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
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

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
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
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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