Evidence map›Paper›PMID 41553505›Full record

ArticleEuropean journal of clinical pharmacology2026

Oral delivery of an ustekinumab biosimilar with bioavailability comparable to subcutaneous administration in healthy human participants.

Joshua T Myers, Alyson Yamaguchi, Kyle Horlen, Leonard C Fung, April Toledo Vo, Deepa Mohan, Mary Hoopes, Mir Imran, Jacques Van Dam, Ofer M Gonen and 3 more

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in European journal of clinical pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05890118 (A Phase 1 Study to Evaluate the Safety, Tolerability and Pharmacokinetics), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05890118 phase1completednot on this map

A Phase 1 Study to Evaluate the Safety, Tolerability and Pharmacokinetics (PK) of RT-111- RaniPill Capsule Containing Ustekinumab - Administered Orally to Healthy Volunteers

TypeinterventionalSponsorRANI TherapeuticsRan2023 to 2023Enrolled55ConditionsHealthy VolunteersArmsStelara, RT-111 (0.5mg), RT-111 (0.75mg)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Joshua T MyersRani Therapeutics, LLC, 2051 Ringwood Ave, San Jose, CA, 95131, USA.
Alyson YamaguchiRani Therapeutics, LLC, 2051 Ringwood Ave, San Jose, CA, 95131, USA.
Kyle HorlenRani Therapeutics, LLC, 2051 Ringwood Ave, San Jose, CA, 95131, USA.
Leonard C FungRani Therapeutics, LLC, 2051 Ringwood Ave, San Jose, CA, 95131, USA.
April Toledo VoRani Therapeutics, LLC, 2051 Ringwood Ave, San Jose, CA, 95131, USA.
Deepa MohanRani Therapeutics, LLC, 2051 Ringwood Ave, San Jose, CA, 95131, USA.
Mary HoopesRani Therapeutics, LLC, 2051 Ringwood Ave, San Jose, CA, 95131, USA.
Mir ImranRani Therapeutics, LLC, 2051 Ringwood Ave, San Jose, CA, 95131, USA.
Jacques Van DamRani Therapeutics, LLC, 2051 Ringwood Ave, San Jose, CA, 95131, USA.
Ofer M GonenNucleus Network, Melbourne, VIC, Australia.
Mir A HashimRani Therapeutics, LLC, 2051 Ringwood Ave, San Jose, CA, 95131, USA.
Arvinder K DhallaRani Therapeutics, LLC, 2051 Ringwood Ave, San Jose, CA, 95131, USA. arvinder@ranitherapeutics.com.
Andrew BlauveltBlauvelt Consulting, LLC, Annapolis, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUstekinumab, targeting interleukin (IL)-12 and IL-23, is effective in treating chronic immune-mediated inflammatory diseases, but needs to be dosed via subcutaneous (SC) injection, which impacts patient comfort and treatment adherence. To enable oral dosing of ustekinumab, the utility of a robotic pill (RP) was evaluated in humans.

methodsA Phase 1 study was conducted to evaluate the safety, tolerability, and pharmacokinetics (PK) of single doses (0.5 and 0.75 mg) of an ustekinumab biosimilar (CT-P43) delivered via RP (RT-111) in healthy participants compared to ustekinumab (0.5 mg) administered via SC injection.

resultsRT-111 was well-tolerated with no reported SAEs. Ustekinumab was detected in 35/40 participants dosed with RT-111. At the 0.5 mg dose, RT-111 and SC administration yielded similar Cmax (RT-111: 67 ± 7 ng/mL, SC: 56 ± 4 ng/mL), while a dose-proportional increase in Cmax was observed at the 0.75 mg dose (92 ± 8 ng/mL). Uptake via oral delivery was faster, with a Tmax of 3 vs. 10 days for the SC group. Bioavailability of RT-111 was comparable (81%) to that of SC injection.

conclusionThis is the first report of successful oral delivery of a therapeutic antibody via an orally ingestible RP in humans, with bioavailability comparable to SC injection. CLINICAL TRIAL NUMBER: Study was registered at Clinicaltrials.gov as NCT05890118 in May 2023.

Indexed as

Biosimilar PharmaceuticalsUstekinumabAdministration, OralAdultBiological AvailabilityFemaleHealthy VolunteersHumansInjections, SubcutaneousMaleMiddle AgedYoung AdultBiosimilar PharmaceuticalsUstekinumabBiotherapeuticsMonoclonal antibodyOral antibody deliveryRobotic pillUstekinumab

Identifiers

PMID41553505
PMCPMC12816109

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.