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ESK-001

Phase 2

Plaque Psoriasis | Small molecule | Dermatology |Alumis Inc.|Trials Updated: Dec 10, 2025

ESK-001 development status

Highest phase Phase 2
Registered trials 5 across 1 sponsor since Apr 2022

ESK-001 target and mechanism

Molecular targetTYK2
Target classTyrosine Kinase
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment244

FDA Designations

No designations recorded

ESK-001 clinical trials

ESK-001 · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT05600036A Study to Evaluate the Efficacy and Safety of ESK-001 in Patients With Plaque PsoriasisPlaque Psoriasis
COMPLETED228 Analytics
PHASE2COMPLETED
A Study to Evaluate the Efficacy and Safety of ESK-001 in Patients With Plaque Psoriasis
Plaque PsoriasisUnlock trial analytics

Study Endpoints

Primary Endpoints

To Compare the Psoriasis Area and Severity Index (PASI-75) Between Doses of ESK-001 and Placebo
12 weeks

Proportion of patients with moderate to severe psoriasis achieving ≥75% reduction in PASI score

Maximum observed plasma concentration (Cmax)
48 hours
Incidence of nonserious adverse events (AE), serious adverse events (SAE), and AE leading to discontinuation
48 hours
Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration [AUC(0-T)]
48 hours
Area under the plasma concentration-time curve from time zero extrapolated to infinite time [AUC(INF)]
48 hours

Secondary Endpoints

To Assess the Safety and Tolerability of ESK-001 Dose in Moderate to Severe Psoriasis Patients
12 weeks
To Assess the Response Rate in Static Physician's Global Assessment (sPGA) Score
12 weeks
To Characterize the Pharmacokinetics (PK) of ESK-001
14 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ESK-001 Dose Level 1EXPERIMENTALESK-001 administered as an oral tablet
ESK-001 Dose Level 2EXPERIMENTALESK-001 administered as an oral tablet
ESK-001 Dose Level 3EXPERIMENTALESK-001 administered as an oral tablet
ESK-001 Dose Level 4EXPERIMENTALESK-001 administered as an oral tablet
ESK-001 Dose Level 5EXPERIMENTALESK-001 administered as an oral tablet
PlaceboPLACEBO_COMPARATORPlacebo administered as an oral tablet
Healthy VolunteerEXPERIMENTALUp to 24 healthy volunteer participants will receive a single dose of ESK-001
Mild Renal ImpairmentEXPERIMENTAL8 participants with mild renal impairment will receive a single dose of ESK-001
Moderate Renal ImpairmentEXPERIMENTAL8 participants with moderate renal impairment will receive a single dose of ESK-001
Severe Renal ImpairmentEXPERIMENTAL8 participants with severe Renal impairment will receive a single dose of ESK-001

Interventions

NameTypeDescription
ESK-001DRUGOral tablet
PlaceboDRUGOral tablet
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites53

Inclusion Criteria: * Total body weight \>40 kg (88 lb) * Men and woman age 18-75 * Men and Women must use highly effective methods of contraception for the entirety of the study Exclusion Criteria: * History of malignancy within the last 5 years * Positive for HIV, Hepatitis B or C * History of ...

Countries:United StatesCanadaCzechia
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Frequently asked questions about ESK-001

What is ESK-001 used for?

ESK-001 is an investigational oral small molecule being developed by Alumis Inc. for plaque psoriasis, a chronic inflammatory skin condition. It is also being studied in people with impaired kidney function. It is not approved for any indication and remains in clinical development.

What does ESK-001 target?

ESK-001 targets TYK2, a tyrosine kinase involved in inflammatory signaling. By inhibiting TYK2, the drug is designed to dampen the immune pathways that drive plaque psoriasis. TYK2 inhibition is the mechanism underlying ESK-001's development in immune-mediated disease.

Who is developing ESK-001?

ESK-001 is being developed by Alumis Inc., a biopharmaceutical company that trades on the Nasdaq under the ticker ALMS. Alumis is the sponsor of the clinical program evaluating ESK-001 in plaque psoriasis and in patients with renal impairment.

What phase is ESK-001 in?

ESK-001 is in Phase 2 development for plaque psoriasis, with a completed Phase 2 trial in that indication. A separate Phase 1 trial in renal impairment has also been completed. ESK-001 is investigational and has not been approved by the FDA for any use.

What clinical trials is ESK-001 in?

ESK-001 has been studied in two completed trials. NCT05600036 was a Phase 2, randomized, double-blind, placebo-controlled study of ESK-001 in 228 patients with plaque psoriasis across the United States, Canada, and Czechia. NCT06962774 was a Phase 1 study of ESK-001 in 16 participants with normal and impaired renal function in the United States.