OVERVIEW OF BIOSIMILARS
The psoriasis treatment paradigm includes biosimilars into the biologics category of effective and safe systemic therapies. A biosimilar is highly similar to its reference biologic and has no clinically meaningful differences in efficacy, safety, or immunogenicity to the reference product. Approval of biosimilars must meet the rigorous standards of regulatory guidance. Biomimic products, however, are not included in the category of biosimilars since they have not demonstrated bioequivalence to their reference product through a stringent approval pathway.
IPC’s biosimilars initiative focuses on educating healthcare practitioners around the globe on the similarities and differences between reference biologics, biosimilars and biomimics. Dermatologists require the most current information in this rapidly evolving field in order to better understand the benefits and risks of biosimilar products and ultimately integrate their use into practice to improve patient outcomes.
The resources provided here offer background information on biosimilars, suggest practical guidance on communicating biosimilar benefits to patients, and present real-world clinical scenarios of psoriasis management with biosimilars.
PUBLICATIONS AND RESEARCH
The IPC Biosimilars Working Group (2014 – 2020) has examined biosimilar issues such as extrapolation, interchangeability, automatic substitution in the clinical setting, and pharmacovigilance. The following publications are a product of this work.
Below are resources from other organizations that discuss the use of biosimilars for the treatment of psoriasis.
PUBLICATIONS AND RESEARCH
Global Health and Economic Impact of Expanding the WHO Essential Medicines List for Psoriasis: A Health Economic Modelling Study. Ali F, Wright A, Graier T et al. eClinicalMedicine. 2026. doi: 10.1016/j.eclinm.2026.104103
The Role of Biosimilars in Enhancing Global Access to Psoriasis Treatment. Behlock Y, Gavan SP, Graier T, et al. J Invest Dermatol. 2026. doi: 10.1016/j.jid.2026.01.047.
Efficacy, Safety, and Immunogenicity of SDZ-ADL, an Adalimumab Biosimilar, in Biologic-Naïve and Switched Patients with Immune-Mediated Inflammatory Diseases: A Literature Review. Wiland P, Both C, Gaylis NB, et al. Adv Ther. 2025 Mar;42(3):1360-1392. doi: 10.1007/s12325-024-03098-z. Epub 2025 Feb 5. Erratum in: Adv Ther. 2025 Jun;42(6):2970-2971. doi: 10.1007/s12325-025-03181-z. PMID: 39907897; PMCID: PMC11949999.
Long-Term Real-World Post-approval Safety Data of Multiple Biosimilars from One Marketing-Authorization Holder After More than 18 Years Since Their First Biosimilar Launch. Sagi S, Anjaneya P, Kalsekar S, Kottke A, Cohen HP. Drug Saf. 2023 Dec;46(12):1391-1404. doi: 10.1007/s40264-023-01371-8. Epub 2023 Oct 30. PMID: 37902937; PMCID: PMC10684613.
WEBSITES
Biosimilars in the United States
US Food & Drug Administration
Biosimilars in Europe
European Medicines Agency
Countries with guidelines for biosimilars
Generic & Biosimilars Initiative (GaBI)
Page last updated: August 2026
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A patient doing well on an IL-17 inhibitor is diagnosed with cancer, and the oncologist wants the biologic stopped. It is a call most dermatologists have made without much to stand on: patients with cancer are excluded from psoriasis trials, so the entire evidence base is observational. A new IPC paper in JAAD Reviews takes a position anyway. Per the summary of product characteristics, active malignancy is not a contraindication to any biologic. IL-17 and IL-23p19 inhibitors are first-line, TNF inhibitors and deucravacitinib warrant caution, and cyclosporine is the one to avoid outright. The authors also warn that psoriasis severity is routinely underestimated once a patient is in oncology care: if they meet IPC’s criteria, they are a candidate for systemic therapy regardless of what else is on their problem list. “Too often, systemic psoriasis therapy is discontinued or never initiated in patients with cancer, even when the evidence supports safe and effective options,” says Paolo Gisondi, MD, IPC Councilor and lead author. The post includes the therapeutic options figure, designed as a reference for both specialties to work from, and a slide set for teaching and presentations.
In this article, IPC Board Member Lluís Puig, MD, PhD, gives his expert commentary on two randomized trials showing that ixekizumab plus tirzepatide outperforms ixekizumab alone for skin clearance, joint control, and weight loss in psoriasis and PsA.
IPC is accepting applications for the 2027 International Fellowship Program, a 12-month opportunity for early-career dermatologists and researchers focused on psoriasis. Fellows are matched with IPC Board Members or Councilors for hands-on clinical or research experience, along with virtual mentoring, skills-development classes, and ongoing connections to IPC’s global network throughout the fellowship year. Applications are open until September 30, 2026.
Recognizing GPP in clinical practice can be a challenge, even for experienced dermatologists. IPC’s new five-part training series walks clinicians through the practical skills needed to diagnose and assess GPP with confidence: distinguishing it from plaque psoriasis and other mimicking conditions, and scoring its severity using tools such as the GPPGA and GPPASI. Each module pairs an expert-led video with a case-based exercise, and the series is built to be completed in sequence at your own pace. All five modules are free and open to everyone; watch the videos on your own or work through the assessments as you go. Score 80% or higher on each of the five assessments to earn a Certificate of Completion.
IPC has released a set of summary slides distilling the key findings from its recent publication on psoriasis and metabolic health, published in the Journal of the American Academy of Dermatology (JAAD). The paper outlines five priorities for improving cardiometabolic risk screening and care in patients with psoriasis. Designed for sharing, the slides give clinicians and colleagues an easy way to disseminate the findings.
In this Take Ten with IPC video, IPC Junior Councilor Dr. María Julia Cura discusses paradoxical psoriasis, including its definition and pathogenesis, and reviews clinical case examples, key clinical features, histopathology, predictors of disease severity, and potential treatment options.