Plaque PsoriasisPhase 3ONWARD1NCT06586112
A Study to Evaluate the Efficacy and Safety of ESK-001 in Patients With Moderate to Severe Plaque Psoriasis
A Phase 3 study testing Envudeucitinib and Apremilast in people with Plaque Psoriasis, run by Alumis Inc at 156 sites in 10 countries.
Trial summary
The goal of this clinical trial is to learn if ESK-001 works to treat moderate to severe plaque psoriasis. The main questions it aims to answer are: Does ESK-001 reduce the severity of people's psoriasis? How safe is ESK-001 in people with moderate to severe plaque psoriasis? The study includes 2 comparators: a… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Plaque Psoriasis
- What is being tested?
- Envudeucitinib and Apremilast
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 912 participants
- Where
- 156 sitesin 10 countries
- Study dates
- 25 Jul 2024to 20 Nov 2025
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Males or females, age ≥18 years
- Diagnosis of plaque psoriasis for ≥6 months
- Plaques covering ≥10% of BSA
- PASI ≥12
- sPGA ≥3
- Women of childbearing potential (WOCBP) and males who are sexually active with WOCBP must agree to adhere to highly effective methods of contraception
Who cannot join
- Nonplaque psoriasis or other inflammatory skin conditions
- immune-mediated conditions commonly associated with psoriasis (eg inflammatory bowel disease). Participants with psoriatic arthritis may participate
- Pregnant, lactating, or planning to get pregnant during the study
- Use of drugs prior to Study Day 1 that treat or may affect psoriasis:
- Topical within 2 weeks
- Phototherapy or any systemic treatments within 4 weeks
Show all 28Show fewer
- Any biologic agent targeted to IL-12 or IL-23 within 6 months, oral IL-12 or IL-23 or TNFα inhibitor within 2 months, or IL-17 within 4 months
- Systemic immunosuppressants or immunomodulatory drugs within 4 weeks
- Modulators of B cells within 6 months, or T cells within 3 months
- JAK inhibitors or TYK2 inhibitors within 4 weeks
- PDE4 inhibitor within 2 months
- Any investigational agent, within 30 days or 5 half-lives or is currently enrolled in an investigational study
- Lack of clinical response to a TYK2, IL-12, or IL-23 targeted psoriasis treatment
- Participants with QTcF >450 msec (males) or >470 msec (females) at Screening
- Unstable cardiovascular disease, defined as a recent clinical deterioration or a cardiac hospitalization within the last 3 months
- Evidence of recent or recurrent herpes zoster or herpes simplex viral infection
- Evidence of active infection or positive test result for hepatitis B, hepatitis C, HIV or TB
- History of serious bacterial, fungal, or viral infections that led to hospitalization, or any recent serious infection requiring antibiotic treatment
- Any history of known or suspected congenital or acquired immunodeficiency state or condition that would compromise the participant's immune status
- Lab abnormalities indicating significant renal, hepatic or bone marrow dysfunction
- History of any immune-mediated or inflammatory medical condition for which participants requires current systemic corticosteroids
- Stable doses of inhaled corticosteroids for treatment of asthma are allowed
- Known current malignancy or current evaluation for a potential malignancy or history of malignancy within the past 5 years prior to screening, except for adequately treated basal cell or squamous cell skin carcinoma or carcinoma in situ of the cervix
- Live vaccines within 4 weeks prior to Study Day 1
- Participant has planned surgery during the study period
- Any acute or chronic illness/condition or evidence of an unstable clinical condition that, in the opinion of the Investigator, will substantially increase the risk to the participant if he or she participates in the study
- History of mental illness within the last 5 years, unless receiving a fixed regimen of psychiatric medications for at least 6 months before screening or has not required or been prescribed any psychiatric medication within 12 months before screening
- Evidence of severe depressive symptoms or active suicidal ideation or behavior
Trial locations and contacts
156 sites in 10 countries.
156 sites in 10 countries
United States55 sites
Velocity Clinical Research at The Dermatology Clinic, Baton Rouge
Baton Rouge, Louisiana, 70808
UT Health Houston Department of Dermatology
Bellaire, Texas, 77401
Clearlyderm Dermatology - West Boca Raton
Boca Raton, Florida, 33428
Equity Medical - Bowling Green
Bowling Green, Kentucky, 42104
MetroBoston Clinical Partners
Brighton, Massachusetts, 02135
MetroMed Clinical Trials
Chicago, Illinois, 60614-3625
Exalt Clinical Research
Chula Vista, California, 91910
Dawes Fretzin Clinical Research Group
Columbus, Indiana, 47201
Driven Clinical Research
Coral Gables, Florida, 33134
Studies in Dermatology, LLC
Cypress, Texas, 77429
California Dermatology & Clinical Research Institute
Encinitas, California, 92024-7700
First OC Dermatology Research Inc
Fountain Valley, California, 92708
Reveal Research Institute
Frisco, Texas, 75033
The Ohio State University Wexner Medical Center (OSUWMC) - OSU Dermatology East - Columbus
Gahanna, Ohio, 43230-5317
Discover Dermatology, LLC d/b/a Goodlettsville Dermatology Research
Goodlettsville, Tennessee, 37072-2301
Discover Dermatology, LLC d/b/a Cumberland Skin Center for Clinical Research under Objective Health
Hermitage, Tennessee, 37076
Center for Clinical Studies - Texas Medical Center
Houston, Texas, 77004
Austin Institute for Clinical Research - Houston
Houston, Texas, 77056
Marvel Clinical Research, LLC
Huntington Beach, California, 92647
Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216
Cleaver Dermatology
Kirksville, Missouri, 63501-5362
Sunwise Clinical Research, LLC
Lafayette, California, 94549
Wallace Medical Group Inc
Los Angeles, California, 90056
Skin Care Physicians of Georgia - Warner Robins
Macon, Georgia, 31217
Glick Skin Institute - Margate
Margate, Florida, 33063-7011
Dermatologists of Southwestern Ohio, LLC
Mason, Ohio, 45040-4520
Velocity Clinical Research, Medford
Medford, Oregon, 97504
San Marcus Research Clinic, Inc - Miami
Miami Lakes, Florida, 33014
Savin Medical Group LLC
Miami Lakes, Florida, 33014
Frontier Dermatology
Mill Creek, Washington, 98012
University of Utah Health Care - Midvalley Health Center
Murray, Utah, 84107
Tulane University School of Medicine
New Orleans, Louisiana, 70112
OptiSkin
New York, New York, 10128-0724
Oceanic Research Group
North Miami Beach, Florida, 33169
Northridge Clinical Trials - Elite Clinical Network
Northridge, California, 91325
Unity Clinical Research (UCR)
Oklahoma City, Oklahoma, 73118
Pasadena Clinical Trials
Pasadena, California, 91101
Paddington Testing Company Inc.
Philadelphia, Pennsylvania, 19103
Alliance Dermatology
Phoenix, Arizona, 85032
UPMC Department of Dermatology
Pittsburgh, Pennsylvania, 15213
Oregon Medical Research Center
Portland, Oregon, 97201
Health Concepts
Rapid City, South Dakota, 57702-9208
Northwest Arkansas Clinical Trials Center (NWACTC), PLLC
Rogers, Arkansas, 72758-8600
Arlington Dermatology
Rolling Meadows, Illinois, 60008
Therapeutics Clinical Research
San Diego, California, 92123
Scottsdale Clinical Trials
Scottsdale, Arizona, 85260
Unison Clinical Trials/ Shahram Jacobs MD
Sherman Oaks, California, 91403-1814
NorthShore Medical Group - Dermatology - Skokie
Skokie, Illinois, 60077-1049
The South Bend Clinic
South Bend, Indiana, 46617
LENUS Research
Sweetwater, Florida, 33172
Olive View - UCLA Education & Research Institute
Sylmar, California, 91342
Caban Skin Institute
Tampa, Florida, 33607
ForCare Medical Center
Tampa, Florida, 33613-1244
California Dermatology Institute - Thousand Oaks
Thousand Oaks, California, 91320-2130
Dundee Dermatology
West Dundee, Illinois, 60118
Poland21 sites
ClinicMed Daniluk, Nowak Spolka Komandytowa
Bialystok, Podlaskie Voivodeship, 15-879
Centrum Medyczne Pratia Bydgoszcz
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85796
AES Gdansk
Gdansk, Pomeranian Voivodeship, 80-382
Centrum Badań Klinicznych PI House Sp. Z O.O.
Gdansk, 80-546
Derm Art Institute
Gdynia, Pomeranian Voivodeship, 81-415
Centrum Medyczne Synexus Gdynia
Gdynia, Pomeranian Voivodeship, 81-537
Centrum Medyczne Angelius Provita (Angelius Provita Medical Centre)
Katowice, Silesian Voivodeship, 40-611
Specjalistyczny Ośrodek Alergologiczno-Internistyczny "ALL-MED"
Krakow, Lesser Poland Voivodeship, 30-033
Diamond Clinic
Krakow, Malopolska, 31-559
Pratia Małopolskie Centrum Medyczne (MCM) Kraków
Krakow, 30-727
Velocity Clinical Research, Skierniewice
Skierniewice, Łódź Voivodeship, 96-100
Laser Clinic
Szczecin, West Pomeranian Voivodeship, 70-332
MICS Medical Center Warsaw
Warsaw, Masovian Voivodeship, 00-874
FutureMeds Warszawa Centrum
Warsaw, Masovian Voivodeship, 00215
High Med Przychodnia Specjalistyczna
Warsaw, Masovian Voivodeship, 01-817
Centrum Medyczne Reuma Park
Warsaw, Masovian Voivodeship, 02-665
RoyalDerm
Warsaw, Mazowiecke, 02-962
Rheuma Medicus
Warsaw, 02-118
Centrum Medyczne Synexus Warszawa
Warsaw, 02-672
Centrum Medyczne Synexus Wroclaw
Wroclaw, Lower Silesian Voivodeship, 50-381
WroMedica
Wroclaw, Lower Silesian Voivodeship, 51-685
Japan19 sites
Nagoya City University Hospital
Aichi, Nagoya-shi, 467-8602
Asahikawa Medical University Hospital
Asahikawa, Hokkaido, 078-8510
Fukuoka University Hospital
Fukuoka, Fukuoka-shi, 814-0180
Hokkaido University Hospital
Hokkaido, Sapporo-shi, 060-8648
Saruwatari Dermatology Clinic
Kagoshima, Kagoshima-Shi, 890-0046
Kanto Rosai Hospital
Kanagawa, Kawasaki-shi, 211-8510
National Hospital Organization Sagamihara National Hospital
Kanagawa, Sagamihara, 252-0392
Yokohama City University Hospital
Kanagawa, Yokohama-shi, 236-0004
Mie University Hospital
Mie, Tsu-shi, 514-8507
Okayama University Hospital
Okayama, Okayama-shi, 700-8558
Osaka Metropolitan University Hospital
Osaka, Osaka-shi, 545-8586
Nippon Life Hospital
Osaka, Osaka-Shi, 550-0006
Dermatology and Ophthalmology Kume Clinic
Osaka, Saka-Shi, 593-8324
Kindai University Hospital
Osaka, Sayama-Shi, 589-8511
Osaka University Hospital
Osaka, Suita-shi, 565-0871
Nihon University Itabashi Hospital
Tokyo, Itabashi-Ku, 173-8610
Tokyo Medical University Hospital
Tokyo, Shinjuku-Ku, 160-0023
Medical Corporation Jitai kai Tachikawa Dermatology Clinic
Tokyo, Tachikawa-shi, 190-0023
Yamaguchi University Hospital
Yamaguchi, Ube-shi, 755-8505
Czechia16 sites
Pratia Brno s.r.o.
Brno, Moravia, 60200
Kozni ambulance Kutna Hora, s.r.o.
Kutná Hora, 28401
DERMAMEDICA, s.r.o.
Náchod, 54701
Nemocnice Nový Jičín, A.S.
Nový Jičín, 74101
Dermskin, s.r.o.
Olomouc, Moravia, 77900
CCR Ostrava, s.r.o.
Ostrava, 70200
Vesalion sro
Ostrava, 70200
Pratia Pardubice a.s.
Pardubice, 53002
Fakultni nemocnice Plzen Dermatovenerologicka klinika
Pilsen, Bory, 301 00
Clintrial s.r.o.
Prague, 100 00
Fakultni Nemocnice Kralovske Vinohrady FNKV Dermatovenerologicka Klinika
Prague, 10034
Sanatorium Profesora Arenbergera
Prague, 110 00
Pratia Prague, s.r.o.
Prague, 13000
Praglandia
Prague, 15000
Dermatologicka ambulance - Svitavy
Svitavy, 568 02
MUDr Radka Neumannova
Svitavy, 56802
Canada15 sites
Rejuvenation Medical Group Edmonton Downtown
Edmonton, Alberta, T5J 3S9
Dermatrials Research Inc.
Hamilton, Ontario, L8N 1Y2
Centricity Research
London, Ontario, N6A 2C2
DermEffects
London, Ontario, N6H 5L5
Lynderm Research Inc.
Markham, Ontario, L3P 1X3
DermEdge Research
Mississauga, Ontario, L4Y 4C5
Institute of Cosmetic & Laser Surgery
Oakville, Ontario, L6J 7W5
"Centre de Recherche Dermatologique du Quebec Metropolitain Inc."
Québec, Quebec, G1V 4X7
The Centre for Dermatology
Richmond Hill, Ontario, L4B 1A5
Enverus Medical Research
Surrey, British Columbia, V3V 0C6
North York Research Inc.
Toronto, Ontario, M2N3A6
Canadian Dermatology Centre
Toronto, Ontario, M3B 0A7
Dermatology on Bloor
Toronto, Ontario, M4W 2N4
Dermatologie Sima Inc.
Verdun, Quebec, H4G 3E7
Alliance Clinical Trials
Waterloo, Ontario, N2J 1C4
Germany11 sites
Hautarztpraxis Dr. Mihaescu
Augsburg, Bavaria, 86150
Fachklinik Bad Bentheim
Bad Bentheim, Lower Saxony, 48455
Klinikum Bielefeld
Bielefeld, North Rhine-Westphalia, 33647
Hautarztpraxis an der Hase
Bramsche, Lower Saxony, 49565
Pro Derma
Dülmen, North Rhine-Westphalia, 48249
Universitatsklinikum Frankfurt
Frankfurt am Main, Hesse, 60590
Universitatsklinikum Schleswig-Holstein
Kiel, Schleswig-Holstein, 24105
Siteworks
Lohne, Lower Saxony, 49393
Hautarztpraxis Mahlow
Mahlow, Brandenburg, 15831
Intramedis CSS
Remscheid, North Rhine-Westphalia, 42897
Eberhard Karls Universitaet Tuebingen Universitaets Hautklinik Tuebingen
Tübingen, Baden-Wurttemberg, 72070
South Korea6 sites
Hallym University Sacred Heart Hospital
Anyang-si, Gyeonggi-do, 14068
Pusan National University Hospital
Busan, 49241
Chosun Universtiy Hospital
Gwangju, Dong-gu, 61453
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Konkuk University Medical Center
Seoul, Gwangjin-gu, 05030
Seoul National University Hospital
Seoul, 03080
Australia5 sites
North Eastern Health Specialists (NEHS)
Campbelltown, South Australia, 5074
Skin Health Institute Inc.
Carlton, Victoria, 3053
Sinclair Dermatology
East Melbourne, Victoria, 3002
Premier Specialists
Kogarah, New South Wales, 2217
Westmead Hospital
Westmead, New South Wales, 2145
Bulgaria5 sites
Multiprofile Hospital for Active Treatment Dr Tota Venkova
Gabrovo, 5300
Medikal Center Kordis
Pleven, 5800
Skin and Venereal Diseases Center EOOD
Sofia, 1404
Diagnostic Consultative Center Aleksandrovska EOOD
Sofia, 1431
Clineca
Stara Zagora, 6000
Portugal3 sites
Hospital da Senhora da Oliveira
Guimarães, Braga District, 4835-044
Hospital CUF Descobertas
Lisbon, 1998-018
Unidade Local de Saude Santo Antonio Hospital de Santo Antonio
Porto, 4099-001
About this study
Official title: A Multicenter, Randomized, Double-Blind, Placebo and Active Comparator Controlled Phase 3 Study to Evaluate the Efficacy and Safety of ESK-001 in Patients With Moderate to Severe Plaque Psoriasis (ONWARD1)
The goal of this clinical trial is to learn if ESK-001 works to treat moderate to severe plaque psoriasis. The main questions it aims to answer are:
- Does ESK-001 reduce the severity of people's psoriasis?
- How safe is ESK-001 in people with moderate to severe plaque psoriasis?
Read more
The study includes 2 comparators: a placebo control (a 'dummy' tablet that does not contain the medicine ESK-001 but looks just like it) and an active control (apremilast, which is a medicine approved to treat psoriasis).
People taking part in this study must be men or women aged at least 18 years and have had plaque psoriasis for at least 6 months, currently moderate to severe.
Participants will:
- take drug every day for 24 weeks.
- visit the clinic for checkups and tests.
- fill out questionnaires about their psoriasis, itch severity, and change in quality of life.
- be assessed for health issues and side effects, physical examinations, vital signs, heart electrical activity measurements, and psychological health.
- provide blood and urine samples.
- Conditions
- Plaque Psoriasis
- Being tested
- Envudeucitinib, Apremilast, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EnvudeucitinibDrug
ESK-001
ApremilastDrug
Apremilast
PlaceboDrug
Placebo
| Study group | Role | What they receive |
|---|---|---|
| ESK-001 | Experimental | ESK-001 administered as an oral tablet Receives: Drug: Envudeucitinib |
| Placebo | Placebo comparator | Matching oral placebo Receives: Drug: Placebo |
| Apremilast | Active comparator | Apremilast administered as an oral capsule Receives: Drug: Apremilast |
What is being measured
The primary outcome is the main question the study is designed to answer.
To determine whether ESK-001 reduces the severity of psoriasis by 75% (using the PASI) or by at least 2 points (using sPGA score) compared to placebo
Proportion of participants achieving ≥75% reduction in PASI score. Proportion of participants achieving a score of 0 or 1 on sPGA.
Measured: 16 weeks
Secondary outcomes (10)
To compare the Psoriasis Area and Severity Index (PASI-90 and PASI-100) between ESK-001 and placebo or apremilast
Proportion of participants achieving of ≥90% or 100% reduction in PASI
Measured: 24 weeks
To compare the Psoriasis Area and Severity Index (PASI-75) between ESK-001 and apremilast
Proportion of participants achieving of ≥75% reduction in PASI
Measured: 24 weeks
To compare the Static Physician's Global Assessment (sPGA-0/1) between ESK-001 and apremilast
Proportion of participants achieving a score of 0 or 1 on sPGA
Measured: 24 weeks
To compare the affected body surface area (%BSA) between ESK-001 and placebo or apremilast
Change from baseline in %BSA
Measured: 24 weeks
To compare the scalp specific Physician's Global Assessment (ssPGA) between ESK-001 and placebo or apremilast.
Proportion of participants achieving a score of 0 or 1 on ssPGA
Measured: 24 weeks
To compare the Psoriasis Symptoms and Signs Diary (PSSD) between ESK-001 and placebo or apremilast
Proportion of participants achieving a score of 0
Measured: 24 weeks
To compare the Dermatology Life Quality Index (DLQI) between ESK-001 and placebo or apremilast
Proportion of participants achieving a score of 0 or 1
Measured: 24 weeks
To compare the Pruritus numeric rating scale (NRS) between ESK-001 and placebo
Change from baseline in Pruritus NRS
Measured: 24 weeks
Proportion of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)
Incidence of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)
Measured: 24 weeks
To characterize the pharmacokinetics of ESK-001
Maximum [Cmax] and minimum [Cmin] plasma concentration
Measured: 24 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2024
- Study start25 Jul 2024
- Primary completion19 Sep 2025
- Study completion20 Nov 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Plaque PsoriasisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 912 participants (actual)
Sponsor and investigators
- Lead sponsor
- Alumis Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06586112
- Sponsor's protocol ID
- ESK-001-016
- Acronym
- ONWARD1
- Status last verified
- Oct 2026
- First submitted
- 14 Aug 2024
- Last updated
- 28 Oct 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided: The Sponsor Alumis Inc. is a clinical-stage biopharmaceutical company that has not yet adopted an Individual Participant Data (IPD) sharing plan.
Study at a glance
From the registry record, last updated by the sponsor on 28 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Placebo and Active Comparator Controlled Phase 3 Study to Evaluate the Efficacy and Safety of ESK-001 in Patients With Moderate to Severe Plaque Psoriasis (ONWARD1)
- ClinicalTrials.gov ID
- NCT06586112
- Acronym / sponsor ID
- ONWARD1 / ESK-001-016
- Conditions
- Plaque Psoriasis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 912 participants (actual)
- Lead sponsor
- Alumis IncIndustry (pharma, biotech, devices)
- Study start
- 25 Jul 2024 (actual)
- Primary completion
- 19 Sep 2025 (actual)
- Study completion
- 20 Nov 2025 (actual)
- First posted
- 19 Sep 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to learn if ESK-001 works to treat moderate to severe plaque psoriasis. The main questions it aims to answer are:
- Does ESK-001 reduce the severity of people's psoriasis?
- How safe is ESK-001 in people with moderate to severe plaque psoriasis?
The study includes 2 comparators: a placebo control (a 'dummy' tablet that does not contain the medicine ESK-001 but looks just like it) and an active control (apremilast, which is a medicine approved to treat psoriasis).
People taking part in this study must be men or women aged at least 18 years and have had plaque psoriasis for at least 6 months, currently moderate to severe.
Participants will:
- take drug every day for 24 weeks.
- visit the clinic for checkups and tests.
- fill out questionnaires about their psoriasis, itch severity, and change in quality of life.
- be assessed for health issues and side effects, physical examinations, vital signs, heart electrical activity measurements, and psychological health.
- provide blood and urine samples.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| ESK-001 | Experimental | Drug: EnvudeucitinibESK-001 administered as an oral tablet |
| Placebo | Placebo comparator | Drug: PlaceboMatching oral placebo |
| Apremilast | Active comparator | Drug: ApremilastApremilast administered as an oral capsule |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Males or females, age ≥18 years
- Diagnosis of plaque psoriasis for ≥6 months
- Plaques covering ≥10% of BSA
- PASI ≥12
- sPGA ≥3
Key exclusion criteria (28 listed)
- Nonplaque psoriasis or other inflammatory skin conditions
- immune-mediated conditions commonly associated with psoriasis (eg inflammatory bowel disease). Participants with psoriatic arthritis may participate
- Pregnant, lactating, or planning to get pregnant during the study
- Use of drugs prior to Study Day 1 that treat or may affect psoriasis:
- Lack of clinical response to a TYK2, IL-12, or IL-23 targeted psoriasis treatment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EnvudeucitinibESK-001 | Drug | ESK-001 |
| ApremilastApremilast | Drug | Apremilast |
| PlaceboPlacebo | Drug | Placebo |
Primary outcome
To determine whether ESK-001 reduces the severity of psoriasis by 75% (using the PASI) or by at least 2 points (using sPGA score) compared to placebo
Time frame: 16 weeks
Proportion of participants achieving ≥75% reduction in PASI score. Proportion of participants achieving a score of 0 or 1 on sPGA.
10 secondary outcomes
To compare the Psoriasis Area and Severity Index (PASI-90 and PASI-100) between ESK-001 and placebo or apremilast
Time frame: 24 weeks
To compare the Psoriasis Area and Severity Index (PASI-75) between ESK-001 and apremilast
Time frame: 24 weeks
To compare the Static Physician's Global Assessment (sPGA-0/1) between ESK-001 and apremilast
Time frame: 24 weeks
To compare the affected body surface area (%BSA) between ESK-001 and placebo or apremilast
Time frame: 24 weeks
To compare the scalp specific Physician's Global Assessment (ssPGA) between ESK-001 and placebo or apremilast.
Time frame: 24 weeks
To compare the Psoriasis Symptoms and Signs Diary (PSSD) between ESK-001 and placebo or apremilast
Time frame: 24 weeks
To compare the Dermatology Life Quality Index (DLQI) between ESK-001 and placebo or apremilast
Time frame: 24 weeks
To compare the Pruritus numeric rating scale (NRS) between ESK-001 and placebo
Time frame: 24 weeks
Proportion of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)
Time frame: 24 weeks
To characterize the pharmacokinetics of ESK-001
Time frame: 24 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Oct 2026.
- Individual participant dataSharing planned: Undecided. The Sponsor Alumis Inc. is a clinical-stage biopharmaceutical company that has not yet adopted an Individual Participant Data (IPD) sharing plan.
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Plaque Psoriasis
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
156 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Envudeucitinib and Apremilast in people with Plaque Psoriasis, run by Alumis Inc at 156 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 28 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 156 sites in United States, Poland, Japan, Czechia, Canada and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
To determine whether ESK-001 reduces the severity of psoriasis by 75% (using the PASI) or by at least 2 points (using sPGA score) compared to placebo (time frame: 16 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Oct 2026.