Latest News

Approval of Spesolimab for Generalized Pustular Psoriasis Expanded


 

The Food and Drug Administration (FDA) has approved spesolimab-sbzo, an interleukin (IL)-36 receptor antagonist, for the treatment of generalized pustular psoriasis (GPP) in adults and in pediatric patients aged ≥ 12 years who weigh ≥ 40 kg, according to an announcement from the manufacturer.

This is an expanded indication for spesolimab-sbzo, first approved in September 2022 for treating GPP flares. Developed by Boehringer Ingelheim and marketed under the name Spevigo, the product is an injectable antibody that blocks the IL-36 receptor, a key part of the pathway shown to be involved in the cause of GPP, which is rare and is a potentially-life-threatening disease.

According to a press release from the company, the FDA’s approval of the expanded indication was based on the results of a 48-week clinical trial of 123 patients (Effisayil 2), which showed that individuals who received spesolimab experienced a significant 84% reduction in GPP flares compared with those who received placebo. Among 30 study participants who received a high treatment dose, no flares were observed after week 4. Among all patients who received spesolimab-sbzo, treatment was associated with an increased incidence (defined as ≥ 9 cases per 100 patient-years) of injection site reactions, urinary tract infections, arthralgia, and pruritus compared with placebo.

Spesolimab-sbzo is currently available in 48 countries, according to the Boehringer Ingelheim release, which states that the approval makes it the first targeted therapy that is available for the acute and chronic treatment of patients with GPP.

A version of this article appeared on Medscape.com.

Recommended Reading

A 35-year-old female presented with a 1-day history of eroded papules and vesicles distributed periorally
MDedge Internal Medicine
Studies Reinforce JAK Inhibitor Efficacy for Most Challenging Alopecia Types
MDedge Internal Medicine
Sustained Control Reported for Anti–IL-17, Anti–IL-23 Psoriasis Treatments
MDedge Internal Medicine
Novel Agent Shows Promise for Hidradenitis Suppurativa
MDedge Internal Medicine
Acne in Transmasculine Patients: Management Recommendations
MDedge Internal Medicine
Acne Risk With Progestin-Only Long-Acting Reversible Contraceptives Evaluated
MDedge Internal Medicine
Study Links Maternal Hidradenitis Suppurativa to Risk for Childhood Morbidity
MDedge Internal Medicine
BTK Inhibitor Shows Promise for Hidradenitis Suppurativa
MDedge Internal Medicine
LITE Study Provides Encouraging Data on Home-Based Phototherapy for Psoriasis
MDedge Internal Medicine
Lebrikizumab Found Effective for Atopic Dermatitis in Patients With Darker Skin Tones
MDedge Internal Medicine