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ORKA-002

Phase 2

Hidradenitis Suppurativa (HS) | Small molecule | Dermatology |Oruka Therapeutics, Inc.|Trials Updated: Sep 24, 2026

ORKA-002 development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since Apr 2025

ORKA-002 target and mechanism

Molecular targetIL-17A/F
Target classAntibody
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials2
Total Enrollment360

FDA Designations

No designations recorded

ORKA-002 clinical trials

ORKA-002 · 2 trials · 2 indications

Phase 2 2
NCT07783542ORKA-002 Versus Placebo in Participants With Moderate-to-Severe Hidradenitis SuppurativaHidradenitis Suppurativa (HS)
RECRUITING200 Analytics
NCT07474792Dose Ranging Study of ORKA-002 in Patients With Moderate-to-Severe Plaque PsoriasisPlaque Psoriasis
RECRUITING160 Analytics
PHASE2RECRUITING
ORKA-002 Versus Placebo in Participants With Moderate-to-Severe Hidradenitis Suppurativa
Hidradenitis Suppurativa (HS)Unlock trial analytics
PHASE2RECRUITING
Dose Ranging Study of ORKA-002 in Patients With Moderate-to-Severe Plaque Psoriasis
Plaque PsoriasisUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of participants achieving HiSCR75 at Week 16
Week 16

At least a 75% reduction from Baseline in the total abscess and inflammatory nodule count, with no increase from Baseline in abscess or draining tunnel count.

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).

Incidence of Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse events (TEAEs) and TEAEs of of Special Interest (TEAESIs)
Day 1 through Week 48

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

Secondary Endpoints

Proportion of participants achieving HiSCR50 at Week 16
Week 16
Change from Baseline in the weekly mean of the Hidradenitis Suppurativa Symptom Daily Diary (HSSDD) worst skin pain score at Week 16
Week 16
Proportion of participants with a ≥ 3-point decrease from Baseline in the weekly mean of the HSSDD worst skin pain score at Week 16 among those with a Baseline score ≥ 3
Week 16
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Induction Period - Arm 1 (ORKA-002)EXPERIMENTALParticipants will receive ORKA-002 per protocol Induction regimen.
Induction Period - Arm 2 (Placebo)EXPERIMENTALParticipants will receive Placebo per protocol Induction regimen.
(Induction Period - Arm 1) ORKA-002EXPERIMENTALParticipants will receive ORKA-002 per protocol Induction regimen.
(Induction Period - Arm 2) ORKA-002EXPERIMENTALParticipants will receive ORKA-002 per protocol Induction regimen.
(Induction Period - Arm 3) ORKA-002EXPERIMENTALParticipants will receive ORKA-002 per protocol Induction regimen.
(Induction Period - Arm 4) PlaceboPLACEBO_COMPARATORParticipants will receive Placebo per protocol Induction regimen.

Interventions

NameTypeDescription
ORKA-002DRUGORKA-002 administered by subcutaneous (SC) injection
PlaceboOTHERPlacebo administered by subcutaneous (SC) injection
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Eligibility Criteria

Age Range18 Years to 79 Years
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: 1. Has signs and symptoms of HS for at least 6 months; 2. Has HS lesions present in ≥ 2 distinct anatomic areas, one of which must be at least Hurley Stage II or III; 3. Has a history of inadequate response to systemic antibiotic treatment for HS, exhibited recurrence of HS symp...

Countries:United StatesCanada
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Recent Changes (Last 90 Days)

LOWSep 24, 2026NCT07783542startDate: changed
LOWSep 24, 2026NCT07783542startDate: changed
LOWAug 31, 2026NCT07783542Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 31, 2026NCT07783542Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 24, 2026NCT07783542NEW_TRIAL: changed
LOWAug 24, 2026NCT07783542NEW_TRIAL: changed
LOWAug 11, 2026NCT07474792lastUpdatePostDate: changed
LOWAug 11, 2026NCT07474792lastUpdatePostDate: changed
LOWAug 11, 2026NCT07474792lastUpdatePostDate: changed

Frequently asked questions about ORKA-002

What is ORKA-002?

ORKA-002 is an investigational small molecule drug developed by Oruka Therapeutics, Inc. (ticker ORKA). It is being studied in hidradenitis suppurativa, plaque psoriasis, and healthy volunteers. ORKA-002 is designed to target IL-17A/F and is currently in clinical development, with Phase 1 and Phase 2 trials ongoing or completed.

What is ORKA-002 used for?

ORKA-002 is being developed for the treatment of hidradenitis suppurativa (HS) and moderate-to-severe plaque psoriasis. It is also being evaluated in healthy volunteers in an early-stage study. The hidradenitis suppurativa and plaque psoriasis programs are in Phase 2, while the healthy volunteer study is a completed Phase 1 trial.

What does ORKA-002 target?

ORKA-002 targets IL-17A/F. By binding to the IL-17A and IL-17F cytokines, it is designed to inhibit inflammatory signaling associated with hidradenitis suppurativa and plaque psoriasis. The target class is an antibody, though ORKA-002 itself is a small molecule.

Who makes ORKA-002?

ORKA-002 is being developed by Oruka Therapeutics, Inc., which trades under the ticker ORKA. The company is the sponsor of the clinical trials evaluating ORKA-002 in hidradenitis suppurativa, plaque psoriasis, and healthy volunteers.

What phase is ORKA-002 in?

ORKA-002 is in Phase 1 and Phase 2 clinical development. A Phase 1 study in healthy volunteers has been completed, and two Phase 2 trials are currently recruiting: one in hidradenitis suppurativa and one in plaque psoriasis. It is investigational and has not been approved by the FDA.

What clinical trials is ORKA-002 in?

ORKA-002 is being evaluated in three registered clinical trials. The Phase 1 healthy volunteer study is NCT06944379 and is completed. The Phase 2 hidradenitis suppurativa trial is NCT07783542, and the Phase 2 plaque psoriasis dose-ranging trial is NCT07474792. Both Phase 2 studies are currently recruiting participants.