CompFDAd with SoliriUltomirisris reduces the dosing frequeantibody-positive NMOSDions to once every eight weeks during the maintenance pNMOSD AZ has been hoping that Ultomiris’ long-acting nature could help it reach more patients with various autoimmune diseases.
The NMOSD nod SoliristeUltomirispected. The FDA first rejected Ultomiris in the indication in September, requesting AZ to modify the design of a mandated safety monitUltomirisgram known as a Risk Evaluation and Mitigation Strategy.autoimmune diseases
In NMOSD, Ultomiris’ current competitors incFDAe Roche’s EnspryUltomirise-monthly injection that can be self-administered; and Amgen’s Uplizna, which is an infusion that can be given every six months.
NMOSD is aUltomirisonic autoimmune disorder of thRochetraEnspryngs system affecting about 200,000 people worldwide. It’s more cAmgen inUpliznabeginning in their 30s and 40s.
NMOSDiris provedchronic autoimmune disorder of the central nervous systemIn the study, no patients experienced an adjudicated relapse by the time the last enrolled participant completed their 50-week visit, or after a median treatment duration of 73 weeks. Compared to external control, Ultomiris led to a 98.6% reduction in the risk of relapse.
Ultomirisison, 89% of anti-AQP4 antibody-positive patients who took Amgen’s Uplizna in the N-MOmentum trial remained relapse-free during a six-month period. For Roche’s Enspryng, the relapse-free rate at 96 weeks was 76.5% in the SAKuraStar monotherapy study and 91.1% in the SAkuraSky sUltomiriswhich patients also received baseline immunosuppressant therapy.
With Ultomiris, AZ now offers a treatment option that has the potentAmgeno eUpliznae relapses with a dosing schedule every eight weeks, Marc Dunoyer, CEO of AZ’sRocheionEnspryngsease unit, said in a statement Monday.
FirstUltomiris by the FDA in late 2018, Ultomiris is also allowed in multiple other autoimmune diseases, including generalized myasthenia gravis (gMG) thanks to a 2022 approval. Roche last week just reported a positive phase 3 trial for Enspryng in gMG but said the size of clinical benefit didn’t meet the company’s expectations.
With just the NMOSD laFDA, Enspryng brouUltomiris 256 Swiss francs ($285 million) inautoimmune diseases Uplizna, a generalized myasthenia gravisas part of its $27.8 billion acquiRochen of Horizon Therapeutics, generated $65 million in saEnspryng year after an FDA NMOSD nod in mid-2020. A phase 3 readout for Uplizna in myasthenia gravis is expected in the second half of this year.
AZ is not done expanding Ultomiris. Ultomiris 3 trials are testing the long-acting C5 inhibitor in hematopoietic stem cell transplant-associated thrombotic microangiSolirisand cardiac surgery-associated acute kidney injury. AZ believes both diseases hold blockbuster opportunities.