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Deucravacitinib

Phase 4FDA approved

Juvenile Psoriatic Arthritis | Small molecule | Immunology |Bristol-Myers Squibb Company|Trials Updated: Oct 16, 2026

Deucravacitinib development status

FDA approval on record Sep 9, 2022 as Sotyktu
Approval holderBristol
ApplicationNDA214958
Highest phase Phase 4 (NCT05858645)
Phase scored for BMYPhase 3
Registered trials 74 across 8 sponsors since Aug 2015

Label indication SOTYKTU is a tyrosine kinase 2 (TYK2) inhibitor indicated for: • the treatment of moderate-to-severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy. ( 1.1 ) Limitations of Use : Not recommended for use in combination with other potent immunosuppressants. • the treatment of active psoriatic arthritis in adults. FDA label

Deucravacitinib target and mechanism

Molecular targetTYK2
Target classNegative Allosteric Modulator
ModalitySmall molecule

Also known as BMS-986165, SOTYKTU, Reference Treatment- BMS-986165-01, Prototype BMS-986165

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials33
Total Enrollment14,428

FDA Designations

No designations recorded

Deucravacitinib clinical trials

Deucravacitinib · 33 trials · 21 indications

Phase 3 15Phase 2 9Phase 1 9
NCT07791199Continued Access to Deucravacitinib for Adult SLE/SjD and Pediatric PsO/PsA Study CompletersSystemic Lupus Erythematosus
NOT YET_RECRUITING2,300 Analytics
NCT06979453A Study to Evaluate the Efficacy, Safety, and Drug Levels of Deucravacitinib (BMS-986165) in Adolescent Participants With Moderate to Severe Plaque PsoriasisPlaque Psoriasis
RECRUITING366 Analytics
NCT07116967Long-Term Safety Study of Deucravacitinib Versus Ustekinumab in Participants With Psoriasis (PRAGMATYK)Plaque Psoriasis
RECRUITING3,040 Analytics
NCT06869551A Study to Evaluate the Drug Levels, Efficacy, and Safety of Deucravacitinib (BMS-986165) in Pediatric Participants With Juvenile Psoriatic ArthritisJuvenile Psoriatic Arthritis
RECRUITING60 Analytics
NCT05946941A Study to Evaluate the Efficacy and Safety of Deucravacitinib in Adults With Active Sjögren's SyndromeSjögren's Syndrome
ACTIVE NOT_RECRUITING774 Analytics
NCT05617677A Study to Assess Effectiveness and Safety of Deucravacitinib Compared With Placebo in Participants With Active Systemic Lupus Erythematosus (SLE)Systemic Lupus Erythematosus
ACTIVE NOT_RECRUITING516 Analytics
NCT05620407A Study to Evaluate Effectiveness and Safety of Deucravacitinib (BMS-986165) Compared With Placebo in Participants With Active Systemic Lupus ErythematosusSystemic Lupus Erythematosus
ACTIVE NOT_RECRUITING513 Analytics
NCT04908189A Study to Determine the Efficacy and Safety of Deucravacitinib Compared With Placebo in Participants With Active Psoriatic Arthritis (PsA) Who Are Naïve to Biologic Disease Modifying Anti-rheumatic Drugs or Had Previously Received TNFα Inhibitor TreatmentPsoriatic Arthritis
ACTIVE NOT_RECRUITING729 Analytics
NCT04908202A Study to Determine the Efficacy and Safety of Deucravacitinib Compared With Placebo in Participants With Active Psoriatic Arthritis (PsA) Who Are Naïve to Biologic Disease-modifying Anti-rheumatic DrugsPsoriatic Arthritis
ACTIVE NOT_RECRUITING670 Analytics
NCT04772079A Study to Evaluate the Drug Levels, Efficacy and Safety of Deucravacitinib in Children and Adolescent Participants With Moderate to Severe Plaque PsoriasisPlaque Psoriasis
RECRUITING153 Analytics
PHASE3NOT YET_RECRUITING
Continued Access to Deucravacitinib for Adult SLE/SjD and Pediatric PsO/PsA Study Completers
Systemic Lupus ErythematosusUnlock trial analytics
PHASE3RECRUITING
A Study to Evaluate the Efficacy, Safety, and Drug Levels of Deucravacitinib (BMS-986165) in Adolescent Participants With Moderate to Severe Plaque Psoriasis
Plaque PsoriasisUnlock trial analytics
PHASE3RECRUITING
Long-Term Safety Study of Deucravacitinib Versus Ustekinumab in Participants With Psoriasis (PRAGMATYK)
Plaque PsoriasisUnlock trial analytics
PHASE3RECRUITING
A Study to Evaluate the Drug Levels, Efficacy, and Safety of Deucravacitinib (BMS-986165) in Pediatric Participants With Juvenile Psoriatic Arthritis
Juvenile Psoriatic ArthritisUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Evaluate the Efficacy and Safety of Deucravacitinib in Adults With Active Sjögren's Syndrome
Sjögren's SyndromeUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Assess Effectiveness and Safety of Deucravacitinib Compared With Placebo in Participants With Active Systemic Lupus Erythematosus (SLE)
Systemic Lupus ErythematosusUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Evaluate Effectiveness and Safety of Deucravacitinib (BMS-986165) Compared With Placebo in Participants With Active Systemic Lupus Erythematosus
Systemic Lupus ErythematosusUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Determine the Efficacy and Safety of Deucravacitinib Compared With Placebo in Participants With Active Psoriatic Arthritis (PsA) Who Are Naïve to Biologic Disease Modifying Anti-rheumatic Drugs or Had Previously Received TNFα Inhibitor Treatment
Psoriatic ArthritisUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Determine the Efficacy and Safety of Deucravacitinib Compared With Placebo in Participants With Active Psoriatic Arthritis (PsA) Who Are Naïve to Biologic Disease-modifying Anti-rheumatic Drugs
Psoriatic ArthritisUnlock trial analytics
PHASE3RECRUITING
A Study to Evaluate the Drug Levels, Efficacy and Safety of Deucravacitinib in Children and Adolescent Participants With Moderate to Severe Plaque Psoriasis
Plaque PsoriasisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of participants treated
Up to approximately 28 days after last dose of deucravacitinib
Number of participants achieving at least 75% improvement in Psoriasis Area and Severity Index (PASI 75)
At week 16
Number of participants achieving a static Physicians Global Assessment (sPGA) score of 0 (clear) or 1 (almost clear) with at least a 2-point reduction from baseline
At week 16
Composite cardiovascular adjudicated 3-point major adverse cardiovascular event (MACE) plus coronary revascularization
Up to 5 years

MACE defined as non-fatal myocardial infarction \[MI\], nonfatal stroke, and cardiovascular death

Time to first flare during the withdrawal period
From week 16 up to week 42
Change from baseline in European League Against Rheumatism Sjögren's Syndrome Disease Activity Index (ESSDAI) Score at Week 52
Baseline, Week 52
Proportion of participants who achieve Systemic Lupus Erythematosus Responder Index-4 [SRI(4)] response
At week 52
Number of Participants Meeting American College of Rheumatology (ACR) 20 at Week 16
Week 16

The American College of Rheumatology (ACR) 20 is defined as 20% improvement over baseline in tender (68) and swollen (66) joint counts and a 20% improvement in 3 of the 5 remaining core data set measures: Participant Global Assessment of Disease Activity; Participant Global Assessment of Pain; Participant assessment of physical function; Physician Global Assessment of psoriatic arthritis; and Acute phase reactant value of high sensitivity C-reactive protein (hsCRP). Baseline is defined as the last measurement on or prior to date/time of first dose of study treatment.

Percentage of Participants With ACR 20 Response at Week 16
Week 16

The ACR 20 definition of improvement is a 20% improvement over baseline in tender and swollen joint counts (#1 and #2) and a 20% improvement in 3 of the 5 remaining core data set measures (Participant global assessment of pain, participant global assessment of disease activity, physician global assessment of disease activity, participant assessment of physical function, and acute phase reactant value). Baseline value is the last assessment taken prior to first dose of single-blind study medication. The 95% CI is calculated using Clopper-Pearson exact method.

Observed average concentration at steady state for deucravacitinib at Week 2
Week 2

Part A

Maximum observed plasma concentration at steady state for deucravacitinib at Week 2
Week 2

Part A

Trough observed plasma concentration for deucravacitinib at Week 2
Week 2

Part A

Proportion of subjects with at least 75% improvement in Psoriasis Area and Severity Index (PASI 75) at Week 16
Week 16

Part B

Proportion of subjects with an static Physician's Global Assessment (sPGA) score of 0 (clear) or 1 (almost clear) with at least a 2-point reduction from baseline at Week 16
Week 16

Part B

Incidence of Adverse Events (AEs)
Up to 316 weeks

Long-term extension (LTE) Period

Incidence of serious adverse events (SAEs)
Up to 316 weeks

LTE Period

Monitoring of growth: Body weight
Up to 316 weeks

LTE Period

Monitoring of growth: Height
Up to 316 weeks

LTE Period

Monitoring of growth: Tanner staging (sexual maturation)
Up to 316 weeks

LTE Period

The Percentage of Participants With sPGA Response of 0 or 1
At week 16

static Physician Global Assessment (sPGA) 0 or 1 response assessed as a percentage of participants with a sPGA score of 0 or 1 as assessed at week 16 with at least a 2-point improvement from baseline. The sPGA is a 5-point scale of an average assessment of all psoriatic lesions based on erythema, scale, and induration. The sPGA measure determines psoriasis severity at a single point in time (without taking into account the baseline disease condition) as clear (0), almost clear (1), mild (2), moderate (3), or severe (4). A higher score equates to higher severity of disease. The individual scores at each visit will range from 0-4 and will be captured for erythema, induration, and scaling. A total score will also be computed based on the average of the 3 characteristic scores. The average score will be rounded to the nearest whole number and data for this endpoint will be derived from the total average score.

The Percentage of Participants With PASI 75 Response
At week 16

Psoriasis Area and Severity Index (PASI) 75 response is an assessment defined as the percentage of participants who experience at least a 75% improvement in PASI score at Week 16 as compared with baseline value. PASI is a measure of the average redness, thickness, and scaliness of psoriatic skin lesions graded on a scale from 0-4 (0= absent symptoms, 1= mild symptoms, 2= moderate symptoms, 3= severe symptoms, 4= very severe symptoms), weighted by the area of involvement (head, arms, trunk to groin, and legs to top of buttocks). The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity. The PASI includes multiple subscores and a final total score. Individual plaque characteristic rating scores are provided for each body region as well as the weighted score. The PASI Total score will be used to assess response to treatment.

Proportion of participants achieving a satisfactory humoral response: pneumococcus
At Week 4 post vaccination

Vaccine cohort only Defined as ≥ 2-fold increase in immunoglobulin (IgG) antibody titers or geometric mean fold rise (GMFRs) titers of ≥ 6

Proportion of participants achieving a satisfactory humoral response: tetanus titers
At Week 4 post vaccination

Vaccine cohort only A serologic response is defined as: * Postvaccination titer levels ≥ 0.40 IU/mL if prevaccination IgG antibody titer level is ≤ 0.10 IU/mL OR * Postvaccination titer levels of at least a 4-fold increase if prevaccination titer level is \> 0.10 IU/mL and ≤ 2.7 IU/mL OR * Postvaccination titer levels of at least a 2-fold increase if prevaccination titer level is \> 2.7 IU/mL

Static Physician's Global Assessment (sPGA) 0/1 Response as a Number of Participants With a sPGA Score of 0 or 1 at Week 16
Week 16

The sPGA is a 5-point scale of an average assessment of all psoriatic lesions based on erythema, scale, and induration. sPGA 0/1 is the response as a number of participants who experience a sPGA score that determines psoriasis severity as clear (0) or almost clear (1) with at least 2-point improvement from baseline at week 16 using the non-responder imputation (NRI) method. The higher sPGA score denotes to more severe disease activity: * Clear (0) * Almost clear (1) * Mild (2) * Moderate (3) * Severe (4)

Psoriasis Area and Severity Index (PASI) 75 Response Assessed as a Number of Participants Who Achieve a 75% Improvement From Baseline in the PASI Score at Week 16
Week 16

PASI is a measure of the average redness, thickness, and scaliness of psoriatic skin lesions (each graded on a 0 to 4 scale; 0 = none to 4 = very severe), weighted by the area of involvement (head, upper extremities, trunk, and lower extremities). The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity. PASI 75 is the response as a number of participants who experience at least a 75% improvement in PASI score as compared with the baseline value using the non-responder imputation (NRI) method.

The Number of Participants With a Static Physician's Global Assessment (sPGA) Score of 0 or 1 in Participants Receiving BMS-986165 Compared to Placebo at Week 16 (sPGA 0/1)
Week 16

The sPGA is a 5-point scale of an average assessment of all psoriatic lesions based on erythema, scale, and induration. The average of the 3 scales, which is rounded to the nearest whole number, is the final sPGA score. The higher sPGA score denotes to more severe disease activity (0 = Clear; 1 = Almost clear; 2 = Mild; 3 = Moderate; Severe = 4). sPGA 0/1 is the response as a number of participants who experience a sPGA score that determines psoriasis severity as 0 or 1 with at least 2-point improvement from baseline using the non-responder imputation (NRI) method that will be used for participants who discontinue treatment or study prior to week 16 or who have missing week 16 endpoint data for any reason.

The Number of Participants Who Achieve a 75% Improvement From Baseline in the Psoriasis Area and Severity Index (PASI) Score in Participants Receiving BMS-986165 Compared to Placebo at Week 16 (PASI 75)
Baseline and Week 16

PASI is a measure of the average redness, thickness, and scaliness of psoriatic skin lesions (each graded on a 0 to 4 scale; 0 = none to 4 = very severe), weighted by the area of involvement (head, upper extremities, trunk, and lower extremities). The PASI produces a numeric score that can range from 0 to 72, with higher PASI scores denoting more severe disease activity. PASI 75 is the response as a number of participants who experience at least a 75% improvement in PASI score as compared with the baseline value using the non-responder imputation (NRI) method that will be used for participants who discontinue treatment or study prior to week 16 or who have missing week 16 endpoint data for any reason. Baseline is defined as the measurement at the randomization visit (Week 0).

Changes in IFNγ in CA scalp
Baseline to Week 24

Changes in TH1 markers in Cicatricial Alopecias on the scalp from Baseline to Week 24

Changes in CCL5 in CA scalp
Baseline to Week 24

Changes in TH1 markers in Cicatricial Alopecias on the scalp from Baseline to Week 24

Changes in CXCL9 in CA scalp
Baseline to Week 24

Changes in TH1 markers in Cicatricial Alopecias on the scalp from Baseline to Week 24

Changes in CXCL10 in CA scalp
Baseline to Week 24

Changes in TH1 markers in Cicatricial Alopecias on the scalp from Baseline to Week 24

Changes in TGFB1/2 in CA scalp
Baseline to Week 24

Changes in biomarkers of fibrosis in Cicatricial Alopecias on the scalp from Baseline to Week 24

Changes in vimentin in CA scalp
Baseline to Week 24

Changes in biomarkers of fibrosis in Cicatricial Alopecias on the scalp from Baseline to Week 24

Changes in fibronectin CA scalp
Baseline to Week 24

Changes in biomarkers of fibrosis in Cicatricial Alopecias on the scalp from Baseline to Week 24

Changes in CTGF in CA scalp
Baseline to Week 24

Changes in biomarkers of fibrosis in Cicatricial Alopecias on the scalp from Baseline to Week 24

Percentage Change From Baseline in CLASI Activity Score at Week 16
From first dose to Week 16 (approximately 16 weeks)

The Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) is a validated clinical tool designed to assess skin involvement in cutaneous lupus erythematosus (CLE). It separately scores: * Disease activity (e.g., erythema, scale, mucous membrane involvement, alopecia) * Damage (e.g., dyspigmentation, scarring) CLASI enables classification of disease severity: Mild: Activity score 0-9 Moderate: 10-20 Severe: 21-70

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
From first dose to 30 days post last dose (Up to 110 weeks)

Number of participants experiencing AEs, SAEs, AEs leading to study discontinuation, and AEs of interest (AEIs). An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. SAEs is any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization; results significant disability; or is a congenital anomaly/birth defect. TEAEs are defined as AEs with an onset date on or after the first dose of study treatment up to 30 days after the last dose of study treatment in the study, or if a pre-existing condition worsens in severity or becomes serious after receiving the first dose of study treatment

Number of Participants With Laboratory Abnormalities
From first dose to 30 days post last dose (Up to 110 weeks)

Number of participants experiencing abnormalities in laboratory testing including chemistry, hematology, and renal.

Number of Participants With Electrocardiogram (ECG) Abnormalities
From first dose to 30 days post last dose (Up to 110 weeks)
Number of Participants With Vital Signs Abnormalities
From first dose to 30 days post last dose (Up to 110 weeks)
Change From Baseline in Laboratory Parameters
Baseline, Week 12, Week 108

Change from baseline in laboratory parameters including lipid profile, chemistry liver function, chemistry (other), and chemistry renal function

Change From Baseline in Electrocardiogram (ECG) Parameters - ECG Mean Heart Rate
Baseline, Week 48, Week 96

Changes from IM011077 study baseline in electrocardiogram (ECG) parameters - ECG mean heart rate

Change From Baseline in Electrocardiogram (ECG) Parameters
Baseline, Week 48, Week 96

Changes from IM011077 study baseline in electrocardiogram (ECG) parameters

Change From Baseline in Vital Signs Parameters - Heart Rate
Baseline, Week 12, Week 108

Changes from IM011077 study baseline in vital signs parameters - heart rate

Change From Baseline in Vital Signs Parameters
Baseline, Week 12, Week 108

Changes from IM011077 study baseline in vital signs parameters

Percentage of Participants in Clinical Response at Week 12
At week 12

Clinical response is defined as achieving the following changes in the modified Mayo score (excludes the physicians' global assessment) * A decrease from baseline in the modified Mayo score of ≥ 2 points, and * A decrease from baseline in the modified Mayo score ≥ 30%, and * A decrease in rectal bleeding (RB) subscore of ≥ 1 point or absolute RB subscore ≤ 1 Note: The modified Mayo score calculated to determine eligibility will also be used as the baseline disease activity score. The modified Mayo score is a 9-point scale (a score of 5 to 9 points denotes moderate to severe disease). The modified Mayo score is a sum of the following 3 components: * Stool frequency (SF) subscore (0 to 3) * Rectal bleeding (RB) subscore (0 to 3) * Endoscopic (ES) subscore (0 to 3)

Number of Participants Experiencing Adverse Events (AEs)
From first dose up to the last dose in the double-blind period or 30 days post the last dose date if not treated in the open-label period and from the first dose in open-label period up to 30 days post the last dose date (up to approximately 402 days)

An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study drug and that does not necessarily have a causal relationship with this treatment. Note: the first dose of study treatment in the open-label period may be the same as the last dose date of study treatment in double-blind treatment period, therefore, the participants analyzed in the open-label period may contain double blind participants finishing their last dose in the double-blind treatment period.

Number of Participants Experiencing Serious Adverse Events (SAEs)
From first dose up to the last dose in the double-blind period or 30 days post the last dose date if not treated in the open-label period and from the first dose in open-label period up to 30 days post the last dose date (up to approximately 402 days)

An SAE is defined as any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability or permanent damage, is a congenital anomaly/birth defect, is an important medical event. Note: the first dose of study treatment in the open-label period may be the same as the last dose date of study treatment in double-blind treatment period, therefore, the participants analyzed in the open-label period may contain double blind participants finishing their last dose in the double-blind treatment period.

Number of Participants Experiencing Adverse Events (AEs) Leading to Discontinuation
From first dose up to the last dose in the double-blind period or 30 days post the last dose date if not treated in the open-label period and from the first dose in open-label period up to 30 days post the last dose date (up to approximately 402 days)

An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study drug and that does not necessarily have a causal relationship with this treatment. Note: the first dose of study treatment in the open-label period may be the same as the last dose date of study treatment in double-blind treatment period, therefore, the participants analyzed in the open-label period may contain double blind participants finishing their last dose in the double-blind treatment period.

Number of Participants Experiencing Adverse Events of Special Interest (AEIs)
From first dose to 52 weeks after first dose

An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study drug and that does not necessarily have a causal relationship with this treatment. AEs of special interest include: skin events, influenza, herpes viral infections, opportunistic infections, tuberculosis, cardiovascular events, malignancy, and COVID-19.

Clinical Remission Response Rate at Week 12
From first dose to 12 weeks.

Clinical remission response rate is the percentage of participants achieving clinical remission, defined as absolute total Mayo Score and absolute Mayo endoscopy, stool frequency, rectal bleeding. Will be calculated using a modified Mayo score with the following: Stool Frequency (SF) sub score ≤ 1, with ≥ 1 point decrease from baseline, and Rectal Bleeding (RB) sub score = 0, and Endoscopic (ES) sub score ≤ 1 (modified, excludes friability) The modified Mayo score (0 to 9 points) is the sum of 3 components: the SF, RB, and ES sub scores Modified Mayo Score: The modified Mayo score is a 9-point scale; a score of 5 to 9 points (inclusive), which is required for randomization, denotes moderate to severe disease (by protocol definition). considered in clinical remission if a Mayo Score of less than or equal to 2 with no individual sub score greater than 1

Percentage of Participants Achieving the American College of Rheumatology (ACR) 20 Response at Week 16
16 weeks after first dose

A participant is considered an ACR 20 responder if the following three conditions are met: 1) ≥ 20% improvement from baseline in the number of tender joints (68 joint count). 2) ≥ 20% improvement from baseline in the number of swollen joints (66 joint count). 3) ≥ 20% improvement from baseline in at least 3 of the following 5 domains: o Subject Global Assessment of disease activity o Physician Global Assessment of psoriatic arthritis o Subject Global Assessment of pain o Health Assessment Questionnaire-Disability Index (HAQ-DI) o High-sensitivity C-reactive protein (hsCRP)

Number of Participants With Treatment-Emergent Adverse Events and Treatment Emergent Serious Adverse Events
From Day 1 until 30 days after last dose (up to approximately 42 months)

A Treatment-Emergent Adverse Event (TEAE) is any untoward medical occurrence that begins or worsens after the first dose of study treatment, including any unfavorable sign, symptom, disease, or abnormal lab finding, whether or not related to the product, and may include worsening of pre-existing conditions. A Serious Adverse Event (SAE) is any untoward medical occurrence that results in death, is life-threatening, requires or prolongs hospitalization, causes persistent or significant disability/incapacity, leads to a congenital anomaly/birth defect, or is considered an important medical event requiring intervention to prevent these outcomes.

Number of Participants With Abnormalities in Vital Signs
From Day 1 until 30 days after last dose (up to approximately 42 months)

Vital signs heart rate (HR) (beats/min), systolic blood pressure (SBP) (mmHG), and diastolic blood pressure (DBP) (mmHg).

Number of Participants With Grade 3 or Grade 4 Laboratory Abnormalities
From Day 1 until 30 days after last dose (up to approximately 42 months)

Blood samples were collected to assess laboratory parameters. Grade 3 = Severe laboratory abnormality Grade 4 = Life-threatening or very severe laboratory abnormality

Number of Participants Who Meet Response Criteria for Systemic Lupus Erythematosus (SLE) Responder Index [SRI(4)] at Week 32
At week 32

SRI(4) responder is defined as a patient whose disease course fulfills all of the following: 1. A 4-point or greater reduction from baseline in SLEDAI-2K score 2. No new British Isles Lupus Assessment Group (BILAG) A (severe disease activity) and not more than 1 new BILAG B (moderate disease activity) organ domain grade 3. No worsening from baseline in the Physician's Global Assessment of Disease Activity Scale by more than 0.3 points on a 3-point visual analog scale from no disease activity to severe disease activity

The Percentage of Participants With Moderate to Severe Psoriasis Experiencing a 75% Improvement (Reduction From Baseline) in PASI Score (PASI-75 Response Rate) on Day 85 (Week 12)
Day 1 to Day 85

Psoriasis Area and Severity Index (PASI) 75 response: patients who achieved ≥ 75% improvement (reduction) in PASI score compared to baseline were defined as PASI 75 responders. PASI scores can range from 0, corresponding to no signs of psoriasis up to theoretical maximum of 72.0, which means a higher PASI score reflects a higher psoriasis activity.

Number of Participants With Adverse Events
Day 1 to day 115

The safety and tolerability of BMS-986195 as assessed by the number of subjects with adverse events (AEs); number of subjects with serious adverse events (SAEs); number of subjects with adverse events leading to discontinuation

Maximum Observed Plasma Concentration (Cmax) of BMS-986165
Days 1 to 4, Day 5, and Day 19
Time to Maximum Observed Plasma Concentration (Tmax) of BMS-986165
Days 1 to 4, Day 5, and Day 19
Area Under The Plasma Concentration-Time Curve From Time Zero to Time of Last Quantifiable Concentration (AUC(0-T)) of BMS-986165
Days 1 to 4, Day 5, and Day 19
Area Under The Plasma Concentration-Time Curve From Time Zero Extrapolated To Infinite Time (AUC(INF)) of BMS-986165
Day 1 to Day 4
Apparent Plasma Elimination Half-Life (T-HALF) of BMS-986165
Days 1 to 4, Day 5, and Day 19
Apparent Oral Total Body Clearance (CLT/F) of BMS-986165
Days 1 to 4, Day 5, and Day 19
Metabolic Ratio for AUC(INF) of Metabolite (BMT-153261 and BMT-158170) Over Parent (BMS-986165) - MR(AUC[INF])
Day 1 to Day 4
Metabolic Ratio for Cmax of Metabolite (BMT-153261 and BMT-158170) Over Parent (BMS-986165) - MR(Cmax)
Days 1 to 4, Day 5, and Day 19
Apparent Volume of Distribution (Vz/F) of BMS-986165
Days 1 to 4, Day 5, and Day 19
Area Under the Plasma Concentration-Time Curve in a Dosing Interval (AUC(TAU)) of BMS-986165
Day 5 and Day 19
Effective Elimination Half-Life (T-HALFeff) of BMS-986165
Days 1 to 4, Day 5, and Day 19
Trough Observed Plasma Concentration (Ctrough) of BMS-986165
Day 2 to 20
Average Plasma Concentration at Steady State (Css-avg) of BMS-986165
Days 1 to 4, Day 5, and Day 19
Accumulation Index (AI) of BMS-986165
Days 1 to 4, Day 5, and Day 19
Metabolic Ratio for AUC(TAU) of Metabolite (BMT-153261 and BMT-158170) Over Parent (BMS-986165) - MR(AUC[TAU])
Day 5 to Day 19
Degree of Fluctuation (DF) of BMS-986165
Days 1 to 4, Day 5, and Day 19
Maximum observed plasma concentration (Cmax) of BMS-986165 following Treatments A, B, C, and D
Determined over 5 days
Time of maximum observed plasma concentration (Tmax) of BMS-986165 following Treatments A, B, C, and D
Determined over 5 days
Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration [AUC(0-T)] of BMS-986165 following Treatments A, B, C, and D
Determined over 5 days
Area under the plasma concentration-time curve from time zero extrapolated to infinite time [AUC(INF)] of BMS-986165 following Treatments A, B, C, and D
Determined over 5 days
Apparent plasma elimination half-life (T-HALF) of BMS-986165 following Treatments A, B, C, and D
Determined over 5 days
Placebo-corrected change from baseline in (Fridericia) QT Interval (QTcF) for BMS-986165 as determined by 12-lead electrocardiogram (ECG)
From baseline to 5 days
Maximum concentration (Cmax)
24 hours
Area under the concentration vs time curve from time zero to 24 hours post dose (AUC[0-24])
24 hours
Maximum observed plasma concentration (Cmax)
Approximately 14 days
Time to attain maximum observed plasma concentration (Tmax)
Approximately 14 days
Area under the plasma concentration-time curve up to time T, where T is the last point with concentrations above the lower limit of quantitation [AUC(0-T)]
Approximately 14 days
Area under the plasma concentration-time curve from time 0 to infinity [AUC(INF)]
Approximately 14 days
Terminal elimination rate constant (kel)
Approximately 14 days
Terminal elimination half life, calculated as 0.693/kel (T-HALF)
Approximately 14 days
Apparent oral clearance (CL/F)
Approximately 14 days
Maximum observed plasma concentration (Cmax) derived from plasma concentration versus time
5 days
AUC from time zero extrapolated to infinity [AUC(INF)] derived from plasma concentration versus time
5 days
Area under the plasma concentration-time curve (AUC) from time zero to time of last quantifiable concentration [AUC(0-T)] derived from plasma concentration versus time
5 days
Time of maximum observed plasma concentration (Tmax) derived from plasma concentration versus time
5 days
Maximum concentration (Cmax) derived from plasma concentration versus time
Approximately 1 day
Area under the plasma concentration-time curve to the end of the dosing period [AUC(tau)] derived from plasma concentration versus time
Approximately 1 day
Cmax (Maximum observed plasma concentration) of Rosuvastatin.
Up to Day 13

Measured by plasma concentration.

AUC(0-T) (Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration) of Rosuvastatin.
Up to Day 13

Measured by plasma concentration.

AUC(INF) (Area under the plasma concentration-time curve from time zero extrapolated to infinite time) of Rosuvastatin.
Up to Day 13

Measured by plasma concentration.

The primary endpoint is PK exposure that will be determined from plasma concentration versus time
Day 1 to Day 13
Urinary/fecal TRA (Total radioactivity) recovery data
Day 1 to Day 13
PK terminal elimination half-life data (T-HALF)
Day 1 to Day 13
PK apparent total body clearance (CL/F)
Day 1 to Day 13
PK apparent volume of distribution (Vz/F)
Day 1 to Day 13
PK time of maximum observed plasma concentration (Tmax)
Day 1 to Day 13

Secondary Endpoints

Number of participants achieving at least 90% improvement in PASI (PASI 90)
At week 16
Change from baseline in PASI
At week 16
Change from baseline in body surface area (BSA) involvement
At week 16
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Deucravacitinib ArmEXPERIMENTAL -
Administration of DeucravacitinibACTIVE_COMPARATOR -
PlaceboPLACEBO_COMPARATOR -
Arm AEXPERIMENTAL -
Arm BACTIVE_COMPARATOR -
Deucravacitinib, Dose 1EXPERIMENTAL -
Deucravacitinib, Dose 2EXPERIMENTAL -
Placebo, followed by Deucravacitinib Dose 1 or Dose 2PLACEBO_COMPARATOR -
Arm 1: DeucravacitinibEXPERIMENTAL -
Arm 2: PlaceboPLACEBO_COMPARATOR -
DeucravacitinibEXPERIMENTAL -
ApremilastOTHER -
Active treatment deucravacitinib standard doseEXPERIMENTAL -
Active treatment deucravacitinib half-standard doseEXPERIMENTAL -
Arm A:BMS-986165 oral administrationEXPERIMENTAL -
Arm B: Placebo oral administrationPLACEBO_COMPARATOR -
BMS-986165EXPERIMENTAL -
Vaccine CohortEXPERIMENTAL -
Active comparatorACTIVE_COMPARATORActive comparator oral administration
Central Centrifugal Cicatricial AlopeciaEXPERIMENTALContains individuals diagnosed with Central Centrifugal Cicatricial Alopecia.
Frontal Fibrosing AlopeciaEXPERIMENTALContains individuals diagnosed with Frontal Fibrosing Alopecia.
Active Treatment: Deucravacitinib Dose 1EXPERIMENTAL -
Active Treatment: Deucravacitinib Dose 2EXPERIMENTAL -
Long-Term Extension Rollover Study: DeucravacitinibEXPERIMENTAL -
Open label Extension, BMS-986165EXPERIMENTAL -
Part A: PlaceboPLACEBO_COMPARATOR -
Part A: BMS-986165 Dose AEXPERIMENTAL -
Part A: BMS-986165 Dose BEXPERIMENTAL -
Part B: Ustekinumab + BMS-986165 PlaceboEXPERIMENTAL -
Part B: BMS-986165 Dose A + Ustekinumab PlaceboEXPERIMENTAL -
Part B: BMS-986165 Dose B + Ustekinumab PlaceboEXPERIMENTAL -
BMS-986165 Dose 1EXPERIMENTAL -
BMS-986165 Dose 2EXPERIMENTAL -
BMS-986165 Dose 3EXPERIMENTAL -
BMS-986165 Dose 1 oral administrationEXPERIMENTAL -
BMS-986165 Dose 2 oral administrationEXPERIMENTAL -
BMS-986165 Dose 3 oral administrationEXPERIMENTAL -
Placebo oral administrationPLACEBO_COMPARATOR -
BMS-986165 Dose 4EXPERIMENTALSpecified dose of BMS-986165 on specified days.
BMS-986165 Dose 5EXPERIMENTALSpecified dose of BMS-986165 on specified days.
Group 1: BMS-986165 Dose 1EXPERIMENTALParticipants will receive Dose 1 on Day 1, and from Day 5 - 19.
Group 2: BMS-986165 Dose 2EXPERIMENTALParticipants will receive Dose 2 on Day 1, and from Day 5 - 19.
Group 1: Placebo Dose 1PLACEBO_COMPARATORParticipants will receive placebo matching Dose 1 on Day 1, and from Day 5 - 19.
Group 2: Placebo Dose 2PLACEBO_COMPARATORParticipants will receive placebo matching Dose 2 on Day 1, and from Day 5 - 19.
Formulation AEXPERIMENTALDosage formulation and area of release varies between arms
Formulation BEXPERIMENTALDosage formulation and area of release varies between arms
Formulation CEXPERIMENTALDosage formulation and area of release varies between arms
Formulation DEXPERIMENTALDosage formulation and area of release varies between arms
Formulation EEXPERIMENTALDosage formulation and area of release varies between arms
Formulation FEXPERIMENTALDosage formulation and area of release varies between arms
Formulation GEXPERIMENTALDosage formulation and area of release varies between arms
Formulation HEXPERIMENTALDosage formulation and area of release varies between arms
Moxifloxacin Dose 3 oral administrationACTIVE_COMPARATORMoxifloxacin positive control single dose
Placebo Dose 4 oral administrationPLACEBO_COMPARATORPlacebo single dose
BMS-986165 and cyclosporineEXPERIMENTALBMS-986165 and cyclosporine administered orally
BMS-986165+Methotrexate+LeucovorinEXPERIMENTALThree treatments administered
Tablet-Capsule Crossover 1EXPERIMENTALVariations between arms dependent on timing, fasting, dose and receiving the tablet or capsule at different treatment period combinations
Tablet-Capsule Crossover 2EXPERIMENTALVariations between arms dependent on timing, fasting, dose and receiving the tablet or capsule at different treatment period combinations
Tablet-Capsule Crossover 3EXPERIMENTALVariations between arms dependent on timing, fasting, dose and receiving the tablet or capsule at different treatment period combinations
Tablet-Capsule Crossover 4EXPERIMENTALVariations between arms dependent on timing, fasting, dose and receiving the tablet or capsule at different treatment period combinations
Tablet-Capsule Crossover 5EXPERIMENTALVariations between arms dependent on timing, fasting, dose and receiving the tablet or capsule at different treatment period combinations
Tablet-Capsule Crossover 6EXPERIMENTALVariations between arms dependent on timing, fasting, dose and receiving the tablet or capsule at different treatment period combinations
BMS-986165 and Oral ContraceptiveEXPERIMENTALOral administration of contraceptive, then progress to combination
BMS 986165 and RosuvastatinEXPERIMENTAL -
Single dose of radiolabeled BMS-986165EXPERIMENTAL -

Interventions

NameTypeDescription
DeucravacitinibDRUGSpecified dose on specified days
PlaceboOTHERSpecified dose on specified days
UstekinumabDRUGSpecified dose on specified days
ApremilastDRUGSpecified dose on specified days
Placebo matching deucravacitinibOTHERSpecified dose on specified days
BMS-986165DRUGSpecified dose on Specified Days
Placebo ComparatorOTHERSpecified Dose on Specified Days
BMS-986165 PlaceboOTHERParticipants will receive BMS-986165 matching placebo QD
BMS-986165 Dose ADRUGParticipants will receive BMS-986165 Dose A QD.
BMS-986165 Dose BDRUGParticipants will receive BMS-986165 dose B QD.
Ustekinumab PlaceboOTHERParticipants will receive ustekinumab SQ matching placebo QD
Placebo for BMS-986165DRUG -
MoxifloxacinDRUGSpecified dose on specified days
CyclosporineDRUGSpecified dose on specified days
MethotrexateDRUGSpecified dose on specified days
LeucovorinDRUGSpecified dose on specified days
BMS-986165 CapsuleDRUGOral capsule
BMS-986165 TabletDRUGOral tablet
Loestrin 1.5/30 (1.5 mg norethindrone acetate/30 μg ethinyl estradiol)DRUGOral Contraceptive
RosuvastatinDRUGRosuvastatin on Day 1. BMS 986165 on Days 5-8 and Days 10-12. On Day 9, BMS 986165 coadministered with an oral dose of rosuvastatin.
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Eligibility Criteria

Age Range4 Years to 75 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Participants must have completed qualifying parent study through the protocol required treatment period. Qualifying studies include IM011-246, IM011-247, IM011-1069, IM011-126, IM011-1128, and IM011-1071. Exclusion Criteria: * Participants must not have any disease or medica...

Countries:United StatesArgentinaBelgiumBrazilCanadaChinaColombiaGermanyHungaryItalyMexicoPolandPuerto RicoRomaniaSpainTaiwanAustraliaBulgariaChileCzechiaDenmarkFranceJapanSouth KoreaSwedenUnited KingdomTurkey (Türkiye)AustriaFinlandGreeceIsraelNetherlandsPeruPortugalSwitzerlandHong KongIndiaIrelandLithuaniaMoldovaSingaporeThailandRussiaNew ZealandLatvia
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Recent Changes (Last 90 Days)

LOWOct 16, 2026NCT04908202primaryCompletionDate: changed
LOWOct 16, 2026NCT04908202primaryCompletionDate: changed
LOWOct 13, 2026NCT07116967lastUpdatePostDate: changed
LOWOct 13, 2026NCT07116967lastUpdatePostDate: changed
MEDIUMOct 11, 2026NCT04036435TRIAL_REMOVED: changed
MEDIUMOct 11, 2026NCT04036435TRIAL_REMOVED: changed
MEDIUMOct 11, 2026NCT04036435TRIAL_REMOVED: changed
MEDIUMOct 11, 2026NCT04036435TRIAL_REMOVED: changed
LOWOct 6, 2026NCT06869551lastUpdatePostDate: changed
LOWOct 6, 2026NCT06869551lastUpdatePostDate: changed
LOWSep 24, 2026NCT04908202Completion: 2027-06-10 → 2027-06-03
LOWSep 24, 2026NCT04908202Completion: 2027-06-10 → 2027-06-03
LOWSep 22, 2026NCT07116967lastUpdatePostDate: changed
LOWSep 22, 2026NCT07116967lastUpdatePostDate: changed
MEDIUMSep 11, 2026NCT04908189primaryCompletionDate: changed
MEDIUMSep 11, 2026NCT04908189primaryCompletionDate: changed
HIGHSep 10, 2026NCT04036435Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 10, 2026NCT04036435Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWSep 3, 2026NCT06979453lastUpdatePostDate: changed
LOWSep 3, 2026NCT07791199startDate: changed

Frequently asked questions about Deucravacitinib

What is deucravacitinib?

Deucravacitinib is a small molecule drug developed by Bristol-Myers Squibb Company (ticker BMY). It is being studied across dermatology and immunology indications, including plaque psoriasis, psoriatic arthritis, central centrifugal cicatricial alopecia, Crohn disease, juvenile psoriatic arthritis, and discoid lupus erythematosus.

What does deucravacitinib target?

Deucravacitinib targets TYK2, also known as tyrosine kinase 2. It acts as a negative allosteric modulator of TYK2, binding the enzyme in a way that regulates its signaling activity rather than blocking the active site directly.

What is deucravacitinib used for in plaque psoriasis?

Deucravacitinib is being evaluated for plaque psoriasis, including moderate to severe disease in adolescents and long-term treatment in adults. Clinical studies also cover related conditions such as psoriatic arthritis, central centrifugal cicatricial alopecia, frontal fibrosing alopecia, systemic lupus erythematosus, and Crohn disease.

Who makes deucravacitinib?

Deucravacitinib is developed by Bristol-Myers Squibb Company, which trades under the ticker BMY. The company sponsors the clinical trial program for the drug across its dermatology and immunology indications.

What phase is deucravacitinib in?

Deucravacitinib is investigational and remains in clinical development. Its trial program spans Phase 2 and Phase 3 studies, including a Phase 2 trial in cicatricial alopecias and Phase 3 trials in plaque psoriasis and a continued access study for lupus and psoriatic disease completers.

What clinical trials is deucravacitinib in?

Active deucravacitinib trials include NCT07508488, a Phase 2 study in cicatricial alopecias; NCT07116967, a Phase 3 long-term safety study versus ustekinumab in psoriasis; and NCT06979453, a Phase 3 study in adolescents with moderate to severe plaque psoriasis. NCT07791199 is a Phase 3 continued access study not yet recruiting.

Is deucravacitinib the same as BMS-986165?

Yes, BMS-986165 is an alternative designation for deucravacitinib. The Phase 3 adolescent plaque psoriasis study, NCT06979453, refers to the drug as deucravacitinib (BMS-986165), confirming that both names identify the same Bristol-Myers Squibb TYK2 inhibitor.