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Efficacy and Safety of Oral Icotrokinra in Moderate-to-Severe Plaque Psoriasis: A Systematic Review, Meta-Analysis, and Trial Sequential Analysis - PubMed

5 hours ago
  • #psoriasis
  • #icotrokinra
  • #meta-analysis
  • Oral icotrokinra is a novel interleukin-23 receptor antagonist peptide for moderate-to-severe plaque psoriasis.
  • Systematic review and meta-analysis of 5 RCTs (1951 participants) showed significant efficacy of icotrokinra 200 mg once daily vs placebo.
  • PASI 75 response rates at Week 16 were 73% for icotrokinra vs 11% for placebo (OR = 22.03, p < 0.0001).
  • Higher clearance rates (PASI 90, PASI 100) also significantly favored icotrokinra.
  • No significant difference in adverse events, serious adverse events, or infections between icotrokinra and placebo groups.
  • Icotrokinra offers rapid and sustained clinical benefit with a safety profile comparable to placebo.
  • Represents a promising oral treatment bridging the gap between existing oral therapies and biologics.