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| Stem definition | Drug id | CAS RN |
|---|---|---|
| monoclonal antibodies (humanized origin); interleukin and interleukin receptors | 5478 | 1418205-77-2 |
| Molecule | Description |
|---|---|
|
Synonyms:
|
Bimekizumab is a humanised IgG1/kappa monoclonal antibody that selectively binds with high affinity to IL-17A, IL-17F and IL-17AF cytokines, blocking their interaction with the IL-17RA/IL-17RC receptor complex. Elevated concentrations of IL-17A and IL-17F have been implicated in the pathogenesis of several immune-mediated inflammatory diseases including plaque psoriasis. Bimekizumab inhibits these proinflammatory cytokines, resulting in the normalization of skin inflammation and as a consequence improvement in clinical symptoms associated with psoriasis. From in vitro models, bimekizumab was shown to inhibit psoriasis-related gene expression and cytokine production to a greater extent than inhibition of IL-17A alone.
|
| Dose | Unit | Route |
|---|---|---|
| 5.70 | mg | P |
None
None
| Date | Agency | Company | Orphan |
|---|---|---|---|
| Aug. 20, 2021 | EMA | UCB Pharma S.A. | |
| Jan. 20, 2022 | PMDA | UCB JAPAN CO., LTD. |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Product availability issue | 229.54 | 29.14 | 52 | 2821 | 7352 | 90618222 |
| Therapy interrupted | 178.55 | 29.14 | 65 | 2808 | 50043 | 90575531 |
| Oral candidiasis | 160.61 | 29.14 | 55 | 2818 | 35400 | 90590174 |
| Oesophageal candidiasis | 158.84 | 29.14 | 38 | 2835 | 6791 | 90618783 |
| Psoriatic arthropathy | 130.20 | 29.14 | 84 | 2789 | 228251 | 90397323 |
| Intentional dose omission | 82.05 | 29.14 | 28 | 2845 | 17755 | 90607819 |
| Surgery | 78.71 | 29.14 | 35 | 2838 | 44852 | 90580722 |
| Product dose omission issue | 75.52 | 29.14 | 67 | 2806 | 291620 | 90333954 |
| Candida infection | 70.96 | 29.14 | 30 | 2843 | 34027 | 90591547 |
| Injection site pain | 66.16 | 29.14 | 50 | 2823 | 173649 | 90451925 |
| Insurance issue | 57.44 | 29.14 | 19 | 2854 | 10939 | 90614635 |
| Product distribution issue | 48.33 | 29.14 | 13 | 2860 | 3692 | 90621882 |
| Inappropriate schedule of product administration | 48.05 | 29.14 | 39 | 2834 | 149894 | 90475680 |
| Incorrect dose administered | 44.68 | 29.14 | 29 | 2844 | 78901 | 90546673 |
| Off label use | 41.92 | 29.14 | 101 | 2772 | 1102151 | 89523423 |
| Drug ineffective | 38.62 | 29.14 | 113 | 2760 | 1384185 | 89241389 |
| Psoriasis area severity index increased | 35.50 | 29.14 | 6 | 2867 | 182 | 90625392 |
| Hidradenitis | 33 | 29.14 | 10 | 2863 | 4337 | 90621237 |
| Fungal infection | 32.62 | 29.14 | 19 | 2854 | 42642 | 90582932 |
| Therapeutic response shortened | 31.20 | 29.14 | 15 | 2858 | 22864 | 90602710 |
| Psoriasis | 30.51 | 29.14 | 30 | 2843 | 147724 | 90477850 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Product availability issue | 226.47 | 40.87 | 46 | 1452 | 3521 | 42616316 |
| Therapy interrupted | 180.70 | 40.87 | 55 | 1443 | 22195 | 42597642 |
| Psoriatic arthropathy | 145.72 | 40.87 | 48 | 1450 | 24919 | 42594918 |
| Oral candidiasis | 105.71 | 40.87 | 33 | 1465 | 14372 | 42605465 |
| Oesophageal candidiasis | 86.73 | 40.87 | 23 | 1475 | 5612 | 42614225 |
| Insurance issue | 78.86 | 40.87 | 20 | 1478 | 4096 | 42615741 |
| Product dose omission issue | 54.02 | 40.87 | 44 | 1454 | 154321 | 42465516 |
| Inappropriate schedule of product administration | 52.99 | 40.87 | 36 | 1462 | 95866 | 42523971 |
| Surgery | 46.79 | 40.87 | 19 | 1479 | 17597 | 42602240 |
| Psoriasis | 41.30 | 40.87 | 24 | 1474 | 48580 | 42571257 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Product dose omission issue | 4795.89 | 35.66 | 1729 | 13095 | 320053 | 110254422 |
| Product availability issue | 2318.42 | 35.66 | 456 | 14368 | 7434 | 110567041 |
| Therapy interrupted | 782.79 | 35.66 | 282 | 14542 | 49540 | 110524935 |
| Injection site pain | 614.92 | 35.66 | 349 | 14475 | 177573 | 110396902 |
| Insurance issue | 583.74 | 35.66 | 157 | 14667 | 10455 | 110564020 |
| Oral candidiasis | 484.08 | 35.66 | 193 | 14631 | 44567 | 110529908 |
| Inappropriate schedule of product administration | 448.93 | 35.66 | 300 | 14524 | 203337 | 110371138 |
| Condition aggravated | 444.68 | 35.66 | 517 | 14307 | 734319 | 109840156 |
| No adverse event | 436.64 | 35.66 | 208 | 14616 | 73631 | 110500844 |
| Incorrect dose administered | 295.92 | 35.66 | 180 | 14644 | 103461 | 110471014 |
| Candida infection | 292.05 | 35.66 | 138 | 14686 | 47871 | 110526604 |
| Drug ineffective | 265.96 | 35.66 | 608 | 14216 | 1519932 | 109054543 |
| Adverse drug reaction | 245.39 | 35.66 | 161 | 14663 | 105398 | 110469077 |
| Acne | 233.89 | 35.66 | 106 | 14718 | 33414 | 110541061 |
| Product distribution issue | 228.09 | 35.66 | 62 | 14762 | 4284 | 110570191 |
| Fungal infection | 192.11 | 35.66 | 106 | 14718 | 50700 | 110523775 |
| Device issue | 190.91 | 35.66 | 93 | 14731 | 34442 | 110540033 |
| Illness | 190.09 | 35.66 | 125 | 14699 | 82046 | 110492429 |
| Intentional dose omission | 160.93 | 35.66 | 70 | 14754 | 20010 | 110554465 |
| Psoriasis | 138.86 | 35.66 | 129 | 14695 | 139864 | 110434611 |
| Off label use | 137.84 | 35.66 | 476 | 14348 | 1499709 | 109074766 |
| Pruritus | 137.16 | 35.66 | 264 | 14560 | 581296 | 109993179 |
| Therapeutic response shortened | 123.69 | 35.66 | 66 | 14758 | 29517 | 110544958 |
| Oesophageal candidiasis | 115.09 | 35.66 | 47 | 14777 | 11487 | 110562988 |
| Device defective | 113.40 | 35.66 | 35 | 14789 | 3787 | 110570688 |
| Surgery | 98.32 | 35.66 | 64 | 14760 | 41219 | 110533256 |
| Injection site swelling | 96.48 | 35.66 | 74 | 14750 | 61716 | 110512759 |
| Device malfunction | 95.67 | 35.66 | 53 | 14771 | 25505 | 110548970 |
| Injection site reaction | 84.27 | 35.66 | 80 | 14744 | 88990 | 110485485 |
| Product leakage | 79.86 | 35.66 | 22 | 14802 | 1596 | 110572879 |
| Injection site pruritus | 79.17 | 35.66 | 61 | 14763 | 51197 | 110523278 |
| Psoriatic arthropathy | 76.59 | 35.66 | 112 | 14712 | 196649 | 110377826 |
| Injection site rash | 70.13 | 35.66 | 42 | 14782 | 23377 | 110551098 |
| Dyspnoea | 66.22 | 35.66 | 33 | 14791 | 1106839 | 109467636 |
| Acute kidney injury | 63.47 | 35.66 | 6 | 14818 | 635424 | 109939051 |
| Injection site erythema | 60.93 | 35.66 | 69 | 14755 | 94107 | 110480368 |
| Skin burning sensation | 59.85 | 35.66 | 37 | 14787 | 21788 | 110552687 |
| Hypotension | 57.91 | 35.66 | 3 | 14821 | 523846 | 110050629 |
| Anaemia | 55.07 | 35.66 | 5 | 14819 | 547081 | 110027394 |
| Skin disorder | 53.37 | 35.66 | 45 | 14779 | 42868 | 110531607 |
| Ear infection | 53.05 | 35.66 | 53 | 14771 | 62679 | 110511796 |
| Toxicity to various agents | 52.34 | 35.66 | 3 | 14821 | 480552 | 110093923 |
| Hidradenitis | 51.30 | 35.66 | 21 | 14803 | 5159 | 110569316 |
| Confusional state | 50.82 | 35.66 | 3 | 14821 | 468677 | 110105798 |
| Drug interaction | 49.20 | 35.66 | 5 | 14819 | 500178 | 110074297 |
| Pain | 48.60 | 35.66 | 254 | 14570 | 954701 | 109619774 |
| Therapeutic product effect incomplete | 46.98 | 35.66 | 97 | 14727 | 223708 | 110350767 |
| Loss of personal independence in daily activities | 45.26 | 35.66 | 76 | 14748 | 149944 | 110424531 |
| Rash | 42.86 | 35.66 | 220 | 14604 | 820744 | 109753731 |
| Vomiting | 41.15 | 35.66 | 37 | 14787 | 910638 | 109663837 |
| Drug intolerance | 40.13 | 35.66 | 4 | 14820 | 406508 | 110167967 |
| Nasopharyngitis | 39.14 | 35.66 | 129 | 14695 | 394232 | 110180243 |
| Neutropenia | 38.84 | 35.66 | 3 | 14821 | 374617 | 110199858 |
| Needle issue | 38.45 | 35.66 | 26 | 14798 | 17814 | 110556661 |
| Cyst | 37.86 | 35.66 | 25 | 14799 | 16471 | 110558004 |
None
| Source | Code | Description |
|---|---|---|
| ATC | L04AC21 | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS IMMUNOSUPPRESSANTS IMMUNOSUPPRESSANTS Interleukin inhibitors |
| CHEBI has role | CHEBI:35842 | antirheumatic drug |
| CHEBI has role | CHEBI:50748 | antipsoriatic |
| CHEBI has role | CHEBI:67079 | anti-inflammatory agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Plaque psoriasis | indication | 200965009 | |
| Pustular psoriasis | indication | 200973000 | |
| Erythrodermic psoriasis | indication | 200977004 | |
| Inflammatory bowel disease | contraindication | 24526004 | DOID:0050589 |
| Upper respiratory tract infection | contraindication | 54150009 | |
| Oral candidiasis | contraindication | 79740000 | DOID:14262 |
| Active tuberculosis | contraindication | 427099000 |
None
None
None
None
None
| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Interleukin-17A | Cytokine | ANTIBODY BINDING | Kd | 11.46 | DRUG LABEL | DRUG LABEL | |||
| Interleukin-17F | Cytokine | ANTIBODY BINDING | Kd | 10.55 | DRUG LABEL | DRUG LABEL | |||
| Interleukin-17AF | Cytokine | ANTIBODY BINDING | Kd | 10.59 | DRUG LABEL | DRUG LABEL |
| ID | Source |
|---|---|
| 09495UIM6V | UNII |
| C4519734 | UMLSCUI |
| CHEBI:757155 | CHEBI |
| CHEMBL4297700 | ChEMBL_ID |
| DB12917 | DRUGBANK_ID |
| D11550 | KEGG_DRUG |
| 9878 | INN_ID |
| C000625981 | MESH_SUPPLEMENTAL_RECORD_UI |
| 9411 | IUPHAR_LIGAND_ID |
| 1340107005 | SNOMEDCT_US |
| 278221000202100 | SNOMEDCT_US |
| 4042681 | VANDF |
| 39937 | MMSL |
| d09814 | MMSL |
| 2668041 | RXNORM |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| Bimzelx | HUMAN PRESCRIPTION DRUG LABEL | 1 | 50474-780 | INJECTION, SOLUTION | 160 mg | SUBCUTANEOUS | BLA | 31 sections |
| Bimzelx | HUMAN PRESCRIPTION DRUG LABEL | 1 | 50474-781 | INJECTION, SOLUTION | 160 mg | SUBCUTANEOUS | BLA | 31 sections |
| Bimzelx | HUMAN PRESCRIPTION DRUG LABEL | 1 | 50474-782 | INJECTION, SOLUTION | 320 mg | SUBCUTANEOUS | BLA | 31 sections |
| Bimzelx | HUMAN PRESCRIPTION DRUG LABEL | 1 | 50474-783 | INJECTION, SOLUTION | 320 mg | SUBCUTANEOUS | BLA | 31 sections |