Ustekinumab Biosimilar Selarsdi Gets FDA Approval

The product is expected to be available in February 2025.

The Food and Drug Administration (FDA) has approved Selarsdi (ustekinumab-aekn), a biosimilar to Stelara® (ustekinumab).

Selarsdi is a human interleukin-12 and -23 antagonist indicated for the treatment of moderate to severe plaque psoriasis and for active psoriatic arthritis in adults and pediatric patients 6 years and older.

The approval was based on a totality of evidence, including data from a phase 3 study (ClinicalTrials.gov Identifier: NCT04930042) that compared the efficacy and safety of Selarsdi to the reference product Stelara in patients with moderate to severe plaque psoriasis. Results showed the products were therapeutically equivalent, meeting the primary endpoint for psoriasis area and severity index percent improvement from baseline to week 12.

The approval was also supported by data from a phase 1 study (ClinicalTrials.gov Identifier: NCT04744363) that compared the pharmacokinetic, safety, tolerability and immunogenicity of Selarsdi administered as a single 45mg/0.5mL subcutaneous injection to Stelara. Findings showed bioequivalence between Selsardi and the reference product.

Selarsdi is supplied as 45mg/0.5mL and 90mg/mL single-dose prefilled syringes. The product is expected to be available in February 2025.

References:

  1. Alvotech and Teva announce US FDA approval of Selarsdi (ustekinumab-aekn), biosimilar to Stelara® (ustekinumab). News release. Alvotech and Teva Pharmaceuticals. April 16, 2024. Accessed April 17, 2024. https://www.businesswire.com/news/home/20240416238014/en/.
  2. Alvotech clinical study results demonstrate therapeutic equivalence between biosimilar candidate AVT04 and reference product Stelara®. News release. Alvotech. May 24, 2022. Accessed April 17, 2024. https://investors.alvotech.com/news-releases/news-release-details/alvotech-clinical-study-results-demonstrate-therapeutic
  3. Alvotech Announces Positive Results from a Pharmacokinetic Similarity Study for AVT04, a Proposed Biosimilar to Stelara®. News release. Alvotech. May 16, 2022. Accessed April 17, 2024. https://investors.alvotech.com/news-releases/news-release-details/alvotech-announces-positive-results-pharmacokinetic-similarity.
  4. Selarsdi. Package insert. Teva Pharmaceuticals; 2024. Accessed April 17, 2024. https://tevauscommercial.tevapharm.com/globalassets/selarsdi/prescribing-information.pdf.