Icotrokinra: A Promising Oral IL-23 Receptor Inhibitor for Moderate-to-Severe Plaque Psoriasis

Skin Therapy Lett. 2026 Jan;31(1):4-7.

Abstract

Biologics have emerged in recent years as relatively safe and effective options for managing plaque psoriasis, however, a subset of patients remain reluctant to initiate biologic therapy. Icotrokinra is a novel, first-in-class oral peptide that targets the interleukin-23 receptor and has demonstrated a favorable safety and efficacy profile comparable to that of injectable biologics in individuals aged 12 years and older. This review summarizes the clinical trial data regarding the safety and efficacy of icotrokinra.

Keywords: IL-23 receptor; biologics; clinical trials; immune mediated inflammatory disease; oral peptide; psoriasis.

Publication types

  • Review

MeSH terms

  • Administration, Oral
  • Dermatologic Agents* / administration & dosage
  • Dermatologic Agents* / therapeutic use
  • Humans
  • Psoriasis* / drug therapy
  • Receptors, Interleukin* / antagonists & inhibitors
  • Severity of Illness Index

Substances

  • Receptors, Interleukin
  • IL23R protein, human
  • Dermatologic Agents