Jyseleca (filgotinib) vs Idacio (adalimumab-aacf)
Jyseleca (filgotinib) vs Idacio (adalimumab-aacf)
Jyseleca (filgotinib) is an oral selective JAK1 inhibitor used to treat moderate to severe rheumatoid arthritis, whereas Idacio (adalimumab-aacf), a biosimilar to Humira, is a TNF inhibitor administered by injection and used for a broader range of inflammatory conditions, including rheumatoid arthritis, psoriatic arthritis, and Crohn's disease. Filgotinib may be preferred by patients looking for an oral medication with a different mechanism of action and potentially fewer injection site reactions. However, the choice between Jyseleca and Idacio should be based on individual patient factors, disease severity, previous treatment responses, and potential side effects, with the decision made in consultation with a healthcare provider.
Difference between Jyseleca and Idacio
Metric | Jyseleca (filgotinib) | Idacio (adalimumab-aacf) |
---|---|---|
Generic name | Filgotinib | Adalimumab-aacf |
Indications | Rheumatoid arthritis, Ulcerative colitis | Rheumatoid arthritis, Psoriatic arthritis, Ankylosing spondylitis, Crohn's disease, Ulcerative colitis, Plaque psoriasis, Hidradenitis suppurativa, Uveitis |
Mechanism of action | JAK1 inhibitor | TNF inhibitor |
Brand names | Jyseleca | Idacio |
Administrative route | Oral | Subcutaneous injection |
Side effects | Nausea, Upper respiratory tract infection, Increased liver enzymes, Hypertension | Injection site reactions, Upper respiratory infections, Headache, Rash |
Contraindications | Severe liver disease, Pregnancy, Breastfeeding | Active tuberculosis, Active bacterial infections, Moderate to severe heart failure |
Drug class | JAK inhibitor | Monoclonal antibody |
Manufacturer | Gilead Sciences | Fresenius Kabi |
Efficacy
Efficacy of Jyseleca (Filgotinib) in Rheumatoid Arthritis
Jyseleca, known generically as filgotinib, is a selective Janus kinase (JAK) inhibitor used for the treatment of adults with moderate to severe rheumatoid arthritis (RA) who have had an inadequate response or intolerance to one or more disease-modifying antirheumatic drugs (DMARDs). Filgotinib has demonstrated efficacy in reducing the signs and symptoms of RA, improving physical function, and inhibiting the progression of structural damage as evidenced by radiographic findings. Clinical trials, such as the FINCH series of studies, have shown that filgotinib, both as a monotherapy and in combination with methotrexate or other conventional synthetic DMARDs, has led to significant improvements in disease activity scores and remission rates compared to placebo.
The efficacy of filgotinib is measured by its ability to achieve American College of Rheumatology (ACR) response criteria, which include parameters such as the reduction of tender and swollen joint counts, improvement in patient pain assessment, and other patient-reported outcomes. In clinical trials, a higher proportion of patients treated with filgotinib achieved ACR20, ACR50, and ACR70 responses, indicating a 20%, 50%, and 70% improvement in RA symptoms, respectively, compared to those receiving placebo.
Efficacy of Idacio (Adalimumab-aacf) in Rheumatoid Arthritis
Idacio is a biosimilar to the reference product adalimumab, which is a tumor necrosis factor (TNF) inhibitor. It is approved for the treatment of several inflammatory conditions, including moderate to severe rheumatoid arthritis. Idacio has been shown to reduce the signs and symptoms of RA, induce major clinical response, inhibit the progression of structural damage, and improve physical function in adult patients. It is indicated for use in combination with methotrexate or as a monotherapy in cases where methotrexate is not well-tolerated or is contraindicated.
The efficacy of Idacio in the treatment of RA has been established through clinical studies that demonstrate its similarity to the reference adalimumab product. Patients treated with Idacio have achieved significant clinical responses, as measured by ACR criteria, similar to those observed with the reference product. The biosimilar has also been shown to maintain efficacy and safety profiles comparable to the original adalimumab over long-term use. This includes sustained improvements in disease activity and physical function for patients with RA.
Regulatory Agency Approvals
Jyseleca
Idacio
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