DelveInsightÀÇ "IL-23 ¾ïÁ¦Á¦ ½ÃÀå - Ç¥Àû Áý´Ü, °æÀï ±¸µµ, ½ÃÀå ¿¹Ãø(2034³â)" º¸°í¼´Â ¹Ì±¹, EU 4°³±¹(µ¶ÀÏ, ÇÁ¶û½º, ÀÌÅ»¸®¾Æ, ½ºÆäÀÎ), ¿µ±¹, ÀϺ»¿¡¼ÀÇ IL-23, °ú°Å °æÀï »óȲ, IL-23 ¾ïÁ¦Á¦ ½ÃÀå µ¿ÇâÀ» »ó¼¼È÷ ¼Ò°³Çϰí ÀÖ½À´Ï´Ù. ÀÚ¼¼È÷ ¼Ò°³Çϰí ÀÖ½À´Ï´Ù.
IL-23 ¾ïÁ¦Á¦ ½ÃÀå º¸°í¼´Â ÇöÀç Ä¡·áÁ¦, ½Å¾à, °³º° Ä¡·áÁ¦ÀÇ ½ÃÀå Á¡À¯À², 2020³â¿¡¼ 2034³â±îÁö ÁÖ¿ä 7°³±¹ IL-23 ¾ïÁ¦Á¦ ½ÃÀå ±Ô¸ð ÇöȲ ¹× ¿¹ÃøÀ» Á¦°øÇÕ´Ï´Ù. ¶ÇÇÑ, IL-23 ¾ïÁ¦Á¦ÀÇ ÇöÀç Ä¡·á¹ý/¾Ë°í¸®Áò, ¹ÌÃæÁ· ÀÇ·á ¼ö¿ä¸¦ Æ÷°ýÇÏ¿© ÃÖÀûÀÇ Ä¡·á ±âȸ¸¦ ¹ß±¼ÇÏ°í ½ÃÀå ÀáÀç·ÂÀ» Æò°¡ÇÕ´Ï´Ù.
Á¶»ç ±â°£ : 2020-2034³â
IL-23 ¾ïÁ¦Á¦ÀÇ ÀÌÇØ
IL-23 ¾ïÁ¦Á¦ °³¿ä
IL-23 ¾ïÁ¦Á¦´Â Th17 ¼¼Æ÷ÀÇ È°¼ºÈ¿Í À¯Áö¿¡ °ü¿©ÇÏ´Â »çÀÌÅäÄ«ÀÎÀÎ IL-23ÀÇ p19 ¼ºêÀ¯´ÖÀ» ¼±ÅÃÀûÀ¸·Î Ç¥ÀûÇÏ´Â ´ÜŬ·ÐÇ×üÀÇ ÀÏÁ¾À¸·Î, Th17 ¼¼Æ÷ÀÇ È°¼ºÈ¿Í À¯Áö¿¡ °ü¿©ÇÏ´Â »çÀÌÅäÄ«ÀÎÀÔ´Ï´Ù. IL-23 ½ÅÈ£Àü´ÞÀ» ¾ïÁ¦ÇÔÀ¸·Î½á IL-17A, IL-17F, IL-22 µîÀÇ ´Ù¿î½ºÆ®¸² ¿°Áõ¼º »çÀÌÅäÄ«ÀÎÀÇ »ý¼ºÀ» °¨¼Ò½ÃÄÑ ¿°ÁõÀ» ¾ïÁ¦ÇÏ°í ¸é¿ª ¸Å°³¼º ÁúȯÀÇ ÁøÇàÀ» ¸·½À´Ï´Ù.
IL-23 ¾ïÁ¦Á¦´Â Áߵ¿¡¼ ÁßÁõÀÇ ½É»ó¼º °Ç¼±, °üÀýÁõ¼º °Ç¼±, Å©·Ðº´, ±Ë¾ç¼º ´ëÀå¿°ÀÇ Ä¡·áÁ¦·Î¼ ƯÈ÷ ±âÁ¸ÀÇ Àü½Å Ä¡·áÁ¦³ª TNF-a ¾ïÁ¦Á¦·Î ÃæºÐÇÑ È¿°ú¸¦ ¾òÁö ¸øÇϰųª ³»¾à¼ºÀÌ ¾ø´Â ȯÀÚ¿¡°Ô ÀûÀÀÁõÀÌ ÀÖ½À´Ï´Ù.
±× ±âÀüÀº À̵é Áúȯ¿¡¼ ³ªÅ¸³ª´Â ¸¸¼º ¿°Áõ ¹ÝÀÀÀÇ Áß½ÉÀÎ IL-23/Th17 ÃàÀ» ¾ïÁ¦ÇÏ´Â µ¥ ÀÖ½À´Ï´Ù. IL-23À» ¾ïÁ¦ÇÔÀ¸·Î½á Th17 ¼¼Æ÷ÀÇ Áõ½Ä°ú »çÀÌÅäÄ«ÀÎ »ý¼ºÀ» °¨¼Ò½ÃÄÑ ÀÓ»óÀûÀ¸·Î À¯ÀǹÌÇÑ °³¼±À» °¡Á®¿É´Ï´Ù. ÇöÀç ½ÂÀÎµÈ IL-23 ¾ïÁ¦Á¦¿¡´Â Æ®·»ÇǾß, ½ºÄ«ÀÌ·¹Áö, ÀϷ繫¾ß, OMVOH µîÀÌ ÀÖ½À´Ï´Ù.
º» º¸°í¼ÀÇ IL-23 ¾ïÁ¦Á¦ ¿ªÇÐ Àå¿¡¼´Â 2020³âºÎÅÍ 2034³â±îÁö ¹Ì±¹, EU 4°³±¹(µ¶ÀÏ, ÇÁ¶û½º, ÀÌÅ»¸®¾Æ, ½ºÆäÀÎ), ¿µ±¹, ÀϺ»À» Æ÷ÇÔÇÑ ÁÖ¿ä 7°³±¹¿¡¼ IL-23 ¾ïÁ¦Á¦ ƯÁ¤ ÀûÀÀÁõ¿¡ ´ëÇÑ ÃÑ Ä¡·á »ç·Ê, IL-23 ¾ïÁ¦Á¦ ƯÁ¤ ÀûÀÀÁõ¿¡ ´ëÇÑ ÃÑ ÀûÀÀÁõ ȯÀÚ Ç®, IL -23 ¾ïÁ¦Á¦ÀÇ Æ¯Á¤ ÀûÀÀÁõ¿¡ ´ëÇÑ ÃÑ Ä¡·á »ç·Ê·Î ±¸ºÐÇÑ °ú°Å ¿ªÇÐ ¹× ¿¹Ãø ¿ªÇÐÀ» Á¦°øÇÕ´Ï´Ù.
IL-23 ¾ïÁ¦Á¦ º¸°í¼ÀÇ ¾à¹° Àå ºÎ¹®¿¡´Â Èı⠴ܰè(Phase III ¹× Phase II)ÀÇ ÆÄÀÌÇÁ¶óÀÎ ¾à¹°¿¡ ´ëÇÑ »ó¼¼ÇÑ ºÐ¼®ÀÌ Æ÷ÇԵǾî ÀÖ½À´Ï´Ù. ¶ÇÇÑ, IL-23 ¾ïÁ¦Á¦ÀÇ ÀÓ»ó½ÃÇè ¼¼ºÎ »çÇ×, Ç¥Çö·ÂÀÌ Ç³ºÎÇÑ ¾à¸® ÀÛ¿ë, °è¾à ¹× °øµ¿ ¿¬±¸, ½ÂÀÎ ¹× ƯÇã ¼¼ºÎ »çÇ×, Æ÷ÇÔµÈ °¢ ¾à¹°ÀÇ ÀåÁ¡°ú ´ÜÁ¡, ÃֽŠ´º½º ¹× º¸µµ ÀڷḦ ÀÌÇØÇÏ´Â µ¥ µµ¿òÀÌ µÉ °ÍÀÔ´Ï´Ù.
ÆÇ¸Å ÁßÀÎ IL-23 ¾ïÁ¦Á¦
SKYRIZI(¸®»êŰÁÖ¸¿-rzaa) : AbbVie/Boehringer Ingelheim
SKYRIZI´Â IL-23 ¾ïÁ¦Á¦À̸ç, IL-23ÀÇ p19 ¼ºêÀ¯´Ö¿¡ °áÇÕÇÏ¿© IL-23À» ¼±ÅÃÀûÀ¸·Î ¾ïÁ¦ÇÕ´Ï´Ù. ºÏ¹Ì, À¯·´¿¬ÇÕ, ÀϺ»¿¡¼ ½ÂÀÎµÈ »ý¹°ÇÐÀû Á¦Á¦ÀÔ´Ï´Ù. °Ç¼±¼º Áúȯ(°Ç¼± ¶Ç´Â °üÀý¿°¼º °Ç¼±)ÀÇ °æ¿ì, 2ȸ µµÀÔ Åõ¿© ÈÄ ºÐ±âº°·Î ÇÇÇÏÁÖ»çÇÕ´Ï´Ù.
SKYRIZI´Â Àΰ£È IgG1 ´ÜŬ·ÐÇ×ü·Î, Àΰ£ IL-23 »çÀÌÅäÄ«ÀÎÀÇ p19 ¼ºêÀ¯´Ö¿¡ ¼±ÅÃÀûÀ¸·Î °áÇÕÇÏ¿© IL-23 ¼ö¿ëü¿ÍÀÇ »óÈ£ÀÛ¿ëÀ» ¾ïÁ¦ÇÕ´Ï´Ù. IL-23Àº ÀÚ¿¬ÀûÀ¸·Î Á¸ÀçÇÏ´Â »çÀÌÅäÄ«ÀÎÀ¸·Î ¿°Áõ ¹ÝÀÀ°ú ¸é¿ª ¹ÝÀÀ¿¡ °ü¿©ÇÕ´Ï´Ù. SKYRIZI´Â ¿°Áõ¼º »çÀÌÅäÄ«Àΰú ÄɸðÄ«ÀÎÀÇ ¹æÃâÀ» ¾ïÁ¦ÇÕ´Ï´Ù.
ILUMYA/ILUMETRI(tildrakizumab-asmn) : Sun Pharma
IL-23ÀÇ p19 ¼ºêÀ¯´Ö¿¡ ¼±ÅÃÀûÀ¸·Î °áÇÕÇÏ¿© IL-23 ¼ö¿ëü¿ÍÀÇ »óÈ£ÀÛ¿ëÀ» ¾ïÁ¦ÇÔÀ¸·Î½á ¿°Áõ¼º »çÀÌÅäÄ«ÀÎ ¹× ÄɸðÄ«ÀÎÀÇ ¹æÃâÀ» ¾ïÁ¦ÇÏ´Â Àΰ£È lgG1/k ´ÜŬ·ÐÇ×ü, IL-23Àº ÀÚ¿¬ÀûÀ¸·Î Á¸ÀçÇÏ´Â »çÀÌÅäÄ«ÀÎÀ¸·Î ¿°Áõ ¹ÝÀÀ ¹× ¸é¿ª ¹ÝÀÀ¿¡ °ü¿©ÇÏ´Â °ü¿©ÇÕ´Ï´Ù.
»õ·Î¿î IL-23 ¾ïÁ¦Á¦
ÀÌÄÚÆ®·ÎÄý¶ó(JNJ-77242113) : Á¸½¼¾ØµåÁ¸½¼ÀÇ Çõ½Å½Å¾à/Protagonist Therapeutics
Icotrokinra´Â Áߵ¿¡¼ ÁßÁõÀÇ ½É»ó¼º °Ç¼±¿¡¼ ¿°Áõ ¹ÝÀÀÀ» Áö¿øÇÏ´Â IL-23 ¼ö¿ëü¸¦ ¼±ÅÃÀûÀ¸·Î ¾ïÁ¦Çϵµ·Ï ¼³°èµÈ ÃÖÃÊÀÇ °æ±¸¿ë Ç¥Àû ÆéŸÀ̵åÀ̸ç, IL-23À» ¸Å°³·Î ÇÏ´Â ´Ù¸¥ Áúȯ¿¡ ´ëÇÑ °¡´É¼ºµµ ±â´ëµÇ°í ÀÖ½À´Ï´Ù. Icotrokinra´Â 1ÇÇÄÚ¸ôÀÇ Ä£È·ÂÀ¸·Î IL-23 ¼ö¿ëü¿¡ °áÇÕÇÏ¿© Àΰ£ T¼¼Æ÷¿¡¼ IL-23 ½ÅÈ£Àü´ÞÀ» °·ÂÇÏ°í ¼±ÅÃÀûÀ¸·Î ¾ïÁ¦ÇÕ´Ï´Ù. 2017³â Protagonist Therapeutics¿Í Johnson & JohnsonÀÌ Ã¼°áÇÑ ¶óÀ̼±½º ¹× °øµ¿ ¿¬±¸ °è¾àÀ» ÅëÇØ ¾ç»ç´Â Â÷¼¼´ë ÈÇÕ¹° ¹ß±¼ ¹× °³¹ßÀ» °øµ¿À¸·Î ÁøÇàÇÒ ¼ö ÀÖ°Ô µÇ¾úÀ¸¸ç, ±× °á°ú icotrokinra°¡ ź»ýÇÏ°Ô µÇ¾ú½À´Ï´Ù.
SFA-002SFA Therapeutics
SFA-002´Â ¿©·¯ ¼¼Æ÷ °æ·Î¸¦ ÅëÇØ ÀÛ¿ëÇÏ´Â ÃÖÃÊÀÇ °æ±¸¿ë ¸é¿ªÁ¶ÀýÁ¦À̸ç, ÀÚ°¡¸é¿ªÁúȯÀ» Ä¡·áÇÕ´Ï´Ù. SFA-002´Â ¸é¿ª¾ïÁ¦¸¦ ÅëÇØ ´ÜÀÏ °æ·Î¸¦ Ç¥ÀûÀ¸·Î ÇÏ´Â ±âÁ¸ Ä¡·áÁ¦¿Í ´Þ¸® TNF-a, IL-23, IL-10, IL-12, IL-17, INF-¸¦ Æ÷ÇÔÇÑ ¿©·¯ ¿°Áõ¼º »çÀÌÅäÄ«ÀÎÀ» µ¿½Ã¿¡ ÇÏÇâ Á¶ÀýÇÏ¿© ÀÚ°¡¸é¿ª ¹ÝÀÀÀ» Á¶ÀýÇÏ´Â ¹æ½ÄÀ¸·Î ÀÛ¿ëÇÕ´Ï´Ù. ÀÌ °æ±¸¿ë ÈÇÕ¹°Àº ÀÓ»ó½ÃÇè¿¡¼ À¯¸ÁÇÑ È¿´ÉÀ» º¸¿´°í, ¿ì¼öÇÑ ¾ÈÀü¼º ÇÁ·ÎÆÄÀÏÀ» °¡Áö°í ÀÖÀ¸¸ç, ºÎÀÛ¿ëÀº °üÂûµÇÁö ¾Ê¾Ò½À´Ï´Ù.
ÇöÀç ÀÓ»ó Ib»ó °³¹ß ´Ü°è¿¡ ÀÖ´Â SFA-002´Â ÀÚ°¡¸é¿ªÁúȯ Ä¡·áÀÇ ÆÐ·¯´ÙÀÓÀ» ¹Ù²Ü ¼ö ÀÖ´Â °¡´É¼ºÀ» º¸¿©ÁÖ¸ç, ÇöÀçÀÇ ÁÖ»çÁ¦ ¸é¿ª¾ïÁ¦¿ä¹ýÀ» ´ëüÇÒ ¼ö ÀÖ´Â º¸´Ù ¾ÈÀüÇϰí Á¢±ÙÇϱ⠽¬¿î ´ÙÁß Ç¥Àû Á¢±Ù¹ýÀ» ȯÀÚ¿¡°Ô Á¦°øÇÒ ¼ö ÀÖÀ» °ÍÀ¸·Î ±â´ëµË´Ï´Ù.
IL-23 ¾ïÁ¦Á¦´Â Ç¥Àû ±âÀü°ú ¿ì¼öÇÑ Àå±â ¾ÈÀü¼º ÇÁ·ÎÆÄÀÏ·Î ÀÎÇØ ƯÈ÷ ½É»ó¼º °Ç¼±, Å©·Ðº´, ±Ë¾ç¼º ´ëÀå¿°°ú °°Àº ¸¸¼º ¸é¿ª ¸Å°³ ¿°Áõ¼º Áúȯ Ä¡·áÀÇ ÇÙ½ÉÀÌ µÇ°í ÀÖ½À´Ï´Ù. ¿°Áõ¼º »çÀÌÅäÄ«ÀÎÀÎ IL-23Àº ÀϺΠÀÚ°¡¸é¿ªÁúȯ¿¡¼ ¿°ÁõÀÇ ÁÖ¿ä ÃËÁøÀÎÀÚÀÎ Th17 ¼¼Æ÷ÀÇ ºÐÈ¿Í À¯Áö¿¡ ÇÙ½ÉÀûÀÎ ¿ªÇÒÀ» ÇÕ´Ï´Ù. 2017³â ÃÖÃÊÀÇ IL-23 ¾ïÁ¦Á¦°¡ ½ÂÀÎµÈ ÀÌÈÄ, »ý¹°ÇÐÀû Á¦Á¦ÀÇ Ã¤Åà Áõ°¡, Áúº´ °ü¸® °³¼±, »õ·Î¿î Àü´Þ Ç÷§ÆûÀÇ °³¹ß¿¡ ÈûÀÔ¾î ½ÃÀåÀº ²ÙÁØÈ÷ ¼ºÀåÇϰí ÀÖ½À´Ï´Ù.
ÇöÀç IL-23 ¾ïÁ¦Á¦ ½ÃÀåÀº 2017³â °Ç¼±À» ÀûÀÀÁõÀ¸·Î ½ÂÀιÞÀº ¾á¼¾ ¹ÙÀÌ¿ÀÅØÀÇ TREMFYA°¡ ÁÖµµÇϰí ÀÖÀ¸¸ç, 2018³â¿¡´Â Sun Pharma/AlumeraÀÇ ILUMYA, 2019³â¿¡´Â AbbVie¿Í Boehringer IngelheimÀÇ SKYRIZI, ±×¸®°í ÃÖ±Ù¿¡´Â ±Ë¾ç¼º ´ëÀå¿°À» ÀûÀÀÁõÀ¸·Î 2023³â FDA ½ÂÀÎÀ» ¹ÞÀº Eli LillyÀÇ OMVOH°¡ ±× µÚ¸¦ ÀÕ°í ÀÖ½À´Ï´Ù. ÇÇÇÏ ¶Ç´Â Á¤¸Æ ÁÖ»ç·Î Åõ¿©µÇ´Â ÀÌ ¾àÁ¦µéÀº Áö¼ÓÀûÀÎ È¿°ú, ÃÖ¼ÒÇÑÀÇ ¸é¿ª ¾ïÁ¦, °£ÆíÇÑ Åõ¿© ½ºÄÉÁÙ·Î ÇǺΰú¿Í ¼Òȱ⳻°ú ¸ðµÎ¿¡¼ ¼±È£µÇ´Â ¼±ÅÃÀÌ µÇ°í ÀÖ½À´Ï´Ù.
ÇöÀç ½ÃÀå¿¡¼´Â ÁÖ»çÁ¦Çü »ý¹°ÇÐÀû Á¦Á¦°¡ ÁÖ·ù¸¦ ÀÌ·ç°í ÀÖÁö¸¸, ȯÀÚÀÇ ÆíÀǼº°ú ¼øÀÀµµ¸¦ ³ôÀ̱â À§ÇÑ °æ±¸¿ë IL-23 ¾ïÁ¦Á¦¿¡ ±â¼ú Çõ½ÅÀÌ ÁýÁߵǰí ÀÖ½À´Ï´Ù. Johnson & Johnson°ú Protagonist Therapeutics°¡ °³¹ßÇÑ °æ±¸¿ë IL-23 ¾ïÁ¦Á¦ icotrokinra(JNJ-77242113)´Â °Ç¼± ´ë»ó ÀÓ»ó 3»ó°ú ±Ë¾ç¼º ´ëÀå¿° ´ë»ó ÀÓ»ó 2»óÀ» ÁøÇà ÁßÀÎ ÃÖ÷´Ü Èĺ¸¹°ÁúÀÔ´Ï´Ù. ¼º°øÇÒ °æ¿ì, ÀÌÄÚÆ®·ÎÄý¶ó´Â ÃÖÃÊÀÇ °æ±¸¿ë IL-23 ¾ïÁ¦Á¦°¡ µÉ °ÍÀ̸ç, ÁÖ»çÁ¦¸¦ ´ëüÇÒ ¼ö ÀÖ´Â À¯·ÂÇÑ »ý¹°ÇÐÀû Á¦Á¦°¡ µÉ ¼ö ÀÖ½À´Ï´Ù. ¶Ç ´Ù¸¥ °æ±¸¿ë Ä¡·áÁ¦ÀÎ SFA TherapeuticsÀÇ SFA-002´Â °Ç¼±À» ´ë»óÀ¸·Î ÀÓ»ó II/III»óÀ» ÁøÇà ÁßÀ̸ç, °æ±¸¿ë »çÀÌÅäÄ«ÀÎ ¾ïÁ¦Á¦ÀÇ »õ·Î¿î °è¿·Î ȯÀÚ Á¢±Ù¼ºÀ» È®´ëÇϰí ȯÀÚÀÇ QOLÀ» °³¼±ÇÒ ¼ö ÀÖ´Â °¡´É¼ºÀ» °¡Áö°í ÀÖ½À´Ï´Ù.
IL-23 ¾ïÁ¦Á¦ °è¿Àº ƯÈ÷ ±Ë¾ç¼º ´ëÀå¿° ¹× ¿°Áõ¼º ÀåÁúȯ¿¡¼ IL-17, TNF-a, JAK ¾ïÁ¦Á¦ µî ´Ù¸¥ »ý¹°ÇÐÀû Á¦Á¦ ¹× ÀúºÐÀÚ ÈÇÕ¹°°ú Áߺ¹µÇ´Â °æ·Î¸¦ Ç¥ÀûÀ¸·Î ÇÏ´Â ÀúºÐÀÚ ÈÇÕ¹°°úÀÇ °æÀïÀÌ ½Éȵǰí ÀÖ½À´Ï´Ù. ±×·¯³ª IL-23 ¾ïÁ¦Á¦´Â ³·Àº °¨¿° À§Çè, Áö¼ÓÀûÀÎ ÀÓ»óÀû °üÇØ, ¿ì¼öÇÑ ¾ÈÀü¼º ÇÁ·ÎÆÄÀÏ·Î Â÷º°È¸¦ ²ÒÇϰí ÀÖÀ¸¸ç, ¸¸¼ºÁúȯ °ü¸®ÀÇ Àå±âÀûÀÎ ´ë¾ÈÀ¸·Î ¸Å·ÂÀûÀÔ´Ï´Ù.
ÇâÈÄ »ý¹°ÇÐÀû Á¦Á¦ÀÎ IL-23 ¾ïÁ¦Á¦´Â ±× È¿´ÉÀÌ ÀÔÁõµÇ°í, ó¹æÀÚÀÇ ½Å·Ú°¡ ½×¿©°¡°í ÀÖ¾î °Ç¼± ½ÃÀå¿¡¼ È®°íÇÑ ÀÔÁö¸¦ À¯ÁöÇÒ °ÍÀ¸·Î ¿¹»óµË´Ï´Ù. ±×·¯³ª ÀÌÄÚÆ®·ÎÄý¶ó¿Í °°Àº °æ±¸¿ë ¾à¹°ÀÇ ÃâÇöÀº ƯÈ÷ ÆíÀǼº°ú ºñÁÖ»ç Á¦Á¦¸¦ ¼±È£Çϴ ȯÀÚ¿Í ÀÇ»çµé »çÀÌ¿¡¼ ÇöÀçÀÇ ½ÃÀå ¿ªÇÐÀ» ÆÄ±«ÇÒ ¼ö ÀÖ½À´Ï´Ù. ÀÌµé °æ±¸¿ë Á¦Á¦°¡ ½ÂÀεǸé, Áö±Ý±îÁö Ä¡·á¹ÞÁö ¸øÇÑ È¯ÀÚ³ª »ý¹°ÇÐÀû Á¦Á¦¸¦ ±âÇÇÇÏ´ø ȯÀڵ鿡°Ôµµ Åõ¿©ÇÒ ¼ö ÀÖ°Ô µÇ¾î Àüü IL-23 ½ÃÀå ±Ô¸ð°¡ È®´ëµÉ ¼ö ÀÖ½À´Ï´Ù.
ÀÌ ¼½¼Ç¿¡¼´Â 2025-2034³â »çÀÌ¿¡ ½ÃÀå¿¡ Ãâ½ÃµÉ °ÍÀ¸·Î ¿¹»óµÇ´Â ÀáÀçÀûÀÎ ½ÅÈï IL-23ÀÇ ½ÃÀå Á¡À¯À²¿¡ ÃÊÁ¡À» ¸ÂÃß°í ÀÖ½À´Ï´Ù.
IL-23 ÆÄÀÌÇÁ¶óÀÎ °³¹ß Ȱµ¿
º» º¸°í¼´Â ÀÓ»ó 3»ó, ÀÓ»ó 2»ó, ÀÓ»ó 1»ó ´Ü°è¿¡ ÀÖ´Â ´Ù¾çÇÑ Ä¡·áÁ¦ Èĺ¸¹°Áú¿¡ ´ëÇÑ ÀλçÀÌÆ®¸¦ Á¦°øÇϰí, Ç¥Àû Ä¡·áÁ¦ °³¹ß¿¡ °ü¿©ÇÏ´Â ÁÖ¿ä ±â¾÷µé¿¡ ´ëÇÑ ºÐ¼®µµ ÇÔ²² Á¦°øÇÕ´Ï´Ù.
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ÆÄÀÌÇÁ¶óÀÎ °³¹ß Ȱµ¿
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KOLÀÇ °ßÇØ
ÇöÀç¿Í ÇâÈÄ ½ÃÀå µ¿ÇâÀ» ÆÄ¾ÇÇϱâ À§ÇØ µ¥ÀÌÅÍ °ÝÂ÷¸¦ ¸Þ¿ì°í 2Â÷ Á¶»ç¸¦ °ËÁõÇϱâ À§ÇØ 1Â÷ Á¶»ç¸¦ ÅëÇØ ÀÌ ºÐ¾ß¿¡¼ Ȱµ¿ÇÏ´Â ¾÷°è Àü¹®°¡µéÀÇ ÀǰßÀ» ¹Ý¿µÇϰí ÀÖ½À´Ï´Ù. IL-23 ¾ïÁ¦Á¦ÀÇ ÁøÈÇÏ´Â Ä¡·á ȯ°æ, ±âÁ¸ Ä¡·á¹ý¿¡ ´ëÇÑ È¯ÀÚÀÇ ÀÇÁ¸µµ, ȯÀÚÀÇ Ä¡·á Àüȯ ¼ö¿ë¼º, ¾à¹° ¼ö¿ë¼º, Á¢±Ù¼º ¹®Á¦ µî¿¡ ´ëÇÑ ÀλçÀÌÆ®¸¦ ¾ò±â À§ÇØ ¾÷°è »óȲ¿¡ Á¤ÅëÇÑ Àü¹®°¡µé°ú Á¢ÃËÇß½À´Ï´Ù.
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DelveInsight's "IL-23 Inhibitors - Target Population, Competitive Landscape, and Market Forecast-2034" report delivers an in-depth understanding of the IL-23, historical and Competitive Landscape as well as the IL-23 inhibitor market trends in the US, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan.
The IL-23 inhibitors market report provides current treatment practices, emerging drugs, market share of individual therapies, and current and forecasted 7MM IL-23 inhibitors market size from 2020 to 2034. The report also covers current IL-23 treatment practices/algorithms and unmet medical needs to curate the best opportunities and assess the market's potential.
Study Period: 2020-2034
IL-23 Inhibitor Understanding
IL-23 Inhibitor Overview
Interleukin-23 (IL-23) inhibitors are a class of monoclonal antibodies that selectively target the p19 subunit of IL-23, a cytokine involved in the activation and maintenance of Th17 cells. By inhibiting IL-23 signaling, these therapies reduce the production of downstream pro-inflammatory cytokines such as IL-17A, IL-17F, and IL-22, thereby suppressing inflammation and halting the progression of immune-mediated diseases.
IL-23 inhibitors are indicated for the treatment of moderate-to-severe plaque psoriasis, psoriatic arthritis, Crohn's disease, and ulcerative colitis, especially in patients who have shown inadequate response or intolerance to conventional systemic treatments or TNF-a inhibitors.
The mechanism centers on disrupting the IL-23/Th17 axis, which is central to the chronic inflammatory response seen in these conditions. By blocking IL-23, these agents decrease Th17 cell proliferation and cytokine production, leading to significant clinical improvement. Currently approved IL-23 inhibitors include TREMFYA, SKYRIZI, ILUMYA, and OMVOH.
The IL-23 inhibitors epidemiology chapter in the report provides historical as well as forecasted epidemiology segmented as total cases of selected indications for IL-23 inhibitor, total eligible patient pool of selected indications for IL-23 inhibitor, and total treated cases of selected indications for IL-23 inhibitor in the 7MM covering the US, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan from 2020 to 2034.
The drug chapter segment of the IL-23 inhibitor reports encloses a detailed analysis of late-stage (Phase III and Phase II) pipeline drugs. It also helps understand the IL-23 inhibitor's clinical trial details, expressive pharmacological action, agreements and collaborations, approval and patent details, advantages and disadvantages of each included drug, and the latest news and press releases.
Marketed IL-23 Inhibitor
SKYRIZI (risankizumab-rzaa): AbbVie/Boehringer Ingelheim
SKYRIZI is an IL-23 inhibitor that selectively blocks IL-23 by binding to its p19 subunit. It is a biologic therapy approved to treat the diseases in North America, the European Union, and Japan. In psoriatic disease (psoriasis or psoriatic arthritis), SKYRIZI is administered as a quarterly Subcutaneous (SC) injection following two induction doses.
SKYRIZI is a humanized IgG1 monoclonal antibody that selectively binds to the p19 subunit of human IL-23 cytokine and inhibits its interaction with the IL-23 receptor. IL-23 is a naturally occurring cytokine that is involved in inflammatory and immune responses. SKYRIZI inhibits the release of proinflammatory cytokines and chemokines.
ILUMYA/ILUMETRI (tildrakizumab-asmn): Sun Pharma
ILUMYA is a humanized lgG1/k monoclonal antibody designed to selectively bind to the p19 subunit of IL23 and inhibit its interaction with the IL-23 receptor, leading to inhibition of the release of proinflammatory cytokines and chemokines. IL-23 is a naturally occurring cytokine that is involved in inflammatory and immune responses.
Emerging IL-23 Inhibitors
Icotrokinra (JNJ-77242113): Johnson & Johnson Innovative Medicine/Protagonist Therapeutics
Icotrokinra is the first targeted oral peptide designed to selectively block the IL-23 receptor, which underpins the inflammatory response in moderate-to-severe plaque psoriasis and offers potential in other IL-23-mediated diseases. Icotrokinra binds to the IL-23 receptor with single-digit picomolar affinity and demonstrates potent, selective inhibition of IL-23 signaling in human T cells. The license and collaboration agreement established between Protagonist Therapeutics and Johnson & Johnson company in 2017 enabled the companies to work together to discover and develop next-generation compounds that ultimately led to icotrokinra.
SFA-002: SFA Therapeutics
SFA-002 is a first-in-class oral immunomodulator that operates through multiple cellular pathways to treat autoimmune conditions, with an initial focus on mild-to-moderate chronic plaque psoriasis. Unlike current therapies that target single pathways through immunosuppression, SFA-002 works by simultaneously down-regulating multiple proinflammatory cytokines, including TNF-a, IL-23, IL-10, IL-12, IL-17, and INF-?, while modulating autoimmune responses. This oral compound has demonstrated promising efficacy in clinical trials, with an excellent safety profile and no observed adverse events.
Currently, in Phase Ib clinical development, SFA-002 represents a potential paradigm shift in autoimmune disease treatment, offering a multi-targeted approach that could provide patients with a safer, more accessible alternative to current injectable immunosuppressive therapies.
The IL-23 inhibitor class has become a cornerstone in the treatment of chronic immune-mediated inflammatory diseases, particularly plaque psoriasis, Crohn's disease, and ulcerative colitis, due to its targeted mechanism and favorable long-term safety profile. IL-23, a pro-inflammatory cytokine, plays a central role in the differentiation and maintenance of Th17 cells, which are key drivers of inflammation in several autoimmune disorders. Since the approval of the first IL-23 inhibitor in 2017, the market has grown steadily, driven by increasing biologic adoption, improved disease control, and the development of novel delivery platforms.
Currently, the IL-23 inhibitor market is led by TREMFYA from Janssen Biotech, the agent approved in 2017 for psoriasis, followed by ILUMYA from Sun Pharma/Almirall in 2018, SKYRIZI from AbbVie and Boehringer Ingelheim in 2019, and most recently OMVOH from Eli Lilly, which gained FDA approval in 2023 for ulcerative colitis. These agents, administered via subcutaneous or intravenous injection, have demonstrated durable efficacy, minimal immunosuppression, and convenient dosing schedules, making them preferred options in both dermatology and gastroenterology.
While the current market is dominated by injectable biologics, innovation is now focused on oral IL-23 inhibitors aimed at improving patient convenience and adherence. Icotrokinra (JNJ-77242113), an oral IL-23 inhibitor developed by Johnson & Johnson and Protagonist Therapeutics, is the most advanced candidate, in Phase III trials for psoriasis and Phase II for ulcerative colitis. If successful, icotrokinra could become the first oral IL-23 inhibitor, offering a compelling alternative to injectable biologics. Another oral agent, SFA-002 from SFA Therapeutics, is in Phase II/III trials for psoriasis, and represents an emerging class of orally administered cytokine inhibitors with the potential to expand access and improve quality of life for patients.
The IL-23 inhibitor class faces intensifying competition from other biologics and small molecules targeting overlapping pathways, such as IL-17, TNF-a, and JAK inhibitors, especially in ulcerative colitis and inflammatory bowel disease. However, IL-23 inhibitors continue to differentiate themselves through lower infection risk, sustained clinical remission, and a favorable safety profile, making them an attractive long-term option for chronic disease management.
Looking ahead, biologic IL-23 inhibitors are expected to retain their stronghold in the psoriasis market due to their proven efficacy and established prescriber confidence. However, the emergence of oral agents like icotrokinra could disrupt the current market dynamics, particularly among patients and physicians prioritizing convenience and non-injectable formulations. If approved, these oral options could expand the overall IL-23 market size by reaching previously untreated or biologic-averse populations.
This section focuses on the uptake rate of potential emerging IL-23 expected to be launched in the market during 2025-2034.
IL-23 Pipeline Development Activities
The report provides insights into different therapeutic candidates in Phase III, Phase II, and Phase I. It also analyzes key players involved in developing targeted therapeutics.
The presence of numerous drugs under different stages is expected to generate immense opportunity for IL-23 inhibitor market growth over the forecasted period.
Pipeline Development Activities
The report covers information on collaborations, acquisitions and mergers, licensing, and patent details for IL-23 inhibitor therapies.
KOL Views
To keep up with current and future market trends, we take Industry Experts' opinions working in the domain through primary research to fill the data gaps and validate our secondary research. Industry experts were contacted for insights on IL-23 Inhibitor's evolving treatment landscape, patient reliance on conventional therapies, patient therapy switching acceptability, drug uptake, along challenges related to accessibility.
DelveInsight's analysts connected with 15+ KOLs to gather insights; however, interviews were conducted with 10+ KOLs in the 7MM. Centers such as Yale University/Central Connecticut Dermatology, Kyoto University, University of Manchester/Salford Royal NHS Trust, CHU de Nantes, University of Lubeck, University of Verona, Hospital de la Santa Creu i Sant Pau, Barcelona, and others.
Their opinion helps understand and validate current and emerging therapy treatment patterns or IL-23 market trends. This will support the clients in potential upcoming novel treatments by identifying the overall scenario of the market and the unmet needs.
Qualitative Analysis
We perform qualitative and market Intelligence analysis using various approaches, such as SWOT analysis and conjoint analysis. In the SWOT analysis, strengths, weaknesses, opportunities, and threats in terms of gaps in disease diagnosis, patient awareness, physician acceptability, competitive landscape, cost-effectiveness, and geographical accessibility of therapies are provided.
Conjoint Analysis analyzes multiple approved and emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. Scoring is given based on these parameters to analyze the effectiveness of therapy. In efficacy, the trial's primary and secondary outcome measures are evaluated; for instance, in event-free survival, one of the most important primary outcome measures is event-free survival and overall survival.
Further, the therapies' safety is evaluated, wherein the acceptability, tolerability, and adverse events are majorly observed, and it sets a clear understanding of the side effects posed by the drug in the trials. In addition, the scoring is also based on the probability of success and the addressable patient pool for each therapy. According to these parameters, the final weightage score and the ranking of the emerging therapies are decided.
Market Access and Reimbursement
Reimbursement may be referred to as the negotiation of a price between a manufacturer and payer that allows the manufacturer access to the market. It is provided to reduce the high costs and make the essential drugs affordable. Health technology assessment (HTA) plays an important role in reimbursement decision-making and recommending the use of a drug. These recommendations vary widely throughout the seven major markets, even for the same drug.
In the US healthcare system, both Public and Private health insurance coverage are included. Also, Medicare and Medicaid are the largest government-funded programs in the US. The major healthcare programs including Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and the state and federal health insurance marketplaces are overseen by the Centers for Medicare & Medicaid Services (CMS). Other than these, Pharmacy Benefit Managers (PBMs), and third-party organizations that provide services and educational programs to aid patients are also present.
The report further provides detailed insights on the country-wise accessibility and reimbursement scenarios, cost-effectiveness scenario of approved therapies, programs making accessibility easier and out-of-pocket costs more affordable, insights on patients insured under federal or state government prescription drug programs, etc.
Key Updates on IL-23 Inhibitors
The abstract list is not exhaustive, will be provided in the final report