Development

Qyuns Therapeutics' oturkibart hits Phase III primary endpoint in prurigo nodularis

Qyuns Therapeutics' oturkibart hits Phase III primary endpoint in prurigo nodularis

China-based Qyuns Therapeutics (HKEX: 2509) reported detailed Phase III results for oturkibart (QX005N), its anti-IL-4Rα monoclonal antibody, in adults with moderate-to-severe prurigo nodularis (PN), presenting the data as a late-breaking oral at the 35th European Academy of Dermatology and Venereology Congress in Vienna.

The multicenter, randomized, double-blind, placebo-controlled study enrolled 412 patients across 62 centers in China and randomized them 1:1 to 450 mg oturkibart or placebo subcutaneously every two weeks. Participants had an inadequate response to topical therapies such as medium-to-high potency topical corticosteroids or were considered unsuitable for such treatment.

At Week 24, 74.5% of oturkibart-treated patients achieved a ≥4-point reduction in weekly average Worst Itch Numerical Rating Scale (WI-NRS) score versus 29.0% on placebo (P<0.0001), meeting the primary endpoint. The key secondary endpoint was also met, with 34.7% versus 11.1% achieving an Investigator's Global Assessment Prurigo Nodularis Stage score of 0 or 1 (P<0.0001).

At Week 52, 95.5% of patients receiving continuous oturkibart and 90.6% of those who switched from placebo achieved a ≥4-point WI-NRS reduction from baseline. Qyuns said treatment-emergent and serious adverse events at Week 24 were similar to placebo, most adverse events were mild to moderate, and no new safety signals emerged during longer-term treatment.

Oturkibart (QX005N; Huadong Medicine development code HDM3016) is a recombinant humanized monoclonal antibody targeting IL-4Rα, blocking signaling mediated by both IL-4 and IL-13.

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Sanofi's Dupixent (dupilumab), which also targets IL-4Rα, and Galderma's Nemluvio (nemolizumab-ilto), which blocks IL-31 receptor alpha signaling, are both US FDA approved for adults with prurigo nodularis. Jiangsu Hengrui Pharmaceuticals is also developing SHR-1819, another IL-4Rα monoclonal antibody, in PN, while its NDA for atopic dermatitis was accepted in China in September 2026.

Qyuns said it will accelerate registration and filing activities for oturkibart. Phase III trials in both prurigo nodularis and atopic dermatitis have met their primary endpoints, and the company describes oturkibart as one of two IL-4Rα monoclonal antibodies in China granted Breakthrough Therapy Designation.


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