Key Takeaways NVS received CHMP support for remibrutinib to treat CSU patients unresponsive to H1 antihistamines.Phase III REMIX studies showed improved itch, hives and quality of life through week 52.Rhapsido is FDA-approved and is also being studied for other immune-mediated diseases.Novartis (NVS) announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has issued a positive opinion recommending marketing authorization for remibrutinib as an oral tre ...

Core Insights - Novartis announced FDA approval for Rhapsido (remibrutinib) as the first oral treatment for chronic spontaneous urticaria (CSU) in adults who remain symptomatic despite H1 antihistamine treatment [2][5][9] - Rhapsido is a twice-daily pill that targets Bruton's tyrosine kinase (BTK) to inhibit histamine release, providing a new treatment option for CSU patients [2][6][7] Company Developments - The approval is based on Phase III clinical trials (REMIX-1 and REMIX-2), showing Rhapsido's superiority in reducing itch and hives compared to placebo [6][8] - Rhapsido demonstrated a safety profile that does not require lab monitoring, with common adverse events including nasal congestion and headache [8] - Novartis is expanding its immunology portfolio with Rhapsido, which is also in development for other conditions like chronic inducible urticaria and food allergies [7][9] Industry Context - CSU affects approximately 1.7 million people in the US, with over half remaining symptomatic despite antihistamine treatment [7] - The approval of Rhapsido represents a significant advancement in CSU care, offering patients a convenient oral option that can improve their quality of life [5][9] - The treatment landscape for CSU has been limited, with many patients feeling underserved by existing therapies [5][4]