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Data updated: Mar 10, 2026

AVTOZMA

TOCILIZUMAB-ANOH Interleukin 6 Receptor Antagonists
Immunology Approved 2025-01-24

AVTOZMA (tocilizumab-anoh) is an interleukin-6 (IL-6) receptor antagonist indicated for the treatment of several inflammatory and autoimmune conditions in adult and pediatric populations. It is used for adults with moderate-to-severe rheumatoid arthritis who have had an inadequate response to DMARDs, as well as adults with giant cell arteritis. The medication is also approved for patients aged two and older with polyarticular or systemic juvenile idiopathic arthritis and those experiencing severe or life-threatening CAR T cell-induced cytokine release syndrome. Furthermore, it is indicated for hospitalized adults with COVID-19 who are receiving systemic corticosteroids and require supplemental oxygen or mechanical ventilation.

Source: FDA Label • CELLTRION INC • Interleukin-6 Receptor Antagonist

How AVTOZMA Works

AVTOZMA functions by binding to both soluble and membrane-bound interleukin-6 (IL-6) receptors. This binding inhibits IL-6-mediated signaling, which is a primary driver of various pro-inflammatory physiological processes. IL-6 is a cytokine involved in T-cell activation, immunoglobulin secretion, and the initiation of hepatic acute phase protein synthesis. By blocking these receptors, the drug reduces the inflammatory activity produced by synovial and endothelial cells in affected joints and other tissues.

Source: FDA Label
2
Indications
--
Phase 3 Trials
1
Years on Market

Details

Status
Prescription
First Approved
2025-01-24
Routes
INTRAVENOUS, SUBCUTANEOUS, IV (INFUSION)
Dosage Forms
INJECTABLE

Companies

Active Ingredient: TOCILIZUMAB-ANOH

AVTOZMA Approval History

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What AVTOZMA Treats

6 indications

AVTOZMA is approved for 6 conditions since its original approval in 2025. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Rheumatoid Arthritis
  • Giant Cell Arteritis
  • Polyarticular Juvenile Idiopathic Arthritis
  • Systemic Juvenile Idiopathic Arthritis
  • Cytokine Release Syndrome
  • Coronavirus Disease 2019
Source: FDA Label

AVTOZMA Boxed Warning

RISK OF SERIOUS INFECTIONS Patients treated with tocilizumab products including AVTOZMA are at increased risk for developing serious infections that may lead to hospitalization or death [see Warnings and Precautions (5.1) , Adverse Reactions (6.1) ] . Most patients who developed these infections were taking concomitant immunosuppressants such as methotrexate or corticosteroids. If a serious infection develops, interrupt AVTOZMA until the infection is controlled. Reported infections include: Acti...

AVTOZMA Target & Pathway

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Target

IL-6 (Interleukin-6) Cytokine

A cytokine involved in inflammation and immune regulation. Elevated IL-6 drives inflammation in rheumatoid arthritis and is linked to cytokine release syndrome. Blocking IL-6 or its receptor reduces inflammatory responses in autoimmune conditions.

Auto-substitute OK for Actemra

Pharmacists can substitute AVTOZMA for Actemra without calling the prescriber. This is a lower-cost alternative with no clinically meaningful differences.

AVTOZMA Competitors

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1 other drug also targets IL-6. Compare mechanisms, indications, and trial activity.

Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (IL-6). Earlier expiry dates signal biosimilar/generic opportunities.

Drugs Similar to AVTOZMA

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

TYENNE
TOCILIZUMAB-AAZG
6 shared
Fresenius Kabi
Shared indications:
Rheumatoid ArthritisGiant Cell ArteritisPolyarticular Juvenile Idiopathic Arthritis +3 more
ACTEMRA
TOCILIZUMAB
5 shared
Roche
Shared indications:
Rheumatoid ArthritisGiant Cell ArteritisPolyarticular Juvenile Idiopathic Arthritis +2 more
TOFIDENCE
TOCILIZUMAB-BAVI
5 shared
Biogen
Shared indications:
Rheumatoid ArthritisGiant Cell ArteritisPolyarticular Juvenile Idiopathic Arthritis +2 more
CIMZIA
CERTOLIZUMAB PEGOL
2 shared
UCB INC
Shared indications:
Rheumatoid ArthritisPolyarticular Juvenile Idiopathic Arthritis
ENBREL
ETANERCEPT
2 shared
IMMUNEX
Shared indications:
Rheumatoid ArthritisPolyarticular Juvenile Idiopathic Arthritis
JYLAMVO
METHOTREXATE
2 shared
SHORLA
Shared indications:
Rheumatoid ArthritisPolyarticular Juvenile Idiopathic Arthritis
KEVZARA
SARILUMAB
2 shared
Sanofi
Shared indications:
Rheumatoid ArthritisPolyarticular Juvenile Idiopathic Arthritis
XELJANZ XR
TOFACITINIB CITRATE
2 shared
Pfizer
Shared indications:
Rheumatoid ArthritisPolyarticular Juvenile Idiopathic Arthritis
ABRILADA
ADALIMUMAB-AFZB
1 shared
Pfizer
Shared indications:
Rheumatoid Arthritis
AMJEVITA
ADALIMUMAB-ATTO
1 shared
Amgen
Shared indications:
Rheumatoid Arthritis
ARAVA
LEFLUNOMIDE
1 shared
Sanofi
Shared indications:
Rheumatoid Arthritis
ARTHROTEC
DICLOFENAC SODIUM
1 shared
Pfizer
Shared indications:
Rheumatoid Arthritis
AVSOLA
INFLIXIMAB-AXXQ
1 shared
Amgen
Shared indications:
Rheumatoid Arthritis
AZASAN
AZATHIOPRINE
1 shared
AAIPHARMA LLC
Shared indications:
Rheumatoid Arthritis
AZATHIOPRINE
AZATHIOPRINE
1 shared
ALKEM LABS LTD
Shared indications:
Rheumatoid Arthritis
AZATHIOPRINE SODIUM
AZATHIOPRINE SODIUM
1 shared
Hikma
Shared indications:
Rheumatoid Arthritis
AZULFIDINE EN-TABS
SULFASALAZINE
1 shared
Pfizer
Shared indications:
Rheumatoid Arthritis
CATAFLAM
DICLOFENAC POTASSIUM
1 shared
AMICI PHARMA
Shared indications:
Rheumatoid Arthritis
CELEBREX
CELECOXIB
1 shared
GD SEARLE LLC
Shared indications:
Rheumatoid Arthritis
CORTEF
HYDROCORTISONE
1 shared
PHARMACIA AND UPJOHN
Shared indications:
Rheumatoid Arthritis
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Active Pipeline

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Ongoing clinical trials by development phase

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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.

AVTOZMA FDA Label Details

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Indications & Usage

FDA Label (PDF)

AVTOZMA ® (tocilizumab-anoh) is an interleukin-6 (IL-6) receptor antagonist indicated for treatment of: Rheumatoid Arthritis (RA) Adult patients with moderately to severely active rheumatoid arthritis who have had an inadequate response to one or more Disease-Modifying Anti-Rheumatic Drugs (DMARDs). Giant Cell Arteritis (GCA) Adult patients with giant cell arteritis. Polyarticular Juvenile Idiopathic Arthritis (PJIA) Patients 2 years of age and older with active polyarticular juvenile idiopathic arthritis. Systemic Juvenile Idiopathic Arthritis (SJIA) Patients 2 years of age and older with act...

⚠️ BOXED WARNING

WARNING: RISK OF SERIOUS INFECTIONS Patients treated with tocilizumab products including AVTOZMA are at increased risk for developing serious infections that may lead to hospitalization or death [see Warnings and Precautions (5.1) , Adverse Reactions (6.1) ] . Most patients who developed these infec...

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Data Sources

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