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May 21, 2026

Immunology Prescribing Dynamics Analysis

Sector ReportEquitiesHealth Care

This report analyzes IQVIA BrandImpact data to identify prescribing trends in immunology, highlighting the dominance of IL-23 therapies in psoriasis and IBD, and Dupixent's lead in atopic dermatitis.

Key Takeaways

  • 1.The immunology market is shifting towards IL-23 therapies (Skyrizi, Tremfya) which are gaining significant share in Psoriasis, IBD, and Psoriatic Arthritis at the expense of legacy TNF-alpha and IL-17 treatments.
  • 2.Sanofi/Regeneron's Dupixent remains the entrenched market leader in Atopic Dermatitis (AD), maintaining a dominant position despite new competitive entries from Lilly (Ebglyss) and Galderma (Nemluvio).
  • 3.The Chronic Spontaneous Urticaria (CSU) market is transitioning from antihistamines to systemic agents, with Novartis's Rhapsido emerging as a rapid early leader following its 2025 approval.

Table of Contents

  • Dermatology
  • Psoriasis
  • Atopic Dermatitis
  • Hidradenitis Suppurativa
  • Chronic spontaneous urticaria (CSU)
  • Inflammatory Bowel Disease
  • Ulcerative Colitis (UC)
  • Crohn's Disease
  • Rheumatology
  • Psoriatic Arthritis (PsA)
  • Valuation and risks

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Authors

James QuigleyKaaviya GanesanAsad Haider, CFA

Securities

ABBVAMGNLLYJNJNVSREGNSNYUCB.BR

Themes

IL-23 Mechanistic DominanceBiosimilar Erosion of Legacy Anti-TNFsOral vs Biologic Competitive Dynamics

Regions

North AmericaGlobalUnited States