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risankizumab

Skyrizi

Modality
mAb (humanized IgG1)
Mechanism
IL-23 p19 subunit inhibitor
Targets
IL-23 (p19)
Storage
refrigerated 2–8 °C (RT excursion up to 24 h)
Approved
plaque psoriasis — FDA 2019 · psoriatic arthritis — FDA 2022
In trial
hidradenitis suppurativa
Monitoring
TB pre-treatment
Sources
Last verified
2026-04-14

Mechanism of action

Skyrizi label (FDA, 2024)
drugtargetsignalingeffectorcellularphenotype⊣ red bar = blocked/reduced by drug

Monitoring & workup

Baseline workup

  • TB IGRA (or PPD)
  • HBV sAg if high risk; HCV Ab if high risk
  • Update age-appropriate vaccines before start

Ongoing monitoring

  • No routine labs
  • Annual TB screening if high exposure risk
  • IL-17 class: monitor for candida overgrowth + IBD flare
  • IL-23 class: monitor for injection-site reactions