Drug intelligence / Profile preview

secukinumab + methotrexate

Development stage
Phase 3
Lead developer
Novartis
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules, Recombinant Proteins and Enzymes
Administration
Subcutaneous, Oral
01

Overview

A combination therapy comprised of **secukinumab**, a fully human monoclonal antibody targeting and neutralizing interleukin-17A (IL-17A), and **methotrexate**, a folate antimetabolite that inhibits several enzymes involved in nucleotide synthesis. Secukinumab is primarily used to treat moderate-to-severe plaque psoriasis, psoriatic arthritis, ankylosing spondylitis, and similar inflammatory conditions. Methotrexate is widely used as a disease-modifying antirheumatic drug (DMARD) and antineoplastic agent. Combination therapy is utilized in clinical practice, particularly in patients with psoriasis or psoriatic arthritis who have an inadequate response to monotherapy, with evidence supporting increased efficacy and sustained response. The mechanisms of action are complementary: secukinumab inhibits the pro-inflammatory IL-17A cytokine pathway, while methotrexate suppresses inflammation through inhibition of nucleotide synthesis and increased extracellular adenosine, leading to reduced immune activation[1][2][4][6].

Brand names
Cosentyx + methotrexatesecukinumab + methotrexate
Other names
secukinumab and methotrexateCosentyx and methotrexate
02

Targets

ADORA1 (Adenosine receptor A1 subtype)ADORA2A (Adenosine A₂A Receptor)ADORA2B (Adenosine A2B receptor)ADORA3 (Adenosine A3 receptor)PPAT (Amidophosphoribosyltransferase)ATIC (Aminoimidazole carboxamide ribonucleotide transformylase)DHFR (Dihydrofolate reductase)IL-17A (Interleukin-17A)TS (Thymidylate synthase)ADOR (Adenosine receptors)

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