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.