Zasocitinib (TAK-279), a Highly Selective Oral TYK2 Inhibitor, Demonstrates Skin Clearance in Patients with Moderate-to-Severe Plaque Psoriasis: Post Hoc Analyses of a Randomized Phase IIb Trial - Summary - MDSpire

Zasocitinib (TAK-279), a Highly Selective Oral TYK2 Inhibitor, Demonstrates Skin Clearance in Patients with Moderate-to-Severe Plaque Psoriasis: Post Hoc Analyses of a Randomized Phase IIb Trial

  • By

  • Nada Elbuluk

  • April W. Armstrong

  • Ronald Vender

  • Tina Bhutani

  • Lawrence Green

  • Laura K. Ferris

  • Vivian Laquer

  • Angela Moore

  • Jamie Weisman

  • Wenwen Zhang

  • Warren Winkelman

  • Melinda J. Gooderham

  • May 16, 2026

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Objective:

To assess the efficacy of once daily oral zasocitinib 15 mg or 30 mg in patients with moderate-to-severe plaque psoriasis through post hoc analyses of a phase IIb trial, specifically focusing on skin clearance and quality of life improvements.

Key Findings:
  • Zasocitinib 15 mg and 30 mg resulted in significant improvements in PASI scores compared to placebo at week 12, with 46%, 33%, and 52% of patients on 30 mg achieving PASI 90, PASI 100, and PGA 0/1 respectively.
  • Improvements in PASI scores were associated with better quality of life as measured by DLQI.
Interpretation:

Zasocitinib demonstrates early and clinically meaningful efficacy in skin clearance for patients with moderate-to-severe plaque psoriasis, with a favorable safety profile.

Limitations:
  • Post hoc analyses may introduce bias and limit the generalizability of findings; the lack of multiplicity adjustment may lead to inflated type I error rates.
Conclusion:

Zasocitinib is a promising oral treatment option for moderate-to-severe plaque psoriasis, showing significant efficacy in skin clearance and quality of life improvements, addressing an unmet need in psoriasis treatment.

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