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Expert Interview

Slingshot members are talking to an expert! The topic is:

Analyzing Phase 3 ICONIC Trial Results for Icotrokinra (JNJ-2113) in Moderate-to-Severe Plaque Psoriasis from Protagonist Therapeutics (PTGX)

Ticker(s): PTGX

Who's the expert?

Institution: Mass General | Harvard

  • Instructor of Dermatology at Harvard Medical School.
  • Manages 50-100 patients with molluscum.
  • Clinical interests in vitiligo, skin pigmentation, vascular birthmarks, acne, and the full spectrum of pediatric dermatology

Interview Questions
Q1.

At week 16, 64.7% of patients achieved IGA scores of 0/1, with further improvement to 74.1% at week 24. How does this compare to existing therapies for moderate-to-severe plaque psoriasis, particularly in terms of speed and magnitude of skin clearance?

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Q2.

Nearly 65% of icotrokinra-treated patients achieved PASI-90 by week 24. How transformative is achieving PASI-90 for patients with plaque psoriasis in improving their quality of life and reducing disease burden?

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Q3.

The safety profile of icotrokinra appears consistent with earlier trials, with similar adverse event rates to placebo. How significant is this in positioning icotrokinra as a safe option for long-term management of psoriasis?

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Q4.

The ICONIC-TOTAL study demonstrated efficacy in plaque psoriasis affecting challenging areas. How important is this for addressing unmet needs in these difficult-to-treat cases?

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Q5.

As an oral therapy, icotrokinra offers a non-invasive alternative to injections or infusions. How does this benefit patients in terms of treatment adherence and accessibility?

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Q6.

Given icotrokinra's targeted IL-23 receptor blockade and oral delivery, how does it compare to current biologic options in efficacy, safety, and convenience?

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Q7.

Icotrokinra is being evaluated for other IL-23-mediated conditions, including ulcerative colitis. How promising is this therapy as a versatile treatment across multiple inflammatory diseases?

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Q8.

With plans for NDA submission in 2025 and additional trials in ulcerative colitis and psoriatic arthritis, what challenges and opportunities do you foresee in icotrokinra's path to approval and commercialization?

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