Daily Newsletter

10 October 2023

Daily Newsletter

10 October 2023

Novartis expands Cosentyx reach for rheumatic diseases with IV version approval

The approval marks the first intravenous (IV) formulation treatment in adults with rheumatic diseases in six years.

Jenna Philpott October 09 2023

The US Food and Drug Administration (FDA) has approved an intravenous (IV) version of Novartis’s Cosentyx (secukinumab) for the treatment of adults with psoriatic arthritis (PsA), ankylosing spondylitis (AS) and non-radiographic axial spondyloarthritis (nr-axSpA).

The treatment targets and blocks interleukin-17A (IL-17A), a cytokine that is implicated in the inflammation associated with different rheumatic diseases, including PsA, AS and nr-axSpA. The injectable version of the drug gained FDA and European approval in January 2015 to treat patients with moderate-to-severe plaque psoriasis. The FDA approval for AS and PsA came a year later.

Cosentyx is now the only approved treatment that specifically blocks IL-17A available in an IV formulation. The IV drug will be available in Q4 of 2023.

Cosentyx had a worldwide market value of $4.79bn (SFr4.36bn) last year, according to Novartis’ 2022 annual report. According to GlobalData, Cosentyx sales are forecasted to increase to $6.16bn in 2029.

GlobalData is the parent company of Pharmaceutical Technology.

Dr Philip Mease, clinical professor at the University of Washington School of Medicine in Seattle, said: “The approval of Cosentyx as an IV formulation is an important milestone for patients because it expands the treatment options available to them with a different mechanism of action than existing biologic IV therapies, along with the comfort and familiarity of an established treatment.”

Significant opportunities and risks for disease-modifying therapies (DMTs) entering the PD market

As PD therapy currently centers on symptomatic treatment, the need for DMTs is one of the greatest unmet needs. Several companies within the late-stage PD pipeline are developing drugs that target PD via novel MOAs. KOLs remain hopeful that these companies will uncover a class of drugs that works effectively to slow or modify the disease course. Targeting α-synuclein and other neurotoxic proteins is a key strategy in the late-stage pipeline for DMTs.

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