Key takeaways:
- FDA approval extends adalimumab-aaty’s indications to include HS in adolescents (≥12 years) and UV in children (≥2 years).
- The biosimilar is available in multiple formulations and interchangeable with Humira.
- Safety monitoring for serious infections remains essential during treatment.
On October 17, 2025, the FDA approved expanded indications for Celltrion's adalimumab-aaty (Yuflyma), and its unbranded version, to include treatment for patients with hidradenitis suppurativa (HS) aged 12 years and older, and patients with uveitis aged 2 years and up, according to a press release from the company.1
The expanded indications add to several previously approved indications for adalimumab as a biosimilar to Humira (AbbVie), which are listed below.
How does adalimumab-aaty impact hidradenitis suppurativa and uveitis care?
HS affects approximately 1–4% of the US population and is characterized by painful nodules, abscesses, and sinus tract formation in intertriginous areas. Adolescent HS presents similarly to adult disease and is associated with significant disruptions to school attendance and daily life.
Pediatric UV accounts for 5–10% of all uveitis cases and may progress silently in children. If untreated, it can result in severe complications, including cataract, glaucoma, and vision loss.
“Adolescent HS and pediatric UV are chronic inflammatory conditions that can have serious sequelae and place a significant burden on patients, their families, and caregivers,” said Juby Jacob-Nara, senior vice president and chief medical officer at Celltrion USA, in the press release. “With this label expansion, YUFLYMA is now able to provide treatment options for more patient populations, further supporting broader access for both patients and physicians."
Yuflyma formulation and accessibility
Adalimumab-aaty was first launched in the United States in July 2023 and is available in multiple formulations:
- Prefilled syringes: 20 mg, 40 mg, and 80 mg solutions for injection
- Autoinjectors: 40 mg and 80 mg doses
“Expanding pediatric indications for YUFLYMA highlights our commitment to addressing unmet needs in both adult and pediatric immune-mediated diseases,” said Thomas Nusbickel, chief commercial officer at Celltrion USA. “This approval strengthens our immunology portfolio and supports broader patient access to high-quality, affordable treatments.”
Adalimumab-aaty is a high-concentration, citrate-free biosimilar of adalimumab, a recombinant, fully human monoclonal antibody targeting tumor necrosis factor alpha (TNFα). By inhibiting TNFα, YUFLYMA modulates inflammatory pathways involved in a range of autoimmune and inflammatory disorders.
The product has also been designated by the FDA as an interchangeable biosimilar, meaning it can be substituted for Humira at the pharmacy level. It features one of the longest room-temperature shelf lives among adalimumab products, maintaining stability for up to 31 days at 77°F (25°C).
What is adalimumab-aaty indicated to treat?
- Rheumatoid Arthritis (RA): reducing signs and symptoms, inducing major clinical response, inhibiting the progression of structural damage, and improving physical function in adult patients with moderately to severely active RA.
- Juvenile Idiopathic Arthritis (JIA): reducing signs and symptoms of moderately to severely active polyarticular JIA in patients 2 years of age and older.
- Psoriatic Arthritis (PsA): reducing signs and symptoms, inhibiting the progression of structural damage, and improving physical function in adult patients with active PsA.
- Ankylosing Spondylitis (AS): reducing signs and symptoms in adult patients with active AS.
- Crohn's Disease (CD): treatment of moderately to severely active Crohn's disease in adults and pediatric patients 6 years of age and older.2
- Ulcerative Colitis (UC): treatment of moderately to severely active ulcerative colitis in adults Limitations of Use: Effectiveness has not been established in patients who have lost response to or were intolerant to TNF blockers, according to Celltrion.
- Plaque Psoriasis (Ps): treatment of adult patients with moderate to severe chronic plaque psoriasis who are candidates for systemic therapy or phototherapy, and when other systemic therapies are medically less appropriate.
- Hidradenitis Suppurativa (HS): treatment of moderate to severe hidradenitis suppurativa in patients 12 years of age and older.
- Uveitis (UV): treatment of non-infectious intermediate, posterior, and panuveitis in adult and pediatric patients 2 years of age and older.
References:
- FDA approves expanded pediatric indications for YUFLYMA (adalimumab-aaty) and unbranded adalimumab-aaty in the United States. Celltrion. Press release. October 17, 2025. Accessed October 17, 2025. https://www.celltrion.com/en-us/company/media-center/press-release/4207
- Fitch J. FDA approves adalimumab-adbm autoinjector pen for JIA, Crohn’s disease. Contemporary Pediatrics. Published May 22, 2023. Accessed October 17, 2025. https://www.contemporarypediatrics.com/view/fda-approves-adalimumab-adbm-autoinjector-pen-for-jia-crohn-s-disease