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Picankibart

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Picankibart

Supplied with complete CDSCO-approved import and customs documentation, including Form 12A & 12B, CDEC, GST Bill of Entry, Commercial Invoice, and Packing List.

Medicine Name: Picankibart
Generic Name (API): Picankibart
Dosage Form & Strength: 100 mg/mL
Route: Subcutaneous (SC) injection
Drug Class: Anti-IL-23p19 monoclonal antibody (Fc-engineered)

Manufacturer / Innovator:

China

Regulatory Approval:

  • NMPA (China)
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What Is Picankibart Used For?

Picankibart is a biologic injection for adults with moderate-to-severe plaque psoriasis. It was developed in China by Innovent Biologics and is sold there as PECONDLE® (信美悦®). Once the starting doses are done, it is given only once every 12 weeks.

China's National Medical Products Administration (NMPA) approved it in November 2025 for:

  • Adults with moderate-to-severe plaque psoriasis
  • Who are candidates for systemic therapy (treatment that works through the whole body rather than creams alone)

It is a prescription immunology medicine and should be used under the care of a dermatologist.

How It Works

Interleukin-23 (IL-23) is one of the main messengers that keeps psoriasis inflammation going. It switches on immune cells that release further signals, and these make skin cells multiply too quickly and pile up into plaques. Picankibart is a monoclonal antibody that binds the p19 part of IL-23, which is unique to that messenger, so IL-23 can no longer reach its receptor. Its Fc region has been engineered so it stays in the body longer, which is what allows the long 12-week gap between maintenance doses.

What the Trials Showed

The phase 3 CLEAR-1 trial enrolled 500 Chinese adults with moderate-to-severe plaque psoriasis and was published in the Journal of the American Academy of Dermatology in 2026. At week 16, 80.3% of people on picankibart 200 mg reached PASI 90, meaning their psoriasis score improved by at least 90%, compared with 2.0% on placebo. 93.5% were rated clear or almost clear by their doctor, against 13.1% on placebo. These results held steady through week 52 on both 100 mg and 200 mg every 12 weeks.

A separate phase 2 study of 152 people, most of whom had already used an IL-17A biologic, looked at switching straight to picankibart. Among those whose psoriasis was not well controlled before the switch, 48.2% reached clear or almost-clear skin (with less than 3% of the body affected) by week 16, rising to 54.2% by week 44.

Recommended Dosage

In the CLEAR-1 trial, the schedule was:

  • Starting doses: 200 mg under the skin at weeks 0, 4 and 8
  • Maintenance: 100 mg or 200 mg once every 12 weeks
  • Each pre-filled auto-injector pen holds 100 mg in 1 mL, so a 200 mg dose uses two pens

The dose your dermatologist prescribes should follow the Chinese prescribing information supplied with the pack.

This information is not a treatment plan. For personalized medical advice, consult your doctor and refer to the full prescribing information.

Warnings and Precautions

Picankibart acts on the immune system, so the precautions below are the ones doctors normally follow with this kind of biologic. Full details are in the Chinese prescribing information.

  • Infections: the most common side effect in the trials was upper respiratory tract infection, such as a cold or sore throat. In the switching study it affected 25.0% of patients. Tell your doctor about fever, persistent cough or any infection that does not settle, and do not start treatment during an active serious infection.
  • Tuberculosis: doctors usually screen for TB before starting an IL-23 biologic, and treat latent TB first.
  • Allergic reactions: stop and seek urgent help if you get swelling of the face or lips, a widespread rash or difficulty breathing after an injection.
  • Vaccines: check with your doctor before any vaccine. Live vaccines are generally avoided during treatment with this type of medicine.

Overall: the CLEAR-1 researchers reported that picankibart was well tolerated, with no new safety signals through 52 weeks. Innovent describes its safety profile as consistent with other IL-23p19 antibodies. Detailed side-effect percentages from CLEAR-1 were not available in the sources we reviewed. Safety in pregnancy, breastfeeding and children has not been established, so discuss these situations with your doctor.

How to Access Picankibart in India: A 6-Step Process

Step 1 – Search & request your medicine: The patient or treating doctor submits a request with basic details to initiate the access process.

Step 2 – Verification & eligibility review: The team verifies availability and reviews eligibility against regulatory and clinical requirements to ensure a compliant pathway.

Step 3 – Receive quote & delivery timeline: A transparent quotation is shared, covering medicine cost, logistics, and a clear delivery timeline.

Step 4 – Regulatory approval process: Assistance is provided to secure the approvals and documentation required for legal cross-border access.

Step 5 – Temperature-controlled import & handling: The medicine is sourced and transported under strict GDP-compliant, cold-chain conditions to maintain product integrity.

Step 6 – Secure delivery: The medicine is delivered to the patient or treating hospital, with updates provided at each stage.

Note: From request to delivery, every step is designed to ensure your treatment reaches you safely, compliantly, and without unnecessary delays.

Documentation & Availability

What documents are required to import Picankibart to India?

The injection can be imported only in the patient's name, by the patient or a government hospital, in line with India's import regulations for unapproved medicines. You will need:

  • A valid prescription from a qualified dermatologist
  • Medical records confirming moderate-to-severe plaque psoriasis and the treatments tried so far
  • Patient ID proof (issued by the Government of India)

How is the order confirmed?

Once we have received and checked a valid prescription and, where needed, an import permit.

Is Picankibart available in India?

No. It is approved only in China. It has no CDSCO approval, it is not sold in Indian pharmacies, and the US FDA and European Medicines Agency have not approved it either.

Patients can still get it legally through the Named Patient Program (NPP), which allows a medicine not registered in India to be imported for one specific patient on a prescription. We also help patients import other psoriasis treatments, such as Bimzelx and Sotyktu.

It can be made available to patients, doctors, and hospitals across major cities in India, including Gurgaon, Delhi, Bangalore, Mumbai, Navi Mumbai, Thane, Hyderabad, Mysore, Kerala, Chennai, Coimbatore, Madurai, Kolkata, Ahmedabad, Surat, Vadodara, Pune, Nagpur, Nashik, Jaipur, Udaipur, Lucknow, Kanpur, Gorakhpur, Chandigarh, Mohali, Faridabad, Noida, Ghaziabad, Kochi, Trivandrum, Kozhikode, Thrissur, Kannur, Mangalore, Bhubaneswar, Patna, Ranchi, Raipur, Guwahati, Visakhapatnam, Vijayawada, Goa, Jammu, Srinagar, Dehradun, Bhopal, Indore, Ludhiana, Amritsar, and others — and can facilitate delivery to the patient's treating hospital. Orders are confirmed only after receipt of a valid doctor's prescription and an import permit, where applicable.

Sourcing & Delivery

NamedPatientProgram.com (NPP) sources this medicine through the manufacturer's authorised supply channels in China and arranges supply to patients, doctors, and hospitals under applicable legal provisions. The pens are stored and shipped as directed on the pack, using temperature-controlled shipping, and kept in their original box until use. Because the starting phase needs several pens and maintenance needs one or two every 12 weeks, we plan each order around the treatment calendar. All prescriptions are dispensed and checked by registered pharmacists and dispatched from New Delhi, India, after legal requirements are fulfilled.

For the current cost in India and availability, contact NPP via WhatsApp at +91 98104 69557 | Toll-Free: 1800-1200-365 or email info@namedpatientprogram.com.

Availability Across Major Cities in India

Patients across India can access this medicine through regulated import pathways, with delivery arranged to the treating hospital or clinic on a valid specialist's prescription.

Delhi

Skin specialists in Delhi treat many people with long-standing psoriasis, and our New Delhi dispatch point keeps transit times short.

Mumbai

Pens can be delivered to the clinic or hospital where the patient receives the injection.

Bangalore

Dermatologists in Bangalore can request the medicine for a named patient, with a written quote before any order is placed.

Chennai

We time deliveries around the week 0, 4 and 8 starting doses so treatment begins on schedule.

Hyderabad

Patients in Hyderabad can follow the same documented import route, with updates at each step.

Kolkata

Orders for Kolkata and the eastern states are shipped in temperature-controlled packaging.

Pune

With doses 12 weeks apart in maintenance, we help patients in Pune order well before each one is due.

Ahmedabad

The treating dermatologist can share the prescription and treatment history to begin the import.

Jaipur

Patients across Rajasthan can have the pens delivered to their dermatologist in Jaipur.

Chandigarh

Serves patients from Punjab, Haryana and Himachal Pradesh, with delivery to the treating centre.

Lucknow

We coordinate delivery to hospitals and skin clinics across Uttar Pradesh.

Kochi

Patients in Kerala can receive the medicine at their hospital or clinic in Kochi and nearby cities.

Access can also be coordinated for patients in other Indian cities, subject to a valid prescription and regulatory requirements.

Author Details

Nitin Goswami

Written By

Nitin Goswami

Deputy Manager – Content & Social Media, Ikris Pharma Network

Sources: NMPA • CDSCO

Dr. Chirag C Shah

Medically Reviewed By

Dr. Chirag C Shah

MBBS

Last Updated: 19 October 2026

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