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J&J’s once-daily pill eases psoriatic arthritis symptoms in late-stage trial

By Thomson Reuters Nov 7, 2026 | 9:08 AM

By Padmanabhan Ananthan

Nov 7 (Reuters) – Johnson & Johnson said on Saturday its once-daily pill eased symptoms in more patients with psoriatic arthritis than a placebo in a late-stage trial, ​potentially supporting expanded use of the drug.

The company said ‌58% of patients who took icotrokinra, branded as Icotyde, saw a 20% improvement in tender and swollen joint counts, as well as improvements in other measures of disease activity after 16 weeks. That compared with 41% who ‌received ​a placebo in the 552-patient trial.

Psoriatic ⁠arthritis is a long-term inflammatory ⁠condition that affects the joints, causing pain, swelling and stiffness.

Icotyde is already FDA-approved for moderate-to-severe plaque psoriasis, a skin condition causing red, scaly, often itchy patches.

The positive results mark another ​advance for Icotyde, an oral peptide that Wall Street analysts have tipped as J&J’s next blockbuster, with potential to take ⁠share from established rivals. The company ⁠expects peak sales to top $5 billion across multiple ​indications.

“Patients don’t want to be overtreated, they want a treatment that ​fits them where they’re at,” David Lee, Johnson & Johnson’s ‌global immunology head, told Reuters.

Unlike injectable biologics such as AbbVie’s Skyrizi and UCB’s Bimzelx, Icotyde is an oral treatment, offering a more convenient option if approved.

Lee added that about 30% of patients ⁠with psoriasis also have psoriatic arthritis, highlighting a significant unmet need.

The psoriatic arthritis space is highly competitive, with injectable biologics as well as ⁠oral treatments, including Sotyktu ‌and Otezla, already on the market.

The trial ⁠enrolled adults with active psoriatic arthritis who had ​not ‌previously been treated with biologic medicines. The company ​said no ⁠new safety concerns were identified.

Patients taking Icotyde also showed improvements in psoriasis skin symptoms. Among those with sufficient skin involvement, 57% had clear or nearly clear skin after 16 weeks, compared with 14% in placebo, the company said.

(Reporting by Padmanabhan Ananthan in Bengaluru; Editing ​by Vijay Kishore)