AVT04: An Ustekinumab Biosimilar

Clin Drug Investig. 2024 Jul;44(7):549-552. doi: 10.1007/s40261-024-01375-x. Epub 2024 Jul 4.

Abstract

AVT04 (Uzpruvo®) is a biosimilar of the reference anti-interleukin (IL)-12 and IL-23 monoclonal antibody ustekinumab. It is approved in the EU for plaque psoriasis, paediatric plaque psoriasis, psoriatic arthritis and Crohn's disease as per the reference product. AVT04 has similar physicochemical characteristics to those of reference ustekinumab, and the pharmacokinetic similarity of the agents has been shown in healthy volunteers and patients with moderate to severe chronic plaque psoriasis. AVT04 demonstrated clinical efficacy similar to that of reference ustekinumab in patients with moderate to severe chronic plaque psoriasis, and was generally well tolerated in this population. The tolerability, safety and immunogenicity profiles of AVT04 were similar to those of reference ustekinumab, and switching from reference ustekinumab to AVT04 had no impact on efficacy, safety or immunogenicity. The role of reference ustekinumab in the management of inflammatory diseases is well established and AVT04 provides an effective biosimilar alternative for patients requiring ustekinumab therapy.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal, Humanized / adverse effects
  • Antibodies, Monoclonal, Humanized / pharmacokinetics
  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Biosimilar Pharmaceuticals* / adverse effects
  • Biosimilar Pharmaceuticals* / pharmacokinetics
  • Biosimilar Pharmaceuticals* / pharmacology
  • Biosimilar Pharmaceuticals* / therapeutic use
  • Crohn Disease / drug therapy
  • Dermatologic Agents / adverse effects
  • Dermatologic Agents / pharmacokinetics
  • Dermatologic Agents / pharmacology
  • Dermatologic Agents / therapeutic use
  • Humans
  • Psoriasis* / drug therapy
  • Ustekinumab* / pharmacokinetics
  • Ustekinumab* / therapeutic use

Substances

  • Ustekinumab
  • Biosimilar Pharmaceuticals
  • Antibodies, Monoclonal, Humanized
  • Dermatologic Agents