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ORKA-001 Induction Dose

Phase 2

Plaque Psoriasis | Small molecule | Immunology |Oruka Therapeutics, Inc.|Last Updated: Jun 2, 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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment480
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07449702An Open-Label Extension Study of ORKA-001 in Participants With Plaque PsoriasisPHASE2 RECRUITING 240Feb 23, 2026Jul 1, 2030Jun 2, 202622 United States, Canada
NCT07290569Dose Ranging Study of ORKA-001 in Patients With Moderate-to-Severe Plaque PsoriasisPHASE2 RECRUITING 160Dec 3, 2025Dec 1, 2028Jun 2, 202636 United States, Canada +2
NCT07090330ORKA-001 Versus Placebo in Patients With Moderate-to-Severe Plaque PsoriasisPHASE2 ACTIVE NOT_RECRUITING 80Jul 18, 2025May 1, 2027Mar 17, 202626 United States, Canada
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Study Endpoints
Primary Endpoints
Incidence of Treatment-emergent Adverse Events (TEAEs), Treatment-emergent Serious Adverse Events (TESAEs), and TEAEs of Special Interest (TEAESIs)
Day 1 through Week 144

Incidence of treatment adverse events, treatment-emergent serious adverse events, treatment adverse events of special interest, and potential clinically significant changes from baseline in vital signs, clinical laboratory parameters and electrocardiograms.

Proportion of Participants Achieving 100% Reduction in PASI Score at Week 16
Week 16

The Psoriasis Area and Severity Index Score (PASI) is an evaluation tool that combines the assessment of the severity and the area affected by psoriasis into a single score ranging from 0 (no disease) to 72 (maximum disease).

Secondary Endpoints
Proportion of Participants Maintaining PASI100 in the Subset of Participants Meeting the Criterion at Baseline of OLE
Day 1 through Week 96
Proportion of Participants Maintaining PASI90 in the Subset of Participants Meeting the Criterion at Baseline of OLE
Day 1 through Week 96
Proportion of Participants Maintaining Investigator's Global Assessment (IGA) 0 in the Subset of Participants Meeting the Criterion at Baseline of OLE
Day 1 through Week 96
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ORKA-001 Once Yearly (High Dose)EXPERIMENTALParticipants will receive ORKA-001 once a year per OLE protocol.
ORKA-001 Once Yearly (Low Dose)EXPERIMENTALParticipants will receive ORKA-001 once a year per OLE protocol.
ORKA-001 Twice YearlyEXPERIMENTALParticipants will receive ORKA-001 every 6 months per OLE protocol.
No DrugNO_INTERVENTIONParticipants will receive no drug until protocol defined PASI response criterion is met.
(Induction Period - Arm 1) ORKA-001EXPERIMENTALParticipants will receive 37.5 mg ORKA-001 per protocol Induction regimen.
(Induction Period - Arm 2) ORKA-001EXPERIMENTALParticipants will receive 300 mg ORKA-001 per protocol Induction regimen.
(Induction Period - Arm 3) ORKA-001EXPERIMENTALParticipants will receive 600 mg ORKA-001 per protocol Induction regimen.
(Induction Period - Arm 4) PlaceboPLACEBO_COMPARATORParticipants will receive Placebo per protocol Induction regimen.
(Maintenance Period - Arm 1) ORKA-001EXPERIMENTALParticipants will receive 300 mg ORKA-001 per protocol Maintenance regimen, based on protocol defined response.
(Maintenance Period - Arm 2) ORKA-001EXPERIMENTALParticipants will receive 600 mg ORKA-001 per protocol Maintenance regimen, based on protocol defined response.
(Maintenance Period - Arm 3) PlaceboPLACEBO_COMPARATORParticipants will receive Placebo per protocol Maintenance regimen, based on protocol defined response.
(Induction Period) ORKA-001EXPERIMENTALParticipants will receive ORKA-001 per protocol Induction regimen.
(Induction Period) PlaceboPLACEBO_COMPARATORParticipants will receive Placebo per protocol Induction regimen.
Interventions
NameTypeDescription
ORKA-001DRUGORKA-001 administered by subcutaneous (SC) injection
PlaceboOTHERPlacebo administered by subcutaneous (SC) injection
ORKA-001 Induction DoseDRUGORKA-001 Induction Dose, administered by subcutaneous (SC) injection
ORKA-001 Maintenance DoseDRUGORKA-001 Maintenance Dose, administered by subcutaneous (SC) injection
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites22

Inclusion Criteria: 1. Signed informed consent by participants from previous trial choosing to transition into the OLE. 2. Participants who have successfully completed the preceding trial. 3. For women of childbearing potential, must have a negative urine pregnancy test at Baseline visit. 4. For wo...

Countries:United StatesCanadaGermanySpain
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Recent Changes (Last 90 Days)
LOWJun 2, 2026NCT07290569lastUpdatePostDate: changed
LOWJun 2, 2026NCT07449702lastUpdatePostDate: changed
LOWJun 2, 2026NCT07290569lastUpdatePostDate: changed
LOWJun 2, 2026NCT07449702lastUpdatePostDate: changed
LOWJun 2, 2026NCT07290569lastUpdatePostDate: changed
LOWJun 2, 2026NCT07449702lastUpdatePostDate: changed
LOWMay 26, 2026NCT07290569primaryCompletionDate: changed
MEDIUMMay 26, 2026NCT07449702Enrollment: 80 → 240
LOWMay 26, 2026NCT07090330primaryCompletionDate: changed
LOWMay 24, 2026NCT07290569studyFirstPostDate: changed
LOWMay 24, 2026NCT07449702studyFirstPostDate: changed
LOWMay 24, 2026NCT07090330studyFirstPostDate: changed