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FDA approves Novartis Rhapsido as first treatment for symptomatic dermographism

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Novartis has secured FDA approval for Rhapsido as the first treatment specifically approved for symptomatic dermographism in adults inadequately controlled by H1 antihistamines.


Rhapsido (remibrutinib) is an oral selective BTK inhibitor whose expanded indication is supported by the Phase III RemIND trial, in which approximately twice as many treated adults achieved complete hive resolution at Week 12 compared with placebo.


The decision extends Rhapsido beyond chronic spontaneous urticaria into symptomatic dermographism, a form of chronic inducible urticaria.

Field

Content

Article Type

Approvals

Drug Name

Rhapsido

Generic Name

Remibrutinib

Company

Novartis

Regulatory Authority

U.S. Food and Drug Administration

Approval Type

Expanded indication; first approved treatment for symptomatic dermographism

Indication

Symptomatic dermographism

Patient Population

Adults with symptomatic dermographism inadequately controlled by H1 antihistamines

Therapy Area

Dermatology; immunology; chronic inducible urticaria

Technology/Modality

Oral selective Bruton's tyrosine kinase inhibitor

Clinical Study

Phase III RemIND

Key Clinical Finding

Approximately twice as many Rhapsido-treated adults achieved complete hive resolution at Week 12 compared with placebo

Previous Indication

Chronic spontaneous urticaria

New Indication

Symptomatic dermographism

Geography

United States

What Happened

The FDA approved Rhapsido for adults with symptomatic dermographism inadequately controlled by H1 antihistamines.

Why It Matters

The decision establishes the first specifically approved treatment for symptomatic dermographism and introduces an oral targeted therapy for eligible patients.

Supporting Context

The Phase III RemIND study demonstrated improved complete hive resolution at Week 12 compared with placebo.

Potential Impact

The expanded indication could provide a new treatment option for adults whose symptoms remain inadequately controlled with antihistamines.

Key Takeaway

Novartis has secured a first-of-its-kind FDA approval for Rhapsido in symptomatic dermographism.

What to Watch

US commercial rollout, treatment guideline updates, clinician adoption and longer-term real-world effectiveness and safety.

Primary Source

Novartis

Relevant Date

7 October 2026


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