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Natrunix

Phase 2

Rheumatoid Arthritis | Small molecule | Immunology |XBiotech Inc.|Last Updated: Aug 14, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment351

FDA Designations

No designations recorded

Clinical trial landscape

Natrunix · 3 trials · 2 indications

Phase 2 2Phase 1 1
NCT06590090Natrunix in Combination With Methotrexate for Rheumatoid Arthritis TreatmentRheumatoid Arthritis
NOT YET_RECRUITING108 Analytics
NCT05363891Natrunix or Placebo in Combination With Methotrexate in Rheumatoid ArthritisRheumatoid Arthritis
COMPLETED243 Analytics
PHASE2NOT YET_RECRUITING
Natrunix in Combination With Methotrexate for Rheumatoid Arthritis Treatment
Rheumatoid ArthritisUnlock trial analytics
PHASE2COMPLETED
Natrunix or Placebo in Combination With Methotrexate in Rheumatoid Arthritis
Rheumatoid ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

ACR 20 response
at 14 weeks from baseline

The American College of Rheumatology (ACR) response criteria for rheumatoid arthritis (RA) are used to measure how effective study drug is in this study.

ACR 20 response rate at 12 weeks.
At 12 weeks from baseline

The ACR is a measure used in clinical practice and clinical trial to assess medication efficacy in patients with RA, by notating improvements in swelling and tenderness in designated joints, as well as improvements in at least 3 out of 5 other categories. The other categories assessed are patient global assessment of disease activity, physician global assessment of disease activity, patient reported pain scale, disability/functionality questionnaire response, and acute phase reactant levels (CRP and ESR).

Number of Participants With Treatment Emergent Adverse Events
From Day 0 up to Day 28

Participants were monitored for treatment-emergent adverse events (TEAEs) immediately after the initial subcutaneous administration on Day 0 (Visit 1) through the final follow-up on Day 28 (Visit 7). All identified adverse events were documented and graded for severity according to the "Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials."

Secondary Endpoints

ACR 50 response rate
at 14 weeks from baseline
Mean change in number of swollen and tender joints based on 66/68-joint count
at 14 weeks from baseline
Mean change in NRS-pain score
at 14 weeks from baseline
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
400mg Natrunix + MTX weeklyEXPERIMENTALSubjects will receive 400mg Natrunix and MTX weekly
Placebo+ MTX weeklyEXPERIMENTALSubjects will receive placebo and MTX weekly
Natrunix 200mg with MTX(+Folate)EXPERIMENTALNatrunix 200mg, subcutaneous injection in combination with Methotrexate (+Folate).This arm will enroll 70 subjects.
Natrunix 400mg with MTX(+Folate)EXPERIMENTALNatrunix 400mg, subcutaneous injection in combination with Methotrexate (+Folate).This arm will enroll 70 subjects.
Placebo with MTX(+Folate)PLACEBO_COMPARATORPlacebo in combination with Methotrexate (+Folate).This arm will enroll 70 subjects.
NatrunixACTIVE_COMPARATOREach participant receives one single subcutaneous injection of 100 mg (Cohort 1), 200 mg (Cohort 2), or 400 mg (Cohort 3) of Natrunix.
PlaceboPLACEBO_COMPARATOREach participant receives one single subcutaneous injection of 0.5 ml (Cohort 1), 1 ml (Cohort 2), or 2 ml (Cohort 3) of Placebo.

Interventions

NameTypeDescription
Natrunix 400 mgBIOLOGICALThe active ingredient of Natrunix is an IgG4 monoclonal antibody indistinguishable from that naturally occurring in an IL-1a-immune healthy human. Natrunix is formulated as 200 mg/mL sterile liquid in a stabilizing isotonic formulation buffered to pH 7.0. The product is filled into a 2 mL glass pre-filled syringe suitable for subcutaneous injection. The drug product is formulated and buffered to a neutral body pH of 7.0.
PlaceboDRUGPlacebo is a sterile liquid solution filled into a 2 mL glass pre-filled syringe, suitable for subcutaneous injection, containing the exact same buffer matrix used for Natrunix drug product
Methotrexate (MTX)DRUGMethotrexate may be administered in pill form by mouth, as liquid by mouth, or by subcutaneous injection.Subjects enrolled in this study should be receiving a stable minimum weekly dose of 10mg. Weekly methotrexate should not exceed 25 mg/week.
NatrunixDRUGNatrunix is a unique kind of drug-an immunoglobulin cloned from a naturally occurring immune response from a healthy human donor. Natrunix blocks inflammation in a unique way-it is the only therapeutic that exclusively neutralizes interleukin-1α (IL-1α), a crucial mediator of interleukin-1 inflammation. Targeting IL-1α directly using a natural human monoclonal antibody may provide a safer and more effective means of blocking interleukin-1 in rheumatoid arthritis.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: 1. Weight \> 40 kg 2. Diagnosis of moderate to severe RA according to 2010 ACR/EULAR classification criteria. 3. Patients must be methotrexate-inadequate responders. a. Persistent moderate to severe RA disease activity (i.e., criteria #2 above) despite ongoing treatment with...

Countries:United States
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Frequently asked questions about Natrunix

What is Natrunix used for?

Natrunix is an investigational monoclonal antibody being studied for rheumatoid arthritis and for pharmacokinetics. It is being evaluated in combination with methotrexate for rheumatoid arthritis treatment. Natrunix is not approved by the FDA and remains in clinical development.

Who makes Natrunix?

Natrunix is being developed by XBiotech Inc., a biopharmaceutical company traded on NASDAQ under the ticker XBIT. XBiotech is conducting clinical trials of Natrunix in the United States.

What phase is Natrunix in?

Natrunix is in Phase 2 clinical development for rheumatoid arthritis. A Phase 1 study in healthy volunteers has been completed, and two Phase 2 trials in rheumatoid arthritis have been conducted or planned. Natrunix is investigational and not yet approved.

What clinical trials is Natrunix in?

Natrunix has been studied in three clinical trials: NCT05099510, a completed Phase 1 pharmacokinetics study in healthy volunteers; NCT05363891, a completed Phase 2 trial in rheumatoid arthritis; and NCT06590090, a Phase 2 trial in rheumatoid arthritis that is not yet recruiting.

Is Natrunix the same as Natrunix 400 mg?

Yes, Natrunix is also known as Natrunix 400 mg. This alternative name refers to the same investigational monoclonal antibody being developed by XBiotech Inc. for rheumatoid arthritis.

How does Natrunix work?

Natrunix is a monoclonal antibody, a type of biologic drug. As a monoclonal antibody, it is designed to bind to a specific target involved in disease. However, the specific molecular target of Natrunix has not been disclosed in available information.