https://u7061146.ct.sendgrid.net/ls/click?upn=3Du001.gqh-2BaxUzlo7XKIuSly0r=
CyBv9bezcPT-2BuItTLKIHepbxTbo-2FYbVFPSBekB-2Bmk9X7Kl8shoTE6BsSbYYjHYcOVCrOC=
rjYrJUHPDVbu1NKaBE-3DAB0b_2dCLUNbuBjhX746-2FvM63L9Hyn3KnTFGM-2BPPGCjZgmJl-2=
FKl1Z2nt-2BIfez2IJ0TSaz3mplcEW6ZopJ4gUd4Ia3MTdQeFO93DwfIxs8cV3s33SbkEZvEGLN=
n-2B6FohpNoV33fapog-2FIENHAbDLGXQN0JqmvqjLti0oFAjFBJ30x9OZKGRLeGEccsItg52zc=
Wuw4k2mudYEAZknZ-2Bs38AqbArQu4bAEhEp1LTkIA-2BOPCkSOWMn8mt7HI5p3mAkDB2lBCq6l=
5OzgmbowVG9M9lYPy6AmefIyhmaWxLJ-2F5rgZRDbdmH49TUgxtboHvh-2F6YME5tULPMUQcmFx=
n-2B0n9dxyXwUZ5r8Mk7Hg28NzkM75ayK2ek-3D
** Bimekizumab 48-week Phase 3 analyses in moderate to severe hidradenitis =
suppurativa showed sustained improvements in skin pain and draining tunnel =
count
------------------------------------------------------------
=C2=B7 Patients treated with bimekizumab demonstrated clinically meaningful=
improvements in skin pain up to 48 weeks, across various assessed outcomes
=C2=B7 At Week 16, patients treated with bimekizumab demonstrated greater d=
raining tunnel reductions versus placebo that were sustained or improved to=
Week 48
=C2=B7 Disease-associated pain and draining tunnels can highly impact the q=
uality of life of people living with moderate to severe hidradenitis suppur=
ativa
Brussels (Belgium), 8 March, 2024 =E2=80=93 18:00 (CET) =E2=80=93 UCB, a gl=
obal biopharmaceutical company, today announced 48-week post-hoc analyses o=
f pooled Phase 3 data from the BE HEARD I and BE HEARD II studies examining=
the impact of bimekizumab on skin pain and draining tunnels in adults with=
moderate to severe hidradenitis suppurativa (HS). These results are shared=
at the 2024 American Academy of Dermatology (AAD) Annual Meeting in San Di=
ego, California, U.S., March 8=E2=80=9312.
Analyses showed that bimekizumab-treated patients reported clinically meani=
ngful improvements in skin pain up to 48 weeks across various assessed outc=
omes, including the HS Symptom Questionnaire (HSSQ) skin pain item, the Pat=
ient Global Impression of Severity of Skin Pain (PGI-S-SP) and the Change i=
n Severity of Skin Pain (PGI-C-SP).[1] Additionally, patients demonstrated =
greater reductions in draining tunnel count compared to those on placebo at=
Week 16. Responses were either sustained or improved to Week 48.[2]^
=E2=80=9CThe majority of patients with hidradenitis suppurativa experience =
disease-associated pain that can impact their quality-of-life. Data from th=
e Phase 3 studies show that after 48 weeks of bimekizumab treatment approxi=
mately six out of ten patients rated their skin pain =E2=80=98much better=
=E2=80=99,=E2=80=9D said Dr. Hadar Lev-Tov, MD, Associate Professor, Dr. Ph=
illip Frost Department of Dermatology and Cutaneous Surgery, University of =
Miami, Miller School of Medicine, Florida, U.S.=C2=A0=E2=80=9CThese long-te=
rm results are encouraging, especially given that pain is a common complain=
t in people with HS that dermatologists struggle with daily.=E2=80=9D
=E2=80=9CThe bimekizumab 48-week long-term data in moderate to severe hidra=
denitis suppurativa showed sustained improvements in skin pain and draining=
tunnel count. These positive results underscore our commitment to developi=
ng solutions that make a meaningful and lasting difference to peoples=E2=80=
=99 lives,=E2=80=9D said Emmanuel Caeymaex, Executive Vice President, Immun=
ology Solutions and Head of U.S., UCB. =E2=80=9CWe are actively pursuing re=
gulatory applications across the globe to bring bimekizumab to the hidraden=
itis suppurativa community.=E2=80=9D
Bimekizumab is not approved for the treatment of moderate to severe HS by a=
ny regulatory authority worldwide. The efficacy and safety profile of bimek=
izumab in the treatment of moderate to severe HS have not been established =
and this is an investigational indication only.
At baseline, adult patients (N=3D1,014) were randomized 2:2:2:1 (initial/ma=
intenance) to receive, either bimekizumab 320 mg every two weeks Q2W/Q2W (n=
=3D288), bimekizumab Q2W/Q4W (n=3D292), bimekizumab Q4W/Q4W (n=3D288) or pl=
acebo/bimekizumab Q2W (n=3D146).^1^,^2 Across treatment groups, the mean ba=
seline HSSQ skin pain score was 5.8 (on a scale of 0-10, with higher score =
indicating more pain).^1 At baseline, 72.8 percent of patients had draining=
tunnels with the count comparable across regimens (mean range 3.3=E2=80=93=
3.8).^2
Highlights of the bimekizumab data in moderate to severe HS presented at AA=
D 2024:
Impact on pain:
=C2=B7 At Week 48, HSSQ skin pain response was achieved by 64.6=E2=80=9375.=
7 percent of patients.^1^*
=C2=B7 At Week 48, HSSQ skin pain score of 0 was achieved by 12.7=E2=80=931=
9.8 percent of patients.^1^*
=C2=B7 From Weeks 0=E2=80=9348, HSSQ skin pain scores reduced by 36.9=E2=80=
=9343.7 percent across treatment groups.^1^=C2=B1
=C2=B7 At Week 48, 55.9=E2=80=9363.7 percent of patients rated their skin p=
ain =E2=80=9Cmuch better=E2=80=9D using the PGI-C-SP.^1^*
=C2=B7 At Week 48, 3.9=E2=80=937.8 percent rated PGI-S-SP =E2=80=9Csevere=
=E2=80=9D vs. 28.5-33.3 percent at baseline and 45.6=E2=80=9347.4 rated PGI=
-S-SP =E2=80=9Cmild=E2=80=9D vs. 15.1=E2=80=9316.7 percent at baseline.^1^*
Impact on draining tunnel count:
=C2=B7 At Week 16, the draining tunnel percent change from baseline (CfB) w=
as higher with bimekizumab vs. placebo (-43.9 to -45.7 vs. -21.5 percent). =
Bimekizumab-treated patients also saw greater absolute changes in draining =
tunnel count vs. placebo.^2^=C2=B1
=C2=B7 The percentage and absolute CfB increased through Week 48 across all=
bimekizumab groups.^2^=C2=B1
=C2=B7 At Week 16, greater proportions of bimekizumab-treated patients saw =
draining tunnel reductions of three or more vs. those on placebo (58.0=E2=
=80=9370.6 vs. 35.0 percent), with responses sustained or improved to Week =
48 across regimens (79.4=E2=80=9388.7 percent).^2^*
^*Observed case. =C2=B1Multiple imputation
Notes to editors:
About hidradenitis suppurativa (HS)
Hidradenitis suppurativa (HS) is a chronic, recurring, painful, and debilit=
ating inflammatory skin disease.[3]^,[4]^ The main symptoms are nodules, ab=
scesses, and pus-discharging draining tunnels (or sinus tracts leading out =
of the skin) which typically occur in the armpits, groin, and buttocks.^3^,=
^4 People with HS experience flare-ups of the disease as well as severe pai=
n, which can have a major impact on quality of life.^3^,^4 HS develops in e=
arly adulthood and affects approximately one percent of the population in m=
ost studied countries.^3^,^4
About BE HEARD I and BE HEARD II
The efficacy and safety profile of bimekizumab were evaluated in adult pati=
ents with moderate to severe hidradenitis suppurativa (HS) in two multicent=
re, randomized, double-blind, placebo-controlled Phase 3 studies (BE HEARD =
I and BE HEARD II).[5]^,[6] The two studies had a combined enrolment of 1,0=
14 participants.^5^,^6 The primary endpoint in both trials was HiSCR50 at W=
eek 16.^5^,^6 A key secondary endpoint was HiSCR75 at Week 16.^5^,^6 HiSCR5=
0 and HiSCR75 are defined as at least either a 50 or 75 percent reduction f=
rom baseline in the total abscess and inflammatory nodule count, with no in=
crease from baseline in abscess or draining tunnel count.^5^,^6
About BIMZELX^=C2=AE
BIMZELX^=C2=AE is a humanized monoclonal IgG1 antibody that is designed to =
selectively inhibit both interleukin 17A (IL-17A) and interleukin 17F (IL-1=
7F), two key cytokines driving inflammatory processes.[7]
In the U.S., bimekizumab-bkzx is approved for the treatment of moderate to =
severe plaque psoriasis in adults who are candidates for systemic therapy o=
r phototherapy.[8]
Bimekizumab is not approved in the U.S. for the treatment of moderate to se=
vere hidradenitis suppurativa (HS). The efficacy and safety profile of bime=
kizumab in HS have not been established, and it is not approved for use in =
HS by any regulatory authority worldwide.
The approved indications for bimekizumab in the European Union are:[9]
=C2=B7 Plaque psoriasis: Bimekizumab is indicated for the treatment of mode=
rate to severe plaque psoriasis in adults who are candidates for systemic t=
herapy. 9
=C2=B7 Psoriatic arthritis: Bimekizumab, alone or in combination with metho=
trexate, is indicated for the treatment of active psoriatic arthritis in ad=
ults who have had an inadequate response or who have been intolerant to one=
or more disease-modifying antirheumatic drugs (DMARDs). 9
=C2=B7 Axial Spondyloarthritis: Bimekizumab is indicated for the treatment =
of adults with active non=E2=80=91radiographic axial spondyloarthritis with=
objective signs of inflammation as indicated by elevated C=E2=80=91reactiv=
e protein (CRP), and/or magnetic resonance imaging (MRI), who have responde=
d inadequately or are intolerant to non-steroidal anti-inflammatory drugs (=
NSAIDs), and for the treatment of adults with active ankylosing spondylitis=
who have responded inadequately or are intolerant to conventional therapy.=
^9
The label information may differ in other countries where approved. Please =
check local prescribing information.
In the U.S., bimekizumab-bkzx is not approved for the treatment of psoriati=
c arthritis or axial spondyloarthritis and these are investigational indica=
tions only.
BIMZELX U.S. IMPORTANT SAFETY INFORMATION^8
Please see Important Safety Information below and full U.S. prescribing inf=
ormation at www.UCB- (https://u7061146.ct.sendgrid.net/ls/click?upn=3Du001.=
b00YhNV2Nr0-2BaZn7eVNAdfGZi1a7X9NeZMGrLhKNUu7h9rj85yIm-2BJQyDHDxAfTjDGCgwTQ=
-2Fy3VuTuEtRgHDMw-3D-3Dwmtb_2dCLUNbuBjhX746-2FvM63L9Hyn3KnTFGM-2BPPGCjZgmJl=
-2FKl1Z2nt-2BIfez2IJ0TSaz3mplcEW6ZopJ4gUd4Ia3MTdQeFO93DwfIxs8cV3s33SbkEZvEG=
LNn-2B6FohpNoV33fapog-2FIENHAbDLGXQN0JqmvqjLti0oFAjFBJ30x9OZKGRLeGEccsItg52=
zcWuw4k2mudYEAZknZ-2Bs38AqbArQpN4luGf5lLhFDs2rjCNJAjq2kq8pLxjBrjUMaCcc1m6a3=
OeGfLrFlGRWNYkCF-2Fs-2BT0CcMbKQXSkBTjl0XzXYWEHTdT-2BWSrPmGi7f-2B9AQ2G3aLQbE=
kO95qIhPcusmsOnlC-2FYuVNqFmcMeC7aUF-2FDQ2s-3D USA.com/Innovation/Products/B=
IMZELX (https://u7061146.ct.sendgrid.net/ls/click?upn=3Du001.b00YhNV2Nr0-2B=
aZn7eVNAdfGZi1a7X9NeZMGrLhKNUu7h9rj85yIm-2BJQyDHDxAfTjDGCgwTQ-2Fy3VuTuEtRgH=
DMw-3D-3DP8bH_2dCLUNbuBjhX746-2FvM63L9Hyn3KnTFGM-2BPPGCjZgmJl-2FKl1Z2nt-2BI=
fez2IJ0TSaz3mplcEW6ZopJ4gUd4Ia3MTdQeFO93DwfIxs8cV3s33SbkEZvEGLNn-2B6FohpNoV=
33fapog-2FIENHAbDLGXQN0JqmvqjLti0oFAjFBJ30x9OZKGRLeGEccsItg52zcWuw4k2mudYEA=
ZknZ-2Bs38AqbArQq1O2Epi2iHeaZAyTIHVIGDLsu2Ez-2F8G7sFOc9u4-2Fv3K1hlzs3wg3FQ5=
TY-2Fl-2FaF6N10lFzOU1TwBrwe21E9uZpEGtBqnC9zSZboms5Zbuc9Ra-2FyMrrIZ9pNhtZ6Xv=
AXEufUfB6ANXxAMW9l-2By2x2048-3D .=C2=A0
Suicidal Ideation and Behavior
BIMZELX^=C2=AE (bimekizumab-bkzx) may increase the risk of suicidal ideatio=
n and behavior (SI/B). A causal association between treatment with BIMZELX =
and increased risk of SI/B has not been established. Prescribers should wei=
gh the potential risks and benefits before using BIMZELX in patients with a=
history of severe depression or SI/B. Advise monitoring for the emergence =
or worsening of depression, suicidal ideation, or other mood changes. If su=
ch changes occur, advise to promptly seek medical attention, refer to a men=
tal health professional as appropriate, and re- evaluate the risks and bene=
fits of continuing treatment.
Infections
BIMZELX may increase the risk of infections. Do not initiate treatment with=
BIMZELX in patients with any clinically important active infection until t=
he infection resolves or is adequately treated. In patients with a chronic =
infection or a history of recurrent infection, consider the risks and benef=
its prior to prescribing BIMZELX. Instruct patients to seek medical advice =
if signs or symptoms suggestive of clinically important infection occur. If=
a patient develops such an infection or is not responding to standard ther=
apy, monitor the patient closely and do not administer BIMZELX until the in=
fection resolves.
Tuberculosis
Evaluate patients for tuberculosis (TB) infection prior to initiating treat=
ment with BIMZELX. Avoid the use of BIMZELX in patients with active TB infe=
ction. Initiate treatment of latent TB prior to administering BIMZELX. Cons=
ider anti-TB therapy prior to initiation of BIMZELX in patients with a past=
history of latent or active TB in whom an adequate course of treatment can=
not be confirmed. Closely monitor patients for signs and symptoms of active=
TB during and after treatment.
Liver Biochemical Abnormalities
Elevated serum transaminases were reported in clinical trials with BIMZELX.=
Test liver enzymes, alkaline phosphatase and bilirubin at baseline, period=
ically during treatment with BIMZELX and according to routine patient manag=
ement. If treatment-related increases in liver enzymes occur and drug-induc=
ed liver injury is suspected, interrupt BIMZELX until a diagnosis of liver =
injury is excluded. Permanently discontinue use of BIMZELX in patients with=
causally associated combined elevations of transaminases and bilirubin. Av=
oid use of BIMZELX in patients with acute liver disease or cirrhosis.
Inflammatory Bowel Disease
Cases of inflammatory bowel disease (IBD) have been reported in patients tr=
eated with IL-17 inhibitors, including BIMZELX. Avoid use of BIMZELX in pat=
ients with active IBD. During BIMZELX treatment, monitor patients for signs=
and symptoms of IBD and discontinue treatment if new onset or worsening of=
signs and symptoms occurs.
Immunizations
Prior to initiating therapy with BIMZELX, complete all age-appropriate vacc=
inations according to current immunization guidelines. Avoid the use of liv=
e vaccines in patients treated with BIMZELX.
Most Common Adverse Reactions
Most common adverse reactions (=E2=89=A5 1%) are upper respiratory infectio=
ns, oral candidiasis, headache, injection site reactions, tinea infections,=
gastroenteritis, Herpes Simplex Infections, acne, folliculitis, other Cand=
ida infections, and fatigue.
** BIMZELX^=C2=AE=E2=96=BC(bimekizumab) EU/EEA* Important Safety Informatio=
n^9
------------------------------------------------------------
The most frequently reported adverse reactions with bimekizumab were upper =
respiratory tract infections (14.5%, 14.6%, 16.3% in plaque psoriasis (PSO)=
, psoriatic arthritis (PsA) and axial spondyloarthritis (axSpA), respective=
ly) and oral candidiasis (7.3%, 2.3%, 3.7% in PSO, PsA and axSpA, respectiv=
ely). Common adverse reactions (=E2=89=A51/100 to <1/10) were oral candidia=
sis, tinea infections, ear infections, herpes simplex infections, oropharyn=
geal candidiasis, gastroenteritis, folliculitis, headache, rash, dermatitis=
and eczema, acne, injection site reactions, fatigue. Elderly may be more l=
ikely to experience certain adverse reactions such as oral candidiasis, der=
matitis and eczema when using bimekizumab.
Bimekizumab is contraindicated in patients with hypersensitivity to the act=
ive substance or any of the excipients and in patients with clinically impo=
rtant active infections (e.g. active tuberculosis).
Bimekizumab may increase the risk of infections. Treatment with bimekizumab=
must not be initiated in patients with any clinically important active inf=
ection. Patients treated with bimekizumab should be instructed to seek medi=
cal advice if signs or symptoms suggestive of an infection occur. If a pati=
ent develops an infection the patient should be carefully monitored. If the=
infection becomes serious or is not responding to standard therapy, treatm=
ent should be discontinued until the infection resolves.
Prior to initiating treatment with bimekizumab, patients should be evaluate=
d for tuberculosis (TB) infection. Bimekizumab should not be given in patie=
nts with active TB. Patients receiving bimekizumab should be monitored for =
signs and symptoms of active TB.
Cases of new or exacerbations of inflammatory bowel disease have been repor=
ted with bimekizumab. Bimekizumab is not recommended in patients with infla=
mmatory bowel disease. If a patient develops signs and symptoms of inflamma=
tory bowel disease or experiences an exacerbation of pre-existing inflammat=
ory bowel disease, bimekizumab should be discontinued and appropriate medic=
al management should be initiated.
Serious hypersensitivity reactions including anaphylactic reactions have be=
en observed with IL-17 inhibitors. If a serious hypersensitivity reaction o=
ccurs, administration of bimekizumab should be discontinued immediately and=
appropriate therapy initiated.
Live vaccines should not be given in patients treated with bimekizumab.
Please consult the Summary of Product Characteristics in relation to other =
side effects, full safety and prescribing information.
European SmPC date of revision: November 2023.
https://u7061146.ct.sendgrid.net/ls/click?upn=3Du001.gqh-2BaxUzlo7XKIuSly0r=
C2tJ60H3Fdk1VajTAIAj7NPJeYj-2Ba-2BL1r-2B0jLM-2FtfvSeD3KLQsazq58-2BxwfyV7LSQ=
d4uSQwA6JMudpi5XOwHZtyAHZJBd6YRdp1RSNV5wqOW9bXtWvsAqZERe5h1aJ-2FJNQ-3D-3D2D=
Ib_2dCLUNbuBjhX746-2FvM63L9Hyn3KnTFGM-2BPPGCjZgmJl-2FKl1Z2nt-2BIfez2IJ0TSaz=
3mplcEW6ZopJ4gUd4Ia3MTdQeFO93DwfIxs8cV3s33SbkEZvEGLNn-2B6FohpNoV33fapog-2FI=
ENHAbDLGXQN0JqmvqjLti0oFAjFBJ30x9OZKGRLeGEccsItg52zcWuw4k2mudYEAZknZ-2Bs38A=
qbArQnanWOlk-2FyI-2BK7L8-2FMHlrEaLrpkxBwEpQKjfrRyFQFlEDagqTqMEPiSkjCMYThbiK=
wHjKjd4UTnj5Y9H2VTTGcROWg6OX5hZa3qXvetKWWcBhc7DS7jOhpLwzknne0-2Fhya-2BL9H8k=
ZLODYIlTGiVNC90-3D
*EU/EEA means European Union/European Economic Area Last accessed: March 20=
24.
=E2=96=BCThis medicinal product is subject to additional monitoring. This w=
ill allow quick identification of new safety information. Healthcare profes=
sionals are asked to report any suspected adverse reactions.
For further information, contact UCB:
Investor Relations
Antje Witte
T +32.2.559.94.14
email antje.witte@ucb.com (mailto:antje.witte@ucb.com)
Corporate Communications
Laurent Schots
T +32.2.559.92.64
email laurent.schots@ucb.com (mailto:laurent.schots@ucb.com)
Brand Communications
Eimear O=E2=80=99Brien
T +32.2.559.92.71
email eimear.obrien@ucb.com (mailto:eimear.obrien@ucb.com)
About UCB
UCB, Brussels, Belgium (www.ucb.com) is a global biopharmaceutical company =
focused on the discovery and development of innovative medicines and soluti=
ons to transform the lives of people living with severe diseases of the imm=
une system or of the central nervous system. With approximately 9,000 peopl=
e in approximately 40 countries, the company generated revenue of =E2=82=AC=
5.3 billion in 2023. UCB is listed on Euronext Brussels (symbol: UCB). Foll=
ow us on Twitter: @UCB_news.
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t limitation, statements containing the words =E2=80=9Cbelieves=E2=80=9D, =
=E2=80=9Canticipates=E2=80=9D, =E2=80=9Cexpects=E2=80=9D, =E2=80=9Cintends=
=E2=80=9D, =E2=80=9Cplans=E2=80=9D, =E2=80=9Cseeks=E2=80=9D, =E2=80=9Cestim=
ates=E2=80=9D, =E2=80=9Cmay=E2=80=9D, =E2=80=9Cwill=E2=80=9D, =E2=80=9Ccont=
inue=E2=80=9D and similar expressions. These forward-looking statements are=
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s in general economic, business and competitive conditions, the inability t=
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ons, safety, quality, data integrity or manufacturing issues; potential or =
actual data security and data privacy breaches, or disruptions of our infor=
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References
1. Orenstein L, Shi V, Lev-Tov H, et al. Bimekizumab impact on pain in mode=
rate to severe hidradenitis suppurativa: Week 48 results from BE HEARD I & =
II. Abstract at the 2024 American Academy of Dermatology Annual Meeting, Sa=
n Diego, CA, U.S., March 8=E2=80=9312, 2024.
1. Zouboulis CC, Hsiao J, Reguiai Z, et al. Bimekizumab impact on draining =
tunnels in patients with moderate to severe hidradenitis suppurativa: Poole=
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hX746-2FvM63L9Hyn3KnTFGM-2BPPGCjZgmJl-2FKl1Z2nt-2BIfez2IJ0TSaz3mplcEW6ZopJ4=
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qmvqjLti0oFAjFBJ30x9OZKGRLeGEccsItg52zcWuw4k2mudYEAZknZ-2Bs38AqbArQqTs7vTRN=
xQjkbbwvm6kQ4n6aPGC845znqwNs9utvItx6CtIzSmC-2BbmfEyYnxbjtsoxucKWxtB2tYD1z1y=
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2BaxUzlo7XKIuSly0rC01soZwuNnrsR8mFaEy8YaOQaERx5QgNLsjH5WYhRNm8yikbRQvzAzPoE=
NYToh6Xa6YDzQlyu0BJ1SHmMRLTlys-3DAHpv_2dCLUNbuBjhX746-2FvM63L9Hyn3KnTFGM-2B=
PPGCjZgmJl-2FKl1Z2nt-2BIfez2IJ0TSaz3mplcEW6ZopJ4gUd4Ia3MTdQeFO93DwfIxs8cV3s=
33SbkEZvEGLNn-2B6FohpNoV33fapog-2FIENHAbDLGXQN0JqmvqjLti0oFAjFBJ30x9OZKGRLe=
GEccsItg52zcWuw4k2mudYEAZknZ-2Bs38AqbArQudQn32m55gwm5CzXv3nG6qhhWE3-2Bp5nkF=
lgtFshPZPRU49zccpXYZbHFshL5M2uV-2FogW52hXg3s01B2Q56ZowYjAYxtfkJ3-2B04eCsv5x=
c1yPX0vqXWx8wSBvH7jQwucH-2FgzGR5Wz5nx2XcsIuLoQSE-3D =C2=A0Accessed date: Ma=
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1. BIMZELX^=C2=AE (bimekizumab-bkzx) U.S. PI. https://u7061146.ct.sendgrid.=
net/ls/click?upn=3Du001.gqh-2BaxUzlo7XKIuSly0rC8ikjD3-2B-2FLuLRRIcxGl3OVRMl=
d-2BlylPyaHB5-2F88LuoKZ9UGq4aHxAiJW023RnaEtLA-3D-3DrwKw_2dCLUNbuBjhX746-2Fv=
M63L9Hyn3KnTFGM-2BPPGCjZgmJl-2FKl1Z2nt-2BIfez2IJ0TSaz3mplcEW6ZopJ4gUd4Ia3MT=
dQeFO93DwfIxs8cV3s33SbkEZvEGLNn-2B6FohpNoV33fapog-2FIENHAbDLGXQN0JqmvqjLti0=
oFAjFBJ30x9OZKGRLeGEccsItg52zcWuw4k2mudYEAZknZ-2Bs38AqbArQiHGNVevTkoufmCPD7=
blZyO8KZIDbEHqhhHJFLEx8QmIFtr-2FVZU0oluoGW7alCE7LxfU9CSNSNuanwI8uMTdssSNLaS=
s-2FHxkzWohIQDo78CFb6oKtLoeI8O46DG8NX6rEI4QU2d3adRntP7q-2BVpH46U-3D Accesse=
d: March 2024.
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sendgrid.net/ls/click?upn=3Du001.gqh-2BaxUzlo7XKIuSly0rC2tJ60H3Fdk1VajTAIAj=
7NPJeYj-2Ba-2BL1r-2B0jLM-2FtfvSeD3KLQsazq58-2BxwfyV7LSQd4uSQwA6JMudpi5XOwHZ=
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zpWI-2BUqUnwu3xFiwKXg9fm6PDRnbhzyDDOzF-2FrNvZfIZ6xZ5Ppe9T6g1-2B5JWoVQ2NWhU9=
pB1MxTwJ8YLaS6-2B7ZMIJGQwAGKGH3NCzh4rtpKPkPr4VhHU8ed5bMw4r0GXL-2Bd3E-3D Acc=
essed: March 2024.
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