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N-803 and BCG

Phase 2

Bladder Cancer | Small molecule | Oncology |ImmunityBio, Inc.|Last Updated: Oct 16, 2025

Target and mechanism

Molecular targetIL-15
Target classCytokine
ModalitySmall molecule

Also known as N-803 (Cohort 2 part B), N-803, N803, N-803 (IL-15 Superagonist)

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment190

FDA Designations

No designations recorded

Clinical trial landscape

N-803 and BCG · 2 trials · 2 indications

Phase 2 2
NCT06829823Clinical Trial of Ablation Therapy in Participants With Intermediate-Risk Non-Muscle Invasive Papillary Bladder CancerNon-muscle Invasive Bladder Cancer (NMIBC)
NOT YET_RECRUITING20 Analytics
NCT03022825QUILT-3.032: A Multicenter Clinical Trial of Intravesical Bacillus Calmette-Guerin (BCG) in Combination With ALT-803 (N-803) in Patients With BCG Unresponsive High Grade Non-Muscle Invasive Bladder CancerBladder Cancer
ACTIVE NOT_RECRUITING190 Analytics
PHASE2NOT YET_RECRUITING
Clinical Trial of Ablation Therapy in Participants With Intermediate-Risk Non-Muscle Invasive Papillary Bladder Cancer
Non-muscle Invasive Bladder Cancer (NMIBC)Unlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
QUILT-3.032: A Multicenter Clinical Trial of Intravesical Bacillus Calmette-Guerin (BCG) in Combination With ALT-803 (N-803) in Patients With BCG Unresponsive High Grade Non-Muscle Invasive Bladder Cancer
Bladder CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Efficacy of Arms A and B at Month 3 and Month 6
At Month 3 and Month 6

Evaluate efficacy of experimental therapies with a) intravesical N-803 plus BCG or b) intravesical N-803 plus gemcitabine by CR rate at month 3 or month 6 (for re-inducted participants) in participants with intermediate-risk NMIBC.

Complete Response
60 Months

Cohort A \& Cohort C: Assess incidence of complete response of CIS (with or without Ta/T1 papillary disease) patients at any time

Disease-Free Rate
12 Months

Cohort B: Assess disease-free rate at 12 months since first study treatment

Secondary Endpoints

Efficacy of Arms A and B at by CR rate at each response assessment
At Month 3 through Month 36
Response
60 months
Complete Response
60 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
N-803 and BCGEXPERIMENTALCombination treatment of 1) N-803 (400 μg): Weekly for 6 weeks (induction, re-induction); Monthly from month 3 through month 15 (maintenance) and 2) BCG (50mg): Weekly for 6 weeks (induction, re-induction)
N-803 and GemcitabineEXPERIMENTALCombination treatment of 1) N-803 (400 μg): Weekly for 6 weeks (induction, re-induction); Monthly from month 3 through month 15 (maintenance) and 2) Gemcitabine (2000mg): Weekly for 6 weeks (induction, re-induction)
BCG+N-803EXPERIMENTAL -

Interventions

NameTypeDescription
N-803 and BCGDRUGCombination therapy N-803 plus BCG
N-803 and GemcitabineDRUGCombination therapy N-803 plus Gemcitabine
N-803DRUGN-803 will be administered via intravesical instillation weekly for 6 consecutive weeks (induction). After the first disease assessment, eligible patients will receive either a 3-week maintenance course or a 6-week re-induction course (second treatment period) at Month 3. Eligible patients will continue to receive maintenance treatment in the third treatment period at Months 6, 9, 12, and 18. Eligible patients have the option to receive maintenance treatment in the fourth treatment period at Months 24, 30, and 36.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Age ≥ 18 years. * Low-grade (LG) Ta papillary disease as determined by Investigator. * History of LG NMIBC requiring treatment with transurethral resection of bladder tumors (TURBT). Note: This refers to a previous episode(s) and not to the current episode for which the partic...

Countries:United States
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Recent Changes (Last 90 Days)

LOWMay 26, 2026NCT06829823primaryCompletionDate: changed
LOWMay 26, 2026NCT03022825primaryCompletionDate: changed
LOWMay 24, 2026NCT06829823studyFirstPostDate: changed
LOWMay 24, 2026NCT03022825studyFirstPostDate: changed

Frequently asked questions about N-803 and BCG

What is N-803 used for?

N-803 is an investigational IL-15 superagonist being studied for several conditions, including platinum-resistant ovarian cancer, NSCLC Stage IV, B-cell Non Hodgkin Lymphoma, Non-muscle Invasive Bladder Cancer (NMIBC), and Non Hodgkin's Lymphoma Refractory/Relapsed. It is also being evaluated in healthy subjects and in combination with other therapies.

What does N-803 target?

N-803 targets IL-15, a cytokine that plays a role in the immune system. As an IL-15 superagonist, it is designed to stimulate the proliferation and activation of natural killer cells and T cells, which may help the body fight cancer.

Who makes N-803?

N-803 is being developed by ImmunityBio, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol IBRX. The company is conducting clinical trials to evaluate the drug's safety and efficacy in various cancer indications.

What phase is N-803 in?

N-803 is in Phase 1 clinical development, with one active trial and one completed trial. It is an investigational drug and has not been approved by the FDA. The trials are assessing its use in conditions such as bladder cancer and healthy subjects.

What clinical trials is N-803 in?

N-803 is being studied in several clinical trials, including NCT03022825 (QUILT-3.032) for BCG-unresponsive high grade NMIBC, NCT03228667 (QUILT-3.055) for various cancers after checkpoint inhibitor treatment, NCT06040918 for healthy subjects, and NCT07108036 for Long COVID.

Is N-803 the same as ALT-803?

Yes, N-803 is also known as ALT-803. In clinical trials, it has been referred to as N-803 (IL-15 Superagonist) and is being studied in combination with BCG and pembrolizumab. The drug is developed by ImmunityBio, Inc.