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  5. Drug Trials Snapshots: NEMLUVIO
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Drug Trials Snapshots: NEMLUVIO

HOW TO USE THIS SNAPSHOT
The information provided in Snapshots highlights who participated in the key clinical trials that supported the original FDA approval of this drug, and whether there were differences among sex, race, age, and ethnic groups. The “MORE INFO” bar shows more detailed, technical content for each section. The Snapshot is intended as one tool for consumers to use when discussing the risks and benefits of the drugs.

LIMITATIONS OF THIS SNAPSHOT
Do not rely on Snapshots to make decisions regarding medical care. Always speak to your healthcare provider about the benefits and risks of a drug.

Some of the information in this Snapshot is for presentation purposes and does not represent the approved conditions of use of this drug. Refer to the NEMLUVIO Prescribing Information for all the approved conditions of use of this drug (e.g., indication(s), population(s), dosing regimen(s), safety information).

Snapshots are limited to the information available at the time of the original approval of the drug and do not provide information on who participated in clinical trials that supported later approvals for additional uses of the drug (if applicable).

NEMLUVIO (nemolizumab-ilto)
(nem-LOO-vee-oh)
Galderma Laboratories, L.P.
Approval date: August 12, 2024


DRUG TRIALS SNAPSHOT SUMMARY:

What is the drug for?

NEMLUVIO is an interleukin-31 receptor antagonist that is indicated for the treatment of adults with prurigo nodularis.

How is this drug used?

NEMLUVIO is a subcutaneous injection that is taken every four weeks.

Who participated in the clinical trials?

The FDA approved NEMLUVIO based on evidence from two clinical trials (OLYMPIA 1 and OLYMPIA 2) of 560 patients with prurigo nodularis. The trials were conducted at 132 sites in 16 countries including Austria, Belgium, Canada, Denmark, France, Netherlands, Germany, Hungary, Italy, Poland, South Korea, Spain, Sweden, Switzerland, the United Kingdom, and the United States. The trials included 99 patients inside the United States.

Among the 560 enrolled patients, all of them were evaluated for efficacy (Intent-to-Treat population) and 556 patients were evaluated for safety.

How were the trials designed?

NEMLUVIO was evaluated in two clinical trials of 560 patients with prurigo nodularis.

In both trials, patients with prurigo nodularis were randomized to receive NEMLUVIO or placebo. Patients weighing less than 90 kg in the NEMLUVIO group received subcutaneous injections of NEMLUVIO 60 mg at Week 0, followed by 30 mg injections every four weeks. Patients weighing 90 kg or more in the NEMLUVIO group received subcutaneous injections of NEMLUVIO 60 mg at Week 0 and every four weeks.

Efficacy was assessed with the proportion of subjects with an improvement of ≥4 from baseline in Peak Pruritus Numeric Rating Scale (PP-NRS), the proportion of subjects with an Investigator’s Global Assessment (IGA) of 0 (Clear) or 1 (Almost Clear) and a ≥2-point improvement from baseline, the proportion of subjects who achieved a response in both PP-NRS and IGA per the criteria described above, and the proportion of subjects with PP-NRS <2.


DEMOGRAPHICS SNAPSHOT

Figure 1 summarizes how many male and female patients were enrolled in the combined clinical trials used to evaluate the efficacy of NEMLUVIO.

Figure 1. Baseline Demographics by Sex, Intent-to-Treat Population

Pie chart summarizing how many male and female patients were in the clinical trial. In total, 226 (40%) male patients and 334 (60%) female patients participated in the clinical trial.

Source: Adapted from FDA Review

Figure 2 summarizes how many patients by race were enrolled in the combined clinical trials used to evaluate the efficacy of NEMLUVIO.

Figure 2. Baseline Demographics by Race, Intent-to-Treat Population

Pie chart summarizing how many White, Black or African American, Asian, Native Hawaiian or other Pacific Islander, American Indian or Alaska Native, other, and not reported patients were in the clinical trial. In total, 456 (81.4%) White patients, 40 (7.1%) Black or African American patients, 49 (8.8%) Asian patients, 2 (0.4%) Native Hawaiian or other Pacific Islander patients, 1 (0.2%) American Indian or Alaska Native patient, 10 (1.8%) other patients, and 2 (0.4%) race not reported patients participated i

Source: Adapted from FDA Review

Figure 3 summarizes how many patients by age were enrolled in the combined clinical trials used to evaluate the efficacy of NEMLUVIO.

Figure 3. Baseline Demographics by Age, Intent-to-Treat Population

Pie chart summarizing how many patients by age were in the clinical trial. In total, 418 (75%) patients between 18 and 65 years of age and 142 (25%) patients older than 65 years of age participated in the clinical trial.

Source: Adapted from FDA Review

Figure 4 summarizes how many patients by ethnicity were enrolled in the combined clinical trials used to evaluate the efficacy of NEMLUVIO.

Figure 4. Baseline Demographics by Ethnicity, Intent-to-Treat Population

Pie chart summarizing how many Hispanic, not Hispanic, and unknown or not reported patients were in the clinical trial. In total, 21 (4%) Hispanic or Latino patients, 524 (93%) not Hispanic or Latino patients, and 15 (3%) unknown or not reported patients participated in the clinical trial.

Source: Adapted from FDA Review

What are the benefits of this drug?

In two trials, more patients achieved improvements in their pruritus after 16 weeks of treatment with NEMLUVIO compared to those who were treated with placebo. In addition, more patients achieved clear or almost clear skin after 16 weeks of treatment with NEMLUVIO compared to those who were treated with placebo.

Were there any differences in how well the drug worked in clinical trials among sex, race, and age?

  • Sex: NEMLUVIO worked similarly in males and females.
  • Race: The number of patients of races other than White was limited; therefore, differences in response among races could not be determined.
  • Age: NEMLUVIO worked similarly in patients younger and older than 65 years of age.

What are the possible side effects?

Most common side effects include headache, atopic dermatitis, eczema, and nummular eczema.

Allergic (hypersensitivity) reactions, including facial angioedema has been reported in some patients taking NEMLUVIO.

Were there any differences in side effects among sex, race and age?

  • Sex: The occurrence of side effects was similar in females and males.
  • Race: The occurrence of side effects was similar in Asian, Black or African American, and White patients. The number of patients of other races was limited; therefore, differences in side effects among other races could not be determined.
  • Age: The occurrence of side effects was more common in patients older than 65 years of age than patients between 18 to 65 years of age.

GLOSSARY

CLINICAL TRIAL: Voluntary research studies conducted in people and designed to answer specific questions about the safety or effectiveness of drugs, vaccines, other therapies, or new ways of using existing treatments.
COMPARATOR: A previously available treatment or placebo used in clinical trials that is compared to the actual drug being tested.
EFFICACY: How well the drug achieves the desired response when it is taken as described in a controlled clinical setting, such as during a clinical trial.
PLACEBO: An inactive substance or “sugar pill” that looks the same as, and is given the same way as, an active drug or treatment being tested. The effects of the active drug or treatment are compared to the effects of the placebo.
SUBGROUP: A subset of the population studied in a clinical trial. Demographic subsets include sex, race, and age groups.

PRESCRIBING INFORMATION

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