Risankizumab versus Deucravacitinib in Adults With Moderate Plaque Psoriasis: 16-Week Results from the Phase 4 IMMpactful Trial - Summary - MDSpire

Risankizumab versus Deucravacitinib in Adults With Moderate Plaque Psoriasis: 16-Week Results from the Phase 4 IMMpactful Trial

  • By

  • Nina Magnolo

  • Jennifer Soung

  • John Frew

  • Antonio Costanzo

  • Hiram Ruiz-Santiago

  • Kilian Eyerich

  • Mar Llamas-Velasco

  • Michael Bukhalo

  • Raja K. Sivamani

  • Angela Moore

  • Tianshuang Wu

  • Jiaheng Xie

  • Manish Patel

  • Doug Ashley

  • Blair Kaplan

  • Vassilis Stakias

  • Ramon Espaillat

  • Richard B. Warren

  • May 17, 2026

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Objective:

To compare the safety and efficacy of Risankizumab (RZB) and Deucravacitinib (DEU) in biologic-naïve adults with moderate plaque psoriasis who have not received prior biologic treatment.

Key Findings:
  • Higher proportions of patients treated with RZB achieved PASI 90 and sPGA 0/1 compared to DEU (p<0.05).
  • More patients on RZB achieved PASI 100 and sPGA 0.
  • RZB patients reported better quality of life (DLQI 0/1) and higher treatment satisfaction (TSQM scores) than DEU patients.
Interpretation:

RZB demonstrates superior efficacy in achieving treatment goals and improving quality of life in biologic-naïve adults with moderate plaque psoriasis compared to DEU, highlighting its potential as a preferred treatment option.

Limitations:
  • The study only reports 16-week results; longer-term efficacy and safety data are needed.
  • The open-label design may introduce bias in reporting outcomes, potentially affecting patient-reported results.
Conclusion:

RZB is more effective than DEU for achieving key treatment endpoints in moderate plaque psoriasis, supporting its use as a first-line systemic therapy and providing valuable insights for clinical decision-making.

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