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June 02, 2020 /
BiovalleyBIOON/ --Lillyrecently announced that the U.SFood and Drug Administration (
FDA) has approved taltz (
80mg/mL injection) a new indication for the treatment of patients with active non-radiation non-axial spinal arthritis (nr-axS)this is another regulatory milestone for Taltz, which has made Taltz the firstThe FDAapproved the treatment of IL-17A antagonists for nr-axSpATaltz is now approved for the treatment of patients with the entire axSpA lineage, including strong syllades (AS, also known as radiology axSpA) and nr-axSpACassie Shafer, chief executive of theAmerican Chiropractic Association, said: "There are limited treatment options for both AS and nr-axSpA symptoms, and patients with these symptoms oftenunderdiagnosed and undertreated This approval is an important milestone in providing relief to patients with significant unmet needs "
Taltz is a monoclonal antibody that, injected through subcutaneous injection, selectively binds to cytokine leukin 17A (IL-17A) and inhibits its interaction with IL-17 receptors, not with cytokines IL-17B, IL-17C, IL-17D, IL-17E or IL-17F IL-17A is a naturally occurring cytokine that participates in normal inflammatory and immune responses Taltz inhibits the release of pro-inflammatory cytokines and chemokines in the U.S., Taltz was approved for the first time in March 2016 as the 2nd IL-17A mono-anti-drug in the U.S., following Novartis 's heavy anti-inflammatory drug, Cosentyx To date, Taltz has been approved for 5 indications: (1) for the treatment of patients with moderate to severe plaque psoriasis (PsO) pediatrics (6 to under 18 years of age) and adult patients suitable for systemic therapy or phototherapy; Also known as radioactive midaxycoptic arthritis (r-axSpA) adult patients; (4) for the treatment of patients with moderate to severe plaque psoriasis (6 to under 18 years of age) for the treatment of patients with moderate to severe plaque psoriasis suitable for systematic treatment or phototherapy ;(5) for the treatment of active non-radiative non-radiative non-radiative spinal arthritis (nr-axSpA) patients with objective signs of inflammation axial spinal arthritis (axSpA) including AS and nr-axSpA, is a disease that mainly affects the shin joint and spine, leading to chronic inflammatory back pain and fatigue An estimated 2.3 million people in the United States have axSpA, and about half of them have nr-axSpA For AS, the disease is characterized by structural damage to the shin joint on the X-ray, while there is no significant structural damage on x-rays in patients with nr-axSpA The two patients had similar disease burdens and similar clinical characteristics, but for nr-axSpA patients, approved bio-treatment options were more limited, and patients often diagnoses inadequate and undertreated "We recognize that many patients with this disease have been suffering from chronic inflammatory back pain and other inflammatory symptoms for many years prior to diagnosis, and we are excited that these patients will be able to use Taltz for relief," said Patrik Jonsson, senior vice president and president of Lilly Biopharmaceuticals, This approval reflects the continued development of Lilly and is committed to supporting rheumatologists and patients with autoimmune diseases, including nr-axSpA "
this approval is based on the results of the PHASE III COAST-X study (NCT02757352) This is a 52-week double-blind, placebo-controlled study that assessed the efficacy and safety of Taltz relative to placebo in patients who had not previously been treated with bio-disease modified anti-rheumatic drugs (bDMARD initial treatment), nr-axSpA with objective signs of inflammation The main endpoint of the study was the use of the International Society of Spinal Arthritis 40 (ASAS40) mitigation standard assessment, the proportion of patients with improved symptoms and signs (to ASAS40 remission) in the 52nd week of treatment ASAS40 measures symptoms and signs of the disease, such as pain, inflammation and function results showed that the study reached its main endpoint: in the 52nd week of treatment, the proportion of patients with ASAS40 remission at an 80 mg dose of Taltz treatment group per 4 weeks was significantly higher (30 percent vs 13 percent ;p 0.0045) than in the placebo group In addition, the study reached a critical secondary endpoint: in the 16th week of treatment, the proportion of the 80 mg dose of Taltz treatment group achieving ASAS40 remission was significantly higher (35 percent vs 19 percent, p 0.01) at an 80 mg dose per 4 week compared to the placebo group in addition , the study reached other major secondary endpoints in weeks 16 and 52, including a significant improvement in the Activity Score (ASDAS) for strong syllanitis disease, the Bath Strong Scoliosis Disease Activity Index (BASDA), and low disease activity Significant improvement in patient proportion (ASDAS 2.1), significant improvement in the risk of arthritis in MRI assessment (week 16), and a significant improvement in the overall physiological health rating (PCS) score of 36 short health surveys (SF-36) In the study, Taltz's overall security was consistent with previously reported results, with no new or unexpected security findings (biovalleybioon.com) original origin: Lilly's Taltz® (ixekizumab) is the First IL-17A Antagonist to Receive U.S.
FDA app for Non-Radiographic Axial Spondyloarthritis (nr-axSpA)