Zoryve (roflumilast) vs Sotyktu (deucravacitinib)

Zoryve (roflumilast) vs Sotyktu (deucravacitinib)

Zoryve (roflumilast) is a topical phosphodiesterase 4 (PDE4) inhibitor approved for the treatment of plaque psoriasis in adults, offering an anti-inflammatory effect when applied to the skin. Sotyktu (deucravacitinib), on the other hand, is an oral selective tyrosine kinase 2 (TYK2) inhibitor used for the same condition, which modulates the immune response systemically. When deciding between the two, a patient should consider factors such as the severity of their psoriasis, preference for topical versus oral administration, and their individual medical history, as these medications have different mechanisms of action and routes of administration that may impact their effectiveness and suitability for the patient's specific condition.

Difference between Zoryve and Sotyktu

Metric Zoryve (roflumilast) Sotyktu (deucravacitinib)
Generic name roflumilast deucravacitinib
Indications Plaque psoriasis Plaque psoriasis
Mechanism of action Phosphodiesterase 4 (PDE4) inhibitor Tyrosine kinase 2 (TYK2) inhibitor
Brand names Zoryve Sotyktu
Administrative route Topical Oral
Side effects Diarrhea, headache, insomnia, nausea Upper respiratory tract infections, headache, acne, high blood pressure
Contraindications Known hypersensitivity to roflumilast or any component of the formulation Known hypersensitivity to deucravacitinib or any component of the formulation
Drug class PDE4 inhibitor TYK2 inhibitor
Manufacturer Arcutis Biotherapeutics Bristol Myers Squibb

Efficacy

Zoryve (Roflumilast) Efficacy in Treating Psoriasis

Zoryve, with the active ingredient roflumilast, is a phosphodiesterase 4 (PDE4) inhibitor indicated for the topical treatment of plaque psoriasis in adults. Psoriasis is a chronic inflammatory skin condition characterized by the rapid growth of skin cells leading to thick, red, scaly patches that can be painful or itchy. The efficacy of Zoryve for psoriasis was demonstrated in clinical trials where it significantly reduced the severity of psoriasis symptoms compared to placebo. Patients treated with Zoryve showed improvement in the extent and severity of their psoriasis, as measured by standardized psoriasis area and severity indices.

In the clinical studies, the primary endpoint was the achievement of clear or almost clear skin, along with at least a two-point improvement from baseline in a 5-point Physician's Global Assessment (PGA) scale. A significant proportion of patients treated with Zoryve achieved this endpoint, indicating its effectiveness in managing the symptoms of plaque psoriasis. The onset of action for Zoryve was also a notable aspect of these trials, with some patients experiencing symptom relief within a few weeks of starting treatment.

Sotyktu (Deucravacitinib) Efficacy in Treating Psoriasis

Sotyktu, which contains the active substance deucravacitinib, is an oral medication that functions as a selective tyrosine kinase 2 (TYK2) inhibitor. It is approved for the treatment of moderate-to-severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy. The efficacy of Sotyktu in psoriasis was established through rigorous clinical trials where it demonstrated significant improvements in psoriasis symptoms compared to placebo. Patients receiving Sotyktu showed a reduction in the number of inflammatory lesions and an overall improvement in the severity of their psoriasis.

The primary efficacy outcomes in the clinical trials for Sotyktu were based on the proportion of patients achieving a 75% reduction in the Psoriasis Area and Severity Index (PASI 75) and a PGA score of 0 (clear) or 1 (almost clear). The results showed that a higher percentage of patients treated with Sotyktu achieved these outcomes compared to those on placebo, confirming the drug's efficacy in treating plaque psoriasis. Additionally, the safety profile of Sotyktu was carefully evaluated, and the medication was generally well-tolerated among patients in the clinical trials.

Regulatory Agency Approvals

Zoryve
  • Food and Drug Administration (FDA), USA
Sotyktu
  • Food and Drug Administration (FDA), USA

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