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Nemolizumab: First Approval

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Abstract

Nemolizumab is a subcutaneously administered humanized anti-interleukin-31 (IL-31) receptor A (IL-31RA) monoclonal antibody that is being developed by Chugai Pharmaceutical Co. Ltd, Maruho Co. Ltd and Galderma Pharma S.A. for the treatment of skin diseases, including atopic dermatitis (AD), AD associated pruritus (ADaP), prurigo nodularis (PN), chronic kidney disease associated pruritus (CKDaP) and systemic sclerosis (SSc). IL-31 is a neuroimmune cytokine that induces itch, inflammation, keratinocyte differentiation and fibroblast activation in chronic pruritic skin diseases. Nemolizumab (Mitchga® Syringes) was approved in Japan on 28 March 2022 for use in adults and children over the age of 13 years for the treatment of itch associated with AD (only when existing treatment is insufficiently effective). This article summarizes the milestones in the development of nemolizumab leading to this first approval.

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References

  1. Kwatra SG. Breaking the itch-scratch cycle in prurigo nodularis. N Engl J Med. 2020;382(8):757–8.

    Article  Google Scholar 

  2. Rook AH, Rook KA, Lewis DJ. Interleukin-31, a potent pruritus-inducing cytokine and its role in inflammatory disease and in the tumor microenvironment. Adv Exp Med Biol. 2021;1290:111–27.

    Article  CAS  Google Scholar 

  3. Nemmer JM, Kuchner M, Datsi A, et al. Interleukin-31 signaling bridges the gap between immune cells, the nervous system and epithelial tissues. Front Med (Lausanne). 2021;8:639097. https://doi.org/10.3389/fmed.2021.639097

    Article  PubMed  PubMed Central  Google Scholar 

  4. Furue M, Furue M. Interleukin-31 and pruritic skin. J Clin Med. 2021;10(9):1906. https://doi.org/10.3390/jcm10091906.

  5. Kinugasa E, Igawa K, Shimada H, et al. Anti-pruritic effect of nemolizumab in hemodialysis patients with uremic pruritus: a phase II, randomized, double-blind, placebo-controlled clinical study. Clin Exp Nephrol. 2021;25(8):875–84.

    Article  CAS  Google Scholar 

  6. Nakahara T, Furue M. Nemolizumab and atopic dermatitis: the interaction between interleukin-31 and interleukin-31 receptor as a potential therapeutic target for pruritus in patients with atopic dermatitis. Curr Treat Opt Allergy. 2018;5(4):405–14.

    Article  Google Scholar 

  7. Nakashima C, Otsuka A, Kabashima K. Interleukin-31 and interleukin-31 receptor: new therapeutic targets for atopic dermatitis. Exp Dermatol. 2018;27(4):327–31.

    Article  CAS  Google Scholar 

  8. Oyama S, Kitamura H, Kuramochi T, et al. Cynomolgus monkey model of interleukin-31-induced scratching depicts blockade of human interleukin-31 receptor A by a humanized monoclonal antibody. Exp Dermatol. 2018;27(1):14–21.

    Article  CAS  Google Scholar 

  9. Dillon SR, Sprecher C, Hammond A, et al. Interleukin 31, a cytokine produced by activated T cells, induces dermatitis in mice. Nat Immunol. 2004;5(7):752–60.

    Article  CAS  Google Scholar 

  10. Kuzumi A, Yoshizaki A, Matsuda KM, et al. Interleukin-31 promotes fibrosis and T helper 2 polarization in systemic sclerosis. Nat Commun. 2021;12:5947. https://doi.org/10.1038/s41467-021-26099-w.

  11. Sonkoly E, Muller A, Lauerma AI, et al. IL-31: a new link between T cells and pruritus in atopic skin inflammation. J Allergy Clin Immunol. 2006;117(2):411–7.

    Article  CAS  Google Scholar 

  12. Kabashima K, Irie H. Interleukin-31 as a clinical target for pruritus treatment. Front Med (Lausanne). 2021;8: 638325.

    Article  Google Scholar 

  13. Kato A, Fujii E, Watanabe T, et al. Distribution of IL-31 and its receptor expressing cells in skin of atopic dermatitis. J Dermatol Sci. 2014;74(3):229–35.

    Article  CAS  Google Scholar 

  14. Yaseen B, Lopez H, Taki Z, et al. Interleukin-31 promotes pathogenic mechanisms underlying skin and lung fibrosis in scleroderma. Rheumatology (Oxford). 2020;59(9):2625–36.

    Article  CAS  Google Scholar 

  15. Nguyen HL, Anderson KR, Tollefson MM. New and emerging therapies for pediatric atopic dermatitis. Paediatr Drugs. 2019;21(4):239–60.

    Article  Google Scholar 

  16. Maruho. Chugai and Maruho announce license agreement of nemolizumab (CIM331), a novel biologic in the skin disease area for the Japanese market [media release]. 28 Sept 2016. http://www.maruho.co.jp.

  17. Chugai Pharmaceutical. Chugai and Galderma announce global license agreement for nemolizumab (CIM331), novel biologic for skin diseases [media release]. 21 Jul 2016. http://www.chugai-pharm.co.jp.

  18. Galderma. Galderma announces new data demonstrating the positive anti-inflammatory effect and mode of action of nemolizumab in patients with moderate to severe prurigo nodularis [media release]. 3 Dec 2021. http://www.galderma.com.

  19. Maruho. Maruho acquires manufacturing and marketing approval in Japan for "Mitchga® Subcutaneous Injection 60mg Syringes", a new treatment targeting itch associated with atopic dermatitis [media release]. 28 Mar 2022. https://www.maruho.co.jp/english/information/20220328.html.

  20. Maruho. Nemolizumab (Mitchga® Syringes): Japanese prescribing information. 2022. https://www.pmda.go.jp/PmdaSearch/iyakuDetail/730155_44904A4G1023_1_01. Accessed 20 Apr 2022.

  21. Yang N, Chen Z, Zhang X, et al. Novel targeted biological agents for the treatment of atopic dermatitis. BioDrugs. 2021;35(4):401–15.

    Article  CAS  Google Scholar 

  22. Sidbury R, Alpizar S, Laquer V, et al. Pharmacokinetics, safety, efficacy, and biomarker profiles during nemolizumab treatment of atopic dermatitis in adolescents. Dermatol Ther (Heidelb). 2022;12(3):631–42.

    Article  Google Scholar 

  23. Ständer S, Yosipovitch G, Legat FJ, et al. Trial of nemolizumab in moderate-to-severe prurigo nodularis. N Engl J Med. 2020;382(8):706–16.

    Article  Google Scholar 

  24. Tsoi LC, Hacini-Rachinel F, Fogel P, et al. Transcriptomic characterization of prurigo nodularis and the therapeutic response to nemolizumab. J Allergy Clin Immunol. 2022;149(4):1329–39.

    Article  CAS  Google Scholar 

  25. Saito T, Iida S, Terao K, et al. Dosage optimization of nemolizumab using population pharmacokinetic and pharmacokinetic-pharmacodynamic modeling and simulation. J Clin Pharmacol. 2017;57(12):1564–72.

    Article  CAS  Google Scholar 

  26. Kabashima K, Matsumura T, Komazaki H, et al. Trial of nemolizumab and topical agents for atopic dermatitis with pruritus. N Engl J Med. 2020;383(2):141–50.

    Article  CAS  Google Scholar 

  27. Kabashima K, Matsumura T, Komazaki H, et al. Nemolizumab plus topical agents in patients with atopic dermatitis (AD) and moderate-to-severe pruritus provide improvement in pruritus and signs of AD for up to 68 weeks: results from two phase III, long-term studies. Br J Dermatol. 2022;186(4):642–51.

    Article  CAS  Google Scholar 

  28. Ruzicka T, Hanifin JM, Furue M, et al. Anti-interleukin-31 receptor A antibody for atopic dermatitis. N Engl J Med. 2017;376(9):826–35.

    Article  CAS  Google Scholar 

  29. Kabashima K, Furue M, Hanifin JM, et al. Nemolizumab in patients with moderate-to-severe atopic dermatitis: randomized, phase II, long-term extension study. J Allergy Clin Immunol. 2018;142(4):1121-30.e7.

    Article  CAS  Google Scholar 

  30. Silverberg JI, Pinter A, Pulka G, et al. Phase 2b randomized study of nemolizumab in adults with moderate-to-severe atopic dermatitis and severe pruritus. J Allergy Clin Immunol. 2020;145(1):173–82.

    Article  CAS  Google Scholar 

  31. Ständer S, Yosipovitch G, Lacour JP, et al. Nemolizumab is associated with a rapid reduction of itch and sleep disturbance in patients with prurigo nodularis [abstract no. 33307 plus poster]. In: American Academy of Dermatology Annual Meeting. 2022.

  32. Galderma. Galderma announces positive data from phase III trial, demonstrating efficacy and safety of nemolizumab in patients with prurigo nodularis. [media release]. 22 Jun 2022. http://www.galderma.com

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Correspondence to Susan J. Keam.

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The preparation of this review was not supported by any external funding.

Authorship and Conflict of interest

During the peer review process the manufacturer of the agent under review was offered an opportunity to comment on the article. Changes resulting from any comments received were made by the authors on the basis of scientific completeness and accuracy. Susan J. Keam is a contracted employee of Adis International Ltd/Springer Nature, and declares no relevant conflicts of interest. All authors contributed to the review and are responsible for the article content.

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This profile has been extracted and modified from the AdisInsight database. AdisInsight tracks drug development worldwide through the entire development process, from discovery, through pre-clinical and clinical studies to market launch and beyond.

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Keam, S.J. Nemolizumab: First Approval. Drugs 82, 1143–1150 (2022). https://doi.org/10.1007/s40265-022-01741-z

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