/Human medicines European public assessment report (EPAR): Icotyde, icotrokinra hydrochloride, Status: Opinion
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Human medicines European public assessment report (EPAR): Icotyde, icotrokinra hydrochloride, Status: Opinion

EMA
2026/07/24

Human medicines European public assessment report (EPAR): Icotyde, icotrokinra hydrochloride, Status: Opinion

  • Application under evaluation
  • CHMP opinion
  • European Commission decision

Overview

On 23 July 2026, the Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion, recommending the granting of a marketing authorisation for the medicinal product Icotyde, intended for the treatment of plaque psoriasis in adults and adolescents.

The applicant for this medicinal product is Janssen-Cilag International N.V.

Icotyde will be available as 200 mg film-coated tablets. The active substance of Icotyde is icotrokinra, an immunosuppressant and interleukin inhibitor (ATC code: L04AC28). Icotrokinra is a synthetic peptide that binds selectively to the IL-23 receptor (IL-23R) with high affinity and competitively antagonises the binding of IL-23.

The benefits of Icotyde are its ability to inhibit the IL-23/IL-23R-dependent release of proinflammatory cytokines leading to a decrease in disease severity and skin involvement, as shown in four phase 3 randomised, multi-centre, double-blind, placebo and/or active comparator-controlled studies involving nearly 2,500 adults and adolescents. The most common side effects are fungal infections.

The full indication is:

Icotyde is indicated for the treatment of moderate to severe plaque psoriasis in adults, and adolescents 12 years of age and older and weighing at least 40 kg, who are candidates for systemic therapy.

Icotyde should be initiated under the guidance and supervision of a physician experienced in the diagnosis and treatment of plaque psoriasis.

Detailed recommendations for the use of this product will be described in the summary of product characteristics (SmPC), which will be published on the EMA website in all official European Union languages after the marketing authorisation has been granted by the European Commission.

CHMP summary of positive opinion for Icotyde

Adopted

Reference Number:

EMADOC-1829012207-57557

English (EN) (132.55 KB - PDF)

First published:

24/07/2026

View

Product details

Name of medicine

Icotyde

Active substance

icotrokinra hydrochloride

International non-proprietary name (INN) or common name

icotrokinra hydrochloride

Therapeutic area (MeSH)

Psoriasis

EMA product number

EMEA/H/C/006730

Marketing authorisation applicant

Janssen-Cilag International N.V.

Opinion adopted

23/07/2026

Opinion status

Positive

News on Icotyde

Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 20-23 July 2026

24/07/2026

First oral medicine targeting interleukin-23 receptor recommended for plaque psoriasis

24/07/2026

This page was last updated on

24/07/2026

Summary

On 23 July 2026, the Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion, recommending the granting of a marketing authorisation for the medicinal product Icotyde, intended for the treatment of plaque psoriasis in adults and adolescents. The applicant for this medicinal product is Janssen-Cilag International N.V. Icotyde will be available as 200 mg film-coated tablets. The active substance of Icotyde is icotrokinra, an immunosuppressant and interleukin inhibitor (ATC code: L04AC28). Icotrokinra is a synthetic peptide that binds selectively to the IL-23 receptor (IL-23R) with high affinity and competitively antagonises the binding of IL-23. The benefits of Icotyde are its ability to inhibit the IL-23/IL-23R-dependent release of proinflammatory cytokines leading to a decrease in disease severity and skin involvement, as shown in four phase 3 randomised, multi-centre, double-blind, placebo and/or active comparator-controlled studies involving nearly 2,500 adults and adolescents. The most common side effects are fungal infections. The full indication is: Icotyde is indicated for the treatment of moderate to severe plaque psoriasis in adults, and adolescents 12 years of age and older and weighing at least 40 kg, who are candidates for systemic therapy. Icotyde should be initiated under the guidance and supervision of a physician experienced in the diagnosis and treatment of plaque psoriasis. Detailed recommendations for the use of this product will be described in the summary of product characteristics (SmPC), which will be published on the EMA website in all official European Union languages after the marketing authorisation has been granted by the European Commission.