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FDA Clears Novartis' Rhapsido, First Oral BTK Inhibitor for Chronic Hives

The twice-daily BTK inhibitor provides an oral alternative for CSU patients uncontrolled on standard care.

Overview

  • Novartis says the U.S. list price is $4,521 for 30 days, with availability to patients in the coming days.
  • Approval rests on two late-stage trials showing significant gains over placebo in itch, hive counts, and overall disease activity.
  • The company reports some patients reached well-controlled disease by week 2 and about one-third had no hives or itch by week 12.
  • Novartis says the safety profile requires no lab monitoring and the drug targets BTK to temper overactive immune responses.
  • Regulatory filings are complete in the European Union and Japan, and China has granted a priority review; further studies are underway in other immune conditions.