Johnson & Johnson Seeks FDA Approval for New Ulcerative Colitis Treatment

Johnson & Johnson

SPRING HOUSE, PA — Johnson & Johnson announced it recently submitted a supplemental Biologics License Application (sBLA) to the U.S. Food and Drug Administration (FDA) for TREMFYA® (guselkumab). This application is grounded in the promising results of the Phase 3 QUASAR program, which assessed the efficacy and safety of TREMFYA® in patients unresponsive or intolerant to conventional therapies, including prior biologics and JAK inhibitors.

Ulcerative colitis, a chronic condition marked by inflammation and ulcers in the colon, continues to challenge the medical community due to the variability in patient responses to existing treatments. The QUASAR program’s findings, indicating statistically significant and clinically meaningful improvements in UC symptoms and disease activity, spotlight TREMFYA® as a potential game-changer in UC management. Notably, the safety profile of TREMFYA® remained consistent with its use in previously approved indications.

David Lee, MD, PhD, Global Therapeutic Area Head of Immunology at Johnson & Johnson, emphasized the unmet need for effective therapies in the UC patient community. With many individuals still grappling with inadequate responses or intolerance to current treatments, the potential approval of TREMFYA® represents a beacon of hope.

TREMFYA® operates through a dual-acting mechanism as an IL-23 inhibitor, targeting a key driver of immune-mediated diseases such as UC. By blocking IL-23 and binding to CD64 on cells that produce IL-23, TREMFYA® aims to mitigate the inflammatory processes underlying UC. Since its initial U.S. approval in 2017 for moderate-to-severe plaque psoriasis and subsequent approval for active psoriatic arthritis, TREMFYA® has demonstrated a solid safety and efficacy profile.

The forthcoming review of this sBLA by the FDA marks a critical juncture not only for Johnson & Johnson but also for the broader UC community. If approved, TREMFYA® could offer a novel therapeutic avenue for those battling the persistent and debilitating symptoms of this autoimmune condition.

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This development is especially relevant for industry watchers, signaling potential shifts in the landscape of UC treatment. Beyond the immediate implications for patient care, the approval of TREMFYA® could also inspire further innovation in the treatment of immune-mediated diseases, reinforcing the importance of targeted biologic therapies in managing complex conditions.

As Johnson & Johnson anticipates presenting longer-term data from the QUASAR maintenance study, the medical community and patients alike await further evidence of TREMFYA®’s potential to redefine standards of care in ulcerative colitis.

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