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LY3471851

Phase 3

Systemic Lupus Erythematosus | Small molecule | Immunology |Nektar Therapeutics|Trials Updated: Sep 18, 2026

LY3471851 development status

Highest phase Phase 3 (NCT07711418)
Phase scored for NKTRPhase 2
Registered trials 13 across 1 sponsor since Jun 2018

LY3471851 target and mechanism

Molecular targetIL-2
Target classCytokine
ModalitySmall molecule

Also known as Rezpegaldesleukin, REZPEG, NKTR-358

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials8
Total Enrollment1,927

FDA Designations

No designations recorded

LY3471851 clinical trials

LY3471851 · 8 trials · 6 indications

Phase 3 2Phase 2 3Phase 1 3
NCT07711418A Phase 3 Study of Rezpegaldesleukin (NKTR-358) for Patients ≥ 12 Years of Age With Moderate-to-Severe Atopic DermatitisModerate-to-Severe Atopic Dermatitis
RECRUITING510 Analytics
NCT07690371A Phase 3 Study of Rezpegaldesleukin (NKTR-358) for Patients ≥ 12 Years of Age With Moderate-to-Severe Atopic DermatitisModerate-to-Severe Atopic Dermatitis
RECRUITING510 Analytics
PHASE3RECRUITING
A Phase 3 Study of Rezpegaldesleukin (NKTR-358) for Patients ≥ 12 Years of Age With Moderate-to-Severe Atopic Dermatitis
Moderate-to-Severe Atopic DermatitisUnlock trial analytics
PHASE3RECRUITING
A Phase 3 Study of Rezpegaldesleukin (NKTR-358) for Patients ≥ 12 Years of Age With Moderate-to-Severe Atopic Dermatitis
Moderate-to-Severe Atopic DermatitisUnlock trial analytics

Study Endpoints

Primary Endpoints

US only: Number of participants with an Investigator's Global Assessment (IGA) score of 0 or 1 and reduction ≥ 2 points from baseline at Week 24
Week 0 and Week 24

The IGA scale ranges from 0 to 4, with higher score indicating more severe disease.

Non-US regions only: Number of participants with an Investigator's Global Assessment (IGA) score of 0 or 1 at Week 24
Week 0 and Week 24

The IGA scale ranges from 0 to 4, with higher score indicating more severe disease.

Non-US regions only: Number of participants with a ≥ 75% reduction in Eczema Area and Severity Index (EASI) score from baseline at Week 24 (EASI-75)
Week 0 and Week 24

The EASI scores range from 0 to 72, with higher scores indicating more severe atopic dermatitis.

Percent change from baseline in Severity of Alopecia Tool (SALT) score at Week 36
Baseline and Week 36

The SALT score is the sum of percentage of hair loss in all areas with a maximum score of 100 (higher score indicates greater hair loss).

Mean percent change in the Eczema Area and Severity Index (EASI) from baseline at Week 16
Week 0 and Week 16

The EASI scores range from 0 to 72, with higher scores indicating more severe atopic dermatitis.

Percentage of Participants Who Achieved a ≥4 Point Reduction in Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) 2000 (2K) Score at Week 24
Week 24

Percentage of Participants who Achieved a ≥4 Point Reduction in SLEDAI-2K Score at Week 24. A SLEDAI-4 response is defined as a ≥4-point reduction in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score from baseline. The SLEDAI-2K score range is from a minimum of 0 to a maximum of 105 (higher scores represent higher disease activity).

Number of Participants with One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration
Baseline through Study Completion (up to Week 48)

A summary of SAEs and other non-serious adverse events (AEs), regardless of causality, will be reported in the Reported Adverse Events module

Safety and Tolerability of LY3471851 - Number of Participants Experiencing Adverse Events
Informed consent until last study visit (approximately 79 days after first dose of study drug)

Safety and tolerability of LY3471851 as assessed through collection of adverse events, serious adverse events, change in vital signs (body temperature, blood pressure, heart rate, rate of breathing and oxygen in blood); electrocardiograms (ECG); laboratory evaluations (hematology, chemistry, liver function and urine analysis).

Secondary Endpoints

US only: Number of participants with a ≥ 75% reduction in EASI score from baseline at Week 24 (EASI-75)
Week 0 and Week 24
Number of participants with a ≥ 90% reduction in EASI score from baseline at Week 24 (EASI-90)
Week 0 and Week 24
Number of participants at week 6 achieving a 4-point or greater improvement in Itch numerical rating scale (NRS) in the subset of participants with a 4-point or greater Itch NRS at baseline
Week 0 and Week 6
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Blinded Induction Period: Rezpegaldesleukin every 2 weeksEXPERIMENTALRezpegaldesleukin every 2 weeks during the induction period
Blinded Induction Period: PlaceboPLACEBO_COMPARATORPlacebo every 2 weeks during the induction period
Blinded Maintenance Period: Rezpegaldesleukin every 4 weeksEXPERIMENTALRezpegaldesleukin every 4 weeks during the maintenance period
Blinded Maintenance Period: Rezpegaldesleukin every 12 weeksEXPERIMENTALRezpegaldesleukin every 12 weeks during the maintenance period
Blinded Maintenance Period: PlaceboPLACEBO_COMPARATORPlacebo every 4 weeks during the maintenance period
Open-Label EscapeEXPERIMENTALRezpegaldesleukin at a frequency determined by the investigator during the open-label escape
Low DoseEXPERIMENTALRezpegaldesleukin Low Dose Every 2 weeks
High DoseEXPERIMENTALRezpegaldesleukin High Dose Every 2 weeks
PlaceboPLACEBO_COMPARATORPlacebo Every 2 weeks
Arm AEXPERIMENTALRezpegaldesleukin Dose Regimen A every 2 weeks during the induction period
Arm A1EXPERIMENTALRezpegaldesleukin Dose Regimen A every 4 weeks during the maintenance period
Arm A2EXPERIMENTALRezpegaldesleukin Dose Regimen A every 12 weeks during the maintenance period
Arm BEXPERIMENTALRezpegaldesleukin Dose Regimen B every 4 weeks during the induction period
Arm B1EXPERIMENTALRezpegaldesleukin Dose Regimen B every 4 weeks during the maintenance period
Arm B2EXPERIMENTALRezpegaldesleukin Dose Regimen B every 12 weeks during the maintenance period
Arm CEXPERIMENTALRezpegaldesleukin Dose Regimen C every 2 weeks during the induction period
Arm C1EXPERIMENTALRezpegaldesleukin Dose Regimen C every 4 weeks during the maintenance period
Arm C2EXPERIMENTALRezpegaldesleukin Dose Regimen C every 12 weeks during the maintenance period
Arm DPLACEBO_COMPARATORPlacebo every 2 weeks during the induction period
Arm D1PLACEBO_COMPARATORPlacebo every 4 weeks during the maintenance period
Escape Therapy (open-label)EXPERIMENTALRezpegaldesleukin Dose Regimen A every 2 weeks during the maintenance period
LY3471851 High DoseEXPERIMENTALLY3471851 administered subcutaneously (SC).
LY3471851 Mid DoseEXPERIMENTALLY3471851 administered SC.
LY3471851 Low DoseEXPERIMENTALLY3471851 administered SC
10 µg/kg LY3471851ACTIVE_COMPARATORParticipants received subcutaneous (SC) injection of 10 microgram per kilogram (μg/kg) LY3471851 every 2 weeks for a treatment period of 12 weeks.
12 µg/kg LY3471851ACTIVE_COMPARATORParticipants received subcutaneous injection of 12 μg/kg LY3471851 every 2 weeks for a treatment period of 12 weeks.
24 µg/kg LY3471851ACTIVE_COMPARATORParticipants received subcutaneous injection of 24 μg/kg LY3471851 every 2 weeks for a treatment period of 12 weeks.
Cohort 1 - 10 (Microgram Per Kilogram) μg/kg LY3471851EXPERIMENTALParticipants received 10 μg/kg of LY3471851 SC every 2 weeks for a period of 12 weeks.
Cohort 2 - 24 μg/kg LY3471851EXPERIMENTALParticipants received 24 μg/kg of LY3471851 SC every 2 weeks for a period of 12 weeks.
Cohort 1 - 3 μg/kg LY3471851EXPERIMENTALParticipants received 3 microgram per kilogram (μg/kg) of LY3471851 or placebo on days 1, 15 and 29 by subcutaneous (SC) injection.
Cohort 1 - 6 μg/kg LY3471851EXPERIMENTALParticipants received 6 μg/kg of LY3471851 or placebo on days 1, 15 and 29 by SC injection.
Cohort 1 - 12 μg/kg LY3471851EXPERIMENTALParticipants received 12 μg/kg of LY3471851 or placebo on days 1, 15 and 29 by SC injection.
Cohort 1 - 24 μg/kg LY3471851EXPERIMENTALParticipants received 24 μg/kg of LY3471851 or placebo on days 1, 15 and 29 by SC injection.

Interventions

NameTypeDescription
RezpegaldesleukinDRUGPharmaceutical form: Injection solution Route of administration: subcutaneous
PlaceboDRUGPharmaceutical form: Injection solution Route of administration: subcutaneous
LY3471851DRUGAdministered SC
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Eligibility Criteria

Age Range12 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria: * Male or female patients, ≥ 12 years of age on the day of signing the informed consent form and weighing ≥ 40 kg prior to randomization at Baseline * Chronic atopic dermatitis (AD) defined as onset of AD signs and symptoms ≥ 12 months prior to Screening as determined by the ...

Countries:United StatesCanadaPolandAustraliaBulgariaCroatiaCzechiaGermanyHungarySpainArgentinaIndiaIsraelJapanMexicoPuerto RicoRomaniaRussiaSouth KoreaTaiwanUkraine
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Recent Changes (Last 90 Days)

MEDIUMOct 19, 2026NCT06340360TRIAL_REMOVED: changed
MEDIUMOct 19, 2026NCT06340360TRIAL_REMOVED: changed
HIGHSep 19, 2026NCT06340360Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 19, 2026NCT06340360Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 19, 2026NCT06340360Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWSep 15, 2026NCT07690371lastUpdatePostDate: changed
LOWSep 15, 2026NCT07690371lastUpdatePostDate: changed
LOWSep 15, 2026NCT07690371lastUpdatePostDate: changed
LOWSep 8, 2026NCT07711418startDate: changed
LOWSep 8, 2026NCT07711418startDate: changed
LOWAug 21, 2026NCT06136741lastUpdatePostDate: changed
LOWAug 21, 2026NCT06136741lastUpdatePostDate: changed
LOWAug 4, 2026NCT07690371startDate: changed
LOWAug 4, 2026NCT07690371startDate: changed
LOWAug 3, 2026NCT06136741lastUpdatePostDate: changed
LOWAug 3, 2026NCT06136741lastUpdatePostDate: changed

Frequently asked questions about LY3471851

What is LY3471851?

LY3471851 is an investigational small molecule being developed by Nektar Therapeutics for immune-mediated conditions. It has been studied in atopic dermatitis, psoriasis, and systemic lupus erythematosus. It is a clinical-stage asset and has not been approved for any indication.

What does LY3471851 target?

LY3471851 targets IL-2, a cytokine that regulates immune cell activity. By acting on the IL-2 pathway, the drug is designed to modulate immune responses relevant to inflammatory and autoimmune conditions such as lupus, psoriasis, and atopic dermatitis.

Who makes LY3471851?

LY3471851 is being developed by Nektar Therapeutics, which trades on the Nasdaq under the ticker NKTR. The company has sponsored the clinical studies of the drug in systemic lupus erythematosus, psoriasis, and atopic dermatitis.

What phase is LY3471851 in?

LY3471851 is in Phase 1 development overall, though one lupus study reached Phase 2. All four listed trials are completed, and no trials are currently active. The drug remains investigational and has not been approved by the FDA for any indication.

What clinical trials is LY3471851 in?

Completed studies include NCT04433585, a Phase 2 trial in systemic lupus erythematosus with 291 participants, and three Phase 1 trials: NCT04119557 in psoriasis with 30 participants, NCT04081350 in atopic dermatitis with 48 participants, and NCT03556007 in lupus with 48 participants. All were randomized, double-blind, and placebo-controlled.

Is LY3471851 the same as NKTR-358?

Yes. LY3471851 is also known as NKTR-358. Nektar Therapeutics uses the NKTR-358 designation, while Eli Lilly and Company uses LY3471851. The Phase 1 lupus study NCT03556007 is listed under the NKTR-358 name, confirming they refer to the same investigational compound.