BE BOLD: BIMZELX® (bimekizumab-bkzx) builds on superior joint responses versus SKYRIZI® (risankizumab-rzaa) at Week 16, with clinical improvements sustained through Week 24

PR Newswire
Today at 12:00pm UTC

BE BOLD: BIMZELX® (bimekizumab-bkzx) builds on superior joint responses versus SKYRIZI® (risankizumab-rzaa) at Week 16, with clinical improvements sustained through Week 24

PR Newswire

  • BIMZELX sustained numerically greater ACR50 responses through all timepoints: 54.9% receiving BIMZELX versus 43.8% receiving risankizumab achieved ACR50 at Week 241*†
  • Improvements in all secondary endpoints sustained to Week 24: Numerically greater responses without statistical significance observed for BIMZELX across secondary endpoints sustained to Week 241
  • Complete skin clearance: Numerically greater responses in the PASI100 exploratory endpoint as early as Week 4 sustained to Week 16, with comparable rates at Week 20 and Week 241‡

ATLANTA, Nov. 9, 2026 /PRNewswire/ -- UCB, a global biopharmaceutical company, today announced Week 24 data for BIMZELX® (bimekizumab-bkzx) from BE BOLD, building on the study's previously reported Week 16 results, which demonstrated statistically significant superiority in ACR50 joint outcomes versus risankizumab at Week 16 in psoriatic arthritis (PsA).1 Numerically greater rates of ACR50 were sustained through Week 24.1 The full Week 24 findings are being presented at the 2026 ACR Convergence in Orlando, Florida, November 6–11.1 Data reported in this press release are based on the dataset included in the ACR abstract.1

"ACR50 is the new standard in PsA, reflecting considerable joint improvements and is known to be associated with clinically meaningful reductions in disease activity and subsequent improvements in quality of life," said Joseph F. Merola, MD-MMSc, Rheumatologist, Dermatologist, President of the Psoriasis and Psoriatic Arthritis Multicenter Advancement Network, Co-President of the Group for Research in Psoriasis and Psoriatic Arthritis and President of the Rheumatologic Dermatology Society. "In the BE BOLD head-to-head trial, bimekizumab demonstrated rapid and greater ACR50 responses that were sustained to six months, in addition to delivering high rates of complete skin clearance, both of which are especially important for those living with psoriatic arthritis."

Overall safety treatment-emergent adverse events (TEAEs) were comparable between treatments in BE BOLD, with the exception of increased rates of mild-to-moderate localized Candida infections in the BIMZELX arm.1 BE BOLD was not powered to compare safety.1

"Head-to-head trials designed to mirror clinical practice are the gold standard for comparative clinical research. The BE BOLD results help redefine treatment expectations for people living with psoriatic arthritis, reinforcing our belief that patients and clinicians can aim higher when setting treatment goals," said Donatello Crocetta, Chief Medical Officer, UCB. "This data is part of UCB's wider evidence portfolio at ACR, showing treatment with bimekizumab enables rapid and sustained clinically meaningful improvements in this chronic inflammatory disease."

The full Week 24 results from BE BOLD will be presented at ACR in an oral presentation at 10:15 a.m. ET on Tuesday, November 10. The data from BE BOLD form part of UCB's broader presence at the 2026 ACR Convergence, where a total of 18 abstracts will be presented across the UCB immunology portfolio assets in PsA, axial spondyloarthritis, rheumatoid arthritis, and systemic lupus erythematosus.

BE BOLD Week 24 results 

  • Week 16 data for BE BOLD, assessing BIMZELX, the first and only medicine approved to selectively inhibit both interleukin 17A (IL-17A) and interleukin 17F (IL-17F),2,3 versus the interleukin 23 inhibitor risankizumab4 in adults living with active PsA, was first presented at the EULAR 2026 annual congress.5 BIMZELX met the primary endpoint for BE BOLD of superiority in ACR50 at Week 16, achieved by 49.1% receiving BIMZELX vs 38.0% receiving risankizumab (a difference of 11.1%), with statistical significance (p=0.0058).1†
  • At Week 24, ACR50 was achieved in 54.9% of those receiving BIMZELX and 43.8% receiving risankizumab.1*† Higher ACR50 responses were observed with BIMZELX at every study point, and as early as Week 4 (nominal p<0.0001)1*†
  • The first ranked secondary endpoint (MDA at Week 16) was 3.4 percentage points higher with BIMZELX (p=0.3921; sequential testing stopped at this point, and subsequent ranked secondary endpoints were descriptive only), with higher rates sustained to Week 241†
  • Numerically greater responses without statistical significance for BIMZELX observed across secondary endpoints, encompassing joint, skin,‡ and overall disease activity, sustained to Week 241†
  • At Week 4, PASI100 was achieved in 12.5% of those receiving BIMZELX and 3.4% receiving risankizumab (nominal p<0.01).1*†‡ At Week 16, PASI100 was achieved in 53.4% of those receiving BIMZELX and 46.6% receiving risankizumab, without nominal significance.1*†‡ Rates of PASI100 for BIMZELX and risankizumab were comparable at Week 20 and Week 24 (59.7% and 59.1%, without nominal significance, at Week 24)*†‡
  • Including all data to the cut-off, 161/277 (58.1%) BIMZELX-treated and 152/275 (55.3%) risankizumab-treated patients had ≥1 TEAE.1 
  • No new safety signals were identified in the study at Week 24.1 Discontinuation rates due to TEAEs and serious/severe TEAEs were low in both treatment groups.1 Fewer patients reported serious TEAEs on BIMZELX (5 [1.8%]) than on risankizumab (9 [3.3%]).1 One death occurred in a risankizumab-treated patient, deemed unrelated to treatment by the investigator1
  • Candida infections were more frequent in BIMZELX-treated patients (2.9%) than in risankizumab-treated patients (0.7%), as anticipated by the mechanism of action; all were mild or moderate, none were serious, systemic, or led to study discontinuation1

* Exploratory endpoint: nominally significant1
† All results are assessed with non-responder imputation (NRI): All visits following discontinuation due to adverse events or lack of efficacy were treated as non-response. Results are reported from the BIMZELX Total group (BKZ Total), which includes those receiving BIMZELX (n=277) 160 mg every four weeks (Q4W) in those with no or mild psoriasis (n=248), and those receiving BIMZELX 320 mg every four weeks to Week 16 and then every eight weeks thereafter (Q4W/Q8W) in those with moderate or severe psoriasis (n=29).1 Those in the risankizumab group (n=276) received risankizumab 150 mg at baseline, Week 4, and Week 16 regardless of whether the recipient had no or mild psoriasis (n=245), or moderate or severe psoriasis (n=31)1
‡ In a subgroup of people also living with psoriasis affecting at least 3% of body surface area at baseline.1 In this subgroup: BKZ Total, n=176 [BIMZELX 160 mg Q4W n=147; BIMZELX 320mg Q4W/Q8W n=29]; risankizumab group, n=176.1 At baseline, 10.5% in the BIMZELX group and 11.2% in the risankizumab group had moderate-to-severe psoriasis, in addition to PsA.1

Notes to Editors

  • ACR50: A 50% or greater improvement from baseline in American College of Rheumatology response criteria, including at least a 50% improvement in tender and swollen joint counts as well as 50% or greater improvement in three of five additional criteria (physician global, patient global, patient pain, function, and C-reactive protein (CRP)/erythrocyte sedimentation rate).6 This represents a stringent efficacy outcome in psoriatic arthritis7,8
  • MDA: Minimal Disease Activity (MDA), a dichotomous endpoint (i.e., either it is reached or it is not) demonstrating minimum inflammatory disease. The MDA score comprises seven relevant disease-related domains (tender/swollen joint count, skin, physical function, pain, enthesis, general patient-based evaluation), such that achieving five of the seven indicates MDA.9 A participant in BE BOLD was considered as having MDA if five or more of the following seven criteria were fulfilled:10
    • Tender joint count ≤1
    • Swollen joint count ≤1
    • PASI ≤1 or BSA ≤3 (less than or equal to 3% body surface area affected)
    • PtAAP VAS ≤15 (Patient's Assessment of Arthritis Pain score ≤15: 0=no pain; 100=most severe pain)
    • PGA-PsA VAS ≤20 (Physician's Global Assessment in Psoriatic Arthritis score ≤20: 0=very good, asymptomatic, no limitation of normal activities; 100=very poor, very severe symptoms which were intolerable, inability to carry out all normal activities)
    • HAQ-DI ≤0.5 (Health Assessment Questionnaire-Disability Index score ≤0.5: degree of difficulty experienced in eight domains of daily living activities [20 questions], total score [0–3] computed from item scores, with lower scores meaning less disability)
    • Tender enthesial points ≤1
  • PASI100: 100% improvement from baseline in Psoriasis Area and Severity Index (PASI), indicating complete skin clearance11

About psoriatic arthritis

Psoriatic arthritis (PsA) is a serious, highly heterogeneous, chronic, systemic inflammatory condition affecting both the joints and skin with a prevalence of 0.02 percent to 0.25 percent of the population.12 Of people living with psoriasis, approximately 30 percent progress to also develop psoriatic arthritis.13 It manifests as joint pain and stiffness, skin plaques, swollen toes and fingers (dactylitis) and inflammation of the sites where tendons or ligaments insert into the bone (enthesitis).13 The burden on those living with PsA extends beyond physical discomfort to reduced quality of life, with comorbidities including hypertension, cardiovascular disease, anxiety, and depression.14 In PsA, uncontrolled active disease can lead to long-term structural damage.15

About the BE BOLD trial

BE BOLD is a multicenter, randomized, double-blind, risankizumab-controlled, parallel-group Phase 3b study designed to evaluate the efficacy and safety of BIMZELX in adult study participants (n=553) with active psoriatic arthritis (PsA).1,10 The study includes adults with active PsA who are naïve to biologic treatments or who had previous exposure to one tumor necrosis factor-inhibitor (TNFi) with an inadequate or intolerant response.10 

The primary endpoint in BE BOLD is ACR50 at Week 16.10 The study has a double-blinded methodology until Week 24.16 In the study, participants were randomized 1:1 to receive either BIMZELX or risankizumab.10

For details about BE BOLD: https://clinicaltrials.gov/study/NCT06624228.

BIMZELX® is a registered trademark of the UCB Group of Companies. SKYRIZI® is a registered trademark of AbbVie Inc.

About BIMZELX® (bimekizumab-bkzx) in the U.S.
BIMZELX is a humanized monoclonal IgG1 antibody that is designed to selectively inhibit both interleukin 17A (IL-17A) and interleukin 17F (IL-17F), two key cytokines driving inflammatory processes.3 Elevated levels of IL-17A and IL-17F are found in lesional psoriatic skin.3

The approved indications for BIMZELX in the U.S. are:3

  • Plaque psoriasis: BIMZELX is indicated for the treatment of moderate-to-severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy
  • Psoriatic arthritis: BIMZELX is indicated for the treatment of adult patients with active psoriatic arthritis
  • Non-radiographic axial spondyloarthritis: BIMZELX is indicated for the treatment of adult patients with active non-radiographic axial spondyloarthritis with objective signs of inflammation
  • Ankylosing spondylitis: BIMZELX is indicated for the treatment of adult patients with active ankylosing spondylitis
  • Hidradenitis suppurativa: BIMZELX is indicated for the treatment of adults with moderate-to-severe hidradenitis suppurativa

BIMZELX U.S. IMPORTANT SAFETY INFORMATION

IMPORTANT SAFETY INFORMATION

Suicidal Ideation and Behavior
BIMZELX (bimekizumab-bkzx) may increase the risk of suicidal ideation and behavior (SI/B). A causal association between treatment with BIMZELX and increased risk of SI/B has not been definitively established. Prescribers should weigh the potential risks and benefits before using BIMZELX in patients with a history of severe depression or SI/B. Advise monitoring for the emergence or worsening of depression, suicidal ideation, or other mood changes. If such changes occur, instruct to promptly seek medical attention, refer to a mental health professional as appropriate, and re-evaluate the risks and benefits of continuing treatment.

Infections
BIMZELX may increase the risk of infections, including serious infections. Do not initiate treatment with BIMZELX in patients with any clinically important active infection until the infection resolves or is adequately treated. In patients with a chronic infection or a history of recurrent infection, consider the risks and benefits prior to prescribing BIMZELX. Instruct patients to seek medical advice if signs or symptoms suggestive of clinically important infection occur. If a patient develops such an infection or is not responding to standard therapy, monitor the patient closely and do not administer BIMZELX until the infection resolves.

Tuberculosis
Evaluate patients for tuberculosis (TB) infection prior to initiating treatment with BIMZELX. Avoid the use of BIMZELX in patients with active TB infection. Initiate treatment of latent TB prior to administering BIMZELX. Consider anti-TB therapy prior to initiation of BIMZELX in patients with a past history of latent or active TB in whom an adequate course of treatment cannot be confirmed. Closely monitor patients for signs and symptoms of active TB during and after treatment.

Liver Biochemical Abnormalities
Elevated serum transaminases were reported in clinical trials with BIMZELX. Test liver enzymes, alkaline phosphatase, and bilirubin at baseline, periodically during treatment with BIMZELX, and according to routine patient management. If treatment-related increases in liver enzymes occur and drug-induced liver injury is suspected, interrupt BIMZELX until a diagnosis of liver injury is excluded. Permanently discontinue use of BIMZELX in patients with causally associated combined elevations of transaminases and bilirubin. Avoid use of BIMZELX in patients with acute liver disease or cirrhosis. 

Inflammatory Bowel Disease
Cases of inflammatory bowel disease (IBD) have been reported in patients treated with IL-17 inhibitors, including BIMZELX. Avoid use of BIMZELX in patients with active IBD. During BIMZELX treatment, monitor patients for signs and symptoms of IBD and discontinue treatment if new onset or worsening of signs and symptoms occurs.

Immunizations
Prior to initiating therapy with BIMZELX, complete all age-appropriate vaccinations according to current immunization guidelines. Avoid the use of live vaccines in patients treated with BIMZELX.

Most Common Adverse Reactions
Most common (≥1%) adverse reactions in plaque psoriasis and hidradenitis suppurativa include upper respiratory tract infections, oral candidiasis, headache, injection site reactions, tinea infections, gastroenteritis, herpes simplex infections, acne, folliculitis, other candida infections, and fatigue.

Most common (≥2%) adverse reactions in psoriatic arthritis include upper respiratory tract infections, oral candidiasis, headache, diarrhea, and urinary tract infections.

Most common (≥2%) adverse reactions in non-radiographic axial spondyloarthritis include upper respiratory tract infections, oral candidiasis, headache, diarrhea, cough, fatigue, musculoskeletal pain, myalgia, tonsillitis, transaminase increase, and urinary tract infections.

Most common (≥2%) adverse reactions in ankylosing spondylitis include upper respiratory tract infections, oral candidiasis, headache, diarrhea, injection site pain, rash, and vulvovaginal mycotic infection.

Please see Important Safety Information below and full U.S. Prescribing Information at https://www.ucb-usa.com/bimzelx-prescribing-information.pdf.

For further information, contact UCB:

Investor Relations
Yvonne Naughton
T +44.175.344.7521
yvonne.naughton@ucb.com

Sahar Yazdian
T +32.2.559.91.37
email sahar.yazdian@ucb.com

Corporate Communications
Laurent Schots
T +32.2.559.92.64
email laurent.schots@ucb.com

Brand Communications
Nicole Herga
T +1 773.960.5349
email nicole.herga@ucb.com

About UCB 
UCB is a global biopharmaceutical company inspired by the needs of people living with severe diseases and driven by science to make a meaningful difference in their lives. We combine our understanding of disease biology, scientific innovation and patient insights to develop differentiated medicines and solutions, with a focus on neurology, immunology and other areas of unmet medical need. Founded in Belgium in 1928, UCB has more than 10,000 employees in approximately 40 countries and generated revenue of €7.7 billion in 2025. UCB is listed on Euronext Brussels (symbol: UCB).

Forward looking statements 
This document contains forward-looking statements, including, without limitation, statements containing the words "potential", "believes", "anticipates", "expects", "intends", "plans", "seeks", "estimates", "may", "will", "continue" and similar expressions. These forward-looking statements are based on current plans, estimates and beliefs of management. All statements, other than statements of historical facts, are statements that could be deemed forward-looking statements, including estimates of revenues, operating margins, capital expenditures, cash, other financial information, expected legal, arbitration, political, regulatory or clinical results or practices and other such estimates and results. By their nature, such forward-looking statements are not guaranteeing future performance and are subject to known and unknown risks, uncertainties, and assumptions which might cause the actual results, financial condition, performance or achievements of UCB, or industry results, to be materially different from any future results, performance, or achievements expressed or implied by such forward-looking statements contained in this document.

Important factors that could result in such differences include but are not limited to: global spread and impacts of wars, pandemics and terrorism, the general geopolitical environment, climate change, changes in general economic, business and competitive conditions, the inability to obtain necessary regulatory approvals or to obtain them on acceptable terms or within expected timing, costs associated with research and development, changes in the prospects for products in the pipeline or under development by UCB, effects of future judicial decisions or governmental investigations, safety, quality, data integrity or manufacturing issues, supply chain disruption and business continuity risks; potential or actual data security and data privacy breaches, or disruptions of UCB's information technology systems, product liability claims, challenges to patent protection for products or product candidates, competition from other products including biosimilars or disruptive technologies/business models, changes in laws or regulations, exchange rate fluctuations, changes or uncertainties in laws and/or rules pertaining to tax and duties or the administration of such laws and/or rules, and hiring, retention and compliance of employees. There is no guarantee that new product candidates will be discovered or identified in the pipeline, or that new indications for existing products will be developed and approved. Movement from concept to commercial product is uncertain; preclinical results do not guarantee safety and efficacy of product candidates in humans. So far, the complexity of the human body cannot be reproduced in computer models, cell culture systems or animal models. The length of the timing to complete clinical trials and to get regulatory approval for product marketing has varied in the past and UCB expects similar unpredictability going forward. Products or potential products which are the subject of partnerships, joint ventures or licensing collaborations may be subject to disputes between the partners or may prove to be not as safe, effective or commercially successful as UCB may have believed at the start of such partnership. UCB's efforts to acquire other products or companies and to integrate the operations of such acquired companies may not be as successful as UCB may have believed at the moment of acquisition. Also, UCB or others could discover safety, side effects or manufacturing problems with its products and/or devices after they are marketed. The discovery of significant problems with a product similar to one of UCB's products that implicate an entire class of products may have a material adverse effect on sales of the entire class of affected products. Moreover, sales may be impacted by international and domestic trends toward managed care and health care cost containment, including pricing pressure, political and public scrutiny, customer and prescriber patterns or practices, and the reimbursement policies imposed by third-party payers as well as legislation affecting biopharmaceutical pricing and reimbursement activities and outcomes. Finally, a breakdown, cyberattack or information security breach could compromise the confidentiality, integrity and availability of UCB's data and systems.

Given these uncertainties, the public is cautioned not to place any undue reliance on such forward-looking statements. These forward-looking statements are made only as of the date of this document, and do not reflect any potential impacts from the evolving event or risk as mentioned above as well as any other adversity, unless indicated otherwise. The company continues to follow the development diligently to assess the financial significance of these events, as the case may be, to UCB.

UCB expressly disclaims any obligation to update any forward-looking statements in this document, either to confirm the actual results or to report or reflect any change in its forward-looking statements with regard thereto or any change in events, conditions or circumstances on which any such statement is based, unless such statement is required pursuant to applicable laws and regulations.

References

1. McInnes I, et al. Bimekizumab Efficacy & Safety Versus Risankizumab in Patients with Active Psoriatic Arthritis: 24-Week Results from a Head-To-Head, Multicenter, Randomized, Phase 3b Study. 2026. ACR. 2456479.
2. BIMZELX (bimekizumab) EU SmPC. https://www.ema.europa.eu/en/documents/product-information/bimzelx-epar-product-information_en.pdf. Last accessed: November 2026.
3. BIMZELX (bimekizumab-bkzx) U.S. PI. https://www.ucb-usa.com/bimzelx-prescribing-information.pdf. Last accessed: November 2026.
4. SKYRIZI® (risankizumab) U.S. PI. https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/761262s000lbl.pdf. Last accessed: November 2026.
5. McInnes I, et al. Bimekizumab efficacy and safety versus risankizumab in patients with active psoriatic arthritis: 16-week results from a head-to-head, multicentre, randomised, phase 3b study. 2026. EULAR. #LB0001.
6. Ogdie A, et al. Arthritis Care Res (Hoboken). 2020;72(Suppl 10):82–109.
7. Ritchlin CT, et al. Ann Rheum Dis. 2023;82(11):1404–14.
8. Felson DT, et al. Arthritis Rheum. 1995;38(6):727–35.
9. Queiro R, et al. Arthritis Res Ther. 2022;24(1):153.
10. ClinicalTrials.gov. NCT06624228. Available at: https://www.clinicaltrials.gov/study/NCT06624228. Last accessed: November 2026.
11. Belinchón I, et al. J Dermatolog Treat. 2022;33(3):1661–9.
12. Ogdie A, et al. Rheum Dis Clin North Am. 2015;41(4):545–68.
13. Mease PJ, et al. Drugs. 2014;74(4):423–41.
14. Lee S, et al. P T. 2010;35(12):680–9.
15. Kwok TSH, et al. J Rheumatol. 2023;50(4):497–503.
16. UCB. Data on file.

US-BK-2601203 
Date of preparation: November 2026 
BIMZELX® is a registered trademark of the UCB Group of Companies.
SKYRIZI® is a registered trademark of AbbVie Inc.
©2026 UCB, Inc., Smyrna, GA 30080. All rights reserved.

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/be-bold-bimzelx-bimekizumab-bkzx-builds-on-superior-joint-responses-versus-skyrizi-risankizumab-rzaa-at-week-16-with-clinical-improvements-sustained-through-week-24-302932848.html

SOURCE UCB