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Kineret

Anakinra

An injectable medication used to treat rheumatoid arthritis and neonatal-onset multisystem inflammatory disease.

Generic name
Anakinra
Brand name
Kineret
Route
Subcutaneous
Marketed by
Sobi (Swedish Orphan Biovitrum)
FDA pharmacologic class
Interleukin-1 Receptor Antagonist; Interleukin 1 Receptor Antagonists
First FDA approval
14 Nov 2001

Where Anakinra is approved

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Of the three regulators tracked here, the first to approve Anakinra was the US, on 14 Nov 2001. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
14 Nov 2001
Kineret
BLA103950 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
8 Mar 2002
Kineret
EMA product page
First centralised authorisation
CACanada (Health Canada)
24 May 2002
Kineret
Notice of Compliance 243
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Anakinra

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ENNHS England
£1k
1 items dispensed, Aug 2025 to Jul 2026
-43% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$27.3m
3,866 prescriptions in 2025 · Kineret
+21% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Anakinra works

All drug targets →
  • Interleukin-1 receptor antagonist Antagonist
    Target: IL1R1 interleukin 1 receptor type 1
    ✓ In ChEMBL and the Guide to Pharmacology
Diseases it has been tested for in clinical trials, by furthest phase
  • COVID-19Phase 3
  • COVID-19–associated multisystem inflammatory syndrome in childrenPhase 3
  • Kawasaki diseasePhase 3
  • Orthomyxoviridae infectious diseasePhase 3
  • SeizurePhase 3
  • Adult-onset Still diseasePhase 3
  • Allergic contact dermatitisPhase 3
  • Familial Mediterranean feverPhase 3
  • HypogonadismPhase 3
  • Metabolic syndromePhase 3
89 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL1201570, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 6972, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Anakinra

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 2 technology appraisals of Anakinra. 2 are current, and 1 of these recommend it for at least some patients.

AppraisalNICE recommendationPublishedStatus
Anakinra for treating Still’s disease
NICE TA685
Optimised31 Mar 2021Current
The clinical effectiveness and cost effectiveness of anakinra for rheumatoid arthritis
NICE TA72
Only in research26 Nov 2003Current

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Anakinra

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 1 product on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Kineret
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Anakinra

ATC code
L04AC03
ChEMBL
CHEMBL1201570
DrugBank
DB00026
PubChem CID
90470007
CAS number
143090-92-0
FDA UNII
9013DUQ28K
Wikidata
Q415411
Wikipedia
Anakinra

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Kineret is used for

KINERET is an interleukin-1 receptor antagonist indicated for: Rheumatoid Arthritis (RA) Reduction in signs and symptoms and slowing the progression of structural damage in moderately to severely active rheumatoid arthritis, in patients 18 years of age or older who have failed 1 or more disease modifying antirheumatic drugs (DMARDs) ( 1.1 ) Cryopyrin-Associated Periodic Syndromes (CAPS) Treatment of Neonatal-Onset Multisystem Inflammatory Disease (NOMID) ( 1.2 ) Deficiency of Interleukin-1 Receptor Antagonist (DIRA) Treatment of Deficiency of Interleukin-1 Receptor Antagonist (DIRA) ( 1.3 ) 1.1 Active Rheumatoid Arthritis KINERET is indicated for the reduction in signs and symptoms and slowing the progression of structural damage in moderately to severely active rheumatoid arthritis (RA), in patients 18 years of age or older who have failed 1 or more disease modifying antirheumatic drug…

How it works

12.1 Mechanism of Action KINERET blocks the biologic activity of IL-1 alpha and beta by competitively inhibiting IL-1 binding to the interleukin-1 type I receptor (IL-1RI), which is expressed in a wide variety of tissues and organs. IL-1 production is induced in response to inflammatory stimuli and mediates various physiologic responses including inflammatory and immunological responses. IL-1 has a broad range of activities including cartilage degradation by its induction of the rapid loss of proteoglycans, as well as stimulation of bone resorption. The levels of the naturally occurring IL-1Ra in synovium and synovial fluid from RA patients are not sufficient to compete with the elevated am…

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 7 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.