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FDA Approves J&J’s Icotyde, First Oral IL-23 Receptor Blocker for Plaque Psoriasis

The once-daily pill could shift psoriasis care by giving patients a noninjectable option many have long sought.

Overview

  • The approval covers moderate to severe plaque psoriasis in adults and adolescents 12 years and older who weigh at least 40 kg.
  • Icotyde is the first targeted oral peptide to block the IL-23 receptor, offering an alternative to injectable IL-23 biologics.
  • Four phase 3 studies in about 2,500 patients supported approval, with head-to-head data showing superior skin clearance versus Sotyktu and about 55% achieving PASI-90 at week 16.
  • Safety results showed adverse event rates close to placebo and no new signals through 52 weeks in the clinical program.
  • J&J developed Icotyde with Protagonist Therapeutics, is pursuing additional indications such as ulcerative colitis, psoriatic arthritis and Crohn’s disease, and competitor stocks like AbbVie fell roughly 4% to 5% after the decision as pricing details remain undisclosed.