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TAK-279

Phase 3

Generalized Pustular Psoriasis | Small molecule | Dermatology |Takeda Pharmaceutical Company Limited|Last Updated: Aug 27, 2026

Target and mechanism

Molecular targetTYK2
Target classTyrosine Kinase
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment18

FDA Designations

No designations recorded

Clinical trial landscape

TAK-279 · 12 trials · 8 indications

Phase 3 4Phase 2 2Phase 1 6
NCT06550076A Study of TAK-279 in Participants With Moderate-to-Severe Plaque PsoriasisPlaque Psoriasis
ACTIVE NOT_RECRUITING2,099 Analytics
NCT06323356A Study of TAK-279 in Adult Participants With Generalized Pustular Psoriasis or Erythrodermic PsoriasisGeneralized Pustular Psoriasis
COMPLETED18 Analytics
NCT06088043A Study About How Well TAK-279 Works and Its Safety in Participants With Moderate-to-severe Plaque Psoriasis During 52 Weeks of TreatmentPlaque Psoriasis
COMPLETED693 Analytics
NCT06108544A Study About How Well TAK-279 Works and Its Safety in Participants With Moderate-to-severe Plaque Psoriasis During 60 Weeks of Treatment With a Withdrawal and Retreatment PeriodPlaque Psoriasis
COMPLETED1,108 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study of TAK-279 in Participants With Moderate-to-Severe Plaque Psoriasis
Plaque PsoriasisUnlock trial analytics
PHASE3COMPLETED
A Study of TAK-279 in Adult Participants With Generalized Pustular Psoriasis or Erythrodermic Psoriasis
Generalized Pustular PsoriasisUnlock trial analytics
PHASE3COMPLETED
A Study About How Well TAK-279 Works and Its Safety in Participants With Moderate-to-severe Plaque Psoriasis During 52 Weeks of Treatment
Plaque PsoriasisUnlock trial analytics
PHASE3COMPLETED
A Study About How Well TAK-279 Works and Its Safety in Participants With Moderate-to-severe Plaque Psoriasis During 60 Weeks of Treatment With a Withdrawal and Retreatment Period
Plaque PsoriasisUnlock trial analytics

Study Endpoints

Primary Endpoints

Part A and Part B: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAE)
From start of the drug administration up to Week 56 (Part A) and Week 160 (Part B)

A TEAE is defined as an adverse event with an onset that occurs after receiving study drug. An SAE is any untoward medical occurrence that at any dose: results in death, life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent, significant disability/incapacity, a congenital abnormality/birth defect, an important medical event in the opinion of the healthcare provider, may jeopardize the participant or may require intervention to prevent one of the other outcomes listed in the definition above. TEAEs consist of both serious and non-serious adverse events.

Percentage of Participants Achieving a Static Physician's Global Assessment (sPGA) of Clear (0) or Almost Clear (1) With a ≥2-Point Decrease from Baseline at Week 16
Baseline, Week 16

The sPGA is a 5-point scale of an average assessment of all psoriatic lesions based on erythema, scaling, and induration. The average of the 3 scales, rounded to the nearest whole number, is the final sPGA score. The sPGA score ranges from 0 to 4 (0 = Clear; 1 = Almost clear; 2 = Mild; 3 = Moderate; 4 = Severe). Higher scores indicate more severe disease activity. 'Clear' and 'Almost clear' will include all participants who score a 0 or 1.

Percentage of Participants Achieving ≥75% Improvement from Baseline in Psoriasis Area and Severity Index (PASI) Score at Week 16
Baseline, 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. Percentage of participants showing at least 75% improvement in PASI score relative to baseline PASI score will be reported.

Percentage of Participants Achieving a Static Physician's Global Assessment (sPGA) of Clear (0) or Almost Clear (1) with a >=2-Point Decrease from Baseline at Week 16 Comparing TAK-279 Against Placebo
Baseline, Week 16

The sPGA is a 5-point scale of an average assessment of all psoriatic lesions based on erythema, scaling, and induration. The average of the 3 scales, rounded to the nearest whole number, is the final sPGA score. The sPGA score ranges from 0 to 4 (0 = Clear; 1 = Almost clear; 2 = Mild; 3 = Moderate; 4 = Severe). Higher scores indicate more severe disease activity. 'Clear' and 'Almost clear' will include all participants who score a 0 or 1.

Percentage of Participants Achieving >=75% Improvement from Baseline in Psoriasis Area and Severity Index (PASI) Score (PASI-75 Response) at Week 16 Comparing TAK-279 Against Placebo
Baseline, 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. Percentage of participants showing at least 75% improvement in PASI score relative to baseline PASI score will be reported.

Percentage of Participants Achieving a Static Physician's Global Assessment (sPGA) of Clear (0) or Almost Clear (1) With a ≥2-Point Decrease from Baseline at Week 16 Comparing TAK-279 Against Placebo
Baseline, Week 16

The sPGA is a 5-point scale of an average assessment of all psoriatic lesions based on erythema, scaling, and induration. The average of the 3 scales, rounded to the nearest whole number, is the final sPGA score. The sPGA score ranges from 0 to 4 (0 = Clear; 1 = Almost clear; 2 = Mild; 3 = Moderate; 4 = Severe). Higher scores indicate more severe disease activity. 'Clear' and 'Almost clear' will include all participants who score a 0 or 1.

Percentage of Participants Achieving ≥75% Improvement from Baseline in Psoriasis Area and Severity Index (PASI) Score at Week 16 Comparing TAK-279 Against Placebo
Baseline, 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. Percentage of participants showing at least 75% improvement in PASI score relative to baseline PASI score will be reported.

Percentage of Participants Achieving Clinical Remission at Week 12 Based on Modified Mayo Score (mMS)
Week 12

The mMS is a composite score of 3 assessments consisting of stool frequency (SF), rectal bleeding (RB), and endoscopic score (ES). Each component subscore ranges from 0 to 3 and total score range of the mMS is from 0 to 9, with higher scores indicating more severe disease. Clinical remission is defined an mMS of ≤2 with SF subscore ≤ 1, RB subscore = 0, and ES ≤ 1 (score of 1 modified to exclude friability).

Percentage of Participants With Endoscopic Response Based on Simple Endoscopic Score for Crohn's Disease (SES-CD) at Week 12
Week 12

Endoscopic response is defined by decrease in SES-CD \>50% from baseline (or for participants with isolated ileal disease, SES-CD \<=4 or at least a 2-point reduction from baseline). SES-CD evaluates 4 endoscopic variables (the intestinal surface affected by ulcers, the intestinal surface affected by other inflammatory lesions, the presence of ulcers, and the presence of narrowing).

Area Under the Concentration Time Curve From Time 0 to the Time t (AUC0-t) of TAK-279
Day 1: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post-dose

AUC0-t of TAK-279 in plasma will be assessed.

Area Under the Concentration-time Curve From Time 0 To Infinity (AUC0-inf) of TAK-279
Day 1: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post-dose

AUC0-inf of TAK-279 in plasma will be assessed.

Maximum Observed Plasma Concentration (Cmax) of TAK-279
Day 1: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post-dose

Cmax of TAK-279 in plasma will be assessed.

Area Under the Concentration-Time Curve During a Dosing Interval (AUCtau) of TAK-279
Day 19: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post-dose

AUCtau of TAK-279 in plasma will be assessed.

Maximum Observed Plasma Concentration at Steady State (Cmax,ss) of TAK-279
Day 19: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post-dose

Cmax,ss of TAK-279 in plasma will be assessed.

Placebo-corrected Change From Baseline in QTc Interval (ΔΔQTc) for TAK-279
Baseline, Days 1, 7, and 8

Placebo-corrected QTc interval will be measured by continuous ECG recordings.

Cmax: Maximum Observed Plasma Concentration for Midazolam and Repaglinide When Administered Alone and With TAK-279
Period 1-Midazolam Alone: Day 1 predose up to 24 hours (h) postdose; Repaglinide Alone: Day 2 predose up to 16 h postdose; Period 2-Midazolam, With TAK-279: Day 14 predose up to 24 h postdose; Repaglinide with TAK-279:Day 15 predose up to 16 h postdose
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Midazolam and Repaglinide When Administered Alone and With TAK-279
Period 1-Midazolam Alone: Day 1 predose up to 24 hours (h) postdose; Repaglinide Alone: Day 2 predose up to 16 h postdose; Period 2-Midazolam, With TAK-279: Day 14 predose up to 24 h postdose; Repaglinide with TAK-279:Day 15 predose up to 16 h postdose
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Midazolam and Repaglinide When Administered Alone and With TAK-279
Period 1-Midazolam Alone: Day 1 predose up to 24 hours (h) postdose; Repaglinide Alone: Day 2 predose up to 16 h postdose; Period 2-Midazolam, With TAK-279: Day 14 predose up to 24 h postdose; Repaglinide with TAK-279:Day 15 predose up to 16 h postdose
Cmax: Maximum Observed Plasma Concentration for TAK-279
Predose to Day 10
AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-279
Predose to Day 10
AUC∞: Area Under the Plasma Concentration-time Curve from Time 0 to Infinity for TAK-279
Predose to Day 10
Parts 1, 2, and 3: Cmax: Maximum Observed Plasma Concentration for TAK-279
Predose and at multiple timepoints post dose from Day 1 period 1 (length= 6 days) to period 2 Day 11 in Part 1 (length= 11 days), up to period 2 Day 19 in Part 2 (length= 19 days) and up to period 2 Day 16 in Part 3 (length= 16 days)
Parts 1, 2, and 3: AUC∞: Area Under the Plasma Concentration-time Curve from Time 0 to Infinity for TAK-279
Predose and at multiple timepoints post dose from Day 1 period 1 (length= 6 days) to period 2 Day 11 in Part 1 (length= 11 days), up to period 2 Day 19 in Part 2 (length= 19 days) and up to period 2 Day 16 in Part 3 (length= 16 days)
Parts 1, 2, and 3: AUClast: Area Under the Plasma Concentration-Time Curve from Time 0 to the Time of the Last Quantifiable Concentration for TAK-279
Predose and at multiple timepoints post dose from Day 1 period 1 (length= 6 days) to period 2 Day 11 in Part 1 (length= 11 days), up to period 2 Day 19 in Part 2 (length= 19 days) and up to period 2 Day 16 in Part 3 (length= 16 days)

Secondary Endpoints

Part A and B: Number of Participants Achieving 75% Improvement from Baseline in Psoriasis Area and Severity Index (PASI-75) Score
Baseline up to Week 52 (Part A) and Week 156 (Part B)
Part A and B: Number of Participants Achieving a Static Physician's Global Assessment (sPGA) of Clear (0) or Almost Clear (1) With a >=2-point Decrease from Baseline
Baseline up to Week 52 (Part A) and Week 156 (Part B)
Percentage of Participants Achieving an sPGA of Clear (0) or Almost Clear (1) With a ≥2-Point Decrease from Baseline at Week 52
Baseline, Week 52
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A (De Novo Cohort) + Part B (Open Label Extension): TAK-279EXPERIMENTALPart A: Participants will receive TAK-279, oral tablet once daily (QD) for up to 52 weeks. Part B: Participants who completed the treatment period of parent studies (TAK-279-3001 \[NCT06088043\], TAK-279-3002 \[NCT06108544\], or TAK-279-PsO-3004 \[NCT06973291\]) or who completed Part A will receive TAK-279, oral tablet QD for up to 156 weeks.
TAK-279 for Generalized Pustular PsoriasisEXPERIMENTALParticipants with generalized pustular psoriasis will receive TAK-279 from Day 1 up to Week 52.
TAK-279 for Erythrodermic PsoriasisEXPERIMENTALParticipants with erythrodermic psoriasis will receive TAK-279 from Day 1 up to Week 52.
TAK-279EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
ApremilastACTIVE_COMPARATOR -
TAK-279 Dose 1EXPERIMENTALTAK-279, capsules, orally at Dose 1 up to Week 12 followed by either Dose 1 or Dose 2 up to week 52 based on the response.
TAK-279 Dose 2EXPERIMENTALTAK-279, capsules, orally at Dose 2 up to Week 12 followed by either Dose 1 or Dose 2 up to week 52 based on the response.
TAK-279 Dose 3EXPERIMENTALParticipants will be randomized to receive TAK-279 Dose 3 capsules orally.
Cohort 1: TAK-279 30 mgEXPERIMENTALParticipants will receive a single dose of TAK-279 30 milligram (mg) oral tablet on Day 1 followed by Day 6 to Day 19 once daily under fasted condition.
Cohort 2: TAK-279 60 mgEXPERIMENTALParticipants will receive a dose of TAK-279 60 mg (2\*30mg) oral tablets on Day 1 followed by Day 6 to Day 19 once daily under fasted condition.
Cohort 1 and 2: Placebo 30 mg or 60 mgPLACEBO_COMPARATORParticipants will receive TAK-279 30 mg or 60 mg (2\*30mg) matching placebo oral tablets on Day 1 followed by Day 6 to Day 19 once daily under fasted condition.
Cohort 1, Therapeutic Dose Cohort: TAK-279 + TAK-279 Placebo + Moxifloxacin PlaceboEXPERIMENTALParticipants will receive TAK-279 Dose 1 and matching placebo, capsules, once daily (QD) on Days 1 to 7 with moxifloxacin matching placebo, capsule, once on Days 1 and 8.
Cohort 2, Supratherapeutic Dose Cohort: TAK-279 + Moxifloxacin PlaceboEXPERIMENTALParticipants will receive TAK-279 Dose 2, capsules, QD on Days 1 to 7 with moxifloxacin matching placebo, capsule once on Days 1 and 8.
Cohort 3A, Control Cohort: Moxifloxacin + TAK-279 Placebo + Moxifloxacin PlaceboEXPERIMENTALParticipants will receive moxifloxacin Dose 3, over-encapsulated tablet on Day 1 with TAK-279 matching placebo, QD on Days 1 to 7 and moxifloxacin placebo, capsule, once on Day 8.
Cohort 3B, Control Cohort: TAK-279 Placebo + Moxifloxacin Placebo + MoxifloxacinEXPERIMENTALParticipants will receive moxifloxacin matching placebo, capsule on Day 1 with TAK-279 matching placebo, QD on Days 1 to 7 and moxifloxacin Dose 3, over-encapsulated tablet, once on Day 8.
Treatment A: Midazolam 2 mgEXPERIMENTALMidazolam 2 mg (1 milliliter \[mL\] of 2 milligram per milliliter \[mg/mL\]), syrup, orally, on Day 1 of Period 1.
Treatment B: Repaglinide 0.5 mgEXPERIMENTALRepaglinide 0.5 mg (1\*0.5 mg), tablets, orally, on Day 2 of Period 1.
Treatment C + Treatment A: TAK-279 Dose 1 + Midazolam 2 mgEXPERIMENTALTAK-279 Dose 1, capsules, orally, on Days 1 through 15 of Period 2 followed by Midazolam 2 mg (1 mL of 2 mg/mL), syrup, orally, on Day 14 of Period 2.
Treatment C + Treatment B: TAK-279 Dose 1 + Repaglinide 0.5 mgEXPERIMENTALTAK-279 Dose 1, capsules, orally, on Days 1 through 15 of Period 2 followed by Repaglinide 0.5 mg (1\*0.5 mg), tablets, orally, on Day 15 of Period 2.
Cohort 1, Severe RI: TAK-279 50 mgEXPERIMENTALParticipants with severe RI will receive a single oral dose of TAK-279 50 mg, on Day 1 in Part A of the study.
Cohort 2, Normal Renal Function: TAK-279 50 mgEXPERIMENTALParticipants with normal renal function will receive a single oral dose of TAK-279 50 mg, on Day 1 in Part A of the study.
Cohort 3, Moderate RI: TAK-279 50 mgEXPERIMENTALParticipants with moderate RI will receive a single oral dose of TAK-279 50 mg, on Day 1 in Part B of the study.
Cohort 1, Moderate HI: TAK-279 50 mgEXPERIMENTALParticipants with moderate HI will receive a single oral dose of TAK-279 50 mg, on Day 1 in Part A of the study.
Cohort 2, Normal Hepatic Function: TAK-279 50 mgEXPERIMENTALParticipants with normal hepatic function will receive a single oral dose of TAK-279 50 mg, on Day 1 in Part A of the study. Based on an evaluation of the results from Part A, additional participants with normal hepatic function may be enrolled in Part B of the study.
Cohort 3, Mild/Severe HI: TAK-279 50 mgEXPERIMENTALParticipants with mild/severe HI will receive a single oral dose of TAK-279 50 mg, on Day 1 in Part B of the study based on an evaluation of the results from Part A.
Part 1, Treatment A + Treatment B: TAK-279 50 mg + Erythromycin 500 mgEXPERIMENTALParticipants will receive single oral dose of TAK-279 50 mg, on Day 1 of Period 1. Following Period 1 participants will receive single oral dose of TAK-279 50 mg, on Day 5 and erythromycin 500 mg orally thrice daily (TID) on Day 1 through Day 10 of Period 2 in Part 1 of the study.
Part 2, Treatment C + Treatment D: TAK-279 50 mg + Phenytoin 100 mgEXPERIMENTALParticipants will receive single oral dose of TAK-279 50 mg, on Day 1 of Period 1. Following Period 1 participants will receive single oral dose of TAK-279 50 mg on Day 14 and phenytoin 100 mg orally TID on Day 1 through Day 18 of Period 2 in Part 2 of the study.
Part 3, Treatment E + Treatment F: TAK-279 50 mg + Efavirenz 600 mgEXPERIMENTALParticipants will receive single oral dose of TAK-279 50 mg, on Day 1 of Period 1. Following Period 1 participants will receive single oral dose of TAK-279 50 mg on Day 11 and efavirenz 600 mg orally once daily (QD) on Day 1 through Day 15 of Period 2 in Part 3 of the study.

Interventions

NameTypeDescription
TAK-279DRUGTAK-279 oral tablet
PlaceboDRUGSpecified drug on specified days.
ApremilastDRUGSpecified drug on specified days.
TAK-279 PlaceboDRUGTAK-279 matching placebo capsule.
MoxifloxacinDRUGMoxifloxacin over-encapsulated tablet.
Moxifloxacin PlaceboDRUGMoxifloxacin matching placebo capsule.
MidazolamDRUGMidazolam syrup.
RepaglinideDRUGRepaglinide tablets.
ErythromycinDRUGErythromycin tablets
PhenytoinDRUGPhenytoin capsules
EfavirenzDRUGEfavirenz tablets
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites278

Main Inclusion Criteria: Part A: * Participant is willing and able to understand and fully comply with study procedures and requirements (including digital tools and applications), in the opinion of the investigator. * Participant has provided written informed consent and any required privacy auth...

Countries:United StatesArgentinaAustraliaBulgariaCanadaChinaCzechiaFranceGermanyHungaryIsraelItalyJapanLatviaPolandPuerto RicoSouth KoreaSpainTaiwanUnited KingdomGreeceBelgiumDenmarkNorwayRomaniaSlovakiaBrazilNetherlandsSwitzerland
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Recent Changes (Last 90 Days)

MEDIUMAug 30, 2026NCT06323356TRIAL_REMOVED: changed
MEDIUMAug 30, 2026NCT06323356TRIAL_REMOVED: changed
MEDIUMAug 30, 2026NCT06323356TRIAL_REMOVED: changed
MEDIUMAug 27, 2026NCT06233461primaryCompletionDate: changed
MEDIUMAug 27, 2026NCT06233461primaryCompletionDate: changed
LOWAug 17, 2026NCT06254950Enrollment: 207 → 213
LOWAug 17, 2026NCT06254950Enrollment: 207 → 213
HIGHJul 30, 2026NCT06323356Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHJul 30, 2026NCT06323356Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWJul 6, 2026NCT06233461lastUpdatePostDate: changed
LOWJul 6, 2026NCT06233461lastUpdatePostDate: changed

Frequently asked questions about TAK-279

What is TAK-279 used for?

TAK-279 is an investigational small molecule being studied for several conditions, including plaque psoriasis, generalized pustular psoriasis, erythrodermic psoriasis, Crohn's disease, ulcerative colitis, hepatic impairment, renal impairment, and in healthy volunteers. It is in clinical development and has not been approved by regulatory authorities.

What does TAK-279 target?

TAK-279 targets TYK2, a tyrosine kinase enzyme involved in inflammatory signaling pathways. By inhibiting TYK2, the drug aims to reduce inflammation associated with autoimmune and inflammatory conditions such as psoriasis and Crohn's disease.

Who makes TAK-279?

TAK-279 is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The company is conducting clinical trials to evaluate the drug's safety and efficacy across multiple indications.

What phase is TAK-279 in?

TAK-279 is in Phase 2 and Phase 3 clinical trials. Phase 2 studies are evaluating the drug in Crohn's disease, while Phase 3 studies are assessing it in generalized pustular psoriasis, erythrodermic psoriasis, and plaque psoriasis. It remains investigational and is not yet approved.

What clinical trials is TAK-279 in?

TAK-279 has four clinical trials. NCT06233461 is a Phase 2 study in Crohn's disease, currently recruiting. NCT06323356 is a Phase 3 study in generalized pustular psoriasis and erythrodermic psoriasis, completed. NCT06550076 is a Phase 3 study in plaque psoriasis, active but not recruiting. NCT05992155 is a Phase 1 study in renal impairment and healthy volunteers, completed.

Is TAK-279 the same as any other drug?

TAK-279 is the sole name provided for this investigational drug. No alternative names have been associated with it in the available clinical trial information.