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Beovu
Beovu (brolucizumab (rbe)) was approved for the following therapeutic use:
Beovu is indicated for the treatment of neovascular (wet) age-related macular degeneration (AMD).
Brolucizumab is a humanised monoclonal single-chain Fv (scFv) antibody fragment. Increased levels of signalling through the vascular endothelial growth factor A (VEGF-A) pathway are associated with pathological ocular angiogenesis and retinal oedema in age-related macular degeneration. Brolucizumab binds with picomolar affinity to VEGF-A isoforms (for example, VEGF110, VEGF121, and VEGF165), thereby preventing binding of VEGF-A to its receptors VEGFR-1 and VEGFR-2. By inhibiting VEGF-A binding to its receptors, brolucizumab suppresses endothelial cell proliferation, thereby reducing pathological neovascularisation and decreasing vascular permeability.
The decision was based on quality (chemistry and manufacturing), nonclinical (pharmacology and toxicology), clinical (pharmacology, safety and efficacy) and risk management plan information submitted by the sponsor. The benefit-risk profile of Beovu was considered favourable for the therapeutic use approved.