Mechanism of Action

MOA IMAGE

▼This medicine is subject to additional monitoring. This will allow quick identification of new safety information. Adverse events should be reported. Reporting forms and information can be found at yellowcard.mhra.gov.uk for the UK and hpra.ie/homepage/about-us/report-an-issue for Republic of Ireland. Adverse events should also be reported to UCB Pharma Ltd at ucbcares.uk@ucb.com  or 0800 2793177 for the UK and UCB (Pharma) Ireland Ltd at ucbcares.ie@ucb.com or 1800 930075 for Republic of Ireland.

NICE recommendation

BIMZELX: THE FIRST AND ONLY APPROVED DUAL SELECTIVE INHIBITOR OF IL-17A AND IL-17F FOR USE IN PsA AND axSpA1

BIMZELX® (bimekizumab) is indicated for the treatment of: active PsA, alone or in combination with methotrexate, in adults who have had an inadequate response or who have been intolerant to one or more DMARDs; active nr-axSpA, in adults with objective signs of inflammation as indicated by elevated CRP and/or MRI, who have responded inadequately or are intolerant to NSAIDs; and active AS, in adults who have responded inadequately or are intolerant to conventional therapy.1

IL-17 plays an important role in psoriasis, PsA and axSpA with levels of IL-17A and IL-17F often elevated in patients with PsA and axSpA2,3

MOA Rheum

The clinical significance of this is yet to be determined

Adapted from, Reich, K,. et al. Lancet 2021

Extracellular cytokines in PsA and axSpA

Abrreviations

axSpA, axial spondyloarthritis; IL, interleukin; IL-12, interleukin 12 receptor; IL-17A, interleukin 17 receptor A; IL-17F, interleukin 17 receptor F; IL-23, interleukin 23 receptor; PsA, psoriatic arthritis

References

1. BIMZELX® (bimekizumab) SmPC.
2. Glatt S, Baeten D, Baker T, et al. Ann Rheum Dis. 2018;77(4):523-532.
3. van Baarsen LGM, Lebre MC, van der Coelen D, et al.  Arthritis Res Ther. 2014;16(4):426.
4. Reich, K., et al. Lancet. 2021; 397(10273);487–498.
5. Update to PsA NICE, 2023. https://www.nice.org.uk/guidance/ta916. Accessed August 2024.
6. Update to axSpA NICE, 2023. https://www.nice.org.uk/guidance/indevelopment/gid-ta11347. Accessed August 2024.
7. McGonagle D, Watad A, Sharif K, et al. Front Immunol. 2021;12;614255.
8. Yeremenko N. Curr Opin Rheumatol. 2021;33(4):333-340.
9. Ramiro S, Nikiphorou E, Sepriano A, et al. Ann Rheum Dis. 2023;82(1):19-34.
10. Coates LC, Soriano ER, Corp N, et al. Nat Rev Rheumatol. 2022;18(8):465-479.
11. Kolbinger F, Loesche C, Valentin MA, et al. J Allergy Clin Immunol. 2017;139(3):923-932.
12. Huang JC, Scleisman M, Choi D, et al. Ocul Immunol Inflamm. 2021;(29(3):558-565.
13. Lin P, Suhler EB, Rosenbaum JT. Ophthalmaology. 2014;121(1):365-376.
14. Weinstein JE, Pepple KL. Curr Opin Ophthal. 2018;29(3):267-274.
15. Mandour M, Chen S, van de Sande MGH. Front Immunol. 2021;12:618581.
16. McDermott NL, Bridgewood C, MacLeod T, et al. Clin Exp Rheumatol. 2022:41-42. Presentation P34.

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IE-BK-2300067

Date of creation: September 2024