A majority of patients were completely clear at Week 16

week 16 be ready

IGA 0/1 at Week 16: 93% (BIMZELX Q4W), 1% (placebo)—(P<0.0001) co-primary endpoint vs placebo4

Prespecified secondary endpoint adjusted for multiplicity. 

be vivid

IGA 0/1 at Week 16: 84% (BIMZELX Q4W) vs 5% (placebo) co-primary endpoint; P<0.00014

Prespecified secondary endpoint adjusted for multiplicity. 

Skin clearance you can see from the very first dose*

percent patient 76

*From the very first dose as measured at Week 4; results were not immediate.
Prespecified secondary endpoint adjusted for multiplicity.
Endpoints not adjusted for multiplicity. Nominal P value. 

percent patient 71

*From the very first dose as measured at Week 4; results were not immediate.
Prespecified secondary endpoint adjusted for multiplicity.
Endpoints not adjusted for multiplicity. Nominal P value.

Durable skin clearance through 4 years

In BE BRIGHT: 88% of patients were PASI 90 at Year 46

In BE BRIGHT: 88% of patients were PASI 90 at Year 46

OLE LIMITATIONS: The open-label extension has limitations with a lack of comparator and the potential enrichment of the patient population. 

 

Efficacy computed using modified NRI. 

In BE BRIGHT: ~73% of patients were PASI 100 at Year 46

In BE BRIGHT: ~73% of patients were PASI 100 at Year 46

OLE LIMITATIONS: The open-label extension has limitations with a lack of comparator and the potential enrichment of the patient population. 

 

Efficacy computed using modified NRI.

See transformative skin clearance3,4,6 

 

Week 0

PASI 31.6; BSA 61%

Image
Image

Week 4

PASI 75

See transformative skin clearance3,4,6  Week 4  PASI 75

Week 16

PASI 100

week16 PASI 100

Week 52

PASI 100

Week 52 PASI 100

Week 0

PASI 31.6; BSA 61%

Image
Week0 PASI 31.6; BSA 61% mob

Week 4

PASI 75

See transformative skin clearance3,4,6  Week 4  PASI 75

Week 16

PASI 100

week16 PASI 100

Week 52

PASI 100

Week 52 PASI 100

Actual patient from the BE VIVID clinical trial who received a dose of 320 mg Q4W to Week 52.
The recommended dose for BIMZELX is 320 mg Q4W for 16 weeks, then Q8W thereafter. For patients weighing 120 kg (265 lb) or more, a dose of 320 mg Q4W after Week 16 may be considered. The patient achieved PASI 90 at Week 16 (co-primary endpoint). Results are reflective of the average response in the trial patient population.

 

Week 0

PASI 27.8; BSA 41%

Image
PASI forhead week

Week 4

PASI 75

PASI forhead week 4

Week 16

PASI 100

PASI forhead week 16

Week 0

PASI 27.8; BSA 41%

Image
PASI forhead week

Week 4

PASI 75

PASI forhead week 4

Week 16

PASI 100

PASI forhead week 16

Actual patient from the BE RADIANT clinical trial who received a dose of 320 mg Q4W to Week 48.
The recommended dose for BIMZELX is 320 mg Q4W for 16 weeks, then Q8W thereafter. For patients weighing 120 kg (265 lb) or more, a dose of 320 mg Q4W after Week 16 may be considered. The patient achieved PASI 100 at Week 16 (co-primary endpoint). Results are reflective of the average response in the trial patient population.

Hard-to-treat areas

 

BIMZELX provided clearance of scalp,
palmoplantar, and nail psoriasis6

 

Image
section-2-hard-to-treat-table

 

Secondary endpoint adjusted for multiplicity; P<0.001 for BIMZELX vs placebo in both studies.

Other efficacy endpoint not adjusted for multiplicity. 

Q4W dosing. 

 

In BE READY, 91%, 35%, and 60% of patients in the BIMZELX arm had scalp, palmoplantar, or nail involvement, respectively, at baseline. In the placebo arm, 91%, 45%, and 58% of patients had scalp, palmoplantar, or nail involvement, respectively, at baseline.

In BE VIVID, 94%, 40%, and 60% of patients in the BIMZELX arm had scalp, palmoplantar, or nail involvement, respectively, at baseline. In the placebo arm, 88%, 40%, and 61% of patients had scalp, palmoplantar, or nail involvement, respectively, at baseline.

Study designs

BIMZELX vs PLACEBO1,2

BE READY

BIMZELX vs COSENTYX® (secukinumab)3

BE RADIANT

BIMZELX vs STELARA® (ustekinumab) AND PLACEBO4

BE VIVID

BIMZELX vs HUMIRA® (adalimumab)

BE SURE

OPEN-LABEL EXTENSION6,7

BE BRIGHT

The only IL-17 inhibitor with
8-week dosing for PSO1,8-10

Image
section-il-17-inhibitor

View dosing & administration

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BSA=body surface area; IGA=Investigator’s Global Assessment; mNAPSI=modified Nail Psoriasis Severity Index; NRI=nonresponder imputation; OLE=open-label extension; PASI=Psoriasis Area and Severity Index; Q4W=every 4 weeks; Q8W=every 8 weeks.

References: 1. BIMZELX®  [prescribing information]. Smyrna, GA: UCB, Inc. 2. Gordon KB, et al. Lancet. 2021;397(10273):475-486. 3. Reich K, et al. N Engl J Med. 2021;385(2):142-152. 4. Reich K, et al. Lancet. 2021;397(10273):487-498. 5. Warren RB, et al. N Engl J Med. 2021;385(2):130-141. 6. Data on file. UCB, Inc.; Smyrna, GA. 7.  Strober B, et al. Br J Dermatol. 2023;188(6):749-759. 8. COSENTYX®  [prescribing information]. East Hanover, NJ: Novartis Pharmaceuticals Corp. 9. TALTZ®  [prescribing information]. Indianapolis, IN: Eli Lilly and Company.  10. SILIQ®  [prescribing information]. Bridgewater, NJ: Bausch Health US, LLC. 

INDICATION

BIMZELX is indicated for the treatment of adult patients with active psoriatic arthritis, active non-radiographic axial spondyloarthritis with objective signs of inflammation, active ankylosing spondylitis, and moderate-to-severe plaque psoriasis patients who are candidates for systemic therapy or phototherapy.

INDICATION

BIMZELX is indicated for the treatment of adults with moderate-to-severe hidradenitis suppurativa.

IMPORTANT SAFETY INFORMATION

Suicidal Ideation and Behavior

BIMZELX 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 definitively 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, instruct 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, including serious 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 (≥ 1%) adverse reactions in plaque psoriasis and hidradenitis suppurativa include upper respiratory tract infections, oral candidiasis, headache, injection site reactions, tinea infections, gastroenteritis, herpes simplex infections, acne, folliculitis, other candida infections, and fatigue.

Most common (≥2%) adverse reactions in PsA, nr-axSpA, and AS include upper respiratory tract infections, oral candidiasis, headache, diarrhea, and urinary tract infections. Other most common (≥2%) adverse reactions specific to each indication include: urinary tract infections (PsA); cough, fatigue, musculoskeletal pain, myalgia, tonsillitis, transaminase increase, and urinary tract infections (nr-axSpA); injection site pain, rash, and vulvovaginal mycotic infections (AS).

Most common (≥ 2%) adverse reactions in psoriatic arthritis include upper respiratory tract infections, oral candidiasis, headache, diarrhea, and urinary tract infections.

Most common (≥ 2%) adverse reactions in non-radiographic axial spondyloarthritis include upper respiratory tract infections, oral candidiasis, headache, diarrhea, cough, fatigue, musculoskeletal pain, myalgia, tonsillitis, transaminase increase, and urinary tract infections.

Most common (≥ 2%) adverse reactions in ankylosing spondylitis include upper respiratory tract infections, oral candidiasis, headache, diarrhea, injection site pain, rash, and vulvovaginal mycotic infection.