Dazukibart

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Dazukibart
Clinical data
Other namesPF-06823859,
Drug class Protein
Identifiers
CAS Number
PubChem CID
UNII
KEGG
ChEMBL

Dazukibart (previously known as PF-06823859) is a humanized monoclonal antibody developed by Pfizer for the treatment of autoimmune diseases, particularly dermatomyositis and systemic lupus erythematosus. [1] It is classified as a potent, selective, humanized IgG1 neutralizing monoclonal antibody that specifically targets interferon beta (IFN-β). [2]

Contents

Mechanism of action

Dazukibart functions by neutralizing interferon beta-1 (IFNB1), a type I interferon that plays a critical role in autoimmune inflammation. [3] The drug targets the dysregulated type I interferon pathway that is characteristic of several autoimmune conditions, particularly dermatomyositis, where IFN-β rather than IFN-α has been identified as the predominant elevated interferon. [4]

Administration and dosing

Dazukibart is administered through intravenous infusion, though subcutaneous formulations are also being investigated. [3] The drug is currently being evaluated in ongoing clinical trials to determine optimal dosing regimens for different indications.

Clinical development

Phase I studies

Initial safety and pharmacokinetic studies of dazukibart (then known as PF-06823859) were published in 2020, demonstrating an acceptable safety and tolerability profile in healthy volunteers. These studies supported its continued development for disorders associated with increased interferon β levels. [5]

Phase II studies

A landmark phase 2 clinical trial published in The Lancet in January 2025 demonstrated significant efficacy of dazukibart in treating adults with moderate-to-severe dermatomyositis. The multicentre, double-blind, randomized, placebo-controlled study was conducted across 25 sites in Europe and the USA. [1] [4] The study showed that both 150 mg and 600 mg IV doses every 4 weeks met the primary endpoint of significantly decreasing CDASI-A scores at 12 weeks compared with placebo, with dazukibart resulting in a pronounced reduction in disease activity and being generally well tolerated. [1] [6]

Phase III studies

As of 2025, dazukibart has entered Phase 3 clinical trials for the treatment of myositis, indicating advancement toward potential regulatory approval. [7] [8]

Therapeutic indications

Dermatomyositis

The primary indication for dazukibart is dermatomyositis, a chronic autoimmune disease characterized by distinctive cutaneous eruptions, muscle weakness, and systemic manifestations including interstitial lung disease. Clinical studies have shown rapid onset of response in adult patients with moderate-to-severe refractory dermatomyositis. [9]

Other indications

Dazukibart is also being investigated for the treatment of systemic lupus erythematosus and polymyositis, conditions that also involve dysregulated type I interferon signaling. [10]

Regulatory status

Dazukibart has received orphan drug designation from the European Medicines Agency (EMA) for the treatment of dermatomyositis (designation EU/3/20/2392), recognizing the significant medical need for effective treatments for this rare autoimmune condition. [11]

References

  1. 1 2 3 Fiorentino D, Mangold AR, Werth VP, Christopher-Stine L, Femia A, Chu M, et al. (11 January 2025). "Efficacy, safety, and target engagement of dazukibart, an IFNβ specific monoclonal antibody, in adults with dermatomyositis: a multicentre, double-blind, randomised, placebo-controlled, phase 2 trial". The Lancet. 405 (10473): 137–146. doi:10.1016/S0140-6736(24)02071-3. ISSN   0140-6736. PMID   39798982.
  2. "Dazukibart (PF-06823859)". MedChemExpress. Retrieved September 4, 2025.
  3. 1 2 "Dazukibart by Pfizer for Systemic Lupus Erythematosus: Likelihood of Approval". Pharmaceutical Technology. January 19, 2025. Retrieved September 4, 2025.
  4. 1 2 "Dazukibart for dermatomyositis: expanding the therapeutic arsenal". Annals of Translational Medicine. June 24, 2025.
  5. Neelakantan S, Oemar B, Johnson K, Rath N, Salganik M, Berman G, et al. (1 March 2021). "Safety, Tolerability, and Pharmacokinetics of PF-06823859, an Anti-Interferon β Monoclonal Antibody: A Randomized, Phase I, Single- and Multiple-Ascending-Dose Study". Clinical Pharmacology in Drug Development. 10 (3): 307–316. doi:10.1002/cpdd.887. ISSN   2160-7648. PMID   33352008.
  6. "Dazukibart shows promise as treatment for dermatomyositis". Healio. January 27, 2025. Retrieved September 4, 2025.
  7. "Dazukibart Recruiting Phase 3 Trials for Myositis Treatment". DrugBank. Retrieved September 4, 2025.
  8. Pfizer (12 August 2025). A PHASE 3, MULTI-CENTER, OPEN-LABEL EXTENSION STUDY TO INVESTIGATE THE LONG-TERM SAFETY, TOLERABILITY, AND EFFICACY OF DAZUKIBART IN PARTICIPANTS WITH IDIOPATHIC INFLAMMATORY MYOPATHIES (INCLUDING PARTICIPANTS WITH DERMATOMYOSITIS OR POLYMYOSITIS) (Report). clinicaltrials.gov.
  9. "Rapid Onset of Response in Adult Dermatomyositis Patients Receiving Anti-interferon β (PF-06823859): Results of a Phase 2, Double-blind, Randomized, Placebo-Controlled Study". ACR Meeting Abstracts. September 1, 2023.
  10. "Clinical Trial for Dermatomyositis and Polymyositis". Pfizer Clinical Trials. Retrieved September 4, 2025.
  11. "EU/3/20/2392 - orphan designation for treatment of dermatomyositis". European Medicines Agency. May 18, 2021. Retrieved September 4, 2025.