• Based on in vitro studies in an inflammatory monocyte model.2 The clinical significance of these findings is unknown

See dual-acting TREMFYA® in action

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In ulcerative colitis - or UC - inflammation can keep coming back, like relentless weeds. IL-23, an inflammatory cytokine, is one of the known drivers of inflammation in UC. Blocking IL-23 after it is produced can limit inflammation, but what if it were possible to block IL-23 inflammation at its cellular source? CD64-positive immune cells are the main producers, and the root source, of IL-23. TREMFYA (guselkumab) is the only dual-acting IL-23 inhibitor. TREMFYA works by blocking IL-23, a cytokine responsible for inflammation, and binding to CD64, a receptor on cells that produce IL-23. The clinical significance of these findings is unknown. TREMFYA is an IL-23 blocker indicated for the treatment of adult patients with moderately to severely active ulcerative colitis. Similar to other IL-23 inhibitors, TREMFYA binds to the p19 subunit of IL-23 and inhibits its interaction with the IL-23 receptor, thereby inhibiting the release of pro-inflammatory cytokines and chemokines. Unlike other IL-23 inhibitors, only TREMFYA is designed with a dual-acting structure that blocks IL-23 and also binds to CD64, a receptor on cells that produce IL-23. Binding to CD64 positions TREMFYA to block IL-23 at its cellular source, allowing it to work at the root of IL-23–driven inflammation. TREMFYA: the only dual-acting IL-23 inhibitor that neutralizes inflammation at its cellular source. Based on in vitro studies in an inflammatory monocyte model. The clinical significance of these findings is unknown.

  • CD64+ cells are the predominant source of IL-23 in UC. Cells not expressing CD64 may also contribute to IL-23 production but to a lesser extent.2,4

*"Only" based on approved selective IL-23 inhibitors for moderately to severely active UC as of September 2024.1,5,6

CD64=cluster of differentiation 64; IL-23=interleukin 23; IL-23i=IL-23 inhibitor.

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References: 1. TREMFYA® [Prescribing Information]. Horsham, PA: Janssen Biotech, Inc.​ 2. Atreya R, Abreu MT, Krueger JG, et al. Guselkumab, an IL-23p19 subunit-specific monoclonal antibody, binds CD64+ myeloid cells and potently neutralises IL-23 produced from the same cells. Poster presented at: 18th Congress of the European Crohn’s and Colitis Organisation (ECCO); March 1-4, 2023; Copenhagen, Denmark. Poster P504. 3. Sewell GW, Kaser A. Interleukin-23 in the pathogenesis of inflammatory bowel disease and implications for therapeutic intervention. J Crohns Colitis. 2022;16(suppl 2):ii3-ii19. doi: 10.1093/ecco-jcc/jjac034 4. Krueger JG, Eyerich K, Kuchroo VK, et al. IL-23 past, present, and future: a roadmap to advancing IL-23 science and therapy. Front Immunol. 2024;15:1331217. doi:10.3389/fimmu.2024.1331217 5. Skyrizi® [Prescribing Information]. North Chicago, IL: AbbVie Inc. 6. OmvohTM [Prescribing Information]. Indianapolis, IN: Eli Lilly and Company.