Idacio (adalimumab-aacf) vs Ilaris (canakinumab)

Idacio (adalimumab-aacf) vs Ilaris (canakinumab)

Idacio (adalimumab-aacf) is a biosimilar to the original adalimumab, a tumor necrosis factor (TNF) inhibitor used to treat various inflammatory conditions such as rheumatoid arthritis, psoriatic arthritis, and Crohn's disease. Ilaris (canakinumab) is an interleukin-1 beta (IL-1β) inhibitor, primarily indicated for rare auto-inflammatory syndromes, such as Cryopyrin-Associated Periodic Syndromes (CAPS), and has expanded its indications to include gout and systemic juvenile idiopathic arthritis. When deciding between Idacio and Ilaris, it is crucial to consider the specific inflammatory condition being treated, as their mechanisms target different pathways in the immune system, and a healthcare provider can help determine which medication is more appropriate based on the individual's diagnosis and treatment history.

Difference between Idacio and Ilaris

Metric Idacio (adalimumab-aacf) Ilaris (canakinumab)
Generic name Adalimumab-aacf Canakinumab
Indications Rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, Crohn's disease, ulcerative colitis, plaque psoriasis Cryopyrin-associated periodic syndromes, systemic juvenile idiopathic arthritis, adult-onset Still's disease, familial Mediterranean fever
Mechanism of action TNF inhibitor IL-1 beta inhibitor
Brand names Idacio Ilaris
Administrative route Subcutaneous injection Subcutaneous injection
Side effects Infections, injection site reactions, headache, rash Infections, injection site reactions, nausea, diarrhea, vertigo
Contraindications Active tuberculosis, active infections, hypersensitivity to adalimumab or excipients Hypersensitivity to canakinumab or excipients, active infections
Drug class Monoclonal antibody Monoclonal antibody
Manufacturer Fresenius Kabi Novartis Pharmaceuticals

Efficacy

Efficacy of Idacio (adalimumab-aacf) for Rheumatoid Arthritis

Idacio, a biosimilar to the well-known biologic Humira (adalimumab), is an anti-TNF alpha monoclonal antibody indicated for the treatment of several inflammatory conditions, including rheumatoid arthritis (RA). The efficacy of Idacio for RA has been demonstrated in clinical trials where it has shown to reduce the signs and symptoms of the disease, inhibit the progression of structural damage, and improve physical function. Patients treated with Idacio often experience significant improvements in joint swelling, pain, and mobility. The therapeutic outcomes are comparable to the reference product, Humira, which has a well-established efficacy profile in the management of RA.

In clinical studies, Idacio's ability to achieve a clinical response was measured by criteria such as the American College of Rheumatology (ACR) response criteria, which include parameters like the number of tender and swollen joints, pain scale, patient and physician global assessments, and levels of acute phase reactants. Patients receiving Idacio have shown to meet ACR20, ACR50, and ACR70 response rates, indicating a 20%, 50%, and 70% improvement in RA symptoms, respectively. These results support Idacio as an effective treatment option for patients with RA.

Efficacy of Ilaris (canakinumab) for Rheumatoid Arthritis

Ilaris (canakinumab) is an interleukin-1 beta (IL-1β) blocker that has been studied for its efficacy in treating symptoms of rheumatoid arthritis. While Ilaris is not primarily approved for RA and is more commonly used for conditions such as Cryopyrin-Associated Periodic Syndromes (CAPS) and Systemic Juvenile Idiopathic Arthritis (SJIA), it has been investigated in clinical trials for its potential off-label use in RA. In these studies, canakinumab has shown some efficacy in reducing inflammation and pain associated with RA, as well as improving patient-reported outcomes and physical function.

However, the use of Ilaris in RA is considered off-label, and its efficacy compared to other standard treatments for RA is less well-established. In clinical trials, the measurement of efficacy was based on similar criteria used for other RA treatments, such as the ACR response criteria. Although some patients with RA may experience beneficial effects from Ilaris, it is important to note that the results from clinical trials have been mixed, and further research may be needed to fully understand the role of Ilaris in the treatment of RA. As with any medication, the decision to use Ilaris for RA should be made by a healthcare provider, considering the individual patient's condition and the balance of potential benefits against risks.

Regulatory Agency Approvals

Idacio
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Ilaris
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA

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If Idacio or Ilaris 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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