0:00-0:04
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0:05-0:37
Narrator: Indications. Omvoh is an interleukin-23
antagonist indicated for adults with moderately to severely active
ulcerative colitis, or UC, or moderately to severely active Crohn's
disease, or CD.
Contraindications. Omvoh is contraindicated in patients with a history
of serious hypersensitivity reaction to mirikizumab-mrkz or any of the
excipients.
This is not the complete Important Safety Information for Omvoh, so
please see additional Important Safety Information at the end of this
video.
0:38-0:47
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0:48-1:07
Ana: My name is Ana. I am originally from Caracas,
Venezuela. I lived there for 12 years, and I moved to Miami, Florida. I
recently graduated college from Northeastern University, and I am now
living in Miami again, and I'm working in construction.
1:08-1:37
Ana: There's a big stigma and taboo around any
gastrointestinal issues, and you don't really have anywhere to go to
ask.
I want to bring awareness to ulcerative colitis, the condition that I
have. I think it's a condition that's not talked about enough. There's
not enough information out there.
I just want to do this so I can share my experience and hopefully help
other people.
1:38-2:37
Ana: My first symptoms started showing up about three
years ago. I was about to leave for my sophomore year of college when I
started seeing blood in my stool.
I was very confused at the time; I didn't know why that was going on.
And the first time I kind of ignored it. But then after every day for a
couple weeks, that turned into months. I was very concerned. I also
started going to the bathroom a lot more frequently; I would say about 8
to 10 times a day.
I spent a couple of months feeling that way until I was able to come
back to Miami to see a physician, and I had my first colonoscopy. And
that's when I was diagnosed with UC.
2:38-3:13
Ana: When I was diagnosed in Miami, I had to go back to
Boston for school.
It was very hard communicating my symptoms to the doctor through a
phone.
And it was hard finding time between my classes and exams to go to the
doctor to get the different treatments.
It became even harder since I had to travel every two months back to
Miami, skip school, make arrangements with my professors so I just would
be able to find treatment.
3:14-4:17
Ana: After I got diagnosed, I started trying different
treatments, and they worked for a while. But for some reason or another,
they stopped working.
I started experiencing “moon face” from one of the medications. At
first, I knew it would be temporary, but then it started playing with my
self-esteem.
I didn't feel my best. I didn't look like I wanted to look. And it was
very frustrating.
But with a different one, I would feel very tired after my infusion, and
I couldn't drive. I would always have to have someone with me when I
would go, and I would lose the entire day.
This whole process of trying different medications took about two years.
It was very frustrating because once I started feeling better, I saw
hope. But then I would start seeing symptoms again, and I would be a
little devastated.
4:18-4:32
Dr. Kwapisz: So, I'm Doctor Lukasz Kwapisz. I'm an IBD
specialist here in Miami. I work for Gastro Health and Baptist Hospital,
and I'm an assistant professor for Florida International University.
Overall, I've been in practice for a little over 10 years looking after
patients with inflammatory bowel disease, a personal passion of mine.
4:33-4:47
Dr. Kwapisz: I had the pleasure of meeting Ana via
telemedicine. She was splitting time between Boston and Miami, and as a
result of that, we got to talk about her symptoms, and she was having
many breakthrough symptoms that were affecting her in all aspects of her
life.
4:48-5:26
Dr. Kwapisz: As we follow the STRIDE-II guidelines, we
have short-term, medium-term, and long-term goals. In the short term, we
really wanted her symptoms to improve. We wanted her urgency and her
abdominal pain to get better. In the medium term, we really wanted to
see her biomarkers improve. And we did see that with fecal calprotectin
and C-reactive protein showing improved levels. And ultimately our
long-term target was showing endoscopic healing, and we performed a
colonoscopy on her last month, and we saw endoscopic improvement, we saw
histologic improvement, and we were very happy with her progress
overall.
And the goal would be for her never to develop antibodies, never to
develop breakthrough symptoms. And we're hopeful that with Omvoh, she is
able to achieve that.
5:27-5:52
Dr. Kwapisz: Well, Omvoh is a really great therapy in
ulcerative colitis. We have data to support its use in bio-naive
patients, as well as the bio-failure patients. We love the dosing of
every four weeks, keeping the drug at a nice, steady state. And
ultimately when we're looking at patients' symptoms that are quite
disruptive from an urgency perspective, we have great data that backs up
its use. And in real life, we're seeing very good results that are
showing improvements in patients' lives, especially from an urgency
perspective.
5:53-5:59
Dr. Kwapisz:
Take a look at Omvoh's clinical trial design and Omvoh's clinical trial
data through Week 52.
6:00-8:07
Dr. Kwapisz: Hey Ana, how are you?
Ana: Good, and you?
Dr. Kwapisz: Here we are, one year later since we met.
Do you remember at that time, I know you had seen a few of my
colleagues, and they were discussing your condition-ulcerative colitis.
You were having symptoms. When we were thinking of a therapy, do you
remember what was going through your head? What priorities you were
hoping would come to the front and we could discuss?
Ana: Well, definitely one of my priorities was
convenience. So, I was coming back from Boston to Miami every couple of
weeks to do my treatment, and it was very inconvenient having to skip
class or ask for accommodations.
So that was one of my highest priorities, something that would be more
convenient in the way that I received my medication.
Also, I wanted something that would be able to control my symptoms
quickly and that wouldn't make me feel better and then worse.
I remember the first conversation we had; we talked about my situation
and we discussed different treatment options. And then you opened the
floor for me to do my own research and to really pick whatever related
and resonated most with myself.
Dr. Kwapisz: And I remember one thing that really
struck me is when we had that first conversation, you were telling me
that at that Week 6 mark, not only was there some blood and diarrhea and
gas, but really urgency. And I don't know if you remember really that
moment or what that felt like in your day-to-day life, whether at
school, whether at work, whether at a restaurant, with friends.
But what did that feel like when you were feeling those symptoms?
Ana: The urgency was frustrating. It was inconvenient,
and it was just annoying. I had to figure out where the closest bathroom
was at all times, wherever I was, whether it was a place that I knew or
it was new to me, and just having to plan ahead for an urgency that I
knew would come, I wanted that to stop.
Dr. Kwapisz: Yeah.
Ana: So that was one of my main priorities when I came
to you.
8:08-9:16
Dr. Kwapisz: Yeah. I consider many things, and I think
it's important to know that we can't, you know, have one broad
paintbrush for every patient. It needs to be personalized. It needs to
be specific and tailored to someone's needs. And that shared
decision-making really comes in handy.
When I presented those three options, is there something that made you
kind of gravitate more towards Omvoh in that context as well?
Ana: When you presented the pill option, I just didn't
want to have that responsibility every single day. And then with Omvoh,
it was more appealing just because I had been coming from an infusion.
So, the first three doses for Omvoh are infusions.
And since I would be back here for summer, it was convenient. It was
attractive. And after when I would go back to Boston, I could start the
self-injections at home.
And that was really a turning point for me.
And when I started the treatment, I started feeling better immediately.
I wasn't tired right after the medication, and I could go on about my
day with Omvoh.
9:17-9:43
Dr. Kwapisz: For you, that safety aspect, what did
you-how did you feel about the safety of Omvoh when we were talking
about it?
Ana: Well, of course, when I look at any medication, I
look at how it's going to affect me today but also in the future. And I
definitely looked for an option that would allow me to do that without
having to look for different treatments or jeopardize me in that sense.
9:44-9:47
Dr. Kwapisz: Take a look at Omvoh's Safety Information
and Prescribing Information.
9:48-10:39
Ana: My day-to-day since I started using Omvoh changed.
I was able to regain control of my symptoms and feel much better than I
have in the past three years.
Also, it has become very convenient to receive treatment because I don't
have to travel back and forth anymore like I used to before, and I don't
have to lose an entire day with Omvoh. Instead, I have the
self-injections and administer at home. I receive them a couple of days
before my treatment is due, and I'm able to administer it myself, which
is something that I would never thought I would be able to do because I
have a fear of needles, and with Omvoh, the injection is made so that
you don't see the needle.
10:40-11:28
Ana: I've been on Omvoh for a year, and now I feel more
in control of my symptoms. I had a very free childhood, and when I
started feeling symptoms for UC three years ago, I felt like the disease
was controlling me. But ever since starting Omvoh a year ago, I now feel
like I can control the disease.
My life at home and at work now, I am able to live them with fewer
disruptions.
I can go to work without having to take days off for my treatment. And
when I'm out with friends, I don't have to worry about where the closest
bathroom is, or I don't have to revolve my day around finding convenient
times to go to the bathroom.
11:29-11:43
Ana: What I would tell physicians is first: listen to
each individual person's story. It is very taboo to talk about things
like this. So, providing the space for patients to be comfortable.
11:44-12:05
Ana: Working with Dr. Kwapisz, and finding Omvoh as my
treatment option, I've been able to reach my goals. I was able to
graduate university, and now I'm starting my first job and reach my
goals as they come.
12:06-12:28
Dr. Kwapisz: Omvoh was approved for UC based on its
induction and maintenance trials. Clinical remission at Week 12 was the
primary endpoint in the induction trial, LUCENT-1, and Omvoh patients
who achieved clinical response continued on to the maintenance trial,
LUCENT-2, where the primary endpoint was clinical remission at Week 52.
12:29-12:52
Dr. Kwapisz:
In LUCENT-1, after 12 weeks, 65% of patients taking Omvoh achieved
clinical response versus 43% taking placebo, and 24% of Omvoh patients
achieved clinical remission compared to 15% placebo patients.
At Week 52, 51% of [all] patients on Omvoh achieved clinical remission
versus 27% on placebo.
12:53-13:16
Dr. Kwapisz:
In addition, in LUCENT-2, among Omvoh patients who achieved clinical
response at Week 12, patients taking Omvoh also achieved significant
improvements in bowel urgency, corticosteroid-free remission, endoscopic
improvement, and the combination of histologic and Endoscopic mucosal
improvement at Week 52.
13:18-17:43
Narrator:
WARNINGS AND PRECAUTIONS
Hypersensitivity Reactions
Serious hypersensitivity reactions, including anaphylaxis during
intravenous infusion, have been reported with Omvoh administration.
Infusion-related hypersensitivity reactions, including mucocutaneous
erythema and pruritus, were reported during induction. If a severe
hypersensitivity reaction occurs, discontinue Omvoh immediately and
initiate appropriate treatment.
Infections
Omvoh may increase the risk of infection. Do not initiate treatment with
Omvoh in patients with a clinically important active infection until the
infection resolves or is adequately treated. In patients with a chronic
infection or a history of recurrent infection, consider the risks and
benefits prior to prescribing Omvoh.
Instruct patients to seek medical advice if signs or symptoms of
clinically important acute or chronic infection occur. If a serious
infection develops or an infection is not responding to standard
therapy, monitor the patient closely and do not administer Omvoh until
the infection resolves.
Tuberculosis
Evaluate patients for tuberculosis (TB) infection prior to initiating
treatment with Omvoh. Do not administer Omvoh to patients with active TB
infection. Initiate treatment of latent TB prior to administering Omvoh.
Consider anti-TB therapy prior to initiation of Omvoh in patients with a
history of latent or active TB in whom an adequate course of treatment
cannot be confirmed. Monitor patients for signs and symptoms of active
TB during and after Omvoh treatment. In clinical trials, subjects were
excluded if they had evidence of active TB, a history of active TB, or
were diagnosed with latent TB at screening.
Hepatotoxicity
Drug-induced liver injury in conjunction with pruritus was reported in a
clinical trial subject following a longer than recommended induction
regimen. Omvoh was discontinued. Liver test abnormalities eventually
returned to baseline. Evaluate liver enzymes and bilirubin at baseline
and for at least 24 weeks of treatment. Monitor thereafter according to
routine patient management. Consider other treatment options in patients
with evidence of liver cirrhosis. Prompt investigation of the cause of
liver enzyme elevation is recommended to identify potential cases of
drug-induced liver injury. Interrupt treatment if drug-induced liver
injury is suspected, until this diagnosis is excluded. Instruct patients
to seek immediate medical attention if they experience symptoms
suggestive of hepatic dysfunction.
Immunizations
Avoid use of live vaccines in patients treated with Omvoh. Medications
that interact with the immune system may increase the risk of infection
following administration of live vaccines. Prior to initiating therapy,
complete all age-appropriate vaccinations according to current
immunization guidelines. No data are available on the response to live
or non-live vaccines in patients treated with Omvoh.
ADVERSE REACTIONS
Most common adverse reactions associated with Omvoh (≥2% of subjects and
at a higher frequency than placebo) in ulcerative colitis treatment are
upper respiratory tract infections and arthralgia during the induction
study (UC-1), and upper respiratory tract infections, injection site
reactions, arthralgia, rash, headache, and herpes viral infection during
the maintenance study (UC-2).
Most common adverse reactions associated with Omvoh in the Crohn's
disease study (CD-1) (≥5% of subjects and at a higher frequency than
placebo) are upper respiratory tract infections, injection site
reactions, headache, arthralgia, and elevated liver tests.
Omvoh injection is available as a 300 mg/15 mL solution in a single-dose
vial for intravenous infusion, and as a 100 mg/mL solution or a 200 mg/2
mL solution in a single dose prefilled pen or prefilled syringe for
subcutaneous injection. Refer to the Prescribing Information for dosing
information.
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