Today, we are delving into the POETYK PsA-2 trial, a phase III clinical trial investigating Bristol Myers Squibb’s Sotyktu (deucravacitinib) in adults with active psoriatic arthritis (PsA). Sotyktu is an oral, selective, allosteric tyrosine kinase 2 (TYK2) inhibitor with a unique mechanism of action, representing a novel class of small molecules. It is the first selective TYK2 inhibitor in clinical trials across various immune-mediated diseases. Sotyktu was FDA approved on September 9, 2022, for the treatment of moderate-to-severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy.
The Phase 3 POETYK clinical trials in PsA were presented as a late-breaking abstract at the American Academy of Dermatology (AAD) Annual Meeting in Orlando, Florida, which took place from March 7-11, 2025. The results revealed that the trial successfully met its primary endpoint, with a significantly greater proportion of Sotyktu-treated patients achieving an ACR20 response (at least a 20 percent improvement in signs and symptoms of the disease) compared with the placebo at Week 16 (54.2% versus 39.4%, respectively; p=0.0002). The overall safety profile of Sotyktu throughout 16 weeks of treatment remained consistent with that established in a Phase 2 PsA clinical trial and Phase 3 moderate-to-severe plaque psoriasis clinical trials.
Here is a brief overview of the study:
A Study to Determine the Efficacy and Safety of Deucravacitinib Compared With Placebo in Participants With Active Psoriatic Arthritis (PsA) Who Are Naïve to Biologic Disease-modifying Anti-rheumatic Drugs
- Sponsor: Bristol-Myers Squibb
- The purpose of this study is to evaluate the efficacy and safety of deucravacitinib versus placebo in participants with active psoriatic arthritis who are naïve to biologic disease-modifying anti-rheumatic drugs. The long term extension period will provide additional long-term efficacy and safety information.
- Interventions:
- Drug: Deucravacitinib
- Other: Placebo
- Primary Outcomes Measures:
- Proportion of participants meeting American College of Rheumatology improvement of 20% (ACR 20) response
- Time Frame - At week 16
- Proportion of participants meeting American College of Rheumatology improvement of 20% (ACR 20) response
In the POETYK PsA-2 trial, no new safety signals were identified. This data is promising as a potential treatment for rheumatic conditions. We eagerly anticipate Bristol Myers Squibb collaborating with key investigators to present additional data from the Phase 3 POETYK PsA program at upcoming medical congresses this year.
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