From:  Biologics and biosimilars in musculoskeletal diseases: addressing regulatory inconsistencies and clinical uncertainty

 Biosimilars approved by the FDA for MSDs [11, 12]

Biosimilar name (active ingredient)Reference biologicOriginal approval dateIndicationsInterchangeability
Abrilada (adalimumab-afzb)Humira (adalimumab)September 2016RA, JIA, PsA, AS, CD, UC, PsOYes
Amjevita (adalimumab-atto)Humira (adalimumab)September 2016RA, JIA, PsA, AS, CD, UC, PsOYes
Avsola (infliximab-axxq)Remicade (infliximab)December 2019RA, PsA, AS, CD, UC, PsONo
Avtozma (tocilizumab-anoh)Actemra (tocilizumab)January 2025RA, GCA, PJIA, SJIA, COVID-19Yes
Cyltezo (adalimumab-adbm)Humira (adalimumab)August 2017RA, JIA, PsA, AS, CD, UC, PsOYes
Erelzi (etanercept-szzs)Enbrel (etanercept)August 2016RA, JIA, PsA, AS, PsONo
Eticovo (etanercept-ykro)Enbrel (etanercept)April 2019RA, JIA, PsA, AS, PsOYes (only 25 mg/0.5 mL, 50 mg/mL)
Hadlima (adalimumab-bwwd)Humira (adalimumab)July 2019RA, JIA, PsA, AS, CD, UC, PsOYes
Hulio (adalimumab-fkjp)Humira (adalimumab)July 2020RA, JIA, PsA, AS, CD, UC, PsOYes
Hyrimoz (adalimumab-adaz)Humira (adalimumab)October 2018RA, JIA, PsA, AS, CD, UC, PsOYes
Idacio (adalimumab-aacf)Humira (adalimumab)December 2022RA, JIA, PsA, AS, CD, UC, PsO, HS, UVNo
Imuldosa (ustekinumab-srlf)Stelara (ustekinumab)October 2024PsO, PsA, CD, UCNo
Inflectra (infliximab-dyyb)Remicade (infliximab)April 2016RA, PsA, AS, CD, UC, PsONo
Ixifi (infliximab-qbtx)Remicade (infliximab)December 2017RA, PsA, AS, CD, UC, PsONo
Otulfi (ustekinumab-aauz)Stelara (ustekinumab)September 2024PsO, PsA, UC, CDYes
Pyzchiva (ustekinumab-sbdc)Stelara (ustekinumab)October 2023PsA, CD, UC, PsOYes
Renflexis (infliximab-abda)Remicade (infliximab)April 2017RA, PsA, AS, CD, UC, PsONo
Riabni (rituximab-arrx)Rituxan (rituximab)December 2020RA, NHL, CLL, GPA, MPA, PVNo
Ruxience (rituximab-pvvr)Rituxan (rituximab)July 2019RA, NHL, CLL, GPA, MPA, PVNo
Selarsdi (ustekinumab-aekn)Stelara (ustekinumab)April 2024PsA, CD, UC, PsOYes
Simlandi (adalimumab-ryvk)Humira (adalimumab)February 2024RA, JIA, PsA, AS, CD, UC, PsOYes
Starjemza (ustekinumab-hmny)Stelara (ustekinumab)May 2025PsO, PsA, UC, CDYes
Steqeyma (ustekinumab-stba)Stelara (ustekinumab)December 2024PsO, PsA, CD, UCYes
Tofidence (tocilizumab-bavi)Actemra (tocilizumab)September 2023RA, GCA, PJIA, SJIA, COVID-19No
Truxima (rituximab-abbs)Rituxan (rituximab)November 2018RA, NHL, CLL, GPA, MPANo
Tyenne (tocilizumab-aazg)Actemra (tocilizumab)March 2024RA, GCA, PJIA, SJIA, CRS, COVID-19No
Wezlana (ustekinumab-auub)Stelara (ustekinumab)October 2023PsO, PsA, CD, UCYes
Yesintek (ustekinumab-kfce)Stelara (ustekinumab)November 2024PsO, PsA, UC, CDYes
Yuflyma (adalimumab-aaty)Humira (adalimumab)May 2023RA, JIA, PsA, AS, CD, UV, PsO, HSYes
Yusimry (adalimumab-aqvh)Humira (adalimumab)December 2021RA, JIA, PsA, AS, CD, UC, PsONo

AS: ankylosing spondylitis; CD: Crohn’s disease; CLL: chronic lymphocytic leukemia; CRS: cytokine release syndrome; FDA: Food and Drug Administration; GCA: giant cell arteritis; GPA: granulomatosis with polyangiitis; HS: hidradenitis suppurativa; JIA: juvenile idiopathic arthritis; MPA: microscopic polyangiitis; MSD: musculoskeletal disease; NHL: non-Hodgkin’s lymphoma; PJIA: polyarticular juvenile idiopathic arthritis; PsA: psoriatic arthritis; PsO: plaque psoriasis; PV: pemphigus vulgaris; RA: rheumatoid arthritis; SJIA: systemic juvenile idiopathic arthritis; UC: ulcerative colitis; UV: urticarial vasculitis