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ORKA-001 (mAb)


Developer(s)

Oruka Therapeutics, Inc.

Originator
https://ir.orukatx.com/

United States of America

Oruka Therapeutics, founded in 2023 in Menlo Park, CA, develops monoclonal antibody therapies for chronic skin diseases and inflammatory conditions. Its pipeline targets IL-23 and IL-17 pathways for psoriasis and psoriatic arthritis, aiming for near-complete clearance with minimal annual doses. The name reflects its mission: restoring healthy skin and advancing global dermatology innovation.

Paragon Therapeutics, Inc.

Originator
http://www.paragontherapeutics.com/

United Stated of America

Paragon Therapeutics, founded in 2021 in Waltham, MA, is a private biotech company focused on engineering best-in-class biologics for immunology and inflammatory diseases. It uses advanced protein design and screening technologies to accelerate antibody discovery. Paragon has launched spin-offs like Apogee (immunology), Spyre (IBD), and Oruka (dermatology).


Drug structure

Placeholder for ORKA-001 due to non-disclosure

Placeholder for ORKA-001 due to non-disclosure


Drug information

Associated long-acting platforms

Sterile Solution

Administration route

Subcutaneous

Therapeutic area(s)

Other(s) : "Psoriasis"

Use case(s)

Treatment

Use of drug

Ease of administration

Administered by a community health worker
Administered by a nurse
Administered by a specialty health worker

Frequency of administration

Every 6 months
Yearly

User acceptance

Not provided

Dosage

Available dose and strength

Adult Doses: 300 mg, 600 mg and 1200 mg (under clinical investigation)

Maximum dose

1200 mg

Recommended dosing regimen

ORKA-001, at doses of 300 mg, 600 mg, or 1200 mg, is administered subcutaneously in patients under 18 years of age as part of an ongoing Phase 1 clinical investigation.

Additional comments

NA

Dosage link(s)

Not provided


Drug information

Drug's link(s)

Not provided

Generic name

Long-acting IL-23p19 antibody

Brand name

ORKA-001; PR035

Compound type

Biotherapeutic

Drug class/category

Not provided

Summary

ORKA-001 is a humanized IgG1 monoclonal antibody targeting IL-23p19, a key cytokine in psoriasis. It binds IL-23 with high affinity (<5–20 pM), potently inhibits STAT3 signaling and IL-17 secretion, and shares a validated epitope with risankizumab. Engineered for extended half-life, it showed ~30–34 days in NHP and ~100 days in humans, enabling dosing every 6–12 months or annually. Phase 1 data confirmed sustained PK exposure, complete IL-23 pathway inhibition for 24 weeks, and a favorable safety profile—no severe adverse events, only mild headaches, URTI, and transient injection-site erythema. ORKA-001 aims to deliver higher efficacy, greater PASI 100 clearance, and extended off-treatment remission compared to current IL-23 inhibitors, reducing treatment burden and improving adherence.

Approval status

Not approved yet (under clinical investigation)

Regulatory authorities

Not approved yet (under clinical investigation)

Delivery device(s)

Not provided


Scale-up and manufacturing prospects

Scale-up prospects

Not provided

Tentative equipment list for manufacturing

CO₂ incubators, shaking incubators, biosafety cabinet (Class II), Nucleofector/electroporators, ClonePix™ 2, FACS sorters, automated colony pickers, Wave bioreactors, 50–2000 L single-use stirred-tank bioreactors, & ion-exchange chromatography

Manufacturing

The process encompasses gene design and expression construct selection, including Fc variants such as wild-type IgG1/IgG2/IgG4 or modified Fc with half-life extending substitutions (e.g., YTE: M252Y/S254T/T256E; LS: M428L/N434S). It proceeds through host cell selection and stable cell line development, upstream production (seed train to bioreactor), primary recovery and clarification, downstream purification using a validated platform adapted to ORKA-001, formulation development, sterile fill-finish, and establishment of analytical methods and specifications.

Specific analytical instrument required for characterization of formulation

LC-MS/MS (Thermo Orbitrap, SCIEX TripleTOF), UHPLC-QTOF MS, HILIC-UPLC + fluorescence/MS (Waters H-Class, Thermo Vanquish) and HCP ELISA.


Clinical trials

ORKA-001-111

Identifier

NCT06698939

Link

https://clinicaltrials.gov/study/NCT06698939

Phase

Phase I

Status

Not provided

Sponsor

Oruka Therapeutics, Inc.

More details

This is a Phase 1, First-in-human Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of ORKA-001 in Healthy Participants.

Purpose

ORKA-001 in Healthy Volunteers

Interventions

Intervention 1

ORKA-001

Intervention 2

Placebo

Countries

Netherlands

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2024-12-19

Anticipated Date of Last Follow-up
2025-05-15

Estimated Primary Completion Date
2026-06-01

Estimated Completion Date
2026-06-01

Actual Primary Completion Date
Not provided

Actual Completion Date
Not provided

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Yes

Comments about the studied populations

Key Inclusion Criteria: 1. Healthy male or female participants 2. 18 to 65 years (inclusive) with a body mass index (BMI) 18 to 32 kg/m2 3. Willing and able to remain at the study site unit for the duration of the confinement period and return for the outpatient visit/s defined in the protocol 4. Using a highly effective method of contraception from admission through the end of the study. 5. Willing to abstain from regular, continuous alcohol use or tobacco use as per protocol Key Exclusion Criteria: 1. Any clinically significant medical condition or finding that, in the Investigator's opinion, is likely to unfavorably alter the risk of study participation, confound study results, or interfere with the study conduct or compliance.

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

24

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Double-blind masking

Masking description

Not provided

Frequency of administration

Once

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Subcutaneous

Use case

Treatment

Key resources

Not provided

EVERLAST-A

Identifier

NCT07090330

Link

https://clinicaltrials.gov/study/NCT07090330

Phase

Phase II

Status

Recruiting

Sponsor

Oruka Therapeutics, Inc.

More details

This is a multicenter, randomized, double-blinded, placebo-controlled, proof-of-concept study to evaluate the efficacy, safety, tolerability, and pharmacokinetics of ORKA-001 in adult participants with moderate-to-severe plaque psoriasis.

Purpose

ORKA-001 Versus Placebo in Patients With Moderate-to-Severe Plaque Psoriasis

Interventions

Intervention 1

ORKA-001 Induction Dose

Intervention 2

Placebo

Intervention 3

ORKA-001 Maintenance Dose

Countries

United States of America
Canada

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2025-07-18

Anticipated Date of Last Follow-up
2025-10-30

Estimated Primary Completion Date
2026-09-01

Estimated Completion Date
2027-05-01

Actual Primary Completion Date
Not provided

Actual Completion Date
Not provided

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Inclusion Criteria: 1. Participants ≥ 18 years of age 2. Have a diagnosis of plaque psoriasis for \> 6 months 3. Have moderate-to-severe chronic plaque psoriasis defined as: 1. BSA ≥ 10%, and 2. PASI ≥ 12, and 3. IGA score of ≥ 3 on a 5-point scale 4. Candidate for systemic therapy or phototherapy 5. Women of childbearing potential must have a negative pregnancy test Exclusion Criteria: 1. Nonplaque forms of psoriasis (including guttate, erythrodermic, or pustular) or drug-induced psoriasis 2. 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 3. History of malignancy, except for non-

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

80

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Double-blind masking

Masking description

Not provided

Frequency of administration

Once

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Subcutaneous

Use case

Treatment

Key resources

Not provided

Excipients

Proprietary excipients used

Not provided

Novel excipients or existing excipients at a concentration above Inactive Ingredients Database (IID) for the specified route of administration

Not provided

Residual solvents used

Not provided


Patent info

Description

Il-23 antibody compositions and methods of use

Brief description

The present application claims benefit of and priority to U.S. Provisional Patent Application Nos. 63/550,224 (filed February 6, 2024), 63/550,173 (filed February 6, 2024), 63/550,178 (filed February 6, 2024), and 63/698,552 (filed September 24, 2024), the entire contents of each of which are hereby incorporated by reference for all purposes.

Representative patent

WO2025170982A2

Category

Not provided

Patent holder

Paragon Therapeutics Inc

Exclusivity

Not provided

Expiration date

August 6, 2026

Status

Pending


Supporting material

Publications

There are no publication

Additional documents

Useful links

There are no additional links


Access principles

Collaborate for development

Consider on a case by case basis, collaborating on developing long acting products with potential significant public health impact, especially for low- and middle-income countries (LMICs), utilising the referred to long-acting technology

Not provided

Share technical information for match-making assessment

Provide necessary technical information to a potential partner, under confidentiality agreement, to enable preliminary assessment of whether specific medicines of public health importance in LMICs might be compatible with the referred to long-acting technology to achieve a public health benefit

Not provided

Work with MPP to expand access in LMICs

In the event that a product using the referred to long-acting technology is successfully developed, the technology IP holder(s) will work with the Medicines Patent Pool towards putting in place the most appropriate strategy for timely and affordable access in low and middle-income countries, including through licensing

Not provided


Comment & Information

Not provided