PMID- 36325947 OWN - NLM STAT- MEDLINE DCOM- 20230215 LR - 20231213 IS - 1752-8062 (Electronic) IS - 1752-8054 (Print) IS - 1752-8054 (Linking) VI - 16 IP - 1 DP - 2023 Jan TI - First-in-human study of deucravacitinib: A selective, potent, allosteric small-molecule inhibitor of tyrosine kinase 2. PG - 151-164 LID - 10.1111/cts.13435 [doi] AB - This randomized, double-blind, single- and multiple-ascending dose study assessed the pharmacokinetics (PKs), pharmacodynamics, and safety of deucravacitinib (Sotyktu), a selective and potent small-molecule inhibitor of tyrosine kinase 2, in 100 (75 active, 25 placebo) healthy volunteers (NCT02534636). Deucravacitinib was rapidly absorbed, with a half-life of 8-15 h, and 1.4-1.9-fold accumulation after multiple dosing. Deucravacitinib inhibited interleukin (IL)-12/IL-18-induced interferon (IFN)gamma production ex vivo in a dose- and concentration-dependent manner. Following in vivo challenge with IFNalpha-2a, deucravacitinib demonstrated dose-dependent inhibition of lymphocyte count decreases and expression of 53 IFN-regulated genes. There were no serious adverse events (AEs); the overall frequency of AEs was similar in the deucravacitinib (64%) and placebo (68%) groups. In this first-in-human study, deucravacitinib inhibited IL-12/IL-23 and type I IFN pathways in healthy volunteers, with favorable PK and safety profiles. Deucravacitinib is a promising therapeutic option for immune-mediated diseases, including Crohn's disease, psoriasis, psoriatic arthritis, and systemic lupus erythematosus. CI - (c) 2022 Bristol Myers Squibb. Clinical and Translational Science published by Wiley Periodicals LLC on behalf of American Society for Clinical Pharmacology and Therapeutics. FAU - Catlett, Ian M AU - Catlett IM AUID- ORCID: 0000-0001-6220-2626 AD - Bristol Myers Squibb, Princeton, New Jersey, USA. FAU - Aras, Urvi AU - Aras U AD - Bristol Myers Squibb, Princeton, New Jersey, USA. FAU - Hansen, Lars AU - Hansen L AD - Bristol Myers Squibb, Princeton, New Jersey, USA. FAU - Liu, Yali AU - Liu Y AD - Bristol Myers Squibb, Princeton, New Jersey, USA. FAU - Bei, Di AU - Bei D AD - Bristol Myers Squibb, Princeton, New Jersey, USA. FAU - Girgis, Ihab G AU - Girgis IG AD - Bristol Myers Squibb, Princeton, New Jersey, USA. FAU - Murthy, Bindu AU - Murthy B AD - Bristol Myers Squibb, Princeton, New Jersey, USA. LA - eng SI - ClinicalTrials.gov/NCT02534636 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20221122 PL - United States TA - Clin Transl Sci JT - Clinical and translational science JID - 101474067 RN - N0A21N6RAU (deucravacitinib) RN - EC 2.7.10.2 (TYK2 Kinase) RN - 0 (Tyrosine Kinase Inhibitors) SB - IM MH - Humans MH - Area Under Curve MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Healthy Volunteers MH - *TYK2 Kinase/antagonists & inhibitors MH - *Tyrosine Kinase Inhibitors/pharmacology/therapeutic use MH - Autoimmune Diseases/drug therapy PMC - PMC9841305 COIS- I.M.C., U.A., I.G.G., and B.M. are employees of Bristol Myers Squibb and receive salaries and stock commensurate with employment. L.H., Y.L., and D.B. were employees of Bristol Myers Squibb at the time this research was conducted. EDAT- 2022/11/04 06:00 MHDA- 2023/01/18 06:00 PMCR- 2022/11/22 CRDT- 2022/11/03 05:13 PHST- 2022/09/13 00:00 [revised] PHST- 2022/04/08 00:00 [received] PHST- 2022/09/19 00:00 [accepted] PHST- 2022/11/04 06:00 [pubmed] PHST- 2023/01/18 06:00 [medline] PHST- 2022/11/03 05:13 [entrez] PHST- 2022/11/22 00:00 [pmc-release] AID - CTS13435 [pii] AID - 10.1111/cts.13435 [doi] PST - ppublish SO - Clin Transl Sci. 2023 Jan;16(1):151-164. doi: 10.1111/cts.13435. Epub 2022 Nov 22.