Adalimumab
Adalimumab is a therapeutic monoclonal antibody used as an anti-inflammatory biologic agent.
Adalimumab is a therapeutic monoclonal antibody used as an anti-inflammatory biologic agent. It is a tumor necrosis factor-alpha (TNF-α) inhibitor, meaning it binds Tnf-α and blocks its proinflammatory activity. By suppressing Tnf-driven immune signaling, adalimumab is used in chronic immune-mediated inflammatory diseases, including psoriasis, psoriatic arthritis, inflammatory bowel disease, uveitis, and other autoimmune or autoinflammatory conditions.
In biomedical research, adalimumab is frequently used as a reference anti-Tnf therapy, a comparator in comparative effectiveness studies, and a benchmark for biosimilar development and analytical characterization. Recent studies have also examined its pharmacokinetics, therapeutic drug monitoring, safety in real-world cohorts, and mechanistic effects on immune cells such as monocyte-derived macrophages and T helper cell responses.
Where the papers sit
22 papers from the last 6 months study adalimumab directly · updated from PubMed 7 Oct 2026
Study type 1 clinical trial · 11 observational · 3 human data · 4 preclinical · 3 unclassified
Themes 4 themes · 1 paradigm shift · 1 new direction
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Anti-TNF Therapy in Inflammation
Anti-TNF treatment is moving toward pharmacokinetic guidance, immunogenicity control and more flexible delivery across inflammatory diseases. Inflammatory bowel disease work emphasizes population models, biosimilar switching and comparative safety, while methotrexate is examined for limiting adalimumab immunogenicity. Other studies explore macrophage reprogramming and polyelectrolyte delivery in immune-mediated disease. Evidence remains disease-specific, with uncertain effects on long-term outcomes and optimal dosing.
8 papers · 36.4%
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Real-World Anti-TNF Outcomes
Real-world anti-TNF care is moving from initial response toward durability, long-term safety and practical biosimilar use. Prospective and cohort studies assess adalimumab in pyoderma gangrenosum, hidradenitis suppurativa and granulomatous lobular mastitis, including treatment-naive patients. Switching studies track transitions to biosimilars and switch-back behavior, while rheumatoid arthritis data provide a long-term comparison with upadacitinib. Predictors of persistence and reliable comparative effectiveness remain unsettled.
6 papers · 27.3%
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Biologic Therapy in Psoriasis
Biologic selection is moving toward comparative safety and pharmacokinetic personalization in psoriasis. Cohort and target-trial analyses compare serious infection risk across secukinumab, ixekizumab, etanercept and other biologics. Pediatric experience broadens the evidence beyond adults, while therapeutic drug monitoring tests whether adalimumab exposure can guide dosing. Direct comparative effectiveness and clinically useful drug-level thresholds remain open questions.
4 papers · 18.2%
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Therapeutic Antibody Engineering
Therapeutic antibody development is shifting toward conditional activation, sustained dosing and tighter control of molecular quality. Masking domains are being designed to restrict activity until antibodies reach the intended context, while cell-based platforms aim to provide yearly, dose-tunable delivery. Single-protein measurements address size and charge heterogeneity, and Fab studies focus on proline-dependent stability and aggregation. The shared goal is to improve antibody exposure without sacrificing manufacturability or structural integrity.
4 papers · 18.2%
Engineered delivery can replace conventional repeated or rapidly cleared adalimumab administration
The once-yearly cell-based adalimumab-delivery platform in immunocompetent mice and the adalimumab–polyelectrolyte nanocomplex evaluated in porcine synovium independently address limitations of conventional administration: the former sustained antibody production after a single intervention, while the latter markedly slowed synovial clearance and retained antibody activity locally. Together, they replace the assumption that effective adalimumab therapy must depend on repeated dosing of freely circulating antibody, shifting attention toward continuous production or tissue-retaining formulations as ways to improve exposure and reduce systemic limitations 42826187Oct 42300546Jun.
Adalimumab is presented as a possible trigger of IgA nephropathy rather than solely as its treatment
The rheumatoid arthritis–IgA nephropathy case involving adalimumab describes a new pathogenic role for the agent: after five years of effective rheumatoid arthritis control, the patient developed proteinuria, hematuria, complement abnormalities, and biopsy-confirmed IgA nephropathy, followed by substantial renal improvement after adalimumab withdrawal and sustained remission after switching therapy. This extends adalimumab’s role beyond therapeutic immunosuppression and treatment-associated safety risk to a possible cause of immune-mediated kidney disease, prompting consideration of drug withdrawal when new renal abnormalities arise during treatment 42053669Apr.
Papers
The 22 papers from the last 6 months that study adalimumab directly, newest first, by theme and by study type. Study types come from PubMed publication types and MeSH headings.
By theme
Anti-TNF Therapy in Inflammation (8)
- Methotrexate's effect on cells and adalimumab immunogenicity in axial spondyloarthritis: A mathematical study. PLoS computational biology · 21 Sept 2026 PMID 42766629
- External validation of population pharmacokinetic models of adalimumab in adult patients with inflammatory bowel disease: towards model-informed precision dosing. Journal of pharmacokinetics and pharmacodynamics · 29 Jul 2026 PMID 42527726
- Benefit-risk balance of advanced therapies in pediatric inflammatory bowel disease: evidence and gaps versus adults. Inflammatory bowel diseases · 23 Jun 2026 PMID 42334183
- Adalimumab-polyelectrolyte nanocomplexes decelerate synovial drug clearance ex vivo. Nanoscale · 16 Jun 2026 PMID 42300546
- Comparing the risk of heart failure in patients with inflammatory bowel disease treated with infliximab versus adalimumab: a retrospective cohort study using a national database. Proceedings (Baylor University. Medical Center) · 10 Jun 2026 PMID 42269048
- Adalimumab Reprograms M1 Macrophages to Attenuate Th1/Th17 Responses in Behçet's Uveitis and Vogt-Koyanagi-Harada Syndrome. Investigative ophthalmology & visual science · 2 Jun 2026 PMID 42227805
- The Longer-Term Impact of Biosimilar Switching Policies in Patients With Inflammatory Bowel Disease in British Columbia, Canada: A Retrospective, Population-Based Study. Pharmacoepidemiology and drug safety · 20 May 2026 PMID 42157439
- IgA nephropathy with rheumatoid arthritis related to adalimumab. CEN case reports · 29 Apr 2026 PMID 42053669
Real-World Anti-TNF Outcomes (6)
- Efficacy and safety of adalimumab as first-line therapy for treatment-naïve granulomatous lobular mastitis: an exploratory real-world study with propensity score-matching analysis. Clinical rheumatology · 26 Sept 2026 PMID 42799973
- Predictors of adalimumab durability in hidradenitis suppurativa: a multicenter cohort study. The Journal of dermatological treatment · 20 Aug 2026 PMID 42619449
- Long-term safety and efficacy of upadacitinib compared with adalimumab in patients with rheumatoid arthritis: 7-year data from the SELECT-COMPARE study. RMD open · 24 Jun 2026 PMID 42342288
- Real-world switching and switch-back patterns among patients transitioning from adalimumab to biosimilars in the United States (February 2023 to August 2025). Journal of managed care & specialty pharmacy · 24 Jun 2026 PMID 42341073
- Safety and Efficacy of Adalimumab Biosimilar in Psoriasis and Hidradenitis Suppurativa: A Clinical Experience. Saudi medical journal · 15 Jun 2026 PMID 42293717
- Safety and Effectiveness of Adalimumab for the Treatment of Pyoderma Gangrenosum: A 52-Week Real-World Prospective Observational Study. Dermatology and therapy · 10 May 2026 PMID 42107018
Biologic Therapy in Psoriasis (4)
- Biologic therapies in pediatric psoriasis: A single-center experience. Archivos argentinos de pediatria · 30 Jun 2026 PMID 42377011
- Serious infection risk with systemic treatments for psoriasis: a cohort study from the British Association of Dermatologists Biologics and Immunomodulators Register (BADBIR). The British journal of dermatology · 4 May 2026 PMID 42082393
- Evaluation of a Therapeutic Drug Monitoring Strategy for Adalimumab in Psoriasis: A Prospective Pharmacokinetic-Pharmacodynamic Study. Clinical and translational science · 30 Apr 2026 PMID 42057584
- Comparative risk of serious infections across biological drugs in patients with psoriatic arthritis or psoriasis: A target trial emulation using the Italian VALORE distributed database network. Pharmacological research · 22 Apr 2026 PMID 42019563
Therapeutic Antibody Engineering (4)
- Once yearly cell-based therapy for sustained and dose-tunable delivery of monoclonal antibodies. Science advances · 2 Oct 2026 PMID 42826187
- Position-dependent effects of loop proline residues on Fab stability and aggregation. Biochemical and biophysical research communications · 21 Jul 2026 PMID 42480179
- Evaluating Antibody Quality via Simultaneous Size and Charge Measurement with Single Protein Oscillators. Analytical chemistry · 13 May 2026 PMID 42126207
- A novel insulin-like growth factor II-based masking domain for conditional activation of therapeutic antibodies. mAbs · 7 May 2026 PMID 42093183
By study type
Clinical trials (1)
- Long-term safety and efficacy of upadacitinib compared with adalimumab in patients with rheumatoid arthritis: 7-year data from the SELECT-COMPARE study. RMD open · 24 Jun 2026 PMID 42342288
Observational studies and case reports (11)
- Predictors of adalimumab durability in hidradenitis suppurativa: a multicenter cohort study. The Journal of dermatological treatment · 20 Aug 2026 PMID 42619449
- External validation of population pharmacokinetic models of adalimumab in adult patients with inflammatory bowel disease: towards model-informed precision dosing. Journal of pharmacokinetics and pharmacodynamics · 29 Jul 2026 PMID 42527726
- Biologic therapies in pediatric psoriasis: A single-center experience. Archivos argentinos de pediatria · 30 Jun 2026 PMID 42377011
- Real-world switching and switch-back patterns among patients transitioning from adalimumab to biosimilars in the United States (February 2023 to August 2025). Journal of managed care & specialty pharmacy · 24 Jun 2026 PMID 42341073
- Safety and Efficacy of Adalimumab Biosimilar in Psoriasis and Hidradenitis Suppurativa: A Clinical Experience. Saudi medical journal · 15 Jun 2026 PMID 42293717
- Comparing the risk of heart failure in patients with inflammatory bowel disease treated with infliximab versus adalimumab: a retrospective cohort study using a national database. Proceedings (Baylor University. Medical Center) · 10 Jun 2026 PMID 42269048
- The Longer-Term Impact of Biosimilar Switching Policies in Patients With Inflammatory Bowel Disease in British Columbia, Canada: A Retrospective, Population-Based Study. Pharmacoepidemiology and drug safety · 20 May 2026 PMID 42157439
- Serious infection risk with systemic treatments for psoriasis: a cohort study from the British Association of Dermatologists Biologics and Immunomodulators Register (BADBIR). The British journal of dermatology · 4 May 2026 PMID 42082393
- Evaluation of a Therapeutic Drug Monitoring Strategy for Adalimumab in Psoriasis: A Prospective Pharmacokinetic-Pharmacodynamic Study. Clinical and translational science · 30 Apr 2026 PMID 42057584
- IgA nephropathy with rheumatoid arthritis related to adalimumab. CEN case reports · 29 Apr 2026 PMID 42053669
- Comparative risk of serious infections across biological drugs in patients with psoriatic arthritis or psoriasis: A target trial emulation using the Italian VALORE distributed database network. Pharmacological research · 22 Apr 2026 PMID 42019563
Human data, design not indexed (3)
- Methotrexate's effect on cells and adalimumab immunogenicity in axial spondyloarthritis: A mathematical study. PLoS computational biology · 21 Sept 2026 PMID 42766629
- Position-dependent effects of loop proline residues on Fab stability and aggregation. Biochemical and biophysical research communications · 21 Jul 2026 PMID 42480179
- Evaluating Antibody Quality via Simultaneous Size and Charge Measurement with Single Protein Oscillators. Analytical chemistry · 13 May 2026 PMID 42126207
Preclinical: animal, cell and lab studies (4)
- Once yearly cell-based therapy for sustained and dose-tunable delivery of monoclonal antibodies. Science advances · 2 Oct 2026 PMID 42826187
- Adalimumab-polyelectrolyte nanocomplexes decelerate synovial drug clearance ex vivo. Nanoscale · 16 Jun 2026 PMID 42300546
- Adalimumab Reprograms M1 Macrophages to Attenuate Th1/Th17 Responses in Behçet's Uveitis and Vogt-Koyanagi-Harada Syndrome. Investigative ophthalmology & visual science · 2 Jun 2026 PMID 42227805
- A novel insulin-like growth factor II-based masking domain for conditional activation of therapeutic antibodies. mAbs · 7 May 2026 PMID 42093183
Unclassified: not yet indexed with MeSH (3)
- Efficacy and safety of adalimumab as first-line therapy for treatment-naïve granulomatous lobular mastitis: an exploratory real-world study with propensity score-matching analysis. Clinical rheumatology · 26 Sept 2026 PMID 42799973
- Benefit-risk balance of advanced therapies in pediatric inflammatory bowel disease: evidence and gaps versus adults. Inflammatory bowel diseases · 23 Jun 2026 PMID 42334183
- Safety and Effectiveness of Adalimumab for the Treatment of Pyoderma Gangrenosum: A 52-Week Real-World Prospective Observational Study. Dermatology and therapy · 10 May 2026 PMID 42107018
Written from 22 PubMed abstracts, each one listed by PMID above. Published: 2026-06-15. Last written: 2026-09-23 by GPT. Drafted by language models from published abstracts; not medical advice.