committed suicide - Psoriatic Arthritis: Treatment with Otezla is associated with an increase in depression. During clinical trials,
1.0% (10/998) reported depression or depressed mood compared to0.8% (4/495) treated with placebo. Suicidal ideation and behavior was observed in0.2% (3/1441) of patients on Otezla, compared to none in placebo-treated patients. Depression was reported as serious in0.2% (3/1441) of patients exposed to Otezla, compared to none in placebo-treated patients (0/495). Two patients who received placebo committed suicide compared to none on Otezla - Behçet's Disease: Treatment with Otezla is associated with an increase in depression. During the clinical trial,
1% (1/104) reported depression or depressed mood compared to1% (1/103) treated with placebo. No instances of suicidal ideation or behavior were reported in patients treated with Otezla or treated with placebo - Weight Decrease: Monitor body weight regularly; evaluate unexplained or clinically significant weight loss, and consider discontinuation of Otezla
- Plaque Psoriasis: Body weight loss of 5
-10% occurred in12% (96/784) of patients with moderate to severe plaque psoriasis treated with Otezla and in5% (19/382) of patients treated with placebo. Body weight loss of ≥10% occurred in2% (16/784) of patients treated with Otezla compared to1% (3/382) of patients treated with placebo - Psoriatic Arthritis: Body weight loss of 5
-10% was reported in10% (49/497) of patients taking Otezla and in3.3% (16/495) of patients taking placebo - Behçet's Disease: Body weight loss of >
5% was reported in4.9% (5/103) of patients taking Otezla and in3.9% (4/102) of patients taking placebo - Drug Interactions: Apremilast exposure was decreased when Otezla was co-administered with rifampin, a strong
CYP450 enzyme inducer; loss of Otezla efficacy may occur. Concomitant use of Otezla withCYP450 enzyme inducers (e.g., rifampin, phenobarbital, carbamazepine, phenytoin) is not recommended
Adverse Reactions
- Plaque Psoriasis: The most common adverse reactions (≥
5% ) are diarrhea, nausea, upper respiratory tract infection, and headache, including tension headache. Overall, the safety profile of Otezla in patients with mild to moderate plaque psoriasis was consistent with the safety profile previously established in adult patients with moderate to severe plaque psoriasis - Psoriatic Arthritis: The most common adverse reactions (≥
5% ) are diarrhea, nausea, and headache - Behçet's Disease: The most common adverse reactions (≥
10% ) are diarrhea, nausea, headache, and upper respiratory tract infection.
Use in Specific Populations
- Otezla has not been studied in pregnant women. Advise pregnant women of the potential risk of fetal loss.
About Amgen
Amgen is committed to unlocking the potential of biology for patients suffering from serious illnesses by discovering, developing, manufacturing and delivering innovative human therapeutics. This approach begins by using tools like advanced human genetics to unravel the complexities of disease and understand the fundamentals of human biology.
Amgen focuses on areas of high unmet medical need and leverages its expertise to strive for solutions that improve health outcomes and dramatically improve people's lives. A biotechnology pioneer since 1980, Amgen has grown to be one of the world's leading independent biotechnology companies, has reached millions of patients around the world and is developing a pipeline of medicines with breakaway potential.
Amgen is one of the 30 companies that comprise the Dow Jones Industrial Average and is also part of the Nasdaq-100 index. In 2022,
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Forward-Looking Statements
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