Deucravacitinib in Active Psoriatic Arthritis: Efficacy and Safety up to 52 Weeks From the Randomized, Double-Blind, Phase 3 POETYK PsA-2 Trial - Summary - MDSpire

Efficacy and Safety of Deucravacitinib in Patients with Active Psoriatic Arthritis: Results from the Phase 3 POETYK PsA-2 Trial Over 52 Weeks

  • By

  • Philip J. Mease

  • Vinod Chandran

  • April W. Armstrong

  • Ricardo Blanco

  • Alexis Ogdie

  • Evan L. Siegel

  • Alice B. Gottlieb

  • Xiaofeng Zeng

  • Diamant Thaçi

  • Mitsumasa Kishimoto

  • Hendrik Schulze-Koops

  • Alan Kivitz

  • Eva Dokoupilová

  • Akimichi Morita

  • Eric M. Ruderman

  • Michael Plewinski

  • Kejia Wang

  • Caroline Sardinas

  • Eleni Vritzali

  • John Vaile

  • Atul Deodhar

  • July 20, 2026

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Objective:

To assess the efficacy and safety of deucravacitinib, an oral, selective tyrosine kinase 2 inhibitor, in patients with psoriatic arthritis (PsA) who were naive to biologic disease-modifying antirheumatic drugs or received tumor necrosis factor inhibitors.

Approach:
  • Study Design: The 52-week, double-blind, placebo-controlled, phase 3 POETYK PsA-2 study (NCT04908189) randomized patients 3:3:1 to deucravacitinib 6 mg daily, placebo, or apremilast 30 mg twice daily (safety reference arm) through Week 16.
  • Treatment Continuation: From Week 16 to Week 52, patients continued receiving deucravacitinib or apremilast or switched from placebo to deucravacitinib.
  • Primary Endpoint: The primary endpoint was American College of Rheumatology 20% improvement in response (ACR20).
Key Findings:
  • Deucravacitinib demonstrated significant efficacy in achieving ACR20 response compared to placebo.
  • Safety profile of deucravacitinib was consistent with previous studies.
Interpretation:

Limitations:
  • The study population may not represent all patients with psoriatic arthritis.
  • Long-term safety and efficacy beyond 52 weeks remain to be established.
Conclusion:

Sources:

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