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FDA Approves Nipocalimab for Adult and Pediatric Myasthenia Gravis

  • On May 1, 2025, Johnson & Johnson obtained FDA approval for nipocalimab to treat generalized myasthenia gravis in patients 12 years and older, including both adults and adolescents, in the United States.
  • This approval follows J&J's 2020 acquisition of Momenta Pharmaceuticals for $6.5 billion, gaining nipocalimab, an FcRn blocker developed to target the broadest gMG patient population positive for anti-AChR and anti-MuSK antibodies.
  • Nipocalimab demonstrated sustained symptom relief and durable disease control over 24 weeks in pivotal studies including Vivacity-MG3 and Vibrance-MG, showing reductions in autoantibody levels up to 75% and 69% in adults and children respectively.
  • Johnson & Johnson has priced Imaavy at $12,480 for each vial, aiming to offer a competitive option within the FcRn blocker class alongside Argenx’s Vyvgart and UCB’s Rystiggo. The company anticipates that this therapy could eventually generate annual sales of up to $5 billion across a range of indications.
  • Approval of nipocalimab broadens treatment options for a disease affecting about 700,000 people worldwide, including underserved pediatric patients, and suggests potential expansion into other autoantibody-driven diseases now under J&J’s development.
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neurologylive.com broke the news in on Wednesday, April 30, 2025.
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