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Data updated: Jun 28, 2026

IMULDOSA (ustekinumab-srlf) · ACCORD BIOPHARMA INC.

Genetically Validated
Immunology Approved 2024-10-10

IMULDOSA (ustekinumab-srlf) is a human interleukin-12 and -23 antagonist indicated for the treatment of several chronic inflammatory conditions. It is approved for use in adult patients with moderate to severe plaque psoriasis, active psoriatic arthritis, and moderately to severely active Crohn’s disease or ulcerative colitis. Additionally, the medication is indicated for pediatric patients aged six years and older with moderate to severe plaque psoriasis or active psoriatic arthritis. For patients with plaque psoriasis, the drug is intended for those who are candidates for phototherapy or systemic therapy.

How IMULDOSA Works

IMULDOSA is a monoclonal antibody that binds specifically to the p40 protein subunit used by both the IL-12 and IL-23 cytokines. By targeting this subunit, the drug prevents these cytokines from interacting with the IL-12Rβ1 receptor chain found on the surface of immune cells. This disruption inhibits the signaling and cytokine cascades that lead to natural killer cell activation and T-cell differentiation. This mechanism addresses the chronic inflammation that characterizes immune-mediated diseases like Crohn’s disease and ulcerative colitis.

1
Indication
--
Phase 3 Trials
1
Years on Market

Details

Status
Prescription
First Approved
2024-10-10
Routes
INTRAVENOUS
Dosage Forms
INJECTABLE

Companies

Active Ingredient: USTEKINUMAB-SRLF

IMULDOSA Approval History

2025
2026
Original
New Indication
New Form
Label Update
12 FDA actions from 2024 to 2026
Jun 2026 SUPPL
Update · Bioequivalence
Nov 2025 SUPPL
Label · Labeling
Mar 2025 SUPPL
Label · Labeling

What IMULDOSA Treats

4 indications

IMULDOSA is approved for 4 conditions since its original approval in 2024. These indications span multiple therapeutic areas including oncology, immunology, and more.

Source: FDA Label

IMULDOSA Target & Pathway

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Target

IL-12 (Interleukin 12) Cytokine

Biosimilar for Stelara

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

IMULDOSA 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.

IMULDOSA FDA Label Details

Indications & Usage

FDA Label (PDF)

IMULDOSA is a human interleukin-12 and -23 antagonist indicated for the treatment of: Adult patients with: • moderate to severe plaque psoriasis (PsO) who are candidates for phototherapy or systemic therapy. • active psoriatic arthritis (PsA). • moderately to severely active Crohn’s disease (CD). • moderately to severely active ulcerative colitis. Pediatric patients 6 years and older with: • moderate to severe plaque psoriasis (PsO), who are candidates for phototherapy or systemic therapy. • active psoriatic arthritis (PsA). 1.1 Plaque Psoriasis (PsO) IMULDOSA is indicated for the treatment of...

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Data Sources

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