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. 2022 Dec 5;40(12):1722–1760. doi: 10.1038/s41587-022-01582-x

Table 4.

The 20-top selling biopharmaceutical products in 2021

Rank Product Sales, 2021 ($ billions)a Year first approved Company Patent expiryb Biosimilar version(s) approved
1 Comirnaty (COVID-19 Vaccine, mRNA) 36.8 2020c Pfizer & BioNTech N/A
2 Humira (adalimumab) 21.2 2002 AbbVie & Eisai

2016 (US)

2018 (EU)

Halimatoz/Hefiya/Hyrimoz, Amgevita/Amjevita/Solymbic, Cyltezo, Imraldi, Kromeya, Idacio, Hadlima, Abrilada, Hulio, Amsparity, Yusimry, Yuflyma, Libmyris, Hukyndra
3 Spikevax (COVID-19 Vaccine, mRNA) 17.7 2020c Moderna N/A
4 Keytruda (pembrolizumab) 17.2 2014 Merck

2036 (US)

2028 (EU)

5 Stelara (ustekinumab) 9.5 2009 Janssen (Johnson & Johnson)

2023 (US)

2024 (EU)

6 Eylea (aflibercept) 9.4 2011 Regeneron, Bayer 2027 (EU & US)
7 Opdivo (nivolumab) 8.5 2014 BMS, Ono

2027 (US)

2026 (EU)

8 Ronapreve/Regen-Cov (casirivimab & imdevimab) 7.6 2020 Roche, Regeneron N/A
9 Trulicity (dulaglutide) 6.7 2014 Eli Lilly

2026 (US)

2024 (EU)

10 Darzalex (daratumumab) 6.0 2015 Janssen

2027 (US)

2026 (EU)

11 Dupixent (dupilumab) 5.9 2017 Sanofi-Aventis, Regeneron N/A
12/13 Prolia/Xgeva (denosumab) 5.7 2010 Amgen

2025 (US)

2022 (EU)

12/13 Gardasil 9 (human papillomavirus 9-valent vaccine, recombinant) 5.7 2014 Merck 2028 (US & EU)
14 Enbrel (etanercept) 5.6 1998 Amgen, Pfizer, Takeda Pharmaceuticals 2015 (EU) 2028 (US) Erelzi, Benepali/Eticovo, Nepexto
15 Ocrevus (ocrelizumab) 5.5 2017 Roche/Genentech

2027 (EU)

2029 (US)

16 Cosentyx (secukinumab) 4.7 2015 Novartis

2026 (US)

N/A (EU)

17 Entyvio (vedolizumab) 4.4 2014 Takeda

2026 (US)

N/A (EU)

18 Perjeta (pertuzumab) 4.3 2012 Roche/Genentech

2024 (US)

2023 (EU)

19 Soliris (eculizumab) 4.2 2007 Alexion

2027 (US)

2020 (EU)

20 Lantus/Toujeo (insulin glargine) 3.9 2000 Sanofi 2014 (EU & US) Semglee, Lusduna, Abasaglar, Rezoglar

aFinancial data from LaMerie Business Intelligence and Fierce Pharma.

bPatent data from various sources, predominantly http://gabi-journal.net/. Note that patent landscape for biologics can be particularly complex: issues such as follow-on patents subsequent to the main patent and patent litigation can delay biosimilar development and approval. cInitial date of Emergency Use Authorization or Conditional Marketing Authorisation.

N/A, data not available.