Sun Pharma's Tildrakizumab Achieves Primary Endpoint in Phase 3 Psoriatic Arthritis Trials
Sun Pharmaceutical Industries Limited announced successful Phase 3 clinical trials for Tildrakizumab 100 mg (ILUMYA®) in treating active psoriatic arthritis. The INSPIRE-1 and INSPIRE-2 studies met their primary endpoint, showing statistically significant improvement in ACR20 response rates at Week 24 compared to placebo. The trials involved over 800 adult patients across the US, Europe, and Asia. The safety profile was consistent with ILUMYA's known profile, with no new safety signals. Sun Pharma plans to use these results for potential regulatory submissions in the US for ILUMYA in treating active psoriatic arthritis.

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Sun Pharmaceutical Industries Limited has announced a significant breakthrough in its drug development pipeline for psoriatic arthritis. The company's Phase 3 clinical trials for Tildrakizumab 100 mg, marketed as ILUMYA®, have successfully met their primary endpoint in the treatment of active psoriatic arthritis.
Trial Results
The INSPIRE-1 and INSPIRE-2 studies, both global, multicenter, randomized, double-blind, placebo-controlled Phase 3 trials, evaluated the efficacy and safety of Tildrakizumab 100 mg in adult patients with active psoriatic arthritis. Key findings include:
- Both studies achieved their primary endpoint, with a statistically significant improvement in ACR20 response rates at Week 24 compared to placebo (p < 0.05).
- The safety profile was consistent with the known safety profile of ILUMYA, with no new safety signals identified.
- Over 800 adult patients participated in the trials, conducted across clinical sites in the US, Europe, and Asia.
Study Design
The trials had distinct patient populations:
- INSPIRE-1: Enrolled patients with prior exposure to an anti-TNF agent
- INSPIRE-2: Enrolled anti-TNF naïve patients
Patients received either Tildrakizumab 100 mg or placebo, with the active drug administered at Week 0 and then every 12 weeks. This differs from the dosing schedule used in chronic plaque psoriasis trials, which included doses at Week 0, Week 4, and then every 12 weeks.
Implications for Psoriatic Arthritis Treatment
Dr. Marek Honczarenko, Senior Vice President and Head of Global Specialty Development at Sun Pharma, expressed enthusiasm about the results: "These top-line results reinforce the therapeutic potential of ILUMYA as a treatment option for patients with active psoriatic arthritis."
Psoriatic arthritis, a chronic immune-related disease affecting approximately 1 in 3 people living with psoriasis, causes swelling, pain, and stiffness in joints and entheses. The positive results from these trials suggest that ILUMYA could potentially offer a new treatment option for the estimated 2.4 million Americans living with this condition.
Regulatory Outlook
While ILUMYA is currently approved for the treatment of moderate-to-severe plaque psoriasis in adults, its use in psoriatic arthritis is not yet approved. Sun Pharma plans to use these results to support potential regulatory submissions for ILUMYA in the treatment of active psoriatic arthritis in the US.
The company plans to present detailed findings from the INSPIRE studies at upcoming medical conferences and publish them in a peer-reviewed medical journal.
As Sun Pharma continues to expand its specialty portfolio, which currently accounts for about 20% of company sales, the success of these trials marks a significant step forward in addressing the unmet needs of patients with psoriatic arthritis.
Disclaimer: ILUMYA® (tildrakizumab-asmn) is currently only approved for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy. Its use in psoriatic arthritis is investigational and not approved by regulatory authorities.
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