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Roivant’s Brepocitinib Succeeds in 52-Week Dermatomyositis Phase 3 as Companies Target 2026 FDA Filing

The TYK2/JAK1 pill delivered steroid-sparing benefits that underpin a planned early‑2026 FDA submission.

Overview

  • At week 52, the 30 mg dose achieved a mean Total Improvement Score of 46.5 versus 31.2 for placebo (p=0.0006), meeting the primary endpoint.
  • Brepocitinib showed benefit across all nine key secondary measures with a dose‑response favoring 30 mg, with differences detectable as early as week 4.
  • Among participants on background steroids, 62% on 30 mg tapered to ≤2.5 mg/day and 42% stopped steroids, compared with 34% and 23% on placebo.
  • Investigators described a safety profile consistent with prior studies, noting more infections but no cardiovascular events from blood clots in the trial.
  • The 241‑patient, three‑arm, 52‑week study underpins what the companies call the first positive registrational result for a targeted therapy in dermatomyositis, with an NDA planned for the first half of 2026.