TheraRadar
Data updated: May 26, 2026

OMVOH (mirikizumab-mrkz)

Interleukin-23 Antagonists Genetically Validated
Immunology Approved 2023-10-26

OMVOH is indicated for the treatment of Ulcerative Colitis; Crohn's Disease.

Source: FDA Label • Eli Lilly • Interleukin-23 Antagonist

How OMVOH Works

Mirikizumab-mrkz is a humanized IgG4 monoclonal antibody that selectively binds to the p19 subunit of the human IL-23 cytokine. This action inhibits the cytokine's interaction with the IL-23 receptor, which is involved in mucosal inflammation and the activity of pro-inflammatory immune cell subsets. By blocking this pathway, the drug inhibits the release of pro-inflammatory cytokines and chemokines to ameliorate intestinal inflammation.

2
Indications
--
Phase 3 Trials
2
Years on Market

Details

Status
Prescription
First Approved
2023-10-26
Routes
SUBCUTANEOUS, SINGLE-USE
Dosage Forms
INJECTABLE, VIAL

Companies

Active Ingredient: MIRIKIZUMAB-MRKZ

OMVOH Approval History

2024
2025
2026
Original
New Indication
New Form
Label Update
10 FDA actions from 2023 to 2025 · 1 indication expansions
Oct 2025 SUPPL
Label · Labeling
Jan 2025 SUPPL
Efficacy
Apr 2024 SUPPL
Label · Labeling

What OMVOH Treats

2 indications

OMVOH is approved for 2 conditions since its original approval in 2023. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Ulcerative Colitis
  • Crohn's Disease
Source: FDA Label

OMVOH Target & Pathway

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Target

IL-23 (Interleukin-23) Cytokine

A cytokine that promotes Th17 cell development and maintenance. IL-23 is upstream of IL-17 in the inflammatory cascade driving psoriasis and inflammatory bowel disease. Blocking IL-23 provides sustained control of these conditions.

OMVOH 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.

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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.

OMVOH FDA Label Details

Indications & Usage

FDA Label (PDF)

OMVOH is indicated for the treatment of Ulcerative Colitis; Crohn's Disease.

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Data Sources

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