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envudeucitinib

Phase 3

Plaque Psoriasis | Small molecule | Immunology |Alumis Inc.|Last Updated: Apr 13, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment3,619
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06846541Long-term Safety and Efficacy of ESK-001 in Moderate to Severe Plaque PsoriasisPHASE3 ACTIVE NOT_RECRUITING 1,680Jan 8, 2025Nov 1, 2028Apr 13, 2026268 United States, Australia +14
NCT06588738A Study in Patients With Moderate to Severe Plaque Psoriasis to Evaluate the Efficacy and Safety of ESK-001PHASE3 COMPLETED 862Aug 20, 2024Dec 18, 2025Apr 13, 2026124 United States, Austria +10
NCT06586112A Study to Evaluate the Efficacy and Safety of ESK-001 in Patients With Moderate to Severe Plaque PsoriasisPHASE3 COMPLETED 912Jul 25, 2024Nov 20, 2025Apr 13, 2026156 United States, Australia +8
NCT05739435Open-Label Extension Study to Evaluate the Long Term Safety and Efficacy of ESK-001 in Plaque PsoriasisPHASE2 ACTIVE NOT_RECRUITING 165Jan 17, 2023Dec 30, 2026Apr 1, 202638 United States, Canada
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Study Endpoints
Primary Endpoints
To assess the long-term safety and tolerability of ESK-001 throughout the duration of the study
Approximately 4 years

Incidence and severity of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)

To determine whether ESK-001 reduces the severity of psoriasis by 75% (using the PASI) or by at least 2 points (using sPGA score) compared to placebo
16 weeks

Proportion of patients achieving ≥75% reduction in PASI score. Proportion of patients achieving a score of 0 or 1 on sPGA.

To assess the safety and tolerability of long-term ESK-001 treatment
Approximately 3 years

Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)

Secondary Endpoints
To assess the long-term efficacy of ESK-001 using the Psoriasis Area and Severity Index (PASI-75)
24, 48, 72, and 96 weeks
To assess the long-term efficacy of ESK-001 using the Psoriasis Area and Severity Index (PASI-90)
24, 48, 72, and 96 weeks
To assess the long-term efficacy of ESK-001 using the Psoriasis Area and Severity Index (PASI-100)
24, 48, 72, and 96 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Open-Label ESK-001EXPERIMENTALOpen-Label ESK-001 administered as an oral tablet
Blinded ESK-001EXPERIMENTALBlinded ESK-001 administered as an oral tablet
PlaceboPLACEBO_COMPARATORMatching placebo administered as an oral tablet
ESK-001EXPERIMENTALESK-001 administered as an oral tablet
ApremilastACTIVE_COMPARATORApremilast administered as an oral capsule
envudeucitinib Dose Level 1EXPERIMENTALenvudeucitinib administered as an oral tablet
envudeucitinib Dose Level 2EXPERIMENTALenvudeucitinib administered as an oral tablet
Interventions
NameTypeDescription
Open-Label EnvudeucitinibDRUGOpen-Label ESK-001
Blinded EnvudeucitinibDRUGBlinded ESK-001 during Randomized Treatment Withdrawal Period
PlaceboDRUGPlacebo during Randomized Treatment Withdrawal Period
EnvudeucitinibDRUGESK-001
ApremilastDRUGApremilast
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites268

Inclusion Criteria: 1. Males or females, age ≥18 years 2. Completed either of the two previous (parent) studies of ESK-001 (ESK-001-016 or ESK-001-017) 3. ESK-001 safety and tolerability were acceptable in the parent study 4. Women of childbearing potential (WOCBP) and males who are sexually active...

Countries:United StatesAustraliaBulgariaCanadaCzechiaEstoniaFranceGermanyHungaryJapanLatviaPolandPortugalPuerto RicoSouth KoreaSpainAustriaIsrael
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT06586112TRIAL_REMOVED: changed
MEDIUMMay 26, 2026NCT06588738TRIAL_REMOVED: changed
MEDIUMMay 26, 2026NCT06846541primaryCompletionDate: changed
MEDIUMMay 26, 2026NCT05739435primaryCompletionDate: changed
LOWMay 24, 2026NCT06586112studyFirstPostDate: changed
LOWMay 24, 2026NCT06846541studyFirstPostDate: changed
LOWMay 24, 2026NCT06588738studyFirstPostDate: changed
LOWMay 24, 2026NCT05739435studyFirstPostDate: changed