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FDA Tweaks JAK Inhibitor Indication in Inflammatory Bowel Disease

The FDA approved upadacitinib for adults with moderate to severe inflammatory bowel disease after one systemic therapy if tumor necrosis factor blockers are unsuitable.

  • Recently, the U.S. Food and Drug Administration approved a supplemental new drug application updating upadacitinib's indication for adults with moderately to severely active ulcerative colitis and Crohn's disease.
  • Phase 3 results showed U-ACHIEVE and U-ACCOMPLISH trials found 45 mg once per day for an 8-week induction period produced clinical remission rates approx 26% and 33% versus placebo 5% and 4%.
  • Laboratory studies showed upadacitinib inhibited STAT phosphorylation mediated by JAK1 and JAK1/JAK3 more potently than JAK2, and investigators observed remission measured by the Crohn's Disease Activity Index .
  • The label update allows healthcare providers to prescribe RINVOQ after one systemic therapy if TNF blockers are clinically inadvisable, and AbbVie's Patient Support Program and co-pay card may reduce costs to $0 per month for eligible commercially insured patients.
  • Safety materials emphasize that RINVOQ can lower the ability to fight serious infections, including tuberculosis, and increase risks of blood clots and cardiovascular events in people 50+ with heart disease risk factors, especially in current or past smokers.
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Farm Talk NewspaperFarm Talk Newspaper
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U.S. Food and Drug Administration (FDA) Approves Updated Indication Statement for RINVOQ® (upadacitinib) for the Treatment of Inflammatory Bowel Disease

Updated indication allows the use of RINVOQ® (upadacitinib) prior to the use of tumor necrosis factor (TNF) blocking agents in patients for whom use of these treatments is clinically inadvisable and who have received at least one approved systemic…

·Parsons, United States
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PR Newswire broke the news in United States on Monday, October 13, 2025.
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