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Brepocitinib

Phase 3FDA approved

Uveitis, Posterior | Small molecule | Ophthalmology |Roivant Sciences Ltd.|Trials Updated: Oct 21, 2026

Brepocitinib development status

FDA approval on record Aug 27, 2026
Highest phase Phase 3
Registered trials 3 across 1 sponsor since Jun 2022

Brepocitinib target and mechanism

Molecular targetTYK2, JAK1
Target classInhibitor
ModalitySmall molecule

Also known as Brepocitinib PO QD, Oral Brepocitinib

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials6
Total Enrollment1,153

FDA Designations

No designations recorded

Brepocitinib clinical trials

Brepocitinib · 6 trials · 10 indications

Phase 3 2Phase 2 4
NCT06431373A Study of Brepocitinib in Adults With Active, Non-Infectious, Non-Anterior UveitisUveitis, Posterior
ACTIVE NOT_RECRUITING371 Analytics
NCT05437263A Study to Investigate the Efficacy and Safety of Brepocitinib in Adults With DermatomyositisDermatomyositis
COMPLETED241 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study of Brepocitinib in Adults With Active, Non-Infectious, Non-Anterior Uveitis
Uveitis, PosteriorUnlock trial analytics
PHASE3COMPLETED
A Study to Investigate the Efficacy and Safety of Brepocitinib in Adults With Dermatomyositis
DermatomyositisUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to treatment failure on or after Period 1 Week 6 up to Period 1 Week 48
48 weeks
Total Improvement Score (TIS) at Week 52
52 weeks

TIS is a composite endpoint based on improvement in the 6 Disease Activity Core Set Measure (CSM) scores and ranges from 0 to 100 (2016 American College of Rheumatology \[ACR\] Myositis Response Criteria/European League Against Rheumatism \[EULAR\]) where a higher score indicates more improvement

Proportion of participants achieving IGA score 0/1 and ≥ 2-step reduction from baseline at Week 24
Week 24
Part 1: Number of participants with Treatment Emergent Adverse Events and Serious Adverse Events as assessed by CTCAE v5.0
Week 16
Part 2: Proportion of participants achieving a reduction in Cutaneous Sarcoidosis Activity and Morphology Instrument Activity (CSAMI-A) from baseline to Week 16.
16 Weeks
The primary endpoint is the change in CDASI-A score from baseline through Week 12
12 weeks
Incidence of Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Screening up to 28 days after the last dose of study drug at 52 weeks

Safety assessments will consist of monitoring and recording all adverse events (AEs) and SAEs, laboratory evaluation for hematology, blood chemistry, and urinalysis; vital signs; electrocardiograms (ECGs); and physical examinations. The investigator will determine whether the change is clinically meaningful.

Secondary Endpoints

Proportion of participants meeting treatment failure criteria on or after Period 1 Week 6 up to Period 1 Week 24
24 weeks
Change in logMAR BCVA in each eye from best state achieved at or prior to Period 1 Week 6 up to Period 1 Week 24
24 weeks
Change in central subfield thickness from best state achieved in each eye at or prior to Period 1 Week 6 up to Period 1 Week 24
24 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1EXPERIMENTAL -
Arm 2PLACEBO_COMPARATOR -
Brepocitinib Dose Level 1 PO QDEXPERIMENTAL -
Brepocitinib Dose Level 2 PO QDEXPERIMENTAL -
Placebo PO QDPLACEBO_COMPARATOR -
Brepocitinib Dose Level 1EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Part 1: Brepocitinib Dose Level 1EXPERIMENTALOral Brepocitinib
Part 1: Brepocitinib Dose Level 2EXPERIMENTALOral Brepocitinib
Part 1: PlaceboPLACEBO_COMPARATOR -
Part 2: Brepocitinib Dose Level 1EXPERIMENTALOral Brepocitinib
Part 2: PlaceboPLACEBO_COMPARATOR -
BrepocitinibEXPERIMENTAL -
Brepocitinib Dose Level 1 by mouth (PO) once daily (QD)EXPERIMENTAL -
Brepocitinib Dose Level 2 by mouth (PO) once daily (QD)EXPERIMENTAL -

Interventions

NameTypeDescription
Brepocitinib PO QDDRUGBrepocitinib PO QD
Placebo PO QDDRUGPlacebo PO QD
BrepocitinibDRUGOral Brepocitinib
PlaceboDRUGOral Placebo
Oral BrepocitinibDRUGOral
Oral PlaceboDRUGPlacebo
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites107

Inclusion Criteria: * Adult subjects (18-75 years old) * Diagnosis of non-infectious uveitis (intermediate uveitis, posterior uveitis, or panuveitis) * Active uveitic disease in at least 1 eye * Weight \> 40 kg with a body mass index ≤ 40 kg/m2 Exclusion Criteria: Has confirmed or suspected curre...

Countries:United StatesArgentinaAustraliaAustriaBelgiumCzechiaGermanyGreeceHungaryIsraelItalySpainUnited KingdomBulgariaCanadaChileMexicoNetherlandsPolandPortugalRomaniaSerbiaSouth KoreaTaiwanTurkey (Türkiye)
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Recent Changes (Last 90 Days)

LOWOct 21, 2026NCT06978725lastUpdatePostDate: changed
LOWOct 21, 2026NCT06978725lastUpdatePostDate: changed
LOWOct 21, 2026NCT06978725lastUpdatePostDate: changed
MEDIUMOct 16, 2026NCT05437263TRIAL_REMOVED: changed
MEDIUMOct 16, 2026NCT05437263TRIAL_REMOVED: changed
MEDIUMOct 16, 2026NCT05437263TRIAL_REMOVED: changed
MEDIUMOct 16, 2026NCT05437263TRIAL_REMOVED: changed
HIGHSep 16, 2026NCT05437263Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 16, 2026NCT05437263Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 16, 2026NCT05437263Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 16, 2026NCT05437263Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWAug 27, 2026NCT06978725lastUpdatePostDate: changed
LOWAug 27, 2026NCT06978725lastUpdatePostDate: changed
MEDIUMAug 21, 2026NCT06978725Enrollment: 28 → 168
MEDIUMAug 21, 2026NCT06978725Enrollment: 28 → 168

Frequently asked questions about Brepocitinib

What is Brepocitinib?

Brepocitinib is an oral small molecule drug developed by Roivant Sciences Ltd. (ticker ROIV) for immunology indications. It is being studied in cutaneous sarcoidosis, dermatomyositis, lichen planopilaris, and non-infectious intermediate and posterior uveitis. Brepocitinib is investigational and remains in clinical development.

What does Brepocitinib target?

Brepocitinib targets TYK2 and JAK1, two kinases involved in inflammatory signaling. It is classified as an inhibitor of these targets. By inhibiting TYK2 and JAK1, brepocitinib is designed to reduce immune pathway activity relevant to immune-mediated skin and eye conditions.

Who makes Brepocitinib?

Brepocitinib is developed by Roivant Sciences Ltd., which trades under the ticker ROIV. Roivant is the sponsor of the clinical program studying brepocitinib across several immunology indications, including lichen planopilaris, cutaneous sarcoidosis, dermatomyositis, and uveitis.

What phase is Brepocitinib in?

Brepocitinib is in Phase 2 and Phase 3 clinical development. A Phase 2/3 study in lichen planopilaris and a Phase 2 study in cutaneous sarcoidosis are recruiting, and a Phase 3 study in non-infectious, non-anterior uveitis is active but not recruiting. Brepocitinib is investigational and has received a Breakthrough Therapy designation.

What clinical trials is Brepocitinib in?

Brepocitinib is being studied in NCT07532603, a Phase 2/3 trial in adults with lichen planopilaris, and NCT06978725, a Phase 2 trial in adults with cutaneous sarcoidosis, both recruiting. NCT06431373 is a Phase 3 trial in active, non-infectious, non-anterior uveitis that is active but not recruiting. NCT06433999, a completed Phase 2 dermatomyositis study, has also been conducted.

Is Brepocitinib the same as oral Brepocitinib?

Yes. Brepocitinib, Brepocitinib PO QD, and Oral Brepocitinib refer to the same investigational drug. The alternative names describe the once-daily oral formulation of brepocitinib being developed by Roivant Sciences Ltd. for immunology indications including lichen planopilaris, cutaneous sarcoidosis, dermatomyositis, and uveitis.