FDA/CDC

FDA expands Xeljanz approval to certain adults with ulcerative colitis


 

The Food and Drug Administration announced May 30 that it has expanded the approval of Xeljanz (tofacitinib) to include adults with moderately to severely active ulcerative colitis.

In two 8-week placebo-controlled trials, 10 mg of Xeljanz given twice daily induced remissions in 17%-18% of patients. In a placebo-controlled trial among the patients who responded by week 8, Xeljanz, at a 5-mg or 10-mg dose given twice daily, was effective in inducing remission by week 52 in 34% and 41% of patients, respectively. Additionally, 35% and 47% of those patients sustained corticosteroid-free remissions when treated with 5-mg and 10-mg doses, respectively.

FDA icon
Researchers noted the most common adverse effects were diarrhea, elevated cholesterol levels, headache, herpes zoster, increased blood creatine phosphokinase, nasopharyngitis, rash and upper respiratory tract infection.

“New treatments are needed for patients with moderately to severely active ulcerative colitis,” said Julie Beitz, MD, director of the Office of Drug Evaluation III in FDA’s Center for Drug Evaluation and Research in a press release. “Today’s approval provides an alternative therapy for a debilitating disease with limited treatment options.”

Xeljanz is the first oral medication approved for chronic use in moderately to severely active UC. The FDA states that other FDA-approved treatments for the chronic treatment of moderately to severely active ulcerative colitis must be administered through an intravenous infusion or subcutaneous injection.

Xeljanz, made by Pfizer Labs, was previously approved in 2012 for rheumatoid arthritis and in 2017 for psoriatic arthritis.

Find the full press release on the FDA’s website.

Recommended Reading

How to choose between highly effective HBV therapies
MDedge Internal Medicine
VIDEO: Characteristic flora define intestinal microbiome in scleroderma
MDedge Internal Medicine
Blood type A linked to more-severe diarrhea
MDedge Internal Medicine
IBD upped Parkinson’s risk in large study
MDedge Internal Medicine
FDA approves Doptelet for liver disease patients undergoing procedures
MDedge Internal Medicine
Recent studies of microbiota offer insights into digestive disease management
MDedge Internal Medicine
Bismuth subgallate cuts stool smell after duodenal switch
MDedge Internal Medicine
Experimental drug may help those living with celiac disease
MDedge Internal Medicine
New ‘immune checkpoint’ vaccine shows promise in treating colorectal cancer
MDedge Internal Medicine
MDedge Daily News: Keeping patients summer safe
MDedge Internal Medicine