Stelara (ustekinumab) vs Yuflyma (adalimumab-aaty)
Stelara (ustekinumab) vs Yuflyma (adalimumab-aaty)
Stelara (ustekinumab) and Yuflyma (adalimumab-aaty) are both biologic medications used to treat various inflammatory conditions, but they target different pathways in the immune system. Stelara works by blocking interleukin-12 and interleukin-23, which are involved in the inflammation process, and is often used for conditions like psoriasis and Crohn's disease. Yuflyma, a biosimilar to Humira (adalimumab), inhibits tumor necrosis factor (TNF) and is commonly prescribed for rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis, among other conditions; the choice between the two would depend on the specific condition being treated, the patient's medical history, and how they respond to each medication.
Difference between Stelara and Yuflyma
Metric | Stelara (ustekinumab) | Yuflyma (adalimumab-aaty) |
---|---|---|
Generic name | Ustekinumab | Adalimumab-aaty |
Indications | Plaque psoriasis, psoriatic arthritis, Crohn's disease, ulcerative colitis | Rheumatoid arthritis, juvenile idiopathic arthritis, psoriatic arthritis, ankylosing spondylitis, Crohn's disease, ulcerative colitis, plaque psoriasis, hidradenitis suppurativa, uveitis |
Mechanism of action | Interleukin-12 and interleukin-23 antagonist | Tumor necrosis factor (TNF) blocker |
Brand names | Stelara | Yuflyma, Humira (reference adalimumab) |
Administrative route | Subcutaneous, intravenous | Subcutaneous |
Side effects | Upper respiratory infections, headache, fatigue, injection site reactions | Infections, injection site reactions, headache, rash, nausea |
Contraindications | Active tuberculosis or other severe infections, hypersensitivity to ustekinumab | Active tuberculosis or other severe infections, hypersensitivity to adalimumab or its excipients |
Drug class | Monoclonal antibody | Monoclonal antibody |
Manufacturer | Janssen Biotech | Celltrion Healthcare |
Efficacy
Efficacy of Stelara (Ustekinumab) in Treating Psoriatic Arthritis
Stelara (ustekinumab) is a biologic medication approved for the treatment of psoriatic arthritis, a chronic autoimmune disease characterized by both joint inflammation and skin psoriasis. Ustekinumab targets interleukin-12 (IL-12) and interleukin-23 (IL-23), two proteins that can contribute to the inflammation and immune response associated with psoriatic arthritis. Clinical trials have demonstrated that Stelara can significantly reduce joint pain and swelling in individuals with psoriatic arthritis. Moreover, it has been shown to improve physical function and inhibit the progression of joint damage over time.
In pivotal phase III clinical trials such as PSUMMIT 1 and PSUMMIT 2, patients treated with Stelara experienced improved signs and symptoms of psoriatic arthritis compared to those on placebo. A significant proportion of patients achieved at least a 20% improvement in disease symptoms, as measured by the American College of Rheumatology criteria (ACR20). Furthermore, Stelara has been associated with improvements in skin symptoms for those with concurrent psoriasis, highlighting its dual efficacy in managing both joint and skin manifestations of the disease.
Efficacy of Yuflyma (Adalimumab-aaty) in Treating Psoriatic Arthritis
Yuflyma, a biosimilar to the reference product adalimumab, is another biologic therapy approved for the treatment of psoriatic arthritis. Adalimumab-aaty is a tumor necrosis factor (TNF) inhibitor that works by blocking TNF-alpha, a cytokine involved in systemic inflammation. The efficacy of Yuflyma in treating psoriatic arthritis is expected to be similar to that of the reference adalimumab product, as biosimilars are required to demonstrate no clinically meaningful differences in efficacy, safety, and immunogenicity compared to their reference products.
Clinical studies of the reference adalimumab have shown significant improvements in joint symptoms, physical function, and quality of life for patients with psoriatic arthritis. It has also been effective in slowing the progression of joint damage. Patients treated with adalimumab have achieved ACR20, ACR50, and even ACR70 responses, indicating various degrees of improvement in their symptoms. Given that Yuflyma is a biosimilar, it is anticipated to offer comparable efficacy in the management of psoriatic arthritis, providing patients with an alternative option that may be more cost-effective.
Regulatory Agency Approvals
Stelara
Yuflyma
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