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Molecule

Etanercept

Tumor Necrosis Factor Blocker
Available on requestBiologicOrphanCold chainImmunology and transplantRheumatology
Presentations
2
Brands
1
Manufacturers
1
Available from stock
0

Etanercept is a tumor necrosis factor blocker indicated for the treatment of adult patients with, among other approved uses. It is available as injection for subcutaneous use. MedsAcross supplies Etanercept for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Tumor Necrosis Factor Blocker, Tumor Necrosis Factor Receptor Blocking Activity
ATC classification
L04AB01 Etanercept · Immunosuppressive drug, subgroup L04AB
US FDA first approval
2 November 1998
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Subcutaneous
Dosage forms
Injection
Biologic
Yes
Identifiers
UNII OP401G7OJCRxCUI 214555CAS 185243-69-0DrugBank DB00005Q415343

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Enbrel is a tumor necrosis factor (TNF) blocker indicated for the treatment of: Adult patients with: Rheumatoid Arthritis (RA). Psoriatic Arthritis (PsA). Ankylosing Spondylitis (AS). Plaque Psoriasis (PsO). Pediatric patients with: Polyarticular Juvenile Idiopathic Arthritis (pJIA), 2 years of age or older. Juvenile Psoriatic Arthritis, 2 years of age or older (JPsA). Plaque Psoriasis, 4 years of age or older

Source: US FDA prescribing information

How it works

TNF is a naturally occurring cytokine that is involved in normal inflammatory and immune responses. It plays an important role in the inflammatory processes of RA, polyarticular JIA, PsA, and AS and the resulting joint pathology. In addition, TNF plays a role in the inflammatory process of PsO. Elevated levels of TNF are found in involved tissues and fluids of patients with RA, JIA, PsA, AS, and PsO. Two distinct receptors for TNF (TNFRs), a 55 kilodalton protein (p55) and a 75 kilodalton protein (p75), exist naturally as monomeric molecules on cell surfaces and in soluble forms. Biological activity of TNF is dependent upon binding to either cell surface TNFR. Etanercept is a dimeric soluble form of the p75 TNF receptor that can bind TNF molecules. Etanercept inhibits binding of TNF-α and TNF-β (lymphotoxin alpha [LT-α]) to cell surface TNFRs, rendering TNF biologically inactive.

Source: US FDA prescribing information

Dosing overview

Enbrel is administered by subcutaneous injection. Patient Population Recommended Dose and Frequency Adult RA and PsA 50 mg once weekly with or without methotrexate (MTX) AS 50 mg once weekly Adult PsO 50 mg twice weekly for 3 months, followed by 50 mg once weekly pJIA, Pediatric PsO and JPsA 0.8 mg/kg weekly, with a maximum of 50 mg per week

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (serious infections and malignancies warning: serious infections and malignancies serious infections): Increased risk of serious infections leading to hospitalization or death, including tuberculosis (TB), bacterial sepsis, invasive fungal infections (such as histoplasmosis), and infections due to other opportunistic pathogens. Enbrel should be discontinued if a patient develops a serious infection or sepsis during treatment. Do not start Enbrel during an active infection. If an infection develops, monitor carefully and stop Enbrel if infection becomes serious. Consider empiric anti-fungal therapy for patients at risk for invasive fungal infections who develop a severe systemic illness on Enbrel (those who reside or travel to regions where mycoses are endemic). Demyelinating disease, exacerbation or new onset, may occur.

Source: US FDA prescribing information

Side effects

The following serious adverse reactions are discussed in greater detail in other sections of the labeling: Serious Infections Neurologic Reactions Malignancies Patients with Heart Failure Hematologic Reactions Hepatitis B Reactivation Allergic Reactions Autoimmunity Immunosuppression Most common adverse reactions (incidence > 5%): infections and injection site reactions.

Source: US FDA prescribing information

Interactions

Specific drug interaction studies have not been conducted with Enbrel. Live vaccines – Avoid concurrent administration with Enbrel. Anakinra – Increased risk of serious infection. Abatacept – Increased risk of serious adverse events, including infections. Cyclophosphamide – Not recommended for use with Enbrel.

Source: US FDA prescribing information

Storage

Enbrel should be refrigerated at 36°F to 46°F (2°C to 8°C) in the original carton to protect from light or physical damage. DO NOT FREEZE. For convenience, storage of individual single-dose prefilled syringes, SureClick autoinjectors, single-dose vials, or Enbrel Mini cartridges at room temperature at 68°F to 77°F (20°C to 25°C) for a maximum single period of 30 days is permissible, with protection from light and sources of heat. Once a single-dose prefilled syringe, SureClick autoinjector, single-dose vial, or Enbrel Mini cartridge has been stored at room temperature, it should not be placed back into the refrigerator.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

2 presentations of Etanercept, sorted by availability.

MedicineManufacturerRegisterAvailability
Enbrel 50 mg/1 mL injectionSubcutaneous Cold chainImmunexUS FDAAvailable on request
Enbrel 25 mg/0.5 mL injectionSubcutaneous Cold chainImmunexUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 2 November 1998Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Etanercept in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Etanercept available for export from India?

Yes, on request. MedsAcross lists 2 presentations of Etanercept and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Etanercept have?

The catalogue lists 1 brand names for Etanercept, including Enbrel.

Is Etanercept approved by the US FDA?

Yes. The US FDA first approved Etanercept on 2 November 1998, according to Drugs@FDA.

Is Etanercept authorised in the European Union?

Yes. Etanercept has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Etanercept need cold chain shipping?

At least one listed presentation of Etanercept must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Etanercept in?

Etanercept is classified under ATC code L04AB01 (Etanercept).

References

  1. ENBREL prescribing information (Immunex). U.S. National Library of Medicine, DailyMed. Retrieved 11 May 2026
  2. Enbrel: European public assessment report (EPAR). European Medicines Agency. Retrieved 13 August 2025
  3. Benepali: European public assessment report (EPAR). European Medicines Agency. Retrieved 1 December 2025

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