The FDA has expanded interchangeable designation for adalimumab-aaty (Yuflyma; Celltrion, Inc), a reference product for adalimumab (Humira; AbbVie), which now includes a 40-mg prefilled syringe, along with 40-mg and 80-mg autoinjectors, marking the product as a fully interchangeable biosimilar across all marketed dosage forms and strengths.1
As a high-concentration, low-volume, and citrate-free adalimumab biosimilar, Yuflyma is indicated for the treatment of rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, ulcerative colitis, plaque psoriasis, hidradenitis suppurativa, and uveitis in adult patients; Crohn disease in adults and pediatric patients 6 years and older; and juvenile idiopathic arthritis in patients 2 years and older.1
What Does the Interchangeable Designation Mean?
An interchangeable biosimilar is a type of biosimilar that can be substituted for the reference product at the pharmacy level without consulting the prescriber, depending on state laws. Both biosimilars and interchangeable biosimilars meet the same FDA standards for safety and effectiveness, and the interchangeability designation does not imply a higher quality or greater efficacy.4
Currently, Yuflyma is available in prefilled syringes as 20 mg/0.2 mL, 40 mg/0.4 mL, and 80 mg/0.8 mL, along with the expanded interchangeability as a 40-mg/0.4-mL and 80-mg/0.8-mL autoinjector.1
Yuflyma FDA Approval
The biosimilar was previously approved by the FDA in May 2023 as a high-concentration (100 mg/mL) and citrate-free formulation of adalimumab to treat various inflammatory conditions as a recombinant, fully human anti–tumor necrosis factor α monoclonal antibody.2
Additionally, in April 2025, the FDA designated Yuflyma as an interchangeable biosimilar to Humira, which was supported based on data from a randomized, double-blind, active-controlled phase 3 interchangeability study (NCT05495568). The results demonstrated similar pharmacokinetics, efficacy, safety, and immunogenicity among individuals with moderate-to-severe active plaque psoriasis.3
"Yuflyma has the same dosage form, route of administration, and dosing regimen as the reference product. The pharmacist's ability to substitute the biosimilar directly at the pharmacy without the hassle of a new prescription and without the patient having to learn a new method of administration can be a game changer in increasing patient access to adalimumab,” Thomas Nusbickel, chief commercial officer at Celltrion USA, said in a news release.3