Lilly Sees Positive Data in Taltz–Zepbound Combo
Eli Lilly is reporting that combining its psoriasis biologic Taltz (ixekizumab) with obesity drug Zepbound (tirzepatide) led to significantly greater skin clearance and weight loss than Taltz alone in adults with moderate-to-severe plaque psoriasis and obesity or who are overweight. Topline results from the 52-week Phase 3b TOGETHER-PsO study showed that at 36 weeks, 27.1% of patients receiving the combination achieved complete skin clearance— defined as Psoriasis Area and Severity Index (PASI) 100 — along with at least 10% weight loss, according to the company. By comparison, 5.8% of patients treated with Taltz monotherapy met the dual endpoint.
In a key secondary endpoint, it says 40.6% of patients receiving both drugs achieved PASI 100, compared with 29.0% of those on Taltz alone — a 40% relative increase.
Lilly says the study population represented a particularly high disease burden. The average BMI across treatment arms exceeded 39 kg/m²—substantially higher than populations typically studied in pivotal psoriasis biologic trials. Most participants had extensive skin involvement, with roughly a quarter of body surface area affected, and 97% had psoriasis in high-impact areas such as the face, scalp or genitals.
Company executives and investigators frame the results as evidence supporting a more integrated approach to treating psoriasis and obesity, conditions that share inflammatory pathways and frequently co-occur. In the U.S., Lilly notes, about 61% of people with psoriasis also have obesity or are overweight with at least one weight-related comorbidity.
Adverse events in the combination arm were generally mild to moderate and consistent with the known safety profiles of each drug, Lilly says. The most common events (greater than 5%) with concomitant therapy included nausea, diarrhea, constipation, injection-site reactions, dosing errors, vomiting and dizziness. In the Taltz-only arm, common events included injection-site reactions, dosing errors and nasopharyngitis.
Taltz is an interleukin-17A inhibitor approved for moderate-to-severe plaque psoriasis in adults and children age six and older, as well as for psoriatic arthritis and certain forms of axial spondyloarthritis. Zepbound is a dual glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptor agonist approved for chronic weight management.