On November 17, 2025, Sandoz and Polpharma announced the U.S. launch of Tyruko® (natalizumab-sztn), the first and only FDA-approved biosimilar to Biogen’s Tysabri® (natalizumab) and the first biosimilar available to treat multiple sclerosis (MS) in the United States.
Tyruko® is approved as a monotherapy for all indications covered by reference medicine Tysabri®, including relapsing forms of MS and Crohn’s disease in adults.
Sandoz and Polpharma have collaborated on biosimilar natalizumab since a 2019 global commercialization agreement, under which Polpharma developed, manufactured, and supplies the drug substance, and Sandoz holds exclusive global rights to commercialize and distribute the product.
FY24 U.S. sales for Tysabri® were approximately $920 million.
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The authors would like to thank April Breyer Menon for her contributions to this article.
