Name of the biologic |
Role in medical practice |
Anti-TNF
- Infliximab, adalimumab, golimumab, certolizumab, etanercept
|
- Refractory RA, PsA, AxSpA, JIA
- Refractory Crohn’s disease/Crohn’s fistula
- UC not responding to optimal medical therapy (except etanercept)
- Sarcoidosis
- Psoriasis
|
Anti-CD20
|
- CD 20 (+) ve lymphoma/CLL/WMG
- Refractory RA/ITP/HUS/TTP
- GPA, MPA, Takayasu’s arteritis
- Pemphigus vulgaris
|
GP 2b/3a inhibitor
|
- High risk coronary artery intervention (PCI)
|
CD25 inhibitor on T-cell
|
- Immunosuppression in organ transplantation
|
IL-6 inhibitor
|
- Severe COVID-19
- Refractory RA
- GCA, JIA, SSC-ILD
|
IgE Inhibitor
|
- Add on therapy in severe allergic asthma uncontrolled on high dose ICS-LABA/ABPA
- Nasal polyps
- Chronic idiopathic urticaria/HES
|
IL-5 inhibitor
IL-5R inhibitor
|
- Add on therapy in severe eosinophilic asthma uncontrolled on high dose ICS-LABA
|
Anti-C5
|
|
B-lys inhibitor
|
- Mild to moderate SLE non-responding/inadequately responding to standard therapy
|
IL-12/23 inhibitor
|
- PSA
- Psoriasis
- Moderate to severe CD & UC
- Maintaining remission in anti-TNF failure UC
|
RANK-L inhibitor
Sclerostin (anti-anabolic effects on bone formation)
|
|
Ab to FGF-23
|
X-linked hypophosphatemic rickets |
Multi-kinase inhibitors
- Sorafenib
- Lenvatinib ***
- Regorafenib*** (SLR)
- Sunitinib, Pazopanib
|
- Primary HCC, AML with FLT3-ITD gene mutation
- Primary HCC (alternative to sorafenib)
- Primary HCC (second line therapy)
- RCC
|
Anti-CD38
|
|
IL-1a Inhibitors
- Canakinumab
- Anakinra
|
- CAPS (cryopyrin-associated periodic syndromes), sJIA, AOSD, gout
- RA, CAPS, AOSD, gout
|
IL-17 A inhibitor
- Secukinumab, Ixekizumab
- Broadalumab
|
- PsA, axSpA, psoriasis
- Psoriasis
|
IL-23 inhibitor
|
|
Inhibitor of T-cell activation
|
|
PDE-4 inhibitors
- Apremilast
- Crisaborole **
|
- Psoriasis & PSA
- Psoriasis
|
EGFR inhibitor
- Gefitinib, Erlotinib, Osimertinib
- Cetuximab Panitumumab
|
- Lung ca
- Colorectal ca (metastatic)
|
HER-2 receptor inhibitor
|
- HER-2 (+)ve breast ca/gastric ca
|