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  1. Home
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  3. Amgen Secures Fda Approval For Uplizna In Generalized Myasthenia Gravis
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  • 13 Dec 2025
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  • News Article

Amgen Secures FDA Approval for Uplizna in Generalized Myasthenia Gravis

Amgen has received US FDA approval for Uplizna (inebilizumab-cdon) to treat adults with generalized myasthenia gravis (gMG) who are AChR- or MuSK-antibody positive.

This approval introduces a new targeted treatment option that offers durable disease control with just two maintenance doses per year after initial loading doses.

Why This Approval Matters?

Generalized myasthenia gravis is a rare, chronic autoimmune disease that disrupts neuromuscular communication.

Patients often experience:

  • Muscle weakness
  • Difficulty breathing
  • Problems with speech, vision, and swallowing
  • Unpredictable disease flares

In the US alone, gMG affects 80,000–100,000 people, with limited long-term treatment options.

How Uplizna Works?

Uplizna is a humanized monoclonal antibody that targets CD19-positive B cells, which produce harmful autoantibodies in gMG.

By depleting these B cells, Uplizna addresses a root cause of disease, rather than only managing symptoms.

Key advantages include:

  • Targeted immune modulation
  • Sustained efficacy
  • Twice-yearly dosing after initial treatment

Strong Phase 3 Trial Results

The FDA approval is based on results from the MINT Phase 3 trial, the largest biologic study conducted in gMG.

Key efficacy outcomes at Week 26:

  • 1.9-point improvement in MG-ADL score versus placebo (p<0.0001)
  • Significant improvements in muscle strength (QMG score)
  • Benefits observed in both AChR+ and MuSK+ patients

Longer-term results:

  • Continued improvement through 52 weeks in AChR+ patients
  • Reduced disease burden with sustained symptom control

Steroid Reduction Built Into the Study

MINT was the first gMG trial to require steroid tapering.

By Week 26:

  • 87.4% of Uplizna patients reduced prednisone to ≤5 mg/day
  • This helps lower long-term steroid-related complications

 

Safety Profile

Uplizna was generally well tolerated. The most common side effects were:

  • Headache
  • Infusion-related reactions

No new safety concerns were identified during the trial.

A Growing Franchise for Amgen

This marks the third FDA-approved indication for Uplizna.

Previous approvals include:

  • Neuromyelitis optica spectrum disorder (NMOSD)
  • IgG4-related disease (IgG4-RD)

The gMG approval further strengthens Amgen’s presence in rare autoimmune diseases.

What This Means for Patients?

With Uplizna, patients gain:

  • Long-lasting symptom control
  • Fewer infusions per year
  • Reduced reliance on steroids
  • Improved daily function

For people living with gMG, this approval represents six months of treatment-free time between maintenance doses.

Bottom Line

The FDA approval of Uplizna introduces a first-in-class, B-cell–targeted therapy for generalized myasthenia gravis.

It expands treatment options, simplifies dosing, and addresses the disease at a biological level—offering meaningful progress for patients and clinicians alike.

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