Negative in Ames, in vitro chromosome aberration and in vivo rat micronucleus assays; major metabolites also negative
“Deucravacitinib and its two major metabolites, BMT-158170 and BMT-153261, tested negative in a battery of genotoxicity studies, i.e., Ames tests (deucravacitinib and metabolites), an in vitro mammalian chromosome aberration test (deucravacitinib), in vitro micronucleus tests (metabolites), and an in vivo mammalian (rat) erythrocyte micronucleus test.”
✓ VerifiedFDA multi-discipline review, p. 56Source ↗
Carcinogenicity
2-year rat and 6-month rasH2 mouse: no increase in tumors
“Deucravacitinib did not cause increases of tumor incidences in a 6-month oral carcinogenicity study in transgenic rasH2 mice and a 2-year oral carcinogenicity study in rats.”
✓ VerifiedFDA multi-discipline review, p. 56Source ↗
Instead of carcinogenicity
Not stated in public reviews
Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.
Instead of genotoxicity
Not stated in public reviews
Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.
DRG histopathology
Not stated in public reviews
Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.
Reproductive & developmental
Rat and rabbit EFD: no embryo-fetal effects at ≥72 times the MRHD
“In animal reproduction studies, no effects on embryo-fetal development were observed with oral administration of deucravacitinib to rats and rabbits during organogenesis at doses that were at least 72 times the maximum recommended human dose (MRHD) of 6 mg once daily (see Data ) .”
hERG not inhibited at clinical concentrations; no neurological or respiratory effects in rats and monkeys
“Deucravacitinib is not expected to inhibit hERG potassium channel current at clinically relevant concentrations. During the neurobehavioral and respiratory safety assessments, oral administration of deucravacitinib in rats at doses up to 75 mg/kg/day and in monkeys at doses up to 5 mg/kg/day did not cause neurological or respiratory effects.”
✓ VerifiedFDA multi-discipline review, p. 55Source ↗
Genotox: Ames
Negative (parent and two major metabolites)
“Deucravacitinib and its two major metabolites, BMT-158170 and BMT-153261, tested negative in a battery of genotoxicity studies, i.e., Ames tests (deucravacitinib and metabolites), an in vitro mammalian chromosome aberration test (deucravacitinib), in vitro micronucleus tests (metabolites), and an in vivo mammalian (rat) erythrocyte micronucleus test.”
✓ VerifiedFDA multi-discipline review, p. 56Source ↗
Genotox: in vitro mammalian
In vitro chromosome aberration (parent) and in vitro micronucleus (metabolites): negative
“Deucravacitinib and its two major metabolites, BMT-158170 and BMT-153261, tested negative in a battery of genotoxicity studies, i.e., Ames tests (deucravacitinib and metabolites), an in vitro mammalian chromosome aberration test (deucravacitinib), in vitro micronucleus tests (metabolites), and an in vivo mammalian (rat) erythrocyte micronucleus test.”
✓ VerifiedFDA multi-discipline review, p. 56Source ↗
Genotox: in vivo
Rat erythrocyte micronucleus: negative
“Deucravacitinib and its two major metabolites, BMT-158170 and BMT-153261, tested negative in a battery of genotoxicity studies, i.e., Ames tests (deucravacitinib and metabolites), an in vitro mammalian chromosome aberration test (deucravacitinib), in vitro micronucleus tests (metabolites), and an in vivo mammalian (rat) erythrocyte micronucleus test.”
✓ VerifiedFDA multi-discipline review, p. 56Source ↗
“Deucravacitinib did not cause increases of tumor incidences in a 6-month oral carcinogenicity study in transgenic rasH2 mice and a 2-year oral carcinogenicity study in rats.”
✓ VerifiedFDA multi-discipline review, p. 56Source ↗
Carcinogenicity timing
6-month rasH2 mouse and 2-year rat studies completed and reviewed in the NDA
“Deucravacitinib did not cause increases of tumor incidences in a 6-month oral carcinogenicity study in transgenic rasH2 mice and a 2-year oral carcinogenicity study in rats.”
✓ VerifiedFDA multi-discipline review, p. 56Source ↗
hERG / QT
43.9% hERG inhibition at 10 µM (717x RHD free Cmax); low potential for cardiac ion channel effects
“BMS-986165 inhibited hERG currents by 43.9% at 10 μM (717× RHD free Cmax).”
Not genotoxic overall: Ames negative; in vitro chromosome aberration positive without (not with) metabolic activation; rat micronucleus and comet negative