Stelara (ustekinumab) vs Sotyktu (deucravacitinib)

Stelara (ustekinumab) vs Sotyktu (deucravacitinib)

Stelara (ustekinumab) is a biologic medication that targets interleukin-12 and interleukin-23, proteins which are involved in inflammatory and immune responses, and is used to treat conditions like psoriasis, psoriatic arthritis, and Crohn's disease. Sotyktu (deucravacitinib), on the other hand, is an oral selective tyrosine kinase 2 (TYK2) inhibitor that modulates the immune system by inhibiting a specific pathway involved in inflammation, and it is approved for the treatment of moderate-to-severe plaque psoriasis. When deciding between the two, it is important to consider factors such as the specific condition being treated, the route of administration (Stelara is given as an injection, while Sotyktu is taken orally), and the individual's medical history and potential side effects.

Difference between Stelara and Sotyktu

Metric Stelara (ustekinumab) Sotyktu (deucravacitinib)
Generic name Ustekinumab Deucravacitinib
Indications Plaque psoriasis, psoriatic arthritis, Crohn's disease, ulcerative colitis Plaque psoriasis
Mechanism of action Interleukin-12 and interleukin-23 antagonist Tyrosine kinase 2 (TYK2) inhibitor
Brand names Stelara Sotyktu
Administrative route Subcutaneous injection, intravenous infusion Oral
Side effects Upper respiratory infections, headache, fatigue, injection site reactions Upper respiratory infections, headache, nausea, diarrhea
Contraindications Active tuberculosis, severe infections, hypersensitivity to ustekinumab Not yet fully established; similar precautions as other immunomodulators may apply
Drug class Monoclonal antibody Small molecule, selective immunosuppressant
Manufacturer Janssen Biotech Bristol Myers Squibb

Efficacy

Efficacy of Stelara (Ustekinumab) in Treating Psoriasis

Stelara (ustekinumab) is a biologic medication approved by the FDA for the treatment of moderate to severe plaque psoriasis in adults who are candidates for phototherapy or systemic therapy. Ustekinumab works by targeting interleukin-12 (IL-12) and interleukin-23 (IL-23), two proteins that play a key role in the inflammatory processes associated with psoriasis. Clinical trials have demonstrated that Stelara can lead to significant skin clearance in many patients. In these studies, patients treated with Stelara often achieved a 75% reduction in the Psoriasis Area and Severity Index (PASI 75) score, which is a measure of the severity and extent of psoriasis, indicating a substantial improvement in the disease.

The efficacy of Stelara was further highlighted in long-term studies, where a significant number of patients maintained their PASI 75 response with continued treatment. Moreover, some patients even achieved PASI 90 and PASI 100 responses, representing 90% and 100% improvement in psoriasis, respectively. The treatment has been shown to improve the quality of life for many patients, reducing the physical and psychological burden of the disease.

Efficacy of Sotyktu (Deucravacitinib) in Treating Psoriasis

Sotyktu (deucravacitinib) is a novel oral medication that has shown promise in the treatment of moderate to severe plaque psoriasis. As a selective tyrosine kinase 2 (TYK2) inhibitor, deucravacitinib works by modulating the immune response, which is dysregulated in psoriasis. In clinical trials, Sotyktu was found to be effective in achieving skin clearance. Patients treated with deucravacitinib demonstrated a significant reduction in PASI scores compared to those who received placebo, with many participants reaching PASI 75, indicating a 75% reduction in the severity and extent of their psoriasis.

Notably, the efficacy of Sotyktu in psoriasis treatment was sustained over time, with a significant number of patients maintaining their PASI responses throughout the trial periods. The medication was generally well-tolerated, and the convenience of an oral administration route is a potential advantage over injectable treatments. Sotyktu represents a new class of medication for psoriasis, offering an alternative to patients who may not respond to or tolerate other systemic therapies.

Regulatory Agency Approvals

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

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If Stelara 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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