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Drug: Adalimumab-aqvh
Brand: Yusimry 40mg/0.8mL
Manufacturer /
TM Owner
Meitheal Pharmaceuticals
Origin: USA

Yusimry 40mg/0.8mL Injection

Formulated with Adalimumab-aqvh, Yusimry is a monoclonal antibody. It binds precisely to a disease-driving target, blocking harmful signalling or flagging abnormal cells for immune destruction. It is used in the treatment of autoimmune and inflammatory diseases. It is supplied as an injection (40mg/0.8mL). Treatment is individualised by the prescribing physician to balance efficacy and tolerability.
Strength: 40mg/0.8mL
Pack Size: 2s
Storage: 2°C to 8°C
Form: Injection

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Indications & Clinical Uses

  • Yusimry 40 mg/0.8 mL (adalimumab-aqvh) is a tumour necrosis factor (TNF) blocker and a biosimilar to Humira (adalimumab), given by subcutaneous injection from a prefilled pen or glass syringe, usually every other week.
  • In the US it is approved for rheumatoid arthritis, juvenile idiopathic arthritis (weight-based dosing; 40 mg every other week for children of 30 kg or more), psoriatic arthritis, ankylosing spondylitis, Crohn's disease, ulcerative colitis, plaque psoriasis, hidradenitis suppurativa and non-infectious uveitis, with starting doses such as 160 mg then 80 mg in Crohn's disease.
  • The 0.8 mL volume differs from high-concentration 40 mg/0.4 mL adalimumab products such as Yuflyma, so check the volume.
  • The sheet lists Coherus BioSciences, but in June 2024 Coherus sold Yusimry to Hong Kong King-Friend, and Meitheal Pharmaceuticals now commercialises it in the US.

Side Effects

  • Boxed warning: adalimumab products increase the risk of serious infections that may lead to hospitalisation or death, including tuberculosis, invasive fungal infections and opportunistic infections, and lymphoma including hepatosplenic T-cell lymphoma has been reported in children and adolescents treated with TNF blockers.
  • Very common effects (more than 1 in 10 people) include upper respiratory infection (17% in rheumatoid arthritis studies), sinusitis (11%), headache (12%) and rash (12%); injection site reactions (8%) and nausea (9%) are also common.
  • Report fever, cough that does not go away, weight loss, night sweats, unusual bruising, new numbness or weakness, worsening breathlessness or swelling, and signs of an allergic reaction.
  • Rotate injection sites.

Precautions & Warnings

  • You will be checked for tuberculosis and hepatitis B before and during treatment because these infections can reactivate.
  • The label lists no contraindications, but warns of serious infections, cancers, demyelinating disease, heart failure (new or worsening), blood disorders, lupus-like reactions and hypersensitivity.
  • Adalimumab crosses the placenta, so discuss pregnancy plans with your provider and ask about live vaccines for exposed infants.
  • Live vaccines must be avoided.
  • Store in the refrigerator at 2°C to 8°C in the original carton to protect from light, and do not freeze or use if frozen; it may be kept at up to 25°C for a maximum of 14 days.
  • Let it stand for 15 to 30 minutes at room temperature before injecting.

Avoid Interactions

  • Increased effect or toxicity: abatacept and anakinra should not be combined with Yusimry because of increased serious infection risk; live vaccines must be avoided.
  • Methotrexate can reduce adalimumab clearance, but no dose adjustment is needed.
  • The label also advises caution with CYP450 substrate medicines that have a narrow safety margin, and your provider may monitor them.
  • Reduced efficacy: no specific medicines that lower Yusimry's effect were identified in the label sections reviewed.
  • Tell your healthcare provider about all prescription and non-prescription medicines, vaccines and supplements you take.

References

Frequently Asked Questions

Yusimry (adalimumab-aqvh) is a TNF-blocker biosimilar to Humira that treats rheumatoid, psoriatic and juvenile arthritis, ankylosing spondylitis, Crohn's disease, ulcerative colitis, plaque psoriasis, hidradenitis suppurativa and non-infectious uveitis. Age limits and doses depend on the condition, so your provider sets your plan.

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