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US FDA approves J&J’s oral psoriasis pill

By Thomson Reuters Mar 18, 2026 | 7:36 AM

By Sriparna Roy

March 18 (Reuters) – The U.S. Food and Drug Administration has approved Johnson & Johnson’s oral pill for psoriasis, the company said on Wednesday, paving the ​way for a more convenient treatment option ‌for patients with the chronic autoimmune condition that causes itchy, scaly, and inflamed patches of skin.

The drug will help J&J expand into the psoriasis market, as its blockbuster injectable Stelara comes under increasing ‌competition ​from low-cost copycat drugs.

The health ⁠regulator approved the drug for ⁠moderate-to-severe plaque psoriasis in adults and pediatric patients 12 years of age and older who weigh at least 40 kg.

The company did not immediately respond to ​Reuters’ requests for comment on pricing and availability.

The drug, branded as Icotyde, will compete with Bristol Myers ⁠Squibb’s Sotyktu and AbbVie’s Skyrizi.

Wall Street ⁠analysts have said J&J’s Icotyde has “blockbuster potential” ​as a safe and effective oral, and that the once-daily ​medication could capture significant market share.

The drug has ‌shown superior skin clearance compared to Bristol’s Sotyktu, in two late-stage head-to-head trials.

Patients have been looking for complete skin clearance, a favorable safety profile, and the simplicity of ⁠a once-a-day pill, David Lee, J&J’s global head of immunology, told Reuters ahead of the decision.

“We see Icotyde as becoming ⁠the first-line systemic ‌therapy for psoriasis patients,” said Lee.

J&J’s oral ⁠pill, like AbbVie’s Skyrizi and J&J’s own ​Tremfya, ‌is designed to block a protein, IL-23, ​involved in ⁠inflammatory responses. The oral drug is developed in partnership with Protagonist Therapeutics.

J&J is also studying the drug, chemically known as icotrokinra, for ulcerative colitis, psoriatic arthritis and Crohn’s disease.

(Reporting by Sriparna Roy in Bengaluru; Editing by Alan Barona ​and Shinjini Ganguli)