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
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.