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vilamakitug

Phase 2

Axial Spondyloarthritis | Small molecule | Immunology |XBiotech Inc.|Trials Updated: Aug 14, 2026

vilamakitug development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since Oct 2021

vilamakitug target and mechanism

ModalitySmall molecule

Also known as XB2001, Natrunix

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials4
Total Enrollment525

FDA Designations

No designations recorded

vilamakitug clinical trials

vilamakitug · 4 trials · 6 indications

Phase 2 3Phase 1 1
NCT06526377Vilamakitug in Spondyloarthritis Placebo-controlled Investigation for EfficacyAxial Spondyloarthritis
NOT YET_RECRUITING150 Analytics
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
Vilamakitug in Spondyloarthritis Placebo-controlled Investigation for Efficacy
Axial SpondyloarthritisUnlock trial 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

Percentage of participants achieving ASAS40.
Baseline to week 16

ASAS40 response is defined at least a 40% improvement in at least three of the four main ASAS domains, with no worsening in the remaining domain: Patient Global Assessment of Disease Activity (Q3 of ASDAS-CRP), Pain Assessment (BASDAI Q2), physical function (Bath Ankylosing Spondylitis Functional Index \[BASFI\]), and Inflammation (represented by the mean of the two morning stiffness BASDAI questions Q5 and Q6).

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

Patient Global Assessment of Disease Activity (PGADA) using Q3 of ASDAS-CRP
Baseline to week 16
Spinal pain [Numeric Rating Scale (NRS) using Question 2 of Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)]
Baseline to week 16
Physical function using Bath Ankylosing Spondylitis Functional Index (BASFI)
Baseline to week 16
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
vilamakitugEXPERIMENTALweekly dose of vilamakitug
placeboPLACEBO_COMPARATORplacebo
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.

Interventions

NameTypeDescription
vilamakitugDRUGVilamakitug is a monoclonal antibody preparation, indistinguishable from a natural antibody isolated from a healthy human.
placeboDRUGplacebo
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.
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 65 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: 1. Male or female aged ≥18 and ≤65 years, with body weight \>40 kg at screening, who are willing to provide informed consent, attend all clinic visits, comply with study-related procedures and able to understand and complete study-related questionnaires. 2. Must meet the ASAS-SP...

Countries:United States
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Recent Changes (Last 90 Days)

MEDIUMSep 14, 2026NCT05099510TRIAL_REMOVED: changed

Frequently asked questions about vilamakitug

What is vilamakitug used for in axial spondyloarthritis?

Vilamakitug is an investigational small molecule being developed for axial spondyloarthritis, a form of inflammatory arthritis affecting the spine and sacroiliac joints. It is currently in Phase 2 clinical development and has not been approved by the FDA. The drug is being studied in patients with ankylosing spondylitis, radiographic axial spondyloarthritis, and non-radiographic axial spondyloarthritis.

What does vilamakitug target?

Vilamakitug is a small molecule, but its specific molecular target has not been disclosed. The drug is being investigated for its potential to treat axial spondyloarthritis, a chronic inflammatory condition. Clinical trials are evaluating its efficacy and safety in patients with this condition, though the exact mechanism of action remains unspecified.

Who makes vilamakitug?

Vilamakitug is being developed by XBiotech Inc., a biotechnology company traded on the NASDAQ under the ticker symbol XBIT. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with axial spondyloarthritis. XBiotech is responsible for the drug's development and regulatory activities.

What phase is vilamakitug in?

Vilamakitug is currently in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA. The ongoing Phase 2 trial is designed to assess the drug's efficacy and safety in patients with axial spondyloarthritis, including those with ankylosing spondylitis and non-radiographic axial spondyloarthritis.

What clinical trials is vilamakitug in?

Vilamakitug is being studied in a Phase 2 clinical trial with the identifier NCT06526377. The trial, titled 'Vilamakitug in Spondyloarthritis Placebo-controlled Investigation for Efficacy,' is a randomized, double-blind, placebo-controlled study enrolling 150 participants aged 18 years and older. The trial is not yet recruiting and is evaluating the drug in axial spondyloarthritis, including ankylosing spondylitis and related conditions.

Is vilamakitug the same as any other drug?

Vilamakitug is a distinct investigational drug with no alternative names listed. It is being developed by XBiotech Inc. for the treatment of axial spondyloarthritis. The drug is currently in Phase 2 clinical trials and is not yet approved for use. No other names or aliases for vilamakitug have been identified.