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Idacio

Published
Product name
Idacio
Active ingredient
Adalimumab (rch)
Submission type
New biosimilar medicine
Decision
Approved
Decision date
Registration date
What this medicine was approved for

Idacio (adalimumab rch) was approved for the following therapeutic use:

Rheumatoid arthritis

Idacio is indicated for reducing signs and symptoms, as well as inhibiting the progression of structural damage in adult patients with moderate to severely active rheumatoid arthritis. This includes the treatment of patients with recently diagnosed moderate to severely active disease who have not received methotrexate.

Idacio can be used alone or in combination with methotrexate.

Juvenile idiopathic arthritis

Polyarticular juvenile idiopathic arthritis

Idacio in combination with methotrexate is indicated for reducing the signs and symptoms of moderately to severely active polyarticular juvenile idiopathic arthritis in patients 2 years of age and older who have had an inadequate response to one or more disease modifying anti-rheumatic drugs (DMARDs). Idacio can be given as monotherapy in case of intolerance to methotrexate or when continued treatment with methotrexate is inappropriate.

Enthesitis-related arthritis

Indacio is indicated for the treatment of enthesitis-related arthritis in children, who have had an inadequate response to, or who are intolerant to, conventional therapy.

Psoriatic arthritis

Idacio is indicated for the treatment of signs and symptoms, as well as inhibiting the progression of structural damage, of moderate to severely active psoriatic arthritis in adult patients where response to previous DMARDs has been inadequate.

Ankylosing spondylitis

Idacio is indicated for reducing signs and symptoms in patients with active ankylosing spondylitis.

Crohn's disease in adults and children (≥ 6 years)

Idacio is indicated for the treatment of moderate to severe Crohn's disease, to reduce the signs of symptoms of the disease and to induce and maintain clinical remission in patients:

  • who have had an inadequate response to conventional therapies or,
  • who have lost response to or are intolerant to infliximab

Ulcerative colitis

Idacio is indicated for the treatment of moderate to severe ulcerative colitis in adult patients who have had an inadequate response to conventional therapy or who are intolerant to or have medical contraindications for such therapies. Patients should show a clinical response within 8 weeks of treatment to continue treatment beyond that time. (see 5.1 Pharmacodynamic Properties-Clinical Trials).

Psoriasis in adults and children

Idacio is indicated for the treatment of moderate to severe chronic plaque psoriasis in adult patients who are candidates for systemic therapy or phototherapy.

Idacio is indicated for the treatment of severe chronic plaque psoriasis in children and adolescent patients from 4 years of age who have had an inadequate response to or are inappropriate candidates for topical therapy and phototherapy.

Hidradenitis suppurative in adults and adolescents (from 12 years of age)

Idacio is indicated for the treatment of active moderate to severe hidradenitis suppuratives (acne inversa) in patients with an inadequate response to conventional systemic hidradenitis suppurativa therapy.

Uveitis

Idacio is indicated for the treatment of non-infectious intermediate, posterior and pan-uveitis in adult patients who have had an inadequate response to corticosteroids in patients in need of corticosteroid sparing, or in whom corticosteroid treatment is inappropriate.

How this medicine works

Idacio is a biosimilar medicine to Humira (adalimumab).Adalimumab binds to tumour necrosis factor (TNF) and neutralises the biological function of TNF by blocking its interaction with the p55 and p75 cell surface TNF receptors. TNF is a naturally occurring cytokine that is involved in normal inflammatory and immune responses. Elevated levels of TNF are found in the synovial fluid of rheumatoid arthritis (RA), including juvenile idiopathic arthritis (JIA), psoriatic arthritis (PsA) and ankylosing spondylitis (AS) patients and play an important role in both the pathologic inflammation and the joint destruction that are hallmarks of these diseases. Increased levels of TNF are also found in psoriasis (Ps) plaques, which contribute to the inflammatory response, to the proliferation and decreased maturation of keratinocytes and to the associated vascular damages that are characteristic of the disease. Adalimumab also modulates biological responses that are induced or regulated by TNF, including changes in the levels of adhesion molecules responsible for leukocyte migration (endothelial cell leukocyte adhesion molecule-1 (ELAM-1),vascular cell adhesion molecule-1 (VCAM-1),and intercellular adhesion molecule-1 (ICAM-1) with a half maximal inhibitory concentration (IC50)of 1 - 2 x 10-10 M).

Why the TGA approved or did not approve this medicine

The decision was based on quality (chemistry and manufacturing), clinical (pharmacology, safety and efficacy) and risk management plan information submitted by the sponsor. The benefit-risk profile of Idacio was considered favourable for the therapeutic use approved.

ARTG details
  • 320241, 320242, 320243
  • 320241, 320242, 320243
  • 320241, 320242, 320243