TheraRadar
Data updated: May 26, 2026

NEMLUVIO (nemolizumab-ilto)

Interleukin-31 Receptor alpha Antagonists Trial Activity: Stable 6 active trials
First-in-Class Breakthrough Therapy Priority Review
Immunology Approved 2024-08-12

NEMLUVIO is indicated for the treatment of Prurigo Nodularis; Atopic Dermatitis.

Source: FDA Label • GALDERMA LABS LP • Interleukin-31 Receptor alpha Antagonist

How NEMLUVIO Works

Nemolizumab-ilto is a humanized IgG2 monoclonal antibody that inhibits IL-31 signaling by binding selectively to the interleukin-31 receptor alpha (IL-31 RA). IL-31 is a naturally occurring cytokine involved in pruritus, inflammation, epidermal dysregulation, and fibrosis. By blocking this receptor, the drug inhibits IL-31-induced responses, including the release of proinflammatory cytokines and chemokines.

Development Insights

Galderma R&D conducting 19 trials (86%)
10 indications explored (Broad Platform)
moderate-to-severe atopic dermatitis (6 trials)
atopic dermatitis (4 trials)
prurigo nodularis (3 trials)
2
Indications
--
Phase 3 Trials
1
Priority Reviews
1
Years on Market

Details

Status
Prescription
First Approved
2024-08-12
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: NEMOLIZUMAB-ILTO

NEMLUVIO Approval History

2025
2026
Original
New Indication
New Form
Label Update
5 FDA actions from 2024 to 2025
Jun 2025 SUPPL
Label · Labeling
Apr 2025 SUPPL
Label · Labeling
Dec 2024 ORIGINAL
New Drug · Type 1 - New Molecular Entity

What NEMLUVIO Treats

2 indications

NEMLUVIO is approved for 2 conditions since its original approval in 2024. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Prurigo Nodularis
  • Atopic Dermatitis
Source: FDA Label

NEMLUVIO Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in NEMLUVIO's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications NEMLUVIO treats. First-in-class if their pivotal trials read out positive.

Drugs Similar to NEMLUVIO

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DUPIXENT
DUPILUMAB
2 shared
Regeneron
Shared indications:
Atopic DermatitisPrurigo Nodularis
ADBRY
TRALOKINUMAB
1 shared
LEO PHARMA AS
Shared indications:
BETAMETHASONE ACETATE AND BETAMETHASONE SODIUM PHOSPHATE
BETAMETHASONE ACETATE
1 shared
Hikma
Shared indications:
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Clinical Trial Registry

19 trials
Trial Sponsor ID Phase Status Title
NCT05075408 NIKAIA 1 results posted RD.06.SPR.204358 2021-004766-35 Ph 2, Ph 3 completed To Evaluate the Efficacy and Safety of Nemolizumab for 12 Weeks in Participants With Chronic Kidney Disease With Associated Moderate to Severe Pruritus
NCT07074977 CPUO SPR207913 Ph 2 recruiting Proof of Concept Study to Assess the Pharmacokinetics/Pharmacodynamics of Nemolizumab in Adults With Chronic Pruritus of Unknown Origin (CPUO)
NCT07047690 SPR207796 Ph 2 recruiting A Study of Nemolizumab for the Treatment of Adults With Systemic Sclerosis
NCT05214794 results posted M525101-21 Ph 2 completed An Open-label, Phase 2 Study to Assess the Efficacy and Safety of Nemolizumab in Subjects With Systemic Sclerosis
NCT07396168 NemoLPP Ph 4 recruiting Nemolizumab to Treat Lichen Planopilaris, a Noncontrolled, Prospective, Pilot Study.
NCT07352566 25-43621 Ph 4 not yet recruiting Utilization of a Microdevice for Psoriasis and Atopic Dermatitis
NCT04204616 RD.06.SPR.202699 2019-004294-13 Ph 3 active not recruiting A Long-term Study of Nemolizumab (CD14152) in Participants With Prurigo Nodularis (PN)
NCT04921345 RD.06.SPR.118126 Ph 2 completed Pharmacokinetics, Safety and Efficacy of Nemolizumab in Participants With Moderate-to-Severe Atopic Dermatitis
NCT04365387 results posted RD.06.SPR.118380 Ph 2 completed A Study to Assess Immunization Responses in Adult and Adolescent Participants With Moderate-to-Severe Atopic Dermatitis Treated With Nemolizumab
NCT05405985 results posted RD.06.SPR.201590 Ph 1 completed Study to Access the Relative Bioavailability of Subcutaneous Dose of Nemolizumab When Administered Via Auto-Injector Versus Dual-Chamber Syringe
NCT04562116 results posted RD.06.SPR.201593 Ph 2 completed A Study to Assess the Effects of Nemolizumab on Cytochrome P450 Substrates in Participants With Moderate-to-Severe Atopic Dermatitis
NCT03989206 RD.06.SPR.118163 Ph 3 active not recruiting Long-term Safety and Efficacy of Nemolizumab With Moderate-to-severe Atopic Dermatitis
NCT05052983 results posted RD.06.SPR.203890 2021-003928-32 Ph 3 completed A Study to Evaluate the Durability of Response and Safety of Nemolizumab for 24 Weeks in Participants With Prurigo Nodularis
NCT03985943 results posted RD.06.SPR.118161 Ph 3 completed Efficacy and Safety of Nemolizumab in Subjects With Moderate-to-Severe Atopic Dermatitis
NCT03989349 results posted RD.06.SPR.118169 Ph 3 completed Efficacy & Safety of Nemolizumab in Subjects With Moderate-to-Severe Atopic Dermatitis
NCT04501679 results posted RD.06.SPR.203065 2019-004789-17 Ph 3 completed A Study to Assess the Efficacy and Safety of Nemolizumab (CD14152) in Participants With Prurigo Nodularis (PN)
NCT05056779 RD.06.SPR.201591 2021-002166-40 Ph 3 withdrawn Efficacy and Safety of Nemolizumab in Subjects With Moderate-to-Severe Atopic Dermatitis With Inadequate Response to or for Whom Cyclosporine A is Not Medically Advisable
NCT03921411 results posted RD.06.SPR.116912 Ph 2 completed A Pharmacokinetics and Safety Study of Nemolizumab in Adolescent Participants With Atopic Dermatitis (AD)
NCT03100344 results posted RD.03.SPR.114322 Ph 2 completed Dose-ranging Study of Nemolizumab in Atopic Dermatitis
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

NEMLUVIO FDA Label Details

Indications & Usage

FDA Label (PDF)

NEMLUVIO is indicated for the treatment of Prurigo Nodularis; Atopic Dermatitis.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment