Oruka Therapeutics Reveals Promising Interim Phase 1 Findings

Exciting Developments from Oruka Therapeutics
Menlo Park, California - Oruka Therapeutics, Inc. (NASDAQ: ORKA) is making waves with its promising interim results from the Phase 1 clinical trial for ORKA-001, a long-acting IL-23p19 antibody targeting chronic skin diseases such as plaque psoriasis (PsO). These results were recently unveiled at the European Academy of Dermatology and Venereology (EADV) Congress, showcasing the potential of ORKA-001 in the realm of dermatological therapeutics.
Key Insights into ORKA-001
Extended Half-Life and Dosage Advantages
ORKA-001 boasts an impressive half-life of around 100 days, drastically enhancing the prospects for annual dosing. Lawrence Klein, PhD, CEO of Oruka, expressed excitement over the trial outcomes, underscoring that this feature could lead to significant improvements in treatment adherence and patient satisfaction.
Supporting the Treatment Paradigm Shift
The Phase 1 trial results suggest that ORKA-001 could potentially revolutionize the existing PsO treatment landscape. The ongoing EVERLAST-A Phase 2a trial is designed to assess whether this promising therapy can maintain higher rates of skin clearance and extended periods free from treatment. Initial findings from this larger trial are anticipated in 2H 2026.
Outline of Phase 1 Trial Findings
The Phase 1 study was a randomized, double-blind, placebo-controlled trial that evaluated the safety and pharmacokinetics of ORKA-001 in 24 healthy volunteers. Participants were assigned to three different cohorts with doses of 300 mg, 600 mg, and 1200 mg. Noteworthy findings include:
Pharmacokinetic (PK) Metrics
ORKA-001 yielded a half-life significantly exceeding that of its closest competitor risankizumab, with a maximum concentration (Cmax) surpassing risankizumab at comparable doses. These outcomes indicate that patients might require fewer doses, potentially only once a year, leading to optimal therapeutic benefits.
Pharmacodynamics (PD) Insights
The efficacy of ORKA-001 was demonstrated through complete and sustained inhibition of STAT3 signaling, a key marker for IL-23 activity. The extended follow-up shows promise for long-lasting effects beyond standard treatment durations.
Safety Profile Assessment
Respondents at all dosage levels reported favorable tolerability, with no significant treatment-emergent adverse events (TEAEs). Some non-serious TEAEs included headache and mild local reactions, indicating a strong safety profile when compared to existing therapies.
Looking Ahead: EVERLAST Clinical Trials
Building upon Phase 1 success, the EVERLAST-A Phase 2a trial continues to enroll participants to evaluate the efficacy of a single dose of ORKA-001 in patients with moderate-to-severe PsO. The trial aims to determine the duration and effectiveness of treatment, with preliminary outcomes expected in 2H 2026.
Exciting Trial Parameters
The trial structure includes randomizing around 80 patients to receive either 600 mg of ORKA-001 or a placebo. Evaluating the primary endpoint of achieving a PASI 100 response at Week 16 will be crucial in determining ORKA-001's clinical impact.
Future Trials on the Horizon
In addition to EVERLAST-A, Oruka plans to launch a dose-ranging Phase 2b trial named EVERLAST-B in 1H 2026, expanding exploration into various dosing strategies to optimize patient outcomes in PsO.
Understanding ORKA-001's Mechanics
ORKA-001 is not merely another antibody; it’s designed for subcutaneous administration with an extended half-life, an innovative approach to targeting IL-23p19. This makes it a formidable candidate for first-line therapy, especially considering the unsatisfactory results of many currently available treatments.
About Oruka Therapeutics
Oruka Therapeutics is on a mission to redefine treatment standards for chronic skin conditions. With an emphasis on achieving patient's long-term relief, they are advancing a pioneering portfolio of antibodies that specifically target the underlying mechanisms of plaque psoriasis and related dermatologic challenges.
Frequently Asked Questions
What is ORKA-001?
ORKA-001 is an innovative monoclonal antibody aimed at treating chronic skin diseases, particularly plaque psoriasis, with potential for effective annual dosing.
What are the key findings from the Phase 1 trial?
The trial showed that ORKA-001 has a half-life of approximately 100 days, supports higher efficacy, and demonstrates a robust safety profile.
When will results from the EVERLAST-A trial be released?
Initial data from the EVERLAST-A Phase 2a trial is expected to be shared in the second half of 2026.
How many patients are participating in the EVERLAST-A trial?
Approximately 80 patients are expected to be enrolled in the EVERLAST-A trial to evaluate the effectiveness of ORKA-001.
What is the mission of Oruka Therapeutics?
Oruka Therapeutics aims to improve the lives of patients with chronic skin diseases through advanced therapies, aiming for high rates of complete clearance with minimal dosing frequency.
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