Skilarence (dimethyl fumarate) vs Sotyktu (deucravacitinib)

Skilarence (dimethyl fumarate) vs Sotyktu (deucravacitinib)

Skilarence (dimethyl fumarate) is an oral medication approved for the treatment of moderate to severe plaque psoriasis, working by modulating the immune system to reduce inflammation. Sotyktu (deucravacitinib), on the other hand, is a newer oral medication approved for the same condition but functions as a selective tyrosine kinase 2 (TYK2) inhibitor, targeting a specific pathway in the immune response. When deciding between the two, a patient should consider factors such as their overall health, potential side effects, the mechanism of action of each drug, and their healthcare provider's recommendations based on individual medical history and treatment response.

Difference between Skilarence and Sotyktu

Metric Skilarence (dimethyl fumarate) Sotyktu (deucravacitinib)
Generic name Dimethyl fumarate Deucravacitinib
Indications Psoriasis Plaque psoriasis
Mechanism of action Activates the Nrf2 antioxidant response pathway Tyrosine kinase 2 (TYK2) inhibitor
Brand names Skilarence Sotyktu
Administrative route Oral Oral
Side effects Flushing, gastrointestinal issues, lymphopenia Upper respiratory infections, headache, fatigue, nausea
Contraindications Known hypersensitivity to dimethyl fumarate or excipients None known
Drug class Fumaric acid ester Janus kinase (JAK) inhibitor
Manufacturer Almirall Bristol Myers Squibb

Efficacy

Skilarence (Dimethyl Fumarate) Efficacy in Psoriasis

Skilarence, the trade name for dimethyl fumarate, is a medication approved for the treatment of moderate to severe plaque psoriasis. Psoriasis is a chronic, immune-mediated skin condition characterized by red, scaly patches, and plaques that can cause significant discomfort and social stigma. Skilarence works by modulating the immune system, although the exact mechanism in psoriasis is not fully understood. Clinical trials have demonstrated that Skilarence can lead to significant improvement in psoriasis symptoms. In these studies, a significant proportion of patients achieved at least a 75% reduction in the Psoriasis Area and Severity Index (PASI 75) score, which is a common measure of psoriasis severity.

Furthermore, Skilarence has been shown to have a rapid onset of action, with some patients experiencing improvement in symptoms within several weeks of starting treatment. Long-term studies suggest that the efficacy of Skilarence can be sustained over time, which is an important consideration for a chronic condition like psoriasis. It is also noted that Skilarence may improve quality of life for patients by reducing the burden of symptoms and the psychological impact of the disease.

Sotyktu (Deucravacitinib) Efficacy in Psoriasis

Sotyktu, with the generic name deucravacitinib, is a novel medication that has shown promise in the treatment of moderate to severe plaque psoriasis. As a selective tyrosine kinase 2 (TYK2) inhibitor, Sotyktu targets a specific pathway in the immune system that contributes to the inflammatory process of psoriasis. Clinical trial data for Sotyktu has been encouraging, with a significant number of patients achieving PASI 75, and even PASI 90 (90% reduction in PASI score), indicating a very high level of disease clearance.

Moreover, Sotyktu has been associated with a favorable safety profile and is administered orally, which could offer an advantage in terms of patient convenience compared to some other systemic therapies for psoriasis that require injection or infusion. The durability of Sotyktu's efficacy is also noteworthy, with many patients maintaining their treatment responses over extended periods. This long-term efficacy is crucial for the management of a chronic disease such as psoriasis, which requires ongoing treatment to control symptoms and prevent flare-ups.

Regulatory Agency Approvals

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

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If Skilarence 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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