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Two medicines, side by side

Abatacept vs benralizumab

Abatacept is labeled for rheumatoid arthritis; benralizumab for asthma. Their labels share no use, so they are not alternatives to each other. Drugs@FDA records approvals of abatacept since 2005 and of benralizumab since 2017. In FDA's classes, abatacept is a selective t cell costimulation modulator and benralizumab an interleukin-5 receptor alpha-directed cytolytic antibody.

Check it at the source: the abatacept FDA label on DailyMed (effective November 13, 2025); the benralizumab FDA label on DailyMed (effective May 13, 2026).

Highlights of the abatacept record

Abatacept (Orencia) · label of November 13, 2025

Used for

From the label: indications

ORENCIA is a selective T cell costimulation modulator indicated for: • the treatment of adult patients with moderately to severely active rheumatoid arthritis (RA). (1.1) • the treatment of patients 2 years of age and older with moderately to severely active polyarticular juvenile idiopathic arthritis (pJIA). (1.2) • the treatment of patients 2 years of age and older with active psoriatic arthritis (PsA). […]

On the market

Earliest approval on file
December 23, 2005
Generic labelers
none listed
Pharmacy cost
$1,469.23 per mL

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the benralizumab record

Benralizumab (Fasenra) · label of May 13, 2026

Used for

From the label: indications

FASENRA is an interleukin-5 receptor alpha-directed cytolytic monoclonal antibody (IgG1, kappa) indicated for: • add-on maintenance treatment of adult and pediatric patients aged 6 years and older with severe asthma, and with an eosinophilic phenotype. ( 1.1 ) • treatment of adult patients with eosinophilic granulomatosis with polyangiitis (EGPA). […]

On the market

Earliest approval on file
November 14, 2017
Generic labelers
none listed
Pharmacy cost
Not in the survey

Supply and safety

Shortage
No current entry
Recalls
1

Source: FDA drug labels via openFDA (Abatacept label of November 13, 2025, Benralizumab label of May 13, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do abatacept and benralizumab differ on the record?

In FDA's classes, abatacept is a selective t cell costimulation modulator and benralizumab an interleukin-5 receptor alpha-directed cytolytic antibody.

How each works, in its label's words: Abatacept, “Abatacept, a selective costimulation modulator, inhibits T-cell (T lymphocyte) activation by binding to CD80 and CD86, thereby blocking interaction with CD28.”; Benralizumab, “Benralizumab is a humanized afucosylated, monoclonal antibody (IgG1, kappa) that directly binds to the alpha subunit of the human interleukin-5 receptor (IL-5Rα) with a dissociation constant of 11 pM.”

Half-life, in each label's words: Abatacept, “Mean estimates for systemic clearance (0.28 mL/h/kg), volume of distribution (0.11 L/kg), and terminal half-life (14.3 …”; Benralizumab, “Absorption Following subcutaneous administration to patients with asthma, the absorption half-life was approximately …”

AbataceptBenralizumab
Labeled forRheumatoid arthritisAsthma
Pharmacologic classSelective T Cell Costimulation ModulatorInterleukin-5 Receptor alpha-directed Cytolytic Antibody
How it works (label)Abatacept, a selective costimulation modulator, inhibits T-cell (T lymphocyte) activation by binding to CD80 and CD86, thereby blocking interaction with CD28.Benralizumab is a humanized afucosylated, monoclonal antibody (IgG1, kappa) that directly binds to the alpha subunit of the human interleukin-5 receptor (IL-5Rα) with a dissociation constant of 11 pM.
Half-life (label)Mean estimates for systemic clearance (0.28 mL/h/kg), volume of distribution (0.11 L/kg), and terminal half-life (14.3 days) were comparable between subcutaneous and intravenous administration.Absorption Following subcutaneous administration to patients with asthma, the absorption half-life was approximately 3.5 days.
Earliest approval on file (Drugs@FDA)December 23, 2005November 14, 2017
First generic approvednonenone
Generic labelers (NDC)none listednone listed
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$1,469.23 per mL (Orencia 125 mg/mL syringe)n/a
12-month price change+2%n/a
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded01
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)137,67819,893
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to abatacept
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