Macrocyclic peptides reach the market (2020–2023)
The Food and Drug Administration approved a handful of macrocyclic peptide therapies. Rhythm Pharmaceuticals' Imcivree was cleared in 2020 for certain genetic forms of obesity. Aurinia's Lupkynis became the first oral medicine for adults with active lupus nephritis in 2021. UCB's Zilbrysq followed in 2023 for generalized myasthenia gravis.
The approvals showed the modality could clear regulatory review and reach patients.
They gave drugmakers a template for oral peptides in immunology, the space argenx now targets.
argenx's own Vyvgart treats generalized myasthenia gravis, one of the diseases where an oral peptide has already been approved.
