TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

BESREMI

ROPEGINTERFERON ALFA-2B-NJFT
Approved 2021-11-12

BESREMI (ropeginterferon alfa-2b-njft) is an interferon alfa-2b indicated for the treatment of adults with polycythemia vera. As a type I interferon, the medication is used to manage this chronic blood disorder by targeting cellular processes within the bone marrow. It provides a therapeutic option specifically for the adult patient population diagnosed with this condition.

Source: FDA Label • PHARMAESSENTIA CORP • Interferon alfa-2b

How BESREMI Works

BESREMI works by binding to the interferon alfa receptor (IFNAR), a transmembrane receptor located in the bone marrow. This binding triggers a signaling cascade that activates Janus kinase 1 (JAK1), tyrosine kinase 2 (TYK2), and activator of transcription (STAT) proteins. The activated STAT proteins then move into the cell nucleus to control gene-expression programs that produce various cellular effects. While these actions are known to occur, the exact mechanisms responsible for the drug's therapeutic effects in polycythemia vera are not fully elucidated.

Source: FDA Label
1
Indication
--
Phase 3 Trials
4
Years on Market

Details

Status
Prescription
First Approved
2021-11-12
Routes
SUBCUTANEOUS
Dosage Forms
INJECTABLE

Companies

Active Ingredient: ROPEGINTERFERON ALFA-2B-NJFT

BESREMI Approval History

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What BESREMI Treats

1 indications

BESREMI is approved for 1 conditions since its original approval in 2021. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Polycythemia Vera
Source: FDA Label

BESREMI Boxed Warning

These highlights do not include all the information needed to use BESREMi safely and effectively. See full prescribing information for BESREMi. BESREMi (ropeginterferon alfa-2b-njft) injection, for subcutaneous use Initial U.S. Approval: 2021 WARNING: RISK OF SERIOUS DISORDERS Risk of Serious Disorders: Interferon alfa products may cause or aggravate fatal or life-threatening neuropsychiatric, autoimmune, ischemic, and infectious disorders. Patients should be monitored closely with periodic clin...

BESREMI Target & Pathway

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Target

JAK1 (Janus Kinase 1) Intracellular Kinase

A member of the JAK family involved in signaling for interferons and several interleukins. JAK1 inhibition is effective in rheumatoid arthritis, atopic dermatitis, and other inflammatory conditions by blocking multiple cytokine pathways.

BESREMI Competitors

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10 other drugs also target JAK1. Compare mechanisms, indications, and trial activity.

View all 10 JAK1 drugs →
Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (JAK1). Earlier expiry dates signal biosimilar/generic opportunities.

Drugs Similar to BESREMI

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

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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.

BESREMI FDA Label Details

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Indications & Usage

FDA Label (PDF)

BESREMi is indicated for the treatment of adults with polycythemia vera. BESREMi is an interferon alfa-2b indicated for the treatment of adults with polycythemia vera

⚠️ BOXED WARNING

These highlights do not include all the information needed to use BESREMi safely and effectively. See full prescribing information for BESREMi. BESREMi (ropeginterferon alfa-2b-njft) injection, for subcutaneous use Initial U.S. Approval: 2021 WARNING: RISK OF SERIOUS DISORDERS Risk of Serious Disord...

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Data Sources

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