TheraRadar
Data updated: May 26, 2026

IDACIO (adalimumab-aacf)

Genetically Validated
Immunology Approved 2022-12-13

IDACIO is indicated for the treatment of Rheumatoid Arthritis; Juvenile Idiopathic Arthritis; Psoriatic Arthritis; Ankylosing Spondylitis; Crohn’s Disease; Ulcerative Colitis; Plaque Psoriasis; Hidradenitis Suppurativa.

Source: FDA Label • Fresenius Kabi

How IDACIO Works

IDACIO works by specifically binding to TNF-alpha, a naturally occurring cytokine that drives inflammatory and immune responses. By binding to this target, the drug blocks TNF-alpha from interacting with the p55 and p75 cell surface receptors, thereby inhibiting the pathological inflammation and tissue destruction associated with elevated TNF levels. Additionally, the medication can lyse cells that express TNF on their surface and modulate biological responses, such as the concentration of adhesion molecules responsible for leukocyte migration.

2
Indications
--
Phase 3 Trials
3
Years on Market

Details

Status
Prescription
First Approved
2022-12-13
Routes
SUBCUTANEOUS
Dosage Forms
INJECTABLE

Companies

Active Ingredient: ADALIMUMAB-AACF

IDACIO Approval History

2023
2024
2025
2026
Original
New Indication
New Form
Label Update
8 FDA actions from 2022 to 2025
Dec 2025 SUPPL
Update
Dec 2024 SUPPL
Label · Labeling
Jun 2024 SUPPL
Label · Labeling

What IDACIO Treats

8 indications

IDACIO is approved for 8 conditions since its original approval in 2022. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Rheumatoid Arthritis
  • Juvenile Idiopathic Arthritis
  • Psoriatic Arthritis
  • Ankylosing Spondylitis
  • Crohn’s Disease
  • Ulcerative Colitis
  • Plaque Psoriasis
  • Hidradenitis Suppurativa
Source: FDA Label

IDACIO Boxed Warning

SERIOUS INFECTIONS and MALIGNANCY SERIOUS INFECTIONS Patients treated with adalimumab products including IDACIO 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 IDACIO if a patient develops a serious infection or sepsis. Reported infections include: • Active tuberculos...

IDACIO Target & Pathway

Pro

Target

TNF (Tumor Necrosis Factor) Cytokine

A pro-inflammatory cytokine that plays a central role in immune responses and inflammation. Excess TNF contributes to autoimmune diseases like rheumatoid arthritis, psoriasis, and inflammatory bowel disease. Blocking TNF reduces inflammation and prevents tissue damage.

Biosimilar for Humira

IDACIO is a lower-cost alternative to Humira with no clinically meaningful differences. Requires prescriber approval to substitute.

IDACIO Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Active Pipeline

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

IDACIO FDA Label Details

Indications & Usage

FDA Label (PDF)

IDACIO is indicated for the treatment of Rheumatoid Arthritis; Juvenile Idiopathic Arthritis; Psoriatic Arthritis; Ankylosing Spondylitis; Crohn’s Disease; Ulcerative Colitis; Plaque Psoriasis; Hidradenitis Suppurativa.

⚠️ BOXED WARNING

WARNING: SERIOUS INFECTIONS and MALIGNANCY SERIOUS INFECTIONS Patients treated with adalimumab products including IDACIO 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 infect...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.