Skyrizi (risankizumab) vs Simlandi (adalimumab-ryvk)

Skyrizi (risankizumab) vs Simlandi (adalimumab-ryvk)

Skyrizi (risankizumab) and Simlandi (adalimumab-ryvk), a biosimilar to Humira, are both used to treat inflammatory conditions such as plaque psoriasis, but they work in different ways. Skyrizi is an interleukin-23 (IL-23) inhibitor that targets a specific pathway in the immune system to reduce inflammation, and is typically administered once every three months after initial doses. In contrast, Simlandi is a TNF inhibitor that blocks the action of tumor necrosis factor, a substance in the body that can cause inflammation and is usually administered more frequently, either weekly or every other week. Patients should consult with their healthcare provider to determine which medication is most appropriate for them based on their specific medical condition, treatment history, and potential side effects.

Difference between Skyrizi and Simlandi

Metric Skyrizi (risankizumab) Simlandi (adalimumab-ryvk)
Generic name Risankizumab Adalimumab-ryvk
Indications Plaque psoriasis, Psoriatic arthritis Rheumatoid arthritis, Juvenile idiopathic arthritis, Psoriatic arthritis, Ankylosing spondylitis, Crohn's disease, Ulcerative colitis, Plaque psoriasis, Hidradenitis suppurativa, Uveitis
Mechanism of action IL-23 inhibitor TNF inhibitor
Brand names Skyrizi Simlandi
Administrative route Subcutaneous injection Subcutaneous injection
Side effects Upper respiratory infections, headache, fatigue, injection site reactions Infections, injection site reactions, headache, rash, nausea
Contraindications Known hypersensitivity to risankizumab or excipients Known hypersensitivity to adalimumab or excipients, active tuberculosis or other severe infections
Drug class Monoclonal antibody Monoclonal antibody
Manufacturer AbbVie Inc. AbbVie Inc.

Efficacy

Efficacy of Skyrizi (Risankizumab) for Psoriasis

Skyrizi, known by its generic name risankizumab, is a biologic medication approved for the treatment of moderate to severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy. Risankizumab is an interleukin-23 (IL-23) inhibitor, which works by targeting a specific protein that is known to play a key role in the inflammation and development of psoriatic plaques. Clinical trials have demonstrated the efficacy of Skyrizi in achieving clear or almost clear skin. Studies such as the UltIMMa-1 and UltIMMa-2 phase 3 trials have shown that a significant proportion of patients treated with Skyrizi achieved a 90% reduction in the Psoriasis Area and Severity Index (PASI 90) score, which is a measure of the severity of psoriasis, by week 16, with the response maintained through week 52.

Efficacy of Simlandi (Adalimumab-ryvk) for Psoriasis

Simlandi, also known as adalimumab-ryvk, is a biosimilar to the well-known biologic drug adalimumab. It is used to treat several inflammatory conditions, including moderate to severe chronic plaque psoriasis. As a tumor necrosis factor (TNF) inhibitor, Simlandi works by blocking TNF-alpha, a substance in the body that causes inflammation in the skin and other parts of the body. The efficacy of adalimumab in the treatment of psoriasis has been well-established through numerous clinical trials, which have shown that it can lead to significant improvement in skin clearance and a reduction in the symptoms of psoriasis. As a biosimilar, Simlandi is expected to have similar efficacy and safety profiles to its reference product, providing an alternative treatment option for patients with psoriasis.

Both Skyrizi and Simlandi are part of a class of medications known as biologics, which are derived from living cells and designed to target specific components of the immune system that drive psoriasis. The choice between these medications may depend on various factors, including the patient's medical history, the presence of comorbidities, and their response to previous treatments. Physicians typically consider these factors, along with the safety and efficacy profiles of the medications, when making treatment decisions for patients with psoriasis.

It is important for patients to discuss with their healthcare providers the potential benefits and risks of these medications. While Skyrizi and Simlandi have shown high efficacy in clinical trials, individual responses to treatment can vary, and monitoring for adverse effects is crucial. Healthcare providers can provide guidance on the most appropriate treatment strategy based on the latest clinical evidence and individual patient needs.

Regulatory Agency Approvals

Skyrizi
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Therapeutic Goods Administration (TGA), Australia
Simlandi
  • Food and Drug Administration (FDA), USA

Access Skyrizi or Simlandi today

If Skyrizi 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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