Tremfya (guselkumab) vs Wezlana (ustekinumab-auub)

Tremfya (guselkumab) vs Wezlana (ustekinumab-auub)

Tremfya (guselkumab) and Wezlana (ustekinumab-auub) are both monoclonal antibodies used to treat moderate to severe plaque psoriasis, but they target different proteins involved in the inflammatory process. Tremfya specifically blocks interleukin-23 (IL-23) to reduce inflammation and skin cell turnover, while Wezlana, a biosimilar to Stelara (ustekinumab), blocks both interleukin-12 (IL-12) and IL-23, potentially affecting a broader range of immune responses. The choice between Tremfya and Wezlana may depend on individual patient response, medical history, and the specific recommendations of a healthcare provider, as efficacy and side effect profiles can vary between patients.

Difference between Tremfya and Wezlana

Metric Tremfya (guselkumab) Wezlana (ustekinumab-auub)
Generic name Guselkumab Ustekinumab-auub
Indications Plaque psoriasis, Psoriatic arthritis Plaque psoriasis, Psoriatic arthritis, Crohn's disease, Ulcerative colitis
Mechanism of action IL-23 inhibitor IL-12 and IL-23 inhibitor
Brand names Tremfya Wezlana
Administrative route Subcutaneous injection Subcutaneous injection, Intravenous infusion
Side effects Upper respiratory infections, headache, injection site reactions, arthralgia, diarrhea, gastroenteritis, tinea infections, herpes simplex infections Upper respiratory infections, headache, fatigue, diarrhea, injection site reactions, nausea, itching, joint pain, vomiting, fungal infections
Contraindications Active tuberculosis or other severe infections, hypersensitivity to guselkumab Active tuberculosis or other severe infections, hypersensitivity to ustekinumab
Drug class Monoclonal antibody Monoclonal antibody
Manufacturer Janssen Biotech, Inc. Janssen Biotech, Inc.

Efficacy

Efficacy of Tremfya (Guselkumab) for Psoriasis

Tremfya (guselkumab) is a medication approved for the treatment of moderate to severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy. Guselkumab is a monoclonal antibody that selectively blocks the protein interleukin-23 (IL-23), a key player in the pathogenesis of psoriasis. Clinical trials have demonstrated that Tremfya is effective in achieving significant skin clearance in many patients. For instance, in the VOYAGE 1 and 2 trials, over 70% of patients treated with guselkumab achieved at least a 90% improvement in the Psoriasis Area and Severity Index (PASI 90) at week 16, with continued efficacy over time.

Furthermore, the long-term efficacy of Tremfya has been supported by data showing sustained responses with continuous treatment. In extension phases of clinical trials, a high proportion of patients maintained their PASI 90 response through week 100. The safety and efficacy profile of Tremfya, along with the convenience of its dosing schedule, typically an initial dose followed by a dose every 8 weeks, makes it a valuable treatment option for many patients with psoriasis.

Efficacy of Wezlana (Ustekinumab-auub) for Psoriasis

Wezlana (ustekinumab-auub) is a biosimilar to the original biologic drug ustekinumab, which is marketed under the brand name Stelara. Biosimilars are highly similar to and have no clinically meaningful differences from an existing FDA-approved reference product. Ustekinumab targets the proteins interleukin-12 (IL-12) and interleukin-23 (IL-23), which are involved in inflammatory and immune responses. Wezlana, like its reference product, is used for the treatment of moderate to severe plaque psoriasis in adult patients who are candidates for phototherapy or systemic therapy.

Clinical studies on ustekinumab have shown that it can lead to significant improvements in psoriasis symptoms. In pivotal trials, patients treated with ustekinumab experienced marked reductions in psoriasis severity, with many achieving a PASI 75 (75% improvement in PASI score) within 12 weeks of treatment. The efficacy of ustekinumab in psoriasis is well-established, with a substantial number of patients maintaining treatment response over time. As Wezlana is a biosimilar to ustekinumab, its efficacy in treating psoriasis is expected to be similar, providing patients with an additional treatment option.

Regulatory Agency Approvals

Tremfya
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia
Wezlana
  • Food and Drug Administration (FDA), USA

Access Tremfya or Wezlana today

If Tremfya or Wezlana 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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