Skip to content
MedsAcross

Molecule

Mirikizumab

Interleukin-23 Antagonist
Available on requestBiologicOrphanCold chainImmunology and transplantRheumatology
Presentations
4
Brands
1
Manufacturers
1
Available from stock
0

Mirikizumab is an interleukin-23 antagonist indicated for the treatment of moderately to severely active ulcerative colitis in adults. It is available as injection and kits for subcutaneous and intravenous use. MedsAcross supplies Mirikizumab for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Interleukin-23 Antagonist, Interleukin-23 Antagonists
ATC classification
L04AC Immunosuppressive drug, subgroup L04AC · Immunosuppressive drug
US FDA first approval
26 October 2023
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Subcutaneous, Intravenous
Dosage forms
Injection, Kit
Biologic
Yes
Identifiers
UNII Z7HVY03PHPCAS 1884201-71-1DrugBank DB14910Q55641096

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

OMVOH is indicated for the treatment of: moderately to severely active ulcerative colitis in adults. moderately to severely active Crohn's disease in adults. OMVOH TM is an interleukin-23 antagonist indicated for the treatment of: moderately to severely active ulcerative colitis in adults moderately to severely active Crohn's disease in adults

Source: US FDA prescribing information

How it works

Mirikizumab-mrkz is a humanized IgG4 monoclonal antibody that selectively binds to the p19 subunit of human IL-23 cytokine and inhibits its interaction with the IL-23 receptor. IL-23 is involved in mucosal inflammation and affects the differentiation, expansion, and survival of T cell subsets, and innate immune cell subsets, which represent sources of pro-inflammatory cytokines. Research in animal models has shown that pharmacologic inhibition of IL-23p19 can ameliorate intestinal inflammation. Mirikizumab-mrkz inhibits the release of pro-inflammatory cytokines and chemokines.

Source: US FDA prescribing information

Dosing overview

Prior to Treatment Initiation Evaluate patients for tuberculosis (TB) infection. Obtain liver enzymes and bilirubin levels. Complete all age-appropriate vaccinations according to current immunization guidelines. Recommended Dosage for Ulcerative Colitis Induction Dosage: Week 0, Week 4, and Week 8: Infuse 300 mg intravenously over at least 30 minutes. Maintenance Dosage: Week 12 and every 4 weeks thereafter: Inject 200 mg subcutaneously (given as either one injection of 200 mg or as two consecutive injections of 100 mg each). Recommended Dosage for Crohn's Disease Induction Dosage: Week 0, Week 4, and Week 8: Infuse 900 mg intravenously over at least 90 minutes. Maintenance Dosage: Week 12 and every 4 weeks thereafter: Inject 300 mg subcutaneously (given as two consecutive injections of 100 mg and 200 mg in any order).

Source: US FDA prescribing information

Contraindications

OMVOH is contraindicated in patients with a history of serious hypersensitivity reaction to mirikizumab-mrkz or any of the excipients. History of serious hypersensitivity reaction to mirikizumab-mrkz or any of the excipients.

Source: US FDA prescribing information

Warnings and precautions

Hypersensitivity Reactions: Serious hypersensitivity reactions, including anaphylaxis and infusion-related reactions, have been reported. If a severe hypersensitivity reaction occurs, discontinue and initiate appropriate treatment. Infections: OMVOH may increase the risk of infection. Do not initiate treatment with OMVOH in patients with a clinically important active infection until the infection resolves or is adequately treated. If a serious infection develops, do not administer OMVOH until the infection resolves. Tuberculosis: Do not administer OMVOH to patients with active TB infection. Monitor patients receiving OMVOH for signs and symptoms of active TB during and after treatment. Hepatotoxicity: Drug-induced liver injury has been reported.

Source: US FDA prescribing information

Side effects

The following topics are also discussed in detail in the Warnings and Precautions section: Hypersensitivity Reactions Infections Tuberculosis Hepatotoxicity Most common adverse reactions are: Ulcerative colitis (≥2%): Induction: upper respiratory tract infections and arthralgia. Maintenance: upper respiratory tract infections, injection site reactions, arthralgia, rash, headache, and herpes viral infection. Crohn's disease (≥5%): upper respiratory tract infections, injection site reactions, headache, arthralgia, and elevated liver tests

Source: US FDA prescribing information

Interactions

CYP450 Substrates Increased concentrations of cytokines (e.g., IL-1, IL-6, IL-10, TNFα, IFN) during chronic inflammation associated with certain diseases including Crohn's disease may suppress the formation of CYP450 enzymes. Therapeutic proteins, including mirikizumab-mrkz, that decrease the concentrations of these pro-inflammatory cytokines may increase the formation of CYP450 enzymes resulting in decreased CYP450 substrate exposure. Upon initiation or discontinuation of OMVOH in patients treated with concomitant CYP450 substrates, monitor drug concentrations or other therapeutic parameters, and adjust the dosage of the CYP450 substrate as needed. See the prescribing information of specific CYP450 substrates.

Source: US FDA prescribing information

Storage

Store refrigerated at 2°C to 8°C (36°F to 46°F). Do not freeze. If needed, the prefilled pen or prefilled syringe may be stored at room temperature up to 30°C (86°F) for up to 2 weeks in the original carton to protect from light. Once OMVOH has been stored at room temperature, do not return to the refrigerator. Do not shake. Keep OMVOH in the original carton to protect from light until the time of use.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

4 presentations of Mirikizumab, sorted by availability.

MedicineManufacturerRegisterAvailability
Omvoh kitSubcutaneous Cold chainEli LillyUS FDAAvailable on request
Omvoh 100 mg/1 mL injectionSubcutaneous Cold chainEli LillyUS FDAAvailable on request
Omvoh 200 mg/2 mL injectionSubcutaneous Cold chainEli LillyUS FDAAvailable on request
Omvoh 300 mg/15 mL injectionIntravenous Cold chainEli LillyUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 26 October 2023Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Mirikizumab available for export from India?

Yes, on request. MedsAcross lists 4 presentations of Mirikizumab and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Mirikizumab have?

The catalogue lists 1 brand names for Mirikizumab, including Omvoh.

Is Mirikizumab approved by the US FDA?

Yes. The US FDA first approved Mirikizumab on 26 October 2023, according to Drugs@FDA.

Is Mirikizumab authorised in the European Union?

Yes. Mirikizumab has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Mirikizumab need cold chain shipping?

At least one listed presentation of Mirikizumab must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Mirikizumab in?

Mirikizumab is classified under ATC code L04AC (Immunosuppressive drug, subgroup L04AC).

References

  1. Omvoh prescribing information (Eli Lilly). U.S. National Library of Medicine, DailyMed. Retrieved 16 June 2026
  2. Omvoh: European public assessment report (EPAR). European Medicines Agency. Retrieved 1 September 2026

Request Mirikizumab for export supply

Tell us the strength, quantity and destination country. Our team replies with availability, lead time and the import documents needed.