The Originator: Rituxan and its Developers
The original version of rituximab was the result of a multi-company effort spanning over a decade of research. It is a chimeric monoclonal antibody, a type of biological drug that targets and binds to the CD20 protein on the surface of B-cells, triggering their destruction.
- IDEC Pharmaceuticals: The initial development of the antibody known as IDEC-C2B8 was led by IDEC Pharmaceuticals, which later merged with Biogen in 2003. The first clinical trials began in the early 1990s.
- Genentech: In 1995, IDEC partnered with Genentech to finance and accelerate the drug's development. Genentech co-marketed the drug in the United States under the brand name Rituxan.
- Biogen: As a result of the merger with IDEC, Biogen became a co-marketer of Rituxan in the US alongside Genentech.
- Roche: The Swiss pharmaceutical giant Roche is a major global player in rituximab's history. It had a partial stake in Genentech early on and eventually acquired full ownership in 2009. Outside the US, Roche primarily markets the originator drug under the brand name MabThera.
The Rise of Rituximab Biosimilars
Like many blockbuster biologics, rituximab's patents eventually expired, opening the market to biosimilars. Biosimilars are highly similar versions of an approved reference product, with no clinically meaningful differences in terms of safety, purity, or potency. The approval of biosimilars has increased competition, driven down costs, and improved patient access to this vital therapy globally.
Several companies have brought biosimilar versions of rituximab to market in various regions around the world. In the United States, several FDA-approved biosimilars are available.
Notable Rituximab Biosimilar Manufacturers
- Celltrion and Teva: In a joint effort, these companies launched Truxima (rituximab-abbs), the first FDA-approved biosimilar for rituximab in the US. It is approved for various indications, including non-Hodgkin's lymphoma and chronic lymphocytic leukemia.
- Pfizer: This pharmaceutical powerhouse produces and markets Ruxience (rituximab-pvvr), another FDA-approved rituximab biosimilar, with indications covering several cancers and autoimmune diseases.
- Amgen: Amgen manufactures Riabni (rituximab-arrx), which gained FDA approval for all Rituxan indications, including rheumatoid arthritis. Riabni is a key player in expanding access to this treatment.
- Dr. Reddy's Laboratories and Fresenius Kabi: These companies have collaborated to bring their own biosimilar versions to market, with Dr. Reddy's announcing its intent to enter regulated markets like the US and EU. In the EU, Dr. Reddy's Ituxredi received market authorization in 2024.
Comparison of Rituximab Products
The following table provides a comparison of the original rituximab and some of the prominent biosimilar versions available in the US and other markets.
Product Name (Brand) | Manufacturer / Developer | Market (Example) | Status | Notes |
---|---|---|---|---|
Rituxan | Genentech / Biogen (US) | US | Originator | Original rituximab product. |
MabThera | Roche | Global (excl. US/Japan) | Originator | Brand name for rituximab outside the US. |
Truxima (rituximab-abbs) | Celltrion / Teva | US, EU, Canada | Biosimilar | First FDA-approved biosimilar for rituximab. |
Ruxience (rituximab-pvvr) | Pfizer | US, EU | Biosimilar | Approved in 2019 by the FDA. |
Riabni (rituximab-arrx) | Amgen | US, EU | Biosimilar | Approved for all original Rituxan indications. |
Ituxredi | Dr. Reddy's Laboratories / Fresenius Kabi | EU | Biosimilar | Received market authorization in the EU in 2024. |
Global Impact of Rituximab and its Manufacturing
The availability of rituximab and its biosimilars has profoundly impacted global healthcare, especially in treating cancers and autoimmune disorders. As an essential medicine, access to affordable versions is a priority for organizations like the World Health Organization (WHO), which has prequalified biosimilars to ensure quality and affordability in resource-limited settings.
The ongoing market evolution, with new biosimilars constantly being developed and approved, ensures a stable and competitive landscape. This benefits patients by reducing costs and increasing treatment options while maintaining high standards of quality and efficacy, as required by regulatory bodies like the FDA and EMA.
Conclusion: A Diverse Market of Trusted Manufacturers
In summary, while Genentech, Biogen, and Roche are the companies behind the original rituximab (Rituxan/MabThera), the market is now much broader. The entry of biosimilar manufacturers such as Celltrion/Teva (Truxima), Pfizer (Ruxience), and Amgen (Riabni) has introduced competition, leading to greater affordability and accessibility for patients. The continued innovation and competition in the market will benefit patients by ensuring that this life-saving medication remains a viable and accessible treatment option for a range of serious conditions.