Ilumya (tildrakizumab) vs Sotyktu (deucravacitinib)

Ilumya (tildrakizumab) vs Sotyktu (deucravacitinib)

Ilumya (tildrakizumab) is a biologic medication specifically designed to target the IL-23 pathway, which is involved in the inflammatory process of psoriasis, and is administered via injection. Sotyktu (deucravacitinib), on the other hand, is an oral medication that inhibits the activity of TYK2, a Janus kinase involved in the signaling of several inflammatory cytokines, also used to treat moderate-to-severe plaque psoriasis. When deciding between Ilumya and Sotyktu, one should consider factors such as the route of administration (injection vs. oral), the specific mechanism of action, and the individual patient's medical history, potential side effects, and how the medication fits into their lifestyle and treatment preferences.

Difference between Ilumya and Sotyktu

Metric Ilumya (tildrakizumab) Sotyktu (deucravacitinib)
Generic name Tildrakizumab Deucravacitinib
Indications Plaque psoriasis Plaque psoriasis
Mechanism of action Interleukin-23 antagonist Tyrosine kinase 2 (TYK2) inhibitor
Brand names Ilumya Sotyktu
Administrative route Subcutaneous injection Oral
Side effects Upper respiratory infections, injection site reactions, diarrhea Upper respiratory infections, elevated liver enzymes, headache
Contraindications Hypersensitivity to tildrakizumab or any of its excipients Hypersensitivity to deucravacitinib or any of its excipients
Drug class Monoclonal antibody Small molecule kinase inhibitor
Manufacturer Sun Pharma Bristol Myers Squibb

Efficacy

Ilumya (Tildrakizumab) Efficacy in Psoriasis

Ilumya, known generically as tildrakizumab, is a biologic medication approved for the treatment of moderate-to-severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy. Tildrakizumab is a monoclonal antibody that targets the p19 subunit of interleukin-23 (IL-23), a cytokine that plays a key role in the pathogenesis of psoriasis. By inhibiting IL-23, Ilumya helps to reduce the inflammation and skin cell proliferation associated with psoriasis.

Clinical trials have demonstrated the efficacy of Ilumya in achieving significant skin clearance in patients with plaque psoriasis. In these studies, patients treated with Ilumya showed a marked reduction in the severity of their skin lesions, measured by the Psoriasis Area and Severity Index (PASI). A significant number of patients achieved PASI 75, which indicates a 75% reduction in the PASI score, within 12 weeks of treatment. Furthermore, many patients maintained this level of response with continued treatment.

Sotyktu (Deucravacitinib) Efficacy in Psoriasis

Sotyktu, with the generic name deucravacitinib, is a novel oral medication approved for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy. Deucravacitinib is a selective tyrosine kinase 2 (TYK2) inhibitor. TYK2 is involved in the signaling pathways of several pro-inflammatory cytokines that contribute to the pathophysiology of psoriasis, including interleukins IL-12, IL-23, and interferon-alpha. By inhibiting TYK2, Sotyktu reduces the inflammatory response that leads to the development of psoriatic plaques.

The efficacy of Sotyktu in the treatment of plaque psoriasis has been evaluated in clinical trials. Patients receiving deucravacitinib exhibited significant improvements in their psoriasis symptoms compared to those receiving placebo. The primary endpoint for these trials was the achievement of PASI 75, and a considerable percentage of patients treated with Sotyktu reached this goal. Notably, the medication demonstrated a rapid onset of action, with some patients observing improvements as early as the first few weeks of treatment. Additionally, the clinical trials indicated that the efficacy of Sotyktu was sustained over a longer duration, with many patients maintaining skin clearance over time.

Regulatory Agency Approvals

Ilumya
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
Sotyktu
  • Food and Drug Administration (FDA), USA

Access Ilumya or Sotyktu today

If Ilumya or Sotyktu are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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