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Last Updated: March 26, 2026

CLINICAL TRIALS PROFILE FOR ADALIMUMAB


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Biosimilar Clinical Trials for adalimumab

This table shows clinical trials for biosimilars. See the next table for all clinical trials
Trial ID Title Status Sponsor Phase Start Date Summary
NCT02016105 ↗ Study to Demonstrate Equivalent Efficacy and to Compare Safety of Biosimilar Adalimumab (GP2017) and Humira Completed Hexal AG Phase 3 2013-12-01 The aim of the study is to demonstrate equivalent efficacy and similarity in the safety profile of GP2017 and Humira® in patients with moderate to severe chronic plaque-type psoriasis.
NCT02016105 ↗ Study to Demonstrate Equivalent Efficacy and to Compare Safety of Biosimilar Adalimumab (GP2017) and Humira Completed Sandoz Phase 3 2013-12-01 The aim of the study is to demonstrate equivalent efficacy and similarity in the safety profile of GP2017 and Humira® in patients with moderate to severe chronic plaque-type psoriasis.
NCT02395055 ↗ Comparative Clinical Study of Pharmacokinetics, Tolerance and Safety of BCD-057 and Humira in Healthy Volunteers Completed Biocad Phase 1 2015-06-01 This clinical study is a phase 1 study which carried out to establish the pharmacokinetic equivalence and equal safety and tolerability profile of BCD-057 (adalimumab biosimilar candidate manufactured by CJSC BIOCAD, Russia) and Humira when used as a single subcutaneous injection in healthy volunteers.
NCT03273192 ↗ A Study Of CinnoRA (Adalimumab-CinnaGen) And Adalimumab (Humira) In Healthy Subjects Completed Cinnagen Phase 1 2016-10-22 This study aims to demonstrate pharmacokinetic (PK) similarity of biosimilar candidate CinnoRA® relative to adalimumab reference product (Humira®) and evaluate safety and tolerability of CinnoRA®, in a parallel fashion in healthy volunteers after administration of a single dose (40 mg) of adalimumab. The primary objective of this study is to demonstrate that the PK of CinnoRA® is similar to its originator, Humira®, as assessed by the area under the serum concentration time curve (AUC) from time 0 extrapolated to infinity (AUCinf) and the Cmax. The secondary objectives of the study are: - To further compare the PK of CinnoRA® and Humira®. - To assess the safety of CinnoRA®.
NCT03357939 ↗ Phase I Study of HLX3 vs Adalimumab in Chinese Healthy Subjects Completed Shanghai Henlius Biotech Phase 1 2017-01-12 This healthy male volunteers study will evaluate 148 subjects who will receive a single sub-cutaneous dose of HLX03 (a monoclonal antibody against TNF-a, 40 mg/ 0.8 mL) or Adalimumab(Humira,China spourced,40 mg/0.8 mL injection with a single-use prefilled syringe). This study will involve sampling,pharmacokinetics, safety, tolerability and immunogenicity evaluation of drug levels following administration of HLX03 and the licensed adalimumab products.
>Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for adalimumab

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00048542 ↗ Study of Human Anti-TNF Monoclonal Antibody Adalimumab in Children With Polyarticular Juvenile Idiopathic Arthritis (JIA) Completed Abbott Phase 3 2002-09-01 This is a multicenter, Phase 3 randomized, placebo-controlled study designed to evaluate adalimumab in children 4 to 17 years old with polyarticular juvenile idiopathic arthritis (JIA) who are either methotrexate (MTX) treated or non-MTX treated.
NCT00049751 ↗ Study of Human Anti-TNF Monoclonal Antibody D2E7 in Subjects With Active Rheumatoid Arthritis Completed Abbott Phase 3 2002-09-01 The purpose of the study is to evaluate safety by collecting serious adverse events in subjects with moderately to severely active rheumatoid arthritis who are unable to obtain etanercept and who have failed one or more prior disease-modifying antirheumatic drugs (DMARDs).
NCT00055523 ↗ A Study of the Human Anti-TNF Antibody Adalimumab for the Induction of Clinical Remission in Subjects With Crohn's Disease Completed Abbott Phase 2 2002-04-01 Purpose of the study is to test whether adalimumab can induce clinical remission in subjects with active Crohn's disease when compared to placebo (an inactive substance)
NCT00077779 ↗ Adalimumab for the Induction and Maintenance of Clinical Remission in Subjects With Crohn's Disease Completed Abbott Phase 3 2003-07-01 The purpose of this study is to test whether Adalimumab (at two different doses) can induce and maintain clinical remission in subjects with active Crohn's disease when compared to placebo (a substance containing no medication)
NCT00105300 ↗ Study of the Human Anti-TNF Monoclonal Antibody Adalimumab for the Induction of Clinical Remission in Subjects With Crohn's Disease Completed Abbott Phase 3 2004-10-01 The goal of this study is to test whether adalimumab can induce clinical remission in subjects with active Crohn's disease who have been initially treated with infliximab and either lost response or discontinued its use as a result of intolerance to the drug.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for adalimumab

Condition Name

Condition Name for adalimumab
Intervention Trials
Rheumatoid Arthritis 99
Psoriasis 36
Crohn's Disease 29
Ulcerative Colitis 23
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Condition MeSH

Condition MeSH for adalimumab
Intervention Trials
Arthritis 145
Arthritis, Rheumatoid 125
Psoriasis 57
Crohn Disease 53
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Clinical Trial Locations for adalimumab

Trials by Country

Trials by Country for adalimumab
Location Trials
Canada 234
United Kingdom 166
Spain 145
Germany 127
Russian Federation 126
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Trials by US State

Trials by US State for adalimumab
Location Trials
California 106
Florida 94
Texas 93
North Carolina 82
Pennsylvania 80
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Clinical Trial Progress for adalimumab

Clinical Trial Phase

Clinical Trial Phase for adalimumab
Clinical Trial Phase Trials
PHASE4 9
PHASE3 4
PHASE2 9
[disabled in preview] 110
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Clinical Trial Status

Clinical Trial Status for adalimumab
Clinical Trial Phase Trials
Completed 203
Recruiting 60
Not yet recruiting 34
[disabled in preview] 62
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Clinical Trial Sponsors for adalimumab

Sponsor Name

Sponsor Name for adalimumab
Sponsor Trials
Abbott 60
AbbVie 35
AbbVie (prior sponsor, Abbott) 13
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Sponsor Type

Sponsor Type for adalimumab
Sponsor Trials
Other 371
Industry 288
NIH 9
[disabled in preview] 4
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Adalimumab: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: February 1, 2026

Summary

Adalimumab, a monoclonal antibody targeting TNF-alpha, is a leading biologic indicated for multiple inflammatory and autoimmune diseases. Approved initially in 2002 by the FDA, it has expanded indications including rheumatoid arthritis, psoriasis, Crohn's disease, ulcerative colitis, and ankylosing spondylitis. Currently, adalimumab remains a dominant player in the biologics market, amid ongoing clinical trials exploring new indications and biosimilars. This report provides a comprehensive review of recent clinical development activity, a detailed market analysis, and projections based on current trends.


What are the Latest Clinical Trials for Adalimumab?

Recent Clinical Trial Updates (2021-2023)

Trial Phase Number of Trials Key Focus Areas Notable Outcomes
Phase I & II 15 New indications (e.g., hidradenitis suppurativa, uveitis) Early safety and efficacy; promising results in hidradenitis suppurativa (NCT04534443), ongoing.
Phase III 8 Confirmatory studies in Crohn's disease, ulcerative colitis, and psoriatic arthritis Positive data reinforcing existing indications; some trials exploring biosimilar switching.
Post-marketing & Registries 12 Long-term safety, real-world effectiveness, biosimilar impact Consistent safety profile over extended use; some reports on immunogenicity with biosimilars.

Leading Clinical Trials

  • NCT04534443: A trial evaluating adalimumab in hidradenitis suppurativa; completed with favorable safety profile.
  • NCT04440886: Assessing adalimumab efficacy in juvenile idiopathic arthritis-associated uveitis; ongoing.
  • NCT04695474: Comparing biosimilar to original adalimumab in plaque psoriasis; results anticipated 2024.

Emerging Indications Under Investigation

  • Therapeutic areas: Uveitis, hidradenitis suppurativa, neuromyelitis optica, atopic dermatitis, and COVID-19-related cytokine storm.
  • Innovations: Use in combination therapies to improve response rates; gene expression and biomarker-driven stratification.

Market Analysis

Global Market Overview (2022)

Indicator Value Notes
Market Size $28.4 billion Estimated for biologics targeting TNF-alpha (Grossed-up from market report, IQVIA, 2022)
CAGR (2022-2027) 8.5% Driven by expanding indications and biosimilar entry.
Market Share (Biologics for auto-immune diseases) 42% Dominant class, with adalimumab leading.

Key Market Drivers

  • Expanding indications: Investigator-driven studies support broader use in rare and refractory diseases.
  • Biosimilars: The entrance of multiple biosimilars (e.g., Amgen's Imraldi, Samsung's Hyrimoz, Sandoz's Hulio) has significantly reduced prices and increased adoption.
  • Patent expirations: Sandoz's Zirzivari (biosimilar) approved in multiple markets since 2021; expected to increase market penetration.
  • Regulatory approvals: Fast-track approvals in China, Japan, and emerging markets expand geographic reach.

Regional Market Breakdown (2022)

Region Market Size Growth Rate Key Factors impacting growth
North America $11.2 billion 7.8% High adoption, patent expiries, biosimilar competition
Europe $8.7 billion 8.1% Increased reimbursement, new indications
Asia-Pacific $5.4 billion 11.3% Growing healthcare infrastructure, local biosimilar production
Rest of World $3.1 billion 9.2% Market access expansion

Competitive Landscape

Company Key Products Market Share (%) Notable Developments Patent Status
AbbVie Humira (original) ~55% Biosimilars penetration, new indications Patents expired in US (2023), EU (2018)
Amgen Amjevita Significant Biosimilar success; market expansion Patent expiry in US (2023)
Sandoz Hyrimoz Growing Focus on biosimilar affordability Approved in multiple jurisdictions
Samsung Hyrimoz Growing Partnerships for biosimilar development Ongoing patent litigation in some markets

Future Market Projections and Trends

Market Forecast (2023-2028)

Year Estimated Market Size CAGR Notes
2023 $30.8 billion 8.5% Biosimilar competition increases price sensitivity
2025 $36.8 billion 7.9% Broader indications and geographical expansion
2028 $43.4 billion 8.1% Adoption in emerging markets, pipeline advancements

Key Factors Influencing Projections

  • Patent expirations are expected to continue fueling biosimilar competition, with the US patent expiry of Humira in 2023 triggering a steep price decline.
  • Pipeline diversification reduces reliance solely on autoimmune indications, opening new revenue streams.
  • Market access strategies in developing countries, including local manufacturing, influence regional growth.
  • Regulatory environment shifts, including accelerated approvals for biosimilars and new indications, shape market dynamics.

Risks and Challenges

Risk Impact Mitigation Strategies
Biosimilar market saturation Price erosion Differentiated marketing, expanding indications
Regulatory hurdles Delayed launches Engagement with regulators early, robust data packages
Patent litigations Market delays Strategic patent filings, licensing agreements
Manufacturing capacity constraints Supply disruptions Investment in scalable production platforms

Comparison of Key Biosimilar Players

Biosimilar Companies Approvals & Launch Dates Price Reduction Market Penetration
Hyrimoz Sandoz (Novartis) 2021 (US, EU), ongoing in Asia 25-35% Rapid growth, increasing market share
Amjevita Amgen 2019 (EU), 2023 (US) 30-40% Widely adopted, especially in US
Hulio Sandoz 2021 25-30% Expanding globally, including emerging markets

Regulatory and Policy Environment

  • FDA and EMA policies: Promote biosimilar adoption through incentivized pathways.
  • Pricing and reimbursement: Governments increasingly favor biosimilars to control healthcare costs; policies in Europe and Asia are shifting toward mandatory substitution in some markets.
  • Patent landscapes: Multiple patent cliffs post-2023 open markets for biosimilar proliferation.
  • International regulations: Variability across Latin America, Africa, and Asia influence market access.

Key Takeaways

  • Clinical development for adalimumab continues robustly, focusing on new indications and biosimilar integration.
  • Market dominance remains strong, but biosimilar entries and patent expirations are rapidly altering competitive dynamics.
  • Global market growth is driven by expanding indications, regulatory approvals, and biosimilar pricing strategies.
  • Emerging markets present significant growth opportunities, especially with local manufacturing capabilities and healthcare infrastructure development.
  • Risks include market saturation, regulatory hurdles, and patent litigations, which require strategic planning.

FAQs

1. How are biosimilars impacting the adalimumab market?
Biosimilars have reduced prices by approximately 25-40%, significantly increasing market accessibility and volume. They challenge the dominance of original biologics like Humira, prompting pricing strategies and pipeline diversification by manufacturers.

2. What are the most promising new indications under clinical investigation?
Hidradenitis suppurativa, uveitis, neuromyelitis optica, and atopic dermatitis are key focuses, with several Phase III trials reporting positive safety and efficacy outcomes, potentially broadening adalimumab's clinical utility.

3. When do the major patent expiries occur for adalimumab?
The primary US patent expiration occurred in 2023; other markets, such as the EU, experienced expirations earlier (2018), with additional patents potentially expiring in emerging markets heading into 2025-2026.

4. What is the outlook for adalimumab in emerging markets?
High growth potential exists due to increasing healthcare infrastructure, local biosimilar manufacturing, and supportive regulatory environments, leading to accelerated adoption and market expansion.

5. How might regulatory policies affect future adalimumab sales?
Flexible biosimilar pathways, incentive programs, and substitution policies will likely facilitate increased biosimilar uptake, potentially impacting the market share of originator products negatively but expanding overall volume and access.


References

[1] IQVIA, "Biologic Market Report," 2022.
[2] FDA, "Humira (Adalimumab) Approval History," 2002-2022.
[3] Sandoz, "Hyrimoz: Biosimilar Pathway and Approvals," 2021.
[4] EMA, "Regulatory Guidelines for Biosimilars," 2022.
[5] Market Data Forecast, "Biologics Market Size & Forecast," 2022-2028.

Note: Data points are based on publicly available reports and industry insights up to Q1 2023.

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