Deucravacitinib, an oral, selective, allosteric tyrosine kinase 2 inhibitor, in moderate to severe plaque psoriasis: 52-week efficacy by prior treatment in the phase 3 POETYK PSO-1 trial Jerry Bagel,1 April W Armstrong,2 Richard B Warren,3 Kim A Papp,4 Diamant Thaçi,5 Alan Menter,6 Jennifer Cather,7 Matthias Augustin,8 Lauren Hippeli,9 Carolin Daamen,9 Christopher E M Griffiths3 1Psoriasis Treatment Center of New Jersey, East Windsor, NJ, USA; 2University of Southern California, Los Angeles, CA, USA; 3Dermatology Centre, Salford Royal NHS Foundation Trust, NIHR Manchester Biomedical Research Centre, The University of Manchester, Manchester, UK; 4K Papp Clinical Research and Probity Medical Research, Waterloo, ON, Canada; 5Institute and Comprehensive Center for Inflammation Medicine, University of Lübeck, Lübeck, Germany; 6Baylor University Medical Center, Dallas, TX, USA; 7Mindful Dermatology and Modern Research Associates, Dallas, TX, USA; 8Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; 9Bristol Myers Squibb, Princeton, NJ, USA Presented at the Winter Clinical Dermatology Conference - Hawaii®, January 13-18, 2023, Kohala Coast, HI, and Winter Clinical - MiamiTM, February 17-20, 2023, Miami, FL This is an encore of the 2022 31st EADV Congress presentation Email: dreamacres1@icloud.com Copies of this poster are for personal use only and may not be reproduced without written permission from the authors. Synopsis • Deucravacitinib an oral, selective, allosteric tyrosine kinase 2 (TYK2) inhibitor, is approved by the US Food and Drug Administration for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy1 — Uniquely binds to the regulatory domain rather than to the catalytic domain where Janus kinase (JAK) 1/2/3 inhibitors bind2,3 (Figure 1) • In the global, 52-week, phase 3 POETYK PSO-1 trial (NCT03624127), deucravacitinib was significantly more effective than placebo or apremilast in the treatment of moderate to severe plaque psoriasis4 — Clinical responses were maintained through 52 weeks5 • Response rates for the coprimary endpoints, ≥75% reduction from baseline in Psoriasis Area and Severity Index (PASI 75) and static Physician’s Global Assessment score of 0 (clear) or 1 (almost clear) with a ≥2-point improvement from baseline (sPGA 0/1) at Week 16, were superior with deucravacitinib regardless of prior exposure to biologics, systemic nonbiologics, and/or phototherapy6 • The 2-year efficacy and safety of deucravacitinib in the POETYK long-term extension trial was consistent with Weeks 0–52 of the POETYK PSO-1 and PSO-2 trials7 Objective • The aim of the current analysis was to evaluate the impact of prior treatment on PASI 75 and sPGA 0/1 responses through Week 52 in patients from POETYK PSO-1 who were randomized to deucravacitinib and in those who crossed over from placebo to deucravacitinib at Week 16 Methods • The study design for POETYK PSO-1 is illustrated in Figure 2 • Eligible patients were ≥18 years of age with moderate to severe plaque psoriasis (ie, PASI ≥12, sPGA ≥3, body surface area involvement ≥10% at baseline) • Patients who previously received phototherapy, systemic treatment, and/or biologic treatment were required to complete washout periods ranging from 4 weeks to 6 months before study entry, depending on the treatment • The current analysis examined PASI 75 and sPGA 0/1 responses through 52 weeks in patients randomized to deucravacitinib and in those who crossed over from placebo to deucravacitinib at Week 16 (placebo crossovers), by prior treatment subgroups: — Systemic treatment naive (ie, neither biologic nor nonbiologic systemic treatment) — Prior systemic treatment (biologic and/or nonbiologic) — Prior oral systemic treatment (nonbiologic only) — Biologic treatment naive — Biologic treatment experienced • Nonresponder imputation was used for all reported endpoints Figure 2. POETYK PSO-1 study design POETYK PSO-1 (N = 666) Deucravacitinib 6 mg QDPlacebo (n = 166) Deucravacitinib 6 mg QD Apremilast 30 mg BID Titrate* 1 :2 :1 r an d o m iz at io n Weeks 16 24 520 Deucravacitinib 6 mg QD (n = 332) Primary endpoint Apremilast 30 mg BIDa (n = 168)