Truxima (rituximab) vs Simlandi (adalimumab-ryvk)

Truxima (rituximab) vs Simlandi (adalimumab-ryvk)

Truxima (rituximab) and Simlandi (adalimumab-ryvk) are both biologic medications used to treat various autoimmune conditions, but they work in different ways and are indicated for different diseases. Truxima targets CD20-positive B cells and is commonly used in the treatment of non-Hodgkin lymphoma, chronic lymphocytic leukemia, rheumatoid arthritis, and certain types of vasculitis, whereas Simlandi, a biosimilar to Humira (adalimumab), inhibits tumor necrosis factor (TNF) and is indicated for conditions such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, Crohn's disease, ulcerative colitis, and plaque psoriasis. The choice between Truxima and Simlandi would depend on the specific condition being treated, the patient's medical history, and their doctor's assessment of which medication is more appropriate for their individual case.

Difference between Truxima and Simlandi

Metric Truxima (rituximab) Simlandi (adalimumab-ryvk)
Generic name Rituximab Adalimumab-ryvk
Indications Non-Hodgkin's lymphoma, chronic lymphocytic leukemia, rheumatoid arthritis, granulomatosis with polyangiitis, and microscopic polyangiitis Rheumatoid arthritis, juvenile idiopathic arthritis, psoriatic arthritis, ankylosing spondylitis, adult Crohn's disease, ulcerative colitis, and plaque psoriasis
Mechanism of action Targets CD20-positive B lymphocytes and leads to their destruction Inhibits tumor necrosis factor (TNF) alpha, a pro-inflammatory cytokine
Brand names Truxima, Rituxan, MabThera Simlandi, Humira
Administrative route Intravenous infusion Subcutaneous injection
Side effects Infusion reactions, infections, body aches, fatigue, skin rashes Infections, injection site reactions, headache, rash, nausea
Contraindications Known hypersensitivity to rituximab or any of its components, active, severe infections Known hypersensitivity to adalimumab or its excipients, active tuberculosis or other severe infections
Drug class Monoclonal antibody Monoclonal antibody
Manufacturer Celltrion Healthcare, Teva Pharmaceuticals, Genentech (Roche) Boehringer Ingelheim

Efficacy

Truxima (rituximab) Efficacy in Rheumatoid Arthritis

Truxima, a biosimilar to the original rituximab biologic, has been shown to be effective in the treatment of rheumatoid arthritis (RA). Rituximab, the active ingredient in Truxima, is a monoclonal antibody that targets CD20-positive B cells, which play a role in the pathogenesis of RA. Clinical trials have demonstrated that rituximab, in combination with methotrexate, can reduce symptoms in patients with moderate to severe RA who have had an inadequate response to one or more tumor necrosis factor (TNF) inhibitor therapies. The efficacy of Truxima in RA is comparable to the reference product, with improvements in disease activity scores and physical function being observed in patients treated with this medication.

In randomized controlled trials, Truxima has been shown to achieve significant improvements in RA disease activity, as measured by the American College of Rheumatology (ACR) response criteria. Patients receiving Truxima have experienced reductions in joint swelling and tenderness, and some have achieved clinical remission or low disease activity. The therapeutic benefits of Truxima have been sustained with continued treatment, and its use has been associated with a reduction in the progression of joint damage as assessed by radiographic analysis.

Simlandi (adalimumab-ryvk) Efficacy in Rheumatoid Arthritis

Simlandi, an adalimumab biosimilar, is another biologic medication used in the treatment of rheumatoid arthritis. Adalimumab-ryvk is designed to bind selectively to TNF-alpha, a pro-inflammatory cytokine that plays a central role in the inflammatory process of RA. By inhibiting the action of TNF-alpha, Simlandi helps to reduce inflammation and slow the progression of joint damage. Clinical studies have shown that Simlandi is effective in reducing the signs and symptoms of RA, improving physical function, and achieving clinical remission in some patients.

The efficacy of Simlandi in the treatment of RA has been evaluated in clinical trials that have included patients with an inadequate response to disease-modifying antirheumatic drugs (DMARDs), including methotrexate. These studies have indicated that Simlandi can provide significant improvements in ACR response rates, comparable to the reference adalimumab product. Additionally, Simlandi has been associated with a favorable impact on quality of life measures for patients with RA, demonstrating its effectiveness as a treatment option in this patient population.

Regulatory Agency Approvals

Truxima
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Therapeutic Goods Administration (TGA), Australia
  • Medsafe (NZ)
Simlandi
  • Food and Drug Administration (FDA), USA

Access Truxima or Simlandi today

If Truxima 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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