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Clinical Trials/NCT06991114
NCT06991114RecruitingPhase 2

An Open-label Phase 2a Study to Evaluate the Safety and Efficacy of AlloNK®, an Allogeneic Cord Blood-derived NK Cell Therapy, in Combination With Rituximab in Relapsing Forms of B-cell Dependent Rheumatologic Diseases

Artiva Biotherapeutics, Inc.63 sites in 3 countries90 target enrollmentStarted: July 9, 2025Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 2
Status
Recruiting
Enrollment
90
Locations
63
Primary Endpoint
Safety

Study Overview

Brief Summary

A Basket Trial of Refractory Rheumatoid Arthritis (RA), Sjögren's Disease (SjD), Idiopathic Inflammatory Myopathies (IIMs) and Systemic Sclerosis (SSc) subjects to evaluate the safety and efficacy of AlloNK, a non-genetically modified allogeneic NK cell, in combination with rituximab.

Detailed Description

An open-label Phase 2a study to evaluate the safety and efficacy of AlloNK®, an allogeneic cord blood-derived NK cell therapy, in combination with rituximab in relapsing forms of B-cell dependent rheumatologic diseases.

AlloNK® (also known as AB-101) is a non-genetically modified, allogeneic, off-the-shelf, cryopreserved cord blood-derived NK cell therapy.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • •For Subjects with Refractory Rheumatoid Arthritis (RA):
  • •Documented diagnosis of RA, meeting the 2010 ACR/EULAR classification criteria.
  • •Rheumatoid Factor (RF) or Anti Citrullinated Protein Antibody (ACPA) positive.
  • •High-sensitivity C-reactive protein (hs-CRP) > 3 mg/L or Erythrocyte Sedimentation Rate (ESR) > 28 mm/hr.
  • •Have had prior treatment for a period of at least 12 weeks with a biologic disease modifying anti-rheumatic drug and were deemed refractory by the treating physician.
  • •Minimum of six swollen joint counts (SJC) and six tender joint counts (TJC) according to joint assessment.
  • •For subjects with Sjögren's Disease (SjD)
  • •Prior diagnosis of Primary SjD as per 2016 ACR/EULAR criteria with confirmatory diagnosis in the 24 weeks preceding screening.
  • •Total Clinical European League Against Rheumatism Sjogren's Syndrome Disease Activity Index (clinESSDAI) >
  • •Salivary Flow Rate > 0.1 mL/min on stimulation.
  • •For subjects with Idiopathic Inflammatory Myopathies (IIMs)
  • •Presence of a positive autoantibody (ANA >1:80 or RNP or SSA/SSB or other myositis specific autoantibodies.
  • •Refractory IIM as defined by inadequate response/intolerance to at least 3 months of glucocorticoids and/or at least one other immunosuppressive.
  • •Muscle biopsy or muscle MRI to confirm IIM diagnosis, where applicable, within 12 months prior to enrollment.
  • •For Subjects with Systemic Sclerosis (SSc)
  • •Diagnosis of SSc in accordance with the ACR/EULAR 2013 classification.
  • •Modified Rodnan skin score (mRSS) >
  • •Initial confirmatory diagnosis within 8 years of screening.
  • •Refractory SSc as defined by inadequate response/intolerance to at least 3 months of glucocorticoids and/or at least one other immunosuppressive.

Exclusion Criteria

  • Not provided

Arms & Interventions

AlloNK

Experimental

AlloNK, dosed after a conditioning regimen, combined with Rituximab.

Intervention: Allogeneic NK Cells (Drug)

Outcomes

Primary Outcomes

Safety

Time Frame: From enrollment until the end of treatment at Week 104.

Dose Limiting toxicities assessed in a incrementing dose design.

Secondary Outcomes

  • Rheumatoid Arthritis: Disease Activity Score 28 (DAS28 - ESR)(Week 52)
  • Sjögren's Disease: Improvement in Clinical EULAR Sjögren's Syndrome Disease Activity Index (ClinESSDAI)(Week 52)
  • Idiopathic Inflammatory Myopathies: Total Improvement Score (TIS)(Week 52)
  • Systemic Sclerosis: Revised Composite Response Index in Systemic Sclerosis (rCRISS)(Week 52)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (63)

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