US FDA approves Bio-Thera Solutions & Hikma Pharma’s Starjemza injection, a biosimilar referencing Stelara injection
Bio-Thera Solutions, Ltd., a commercial-stage biopharmaceutical company, and Hikma Pharmaceuticals PLC, along with its U.S. subsidiary Hikma Pharmaceuticals USA Inc., have announced that the U.S. Food and Drug Administration (FDA) has approved Starjemza (ustekinumab-hmny) Injection, a biosimilar referencing Stelara (ustekinumab).
Starjemza is Bio-Thera’s third FDA-approved product.
Partnership and Responsibilities
The two companies entered into a license and commercialization agreement in August 2021:
Bio-Thera is responsible for development and manufacturing.
Hikma is responsible for the commercialization of Starjemza in the United States.
Executive Comments
Bio-Thera’s CEO on the Approval
“The approval of Starjemza is another significant accomplishment for Bio-Thera, establishing Bio-Thera as a premier global biosimilar developer and manufacturer. “As our third FDA approved biosimilar, Starjemza demonstrates Bio-Thera’s commitment to developing more biosimilars, expanding patient access to important therapies.”
Shengfeng Li, CEO at Bio-Thera.
Hikma’s Perspective
“This approval and our partnership with Bio-Thera enables us to strongly enter the US biosimilar market. Tapping into the robust ongoing growth of the US biosimilar market is a priority for Hikma... We are eager to use our excellent US commercial capabilities to launch this important product and provide it to the many patients who will benefit from using it.”
Dr. Bill Larkins, President of Hikma Injectables.
Clinical Data Supporting Approval
The FDA approval of Starjemza (originally BAT2206) was based on a comprehensive analytical, non-clinical, and clinical data package submitted by Bio-Thera.
Data and Studies Conducted
Analytical characterization compared Starjemza to US and EU Stelara on structural, physicochemical, and biological properties.
A randomized, double-blind, single-dose, three-arm, parallel Phase I study assessed pharmacokinetics, safety, and immunogenicity in healthy volunteers.
A Phase III multicenter, randomized, double-blind, parallel-arm study evaluated efficacy, safety, and immunogenicity in patients with moderate to severe plaque psoriasis.
Findings
The totality of evidence showed that Starjemza has similar efficacy, safety, immunogenicity, and quality compared to Stelara.
About Starjemza and Its Mechanism
Starjemza is a biosimilar to Janssen’s Stelara, a human monoclonal antibody that inhibits the bioactivity of IL-12 and IL-23. It achieves this by:
Blocking the shared p40 subunit from binding to the IL-12Rß1 receptor chain on immune cells.
Preventing interaction with IL-12Rß1/ß2 and IL-12Rß1/23R receptor complexes.
Disease Relevance
IL-12 and IL-23 are involved in:
Natural killer cell activation
CD4+ T-cell differentiation
Cytokine release
Their dysregulation is linked to chronic inflammatory diseases like:
Psoriasis
Psoriatic Arthritis (PsA)
Crohn’s Disease (CD)
Ulcerative Colitis (UC)
By neutralizing IL-12 and IL-23, Starjemza helps block Th1 and Th17 cell signaling, potentially mitigating these immune disorders.
About the Companies
Bio-Thera, based in Guangzhou, China, is a leading global biopharmaceutical company focused on:
Novel therapeutics for cancer, autoimmune, cardiovascular, and eye diseases
Developing biosimilars to branded biologics to increase access to critical treatments
Hikma Pharmaceuticals
Hikma Pharmaceuticals has been delivering high-quality, accessible medicines for over 45 years.
It is a top-three provider of sterile injectable medicines in the U.S.
The company is dedicated to serving hospitals, healthcare providers, and patients around the world.