Biosimilars indicated for RA available in the United States and Canada [18, 25]

Biologic original (reference)Biosimilar(s) available in the USBiosimilar(s) available in Canada
TNFα-i
Adalimumab (Humira®)
  • Abrilada (adalimumab-afzb)

  • Amjevita (adalimumab-atto)

  • Cyltezo (adalimumab-adbm)

  • Hadlima (adalimumab-bwwd)

  • Hulio (adalimumab-fkjp)

  • Hyrimoz (adalimumab-adaz)

  • Idacio (adalimumab-aacf)

  • Simlandi (adalimumab-ryvk)

  • Yuflyma (adalimumab-aaty)

  • Yusimry (adalimumab-aqvh)

  • Abrilada (adalimumab)

  • Amjevita (adalimumab)

  • Hadlima (adalimumab)

  • Hyrimoz (adalimumab)

  • Hulio (adalimumab)

  • Idacio (adalimumab)

  • Simlandi (adalimumab)

  • Yuflyma (adalimumab)

  • Yusimry (adalimumab)

Certolizumab pegol (Cimzia®)NoneNone
Golimumab (Simponi®)NoneNone
Etanercept (Enbrel®)2 approved but not available
  • Brenzys (etanercept)

  • Elrezi (etanercept)

  • Rymti (etanercept)

Infliximab (Remicade®)
  • Avsola (infliximab-axxq)

  • Inflectra (infliximab-dyyb)

  • Infliximab (infliximab)

  • Renflexis (infliximab-abda)

  • Zymfentra (infliximab-dyyb)

  • Avsola (infliximab)

  • Inflectra (infliximab)

  • Remsima (infliximab)

  • Renflexis (infliximab)

CD20 antigen substrate that leads to B-cell lysis
Rituximab (Rituxin®)
  • Riabni (rituximab-arrx)

  • Ruxience (rituximab-pvvr)

  • Truxima (rituximab-abbs)

  • Riabni (rituximab)

  • Riximyo (rituximab)

  • Ruxience (rituximab)

  • Truxima (rituximab)

IL-6-receptor inhibitor
Tocilizumab (Actemra®)
  • Tofidence (tocilizumab-bavi)

  • Tyenne (tocilizumab-aazg)

Tyenne (tocilizumab)
Sarilumab (Kevzara®)NoneNone
Co-stimulatory inhibitor of T cell activation
Abatacept
(Orencia®)
NoneNone

RA: rheumatoid arthritis; TNFα-i: tumor necrosis factor α inhibitor; IL-6: interleukin-6