Tips for searching:
• You have to select a product and type at least 2 words to activate the search
• Use only words that are specific to the information you are looking for
• Avoid typing questions or sentences
Please do not use this field to report adverse events or product complaints. Adverse events and product complaints should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard or search for MHRA Yellow card in the Google play or Apple app store. Adverse events and product complaints should also be reported to Lilly: please call Lilly UK on 01256 315 000.
Omvoh ® ▼ (mirikizumab)
This information is intended for UK registered healthcare professionals only in response to your search for information. For current information for all Lilly products, including Summaries of Product Characteristics, Patient Information Leaflets and Instructions for Use, please visit: www.medicines.org.uk
Omvoh® (mirikizumab): Inclusion and exclusion criteria in LUCENT clinical trials
The table below lists selected inclusion and exclusion criteria for the LUCENT-1 induction study and the LUCENT-2 maintenance study.
Content overview
LUCENT-1 and LUCENT-2 inclusion and exclusion criteria overview
Inclusion Criteria |
|
Patient characteristics |
|
Disease-specific criteria |
|
Prior medication failure criteria |
OR |
UC medication dose stabilization criteria |
|
Additional inclusion criteria for LUCENT-2 |
|
Exclusion Criteria |
|
Gastrointestinal criteria |
|
Additional exclusion criteria for LUCENT-2 |
|
Abbreviations: 5-ASA = 5-aminosalicylic acid; 6-MP = 6-mercaptopurine; AZA = azathioprine; CD = Crohn's disease; CHF = congestive heart failure; ES = Endoscopic Subscore; GI = gastrointestinal; IBD-U = Inflammatory Bowel Disease-Unclassified; JAK = Janus Kinase; MMS = Modified Mayo Score; MTX = methotrexate; TNF = tumor necrosis factor; UC = ulcerative colitis; ULN = upper limit of normal.
aThe rectosigmoid junction lies approximately 10-15 cm from the anal margin.
bDefined as signs and/or symptoms of active UC despite oral prednisone (or equivalent oral corticosteroid except budesonide MMS and beclomethasone dipropionate gastroresistant prolonged-release tablet) at doses of ≥30 mg/day for minimum of 2 weeks.
cDefined as 1) an inability to reduce corticosteroids below the equivalent of prednisone 10 mg/day within 3 months of starting corticosteroids without a return of signs and/or symptoms of UC, or 2) a relapse within 3 months of completing a course of corticosteroids.
dIncluding, but not limited to, Cushing's syndrome, osteopenia/osteoporosis, hyperglycemia, or neuropsychiatric side effects, including insomnia, associated with corticosteroid treatment.
e≥1.5 mg/kg/day or within a therapeutic range as judged by thioguanine metabolite testing.
f≥0.75 mg/kg/day or within a therapeutic range as judged by thioguanine metabolite testing.
gWithin a therapeutic range as judged by thioguanine metabolite testing.
hDefined as signs and symptoms of persistently active disease despite induction treatment at the approved induction dosing indicated in the product label.
iDefined as recurrence of signs and symptoms of active disease during approved maintenance dosing following prior clinical benefit.
jDefined as history of intolerance to infliximab, adalimumab, golimumab, vedolizumab, tofacitinib, or other approved biologic or JAK inhibitor, which may include but is not limited to infusion-related event, demyelination, CHF, or any other drug-related AE that led to a reduction in dose or discontinuation of the medication.
kIncludes prednisone ≤20 mg/day or equivalent or budesonide extended release tablets 9 mg/day (budesonide MMS).
lSome patients with limited colonic surgery, eg, segmental colonic resection, may have been allowed in the study if it would not affect assessment of efficacy.
Prohibited medications
The following medications used for the treatment of ulcerative colitis were prohibited within the specified time frames.1
- Corticosteroid enemas, corticosteroid suppositories, oral budesonide standard formulation, or a course of intravenous (IV) corticosteroids within 2 weeks prior to screening endoscopy.
- 5-Aminosalicylic acid (ASA) enemas or 5-ASA suppositories within 2 weeks prior to screening endoscopy.
- Immunomodulatory medications, including oral cyclosporine, IV cyclosporine, tacrolimus, mycophenolate mofetil, thalidomide, or Janus kinase (JAK) inhibitors (eg, tofacitinib) within 4 weeks prior to the screening endoscopy.
- Anti-tumor necrosis factor (TNF) antibodies (eg, infliximab, adalimumab, or golimumab) or anti-integrin antibodies (eg, vedolizumab) within 8 weeks prior to screening endoscopy.
- Agents that deplete B or T cells (eg, rituximab, alemtuzumab, or visilizumab) within 12 months of baseline. Patients remain excluded if there is evidence of persistent targeted lymphocyte depletion at the time of screening endoscopy.
- Any investigational nonbiologic therapy within 4 weeks prior to the screening endoscopy or within 5 half-lives prior to the screening endoscopy, whichever is longer.
- Any investigational biologic therapy within 8 weeks prior to the screening endoscopy or within 5 half-lives prior to the screening endoscopy, whichever is longer.
- Leukocyte apheresis (leukapheresis, for example, Adacolumn) within 3 weeks prior to screening endoscopy.
- Interferon therapy within 8 weeks prior to the screening endoscopy.
- Have ever received anti-IL12p40 antibodies (eg, ustekinumab [Stelara®]) or anti–IL-23p19 antibodies (for example, risankizumab [BI-655066], brazikumab [MEDI-2070], guselkumab [CNTO1959], or tildrakizumab [MK-3222]) for any indication, including investigational use.
- Have failed 3 or more biologic therapies for ulcerative colitis.
References
1D'Haens G, Dubinsky M, Kobayashi T, et al. Mirikizumab as induction and maintenance therapy for ulcerative colitis. N Engl J Med. Published online June 29, 2023. https://doi.org/10.1056/NEJMoa2207940
▼ This medicinal product is subject to additional monitoring. This will allow quick identification of new safety information. Healthcare professionals are asked to report any suspected adverse reactions.
Date of Last Review: 30 May 2023