Ilumya (tildrakizumab) vs Simlandi (adalimumab-ryvk)

Ilumya (tildrakizumab) vs Simlandi (adalimumab-ryvk)

Ilumya (tildrakizumab) is a biologic medication specifically designed to target the IL-23 protein, which plays a key role in the inflammation process of psoriasis, making it a selective option for moderate-to-severe plaque psoriasis. Simlandi (adalimumab-ryvk), on the other hand, is a biosimilar to adalimumab and is a TNF inhibitor that can be used to treat a variety of inflammatory conditions, including psoriasis, rheumatoid arthritis, and Crohn's disease, offering a broader range of applications. When deciding between Ilumya and Simlandi, it is important to consider the specific condition being treated, the patient's medical history, potential side effects, and the advice of a healthcare professional, as each medication has a different mechanism of action and may be more suitable for certain conditions.

Difference between Ilumya and Simlandi

Metric Ilumya (tildrakizumab) Simlandi (adalimumab-ryvk)
Generic name Tildrakizumab Adalimumab-ryvk
Indications Moderate-to-severe plaque psoriasis Rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, Crohn's disease, ulcerative colitis, plaque psoriasis
Mechanism of action IL-23 inhibitor TNF inhibitor
Brand names Ilumya Simlandi
Administrative route Subcutaneous injection Subcutaneous injection
Side effects Upper respiratory infections, injection site reactions, diarrhea Infections, injection site reactions, headache, rash
Contraindications Known hypersensitivity to tildrakizumab or excipients Known hypersensitivity to adalimumab or excipients, active tuberculosis or other severe infections, moderate to severe heart failure
Drug class Monoclonal antibody Monoclonal antibody
Manufacturer Sun Pharma Amgen

Efficacy

Efficacy of Ilumya (Tildrakizumab) in Treating Psoriasis

Ilumya, known by its generic name tildrakizumab, is a medication approved for the treatment of moderate to severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy. Tildrakizumab is a biologic drug that works by targeting an interleukin (IL)-23, a cytokine involved in inflammatory processes, which is thought to play a crucial role in the pathogenesis of psoriasis. Clinical trials have demonstrated that tildrakizumab can significantly reduce the severity of psoriasis symptoms. In these trials, efficacy was often measured by the Psoriasis Area and Severity Index (PASI) score, which assesses the severity of psoriatic lesions based on redness, thickness, and scaling.

In pivotal phase III clinical trials, such as reSURFACE 1 and reSURFACE 2, a significant proportion of patients treated with Ilumya achieved at least a 75% reduction in PASI score (PASI 75) compared to placebo. Furthermore, many patients reached PASI 90 and even PASI 100, indicating nearly complete or complete clearance of skin lesions. These results were sustained with continued treatment over a period of up to 52 weeks, suggesting that Ilumya is not only effective in the short term but also maintains its efficacy over time with an appropriate dosing regimen.

Efficacy of Simlandi (Adalimumab-ryvk) in Treating Psoriasis

Simlandi, also referred to as adalimumab-ryvk, is a biosimilar to the reference product adalimumab and is used for the treatment of several inflammatory conditions, including moderate to severe chronic plaque psoriasis. As a biosimilar, Simlandi has demonstrated no clinically meaningful differences in terms of safety, purity, and potency when compared to its reference product. Adalimumab is a tumor necrosis factor (TNF) inhibitor that modulates the inflammatory response that contributes to the development of psoriatic plaques.

Clinical studies of the reference product adalimumab have shown that it can lead to significant improvement in psoriasis symptoms. Patients treated with adalimumab often experience a reduction in the extent and severity of their skin lesions, with many achieving PASI 75. Moreover, adalimumab has been shown to improve quality of life for patients with psoriasis by reducing the physical and psychological burden of the disease. As Simlandi is a biosimilar, it is expected to perform in a highly similar manner to adalimumab in terms of efficacy, although specific studies on Simlandi itself may be necessary to confirm this directly.

Regulatory Agency Approvals

Ilumya
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Simlandi
  • Food and Drug Administration (FDA), USA

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If Ilumya or Simlandi are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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