Icotrokinra long-term results affirm promise of targeted oral peptide with high rates of durable skin clearance and favorable safety profile in difficult-to-treat scalp and genital psoriasis

Core Insights - Johnson & Johnson announced long-term data from the Phase 3 ICONIC-TOTAL study, showing that icotrokinra, a targeted oral peptide, effectively treats moderate-to-severe plaque psoriasis in adults and adolescents, achieving high rates of skin clearance [1][4][5]. Efficacy and Safety - In the ICONIC-TOTAL study, 72% of patients with scalp psoriasis and 85% with genital psoriasis achieved clear or almost clear skin at Week 52 [1][6]. - Overall, 67% of patients treated with icotrokinra achieved clear or almost clear skin by Week 24, maintaining this through Week 52 [1][4]. - In patients with hand/foot psoriasis, the rate of skin clearance increased from 42% at Week 16 to 62% at Week 52 [3]. Patient Impact - The study highlights the significant distress experienced by patients when psoriasis affects sensitive areas, indicating icotrokinra's potential as a meaningful treatment option for managing moderate-to-severe plaque psoriasis long-term [4][5]. - The treatment demonstrated comparable response rates between patients who received icotrokinra for the full 52 weeks and those who transitioned from placebo at Week 16 [4]. Clinical Development - The ICONIC clinical development program includes multiple studies evaluating icotrokinra's efficacy and safety across various conditions, including plaque psoriasis, psoriatic arthritis, ulcerative colitis, and Crohn's disease [10][11][16]. - Icotrokinra is designed to precisely block the IL-23 receptor, which is crucial in the inflammatory response associated with these diseases [13][16]. Conclusion - The long-term data from the ICONIC-TOTAL study reinforces icotrokinra's potential to set a new standard of treatment for patients with high-impact psoriasis, combining effective skin clearance with a favorable safety profile [5][12].