Spondyloarthritis & psoriatic arthritis

Highly selective tyrosine kinase 2 inhibition with zasocitinib (TAK-279) improves outcomes in patients with active psoriatic arthritis: a randomised phase 2b study

Ann Rheum DisPublished Randomised controlled trial

Authors' conclusion

Here, 30 mg and 15 mg zasocitinib demonstrated efficacy across core domains in patients with active PsA with no new safety signals.

Study context

Population
Patients ≥18 years with active psoriatic arthritis (PsA), symptoms for ≥6 monthsreceived treatment
Participants
290 patients
Comparison
Zasocitinib 30 mg, 15 mg or 5 mg once daily vs placebo for 12 weeks
Primary endpoint
ACR20 response
Follow-up
Week 12
Methodological detailsphase 2b, multicentre, double-blind, placebo-controlled, multiple-dose, 4-week safety follow-up
  • Phase 2b
  • Multicentre
  • Double-blind
  • Placebo-controlled
  • Multiple-dose
  • 4-week safety follow-up

Primary result

As reported in the abstract

30 mg vs Placebo: P = 0.002 · 15 mg vs Placebo: P = 0.002

Secondary outcomes

Outcome30 mg15 mgPlaceboP value
ACR50 response · week 1230 mg vs Placebo26.4%26.7%9.7%nominal P = .009
ACR50 response · week 1215 mg vs Placebonominal P = .005
ACR70 response · week 1230 mg vs Placebo13.9%— not stated in the abstract5.6%nominal P = .158
PASI 75 response (≥3% body surface area at baseline) · week 1230 mg vs Placebo45.7%— not stated in the abstract15.4%nominal P = .002
MDA · week 1230 mg vs Placebo29.2%— not stated in the abstract12.5%nominal P = .014

— not stated in the abstract

Original publication

Highly selective tyrosine kinase 2 inhibition with zasocitinib (TAK-279) improves outcomes in patients with active psoriatic arthritis: a randomised phase 2b study. Ann Rheum Dis. Published 4 July 2025. doi:10.1016/j.ard.2025.05.023

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