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Data updated: Jun 28, 2026

HULIO (adalimumab-fkjp) · Viatris

Genetically Validated
Immunology Approved 2020-07-06

HULIO (adalimumab-fkjp) is a tumor necrosis factor (TNF) blocker indicated for the treatment of several chronic inflammatory and autoimmune conditions in adult and pediatric populations. It is used to manage joint-related diseases such as rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis, as well as gastrointestinal disorders like Crohn’s disease and ulcerative colitis. The therapy is also approved for dermatological conditions including plaque psoriasis and hidradenitis suppurativa, and for non-infectious uveitis. Its effectiveness has not been established in patients who have previously lost response to or were intolerant to other TNF blockers.

How HULIO Works

HULIO functions by specifically binding to TNF-alpha, a naturally occurring cytokine that drives inflammatory and immune responses. By binding to this cytokine, the drug blocks its interaction 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.

BLA
Biologic
2
Indications
--
Phase 3 Trials
6
Years on Market

Details

Status
Prescription
First Approved
2020-07-06
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: ADALIMUMAB-FKJP

HULIO Approval History

2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
6 FDA actions from 2020 to 2025 · 1 indication expansions
Feb 2025 SUPPL
Update
Dec 2023 SUPPL
Label · Labeling
Aug 2023 SUPPL
Update · Bioequivalence

What HULIO Treats

9 indications

HULIO is approved for 9 conditions since its original approval in 2020. These indications span multiple therapeutic areas including oncology, immunology, and more.

Source: FDA Label

HULIO Boxed Warning

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

HULIO 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.

Auto-substitute OK for Humira

Pharmacists can substitute HULIO for Humira without calling the prescriber. This is a lower-cost alternative with no clinically meaningful differences.

Drugs Similar to HULIO

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FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

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IDACIO
ADALIMUMAB-AACF
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YUFLYMA
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Viatris's other novel FDA approvals

Other CDER-designated drugs from the same sponsor (2016–2025).

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Active Pipeline

Pro

Ongoing clinical trials by development phase

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Key Completed Trials

Pro

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.

HULIO FDA Label Details

Indications & Usage

FDA Label (PDF)

HULIO is a tumor necrosis factor (TNF) blocker indicated for: 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. J uvenile 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 patien...

⚠️ BOXED WARNING

WARNING: SERIOUS INFECTIONS and MALIGNANCY SERIOUS INFECTIONS Patients treated with adalimumab products including HULIO 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 infectio...

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Data Sources

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