Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
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
Also known as BMS-986165, SOTYKTU, Reference Treatment- BMS-986165-01, Prototype BMS-986165
Deucravacitinib · 33 trials · 21 indications
MACE defined as non-fatal myocardial infarction \[MI\], nonfatal stroke, and cardiovascular death
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.
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.
Part A
Part A
Part A
Part B
Part B
Long-term extension (LTE) Period
LTE Period
LTE Period
LTE Period
LTE Period
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.
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.
Vaccine cohort only Defined as ≥ 2-fold increase in immunoglobulin (IgG) antibody titers or geometric mean fold rise (GMFRs) titers of ≥ 6
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
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)
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 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.
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 TH1 markers in Cicatricial Alopecias on the scalp from Baseline to Week 24
Changes in TH1 markers in Cicatricial Alopecias on the scalp from Baseline to Week 24
Changes in TH1 markers in Cicatricial Alopecias on the scalp from Baseline to Week 24
Changes in TH1 markers in Cicatricial Alopecias on the scalp from Baseline to Week 24
Changes in biomarkers of fibrosis in Cicatricial Alopecias on the scalp from Baseline to Week 24
Changes in biomarkers of fibrosis in Cicatricial Alopecias on the scalp from Baseline to Week 24
Changes in biomarkers of fibrosis in Cicatricial Alopecias on the scalp from Baseline to Week 24
Changes in biomarkers of fibrosis in Cicatricial Alopecias on the scalp from Baseline to Week 24
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 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 experiencing abnormalities in laboratory testing including chemistry, hematology, and renal.
Change from baseline in laboratory parameters including lipid profile, chemistry liver function, chemistry (other), and chemistry renal function
Changes from IM011077 study baseline in electrocardiogram (ECG) parameters - ECG mean heart rate
Changes from IM011077 study baseline in electrocardiogram (ECG) parameters
Changes from IM011077 study baseline in vital signs parameters - heart rate
Changes from IM011077 study baseline in vital signs parameters
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)
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.
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.
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.
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 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
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)
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.
Vital signs heart rate (HR) (beats/min), systolic blood pressure (SBP) (mmHG), and diastolic blood pressure (DBP) (mmHg).
Blood samples were collected to assess laboratory parameters. Grade 3 = Severe laboratory abnormality Grade 4 = Life-threatening or very severe laboratory abnormality
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
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.
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
Measured by plasma concentration.
Measured by plasma concentration.
Measured by plasma concentration.
| Arm | Type | Description |
|---|---|---|
| Deucravacitinib Arm | EXPERIMENTAL | - |
| Administration of Deucravacitinib | ACTIVE_COMPARATOR | - |
| Placebo | PLACEBO_COMPARATOR | - |
| Arm A | EXPERIMENTAL | - |
| Arm B | ACTIVE_COMPARATOR | - |
| Deucravacitinib, Dose 1 | EXPERIMENTAL | - |
| Deucravacitinib, Dose 2 | EXPERIMENTAL | - |
| Placebo, followed by Deucravacitinib Dose 1 or Dose 2 | PLACEBO_COMPARATOR | - |
| Arm 1: Deucravacitinib | EXPERIMENTAL | - |
| Arm 2: Placebo | PLACEBO_COMPARATOR | - |
| Deucravacitinib | EXPERIMENTAL | - |
| Apremilast | OTHER | - |
| Active treatment deucravacitinib standard dose | EXPERIMENTAL | - |
| Active treatment deucravacitinib half-standard dose | EXPERIMENTAL | - |
| Arm A:BMS-986165 oral administration | EXPERIMENTAL | - |
| Arm B: Placebo oral administration | PLACEBO_COMPARATOR | - |
| BMS-986165 | EXPERIMENTAL | - |
| Vaccine Cohort | EXPERIMENTAL | - |
| Active comparator | ACTIVE_COMPARATOR | Active comparator oral administration |
| Central Centrifugal Cicatricial Alopecia | EXPERIMENTAL | Contains individuals diagnosed with Central Centrifugal Cicatricial Alopecia. |
| Frontal Fibrosing Alopecia | EXPERIMENTAL | Contains individuals diagnosed with Frontal Fibrosing Alopecia. |
| Active Treatment: Deucravacitinib Dose 1 | EXPERIMENTAL | - |
| Active Treatment: Deucravacitinib Dose 2 | EXPERIMENTAL | - |
| Long-Term Extension Rollover Study: Deucravacitinib | EXPERIMENTAL | - |
| Open label Extension, BMS-986165 | EXPERIMENTAL | - |
| Part A: Placebo | PLACEBO_COMPARATOR | - |
| Part A: BMS-986165 Dose A | EXPERIMENTAL | - |
| Part A: BMS-986165 Dose B | EXPERIMENTAL | - |
| Part B: Ustekinumab + BMS-986165 Placebo | EXPERIMENTAL | - |
| Part B: BMS-986165 Dose A + Ustekinumab Placebo | EXPERIMENTAL | - |
| Part B: BMS-986165 Dose B + Ustekinumab Placebo | EXPERIMENTAL | - |
| BMS-986165 Dose 1 | EXPERIMENTAL | - |
| BMS-986165 Dose 2 | EXPERIMENTAL | - |
| BMS-986165 Dose 3 | EXPERIMENTAL | - |
| BMS-986165 Dose 1 oral administration | EXPERIMENTAL | - |
| BMS-986165 Dose 2 oral administration | EXPERIMENTAL | - |
| BMS-986165 Dose 3 oral administration | EXPERIMENTAL | - |
| Placebo oral administration | PLACEBO_COMPARATOR | - |
| BMS-986165 Dose 4 | EXPERIMENTAL | Specified dose of BMS-986165 on specified days. |
| BMS-986165 Dose 5 | EXPERIMENTAL | Specified dose of BMS-986165 on specified days. |
| Group 1: BMS-986165 Dose 1 | EXPERIMENTAL | Participants will receive Dose 1 on Day 1, and from Day 5 - 19. |
| Group 2: BMS-986165 Dose 2 | EXPERIMENTAL | Participants will receive Dose 2 on Day 1, and from Day 5 - 19. |
| Group 1: Placebo Dose 1 | PLACEBO_COMPARATOR | Participants will receive placebo matching Dose 1 on Day 1, and from Day 5 - 19. |
| Group 2: Placebo Dose 2 | PLACEBO_COMPARATOR | Participants will receive placebo matching Dose 2 on Day 1, and from Day 5 - 19. |
| Formulation A | EXPERIMENTAL | Dosage formulation and area of release varies between arms |
| Formulation B | EXPERIMENTAL | Dosage formulation and area of release varies between arms |
| Formulation C | EXPERIMENTAL | Dosage formulation and area of release varies between arms |
| Formulation D | EXPERIMENTAL | Dosage formulation and area of release varies between arms |
| Formulation E | EXPERIMENTAL | Dosage formulation and area of release varies between arms |
| Formulation F | EXPERIMENTAL | Dosage formulation and area of release varies between arms |
| Formulation G | EXPERIMENTAL | Dosage formulation and area of release varies between arms |
| Formulation H | EXPERIMENTAL | Dosage formulation and area of release varies between arms |
| Moxifloxacin Dose 3 oral administration | ACTIVE_COMPARATOR | Moxifloxacin positive control single dose |
| Placebo Dose 4 oral administration | PLACEBO_COMPARATOR | Placebo single dose |
| BMS-986165 and cyclosporine | EXPERIMENTAL | BMS-986165 and cyclosporine administered orally |
| BMS-986165+Methotrexate+Leucovorin | EXPERIMENTAL | Three treatments administered |
| Tablet-Capsule Crossover 1 | EXPERIMENTAL | Variations between arms dependent on timing, fasting, dose and receiving the tablet or capsule at different treatment period combinations |
| Tablet-Capsule Crossover 2 | EXPERIMENTAL | Variations between arms dependent on timing, fasting, dose and receiving the tablet or capsule at different treatment period combinations |
| Tablet-Capsule Crossover 3 | EXPERIMENTAL | Variations between arms dependent on timing, fasting, dose and receiving the tablet or capsule at different treatment period combinations |
| Tablet-Capsule Crossover 4 | EXPERIMENTAL | Variations between arms dependent on timing, fasting, dose and receiving the tablet or capsule at different treatment period combinations |
| Tablet-Capsule Crossover 5 | EXPERIMENTAL | Variations between arms dependent on timing, fasting, dose and receiving the tablet or capsule at different treatment period combinations |
| Tablet-Capsule Crossover 6 | EXPERIMENTAL | Variations between arms dependent on timing, fasting, dose and receiving the tablet or capsule at different treatment period combinations |
| BMS-986165 and Oral Contraceptive | EXPERIMENTAL | Oral administration of contraceptive, then progress to combination |
| BMS 986165 and Rosuvastatin | EXPERIMENTAL | - |
| Single dose of radiolabeled BMS-986165 | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| Deucravacitinib | DRUG | Specified dose on specified days |
| Placebo | OTHER | Specified dose on specified days |
| Ustekinumab | DRUG | Specified dose on specified days |
| Apremilast | DRUG | Specified dose on specified days |
| Placebo matching deucravacitinib | OTHER | Specified dose on specified days |
| BMS-986165 | DRUG | Specified dose on Specified Days |
| Placebo Comparator | OTHER | Specified Dose on Specified Days |
| BMS-986165 Placebo | OTHER | Participants will receive BMS-986165 matching placebo QD |
| BMS-986165 Dose A | DRUG | Participants will receive BMS-986165 Dose A QD. |
| BMS-986165 Dose B | DRUG | Participants will receive BMS-986165 dose B QD. |
| Ustekinumab Placebo | OTHER | Participants will receive ustekinumab SQ matching placebo QD |
| Placebo for BMS-986165 | DRUG | - |
| Moxifloxacin | DRUG | Specified dose on specified days |
| Cyclosporine | DRUG | Specified dose on specified days |
| Methotrexate | DRUG | Specified dose on specified days |
| Leucovorin | DRUG | Specified dose on specified days |
| BMS-986165 Capsule | DRUG | Oral capsule |
| BMS-986165 Tablet | DRUG | Oral tablet |
| Loestrin 1.5/30 (1.5 mg norethindrone acetate/30 μg ethinyl estradiol) | DRUG | Oral Contraceptive |
| Rosuvastatin | DRUG | Rosuvastatin 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. |
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...
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.
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.
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.
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.
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.
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.
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.