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NKX019

Phase 1

Lupus Nephritis | Small molecule | Nephrology |Nkarta, Inc.|Trials Updated: Aug 7, 2026

NKX019 development status

Highest phase Phase 1
Registered trials 4 across 2 sponsors since Aug 2021

NKX019 target and mechanism

Molecular targetCD19
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials3
Total Enrollment510

FDA Designations

No designations recorded

NKX019 clinical trials

NKX019 · 3 trials · 16 indications

Phase 1 3
NCT06733935A Phase 1/2 Study of NKX019 in Subjects With Immune-Mediated Diseases (Ntrust-2)Systemic Sclerosis
RECRUITING240 Analytics
NCT06557265A Phase 1/2 Study of NKX019 in Subjects With Autoimmune Disease (Ntrust-1)Lupus Nephritis
RECRUITING120 Analytics
NCT05020678NKX019, Intravenous Allogeneic Chimeric Antigen Receptor Natural Killer Cells (CAR NK), in Adults With B-cell CancersLymphoma, Non-Hodgkin
ACTIVE NOT_RECRUITING150 Analytics
PHASE1RECRUITING
A Phase 1/2 Study of NKX019 in Subjects With Immune-Mediated Diseases (Ntrust-2)
Systemic SclerosisUnlock trial analytics
PHASE1RECRUITING
A Phase 1/2 Study of NKX019 in Subjects With Autoimmune Disease (Ntrust-1)
Lupus NephritisUnlock trial analytics
PHASE1ACTIVE NOT_RECRUITING
NKX019, Intravenous Allogeneic Chimeric Antigen Receptor Natural Killer Cells (CAR NK), in Adults With B-cell Cancers
Lymphoma, Non-HodgkinUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of Dose-limiting toxicities (DLTs) [Safety and Tolerability]
The first 28 days after the first NKX019 dose

Incidence of DLTs will be evaluated

Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
From the first administration of NKX019 until the last administration of any study treatment + 30 days

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

Incidence of clinically significant abnormalities in clinical laboratory assessments [Safety and Tolerability]
From the first NKX019 dose until the last follow up visit

Incidence of clinically significant laboratory abnormalities will be evaluated

Proportion of subjects experiencing dose-limiting toxicities of NKX019
28 days from first dose of NKX019

DLTs are defined as adverse events attributable to NKX019 treatment that occur during Cycle 1 and meet protocol-specified criteria

Objective response rate to NKX019 in Part 2
Primary assessment: 28 days after the first dose of NKX019 followed up to 2 years after the last dose of NKX019]

Percentage of subjects with complete and partial response. Response to treatment will be assessed based on: Lugano classification with LYRIC refinement for subjects with NHL (except CLL/SLL and WM); 2018 iwCLL guidelines for subjects with CLL/SLL; Version 1.2020 NCCN for subjects with B-ALL; consensus criteria from the 6th International Workshop on Waldenström Macroglobulinemia for subjects with WM.

Secondary Endpoints

For all participants with Interstitial Lung Disease (ILD)
Up to 2 years after NKX019 infusion
For all participants with Systemic Sclerosis (SSc)
Up to 2 years after NKX019 infusion
For all participants with Idiopathic Inflammatory Myopathies (IIM)
Up to 2 years after NKX019 infusion
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NKX019 - CAR NK cell therapyEXPERIMENTALPhase 1/2: NKX019 plus fludarabine and cyclophosphamide

Interventions

NameTypeDescription
NKX019DRUGNKX019 is an investigational allogeneic CD19-Directed CAR NK
FludarabineDRUGLymphodepletion
CyclophosphamideDRUGLymphodepletion
Fludarabine, CyclophosphamideDRUGFor Lymphodepletion
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites18

General Inclusion Criteria: 1. Age ≥18 and ≤75 2. Signed informed consent form and ability to adhere to the study visit schedule and comply with other protocol requirements 3. Women of childbearing potential must have negative pregnancy tests at screening and baseline, and agree to abstinence or ac...

Countries:United StatesAustraliaPuerto Rico
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Recent Changes (Last 90 Days)

LOWAug 7, 2026NCT06733935lastUpdatePostDate: changed
LOWAug 7, 2026NCT06733935lastUpdatePostDate: changed

Frequently asked questions about NKX019

What is NKX019 used for?

NKX019 is an investigational chimeric antigen receptor natural killer (CAR NK) cell therapy being studied for immune-mediated diseases and B-cell cancers. In clinical trials it is being evaluated for lupus nephritis, systemic sclerosis, non-Hodgkin lymphoma, and other autoimmune and hematologic conditions. It is not yet approved and remains in Phase 1 clinical development.

What does NKX019 target?

NKX019 targets CD19, a protein found on the surface of B cells. By directing natural killer cells to CD19-expressing cells, the therapy aims to deplete pathogenic B cells involved in autoimmune diseases and B-cell malignancies. This mechanism is being studied across both oncology and autoimmune indications.

Who is developing NKX019?

NKX019 is being developed by Nkarta, Inc., a biopharmaceutical company traded on Nasdaq under the ticker NKTX. The company is conducting Phase 1 clinical trials of NKX019 in the United States, Australia, and Puerto Rico for autoimmune diseases and B-cell cancers.

What phase is NKX019 in?

NKX019 is in Phase 1 clinical development. It is an investigational therapy and has not received FDA approval. The ongoing trials are early-stage studies designed to evaluate safety and preliminary efficacy in immune-mediated diseases and B-cell cancers.

What clinical trials is NKX019 in?

NKX019 is being studied in three Phase 1 trials. NCT06733935 (Ntrust-2) enrolls 240 participants with systemic sclerosis and other autoimmune conditions. NCT06557265 (Ntrust-1) enrolls 120 participants with lupus nephritis and membranous nephropathy. NCT05020678 enrolls 150 participants with B-cell cancers including non-Hodgkin lymphoma.

Is NKX019 the same as a CAR T-cell therapy?

NKX019 is not a CAR T-cell therapy. It is an allogeneic chimeric antigen receptor natural killer (CAR NK) cell therapy, meaning it uses natural killer cells rather than T cells. It is being studied for similar indications as CAR T therapies, including B-cell cancers and autoimmune diseases.