ClinicalTrials.gg
RecruitingNCT06733935Updated Oct 30, 2026

A Phase 1/2 Study of NKX019 in Subjects With Immune-Mediated Diseases (Ntrust-2)

A Phase 1/2 interventional study of NKX019 and Fludarabine in Systemic Sclerosis, Idiopathic Inflammatory Myopathies and Antineutrophil Cytoplasmic Antibody-Associated Vasculitis, sponsored by Nkarta, Inc.. Recruiting at 12 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Nkarta, Inc. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2024; still recruiting 2 years later.
Updated Oct 30, 2026No longer in Australia and Puerto RicoEligibility revised+2 moreGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
240
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a Phase 1/2, open-label, multi-center, multi-cohort, non-randomized dose escalation and dose expansion basket study to determine the safety and tolerability of NKX019 (allogeneic CAR NK cells targeting CD19) in participants with autoimmune diseases.

Read the detailed description

Dose escalation of NKX019 will utilize a "3+3" design to determine the recommended dose(s) for expansion for enrolling additional participants across indications. The study will evaluate safety and tolerability, preliminary efficacy, pharmacokinetics, pharmacodynamics, and immunogenicity in participants with autoimmune diseases. Participants will receive a cycle consisting of lymphodepletion with fludarabine and cyclophosphamide (Flu/Cy) followed by three doses of NKX019. Participants who are cytopenic may receive a modified lymphodepletion regimen of Cy alone.

02

Conditions studied

  • Systemic Sclerosis
  • Idiopathic Inflammatory Myopathies
  • Antineutrophil Cytoplasmic Antibody-Associated Vasculitis
  • Rheumatoid Arthritis

Keywords

  • CD19
  • CAR
  • Allogeneic
  • NKX019
  • Natural Killer Cells
  • Interleukin-15
  • IL-15
  • Cell Therapy
  • Immunotherapy
  • Adoptive cell therapy
  • Scleroderma
  • Myositis
  • AAV
  • Systemic Sclerosis
  • Idiopathic Inflammatory Myopathies
  • Antineutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis
  • Ntrust-2
  • Rheumatoid Arthritis
03

In context

Scleroderma, Systemic

610 studies on the registry are indexed under Scleroderma, Systemic; 218 are open to participants now.

This study's planned enrollment of 240 is above the median of 37 across 446 interventional studies indexed under Scleroderma, Systemic.

Browse Scleroderma, Systemic studies →

Lead sponsor

Nkarta, Inc. is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Oct 30, 2026. See what changed

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

General Inclusion Criteria:

  • Age ≥18 and ≤75 years
  • Signed and ability to adhere to the study visit schedule and comply with other protocol requirements
  • Women of must have negative pregnancy tests at screening and baseline and agree to abstinence or acceptable from 2 weeks before the first dose through 1 year after the last dose
  • Participants taking must be at a stable prednisone (or equivalent) dose ≤20 mg/day for ≥14 days before Screening
  • Participants on immunosuppressives or immunomodulators (other than corticosteroids) must have stable dosing for ≥4 weeks before Screening
  • (2021 CKD-EPI equation) ≥45 mL/min/1.73 m² at screening

For Subjects with Systemic Sclerosis (SSc):

  • Meets the 2013 ACR/EULAR classification criteria for SSc
  • Severe skin involvement defined as modified Rodnan skin score (mRSS ≥30) or active skin disease (mRSS ≥15 with, within the prior 6 months, an mRSS increase ≥3 units, 1 new body area with ≥2 mRSS units, or 2 new body areas with ≥1 mRSS unit each), OR moderate-to-severe interstitial lung disease (ILD) on HRCT with FVC \<70% predicted or DLCO \<70% predicted (or ILD on HRCT with progression per protocol-defined criteria)
  • 10 years or less since the first non-Raynaud's sign or symptom
  • Inadequate response or intolerance to at least one prior treatment, including cyclophosphamide, methotrexate, MMF/mycophenolic acid, nintedanib, rituximab, or tocilizumab

For Subjects with Idiopathic Inflammatory Myopathies (IIM):

  • Diagnosis of IIM per the 2017 ACR/EULAR Classification Criteria
  • One positive myositis antibody (historical)
  • Disease activity defined as manual muscle testing (MMT-8) score \<136/150
  • Creatine kinase or aldolase ≥1.5× and Clinician Global Assessment ≥2 cm, with evidence of active myositis (MRI, EMG, or within 6 months) or MDAAT Global Extramuscular Activity Score ≥2 cm; participants with DM, JDM, or ASyS may qualify with CK/aldolase \<1.5×ULN if Clinician Global Assessment ≥2 cm and either of the above is met or CDASI ≥15, pending discussion with the medical monitor
  • Inadequate response to ≥3 months of at least 2 therapies (including glucocorticoids)

For Subjects with ANCA-Associated Vasculitis (AAV):

  • Meets the 2022 ACR/EULAR classification criteria for Granulomatosis with Polyangiitis (GPA) or Microscopic Polyangiitis (MPA)
  • AAV despite repeated immunosuppressive treatment, or requiring prolonged/repeated unacceptable glucocorticoid doses to maintain disease control
  • Positive anti-proteinase-3 (PR3-ANCA) or anti-myeloperoxidase (MPO-ANCA) at screening
  • Meets BVAS version 3 activity threshold (≥1 major item, ≥3 other items, or ≥2 renal items)

For Subjects with Rheumatoid Arthritis (RA):

  • Documented diagnosis of RA, meeting the 2010 ACR/EULAR classification criteria
  • Rheumatoid Factor (RF) or Anti-Citrullinated Protein Antibody (ACPA) positive
  • CRP >3 mg/L
  • Inadequate response, defined as failure to achieve a improvement (eg, ACR50 response or DAS28 remaining >3.2) after ≥12 weeks of therapy with: ≥1 conventional synthetic DMARD (eg, methotrexate, leflunomide, sulfasalazine, hydroxychloroquine) plus either: ≥2 biologic DMARDs with distinct mechanisms of action (eg, TNF inhibitors, abatacept, anti-IL-6/IL-6R, rituximab) or ≥1 biologic DMARD and ≥1 targeted synthetic DMARD (eg, a JAK inhibitor), having failed no more than 4 biologics or targeted synthetic DMARDs with unique mechanisms of action
  • Minimum of 6 swollen joint counts (based on the 66-joint count) and 6 tender joint counts (based on the 68-joint count) at Screening (28-joint counts used at Baseline and thereafter)

General Exclusion Criteria:

  • Currently requiring or expected to require renal dialysis during the study
  • Previous solid organ or hematopoietic cell transplant, or planned transplant during the study treatment period
  • Congenital or acquired immunodeficiency resulting in severe infection, or receiving chronic immunoglobulin replacement therapy
  • Liver disease or dysfunction, including cirrhosis and/or ≥3× the upper limit of normal
  • Pulmonary comorbidity (eg, or asthma requiring daily oral steroids), resting hypoxemia (\<92% oxygen saturation on room air), or significant smoking history (>10 pack-years) with active pulmonary disease
  • ILD requiring supplemental oxygen therapy, FVC \<45% predicted, or DLCO ≤40% predicted at screening
  • White blood cell count \<3,000/mm³, levels ≤9 g/dL, ≤1,500/mm³, ≤100,000/mm³, or blood transfusion within 60 days before lymphodepletion (LD)
  • Major cardiac disease, abnormalities, or interventions (eg, uncontrolled angina, myocardial infarction within 12 weeks, prior coronary artery bypass graft surgery, ≥Class III congestive heart failure (CHF), significantly decreased (EF) ≤40%, prolongation of the corrected for heart rate (QTc) >480 msec, or a ≥Grade 2 thrombotic/embolic event within 12 weeks of the first dose
  • Active bleeding disorder
  • Overlapping condition for which the condition or its treatment may affect study assessments or outcomes
  • Pregnancy, breastfeeding, or, if of childbearing potential, not using adequate contraception
  • Current infection requiring active systemic anti-infective therapy, or a recent acute infection treated systemically within 30 days of planned LD; participants who are asymptomatic and being treated for a non-systemic infection (eg, urinary tract infection) are not excluded on this basis and may be eligible after discussion with the Sponsor Medical Monitor
  • History of positive (HIV) antibody or PCR test, or a positive test at screening, or C positive at screening, or active or latent tuberculosis requiring suppressive therapy
  • Major surgery within 28 days before the first dose of NKX019, or any surgery from which the participant has not recovered or has ongoing complications
  • within 5 years of screening, except treated basal/squamous cell carcinoma or treated cervical dysplasia with a normal repeat Pap test
  • Prior cellular therapy, including mesenchymal, CAR-T, or CAR-NK cells or CD19 directed therapy
  • Central nervous system (CNS) comorbidity, including history or presence of seizure disorder, cerebrovascular ischemia/hemorrhage (including ), dementia, cerebellar disease, or any immune-mediated disease with CNS involvement within 90 days before the first dose of NKX019, or evidence of CNS-related autoimmune manifestations within 1 year before screening (eg, aseptic meningitis, ataxia, CNS vasculitis, cranial neuropathy, demyelinating syndrome, optic neuritis, psychosis, seizures, or transverse myelitis)
  • Any other acute or chronic medical or psychiatric condition, or laboratory abnormality, that in the Investigator's or Sponsor's opinion would increase the risk of participation, interfere with informed consent, study compliance, or interpretation of results, or make the participant inappropriate for the study, including clinically significant drug or alcohol abuse within 2 years before screening
  • Current participation in another interventional clinical trial; participants may be considered after an product of 5 half-lives or 30 days, whichever is longer
  • Known or to the study treatment, including lymphodepletion, or to other components such as human serum albumin or dimethyl sulfoxide

SSc Exclusion Criteria:

  • Moderate-to-severe pulmonary arterial hypertension (PAH) on right heart catheterization requiring PAH-specific treatment (well-controlled mild PAH is permitted)
  • Gastrointestinal dysmotility requiring total parenteral nutrition
  • Renal crisis or pericardial tamponade within 6 months before enrollment
  • Current gangrene of a digit
  • Extensive, advanced fibrotic ILD on screening HRCT involving >50% of the total lung parenchyma, or other HRCT findings indicative of end-stage fibrotic lung disease with limited potentially reversible parenchyma

IIM Exclusion Criteria:

  • Severe chronic proximal muscle involvement on MRI (≥15% fibro-fatty replacement or ≥15% muscle atrophy in core muscle groups, or a combined extent >30%)
  • MMT-8 ≤80
  • Muscular inflammation or myopathy due to another cause (eg, inclusion body myositis, cancer-associated myositis, amyloid myopathy, muscular dystrophy, metabolic myopathies, or overlap myositis other than with Sjögren's syndrome)
  • Generalized, severe musculoskeletal or neuro-muscular condition other than IIM
  • Immune-mediated necrotizing myopathy
  • Clinically significant calcinosis (cutaneous or subcutaneous) that, in the Investigator's judgment, could confound assessment of muscle strength, physical function, or cutaneous disease

AAV Exclusion Criteria:

  • Alveolar hemorrhage requiring invasive pulmonary ventilation support
  • Required dialysis or plasma exchange within 12 weeks before screening
  • Any other known disease that may interfere with assessments, including eosinophilic GPA (Churg-Strauss), anti-glomerular basement membrane disease, systemic lupus erythematosus, IgA vasculitis (Henoch-Schönlein), rheumatoid vasculitis, or cryoglobulinemic vasculitis
Terms in these criteria, in plain language(26)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
240 participants (estimated)

Study arms

  • Experimental
    NKX019 - CAR NK cell therapy

    Phase 1/2: NKX019 plus fludarabine and cyclophosphamide

    Drug: NKX019 · Drug: Fludarabine · Drug: Cyclophosphamide

Interventions

06

What researchers measure

Primary outcomes

  1. Incidence of Dose-limiting toxicities (DLTs) [Safety and Tolerability]

    Incidence of DLTs will be evaluated

    Time frame: The first 28 days after the first NKX019 dose

  2. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    Incidence and severity of treatment-emergent adverse events will be evaluated

    Time frame: From the first administration of NKX019 until the last administration of any study treatment + 30 days

Secondary outcomes

  1. For all participants with Interstitial Lung Disease (ILD)

    Change from baseline in % predicted forced vital capacity (FVC) over time

    Time frame: Up to 2 years after NKX019 infusion

  2. For all participants with Interstitial Lung Disease (ILD)

    Change from baseline in FVC volume over time

    Time frame: Up to 2 years after NKX019 infusion

  3. For all participants with Interstitial Lung Disease (ILD)

    Change from baseline % predicted diffusing capacity of the lung for carbon monoxide (DLCO) corrected for hemoglobin \[and as appropriate alveolar volume (AV)\] over time

    Time frame: Up to 2 years after NKX019 infusion

  4. For all participants with Interstitial Lung Disease (ILD)

    Time to improvement in FVC by ≥5% or ≥10%

    Time frame: Up to 2 years after NKX019 infusion

  5. For all participants with Interstitial Lung Disease (ILD)

    Proportion of participants with improvement in FVC by ≥5% or ≥10%

    Time frame: Up to 2 years after NKX019 infusion

  6. For all participants with Interstitial Lung Disease (ILD)

    Time to ILD progression

    Time frame: Up to 2 years after NKX019 infusion

  7. For all participants with Interstitial Lung Disease (ILD)

    Proportion of participants with ILD progression

    Time frame: Up to 2 years after NKX019 infusion

  8. For all participants with Systemic Sclerosis (SSc)

    Change from baseline in modified Rodnan skin score (mRSS)

    Time frame: Up to 2 years after NKX019 infusion

  9. For all participants with Systemic Sclerosis (SSc)

    Proportion of participants with ≥ 50% improvement in mRSS over time

    Time frame: Up to 2 years after NKX019 infusion

  10. For all participants with Systemic Sclerosis (SSc)

    Proportion of participants achieving revised Composite Response Index (rCRISS) 25, 50 and 70 compared to baseline

    Time frame: Up to 2 years after NKX019 infusion

  11. For all participants with Systemic Sclerosis (SSc)

    Change from baseline modified EULAR (European Alliance of Associations for Rheumatology) Scleroderma Trials and Research Activity Index (EUSTAR AI) over time

    Time frame: Up to 2 years after NKX019 infusion

  12. For all participants with Systemic Sclerosis (SSc)

    Change from baseline University of California Los Angeles Gastrointestinal Tract (UCLA GIT) 2.0 assessments over time

    Time frame: Up to 2 years after NKX019 infusion

  13. For all participants with Idiopathic Inflammatory Myopathies (IIM)

    Change from baseline in manual muscle testing (MMT) over time

    Time frame: Up to 2 years after NKX019 infusion

  14. For all participants with Idiopathic Inflammatory Myopathies (IIM)

    Change from baseline and normalization of muscle enzymes over time

    Time frame: Up to 2 years after NKX019 infusion

  15. For all participants with Idiopathic Inflammatory Myopathies (IIM)

    Change from baseline Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI) activity score over time for those with cutaneous manifestations

    Time frame: Up to 2 years after NKX019 infusion

  16. For all participants with Idiopathic Inflammatory Myopathies (IIM)

    Proportion of participants achieving a mild, moderate, or major (20, 40, 60 points) clinical response by Total Improvement Score (TIS) over time (including assessment of change from baseline in TIS components)

    Time frame: Up to 2 years after NKX019 infusion

  17. For all participants with ANCA-Associated Vasculitis (AAV)

    Proportion of participants achieving Birmingham Vasculitis Activity Score (BVAS) remission over time

    Time frame: Up to 2 years after NKX019 infusion

  18. For all participants with ANCA-Associated Vasculitis (AAV)

    Change from baseline BVAS over time

    Time frame: Up to 2 years after NKX019 infusion

  19. For all participants with ANCA-Associated Vasculitis (AAV)

    Proportion of participants achieving clinical remission Off Therapy (CROffT) over time

    Time frame: Up to 2 years after NKX019 infusion

  20. For all participants with ANCA-Associated Vasculitis (AAV)

    Proportion of participants achieving clinical remission On Therapy (CROnT) over time

    Time frame: Up to 2 years after NKX019 infusion

  21. For all participants with ANCA-Associated Vasculitis (AAV)

    Proportion of participants achieving low disease activity state (LDAS) over time

    Time frame: Up to 2 years after NKX019 infusion

  22. For all participants with ANCA-Associated Vasculitis (AAV)

    Change from baseline C-reactive protein (CRP) over time

    Time frame: Up to 2 years after NKX019 infusion

  23. For all participants with Rheumatoid Arthritis (RA)

    Proportion of participants achieving American College of Rheumatology (ACR)20, ACR50, and ACR70 response over time

    Time frame: Up to 2 years after NKX019 infusion

  24. For all participants with Rheumatoid Arthritis (RA)

    Change from baseline in Disease Activity Score for 28 Joints - CRP (DAS28-CRP) over time

    Time frame: Up to 2 years after NKX019 infusion

  25. For all participants with Rheumatoid Arthritis (RA)

    Proportion of participants achieving DAS28-CRP remission over time

    Time frame: Up to 2 years after NKX019 infusion

  26. For all participants with Rheumatoid Arthritis (RA)

    Proportion of participants achieving DAS28-CRP low disease activity over time

    Time frame: Up to 2 years after NKX019 infusion

  27. For all participants with Rheumatoid Arthritis (RA)

    Change from baseline in Health Assessment Questionnaire Disability Index (HAQ-DI) over time

    Time frame: Up to 2 years after NKX019 infusion

  28. For all participants with Rheumatoid Arthritis (RA)

    Change from baseline in participant assessment of pain over time

    Time frame: Up to 2 years after NKX019 infusion

  29. For all participants with Rheumatoid Arthritis (RA)

    Change from baseline in the clinician global assessment of disease activity over time

    Time frame: Up to 2 years after NKX019 infusion

  30. For all participants with Rheumatoid Arthritis (RA)

    Change from baseline in the patient global assessment of disease activity over time

    Time frame: Up to 2 years after NKX019 infusion

  31. For all participants with Rheumatoid Arthritis (RA)

    Proportion of participants achieving Clinical Disease Activity Index (CDAI) remission over time

    Time frame: Up to 2 years after NKX019 infusion

  32. For all participants with Rheumatoid Arthritis (RA)

    Proportion of participants achieving CDAI low disease activity over time

    Time frame: Up to 2 years after NKX019 infusion

  33. For all participants with Rheumatoid Arthritis (RA)

    Proportion of participants achieving Simplified Disease Activity Index (SDAI) remission over time

    Time frame: Up to 2 years after NKX019 infusion

  34. For all participants with Rheumatoid Arthritis (RA)

    Proportion of participants achieving SDAI low disease activity over time

    Time frame: Up to 2 years after NKX019 infusion

  35. Evaluation of the effect of treatment on background therapies

    Proportion of participants requiring rescue therapy (SSc, IIM, AAV, RA) over time

    Time frame: Up to 2 years after NKX019 infusion

  36. Evaluation of the effect of treatment on background therapies

    Proportion of participants who are steroid free (IIM, AAV, RA) over time

    Time frame: Up to 2 years after NKX019 infusion

  37. Evaluation of the effect of treatment on background therapies

    Cumulative corticosteroid dose (IIM, AAV, RA) over time

    Time frame: Up to 2 years after NKX019 infusion

  38. Evaluation of the effect of treatment on background therapies

    Proportion of participants receiving ≤ 5 mg daily prednisone (or equivalent) (IIM, AAV, RA) over time

    Time frame: Up to 2 years after NKX019 infusion

  39. Evaluation of the effect of treatment on background therapies

    Proportion of participants receiving ≤ 7.5 mg daily prednisone (or equivalent) (IIM, AAV, RA) over time

    Time frame: Up to 2 years after NKX019 infusion

  40. Pharmacokinetics parameter: maximum concentration (Cmax)

    Time frame: Up to 2 years after NKX019 infusion

  41. Pharmacokinetics parameter: Time-to-maximum concentration (Tmax)

    Time frame: Up to 2 years after NKX019 infusion

  42. Pharmacokinetics parameter: Area under the curve (AUC)

    Time frame: Up to 2 years after NKX019 infusion

  43. Pharmacokinetics parameter: Half-life (t1/2)

    Time frame: Up to 2 years after NKX019 infusion

  44. Duration of persistence of NKX019 in peripheral blood

    Time frame: Up to 2 years after NKX019 infusion

  45. Assess humoral and cellular immunogenicity over time with validated methods that include: a cell-based flow cytometry assay for anti-NKX019 antibodies and an antigen bead-assay using flow cytometry for detection of anti-HLA antibodies

    Time frame: Up to 2 years after NKX019 infusion

07

Study locations

12 of 12 sites recruiting
  • Nkarta Investigational Site
    Los Angeles, California 90012, United States
    Recruiting
    • Nkarta Central Contact · Contact
  • Nkarta Investigational Site
    Plantation, Florida 33317, United States
    Recruiting
    • Nkarta Central Contact · Contact
  • Nkarta Investigational Site
    Tampa, Florida 33602, United States
    Recruiting
    • Nkarta Central Contact · Contact
  • Nkarta Investigational Site
    Fairway, Kansas 66205, United States
    Recruiting
    • Nkarta Central Contact · Contact
  • Nkarta Investigational Site
    Ann Arbor, Michigan 48109, United States
    Recruiting
    • Nkarta Central Contact · Contact
  • Nkarta Investigational Site
    Minneapolis, Minnesota 55455, United States
    Recruiting
    • Nkarta Central Contact · Contact
  • Nkarta Investigational Site
    Hackensack, New Jersey 07601, United States
    Recruiting
    • Nkarta Central Contact · Contact
  • Nkarta Investigational Site
    Summit, New Jersey 07302, United States
    Recruiting
    • Nkarta Central Contact · Contact
  • Nkarta Investigational Site
    New York, New York 10007, United States
    Recruiting
    • Nkarta Central Contact · Contact
  • Nkarta Investigational Site
    Syracuse, New York 13202, United States
    Recruiting
    • Nkarta Central Contact · Contact
  • Nkarta Investigational Site
    Charlotte, North Carolina 28202, United States
    Recruiting
    • Nkarta Central Contact · Contact
  • Nkarta Investigational Site
    Dallas, Texas 75201, United States
    Recruiting
    • Nkarta Central Contact · Contact
08

References and documents

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2024 (actual). Primary completion is estimated for Oct 2028, 47 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 4, 2024
First posted
Dec 13, 2024
StartActual
Nov 4, 2024
Primary completionEst.
Oct 2028
CompletionEst.
Oct 2028
Last update
Oct 30, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
2 sites added, 8 sites removed; no longer in Australia and Puerto Rico
Show 2 added (2 United States)
  • Nkarta Investigational Site · Los Angeles, United States
  • Nkarta Investigational Site · Tampa, United States
Show 8 removed
  • Nkarta Investigational Site · Orange, United States
  • Nkarta Investigational Site · Gainesville, United States
  • Nkarta Investigational Site · Miami, United States
  • Nkarta Investigational Site · Chicago, United States
  • Nkarta Investigational Site · Stony Brook, United States
  • Nkarta Investigational Site · Houston, United States
  • Nkarta Investigational Site · Melbourne, Australia
  • Nkarta Investigational Site · Manati, Puerto Rico
Oct 30, 2026
Eligibility
37 criteria edited, 18 added, 46 removed
What changed in the criteria
  • EditedAge ≥18 and ≤75 years
  • EditedSigned informed consent form and ability to adhere to the study visit schedule and comply with other protocol requirements
  • EditedWomen of childbearing potential must have negative pregnancy tests at screening and baseline, and agree to abstinence or acceptable birth control from 2 weeks prior tobefore the first dose through 1 year after the last dose
  • EditedFor participantsParticipants taking corticosteroids, the must be at a stable prednisone (or equivalent) dose must be ≤20 mg/day at 2 weeks prior to Screening and stable for ≥ 14 days before start of Screening
  • EditedFor participantsParticipants on immunosuppressives or immunomodulators (other than corticosteroids), all doses must behave stable dosing for ≥ 4 weeks prior tobefore Screening
  • EditedeGFR as calculated by the (2021 Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation of) ≥45 mL/min/1.73 m2m² at screening
  • RemovedSSc Inclusion Criteria:
  • AddedFor Subjects with Systemic Sclerosis (SSc):
  • EditedMeets the 2013 American College of Rheumatology (ACR)/European Alliance of Associations for Rheumatology (EULAR) classification criteria for SSc
  • RemovedMeet criteria a and/or b:
  • RemovedSevere skin involvement defined as mRSS ≥ 30 or active skin disease defined as mRSS ≥ 15 at screening and one or more of the following within the prior 6 months of screening:
  • RemovedAn increase in mRSS of ≥ 3 units
  • RemovedInvolvement of 1 new body area with ≥ 2 mRSS units
  • Removed2 new body areas with ≥ 1 mRSS unit
  • RemovedModerate to severe Interstitial Lung Disease (ILD) defined by evidence of ILD on High-resolution computed tomography (HRCT) and FVC < 70% of predicted or DLCO (hemoglobin or alveolar volume corrected) < 70% of predicted or ILD on HRCT and progressive ILD meeting at least 2 of the following 3 criteria within the prior 6 months of screening:
  • RemovedWorsening respiratory symptoms
  • RemovedEvidence of progression on HRCT, or
  • RemovedEvidence of absolute decline in FVC ≥ 5%
  • AddedSevere skin involvement defined as modified Rodnan skin score (mRSS ≥30) or active skin disease (mRSS ≥15 with, within the prior 6 months, an mRSS increase ≥3 units, 1 new body area with ≥2 mRSS units, or 2 new body areas with ≥1 mRSS unit each), OR moderate-to-severe interstitial lung disease (ILD) on HRCT with FVC <70% predicted or DLCO <70% predicted (or ILD on HRCT with progression per protocol-defined criteria)
  • EditedInadequate response or intolerance to at least one prior treatment, including cyclophosphamide, methotrexate, MMF/mycophenolic acid, nintedanib, rituximab, or tocilizumab
  • RemovedIIM Inclusion Criteria:
  • AddedFor Subjects with Idiopathic Inflammatory Myopathies (IIM):
  • EditedDiagnosis forof IIM as perper the 2017 ACR/EULAR Classification Criteria
  • EditedOne positive myositis antibody (historical)
  • EditedActivityDisease activity defined as manual muscle testing (MMT-8) score <136/150
  • RemovedCreatinine kinase or aldolase ≥ 1.5 x ULN and Clinician Global Assessment ≥ 2 cm with at least one of the following:
  • RemovedEvidence on magnetic resonance imaging (MRI) of active myositis within the last 6 months
  • RemovedElectromyography (EMG) with active myositis within the last 6 months
  • RemovedMuscle Biopsy of active myositis within last 6 months
  • RemovedGlobal extramuscular activity score ≥2 cm per Clinician global assessment (CGA) using a visual analog scale (VAS) (0-100 mm)
  • RemovedNote: Participants with DM or ASyS may be eligible despite CK or aldolase <1.5 × ULN, provided they have a Clinician Global Assessment ≥2 cm and meet at least one of criteria (a)-(d) above OR have a CDASI score of ≥20.
  • AddedCreatine kinase or aldolase ≥1.5×ULN and Clinician Global Assessment ≥2 cm, with evidence of active myositis (MRI, EMG, or biopsy within 6 months) or MDAAT Global Extramuscular Activity Score ≥2 cm; participants with DM, JDM, or ASyS may qualify with CK/aldolase <1.5×ULN if Clinician Global Assessment ≥2 cm and either of the above is met or CDASI ≥15, pending discussion with the medical monitor
  • EditedInadequate response to treatment defined as ≥ 3 months failure (or intolerance) toof at least 2 immunosuppressive therapies (including glucocorticoids)
  • RemovedAAV:
  • AddedFor Subjects with ANCA-Associated Vasculitis (AAV):
  • EditedMeets the 2022 ACR/EULAR classification criteria for Granulomatosis with Polyangiitis (GPA) (Robson 2022) or Microscopic Polyangiitis (MPA) (Suppiah 2022)
  • EditedRelapsed or refractory AAV despite repeated treatment with immunosuppressive agentstreatment, or requiring prolonged and/or repeated courses of unacceptable glucocorticoid doses of glucocorticoids to maintain disease control
  • EditedPositive test for anti-proteinase-3 (PR3-ANCA) or anti-myeloperoxidase (MPO-ANCA) at screening
  • RemovedHave at least one "major" item, or at least 3 other items, or at least 2 renal items on the BVAS version 3
  • RemovedRA Inclusion Criteria:

…and 61 more changes, on the record history on ClinicalTrials.gov ↗

Oct 30, 2026
Secondary outcomes
2 added, 22 description edited
What changed in the outcomes
  • AddedFor all participants with Interstitial Lung Disease (ILD)Time frame: Up to 2 years after NKX019 infusion
  • AddedFor all participants with ANCA-Associated Vasculitis (AAV)Time frame: Up to 2 years after NKX019 infusion
  • DescriptionFor all participants with ANCA-Associated Vasculitis (AAV): how it is measured was reworded
  • DescriptionFor all participants with ANCA-Associated Vasculitis (AAV)#3: how it is measured was reworded
  • DescriptionFor all participants with ANCA-Associated Vasculitis (AAV)#4: how it is measured was reworded
  • DescriptionFor all participants with ANCA-Associated Vasculitis (AAV)#5: how it is measured was reworded
  • DescriptionFor all participants with Idiopathic Inflammatory Myopathies (IIM)#4: how it is measured was reworded
  • DescriptionFor all participants with Interstitial Lung Disease (ILD)#2: how it is measured was reworded
  • DescriptionFor all participants with Interstitial Lung Disease (ILD)#3: how it is measured was reworded
  • DescriptionFor all participants with Interstitial Lung Disease (ILD)#4: how it is measured was reworded
  • DescriptionFor all participants with Interstitial Lung Disease (ILD)#5: how it is measured was reworded
  • DescriptionFor all participants with Interstitial Lung Disease (ILD)#6: how it is measured was reworded
  • DescriptionFor all participants with Rheumatoid Arthritis (RA): how it is measured was reworded
  • DescriptionFor all participants with Rheumatoid Arthritis (RA)#10: how it is measured was reworded
  • DescriptionFor all participants with Rheumatoid Arthritis (RA)#11: how it is measured was reworded
  • DescriptionFor all participants with Rheumatoid Arthritis (RA)#12: how it is measured was reworded
  • DescriptionFor all participants with Rheumatoid Arthritis (RA)#2: how it is measured was reworded
  • DescriptionFor all participants with Rheumatoid Arthritis (RA)#3: how it is measured was reworded
  • DescriptionFor all participants with Rheumatoid Arthritis (RA)#4: how it is measured was reworded
  • DescriptionFor all participants with Rheumatoid Arthritis (RA)#5: how it is measured was reworded
  • DescriptionFor all participants with Rheumatoid Arthritis (RA)#9: how it is measured was reworded
  • DescriptionFor all participants with Systemic Sclerosis (SSc)#2: how it is measured was reworded
  • DescriptionFor all participants with Systemic Sclerosis (SSc)#3: how it is measured was reworded
  • DescriptionFor all participants with Systemic Sclerosis (SSc)#4: how it is measured was reworded
Oct 30, 2026
Show all 1 update
  1. Oct 30, 2026
    2 sites added, 8 sites removed; no longer in Australia and Puerto Rico
    Show 2 added (2 United States)
    • Nkarta Investigational Site · Los Angeles, United States
    • Nkarta Investigational Site · Tampa, United States
    Show 8 removed
    • Nkarta Investigational Site · Orange, United States
    • Nkarta Investigational Site · Gainesville, United States
    • Nkarta Investigational Site · Miami, United States
    • Nkarta Investigational Site · Chicago, United States
    • Nkarta Investigational Site · Stony Brook, United States
    • Nkarta Investigational Site · Houston, United States
    • Nkarta Investigational Site · Melbourne, Australia
    • Nkarta Investigational Site · Manati, Puerto Rico
    Eligibility 37 criteria edited, 18 added, 46 removed
    What changed in the criteria
    • EditedAge ≥18 and ≤75 years
    • EditedSigned informed consent form and ability to adhere to the study visit schedule and comply with other protocol requirements
    • EditedWomen of childbearing potential must have negative pregnancy tests at screening and baseline, and agree to abstinence or acceptable birth control from 2 weeks prior tobefore the first dose through 1 year after the last dose
    • EditedFor participantsParticipants taking corticosteroids, the must be at a stable prednisone (or equivalent) dose must be ≤20 mg/day at 2 weeks prior to Screening and stable for ≥ 14 days before start of Screening
    • EditedFor participantsParticipants on immunosuppressives or immunomodulators (other than corticosteroids), all doses must behave stable dosing for ≥ 4 weeks prior tobefore Screening
    • EditedeGFR as calculated by the (2021 Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation of) ≥45 mL/min/1.73 m2m² at screening
    • RemovedSSc Inclusion Criteria:
    • AddedFor Subjects with Systemic Sclerosis (SSc):
    • EditedMeets the 2013 American College of Rheumatology (ACR)/European Alliance of Associations for Rheumatology (EULAR) classification criteria for SSc
    • RemovedMeet criteria a and/or b:
    • RemovedSevere skin involvement defined as mRSS ≥ 30 or active skin disease defined as mRSS ≥ 15 at screening and one or more of the following within the prior 6 months of screening:
    • RemovedAn increase in mRSS of ≥ 3 units
    • RemovedInvolvement of 1 new body area with ≥ 2 mRSS units
    • Removed2 new body areas with ≥ 1 mRSS unit
    • RemovedModerate to severe Interstitial Lung Disease (ILD) defined by evidence of ILD on High-resolution computed tomography (HRCT) and FVC < 70% of predicted or DLCO (hemoglobin or alveolar volume corrected) < 70% of predicted or ILD on HRCT and progressive ILD meeting at least 2 of the following 3 criteria within the prior 6 months of screening:
    • RemovedWorsening respiratory symptoms
    • RemovedEvidence of progression on HRCT, or
    • RemovedEvidence of absolute decline in FVC ≥ 5%
    • AddedSevere skin involvement defined as modified Rodnan skin score (mRSS ≥30) or active skin disease (mRSS ≥15 with, within the prior 6 months, an mRSS increase ≥3 units, 1 new body area with ≥2 mRSS units, or 2 new body areas with ≥1 mRSS unit each), OR moderate-to-severe interstitial lung disease (ILD) on HRCT with FVC <70% predicted or DLCO <70% predicted (or ILD on HRCT with progression per protocol-defined criteria)
    • EditedInadequate response or intolerance to at least one prior treatment, including cyclophosphamide, methotrexate, MMF/mycophenolic acid, nintedanib, rituximab, or tocilizumab
    • RemovedIIM Inclusion Criteria:
    • AddedFor Subjects with Idiopathic Inflammatory Myopathies (IIM):
    • EditedDiagnosis forof IIM as perper the 2017 ACR/EULAR Classification Criteria
    • EditedOne positive myositis antibody (historical)
    • EditedActivityDisease activity defined as manual muscle testing (MMT-8) score <136/150
    • RemovedCreatinine kinase or aldolase ≥ 1.5 x ULN and Clinician Global Assessment ≥ 2 cm with at least one of the following:
    • RemovedEvidence on magnetic resonance imaging (MRI) of active myositis within the last 6 months
    • RemovedElectromyography (EMG) with active myositis within the last 6 months
    • RemovedMuscle Biopsy of active myositis within last 6 months
    • RemovedGlobal extramuscular activity score ≥2 cm per Clinician global assessment (CGA) using a visual analog scale (VAS) (0-100 mm)
    • RemovedNote: Participants with DM or ASyS may be eligible despite CK or aldolase <1.5 × ULN, provided they have a Clinician Global Assessment ≥2 cm and meet at least one of criteria (a)-(d) above OR have a CDASI score of ≥20.
    • AddedCreatine kinase or aldolase ≥1.5×ULN and Clinician Global Assessment ≥2 cm, with evidence of active myositis (MRI, EMG, or biopsy within 6 months) or MDAAT Global Extramuscular Activity Score ≥2 cm; participants with DM, JDM, or ASyS may qualify with CK/aldolase <1.5×ULN if Clinician Global Assessment ≥2 cm and either of the above is met or CDASI ≥15, pending discussion with the medical monitor
    • EditedInadequate response to treatment defined as ≥ 3 months failure (or intolerance) toof at least 2 immunosuppressive therapies (including glucocorticoids)
    • RemovedAAV:
    • AddedFor Subjects with ANCA-Associated Vasculitis (AAV):
    • EditedMeets the 2022 ACR/EULAR classification criteria for Granulomatosis with Polyangiitis (GPA) (Robson 2022) or Microscopic Polyangiitis (MPA) (Suppiah 2022)
    • EditedRelapsed or refractory AAV despite repeated treatment with immunosuppressive agentstreatment, or requiring prolonged and/or repeated courses of unacceptable glucocorticoid doses of glucocorticoids to maintain disease control
    • EditedPositive test for anti-proteinase-3 (PR3-ANCA) or anti-myeloperoxidase (MPO-ANCA) at screening
    • RemovedHave at least one "major" item, or at least 3 other items, or at least 2 renal items on the BVAS version 3
    • RemovedRA Inclusion Criteria:

    …and 61 more changes, on the record history on ClinicalTrials.gov ↗

    Secondary outcomes 2 added, 22 description edited
    What changed in the outcomes
    • AddedFor all participants with Interstitial Lung Disease (ILD)Time frame: Up to 2 years after NKX019 infusion
    • AddedFor all participants with ANCA-Associated Vasculitis (AAV)Time frame: Up to 2 years after NKX019 infusion
    • DescriptionFor all participants with ANCA-Associated Vasculitis (AAV): how it is measured was reworded
    • DescriptionFor all participants with ANCA-Associated Vasculitis (AAV)#3: how it is measured was reworded
    • DescriptionFor all participants with ANCA-Associated Vasculitis (AAV)#4: how it is measured was reworded
    • DescriptionFor all participants with ANCA-Associated Vasculitis (AAV)#5: how it is measured was reworded
    • DescriptionFor all participants with Idiopathic Inflammatory Myopathies (IIM)#4: how it is measured was reworded
    • DescriptionFor all participants with Interstitial Lung Disease (ILD)#2: how it is measured was reworded
    • DescriptionFor all participants with Interstitial Lung Disease (ILD)#3: how it is measured was reworded
    • DescriptionFor all participants with Interstitial Lung Disease (ILD)#4: how it is measured was reworded
    • DescriptionFor all participants with Interstitial Lung Disease (ILD)#5: how it is measured was reworded
    • DescriptionFor all participants with Interstitial Lung Disease (ILD)#6: how it is measured was reworded
    • DescriptionFor all participants with Rheumatoid Arthritis (RA): how it is measured was reworded
    • DescriptionFor all participants with Rheumatoid Arthritis (RA)#10: how it is measured was reworded
    • DescriptionFor all participants with Rheumatoid Arthritis (RA)#11: how it is measured was reworded
    • DescriptionFor all participants with Rheumatoid Arthritis (RA)#12: how it is measured was reworded
    • DescriptionFor all participants with Rheumatoid Arthritis (RA)#2: how it is measured was reworded
    • DescriptionFor all participants with Rheumatoid Arthritis (RA)#3: how it is measured was reworded
    • DescriptionFor all participants with Rheumatoid Arthritis (RA)#4: how it is measured was reworded
    • DescriptionFor all participants with Rheumatoid Arthritis (RA)#5: how it is measured was reworded
    • DescriptionFor all participants with Rheumatoid Arthritis (RA)#9: how it is measured was reworded
    • DescriptionFor all participants with Systemic Sclerosis (SSc)#2: how it is measured was reworded
    • DescriptionFor all participants with Systemic Sclerosis (SSc)#3: how it is measured was reworded
    • DescriptionFor all participants with Systemic Sclerosis (SSc)#4: how it is measured was reworded
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06733935
Lead sponsor
Nkarta, Inc.
Responsible party
Sponsor
First posted
Dec 13, 2024
Start date
Nov 4, 2024
Primary completion
Oct 2028 (estimated)
Completion
Oct 2028 (estimated)
Last update
Oct 30, 2026

Study contacts

Nkarta Central Contact
Contact
clinicaltrials@nkartatx.com
Only use email
Nkarta Study Director
study director · Nkarta, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Belacabnagene franleucel

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