RE: Jak Inhibitors for Treatment of Autoimmune Diseases:29 Jul 2022 00:33
Abstract, We report results from a phase IIa study of efficacy and safety of PF-06700841, an oral TYK2/Jak1 inhibitor, in patients with moderate-to-severe plaque psoriasis (NCT02969018).
Methods: Patients were randomized to PF-06700841 30 mg once daily (QD), 60 mg QD, or placebo (4-week induction), followed by 10 mg QD, 30 mg QD, 100 mg once weekly, or placebo (8-week maintenance). The primary endpoint was week 12 change from baseline in PASI score. Secondary endpoints were the proportion of patients achieving 75% and 90% reduction from baseline PASI at week 12.
Results: In total, 212 patients in 35 sites were treated; mean (SD) baseline PASI score was 20.8 (7.68). Decreases in PASI at week 12 were statistically significant compared with placebo in five treatment groups. The greatest change from baseline (least squares mean change -17.3 [95% confidence interval, -20.0 to -14.6]) was observed in the 30-mg QD continuous treatment group. Overall, 136 patients experienced treatment-emergent adverse events, including six serious adverse events in five patients and 13 discontinuations in treatment groups because of adverse events. No herpes zoster cases or major adverse cardiac events including thromboembolic events occurred.
Conclusions: PF-06700841 was generally effective and well tolerated in patients with moderate-to-severe plaque psoriasis.
Also note the following:-
Inhibition of the Jak family of kinases, resulting in a broad inhibition of inflammation, holds promise for treating a variety of inflammatory diseases. Some Jak inhibitors are associated with side effects at higher doses, including anaemia and
thrombocytopenia, because of the inhibition of Jak2-mediated signalling of cytokines such as erythropoietin and
thrombopoietin. The adverse effects of targeting Jak2 could therefore be overcome with Jak inhibitors, such as
PF-06700841 that primarily targets TYK2 and Jak1. Our results suggest that targeting of TYK2 and Jak1 kinases
with PF-06700841 induces a rapid attenuation of the IL-23/
( Now note in the above 'primarily targets Tyk 2 and Jak1' Now PF-06700841 also to a lesser extent also exhibits inhibition of Jak2 and Jak3. These Jak2 and Jak3 kinases are associated with severe side effects especially the latter.
I am sticking my neck out here. But as far as I can reasonably postulate Tim and co will be very well aware of this PF-06700841 adverse effects. Now my theory is that as such, our 1801 compound has a much greater selectivity for Tyk2 and Jak1 than Jak 2 and 3. Henceforth we have very little to no competition in this area. Only now have they released this initial indication in psoriasis. No other indications mentioned.
Not all Tyk2 compounds are the same. Some are more selective than others. Our SDC compounds are formulated by patented protected molecules. It is these patent derived molecules that Sareum can effectively choose selectivity.
There exists, for the time being a big gap in the treatm