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AMJEVITA
adalimumab-atto · Injection
Overview
Active ingredients
Source: NDC Directory| Ingredient | Strength | RxCUI | Monograph |
|---|---|---|---|
| Adalimumab | 10 mg/.2mL | 2627719 | View |
| Adalimumab | 20 mg/.2mL | 2627719 | View |
| Adalimumab | 20 mg/.4mL | 2627719 | View |
| Adalimumab | 40 mg/.4mL | 2627719 | View |
| Adalimumab | 40 mg/.8mL | 2627719 | View |
| Adalimumab | 80 mg/.8mL | 2627719 | View |
Forms, strengths and routes
Source: NDC DirectoryPharmacologic classes are listed in the class section below.
Pharmacologic class
Source: NDC Directory| Class | Type | Browse |
|---|---|---|
| Antibodies | EPC | All 14 members |
| Monoclonal [CS] | CS | All 14 members |
| Tumor Necrosis Factor Blocker [EPC] | EPC | All 10 members |
| Tumor Necrosis Factor Receptor Blocking Activity [MoA] | MoA | All 10 members |
Regulatory status
Source: Drugs@FDANDC Directory| Product | Trade name | Form | Strength | Ingredient | Status | TE | Flags |
|---|---|---|---|---|---|---|---|
| 761024-001 | AMJEVITA | INJECTABLE | ADALIMUMAB-ATTO | Prescription | — | ||
| 761024-002 | AMJEVITA | INJECTABLE | ADALIMUMAB-ATTO | Prescription | — |
Approval history
Source: Drugs@FDA| Type | No. | Action | Status | Date | Review |
|---|---|---|---|---|---|
| Supplement | 26 | Approved | October 16, 2025 | — | |
| Supplement | 22 | Labeling | Approved | September 17, 2025 | Standard |
| Supplement | 21 | Efficacy | Approved | May 20, 2025 | Standard |
| Supplement | 23 | Efficacy | Approved | April 7, 2025 | Standard |
| Supplement | 19 | Efficacy | Approved | August 20, 2024 | Standard |
| Supplement | 15 | Efficacy | Approved | August 14, 2023 | Standard |
| Supplement | 17 | Approved | July 12, 2023 | N/A | |
| Supplement | 11 | Manufacturing (CMC) | Approved | April 6, 2023 | N/A |
| Supplement | 12 | Efficacy | Approved | March 22, 2023 | Standard |
| Supplement | 10 | Efficacy | Approved | July 28, 2022 | Standard |
| Supplement | 4 | Labeling | Approved | June 13, 2019 | Standard |
| Supplement | 3 | Labeling | Approved | March 15, 2018 | Standard |
| Original application | 1 | Type 2 New Active Ingredient and Type 4 New Combination | Approved | September 23, 2016 | Standard |
Review documents
- 0 · Supplement · October 20, 2025
- 0 · Supplement · October 17, 2025
- 0 · Supplement · October 17, 2025
- 0 · Supplement · September 18, 2025
- 0 · Supplement · September 18, 2025
- 0 · Supplement · May 21, 2025
- 0 · Supplement · May 20, 2025
- 0 · Supplement · April 9, 2025
- 0 · Supplement · April 8, 2025
- 0 · Supplement · August 21, 2024
- 0 · Supplement · August 21, 2024
- 0 · Supplement · August 16, 2023
- 0 · Supplement · August 15, 2023
- 0 · Supplement · July 14, 2023
- 0 · Supplement · July 13, 2023
- 0 · Supplement · April 7, 2023
- 0 · Supplement · April 7, 2023
- 0 · Supplement · March 23, 2023
- 0 · Supplement · March 23, 2023
- 0 · Supplement · July 29, 2022
- 0 · Supplement · July 29, 2022
- 0 · Supplement · June 17, 2019
- 0 · Supplement · June 14, 2019
- 0 · Supplement · March 20, 2018
- 0 · Supplement · March 16, 2018
- 0 · Original application · September 12, 2017
- 0 · Original application · November 9, 2016
- 0 · Original application · September 26, 2016
- 0 · Original application · January 1, 1900
- 0 · Original application · January 1, 1900
Prescribing information
Source: openFDA Drug LabelingReproduced verbatim from the Structured Product Labeling submitted to the FDA (effective 20260625). This is the manufacturer's labelling text, not a summary and not advice.
Boxed Warning
openFDA Drug LabelingWARNING: SERIOUS INFECTIONS AND MALIGNANCY WARNING: SERIOUS INFECTIONS AND MALIGNANCY See full prescribing information for complete boxed warning. SERIOUS INFECTIONS ( 5.1 , 6.1 ): Increased risk of serious infections leading to hospitalization or death, including tuberculosis (TB), bacterial sepsis, invasive fungal infections (such as histoplasmosis), and infections due to other opportunistic pathogens. Discontinue AMJEVITA if a patient develops a serious infection or sepsis during treatment. Perform test for latent TB; if positive, start treatment for TB prior to starting AMJEVITA. Monitor all patients for active TB during treatment, even if initial latent TB test is negative. MALIGNANCY ( 5.2 ): Lymphoma and other malignancies, some fatal, have been reported in children and adolescent patients treated with TNF blockers including adalimumab products. Post-marketing cases of hepatosplenic T-cell lymphoma (HSTCL), a rare type of T-cell lymphoma, have occurred in adolescent and young adults with inflammatory bowel disease treated with TNF blockers including adalimumab products. SERIOUS INFECTIONS Patients treated with adalimumab products, including AMJEVITA, are at increased risk for developing serious infections that may lead to hospitalization or death [see Warnings and Precautions (5.1) ] . Most patients who developed these infections were taking concomitant immunosuppressants such as methotrexate or corticosteroids. Discontinue AMJEVITA if a patient develops a serious infection or sepsis. Reported infections include: Active tuberculosis (TB), including reactivation of latent TB. Patients with TB have frequently presented with disseminated or extrapulmonary disease. Test patients for latent TB before AMJEVITA use and during therapy. Initiate treatment for latent TB prior to AMJEVITA use. Invasive fungal infections, including histoplasmosis, coccidioidomycosis, candidiasis, aspergillosis, blastomycosis, and pneumocystosis. Patients with histoplasmosis or other invasive fungal infections may present with disseminated, rather than localized, disease. Antigen and antibody testing for histoplasmosis may be negative in some patients with active infection. Consider empiric anti-fungal therapy in patients at risk for invasive fungal infections who develop severe systemic illness. Bacterial, viral and other infections due to opportunistic pathogens, including Legionella and Listeria. Carefully consider the risks and benefits of treatment with AMJEVITA prior to initiating therapy in patients with chronic or recurrent infection. Monitor patients closely for the development of signs and symptoms of infection during and after treatment with AMJEVITA, including the possible development of TB in patients who tested negative for latent TB infection prior to initiating therapy [see Warnings and Precautions (5.1) and Adverse Reactions (6.1) ] . MALIGNANCY Lymphoma and other malignancies, some fatal, have been reported in children and adolescent patients treated with TNF blockers including adalimumab products [see Warnings and Precautions (5.2) ] . Post-marketing cases of hepatosplenic T-cell lymphoma (HSTCL), a rare type of T-cell lymphoma, have been reported in patients treated with TNF blockers including adalimumab products. These cases have had a very aggressive disease course and have been fatal. The majority of reported TNF blocker cases have occurred in patients with Crohn's disease or ulcerative colitis and the majority were in adolescent and young adult males. Almost all these patients had received treatment with azathioprine or 6-mercaptopurine (6–MP) concomitantly with a TNF blocker at or prior to diagnosis. It is uncertain whether the occurrence of HSTCL is related to use of a TNF blocker or a TNF blocker in combination with these other immunosuppressants [see Warnings and Precautions (5.2) ].
Recent Major Changes
openFDA Drug LabelingIndications and Usage ( 1.8 , 1.9 ) 10/2025 Dosage and Administration ( 2.1 , 2.3 , 2.7 ) 10/2025 Warnings and Precautions, Autoimmunity ( 5.9 ) 10/2025
Indications and Usage
openFDA Drug Labeling1 INDICATIONS AND USAGE AMJEVITA is a tumor necrosis factor (TNF) blocker indicated for: 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 rheumatoid arthritis . ( 1.1 ) Reducing signs and symptoms of moderately to severely active polyarticular juvenile idiopathic arthritis in patients 2 years of age and older. ( 1.2 ) Reducing signs and symptoms, inhibiting the progression of structural damage, and improving physical function in adult patients with active psoriatic arthritis . ( 1.3 ) Reducing signs and symptoms in adult patients with active ankylosing spondylitis . ( 1.4 ) Treatment of moderately to severely active Crohn's disease in adults and pediatric patients 6 years of age and older. ( 1.5 ) Treatment of moderately to severely active ulcerative colitis in adult patients. ( 1.6 ) Limitations of Use: Effectiveness has not been established in patients who have lost response to or were intolerant to TNF blockers. 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. ( 1.7 ) Treatment of moderate to severe hidradenitis suppurativa in patients 12 years of age and older. ( 1.8 ) Treatment of non-infectious intermediate, posterior, and panuveitis in adults and pediatric patients 2 years of age and older. ( 1.9 ) 1.1 Rheumatoid Arthritis AMJEVITA is indicated for 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 rheumatoid arthritis. AMJEVITA can be used alone or in combination with methotrexate or other non-biologic disease-modifying anti-rheumatic drugs (DMARDs). 1.2 Juvenile Idiopathic Arthritis AMJEVITA is indicated for reducing signs and symptoms of moderately to severely active polyarticular juvenile idiopathic arthritis in patients 2 years of age and older. AMJEVITA can be used alone or in combination with methotrexate. 1.3 Psoriatic Arthritis AMJEVITA is indicated for reducing signs and symptoms, inhibiting the progression of structural damage, and improving physical function in adult patients with active psoriatic arthritis. AMJEVITA can be used alone or in combination with non-biologic DMARDs. 1.4 Ankylosing Spondylitis AMJEVITA is indicated for reducing signs and symptoms in adult patients with active ankylosing spondylitis. 1.5 Crohn's Disease AMJEVITA is indicated for the treatment of moderately to severely active Crohn's disease in adults and pediatric patients 6 years of age and older. 1.6 Ulcerative Colitis AMJEVITA is indicated for the treatment of moderately to severely active ulcerative colitis in adult patients. Limitations of Use The effectiveness of adalimumab products has not been established in patients who have lost response to or were intolerant to TNF blockers [see Clinical Studies (14.7) ] . 1.7 Plaque Psoriasis AMJEVITA is indicated for the 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. AMJEVITA should only be administered to patients who will be closely monitored and have regular follow-up visits with a physician [see Warnings and Precautions (5) ] . 1.8 Hidradenitis Suppurativa AMJEVITA is indicated for the treatment of moderate to severe hidradenitis suppurativa in patients 12 years of age and older. 1.9 Uveitis AMJEVITA is indicated for the treatment of non-infectious intermediate, posterior, and panuveitis in adults and pediatric patients 2 years of age and older.
Dosage and Administration
openFDA Drug Labeling2 DOSAGE AND ADMINISTRATION Administer by subcutaneous injection ( 2 ) Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis ( 2.2 ): Adults: 40 mg every other week. Some patients with RA not receiving methotrexate may benefit from increasing the dosage to 40 mg every week or 80 mg every other week. Juvenile Idiopathic Arthritis or Pediatric Uveitis ( 2.3 ): Pediatric Weight 2 Years of Age and Older Recommended Dosage 10 kg (22 lbs) to less than 15 kg (33 lbs) 10 mg every other week 15 kg (33 lbs) to less than 30 kg (66 lbs) 20 mg every other week 30 kg (66 lbs) and greater 40 mg every other week Crohn's Disease ( 2.4 ): Adults: 160 mg on Day 1 (given in one day or split over two consecutive days); 80 mg on Day 15; and 40 mg every other week starting on Day 29. Pediatric Patients 6 Years of Age and Older: Pediatric Weight Recommended Dosage Days 1 and 15 Starting on Day 29 17 kg (37 lbs) to less than 40 kg (88 lbs) Day 1: 80 mg Day 15: 40 mg 20 mg every other week 40 kg (88 lbs) and greater Day 1: 160 mg (single-dose or split over two consecutive days) Day 15: 80 mg 40 mg every other week Ulcerative Colitis ( 2.5 ): Adults: 160 mg on Day 1 (given in one day or split over two consecutive days), 80 mg on Day 15 and 40 mg every other week starting on Day 29. Discontinue in patients without evidence of clinical remission by eight weeks (Day 57). Plaque Psoriasis or Adult Uveitis ( 2.6 ): Adults: 80 mg initial dose, followed by 40 mg every other week starting one week after initial dose. Hidradenitis Suppurativa ( 2.7 ) Adults: Day 1:160 mg (given in one day or split over two consecutive days) Day 15: 80 mg Day 29 and subsequent doses: 40 mg every week or 80 mg every other week Adolescents 12 years of age and older: Adolescent Weight Recommended Dosage 30 kg (66 lbs) to less than 60 kg (132 lbs) Day 1: 80 mg Day 8 and subsequent doses: 40 mg every other week 60 kg (132 lbs) and greater Day 1: 160 mg (given in one day or split over two consecutive days) Day 15: 80 mg Day 29 and subsequent doses: 40 mg every week or 80 mg every other week 2.1 Recommended Tuberculosis Evaluation Prior to initiating AMJEVITA and periodically during therapy, evaluate patients for active tuberculosis and test for latent infection [see Warnings and Precautions (5.1) ] . 2.2 Recommended Dosage in Rheumatoid Arthritis, Psoriatic Arthritis, and Ankylosing Spondylitis The recommended subcutaneous dosage of AMJEVITA for adult patients with rheumatoid arthritis (RA), psoriatic arthritis (PsA), or ankylosing spondylitis (AS) [see Indication and Usage (1.1 , 1.3 , 1.4) ] is 40 mg administered every other week. Methotrexate (MTX), other non-biologic DMARDs, glucocorticoids, nonsteroidal anti-inflammatory drugs (NSAIDs), and/or analgesics may be continued during treatment with AMJEVITA. In the treatment of RA, some patients not taking concomitant MTX may derive additional benefit from increasing the dosage of AMJEVITA to 40 mg every week or 80 mg every other week. 2.3 Recommended Dosage in Juvenile Idiopathic Arthritis or Pediatric Patients with Uveitis The recommended subcutaneous dosage of AMJEVITA for pediatric patients 2 years of age and older with polyarticular juvenile idiopathic arthritis (JIA) or pediatric uveitis [see Indications and Usage (1.2 , 1.9) ], based on weight, is shown below. MTX, glucocorticoids, NSAIDs, and/or analgesics may be continued during treatment with AMJEVITA. Pediatric Weight (2 Years of Age and Older) Recommended Dosage 10 kg (22 lbs) to less than 15 kg (33 lbs) 10 mg every other week 15 kg (33 lbs) to less than 30 kg (66 lbs) 20 mg every other week 30 kg (66 lbs) and greater 40 mg every other week Adalimumab products have not been studied in patients with polyarticular JIA or pediatric uveitis less than 2 years of age or in patients with a weight below 10 kg. 2.4 Recommended Dosage in Crohn's Disease Subcutaneous Adult Dosage Regimen The recommended subcutaneous dosage of AMJEVITA for adult patients with moderately to s …
Dosage Forms and Strengths
openFDA Drug Labeling3 DOSAGE FORMS AND STRENGTHS AMJEVITA is a clear, colorless to slightly yellow solution available as: Prefilled SureClick Autoinjector Injection: 80 mg/0.8 mL in a single-dose prefilled SureClick autoinjector. Injection: 40 mg/0.8 mL in a single-dose prefilled SureClick autoinjector. Injection: 40 mg/0.4 mL in a single-dose prefilled SureClick autoinjector. Prefilled Syringe Injection: 80 mg/0.8 mL in a single-dose prefilled glass syringe. Injection: 40 mg/0.8 mL in a single-dose prefilled glass syringe. Injection: 40 mg/0.4 mL in a single-dose prefilled glass syringe. Injection: 20 mg/0.4 mL in a single-dose prefilled glass syringe. Injection: 20 mg/0.2 mL in a single-dose prefilled glass syringe. Injection: 10 mg/0.2 mL in a single-dose prefilled glass syringe. Injection: Single-dose prefilled SureClick ® autoinjector: 80 mg/0.8 mL, 40 mg/0.8 mL, and 40 mg/0.4 mL ( 3 ) Single-dose prefilled glass syringe: 80 mg/0.8 mL, 40 mg/0.8 mL, 40 mg/0.4 mL, 20 mg/0.4 mL, 20 mg/0.2 mL, and 10 mg/0.2 mL ( 3 )
Contraindications
openFDA Drug Labeling4 CONTRAINDICATIONS None. None ( 4 )
Warnings and Cautions
openFDA Drug Labeling5 WARNINGS AND PRECAUTIONS Serious infections: Do not start AMJEVITA during an active infection. If an infection develops, monitor carefully, and stop AMJEVITA if infection becomes serious. ( 5.1 ) Invasive fungal infections: For patients who develop a systemic illness on AMJEVITA, consider empiric antifungal therapy for those who reside or travel to regions where mycoses are endemic. ( 5.1 ) Malignancies: Incidence of malignancies was greater in adalimumab-treated patients than in controls. ( 5.2 ) Anaphylaxis or serious hypersensitivity reactions may occur. ( 5.3 ) Hepatitis B virus reactivation: Monitor HBV carriers during and several months after therapy. If reactivation occurs, stop AMJEVITA and begin anti-viral therapy. ( 5.4 ) Demyelinating disease: Exacerbation or new onset, may occur. ( 5.5 ) Cytopenias, pancytopenia: Advise patients to seek immediate medical attention if symptoms develop, and consider stopping AMJEVITA. ( 5.6 ) Heart failure: Worsening or new onset, may occur. ( 5.8 ) Autoimmunity: Stop AMJEVITA if lupus-like syndrome or autoimmune hepatitis develop. ( 5.9 ) 5.1 Serious Infections Patients treated with adalimumab products, including AMJEVITA, are at increased risk for developing serious infections involving various organ systems and sites that may lead to hospitalization or death. Opportunistic infections due to bacterial, mycobacterial, invasive fungal, viral, parasitic, or other opportunistic pathogens including aspergillosis, blastomycosis, candidiasis, coccidioidomycosis, histoplasmosis, legionellosis, listeriosis, pneumocystosis and tuberculosis have been reported with TNF blockers. Patients have frequently presented with disseminated rather than localized disease. The concomitant use of a TNF blocker and abatacept or anakinra was associated with a higher risk of serious infections in patients with rheumatoid arthritis (RA); therefore, the concomitant use of AMJEVITA and these biologic products is not recommended in the treatment of patients with RA [see Warnings and Precautions (5.7 , 5.11) and Drug Interactions (7.2) ] . Treatment with AMJEVITA should not be initiated in patients with an active infection, including localized infections. Patients 65 years of age and older, patients with co-morbid conditions and/or patients taking concomitant immunosuppressants (such as corticosteroids or methotrexate), may be at greater risk of infection. Consider the risks and benefits of treatment prior to initiating therapy in patients: with chronic or recurrent infection; who have been exposed to tuberculosis; with a history of an opportunistic infection; who have resided or traveled in areas of endemic tuberculosis or endemic mycoses, such as histoplasmosis, coccidioidomycosis, or blastomycosis; or with underlying conditions that may predispose them to infection. Tuberculosis Cases of reactivation of tuberculosis and new onset tuberculosis infections have been reported in patients receiving adalimumab products, including patients who have previously received treatment for latent or active tuberculosis. Reports included cases of pulmonary and extrapulmonary (i.e., disseminated) tuberculosis. Evaluate patients for tuberculosis risk factors and test for latent infection prior to initiating AMJEVITA and periodically during therapy. Treatment of latent tuberculosis infection prior to therapy with TNF blocking agents has been shown to reduce the risk of tuberculosis reactivation during therapy. Prior to initiating AMJEVITA, assess if treatment for latent tuberculosis is needed; and consider an induration of ≥ 5 mm a positive tuberculin skin test result, even for patients previously vaccinated with Bacille Calmette-Guerin (BCG). Consider anti-tuberculosis therapy prior to initiation of AMJEVITA in patients with a past history of latent or active tuberculosis in whom an adequate course of treatment cannot be confirmed, and for patients with a negative test for latent tuberculosis but having risk factors for tuberc …
Adverse Reactions
openFDA Drug Labeling6 ADVERSE REACTIONS The following clinically significant adverse reactions are described elsewhere in the labeling: Serious Infections [see Warnings and Precautions (5.1) ] Malignancies [see Warnings and Precautions (5.2) ] Hypersensitivity Reactions [see Warnings and Precautions (5.3) ] Hepatitis B Virus Reactivation [see Warnings and Precautions (5.4) ] Neurologic Reactions [see Warnings and Precautions (5.5) ] Hematological Reactions [see Warnings and Precautions (5.6) ] Heart Failure [see Warnings and Precautions (5.8) ] Autoimmunity [see Warnings and Precautions (5.9) ] Most common adverse reactions (> 10%) are: infections (e.g., upper respiratory, sinusitis), injection site reactions, headache, and rash. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Amgen Medical Information at 1-800-77-AMGEN (1-800-772-6436) or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The most common adverse reaction with adalimumab was injection site reactions. In placebo-controlled trials, 20% of subjects treated with adalimumab developed injection site reactions (erythema and/or itching, hemorrhage, pain or swelling), compared to 14% of subjects receiving placebo. Most injection site reactions were described as mild and generally did not necessitate drug discontinuation. The proportion of subjects who discontinued treatment due to adverse reactions during the double-blind, placebo-controlled portion of studies in subjects with RA (i.e., Studies RA-I, RA-II, RA-III and RA-IV) was 7% for subjects taking adalimumab and 4% for placebo-treated subjects. The most common adverse reactions leading to discontinuation of adalimumab in these RA studies were clinical flare reaction (0.7%), rash (0.3%) and pneumonia (0.3%). Infections In the controlled portions of the 39 global adalimumab clinical trials in adult subjects with RA, PsA, AS, CD, UC, Ps, HS and UV, the rate of serious infections was 4.3 per 100 patient-years in 7973 adalimumab-treated subjects versus a rate of 2.9 per 100 patient-years in 4848 control-treated subjects. Serious infections observed included pneumonia, septic arthritis, prosthetic and post-surgical infections, erysipelas, cellulitis, diverticulitis, and pyelonephritis [see Warnings and Precautions (5.1) ]. Tuberculosis and Opportunistic Infections In 52 global controlled and uncontrolled clinical trials in RA, PsA, AS, CD, UC, Ps, HS and UV that included 24,605 adalimumab-treated subjects, the rate of reported active tuberculosis was 0.20 per 100 patient-years and the rate of positive PPD conversion was 0.09 per 100 patient-years. In a subgroup of 10,113 U.S. and Canadian adalimumab-treated subjects, the rate of reported active TB was 0.05 per 100 patient-years and the rate of positive PPD conversion was 0.07 per 100 patient-years. These trials included reports of miliary, lymphatic, peritoneal, and pulmonary TB. Most of the TB cases occurred within the first eight months after initiation of therapy and may reflect recrudescence of latent disease. In these global clinical trials, cases of serious opportunistic infections have been reported at an overall rate of 0.05 per 100 patient-years. Some cases of serious opportunistic infections and TB have been fatal [see Warnings and Precautions (5.1) ] . Autoantibodies In the rheumatoid arthritis controlled trials, 12% of subjects treated with adalimumab and 7% of placebo-treated subjects that had negative baseline ANA titers developed positive titers at Week 24. Two subjects out of 3046 treated with adalimumab developed clinical signs suggestive of new-onset lupus-like syndrome. The subjects improved following discontinuation of therapy. No subjects developed lupus nephritis or central ner …
Drug Interactions
openFDA Drug Labeling7 DRUG INTERACTIONS Abatacept: Increased risk of serious infection. ( 5.1 , 5.11 , 7.2 ) Anakinra: Increased risk of serious infection. ( 5.1 , 5.7 , 7.2 ) Live vaccines: Avoid use with AMJEVITA. ( 5.10 , 7.3 ) 7.1 Methotrexate Adalimumab has been studied in rheumatoid arthritis (RA) patients taking concomitant methotrexate (MTX). Although MTX reduced the apparent clearance of adalimumab, the data do not suggest the need for dose adjustment of either AMJEVITA or MTX [see Clinical Pharmacology (12.3) ] . 7.2 Biological Products In clinical studies in patients with RA, an increased risk of serious infections has been observed with the combination of TNF blockers with anakinra or abatacept, with no added benefit; therefore, use of AMJEVITA with abatacept or anakinra is not recommended in patients with RA [see Warnings and Precautions (5.7 , 5.11) ] . A higher rate of serious infections has also been observed in patients with RA treated with rituximab who received subsequent treatment with a TNF blocker. There is insufficient information regarding the concomitant use of AMJEVITA and other biologic products for the treatment of RA, PsA, AS, CD, UC, Ps, HS and UV. Concomitant administration of AMJEVITA with other biologic DMARDs (e.g., anakinra and abatacept) or other TNF blockers is not recommended based upon the possible increased risk for infections and other potential pharmacological interactions. 7.3 Live Vaccines Avoid the use of live vaccines with AMJEVITA [see Warnings and Precautions (5.10) ] . 7.4 Cytochrome P450 Substrates The formation of CYP450 enzymes may be suppressed by increased concentrations of cytokines (e.g., TNFα, IL-6) during chronic inflammation. It is possible for products that antagonize cytokine activity, such as adalimumab products, to influence the formation of CYP450 enzymes. Upon initiation or discontinuation of AMJEVITA in patients being treated with CYP450 substrates with a narrow therapeutic index, monitoring of the effect (e.g., warfarin) or drug concentration (e.g., cyclosporine or theophylline) is recommended and the individual dose of the drug product may be adjusted as needed.
Use in Specific Populations
openFDA Drug Labeling8 USE IN SPECIFIC POPULATIONS 8.1 Pregnancy Risk Summary Available studies with use of adalimumab during pregnancy do not reliably establish an association between adalimumab and major birth defects. Clinical data are available from the Organization of Teratology Information Specialists (OTIS)/MotherToBaby Pregnancy Registry in pregnant women with rheumatoid arthritis (RA) or Crohn's disease (CD) treated with adalimumab. Registry results showed a rate of 10% for major birth defects with first trimester use of adalimumab in pregnant women with RA or CD and a rate of 7.5% for major birth defects in the disease-matched comparison cohort. The lack of pattern of major birth defects is reassuring and differences between exposure groups may have impacted the occurrence of birth defects (see Data ). Adalimumab is actively transferred across the placenta during the third trimester of pregnancy and may affect immune response in the in-utero exposed infant (see Clinical Considerations ). In an embryo-fetal perinatal development study conducted in cynomolgus monkeys, no fetal harm or malformations were observed with intravenous administration of adalimumab during organogenesis and later in gestation, at doses that produced exposures up to approximately 373 times the maximum recommended human dose (MRHD) of 40 mg subcutaneous without methotrexate (see Data ). The estimated background risk of major birth defects and miscarriage for the indicated populations is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2-4% and 15-20%, respectively. Clinical Considerations Disease-associated maternal and embryo/fetal risk Published data suggest that the risk of adverse pregnancy outcomes in women with RA or inflammatory bowel disease (IBD) is associated with increased disease activity. Adverse pregnancy outcomes include preterm delivery (before 37 weeks of gestation), low birth weight (less than 2500 g) infants, and small for gestational age at birth. Fetal/Neonatal Adverse Reactions Monoclonal antibodies are increasingly transported across the placenta as pregnancy progresses, with the largest amount transferred during the third trimester (see Data ) . Risks and benefits should be considered prior to administering live or live-attenuated vaccines to infants exposed to adalimumab products in utero [see Use in Specific Populations (8.4) ] . Data Human Data A prospective cohort pregnancy exposure registry conducted by OTIS/MotherToBaby in the U.S. and Canada between 2004 and 2016 compared the risk of major birth defects in live-born infants of 221 women (69 RA, 152 CD) treated with adalimumab during the first trimester and 106 women (74 RA, 32 CD) not treated with adalimumab. The proportion of major birth defects among live-born infants in the adalimumab-treated and untreated cohorts was 10% (8.7% RA, 10.5% CD) and 7.5% (6.8% RA, 9.4% CD), respectively. The lack of pattern of major birth defects is reassuring and differences between exposure groups may have impacted the occurrence of birth defects. This study cannot reliably establish whether there is an association between adalimumab and major birth defects because of methodological limitations of the registry, including small sample size, the voluntary nature of the study, and the non-randomized design. In an independent clinical study conducted in ten pregnant women with IBD treated with adalimumab, adalimumab concentrations were measured in maternal serum as well as in cord blood (n = 10) and infant serum (n = 8) on the day of birth. The last dose of adalimumab was given between 1 and 56 days prior to delivery. Adalimumab concentrations were 0.16-19.7 mcg/mL in cord blood, 4.28-17.7 mcg/mL in infant serum, and 0-16.1 mcg/mL in maternal serum. In all but one case, the cord blood concentration of adalimumab was hig …
Mechanism of Action
openFDA Drug Labeling12.1 Mechanism of Action Adalimumab products bind specifically to TNF-alpha and block its interaction with the p55 and p75 cell surface TNF receptors. Adalimumab products also lyse surface TNF expressing cells in vitro in the presence of complement. Adalimumab products do not bind or inactivate lymphotoxin (TNF-beta). TNF is a naturally occurring cytokine that is involved in normal inflammatory and immune responses. Elevated concentrations of TNF are found in the synovial fluid of patients with RA, JIA, PsA, and AS and play an important role in both the pathologic inflammation and the joint destruction that are hallmarks of these diseases. Increased concentrations of TNF are also found in psoriasis plaques. In Ps, treatment with AMJEVITA may reduce the epidermal thickness and infiltration of inflammatory cells. The relationship between these pharmacodynamic activities and the mechanism(s) by which adalimumab products exert their clinical effects is unknown. Adalimumab products also modulate biological responses that are induced or regulated by TNF, including changes in the concentrations of adhesion molecules responsible for leukocyte migration (ELAM-1, VCAM-1, and ICAM-1 with an IC 50 of 1-2 × 10 -10 M).
Description
openFDA Drug Labeling11 DESCRIPTION Adalimumab-atto is a tumor necrosis factor blocker. Adalimumab-atto is a recombinant human IgG1 monoclonal antibody with human derived heavy and light chain variable regions and human IgG1:k constant regions. Adalimumab-atto is produced by recombinant DNA technology in a mammalian cell (Chinese Hamster Ovary (CHO)) expression system and is purified by a process that includes specific viral inactivation and removal steps. It consists of 1330 amino acids and has a molecular weight of approximately 148 kilodaltons. AMJEVITA ® (adalimumab-atto) injection is supplied as a sterile, preservative-free solution for subcutaneous administration. The drug product is supplied as either a single-dose, prefilled SureClick autoinjector, or as a single-dose, 1 mL prefilled glass syringe. Enclosed within the autoinjector is a single-dose, 1 mL prefilled glass syringe. The solution of AMJEVITA is clear, colorless to slightly yellow, with a pH of about 5.2. Each 80 mg/0.8 mL prefilled syringe or prefilled autoinjector delivers 0.8 mL (80 mg) of drug product. Each 0.8 mL of AMJEVITA is formulated with L-lactic acid (1.7 mg), polysorbate 80 (0.8 mg), sodium hydroxide for pH adjustment, sucrose (67 mg), and Water for Injection, USP, pH 5.2. Each 40 mg/0.8 mL prefilled syringe or prefilled autoinjector delivers 0.8 mL (40 mg) of drug product. Each 0.8 mL of AMJEVITA is formulated with glacial acetic acid (0.48 mg), polysorbate 80 (0.8 mg), sodium hydroxide for pH adjustment, sucrose (72 mg), and Water for Injection, USP, pH 5.2. Each 40 mg/0.4 mL prefilled syringe or prefilled autoinjector delivers 0.4 mL (40 mg) of drug product. Each 0.4 mL of AMJEVITA is formulated with L-lactic acid (0.9 mg), polysorbate 80 (0.4 mg), sodium hydroxide for pH adjustment, sucrose (34 mg), and Water for Injection, USP, pH 5.2. Each 20 mg/0.4 mL prefilled syringe delivers 0.4 mL (20 mg) of drug product. Each 0.4 mL of AMJEVITA is formulated with glacial acetic acid (0.24 mg), polysorbate 80 (0.4 mg), sodium hydroxide for pH adjustment, sucrose (36 mg), and Water for Injection, USP, pH 5.2. Each 20 mg/0.2 mL prefilled syringe delivers 0.2 mL (20 mg) of drug product. Each 0.2 mL of AMJEVITA is formulated with L-lactic acid (0.4 mg), polysorbate 80 (0.2 mg), sodium hydroxide for pH adjustment, sucrose (17 mg), and Water for Injection, USP, pH 5.2. Each 10 mg/0.2 mL prefilled syringe delivers 0.2 mL (10 mg) of drug product. Each 0.2 mL of AMJEVITA is formulated with glacial acetic acid (0.12 mg), polysorbate 80 (0.2 mg), sodium hydroxide for pH adjustment, sucrose (18 mg), and Water for Injection, USP, pH 5.2.
Overdosage
openFDA Drug Labeling10. OVERDOSAGE Doses up to 10 mg/kg have been administered to patients in clinical trials without evidence of dose-limiting toxicities. In case of overdosage, it is recommended that the patient be monitored for any signs or symptoms of adverse reactions or effects and appropriate symptomatic treatment instituted immediately. Consider contacting the Poison Help line (1-800-222-1222) or medical toxicologist for additional overdose management recommendations.
How Supplied / Storage and Handling
openFDA Drug Labeling16 HOW SUPPLIED/STORAGE AND HANDLING AMJEVITA ® (adalimumab-atto) injection is supplied as a preservative-free, sterile, clear, colorless to slightly yellow solution for subcutaneous administration. AMJEVITA is supplied in a single-dose prefilled syringe (PFS) or single-dose prefilled SureClick autoinjector (AI). The AMJEVITA prefilled syringe and prefilled SureClick autoinjector are not made with natural rubber latex. The following packaging configurations are available. Presentation Number of Units/Pack NDC number 10 mg/0.2 mL prefilled glass syringe with a fixed 29 gauge needle 1 55513-413-01 20 mg/0.2 mL prefilled syringe with a fixed 29 gauge needle 1 55513-399-01 72511-399-01 20 mg/0.4 mL prefilled syringe with a fixed 29 gauge needle 1 55513-411-01 40 mg/0.4 mL prefilled syringe with a fixed 29 gauge needle 1 55513-479-01 2 55513-479-02 72511-479-02 40 mg/0.8 mL prefilled syringe with a fixed 29 gauge needle 1 55513-410-01 2 55513-410-02 80 mg/0.8 mL prefilled syringe with a fixed 29 gauge needle 1 55513-480-01 2 55513-480-02 40 mg/0.4 mL Prefilled SureClick Autoinjector 1 55513-482-01 72511-482-01 2 55513-482-02 72511-482-02 40 mg/0.8 mL Prefilled SureClick Autoinjector 1 55513-400-01 72511-400-01 2 55513-400-02 72511-400-02 80 mg/0.8 mL Prefilled SureClick Autoinjector 1 55513-481-01 2 55513-481-02 72511-481-02 Storage and Stability Do not use beyond the expiration date on the container. AMJEVITA must be refrigerated at 36°F to 46°F (2°C to 8°C). DO NOT FREEZE. Do not use if frozen even if it has been thawed. Store in original carton until time of administration to protect from light. If needed, for example when traveling, AMJEVITA may be stored at room temperature up to a maximum of 77°F (25°C) for a period of up to 14 days, with protection from light. AMJEVITA should be discarded if not used within the 14-day period. Record the date when AMJEVITA is first removed from the refrigerator in the spaces provided on the carton. Do not store AMJEVITA in extreme heat or cold.
Adverse event reports
Source: openFDA FAERSAttributed to this product's most-reported active ingredient: ADALIMUMAB. Combination products with more than six active ingredients are not attributed, because a report count summed across a long ingredient list measures the list, not the medicine.
Packaging and NDCs
Source: NDC Directory| Package NDC | Product NDC | Labeler | Description | Marketing start |
|---|---|---|---|---|
| 72511-399-01 | 72511-399 | Amgen USA Inc. | 1 SYRINGE in 1 CARTON (72511-399-01) / .2 mL in 1 SYRINGE | November 8, 2024 |
| 72511-400-01 | 72511-400 | Amgen USA Inc. | 1 SYRINGE in 1 CARTON (72511-400-01) / .8 mL in 1 SYRINGE | January 31, 2023 |
| 72511-400-02 | 72511-400 | Amgen USA Inc. | 2 SYRINGE in 1 CARTON (72511-400-02) / .8 mL in 1 SYRINGE | January 31, 2023 |
| 72511-479-02 | 72511-479 | Amgen USA Inc. | 2 SYRINGE in 1 CARTON (72511-479-02) / .4 mL in 1 SYRINGE | November 8, 2024 |
| 72511-481-02 | 72511-481 | Amgen USA Inc. | 2 SYRINGE in 1 CARTON (72511-481-02) / .8 mL in 1 SYRINGE | October 15, 2024 |
| 72511-482-01 | 72511-482 | Amgen USA Inc. | 1 SYRINGE in 1 CARTON (72511-482-01) / .4 mL in 1 SYRINGE | August 14, 2023 |
| 72511-482-02 | 72511-482 | Amgen USA Inc. | 2 SYRINGE in 1 CARTON (72511-482-02) / .4 mL in 1 SYRINGE | August 14, 2023 |
| 55513-399-01 | 55513-399 | Amgen, Inc | 1 SYRINGE in 1 CARTON (55513-399-01) / .2 mL in 1 SYRINGE | August 14, 2023 |
| 55513-400-01 | 55513-400 | Amgen, Inc | 1 SYRINGE in 1 CARTON (55513-400-01) / .8 mL in 1 SYRINGE | January 31, 2023 |
| 55513-400-02 | 55513-400 | Amgen, Inc | 2 SYRINGE in 1 CARTON (55513-400-02) / .8 mL in 1 SYRINGE | January 31, 2023 |
| 55513-400-91 | 55513-400 | Amgen, Inc | 1 SYRINGE in 1 CARTON (55513-400-91) / .8 mL in 1 SYRINGE | January 31, 2023 |
| 55513-410-01 | 55513-410 | Amgen, Inc | 1 SYRINGE in 1 CARTON (55513-410-01) / .8 mL in 1 SYRINGE | January 31, 2023 |
| 55513-410-02 | 55513-410 | Amgen, Inc | 2 SYRINGE in 1 CARTON (55513-410-02) / .8 mL in 1 SYRINGE | January 31, 2023 |
| 55513-411-01 | 55513-411 | Amgen, Inc | 1 SYRINGE in 1 CARTON (55513-411-01) / .4 mL in 1 SYRINGE | January 31, 2023 |
| 55513-413-01 | 55513-413 | Amgen, Inc | 1 SYRINGE in 1 CARTON (55513-413-01) / .2 mL in 1 SYRINGE | April 6, 2023 |
| 55513-479-01 | 55513-479 | Amgen, Inc | 1 SYRINGE in 1 CARTON (55513-479-01) / .4 mL in 1 SYRINGE | August 14, 2023 |
| 55513-479-02 | 55513-479 | Amgen, Inc | 2 SYRINGE in 1 CARTON (55513-479-02) / .4 mL in 1 SYRINGE | August 14, 2023 |
| 55513-480-01 | 55513-480 | Amgen, Inc | 1 SYRINGE in 1 CARTON (55513-480-01) / .8 mL in 1 SYRINGE | August 14, 2023 |
| 55513-480-02 | 55513-480 | Amgen, Inc | 2 SYRINGE in 1 CARTON (55513-480-02) / .8 mL in 1 SYRINGE | August 14, 2023 |
| 55513-481-01 | 55513-481 | Amgen, Inc | 1 SYRINGE in 1 CARTON (55513-481-01) / .8 mL in 1 SYRINGE | August 14, 2023 |
| 55513-481-02 | 55513-481 | Amgen, Inc | 2 SYRINGE in 1 CARTON (55513-481-02) / .8 mL in 1 SYRINGE | August 14, 2023 |
| 55513-482-01 | 55513-482 | Amgen, Inc | 1 SYRINGE in 1 CARTON (55513-482-01) / .4 mL in 1 SYRINGE | August 14, 2023 |
| 55513-482-02 | 55513-482 | Amgen, Inc | 2 SYRINGE in 1 CARTON (55513-482-02) / .4 mL in 1 SYRINGE | August 14, 2023 |
| 84612-399-01 | 84612-399 | Nuvaila Limited | 1 SYRINGE in 1 CARTON (84612-399-01) / .2 mL in 1 SYRINGE | January 1, 2025 |
| 84612-479-01 | 84612-479 | Nuvaila Limited | 1 SYRINGE in 1 CARTON (84612-479-01) / .4 mL in 1 SYRINGE | January 1, 2025 |
| 84612-479-02 | 84612-479 | Nuvaila Limited | 2 SYRINGE in 1 CARTON (84612-479-02) / .4 mL in 1 SYRINGE | January 1, 2025 |
| 84612-481-01 | 84612-481 | Nuvaila Limited | 1 SYRINGE in 1 CARTON (84612-481-01) / .8 mL in 1 SYRINGE | January 1, 2025 |
| 84612-481-02 | 84612-481 | Nuvaila Limited | 2 SYRINGE in 1 CARTON (84612-481-02) / .8 mL in 1 SYRINGE | January 1, 2025 |
| 84612-482-01 | 84612-482 | Nuvaila Limited | 1 SYRINGE in 1 CARTON (84612-482-01) / .4 mL in 1 SYRINGE | January 1, 2025 |
| 84612-482-02 | 84612-482 | Nuvaila Limited | 2 SYRINGE in 1 CARTON (84612-482-02) / .4 mL in 1 SYRINGE | January 1, 2025 |
| 72511-399 | 72511-399 | Amgen USA Inc. | — | November 8, 2024 |
| 72511-400 | 72511-400 | Amgen USA Inc. | — | January 31, 2023 |
| 72511-479 | 72511-479 | Amgen USA Inc. | — | November 8, 2024 |
| 72511-481 | 72511-481 | Amgen USA Inc. | — | August 14, 2023 |
| 72511-482 | 72511-482 | Amgen USA Inc. | — | August 14, 2023 |
| 55513-399 | 55513-399 | Amgen, Inc | — | August 14, 2023 |
| 55513-400 | 55513-400 | Amgen, Inc | — | January 31, 2023 |
| 55513-410 | 55513-410 | Amgen, Inc | — | January 31, 2023 |
| 55513-411 | 55513-411 | Amgen, Inc | — | January 31, 2023 |
| 55513-413 | 55513-413 | Amgen, Inc | — | April 6, 2023 |
| 55513-479 | 55513-479 | Amgen, Inc | — | August 14, 2023 |
| 55513-480 | 55513-480 | Amgen, Inc | — | August 14, 2023 |
| 55513-481 | 55513-481 | Amgen, Inc | — | August 14, 2023 |
| 55513-482 | 55513-482 | Amgen, Inc | — | August 14, 2023 |
| 84612-399 | 84612-399 | Nuvaila Limited | — | January 1, 2025 |
| 84612-479 | 84612-479 | Nuvaila Limited | — | January 1, 2025 |
| 84612-481 | 84612-481 | Nuvaila Limited | — | January 1, 2025 |
| 84612-482 | 84612-482 | Nuvaila Limited | — | January 1, 2025 |
Sources for this page
| Dataset | Agency | Used for |
|---|---|---|
| NDC Directory | FDA | Identity, ingredients, strengths, forms, routes, labelers, packages |
| Drugs@FDA | FDA | Application, sponsor, submissions, review documents, marketing status |
| Drug Labeling | FDA / NLM | Prescribing information reproduced above |
| FAERS | FDA | Adverse event report counts |
| Purple Book | FDA | Biologic licence classification |
Generated September 25, 2026 · 10 sections on this page.