Clinical trial • Phase II • Dermatology
ORKA-001 for Moderate-to-severe plaque psoriasis
Phase II trial of ORKA-001 for Moderate-to-severe plaque psoriasis.
Overview
- Trial Therapeutic Area
- Dermatology
- Trial Disease
- Moderate-to-severe plaque psoriasis
- Trial Stage
- Phase II
- Drug Modality
- Monoclonal antibody
Key dates
- Initial CTIS Submission Date
- 13-01-2026
- First CTIS Authorization Date
- 08-05-2026
Trial design
Randomised, placebo for orka-001 (placebo arm). active comparator arms: orka-001 induction regimens: 37.5 mg orka-001 per protocol induction regimen at baseline only; 300 mg orka-001 per protocol induction regimen at baseline and week 4 (day 29); 600 mg orka-001 per protocol induction regimen at baseline and week 4 (day 29). maintenance regimens: 300 mg orka-001 or 600 mg orka-001 per protocol maintenance regimen based on protocol-defined response; placebo maintenance to maintain the blind.-controlled Phase II trial in Germany, Spain.
- Randomised
- Yes
- Comparator
- Placebo for ORKA-001 (Placebo arm). Active comparator arms: ORKA-001 induction regimens: 37.5 mg ORKA-001 per protocol induction regimen at Baseline only; 300 mg ORKA-001 per protocol induction regimen at Baseline and Week 4 (Day 29); 600 mg ORKA-001 per protocol induction regimen at Baseline and Week 4 (Day 29). Maintenance regimens: 300 mg ORKA-001 or 600 mg ORKA-001 per protocol maintenance regimen based on protocol-defined response; Placebo maintenance to maintain the blind.
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 128
- Trial Duration For Participant
- 743
Eligibility
Recruits 128 Vulnerable population selected (isVulnerablePopulationSelected = true). Participants must be adults (≥18 years). Specific informed consent forms exist for pregnant participants and pregnant partners (documents: L1_SIS and ICF_DEU_Pregnant Participant_Redacted; L1_SIS and ICF_DEU_Pregnant Partner_Redacted). No further details on assent or additional consent processes are provided in the available data..
- Pregnancy Exclusion
- Women of childbearing potential must have a negative pregnancy test
- Vulnerable Population
- Vulnerable population selected (isVulnerablePopulationSelected = true). Participants must be adults (≥18 years). Specific informed consent forms exist for pregnant participants and pregnant partners (documents: L1_SIS and ICF_DEU_Pregnant Participant_Redacted; L1_SIS and ICF_DEU_Pregnant Partner_Redacted). No further details on assent or additional consent processes are provided in the available data.
Inclusion criteria
- {"criterion_text":"- Participants ≥ 18 years of age\n- Have a diagnosis of plaque psoriasis for > 6 months\n- Have moderate-to-severe chronic plaque psoriasis defined as: a. BSA ≥ 10%, and b. PASI ≥ 12, and c. IGA score of ≥ 3 on a 5-point scale\n- Candidate for systemic therapy or phototherapy\n- Women of childbearing potential must have a negative pregnancy test"}
Exclusion criteria
- {"criterion_text":"- Nonplaque forms of psoriasis (including guttate, erythrodermic, or pustular) or drug-induced psoriasis\n- Significant history or clinical manifestation of any metabolic, other dermatological, hepatic, renal, hematologic, pulmonary, cardiovascular, gastrointestinal, neurologic, respiratory, endocrine, or psychiatric disorder, or any infectious disease\n- History of malignancy, except for non-melanoma skin cancer or cancer curatively treated ≥ 5 years, without evidence of recurrence\n- A known hypersensitivity to any components of the ORKA-001 drug product\n- Women who are breastfeeding or plan to breastfeed during the study"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Proportion of Participants Achieving 100% Reduction in PASI Score at Week 16: The Psoriasis Area and Severity Index Score (PASI) is an evaluation tool that combines the assessment of the severity and the area affected by psoriasis into a single score ranging from 0 (no disease) to 72 (maximum disease) (Time Frame: Week 16)","definition_or_measurement_approach":"PASI score combining severity and affected area into a single score 0–72; endpoint measured as proportion achieving 100% reduction in PASI at Week 16 (Time Frame: Week 16)."}
Secondary endpoints
- {"endpoint_text":"- Proportion of Participants Who Achieve an IGA = 0 (Clear) at Week 16: The Investigator Global Assessment (IGA) documents the Investigator’s assessment of the participant’s psoriasis at a given time point. Overall lesions are graded for induration, erythema, and scaling. The participant’s psoriasis is assessed as clear (0), almost clear (1), mild (2), moderate (3), or severe (4). (Time Frame: Week 16)\n- Proportion of Participants Achieving 90% Reduction in PASI Score at Week 16 (Time Frame: Week 16)\n- Proportion of Participants Who Achieve an IGA = 0 (Clear) or 1 (Almost Clear) at Week 16 (Time Frame: Week 16)\n- Proportion of Participants Maintaining 100% Reduction in PASI Score at Week 100 (Time Frame: Week 100)\n- Proportion of Participants Maintaining an IGA = 0 (Clear) at Week 100 (Time Frame: Week 100)\n- Proportion of Participants Maintaining 90% Reduction in PASI Score at Week 100 (Time Frame: Week 100)\n- Proportion of Participants Maintaining an IGA = 0 (Clear) or 1 (Almost Clear) at Week 100 (Time Frame: Week 100)\n- Proportion of Participants Maintaining 75% Reduction in PASI Score at Week 100 (Time Frame: Week 100)\n- Incidence of Treatment-emergent Adverse Events (TEAEs) and TEAEs of Special Interest (TEAESIs): Incidence of treatment adverse events, treatment adverse events of special interest, and clinically significant changes from baseline in vital signs, clinical laboratory parameters and electrocardiograms. (Time Frame: Day 1 through Week 100)","definition_or_measurement_approach":"IGA: investigator assessment graded 0–4 (clear to severe); PASI: percent reduction from baseline at specified weeks (Week 16, Week 100). Safety endpoints: incidence counts of TEAEs/TEAESIs and clinically significant changes from baseline in vitals, labs and ECGs (Time Frame: Day 1 through Week 100)."}
Recruitment
- Planned Sample Size
- 128
- Recruitment Window Months
- 31
- Consent Approach
- Informed consent obtained from adult participants (participants must be ≥18 years). Subject information and informed consent forms are available in German and Spanish (documents present: L1_SIS and ICF_DEU_Main_Redacted, L1_SIS and ICF_ESP_Main_Redacted, and pregnancy-specific ICFs). No information on assent (not applicable as only adults) or multi-language processes beyond DEU and ESP is provided in the available data.
Methods
- Patient recruitment managed by Galen Patient Recruitment Inc. (role: Patient Recruitment) targeting patients with moderate-to-severe plaque psoriasis via site and patient outreach.
- Site-based recruitment through participating hospitals/clinics in Germany and Spain (listed trial sites include university hospitals and dermatology departments).
- Participant reimbursement and stipends provided (as indicated in Suvoda LLC sponsor duties: "reimbursement and participant stipends; EDC is ePRO and eCOA").
- Use of electronic data capture and patient-reported outcome collection (ePRO and eCOA) as part of participant data collection (noted in Suvoda LLC duties).
Geography
- Total Number Of Sites
- 8
- Total Number Of Participants
- 32
Germany
- Earliest CTIS Part Ii Submission Date
- 15-04-2026
- Latest Decision Or Authorization Date
- 08-05-2026
- Processing Time Days
- 23
- Number Of Sites
- 4
- Number Of Participants
- 16
Sites
- Site Name
- Goethe University Frankfurt
- Department Name
- Dermatologie, Venerologie und Allergologie
- Principal Investigator Name
- Andreas Pinter
- Principal Investigator Email
- andreas.pinter@pinter-med.com
- Contact Person Name
- Andreas Pinter
- Contact Person Email
- andreas.pinter@pinter-med.com
- Site Name
- Universitaetsklinikum Heidelberg AöR
- Department Name
- Dermatology
- Principal Investigator Name
- Knut Schaekel
- Principal Investigator Email
- knut.schaekel@med.uni-heidelberg.de
- Contact Person Name
- Knut Schaekel
- Contact Person Email
- knut.schaekel@med.uni-heidelberg.de
- Site Name
- Thermalsole und Schwefelbad Bentheim GmbH
- Department Name
- Dept. of. Dermatology
- Principal Investigator Name
- Athanasios Tsianakas
- Principal Investigator Email
- a.tsianakas@fk-bentheim.de
- Contact Person Name
- Athanasios Tsianakas
- Contact Person Email
- a.tsianakas@fk-bentheim.de
- Site Name
- Universitaetsklinikum Schleswig-Holstein AöR
- Department Name
- Klinik für Dermatologie, Venerologie und Allergologie
- Principal Investigator Name
- Sascha Gerdes
- Principal Investigator Email
- sgerdes@dermatology.uni-kiel.de
- Contact Person Name
- Sascha Gerdes
- Contact Person Email
- sgerdes@dermatology.uni-kiel.de
Spain
- Earliest CTIS Part Ii Submission Date
- 28-01-2026
- Latest Decision Or Authorization Date
- 11-05-2026
- Processing Time Days
- 103
- Number Of Sites
- 4
- Number Of Participants
- 16
Sites
- Site Name
- Hospital De La Santa Creu I Sant Pau
- Department Name
- Dermatology
- Principal Investigator Name
- Anna Lopez Ferrer
- Principal Investigator Email
- ALopezFe@santpau.cat
- Contact Person Name
- Anna Lopez Ferrer
- Contact Person Email
- ALopezFe@santpau.cat
- Site Name
- Hospital Germans Trias I Pujol
- Department Name
- Dermatology
- Principal Investigator Name
- Jose Manuel Carrascosa Carrillo
- Principal Investigator Email
- jmcarrascosac.germanstrias@gencat.cat
- Contact Person Name
- Jose Manuel Carrascosa Carrillo
- Contact Person Email
- jmcarrascosac.germanstrias@gencat.cat
- Site Name
- Icr Medical S.L.
- Department Name
- Dermatology
- Principal Investigator Name
- Alvaro Gonzalez Cantero
- Principal Investigator Email
- assistant@drgonzalezcantero.com
- Contact Person Name
- Alvaro Gonzalez Cantero
- Contact Person Email
- assistant@drgonzalezcantero.com
- Site Name
- Hospital Universitario La Paz
- Department Name
- Dermatology
- Principal Investigator Name
- Pedro Herranz Pinto
- Principal Investigator Email
- Pedro.Herranz@salud.madrid.org
- Contact Person Name
- Pedro Herranz Pinto
- Contact Person Email
- Pedro.Herranz@salud.madrid.org
Sponsor
Primary sponsor
- Full Name
- Oruka Therapeutics Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Premier Research International LLC
- Responsibilities
- eTMF, Investigator payments; multiple operational and regulatory responsibilities
- Name
- Propharma Group LLC
- Responsibilities
- Independent Data Monitoring Committee, Adjudication Comittee
- Name
- WCG Clinical Inc.
- Responsibilities
- Rater Training; central IRB for North American sites
- Name
- Clario
- Responsibilities
- ECG
- Name
- Labcorp Central Laboratory Services Sàrl
- Responsibilities
- Central laboratory services
Third parties
- {"country":"United States","full_name":"Veeva Systems Inc.","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"reimbursement and participant stipends; EDC is ePRO and eCOA","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Propharma Group LLC","duties_or_roles":"Independent Data Monitoring Committee, Adjudication Comittee","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Canfield Scientific Inc.","duties_or_roles":"Photography","organisation_type":"Pharmaceutical company"}
- {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services Sàrl","duties_or_roles":"","organisation_type":"Health care"}
- {"country":"United States","full_name":"Galen Patient Recruitment Inc.","duties_or_roles":"Patient Recruitment","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"Rater Training; central IRB for North American sites","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Premier Research International LLC","duties_or_roles":"eTMF, Investigator payments; additional operational roles (multiple codes listed)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Clario","duties_or_roles":"ECG","organisation_type":"Industry"}
- {"country":"United States","full_name":"Veranex Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- ORKA-001
- Active Substance
- ORKA-001
- Modality
- Monoclonal antibody
- Routes Of Administration
- Subcutaneous injection
- Route
- Subcutaneous injection
- Starting Dose
- 37.5 mg
- Dose Levels
- 37.5 mg; 300 mg; 600 mg
- Frequency
- 37.5 mg at Baseline only (single dose); 300 mg at Baseline and Week 4 (Day 29); 600 mg at Baseline and Week 4 (Day 29). Maintenance: 300 mg or 600 mg per protocol based on response.
- Maximum Dose
- 600 mg
- Dose Escalation Increase
- 37.5 mg -> 300 mg -> 600 mg
- Investigational Product Name
- Placebo for ORKA-001
- Modality
- Other
- Frequency
- Placebo per protocol (schedule matches induction/maintenance to maintain blinding).
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