SAFETY PROFILE FOR SKYRIZI

Consistent Safety Profile Observed up to ~10 Years in Crohn’s and UC2-9

SKYRIZI SAFETY PROFILE

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  Crohn's Week 12 UC Week 12
  AFFIRM ADVANCE & MOTIVATE
(Pooled Induction Trial Data)
INSPIRE
Adverse Events (AEs) SKYRIZI 720 mg SC
N=191
Placebo
N=98
SKYRIZI 600 mg IV*
N=620
Placebo
N=432
SKYRIZI 1200 mg IV†
N=712
Placebo
N=383
Treatment-emergent AEs % % % % % %
Any AE 42.4 59.2 54.7 63.4 42.3 51.7
Serious AE 0.5 3.1 6.6 15.5 2.7 10.2
AE Leading to Discontinuation of
Study Drug
0 1.0 2.1 8.6 0.8 4.4
Death 0 0 0 0.5 0.1 0
AEs of Special Interest % % % % % %
Infections            
Infections 12.6 17.3 19.7 24.8 14.9 16.7
Serious Infection 0 0 1.0 3.7 0.7 1.0
Opportunistic Infection (Excluding TB/Herpes Zoster) 0 0 0 0.7 0 0
Active Tuberculosis (TB) 0 0 0.2 0.2 0 0
Herpes Zoster 0 0 0.3 0.2 0.3 0.3
Malignancy            
NMSC 0 0 0 0 0 0
Malignancy (Excluding NMSC) 0 0 0 0 0 0.8
Cardiovascular Events            
Adjudicated MACE‡ 0 0 0 0 0 0
Other            
Hypersensitivity (Serious Events Only) 0 0 0.2 0.2 0 0.3
Adjudicated Anaphylactic Reaction 0 0 0 0 0 0
Hepatic Events 0.5 5.1 1.6 1.6 1.5 4.2
Injection Site Reactions 2.1 1.0 0.8 1.2 0.7 1.6

SKYRIZI is contraindicated in patients with a history of serious hypersensitivity reaction to risankizumab-rzaa or any of the excipients.1

In the treatment of Crohn’s, drug-induced liver injury during induction has been reported. For the treatment of Crohn’s disease and ulcerative colitis, evaluate liver enzymes and bilirubin levels at baseline and during induction (12 weeks). Monitor thereafter according to routine patient management.1

In the Crohn’s 12-week SC and IV induction studies, the most common adverse reactions (>3% of patients and at a higher rate than placebo) include upper respiratory infections,§ headache, and arthralgia.1

In the UC 12-week induction study, the most common adverse reactions (≥3% of patients and at a higher rate than placebo) include arthralgia.1

In maintenance, the most common adverse reactions (~3%) associated with SKYRIZI in Crohn’s were arthralgia, abdominal pain,|| injection site reactions, anemia, pyrexia, back pain, arthropathy, and urinary tract infection, and in UC were arthralgia, pyrexia, injection site reactions,¶# and rash.1**

The overall safety profile observed for AFFIRM Induction Study was generally consistent with IV induction studies.

*Data pooled from 12-week SKYRIZI induction treatment in patients with moderately to severely active Crohn's disease in two randomized, double-blind, placebo-controlled induction studies (CD-1, CD-2) and a randomized, double-blind, placebo-controlled, dose-finding study (CD-4; NCT02031276).4

†Data are integrated from a Phase 2b and a Phase 3 clinical trial in UC.

‡Defined as cardiovascular death, non-fatal myocardial infarction, and non-fatal stroke.5

§Includes influenza-like illness, nasopharyngitis, influenza, pharyngitis, upper respiratory tract infection, viral upper respiratory tract infection, COVID-19, nasal congestion, respiratory tract infection viral, viral pharyngitis, tonsillitis, and upper respiratory tract inflammation.1

||Includes abdominal pain, abdominal pain upper, and abdominal pain lower.1

Some subjects had multiple occurrences of injection site reactions. In this table, injection site reactions are counted only once per subject for the rate calculations.1

#Includes application site pain, injection site erythema, injection site pain, injection site pruritus, and injection site reaction.1

**Includes rash and rash macular.1

AEs=adverse events; IV=intravenous; MACE=major adverse cardiovascular event; NMSC=nonmelanoma skin cancer; SC=subcutaneous; TB=tuberculosis.

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  FORTIFY
Crohn's at Week 52
COMMAND
UC at Week 52*
Adverse Events (AEs) SKYRIZI
180 mg SC
N=155, PYs=149.4
SKYRIZI
360 mg SC
N=142, PYs=134.8
Continuous
Placebo
N=81, PYs=60.5
Placebo
(induction responders)
N=143, PYs=124.4
SKYRIZI 180 mg SC
N=170, PYs=163.4
SKYRIZI 360 mg SC
N=177, PYs=159.0
Continuous Placebo
N=68, PYs=52.3
Placebo (induction responders)
N=173, PYs=155.7
Treatment-emergent AEs % % % % % % % %
Any AE 69 70 75 71 70 70 68 75
Serious AE 11 13 16 10 4 5 12 8
AE Leading to Discontinuation of Study Drug 2 3 6 2 2 2 6 1
Death 0 0 0 0 0 0.6 0 0
AEs of Special Interest %
(E/100 PYs)
%
(E/100 PYs)
%
(E/100 PYs)
%
(E/100 PYs)
%
(E/100 PYs)
%
(E/100 PYs)
%
(E/100 PYs)
%
(E/100 PYs)
Infections                
Infections 32
(50.2)
37
(60.8)
33
(66.1)
36
(60.3)
32
(69.1)
36
(59.1)
27
(49.7)
36
(60.4)
Serious Infection 3
(2.7)
6
(7.4)
4
(8.3)
2
(2.4)
1.2 (1.2) 0.6
(0.6)
1.5
(3.8)
1.7
(1.9)
Opportunistic Infection (Excluding TB/Herpes Zoster)† 0 1
(0.7)
0 0 0 0.6
(0.6)
0 0
Active Tuberculosis (TB) 0 0 0 0 0 0 0 0
Herpes Zoster 1
(1.3)
0 0 1
(0.8)
0.6
(0.6)
0.6
(0.6)
0 1.7
(1.9)
Malignancy                
NMSC 0 0 0 1
(0.8)
0 0 0 0.6
(0.6)
Malignancy (Excluding NMSC)‡ 0 0 0 0 0 1
(1.3)
0 0
Cardiovascular Events                
Adjudicated MACE§ 0 1
(0.7)
0 1
(0.8)
0 0 0 0
Other                
Hypersensitivity (Serious Events Only) 0 0 0 0 0 0 0 0
Adjudicated Anaphylactic Reaction 0 0 0 0 0 0 0 0
Hepatic Events|| 3
(4.7)
5
(6.7)
1
(1.7)
2
(2.4)
2
(1.8)
7
(11.3)
3
(3.8)
0.6
(1.9)
Injection Site Reactions 5
(10.0)
6
(13.4)
0 3
(4.8)
3
(7.3)
3
(6.3)
1.5
(7.6)
1
(1.9)

SKYRIZI is contraindicated in patients with a history of serious hypersensitivity reaction to risankizumab-rzaa or any of the excipients.1

In the treatment of Crohn’s, drug-induced liver injury during induction has been reported. For the treatment of Crohn’s disease and ulcerative colitis, evaluate liver enzymes and bilirubin levels at baseline and during induction (12 weeks). Monitor thereafter according to routine patient management.1

In the Crohn's 52-week maintenance study, the most common adverse reactions (>3% of patients and at a higher rate than placebo) include arthralgia, abdominal pain, injection site reactions, anemia, pyrexia, back pain, arthropathy, and urinary tract infection.1

In the UC 52-week maintenance study, the most common adverse reactions (≥3% of patients and at a higher rate than placebo) include arthralgia, pyrexia, injection site reactions, and rash.1

Continuous Placebo: Patients who responded to placebo in induction (CR-100) were not randomized and continued on placebo in maintenance. These patients were not included in the primary efficacy analysis.10

Placebo (Induction Responders): Patients who achieved clinical response to SKYRIZI induction therapy and were randomized to receive placebo in the maintenance study.1

*Includes patients who received 1200 mg or 1800 mg IV in the Phase 2b/3 INSPIRE induction study. The 1800 mg is not an FDA-approved induction dose.8

†In the Crohn’s long-term safety study, there was one non-serious event of opportunistic infection (Aeromonas infection); one serious event of disseminated histoplasmosis occurred.5

‡In the Crohn’s long-term safety study, there were two serious events of malignancies excluding NMSCs that occurred in the long-term extension (intestinal carcinoma and thyroid papillary carcinoma).5

§In the Crohn’s long-term safety study, defined as cardiovascular death, non-fatal myocardial infarction, and non-fatal stroke.5

||In the Crohn’s long-term safety study, most hepatic events were liver enzyme elevations; none of the events were serious.5,11

Clinical response was defined as a reduction of CDAI score ≥100 points from baseline and a decrease in modified Mayo Score ≥2 and ≥30% from baseline, and decrease in RBS ≥1 or an absolute RBS ≤1.1

AEs=adverse events; CDAI=Crohn’s disease activity index; MACE=major adverse cardiovascular event; NMSC=nonmelanoma skin cancer; PYs=patient-years; RBS=rectal bleeding score;
SC=subcutaneous; TB=tuberculosis.

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  FORTIFY
Crohn's at Week 52

Long-Term Safety in Crohn's

Max Exposure:
10.16 yrs

Median Exposure:
3.60 yrs

Mean Exposure:
3.24 yrs

COMMAND
UC at Week 52*

Long-Term Safety in UC

Max Exposure:
6.1 yrs

Median Exposure:
2.74 yrs

Mean Exposure:
2.61 yrs

Adverse Events (AEs) SKYRIZI
180 mg SC
N=155,
PYs=149.4
SKYRIZI 360 mg SC
N=142,
PYs=134.8
Placebo (induction responders)
N=143, PYs=124.4

SKYRIZI
180/360 mg SC

N=1926,
PYs=6642.5

SKYRIZI 180 mg SC
N=170,
PYs=163.4
SKYRIZI 360 mg SC
N=177,
PYs=159.0
Placebo (induction responders)
N=143, PYs=124.4

SKYRIZI
180/360 mg SC

N=1523,
PYs=4255.5

Treatment-emergent AEs % % % E/100 PY % % % E/100 PY
Any AE 69 70 71 225.1 70 70 75 174.6
Serious AE 11 13 10 15.8 4 5 8 8.1
AE Leading to Discontinuation of Study Drug 2 3 2 2.8 2 2 1 2.6
Death 0 0 0 0.1 0 0.6 0 0.1
AEs of Special Interest E/100 PY E/100 PY E/100 PY E/100 PY E/100 PY E/100 PY E/100 PY E/100 PY
Infections                
Infections 50.2 60.8 60.3 54.7 69.1 59.1 60.4 51.9
Serious Infection 2.7 7.4 2.4 2.6 1.2 0.6 1.9 1.7
Opportunistic Infection (Excluding TB/Herpes Zoster)† 0 0.7 0 0.3 0 0.6 0 0.1
Active Tuberculosis (TB) 0 0 0 <0.1 0 0 0 0
Herpes Zoster 1.3 0 0.8 0.7 0.6 0.6 1.9 0.5
Malignancy                
NMSC 0 0 0.8 0.2 0 0 0.6 0.4
Malignancy (Excluding NMSC)‡ 0 0 0 0.4 0 1.3 0 0.5
Cardiovascular Events                
Adjudicated MACE§ 0 0.7 0.8 0.2 0 0 0 0.1
Other                
Hypersensitivity (Serious Events Only) 0 0 0 <0.1 0 0 0 <0.1
Adjudicated Anaphylactic Reaction 0 0 0 0 0 0 0 <0.1
Hepatic Events|| 4.7 6.7 2.4 4.1 1.8 11.3 1.9 2.5
Injection Site Reactions 10.0 13.4 4.8 5.0 7.3 6.3 1.9 3.9

SKYRIZI is contraindicated in patients with a history of serious hypersensitivity reaction to risankizumab-rzaa or any of the excipients.1

In the treatment of Crohn’s, drug-induced liver injury during induction has been reported. For the treatment of Crohn’s disease and ulcerative colitis, evaluate liver enzymes and bilirubin levels at baseline and during induction (12 weeks). Monitor thereafter according to routine patient management.1

In the Crohn's 52-week maintenance study, the most common adverse reactions (>3% of patients and at a higher rate than placebo) include arthralgia, abdominal pain, injection site reactions, anemia, pyrexia, back pain, arthropathy, and urinary tract infection.1

In the UC 52-week maintenance study, the most common adverse reactions (≥3% of patients and at a higher rate than placebo) include arthralgia, pyrexia, injection site reactions, and rash.1

FORTIFY OLE STUDY DESIGN: An ongoing, two arm, multicenter, open-label extension of Phase 3 studies evaluating the long-term efficacy and safety of SKYRIZI (180 mg or 360 mg SC). Patients who achieved clinical response in ADVANCE or MOTIVATE at Week 12 and completed the 52-week FORTIFY maintenance period were eligible to participate.12

COMMAND OLE STUDY DESIGN: An ongoing open-label extension study that evaluated the long-term efficacy and safety of SKYRIZI that included patients from the COMMAND maintenance study. Patients in the COMMAND maintenance study achieved clinical response per modified Mayo Score with SKYRIZI in the INSPIRE induction study.13

Long-term safety data presented include patients with varying lengths of treatment exposure.5

LONG-TERM SAFETY: Includes data for patients who received ≥1 dose of SKYRIZI in Phase 1, 2, and 3 Crohn’s studies.12,13

Placebo (Induction Responders): Patients who achieved clinical response to SKYRIZI induction therapy and were randomized to receive placebo in the maintenance study.1

*Includes patients who received 1200 mg or 1800 mg IV in the Phase 2b/3 INSPIRE induction study. The 1800 mg is not an FDA-approved induction dose.8

†In the Crohn’s long-term safety study, there was one non-serious event of opportunistic infection (Aeromonas infection); one serious event of disseminated histoplasmosis occurred.5

‡In the Crohn’s long-term safety study, there were two serious events of malignancies excluding NMSCs that occurred in the long-term extension (intestinal carcinoma and thyroid papillary carcinoma).5

§In the Crohn’s long-term safety study, defined as cardiovascular death, non-fatal myocardial infarction, and non-fatal stroke.5

||In the Crohn’s long-term safety study, most hepatic events were liver enzyme elevations; none of the events were serious.5,11

Clinical response was defined as a reduction of CDAI score ≥100 points from baseline and a decrease in modified Mayo Score ≥2 and ≥30% from baseline, and decrease in RBS ≥1 or an absolute RBS ≤1.1

AEs=adverse events; CDAI=Crohn’s disease activity index; MACE=major adverse cardiovascular event; NMSC=nonmelanoma skin cancer; PYs=patient-years; RBS=rectal bleeding score; SC=subcutaneous; TB=tuberculosis.

MOST COMMON ADVERSE REACTIONS

Most Common Adverse Reactions

Adverse reactions reported in ≥3% of patients and at a higher rate than placebo1

Induction: ADVANCE & MOTIVATE Crohn’s at Week 12

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  SKYRIZI 600 mg IV*
N=620
Placebo
N=432
Adverse Drug Reactions n (%) n (%)
Upper Respiratory Infections† 66 (10.6) 40 (9.3)
Headache‡ 41 (6.6) 24 (5.6)
Arthralgia 31 (5.0) 19 (4.4)

The overall safety profile observed for AFFIRM was generally consistent with ADVANCE and MOTIVATE.

Maintenance: FORTIFY Crohn’s at Week 52

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  SKYRIZI 180 mg SC§
N=155
SKYRIZI 360 mg SC§
N=142
Placebo
N=143
Adverse Drug Reactions n (%) n (%) n (%)
Arthralgia 13 (8.4) 13 (9.2) 12 (8.4)
Abdominal Pain|| 9 (5.8) 12 (8.5) 6 (4.2)
Injection Site Reactions¶# 7 (4.5) 8 (5.6) 4 (2.8)
Anemia 7 (4.5) 7 (4.9) 6 (4.2)
Pyrexia 4 (2.6) 7 (4.9) 4 (2.8)
Back pain 3 (1.9) 6 (4.2) 3 (2.1)
Arthropathy 1 (0.6) 5 (3.5) 2 (1.4)
Urinary Tract Infection 1 (0.6) 5 (3.5) 4 (2.8)

Adverse reactions reported in ≥3% of patients in induction studies and in the maintenance study and at a higher rate than placebo.1

Adverse drug reaction rates observed in the clinical trials of a drug cannot be directly compared with rates in the clinical trials of another drug and may not reflect the rates observed in practice.1

*SKYRIZI 600 mg as an intravenous infusion at Week 0, Week 4, and Week 8.1

†Includes influenza-like illness, nasopharyngitis, influenza, pharyngitis, upper respiratory tract infection, viral upper respiratory tract infection, COVID-19, nasal congestion, respiratory tract infection viral, viral pharyngitis, tonsillitis, and upper respiratory tract inflammation.1

‡Headache includes headache and tension headache.1

§SKYRIZI 180 mg or 360 mg at Week 12 and every 8 weeks thereafter for up to an additional 52 weeks.1

||Includes abdominal pain, abdominal pain upper, and abdominal pain lower.1

Includes injection site rash, injection site erythema, injection site swelling, injection site urticaria, injection site warmth, injection site pain, injection site hypersensitivity, and injection site reaction.1

#Some subjects had multiple occurrences of injection site reactions. In this table, injection site reactions are counted only once per subject for the rate calculations.1

IV=intravenous; SC=subcutaneous; UC=ulcerative colitis.

INSPIRE UC at Week 12*

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  SKYRIZI 1200 mg IV
N=712
Placebo
N=383
Adverse Drug Reactions n (%) n (%)
Arthralgia 23 (3.2) 5 (1.3)

COMMAND UC at Week 52

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  SKYRIZI 180 mg SC†
N=170
SKYRIZI 360 mg SC†
N=177
Placebo
N=173
Adverse Drug Reactions n (%) n (%) n (%)
Arthralgia 9 (5.3) 17 (9.6) 8 (4.6)
Pyrexia 8 (4.7) 7 (4.0) 6 (3.5)
Injection Site Reactions‡§ 5 (2.9) 5 (2.8) 2 (1.2)
Rash|| 7 (4.1) 1 (0.6) 3 (1.7)

Adverse reactions reported in ≥3% of patients in induction studies and in the maintenance study and at a higher rate than placebo.1

Adverse drug reaction rates observed in the clinical trials of a drug cannot be directly compared with rates in the clinical trials of another drug and may not reflect the rates observed in practice.1

*Data are integrated from a Phase 2b and a Phase 3 clinical trial in UC.

†SKYRIZI 180 mg or 360 mg at Week 12 and every 8 weeks thereafter for up to an additional 52 weeks.1

‡Some subjects had multiple occurrences of injection site reactions. In this table, injection site reactions are counted only once per subject for the rate calculations.1

§Includes application site pain, injection site erythema, injection site pain, injection site pruritus, and injection site reaction.1

||Includes rash and rash macular.1

IV=intravenous; SC=subcutaneous; UC=ulcerative colitis.