New BIMZELX® (bimekizumab-bkzx) Data at ACR Convergence 2024 Highlights UCB's Efforts to Deliver Differentiated Care for Patients with Psoriatic Arthritis and Axial Spondyloarthritis
UCB presented new two-year data for BIMZELX (bimekizumab-bkzx) at ACR Convergence 2024, demonstrating sustained clinical response in patients with psoriatic arthritis (PsA), non-radiographic axial spondyloarthritis (nr-axSpA), and ankylosing spondylitis (AS). The data shows that more than 70% of Week 16 responders maintained ACR50 response at two years for PsA, while over 80% maintained ASAS40 response in nr-axSpA and AS cases. New one-year data showed significant reduction in inflammation and structural lesions as assessed by MRI. The research builds on BIMZELX's FDA approvals for these indications in September 2024, with 19 abstracts being presented at the conference.
UCB ha presentato nuovi dati biennali per BIMZELX (bimekizumab-bkzx) durante l'ACR Convergence 2024, dimostrando una risposta clinica sostenuta nei pazienti con artrite psoriasica (PsA), spondiloartrite assiale non radiografica (nr-axSpA) e spondilite anchilosante (AS). I dati mostrano che oltre il 70% dei rispondenti alla settimana 16 ha mantenuto la risposta ACR50 dopo due anni per la PsA, mentre oltre l'80% ha mantenuto la risposta ASAS40 nei casi di nr-axSpA e AS. Nuovi dati annuali hanno mostrato una significativa riduzione dell'infiammazione e delle lesioni strutturali come valutato tramite risonanza magnetica. La ricerca si basa sulle approvazioni della FDA per BIMZELX per queste indicazioni a settembre 2024, con 19 abstract presentati durante la conferenza.
UCB presentó nuevos datos de dos años para BIMZELX (bimekizumab-bkzx) en la ACR Convergence 2024, demostrando una respuesta clínica sostenida en pacientes con artritis psoriásica (PsA), espondiloartritis axial no radiográfica (nr-axSpA) y espondilitis anquilosante (AS). Los datos muestran que más del 70% de los respondedores en la semana 16 mantuvieron la respuesta ACR50 a los dos años para PsA, mientras que más del 80% mantuvieron la respuesta ASAS40 en los casos de nr-axSpA y AS. Nuevos datos de un año mostraron una reducción significativa en la inflamación y las lesiones estructurales, según lo evaluado por resonancia magnética. La investigación se basa en las aprobaciones de la FDA para BIMZELX para estas indicaciones en septiembre de 2024, con 19 resúmenes presentados en la conferencia.
UCB는 ACR 컨버전스 2024에서 BIMZELX (bimekizumab-bkzx)에 대한 새로운 2년 데이터를 발표하며, 건선성 관절염(PsA), 비방사선 축성 척추관절염(nr-axSpA) 및 강직성 척추염(AS) 환자에서 지속적인 임상 반응을 입증했습니다. 데이터에 따르면 주 16의 응답자 중 70% 이상이 PsA에 대해 2년 후 ACR50 반응을 유지했으며, nr-axSpA 및 AS 사례에서는 80% 이상이 ASAS40 반응을 유지했습니다. 새로운 1년 데이터는 MRI로 평가된 염증 및 구조적 병변의 유의미한 감소를 보여주었습니다. 이 연구는 2024년 9월 이러한 적시에 대한 BIMZELX의 FDA 승인을 기반으로 하며, 컨퍼런스에서 19개의 초록이 발표되었습니다.
UCB a présenté de nouvelles données de deux ans pour BIMZELX (bimekizumab-bkzx) lors de l'ACR Convergence 2024, démontrant une réponse clinique soutenue chez les patients atteints d'arthrite psoriasique (PsA), de spondyloarthrite axiale non radiographique (nr-axSpA) et de spondylarthrite ankylosante (AS). Les données montrent que plus de 70 % des répondants de la semaine 16 ont maintenu la réponse ACR50 après deux ans pour la PsA, tandis que plus de 80 % ont maintenu la réponse ASAS40 dans les cas de nr-axSpA et d'AS. De nouvelles données sur un an ont montré une réduction significative de l'inflammation et des lésions structurelles, évaluée par IRM. La recherche s'appuie sur les approbations de la FDA pour BIMZELX pour ces indications en septembre 2024, avec 19 résumés présentés lors de la conférence.
UCB hat auf der ACR Convergence 2024 neue zweijährige Daten zu BIMZELX (bimekizumab-bkzx) vorgestellt, die eine nachhaltige klinische Reaktion bei Patienten mit psoriatischer Arthritis (PsA), nicht-radiografischer axialer Spondyloarthritis (nr-axSpA) und ankylosierender Spondyloarthritis (AS) zeigen. Die Daten zeigen, dass mehr als 70 % der Respondenten in Woche 16 die ACR50-Reaktion nach zwei Jahren für PsA beibehielten, während über 80 % die ASAS40-Reaktion in Fällen von nr-axSpA und AS aufrechterhielten. Neue einjährige Daten zeigten eine signifikante Verringerung der Entzündung und struktureller Läsionen, wie durch MRT bewertet. Die Forschung baut auf den FDA-Zulassungen für BIMZELX für diese Indikationen im September 2024 auf, wobei 19 Abstracts auf der Konferenz präsentiert wurden.
- Sustained clinical efficacy demonstrated over two years across multiple conditions
- High maintenance rates: >70% for PsA (ACR50) and >80% for nr-axSpA/AS (ASAS40)
- Recent FDA approval for PsA, nr-axSpA, and AS indications
- Significant reduction in inflammation and structural lesions shown in MRI data
- Consistent long-term safety profile with previous studies
- Higher uveitis rates in patients with history of the condition (13.8% vs 1.8%)
- 20.9% of patients experienced COVID-19 infection as treatment-emergent adverse event
- ACR Convergence 2024 marks UCB's first presentation of data in psoriatic arthritis (PsA), non-radiographic axial spondyloarthritis (nr-axSpA), and ankylosing spondylitis (AS) since the recent approvals of BIMZELX® (bimekizumab-bkzx) in these indications in the
U.S. - New two-year data demonstrated sustained improvements in clinical and patient-reported outcomes in PsA, nr-axSpA, and AS patients treated with BIMZELX
- UCB will present 19 BIMZELX abstracts, including two oral presentations, across PsA, nr-axSpA, and AS, as well as plaque psoriasis (PSO)
Additionally, new one-year data demonstrated significant reduction in inflammation and structural lesions in nr-axSpA and AS, as assessed by magnetic resonance imaging (MRI), while two-year data confirmed minimal spinal radiographic progression in nr-axSpA and AS.4,5 These findings will be highlighted in oral presentations at the American College of Rheumatology (ACR) Convergence 2024, in
BIMZELX received FDA approval for PsA, nr-axSpA, and AS indications in September this year. The research presented at ACR demonstrates the long-term efficacy of BIMZELX, building on the breadth and depth of available data and reinforcing UCB's continued commitment to people living with rheumatic diseases.6,7,8,9
"A major challenge for practicing rheumatologists is that existing treatments may lose efficacy over time, leaving patients vulnerable to debilitating symptoms. The new results presented at ACR Convergence 2024 show that bimekizumab-bkzx met stringent clinical endpoints, with high levels of efficacy across multiple domains of axial spondyloarthritis and psoriatic arthritis, and were sustained for two years, demonstrating bimekizumab-bkzx's ability to remain effective over the long term," said Dr Fabian Proft, Department of Gastroenterology, Infectiology and Rheumatology, Charité Universitätsmedizin
"These new two-year data, revealing high levels of response, offer exciting insights into bimekizumab-bkzx's sustained efficacy in non-radiographic axial spondyloarthritis, ankylosing spondylitis, and psoriatic arthritis," said Fiona du Monceau, Head of Patient Evidence, UCB. "The results reinforce the potential of bimekizumab-bkzx as an effective approach to targeting key inflammatory pathways involved in PsA, nr-axSpA, and AS through dual inhibition of IL-17A and IL-17F, reflecting our ambition to provide differentiated treatments for people living with chronic inflammatory diseases."
For people living with psoriatic arthritis, the new data demonstrated robust maintenance of clinical responses, including complete skin clearance (PASI100), minimal disease activity, improvements in joint pain, and patient reported outcomes to two years.1,2 More than 7 in 10 of Week 16 responders sustained a
For people living with nr-axSpA and AS, the two-year data demonstrated sustained, high levels of efficacy across all domains of axSpA and long-term maintenance of low disease activity and remission.3,4 More than 8 in 10 patients who achieved ASAS40 at Week 16 sustained this response at two years.3**
New one-year data demonstrated that a higher proportion of patients with nr-axSpA or AS treated with BIMZELX achieved remission when defined by objective signs of inflammation (OSI) compared to ASDAS-Inactive Disease (ASDAS-ID).10 Remission based on OSI was defined as MRI remission in the sacroiliac joints and spine, normalization of C-reactive protein (CRP) levels, and resolution of swollen joints (see "Notes to Editors").10† These findings highlight a potential need for optimized endpoints to guide clinical treatment management in axSpA.10†
A two pooled safety analysis, each comprising three Phase 2b/3 studies and their open-label extensions, in patients with active nr-axSpA, AS, and active PsA confirmed that the long-term safety profile was consistent with previous studies.11
* Non-responder imputation
** Multiple imputation
†Observed case
Notes to Editors:
BIMZELX two-year data in PsA presented at ACR Convergence 2024:
- ACR50: Of patients who experienced ≥
50% improvement from baseline in American College of Rheumatology response criteria (ACR50) at Week 16 (43.9% of 189 patients in BE OPTIMAL and43.1% of 115 patients in BE COMPLETE),79.4% of 150 bDMARD-naïve patients and75.7% of 87 TNFi-IR patients maintained response to two years (Week 104/100 respectively).1* - PASI100: Complete skin clearance (Psoriasis Area and Severity Index [PASI]100) experienced at Week 16 in patients with baseline psoriasis affecting ≥
3% body surface area (47.5% of 103 patients in BE OPTIMAL and58.5% of 103 patients in BE COMPLETE) was maintained to two years by70.9% of 73 bDMARD-naïve patients in BE OPTIMAL and80.6% of 83 TNFi-IR patients in BE COMPLETE.1* - MDA: Similar trends were seen for minimal disease activity (MDA) response. Of those who experienced MDA at Week 16 (
45.0% of 194 patients in BE OPTIMAL and43.8% of 117 patients in BE COMPLETE),75.8% of 147 bDMARD-naïve patients and74.4% of 87 TNFi-IR patients maintained response to two years.1* - Pain: Improvements in pain at one year were sustained up to two years, with approximately half of patients in all treatment groups experiencing a ≥
50% reduction in Pain Visual Analog Scale (Pain VAS) at two years.2* - Fatigue: Fatigue was assessed using the Functional Assessment of Chronic Illness Therapy-Fatigue subscale (FACIT-Fatigue). Minimal clinically important difference (MCID) in FACIT-Fatigue scores (as defined by ≥4-point increase from baseline in patients with FACIT-Fatigue ≤48 at baseline) was achieved by nearly 5 in 10 patients in both BE OPTIMAL and BE COMPLETE with results sustained from Week 52.2*
BIMZELX two-year data in nr-axSpA and AS presented at ACR Convergence 2024:
- ASAS40: Of patients who achieved an Assessment of SpondyloArthritis international Society
40% improvement (ASAS40) at Week 16 (45.8% of 349 patients),85.7% of 160 patients maintained this response over two years (Week 104).3** - Low Disease Activity: Of patients who achieved Ankylosing Spondylitis Disease Activity Score (ASDAS) low disease activity (LDA <2.1) at Week 16 (
43.6% of 349 patients),89.3% of 152 patients maintained the response to two years.3** - Inactive disease and remission: Of patients who reached ASDAS inactive disease (ASDAS <1.3) at Week 16 (
16.6% of 349 patients),76.0% of 58 patients maintained the response to two years.3** - Resolution of objective signs of inflammation: More than
50% of patients with nr-axSpA and AS treated with BIMZELX achieved remission defined by the resolution of objective signs of inflammation (MRI of the sacroiliac joints and spine (SPARCC score <2), low C-reactive protein levels (≤5 mg/L), and a swollen joint count (SJC) of 0) at 52 weeks.10† Among placebo-randomized patients who switched to BIMZELX at 16 weeks,35% of patients with nr-axSpA and50% of patients with AS achieved remission defined by the resolution of objective signs of inflammation.10†
BIMZELX in PsA, nr-axSpA, and AS presented at ACR Convergence 2024:
- Low uveitis rates: In a pooling of the safety data from three BIMZELX studies in nr-axSpA and AS and their open-label extensions,
15.3% of 848 nr-axSpA and AS patients had a history of uveitis.11 Uveitis occurred in3.7% of 848 patients, with a higher rate in those with a history of uveitis (13.8% of 130 patients) compared to those without (1.8% of 718 patients).11 - Safety profile: In a pooling of the total safety data from six BIMZELX studies and their open-label extensions in PsA, nr-axSpA, and AS, the three most frequently reported treatment-emergent adverse events after 2 years (≥
6% of patients in both the nr-axSpA and AS and PsA pools) were: SARS-CoV-2 (COVID-19) infection (20.9% ), nasopharyngitis (15.7% ), and upper respiratory tract infection (13.6% ).11 After an additional year of exposure, the long-term safety profile of BIMZELX was consistent with previous studies.11
* Non-responder imputation
†Observed case
** Multiple imputation
About Psoriatic Arthritis
Psoriatic arthritis (PsA) is a serious, highly heterogeneous, chronic, systemic inflammatory condition affecting both the joints and skin with a prevalence of 0.02 percent to 0.25 percent of the population.12 PsA affects approximately 30 percent of people living with psoriasis.13 Symptoms include joint pain and stiffness, skin plaques, swollen toes and fingers (dactylitis), and inflammation of the sites where tendons or ligaments insert into the bone (enthesitis).14 The burden on those living with PsA extends beyond physical discomfort to reduced quality of life, with co-morbidities including hypertension, cardiovascular disease, anxiety, and depression.12
About BE OPTIMAL and BE COMPLETE
BE OPTIMAL and BE COMPLETE were two Phase 3 studies evaluating the efficacy and safety of BIMZELX in the treatment of psoriatic arthritis.1,2 The primary endpoint in both studies was the proportion of patients reaching
BE OPTIMAL included a reference arm (adalimumab 40 mg Q2W); adalimumab patients switched to BIMZELX at Week 52 with no washout between treatments.17 BE OPTIMAL Week 52 and BE COMPLETE Week 16 completers were eligible for BE VITAL open-label extension.17 From BE OPTIMAL 83.3 percent of patients (n=710/852) and from BE COMPLETE 80.5 percent (n=322/400) completed Week 104 and Week 100, respectively.17 Outcomes are reported for patients who completed to Week 100 of BE COMPLETE (not including 2 ongoing patients).17
About Axial Spondyloarthritis
Axial spondyloarthritis (axSpA), which includes both non-radiographic axSpA (nr-axSpA) and ankylosing spondylitis (AS), is a chronic, immune-mediated, inflammatory disease.18 nr-axSpA is defined clinically by the absence of definitive x-ray evidence of structural damage to the sacroiliac joints.18 axSpA is a painful condition that primarily affects the spine and the joints linking the pelvis and lower spine (sacroiliac joints).18 The leading symptom of axSpA in a majority of patients is inflammatory back pain that improves with exercise, but not with rest.18 Other common clinical features frequently include anterior uveitis, enthesitis, peripheral arthritis, psoriasis, inflammatory bowel disease, and dactylitis.18 The overall prevalence of axSpA is 0.3 percent to 1.4 percent of adults.19,20 Approximately half of all patients with axSpA are patients with nr-axSpA.18 axSpA onset usually occurs before the age of 45.18 Approximately 10 to 40 percent of patients with nr-axSpA progress to ankylosing spondylitis over two to 10 years.18
About BE MOBILE 1 and BE MOBILE 2
BE MOBILE 1 and BE MOBILE 2 were two Phase 3 studies evaluating the efficacy and safety of BIMZELX in the treatment of nr-axSpA and AS, respectively.9 The primary endpoint in both studies was Assessment of SpondyloArthritis international Society 40 percent (ASAS40) response at Week 16.9 BE MOBILE 1 and BE MOBILE 2 comprised a 16-week double-blind treatment period followed by a 36-week maintenance period.9 In BE MOBILE 1 and BE MOBILE 2, patients were randomized to BIMZELX (160 mg Q4W; N=128 for BE MOBILE 1 and N=221 for BE MOBILE 2) or to placebo (N=126 for BE MOBILE 1 and N=111 for BE MOBILE 2).9 Patients initially randomized to placebo were switched to BIMZELX (160 mg Q4W) at Week 16.9 At Week 52, those who completed either study were eligible to be enrolled into BE MOVING.3 Of 254 nr-axSpA patients and 332 AS patients originally randomized to BIMZELX or placebo in BE MOBILE 1 and 2, respectively, 494 patients entered BE MOVING at Week 52.3
About BIMZELX (bimekizumab-bkzx)
BIMZELX is a humanized monoclonal IgG1 antibody that is designed to selectively inhibit both interleukin 17A (IL-17A) and interleukin 17F (IL-17F), two key cytokines driving inflammatory processes.21 Elevated levels of IL-17A and IL-17F are found in lesional psoriatic skin.21
The approved indications for BIMZELX in the
- Plaque psoriasis: BIMZELX is approved for the treatment of moderate-to-severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy
- Psoriatic arthritis: BIMZELX is indicated for the treatment of adult patients with active psoriatic arthritis
- Non-radiographic axial spondyloarthritis: BIMZELX is indicated for the treatment of adult patients with active non-radiographic axial spondyloarthritis with objective signs of inflammation
- Ankylosing spondylitis: BIMZELX is indicated for the treatment of adult patients with active ankylosing spondylitis
Please see Important Safety Information below and full
BIMZELX
IMPORTANT SAFETY INFORMATION
Suicidal Ideation and Behavior
BIMZELX (bimekizumab-bkzx) may increase the risk of suicidal ideation and behavior (SI/B). A causal association between treatment with BIMZELX and increased risk of SI/B has not been established. Prescribers should weigh the potential risks and benefits before using BIMZELX in patients with a history of severe depression or SI/B. Advise monitoring for the emergence or worsening of depression, suicidal ideation, or other mood changes. If such changes occur, advise to promptly seek medical attention, refer to a mental health professional as appropriate, and re-evaluate the risks and benefits of continuing treatment.
Infections
BIMZELX may increase the risk of infections. Do not initiate treatment with BIMZELX in patients with any clinically important active infection until the infection resolves or is adequately treated. In patients with a chronic infection or a history of recurrent infection, consider the risks and benefits prior to prescribing BIMZELX. Instruct patients to seek medical advice if signs or symptoms suggestive of clinically important infection occur. If a patient develops such an infection or is not responding to standard therapy, monitor the patient closely and do not administer BIMZELX until the infection resolves.
Tuberculosis
Evaluate patients for tuberculosis (TB) infection prior to initiating treatment with BIMZELX. Avoid the use of BIMZELX in patients with active TB infection. Initiate treatment of latent TB prior to administering BIMZELX. Consider anti-TB therapy prior to initiation of BIMZELX in patients with a past history of latent or active TB in whom an adequate course of treatment cannot be confirmed. Closely monitor patients for signs and symptoms of active TB during and after treatment.
Liver Biochemical Abnormalities
Elevated serum transaminases were reported in clinical trials with BIMZELX. Test liver enzymes, alkaline phosphatase, and bilirubin at baseline, periodically during treatment with BIMZELX and according to routine patient management. If treatment-related increases in liver enzymes occur and drug-induced liver injury is suspected, interrupt BIMZELX until a diagnosis of liver injury is excluded. Permanently discontinue use of BIMZELX in patients with causally associated combined elevations of transaminases and bilirubin. Avoid use of BIMZELX in patients with acute liver disease or cirrhosis.
Inflammatory Bowel Disease
Cases of inflammatory bowel disease (IBD) have been reported in patients treated with IL-17 inhibitors, including BIMZELX. Avoid use of BIMZELX in patients with active IBD. During BIMZELX treatment, monitor patients for signs and symptoms of IBD and discontinue treatment if new onset or worsening of signs and symptoms occurs.
Immunizations
Prior to initiating therapy with BIMZELX, complete all age-appropriate vaccinations according to current immunization guidelines. Avoid the use of live vaccines in patients treated with BIMZELX.
Most Common Adverse Reactions
Most common (≥
Most common (≥
Most common (≥
Most common (≥
For further information, contact UCB:
Investor Relations
Antje Witte
T +32.2.559.94.14
email antje.witte@ucb.com
Brand Communications
Nicole Herga
T +1.773.960.5349
email nicole.herga@ucb.com
About UCB
UCB,
Forward looking statements
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References
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- Coates LC, Landewé R, McInnes IB, et al. Bimekizumab treatment in patients with active psoriatic arthritis and prior inadequate response to tumour necrosis factor inhibitors: 52-week safety and efficacy from the phase III BE COMPLETE study and its open-label extension BE VITAL. RMD Open. 2024;10:e003855. doi:10.1136/rmdopen-2023-003855
- Coates L, Kristensen L, Ogdie A, et al. Bimekizumab-treated patients with active psoriatic arthritis showed sustained achievement of minimal disease activity and remission: up to 2-year results from two phase 3 studies. Abstract at EULAR 2024,
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U.S. Prescribing Information. https://www.ucb-usa.com/Innovation/Products/BIMZELX. Accessed November 2024.
BIMZELX® is a registered trademark of the UCB Group of Companies.
©2024 UCB, Inc.,
Date of preparation: November 2024
US-BK-2401206
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