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https://www.multivu.com/gamers/English/9092951-abbvie-fda-active-non-radiographic-axial-spondyloarthritis/
Nr-axSpA is a continual, progressive inflammatory rheumatic illness that causes joint irritation, resulting in again ache and stiffness, and can’t be detected by x-ray. 5,6 Nr-axSpA and AS are two sub-types of a broader situation known as axial spondyloarthritis. Roughly 5 % of sufferers with nr-axSpA will progress to AS after 5 years, and 19 % will progress after ten years. 7
“This newest FDA approval of RINVOQ in lively nr-axSpA gives a brand new oral, once-daily therapy possibility for sufferers who traditionally have had restricted therapy choices for this painful, continual illness,” mentioned Thomas Hudson , M.D., senior vp, analysis and growth, chief scientific officer, AbbVie. “RINVOQ is now permitted to deal with sufferers throughout the spectrum of axial spondyloarthritis. This additional underscores AbbVie’s dedication to advancing the requirements of look after sufferers residing with these illnesses.”
The FDA approval resolution is supported by information from the Section 3 SELECT-AXIS 2 scientific trial, which assessed the efficacy, security, and tolerability of RINVOQ in adults with lively nr-axSpA. Amongst sufferers who acquired RINVOQ 15 mg, practically half achieved an ASAS40* response, the first endpoint, at week 14 in comparison with placebo (44.9 % vs. 22.3 % respectively). 1,2 ASAS40 responses had been noticed as early as two weeks in nr-axSpA sufferers handled with RINVOQ. The security profile in sufferers with nr-axSpA handled with RINVOQ 15 mg was in keeping with the security profile in sufferers with rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis. 1
“Many sufferers residing with nr-axSpA proceed to expertise signs and are unable to regulate illness with present therapies. Within the SELECT-AXIS 2 trials, RINVOQ demonstrated efficacy in each nr-axSpA and AS with security that was constant throughout indications,” mentioned Atul Deodhar , M.D., professor of medication and medical director of the Rheumatology Clinics for the Division of Arthritis and Rheumatic Illnesses at Oregon Well being & Science College, and lead investigator of the SELECT-AXIS 2 nr-axSpA trial. “In the present day’s FDA approval provides an essential new therapeutic possibility for sufferers and their caregivers to assist take management of their signs and illness.”
“There are restricted therapy choices for individuals residing with nr-axSpA, a situation that may pose many challenges for sufferers and considerably influence their high quality of life as their signs persist regardless of therapy,” mentioned Cassie Shafer , chief govt officer, Spondylitis Affiliation of America (SAA). “This approval of RINVOQ is an incredible step ahead in offering our affected person group with another choice to assist them attain their therapy targets, and to seek out aid.”
This FDA approval marks the sixth indication for RINVOQ in america throughout continual immune-mediated illnesses, together with 4 in rheumatology. 1
Further research outcomes embody the next:
Enchancment in nr-axSpA Indicators & Signs at Week 14 1,2
Within the SELECT-AXIS 2 nr-axSpA trial, sufferers receiving RINVOQ 15 mg skilled larger enhancements at week 14 in comparison with placebo within the particular person parts of the ASAS composite index, together with complete again ache, affected person world evaluation of illness exercise, morning stiffness, and bodily operate. Multiplicity-controlled endpoints included complete again ache and Bathtub Ankylosing Spondylitis Illness Exercise Index (BASFI).
- A considerably larger imply lower from baseline in Whole Again Ache (-2.91 change from baseline) in comparison with these receiving placebo (-2.00). 2
- A considerably larger enchancment in bodily operate (-2.61 change from baseline) as assessed by imply change from baseline in BASFI in comparison with sufferers on placebo (-1.47). 2
*ASAS40 is a composite index that measures illness exercise. 2 To attain an ASAS40 response, a affected person’s illness exercise should have improved by at the very least 40%, in addition to improved by two items (on a 0 to 10 scale) in at the very least three of 4 illness areas assessed, and the remaining space should not have gotten worse, together with again ache, affected person world evaluation of illness exercise, bodily operate, and morning stiffness. 2
Different Well being-Associated Outcomes
Sufferers handled with RINVOQ 15 mg confirmed vital enhancements in health-related high quality of life as measured by Ankylosing Spondylitis High quality of Life (ASQoL) in comparison with placebo at Week 14.
Security Concerns
- RINVOQ might trigger critical negative effects, together with:
- Severe infections. RINVOQ can decrease means to battle infections. Severe infections, some deadly, occurred, together with tuberculosis (TB) and infections brought on by micro organism, fungi, or viruses.
- Elevated danger of dying in individuals age 50+ with at the very least 1 coronary heart illness danger issue.
- Most cancers and immune system issues. Elevated danger of some cancers, together with lymphoma and pores and skin. Present or previous people who smoke have greater danger for lymphoma and lung most cancers.
- Elevated danger of main cardiovascular occasions similar to coronary heart assault, stroke, or dying in individuals 50+ with at the very least 1 coronary heart illness danger issue, particularly in present or previous people who smoke.
- Blood clots, some deadly, in veins of the legs or lungs and arteries. This occurred extra typically in individuals 50+ with at the very least 1 coronary heart illness danger issue.
- Severe allergic reactions. Don’t take if allergic to RINVOQ or its components.
- Tears within the abdomen or intestines; adjustments in sure laboratory check outcomes.
For extra details about RINVOQ, go to RINVOQ.com .
Affected person Entry & Assist
AbbVie is dedicated to serving to individuals entry RINVOQ and different medicines, together with providing a affected person help program and a co-pay card that will cut back out-of-pocket prices to $5 per 30 days for eligible, commercially insured sufferers. For these with restricted or no medical insurance, AbbVie provides myAbbVie Help, a affected person help program that gives RINVOQ at no cost to those that qualify. For extra particulars, please go to AbbVie.com/myAbbVieAssist .
About SELECT-AXIS 2 trial program 4
SELECT-AXIS 2 was performed as a grasp research protocol that incorporates two standalone research with randomization, information assortment, evaluation and reporting performed independently. The Section 3, randomized, placebo-controlled, double-blind research are evaluating the efficacy and security of RINVOQ in contrast with placebo on discount of indicators and signs in grownup members with lively axial spondyloarthritis (axSpA), together with bDMARD-IR AS (Research 1) and non-radiographic axial spondyloarthritis (nr-axSpA) (Research 2). Extra info on this trial may be discovered at https://www.clinicaltrials.gov/ (NCT04169373).
Within the scientific trial, the first endpoint was the proportion of topics attaining an ASAS40 response after 14 weeks of therapy with RINVOQ versus placebo.
About RINVOQ ® (upadacitinib)
Found and developed by AbbVie scientists, RINVOQ is a selective JAK inhibitor that’s being studied in a number of immune-mediated inflammatory illnesses. Primarily based on enzymatic and mobile assays, RINVOQ demonstrated larger inhibitory efficiency for JAK-1 vs JAK-2, JAK-3, and TYK-2. 1 The relevance of inhibition of particular JAK enzymes to therapeutic effectiveness and security shouldn’t be at the moment identified.
Within the U.S., RINVOQ 15 mg is permitted for adults with reasonably to severely lively rheumatoid arthritis who’ve had an insufficient response or intolerance to a number of TNF blockers; adults with lively psoriatic arthritis who’ve had an insufficient response or intolerance to a number of TNF blockers; adults with lively ankylosing spondylitis (AS) who’ve had an insufficient response or intolerance to a number of tumor necrosis issue (TNF) blockers and adults with lively non-radiographic axial spondyloarthritis with goal indicators of irritation who’ve had an insufficient response or intolerance to TNF blocker remedy. 1 RINVOQ 45 mg is permitted to be used in grownup sufferers with reasonably to severely lively ulcerative colitis who’ve had an insufficient response or intolerance to a number of TNF blockers as an induction remedy as soon as every day for 8 weeks. The really helpful dose of RINVOQ for upkeep therapy is 15 mg as soon as every day. A dosage of 30 mg as soon as every day could also be thought of for sufferers with refractory, extreme or intensive illness. Discontinue RINVOQ if an sufficient response shouldn’t be achieved with the 30 mg dose. Use the bottom efficient dosage wanted to take care of response. RINVOQ 15 mg as soon as every day can be initiated in adults and kids 12 years of age and older weighing at the very least 40 kg with refractory, average to extreme atopic dermatitis whose illness shouldn’t be adequately managed with different system drug merchandise, together with biologics or when use of these therapies is inadvisable. In these youngsters and adults lower than 65 years of age who don’t obtain an sufficient response, the dose could also be elevated to 30 mg as soon as every day.
Section 3 trials of RINVOQ in rheumatoid arthritis, atopic dermatitis, psoriatic arthritis, axial spondyloarthritis, Crohn’s illness, ulcerative colitis, big cell arteritis and Takayasu arteritis are ongoing. 4,8-14
U.S. Makes use of and Essential Security Data About RINVOQ ® (upadacitinib) 1
RINVOQ is a prescription medication used to deal with:
- Adults with average to extreme rheumatoid arthritis (RA) when 1 or extra medicines known as tumor necrosis issue (TNF) blockers have been used, and didn’t work effectively or couldn’t be tolerated.
- Adults with lively psoriatic arthritis (PsA) when 1 or extra medicines known as TNF blockers have been used and didn’t work effectively or couldn’t be tolerated.
- Adults with average to extreme ulcerative colitis (UC) when 1 or extra medicines known as TNF blockers have been used, and didn’t work effectively or couldn’t be tolerated.
- Adults with lively ankylosing spondylitis (AS) when 1 or extra medicines known as TNF blockers have been used, and didn’t work effectively or couldn’t be tolerated.
- Adults with lively non-radiographic axial spondyloarthritis (nr-axSpA) with goal indicators of irritation when a TNF blocker medication has been used and didn’t work effectively or couldn’t be tolerated.
It isn’t identified if RINVOQ is protected and efficient in youngsters with juvenile idiopathic arthritis, psoriatic arthritis, ulcerative colitis, ankylosing spondylitis, or non-radiographic axial spondyloarthritis.
- Adults and kids 12 years of age and older with average to extreme eczema (atopic dermatitis [AD]) that didn’t reply to earlier therapy and whose eczema shouldn’t be effectively managed with different capsules or injections, together with biologic medicines, or when using different capsules or injections shouldn’t be really helpful.
RINVOQ is protected and efficient in youngsters 12 years of age and older weighing at the very least 88 kilos (40 kg) with atopic dermatitis.
It isn’t identified if RINVOQ is protected and efficient in youngsters below 12 years of age with atopic dermatitis.
What’s an important info I ought to learn about RINVOQ?
RINVOQ might trigger critical negative effects, together with:
- Severe infections. RINVOQ can decrease your means to battle infections. Severe infections have occurred whereas taking RINVOQ, together with tuberculosis (TB) and infections brought on by micro organism, fungi, or viruses that may unfold all through the physique. Some individuals have died from these infections. Your healthcare supplier (HCP) ought to check you for TB earlier than beginning RINVOQ and examine you carefully for indicators and signs of TB throughout therapy with RINVOQ. You shouldn’t begin taking RINVOQ when you’ve got any sort of an infection until your HCP tells you it’s okay. In the event you get a critical an infection, your HCP might cease your therapy till your an infection is managed. Chances are you’ll be at greater danger of growing shingles (herpes zoster).
- Elevated danger of dying in individuals 50 years and older who’ve at the very least 1 coronary heart illness (cardiovascular) danger issue.
- Most cancers and immune system issues. RINVOQ might enhance your danger of sure cancers. Lymphoma and different cancers, together with pores and skin cancers, can occur. Present or previous people who smoke are at greater danger of sure cancers, together with lymphoma and lung most cancers. Observe your HCP’s recommendation about having your pores and skin checked for pores and skin most cancers throughout therapy with RINVOQ. Restrict the period of time you spend in daylight. Put on protecting clothes if you find yourself within the solar and use sunscreen.
- Elevated danger of main cardiovascular (CV) occasions, similar to coronary heart assault, stroke, or dying, in individuals 50 years and older who’ve at the very least 1 coronary heart illness (CV) danger issue, particularly in case you are a present or previous smoker.
- Blood clots. Blood clots within the veins of the legs or lungs and arteries can occur with RINVOQ. This can be life-threatening and trigger dying. Blood clots within the veins of the legs and lungs have occurred extra typically in people who find themselves 50 years and older and with at the very least 1 coronary heart illness (CV) danger issue.
- Allergic reactions. Signs similar to rash (hives), bother respiration, feeling faint or dizzy, or swelling of your lips, tongue, or throat, that will imply you might be having an allergic response have been seen in individuals taking RINVOQ. A few of these reactions had been critical. If any of those signs happen throughout therapy with RINVOQ, cease taking RINVOQ and get emergency medical assist straight away.
- Tears within the abdomen or intestines and adjustments in sure laboratory assessments. Your HCP ought to do blood assessments earlier than you begin taking RINVOQ and whilst you take it. Your HCP might cease your RINVOQ therapy for a time period if wanted due to adjustments in these blood check outcomes.
Don’t take RINVOQ if you might be allergic to upadacitinib or any of the components in RINVOQ. See the Remedy Information or Client Transient Abstract for an entire listing of components.
What ought to I inform my HCP BEFORE beginning RINVOQ?
Inform your HCP when you:
- Are being handled for an an infection, have an an infection that will not go away or retains coming again, or have signs of an an infection similar to:
- Fever, sweating, or chills
- Shortness of breath
- Heat, purple, or painful pores and skin or sores in your physique
- Muscle aches
- Feeling drained
- Blood in phlegm
- Diarrhea or abdomen ache
- Cough
- Weight reduction
- Burning when urinating or urinating extra typically than regular
- Have TB or have been in shut contact with somebody with TB.
- Are a present or previous smoker.
- Have had a coronary heart assault, different coronary heart issues, or stroke.
- Have had any sort of most cancers, hepatitis B or C, shingles (herpes zoster), blood clots within the veins of your legs or lungs, diverticulitis (irritation in components of the big gut), or ulcers in your abdomen or intestines.
- Produce other medical situations together with liver issues, low blood cell counts, diabetes, continual lung illness, HIV, or a weak immune system.
- Reside, have lived, or have traveled to components of the nation, such because the Ohio and Mississippi River valleys and the Southwest, that enhance your danger of getting sure sorts of fungal infections. In case you are not sure when you’ve been to these kinds of areas, ask your HCP.
- Have just lately acquired or are scheduled to obtain a vaccine. Individuals who take RINVOQ mustn’t obtain dwell vaccines.
- Are pregnant or plan to turn out to be pregnant. Primarily based on animal research, RINVOQ might hurt your unborn child. Your HCP will examine whether or not or not you might be pregnant earlier than you begin RINVOQ. You need to use efficient contraception (contraception) to keep away from turning into pregnant throughout therapy with RINVOQ and for 4 weeks after your final dose.
- Are breastfeeding or plan to breastfeed. RINVOQ might cross into your breast milk. Don’t breastfeed throughout therapy with RINVOQ and for six days after your final dose.
Inform your HCP about all of the medicines you’re taking, together with prescription and over-the-counter medicines, nutritional vitamins, and natural dietary supplements. RINVOQ and different medicines might have an effect on one another, inflicting negative effects.
Particularly inform your HCP when you take:
- Medicines for fungal or bacterial infections
- Rifampicin or phenytoin
- Medicines that have an effect on your immune system
In case you are unsure in case you are taking any of those medicines, ask your HCP or pharmacist.
What ought to I do or inform my HCP AFTER beginning RINVOQ?
- Inform your HCP straight away when you’ve got any signs of an an infection. RINVOQ could make you extra prone to get infections or make any infections you may have worse
- Get emergency assist straight away when you’ve got any signs of a coronary heart assault or stroke whereas taking RINVOQ, together with:
- Discomfort within the middle of your chest that lasts for quite a lot of minutes or that goes away and comes again
- Extreme tightness, ache, strain, or heaviness in your chest, throat, neck, or jaw
- Ache or discomfort in your arms, again, neck, jaw, or abdomen
- Shortness of breath with or with out chest discomfort
- Breaking out in a chilly sweat
- Nausea or vomiting
- Feeling lightheaded
- Weak point in a single half or on one facet of your physique
- Slurred speech
- Inform your HCP straight away when you’ve got any indicators or signs of blood clots throughout therapy with RINVOQ, together with:
- Swelling
- Ache or tenderness in one or each legs
- Sudden unexplained chest or higher again ache
- Shortness of breath or problem respiration
- Inform your HCP straight away when you’ve got a fever or stomach-area ache that doesn’t go away, and a change in your bowel habits.
What are the opposite potential negative effects of RINVOQ?
Widespread negative effects embody higher respiratory tract infections (frequent chilly, sinus infections), shingles (herpes zoster), herpes simplex virus infections (together with chilly sores), bronchitis, nausea, cough, fever, zits, headache, elevated blood ranges of creatine phosphokinase, allergic reactions, irritation of hair follicles, stomach-area (belly) ache, elevated weight, flu, tiredness, decrease variety of sure forms of white blood cells (neutropenia, lymphopenia), muscle ache, flu-like sickness, rash, elevated blood levels of cholesterol, and elevated liver enzyme ranges.
A separation or tear to the liner of the again a part of the attention (retinal detachment) has occurred in individuals with atopic dermatitis handled with RINVOQ. Name your HCP straight away when you’ve got any sudden adjustments in your imaginative and prescient throughout therapy with RINVOQ.
These are usually not all of the potential negative effects of RINVOQ.
How ought to I take RINVOQ?
RINVOQ is taken as soon as a day with or with out meals. Don’t break up, crush, or chew the pill. Take RINVOQ precisely as your HCP tells you to make use of it. RINVOQ is accessible in 15 mg, 30 mg, and 45 mg extended-release tablets.
That is an important info to learn about RINVOQ. For extra info, discuss to your HCP.
You’re inspired to report adverse negative effects of prescribed drugs to the FDA.
Go to http://www.fda.gov/medwatch or name 1-800-FDA-1088.
In case you are having problem paying on your medication, AbbVie could possibly assist. Go to AbbVie.com/myAbbVieAssist to be taught extra.
Please click on right here for the Full Prescribing Data and Remedy Information .
Globally, prescribing info varies; consult with the person nation product label for full info.
About AbbVie in Rheumatology
For greater than 20 years, AbbVie has been devoted to enhancing look after individuals residing with rheumatic illnesses. Our longstanding dedication to discovering and delivering transformative therapies is underscored by our pursuit of cutting-edge science that improves our understanding of promising new pathways and targets with a view to assist extra individuals residing with rheumatic illnesses attain their therapy targets. For extra info, go to AbbVie in rheumatology.
About AbbVie
AbbVie’s mission is to find and ship modern medicines that clear up critical well being points immediately and handle the medical challenges of tomorrow. We try to have a exceptional influence on individuals’s lives throughout a number of key therapeutic areas: immunology, oncology, neuroscience, eye care, virology, and girls’s well being, along with services and products throughout our Allergan Aesthetics portfolio. For extra details about AbbVie, please go to us at www.abbvie.com . Observe @abbvie on Twitter, Fb , LinkedIn or Instagram .
Ahead-Trying Statements
Some statements on this information launch are, or could also be thought of, forward-looking statements for functions of the Non-public Securities Litigation Reform Act of 1995. The phrases “consider,” “anticipate,” “anticipate,” “undertaking” and comparable expressions, amongst others, usually establish forward-looking statements. AbbVie cautions that these forward-looking statements are topic to dangers and uncertainties that will trigger precise outcomes to vary materially from these indicated within the forward-looking statements. Such dangers and uncertainties embody, however are usually not restricted to, failure to comprehend the anticipated advantages from AbbVie’s acquisition of Allergan plc (“Allergan”), failure to promptly and successfully combine Allergan’s companies, competitors from different merchandise, challenges to mental property, difficulties inherent within the analysis and growth course of, hostile litigation or authorities motion, adjustments to legal guidelines and rules relevant to our business and the influence of public well being outbreaks, epidemics or pandemics, similar to COVID-19. Further details about the financial, aggressive, governmental, technological and different components that will have an effect on AbbVie’s operations is ready forth in Merchandise 1A, “Danger Elements,” of AbbVie’s 2021 Annual Report on Type 10-Okay, which has been filed with the Securities and Alternate Fee, as up to date by its subsequent Quarterly Reviews on Type 10-Q. AbbVie undertakes no obligation to launch publicly any revisions to forward-looking statements because of subsequent occasions or developments, besides as required by regulation.
*Dr. Atul Deodhar , M.D., is a researcher/guide for AbbVie.
US-RNQR-221074
References:
- RINVOQ ® (upadacitinib) [Package Insert]. North Chicago, In poor health.: AbbVie Inc.
- Deodhar A, Van den Bosch F, Poddubnyy D, et al. U Upadacitinib for the therapy of lively non-radiographic axial spondyloarthritis (SELECT-AXIS 2): a randomized, double-blind, placebo-controlled, section 3 trial. Lancet . 2022;400:369–79. doi:10.1016/S0140-6736(22)01212-0.
- van der Heijde D, Baraliakos X, Sieper J, et al. Efficacy and security of upadacitinib for lively ankylosing spondylitis refractory to organic remedy: a double-blind, randomized, placebo-controlled section 3 trial. Ann Rheum Dis . 2022;0:1–9. doi:10.1136/annrheumdis-2022-222608.
- A Research to Consider Efficacy and Security of Upadacitinib in Grownup Individuals With Axial Spondyloarthritis (SELECT AXIS 2). ClinicalTrials.gov. Accessible at: https://clinicaltrials.gov/ct2/present/NCT04169373 . Accessed October 21, 2022 .
- Sieper J, Poddubnyy D. Axial spondyloarthritis. Lancet 2017; 390: 73–84.
- Deodhar AA, Understanding Axial Spondyloarthritis: A Primer for Managed Care. Am J Manag Care . 2019;25:S319-S330.
- Wang R, Ward MM. Epidemiology of axial spondyloarthritis: an replace. Curr Opin Rheumatol. 2018 Mar;30(2):137-143. doi: 10.1097/BOR.0000000000000475. PMID: 29227352; PMCID: PMC5811203.
- A research evaluating upadacitinib (ABT-494) to placebo and to adalimumab in adults with rheumatoid arthritis who’re on a secure dose of methotrexate and who’ve an insufficient response to methotrexate (SELECT-COMPARE). ClinicalTrials.gov identifier: NCT02629159. Accessed October 21, 2022 . https://www.clinicaltrials.gov/ct2/present/NCT02629159
- A Research to Consider the Security and Efficacy of ABT-494 for Induction and Upkeep Remedy in Topics With Reasonably to Severely Energetic Ulcerative Colitis. ClinicalTrials.gov. Accessible at: https://clinicaltrials.gov/ct2/present/NCT02819635 . Accessed on October 21, 2022 .
- A Multicenter, Randomized, Double-Blind, Placebo-Managed Research of ABT-494 for the Induction of Symptomatic and Endoscopic Remission in Topics With Reasonably to Severely Energetic Crohn’s Illness Who Have Inadequately Responded to or Are Illiberal to Immunomodulators or Anti-TNF Remedy. ClinicalTrials.gov. Accessible at: https://clinicaltrials.gov/ct2/present/NCT02365649 . Accessed on October 21, 2022 .
- A Research to Consider the Security and Efficacy of Upadacitinib in Individuals With Big Cell Arteritis (SELECT-GCA). ClinicalTrials.gov. Accessible at: https://clinicaltrials.gov/ct2/present/NCT03725202 . Accessed: October 21, 2022 .
- A Research Evaluating Upadacitinib (ABT-494) to Placebo and to Adalimumab in Individuals With Psoriatic Arthritis Who Have an Insufficient Response to at Least One Non-Biologic Illness Modifying Anti-Rheumatic Drug (SELECT – PsA 1). ClinicalTrials.gov. Accessible at: https://clinicaltrials.gov/ct2/present/NCT03104400 . Accessed on October 21, 2022 .
- A Research to Examine Security and Efficacy of Upadacitinib to Dupilumab in Grownup Individuals With Reasonable to Extreme Atopic Dermatitis (Heads Up). ClinicalTrials.gov. Accessible at: https://clinicaltrials.gov/ct2/present/NCT03738397 . Accessed: October 21, 2022 .
- A Research to Consider the Efficacy and Security of Upadacitinib in Topics With Takayasu Arteritis (SELECT-TAK). ClinicalTrials.gov. Accessible at https://clinicaltrials.gov/ct2/present/document/NCT04161898 . Accessed: October 21, 2022 .
View unique content material: https://www.prnewswire.com/news-releases/rinvoq-upadacitinib-receives-its-sixth-us-fda-approval-301656437.html
SOURCE AbbVie
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