FDA Approves Velsipity for Moderate-to-Severe Ulcerative Colitis in Adults
The U.S. Food and Drug Administration approved Velsipity (etrasimod) for adults with moderately to severely active ulcerative colitis (UC). Velsipity provides adults living with moderately-to- severely active UC the opportunity to achieve steroid-free remission with an oral, once-daily pill. Approval of Velsipity was granted to Pfizer.
The approval was based on results from the ELEVATE UC phase 3 registrational program (ELEVATE UC 52 and ELEVATE UC 12) that included UC patients who had previously failed or were intolerant to at least one conventional, biologic, or Janus kinase inhibitor therapy. In ELEVATE UC 52, 27.0 percent of patients receiving Velsipity achieved clinical remission versus 7.0 percent of patients receiving placebo at week 12, and at week 52, clinical remission was achieved by 32.0 and 7.0 percent, respectively. In ELEVATE UC 12, 26.0 percent of patients receiving Velsipity achieved clinical remission versus 15.0 percent of patients receiving placebo. At week 12, all key secondary efficacy end points were met, including endoscopic improvement and mucosal healing.
The selective sphingosine-1-phosphate receptor modulator was approved at a 2mg recommended dose. The safety of Velsipity was consistent with previous studies, with the most common adverse reactions being headache, elevated liver tests, and dizziness (incidence ≥5 percent).
