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On June 7, 2023, the European Commission (EC) granted marketing authorization to bimekizumab, a monoclonal antibody which inhibits interleukin-17, for use in patients with active psoriatic arthritis (PsA).1 Bimekizumab has been approved as monotherapy or in combination with methotrexate in adult patients with PsA who are intolerant or did not respond to treatment with disease-modifying antirheumatic drugs. This follows the EC approval of bimekizumab in 2021 for moderate-to-severe plaque psoriasis.1
This approval is based on positive results from the BE OPTIMAL and BE COMPLETE phase III trials. The primary endpoint of a 50% improvement in American College of Rheumatology (ACR50) response at Week 16 versus placebo, was met (Figure 1).1 The most common treatment-emergent adverse events included nasopharyngitis and upper respiratory tract infection.1
Figure 1. ACR50 response in BE OPTIMAL and BE COMPLETE*
ACR50, 50% improvement in American College of Rheumatology response; bDMARD, biologic disease-modifying antirheumatic drug; TNF, tumor necrosis factor.
*Data from McInnes, et al.2 and Merola, et al.3
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