Rinvoq (upadacitinib) vs Idacio (adalimumab-aacf)

Rinvoq (upadacitinib) vs Idacio (adalimumab-aacf)

Rinvoq (upadacitinib) is a selective Janus kinase (JAK) inhibitor taken orally, indicated for the treatment of moderate to severe rheumatoid arthritis, among other inflammatory conditions, and works by interfering with the JAK-STAT signaling pathway, which plays a role in the immune response. Idacio, a biosimilar to Humira (adalimumab), is a tumor necrosis factor (TNF) blocker administered by subcutaneous injection and is used to treat various autoimmune conditions by inhibiting the action of TNF, a substance in the body that can cause inflammation and lead to immune-system diseases. When deciding between Rinvoq and Idacio, a patient should consider factors such as the route of administration (oral vs. injection), potential side effects, medical history, and the specific condition being treated, in consultation with their healthcare provider.

Difference between Rinvoq and Idacio

Metric Rinvoq (upadacitinib) Idacio (adalimumab-aacf)
Generic name Upadacitinib Adalimumab-aacf
Indications Rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, atopic dermatitis, ulcerative colitis Rheumatoid arthritis, juvenile idiopathic arthritis, psoriatic arthritis, ankylosing spondylitis, Crohn's disease, ulcerative colitis, plaque psoriasis
Mechanism of action Selective Janus kinase (JAK) inhibitor, specifically inhibiting JAK1 Tumor necrosis factor (TNF) blocker, binds to TNF-alpha and inhibits its interaction with the p55 and p75 cell surface TNF receptors
Brand names Rinvoq Idacio
Administrative route Oral Subcutaneous injection
Side effects Upper respiratory infections, nausea, increased blood creatine phosphokinase, cough, pyrexia, and others Injection site reactions, upper respiratory infections, headache, rash, nausea, and others
Contraindications Active tuberculosis, serious infections, severe hepatic impairment Active tuberculosis, serious infections, moderate to severe heart failure
Drug class Janus kinase inhibitor Tumor necrosis factor (TNF) blocker
Manufacturer AbbVie Fresenius Kabi

Efficacy

Rinvoq (Upadacitinib) Efficacy in Rheumatoid Arthritis

Rinvoq (upadacitinib) is a selective and reversible Janus kinase (JAK) inhibitor approved by the FDA for the treatment of adults with moderate to severe rheumatoid arthritis (RA) who have had an inadequate response or intolerance to methotrexate. Clinical trials have demonstrated that Rinvoq can significantly reduce the signs and symptoms of RA, improve physical function, and inhibit the progression of structural damage. The SELECT series of phase 3 trials, which evaluated the efficacy and safety of Rinvoq in various RA patient populations, showed that the medication was effective in achieving clinical remission and low disease activity in a significant proportion of patients, particularly when compared to placebo and in some cases, to other active treatments.

In the SELECT-COMPARE trial, Rinvoq, in combination with methotrexate, was shown to be superior to placebo and adalimumab (a TNF inhibitor) plus methotrexate in achieving ACR20/50/70 responses, which are standard measures of improvement in tender and swollen joint counts and other disease activity markers. Additionally, Rinvoq was associated with a rapid onset of action, often showing significant improvements as early as week 2 of treatment. The improvements in disease activity were sustained over time, with many patients maintaining benefits for a year or more.

Idacio (Adalimumab-aacf) Efficacy in Rheumatoid Arthritis

Idacio is a biosimilar to the reference product, Humira (adalimumab), and is approved for the same indications, including the treatment of moderate to severe rheumatoid arthritis. Adalimumab is a tumor necrosis factor (TNF) inhibitor that works by blocking the action of TNF, a substance in the body that causes inflammation and can lead to autoimmune diseases such as RA. Clinical studies have shown that adalimumab can reduce the signs and symptoms of RA, induce major clinical response, inhibit the progression of structural damage, and improve physical function in adult patients with moderate to severe disease.

Biosimilars like Idacio undergo rigorous testing to ensure they are highly similar to their reference products and have no clinically meaningful differences in terms of safety, purity, and potency. In the case of Idacio, studies have confirmed its efficacy and safety profile to be comparable to that of the originator adalimumab. Patients treated with Idacio can expect similar outcomes in terms of reduction of disease activity and improvement in joint health. As with the reference product, Idacio is often used in combination with methotrexate or other disease-modifying antirheumatic drugs (DMARDs) to enhance efficacy.

Regulatory Agency Approvals

Rinvoq
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
Idacio
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

Access Rinvoq or Idacio today

If Rinvoq or Idacio 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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