Rheumatoid Arthritis (RA)Phase 1NCT07234773
A First-in-human Study of KT501 Administered Subcutaneously to Patients With Rheumatoid Arthritis (RA).
A Phase 1 study testing KT501 in people with Rheumatoid Arthritis (RA), run by Kali Therapeutics, Inc. at 1 site in Australia.
Trial summary
This is a Phase 1, open-label, first-in-human study to investigate the safety, tolerability, pharmacokinetics and pharmacodynamics of KT501 administered subcutaneously to participants with Rheumatoid Arthritis (RA). Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Rheumatoid Arthritis (RA)
- What is being tested?
- KT501
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24 participants
- Where
- 1 siteAustralia
- Study dates
- 6 Mar 2026to Aug 2027
- Phase
- Phase 1
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 18 to 75 years old
- Diagnosis of adult-onset RA for at least 6 months
- Moderately to severely active RA
- Inadequate treatment response as defined in the protocol
- RF + or ACPA+
- Stable use of traditional DMARDs is permitted
- Willing and able to comply with all study assessments and adhere to the protocol schedule and restrictions.
Who cannot join
- Functional class IV as defined by the ACR Classification of Functional Status in RA
- Presence of any concomitant autoimmune disease other than RA
- Active infection, history of serious recurrent or chronic infection
- History of progressive multifocal leukoencephalopathy
- Have a diagnosis or history of malignant disease within 5 years or breast cancer diagnosed within the previous 10 years.
- History of or planned organ transplant and/or autologous or allogeneic hematopoietic stem cell transplantation
Show all 10Show fewer
- Receipt of live vaccine within 4 weeks
- Major surgery (including joint surgery) within 8 weeks prior to screening or planned major surgery within 6 months after study
- Women who are pregnant or breastfeeding
- Significant or uncontrolled medical disease that would preclude participant participation
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
About this study
Official title: A Phase 1a, Open-Label, First-in-Human Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of KT501 by a Single Subcutaneous Administration in Participants With Rheumatoid Arthritis
This is a Phase 1, open-label, first-in-human study to investigate the safety, tolerability, pharmacokinetics and pharmacodynamics of KT501 administered subcutaneously to participants with Rheumatoid Arthritis (RA).
Read the detailed description
This is a Phase 1, open-label, first-in-human dose escalation study to investigate the safety, tolerability, pharmacokinetic and pharmacodynamic of KT501 by a single subcutaneous administration in participants with Rheumatoid Arthritis (RA).
Up to a total of 5 cohorts with up to approximately 24 participants in total with RA will be enrolled. All participants will receive a single dose of KT501 on Day 1 and followed up until Week 12. For any participants with B cells lower than baseline level or lower limit quantification, whichever is lower, additional B cell follow up is required up to Week 48 after the study treatment.
- Conditions
- Rheumatoid Arthritis (RA)
- Being tested
- KT501
- Keywords
- Rheumatoid Arthritis (RA), Autoimmune, T-cell Engagers (TCEs), B-cell Depletion
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
KT501Drug
KT501 is a monoclonal antibody that depletes B cells including plasma cells by targeting CD19, BCMA and CD3.
| Study group | Role | What they receive |
|---|---|---|
| Dose Level 1 | Experimental | KT501 Subcutaneous Injection Dose Level 1 Receives: Drug: KT501 |
| Dose Level 2 | Experimental | KT501 Subcutaneous Injection Dose Level 2 Receives: Drug: KT501 |
| Dose Level 3 | Experimental | KT501 Subcutaneous Injection Dose Level 3 Receives: Drug: KT501 |
| Dose Level 4 | Experimental | KT501 Subcutaneous Injection Dose Level 4 Receives: Drug: KT501 |
| Dose Level 5 | Experimental | KT501 Subcutaneous Injection Dose Level 5 Receives: Drug: KT501 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Adverse Events
Incidence and severity of Adverse Events, with severity determined according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0.
Measured: From Baseline Up to 12 weeks
Incidence of Cytokine-release Syndrome (CRS)
Incidence and severity of CRS with severity determined according to the 2019 American Society for Transplantation and Cellular Therapy (ASTCT) CRS Consensus grading criteria
Measured: From Baseline Up to 12 Weeks
Changes in Pulse Rate from Baseline
Vital signs: Changes in Pulse Rate from Baseline
Measured: From Baseline Up to 12 Weeks
Changes in Respiratory Rate from Baseline
Vital Signs: Changes in Respiratory Rate from Baseline
Measured: From Baseline to 12 Weeks
Changes in Blood Pressure from Baseline
Vital Signs: Changes in Blood Pressure from Baseline
Measured: From Baseline Up to Week 12
Changes in Temperature from Baseline
Vital Signs: Changes in Body Temperature from Baseline
Measured: From Baseline to 12 Weeks
Changes in Hematology Clinical Laboratory Results from Baseline
Hematology: Changes in results from Baseline
Measured: From Baseline Up to 12 Weeks
Changes in Chemistry Clinical Laboratory Results from Baseline
Chemistry: Changes in results from Baseline
Measured: From Baseline Up to 12 Weeks
Changes in Urinalysis Clinical Laboratory Results from Baseline
Urinalysis: Changes in results from Baseline
Measured: From Baseline Up to 12 Weeks
Changes in Coagulation Clinical Laboratory Results from Baseline
Coagulation: Changes in results from Baseline
Measured: From Baseline Up to 12 Weeks
Secondary outcomes (13)
Serum Concentrations of KT501
Blood samples will be collected at specific time points for calculating serum concentrations of KT501
Measured: Pre-dose and 6 hours post-dose on Day 1; Day 2, 3, 4, 5, 8, 11, 15, 22, 29, 43, 57 and 85.
Incidence of Treatment-induced Anti-Drug Antibodies (ADAs)
For Immunogenicity: Incidence of participants with treatment induced Anti-Drug Antibodies (ADA)
Measured: Pre-dose and on Day 1; Day 8, 11, 15, 22, 29, 43, 57 and 85.
To Determine Cmax
Maximum observed serum KT501 concentration
Measured: Day 1 - Day 85
To Determine Tmax, Derived from Serum Concentration of each Dose of KT501
Time to maximum observed concentration
Measured: Day 1 - Day 85
Area Under the Serum-concentration Time Curve (AUC) from Time Zero to the Last Timepoint with Measurable Analyte Concentration (AUC0-t)
Area under the concentration-time curve from 0 to the time of the last quantifiable concentration (AUClast)
Measured: Day 1 - Day 85
AUC from Time Zero to Infinity (AUCinf)
Area under the plasma concentration versus time curve (AUC) from time 0 extrapolated to infinity
Measured: Day 1 - Day 85
To Determine Terminal Half-Life (T1/2)
Terminal elimination half life summarized by dosing regimen
Measured: Day 1 - Day 85
Total Body Clearance (CL/F)
CL is the measure of the rate at which a drug is metabolized or eliminated by normal biological processes
Measured: Day 1 - Day 85
Volume of Distribution During the Terminal Phase (Vz/F)
Vz is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug.
Measured: Day 1 - Day 85
Change in Levels of B Cell Count
Pharmacodynamics: Change in levels of B cell counts measured at specific timepoints
Measured: Pre-dose on Day 1; Day 2, 3, 4, 5, 8, 11, 15, 22, 29, 43, 57 and 85.
Duration of B Cell Depletion
Pharmacodynamics: The duration of B cell depletion measured from Baseline
Measured: Day 1 - Day 85
Change in Levels of Acute Inflammatory Markers
Pharmacodynamics: Change in levels of acute Inflammatory markers (C-reactive protein (CRP) and CRS-related cytokines at specific timepoints
Measured: Pre-dose and 6 hours post-dose on Day 1; Day 2, 3, 4, 5, 8, 15, 22, 29,, 57 and 85.
Changes in Blood Pressure from Baseline
Vital Signs: Changes in Blood Pressure from Baseline
Measured: From Baseline to 12 Weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Nov 2025
- Study start6 Mar 2026 (estimated)
- Primary completionFeb 2027 (estimated)
- Study completionAug 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Rheumatoid Arthritis (RA)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Model description
- Single Ascending Dose (SAD)
- Masking
- None (open label)
- Enrolment
- 24 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kali Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07234773
- Sponsor's protocol ID
- KT501-001
- Status last verified
- Mar 2026
- First submitted
- 13 Nov 2025
- Last updated
- 10 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: This is a Phase 1 trial.
Study at a glance
From the registry record, last updated by the sponsor on 10 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1a, Open-Label, First-in-Human Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of KT501 by a Single Subcutaneous Administration in Participants With Rheumatoid Arthritis
- ClinicalTrials.gov ID
- NCT07234773
- Acronym / sponsor ID
- KT501-001
- Conditions
- Rheumatoid Arthritis (RA)
- Keywords
- Rheumatoid Arthritis (RA), Autoimmune, T-cell Engagers (TCEs), B-cell Depletion
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 24 participants (estimated)
- Lead sponsor
- Kali Therapeutics, Inc.Industry (pharma, biotech, devices)
- Study start
- 6 Mar 2026 (estimated)
- Primary completion
- Feb 2027 (estimated)
- Study completion
- Aug 2027 (estimated)
- First posted
- 18 Nov 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 1, open-label, first-in-human study to investigate the safety, tolerability, pharmacokinetics and pharmacodynamics of KT501 administered subcutaneously to participants with Rheumatoid Arthritis (RA).
Detailed description
This is a Phase 1, open-label, first-in-human dose escalation study to investigate the safety, tolerability, pharmacokinetic and pharmacodynamic of KT501 by a single subcutaneous administration in participants with Rheumatoid Arthritis (RA).
Up to a total of 5 cohorts with up to approximately 24 participants in total with RA will be enrolled. All participants will receive a single dose of KT501 on Day 1 and followed up until Week 12. For any participants with B cells lower than baseline level or lower limit quantification, whichever is lower, additional B cell follow up is required up to Week 48 after the study treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 5
- Model description
- Single Ascending Dose (SAD)
| Arm | Type | Receives |
|---|---|---|
| Dose Level 1 | Experimental | Drug: KT501KT501 Subcutaneous Injection Dose Level 1 |
| Dose Level 2 | Experimental | Drug: KT501KT501 Subcutaneous Injection Dose Level 2 |
| Dose Level 3 | Experimental | Drug: KT501KT501 Subcutaneous Injection Dose Level 3 |
| Dose Level 4 | Experimental | Drug: KT501KT501 Subcutaneous Injection Dose Level 4 |
| Dose Level 5 | Experimental | Drug: KT501KT501 Subcutaneous Injection Dose Level 5 |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- 18 to 75 years old
- Diagnosis of adult-onset RA for at least 6 months
- Moderately to severely active RA
- Inadequate treatment response as defined in the protocol
- RF + or ACPA+
Key exclusion criteria (10 listed)
- Functional class IV as defined by the ACR Classification of Functional Status in RA
- Presence of any concomitant autoimmune disease other than RA
- Active infection, history of serious recurrent or chronic infection
- History of progressive multifocal leukoencephalopathy
- Have a diagnosis or history of malignant disease within 5 years or breast cancer diagnosed within the previous 10 years.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| KT501KT501 is a monoclonal antibody that depletes B cells including plasma cells by targeting CD19, BCMA and CD3. | Drug | Dose Level 1, Dose Level 2, Dose Level 3, Dose Level 4, Dose Level 5 |
Primary outcome
Incidence of Adverse Events
Time frame: From Baseline Up to 12 weeks
Incidence and severity of Adverse Events, with severity determined according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0.
Incidence of Cytokine-release Syndrome (CRS)
Time frame: From Baseline Up to 12 Weeks
Incidence and severity of CRS with severity determined according to the 2019 American Society for Transplantation and Cellular Therapy (ASTCT) CRS Consensus grading criteria
Changes in Pulse Rate from Baseline
Time frame: From Baseline Up to 12 Weeks
Vital signs: Changes in Pulse Rate from Baseline
Changes in Respiratory Rate from Baseline
Time frame: From Baseline to 12 Weeks
Vital Signs: Changes in Respiratory Rate from Baseline
Changes in Blood Pressure from Baseline
Time frame: From Baseline Up to Week 12
Vital Signs: Changes in Blood Pressure from Baseline
Changes in Temperature from Baseline
Time frame: From Baseline to 12 Weeks
Vital Signs: Changes in Body Temperature from Baseline
Changes in Hematology Clinical Laboratory Results from Baseline
Time frame: From Baseline Up to 12 Weeks
Hematology: Changes in results from Baseline
Changes in Chemistry Clinical Laboratory Results from Baseline
Time frame: From Baseline Up to 12 Weeks
Chemistry: Changes in results from Baseline
Changes in Urinalysis Clinical Laboratory Results from Baseline
Time frame: From Baseline Up to 12 Weeks
Urinalysis: Changes in results from Baseline
Changes in Coagulation Clinical Laboratory Results from Baseline
Time frame: From Baseline Up to 12 Weeks
Coagulation: Changes in results from Baseline
13 secondary outcomes
Serum Concentrations of KT501
Time frame: Pre-dose and 6 hours post-dose on Day 1; Day 2, 3, 4, 5, 8, 11, 15, 22, 29, 43, 57 and 85.
Incidence of Treatment-induced Anti-Drug Antibodies (ADAs)
Time frame: Pre-dose and on Day 1; Day 8, 11, 15, 22, 29, 43, 57 and 85.
To Determine Cmax
Time frame: Day 1 - Day 85
To Determine Tmax, Derived from Serum Concentration of each Dose of KT501
Time frame: Day 1 - Day 85
Area Under the Serum-concentration Time Curve (AUC) from Time Zero to the Last Timepoint with Measurable Analyte Concentration (AUC0-t)
Time frame: Day 1 - Day 85
AUC from Time Zero to Infinity (AUCinf)
Time frame: Day 1 - Day 85
To Determine Terminal Half-Life (T1/2)
Time frame: Day 1 - Day 85
Total Body Clearance (CL/F)
Time frame: Day 1 - Day 85
Volume of Distribution During the Terminal Phase (Vz/F)
Time frame: Day 1 - Day 85
Change in Levels of B Cell Count
Time frame: Pre-dose on Day 1; Day 2, 3, 4, 5, 8, 11, 15, 22, 29, 43, 57 and 85.
Duration of B Cell Depletion
Time frame: Day 1 - Day 85
Change in Levels of Acute Inflammatory Markers
Time frame: Pre-dose and 6 hours post-dose on Day 1; Day 2, 3, 4, 5, 8, 15, 22, 29,, 57 and 85.
Changes in Blood Pressure from Baseline
Time frame: From Baseline to 12 Weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Mar 2026.
- Individual participant dataSharing planned: No. This is a Phase 1 trial.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing KT501 in people with Rheumatoid Arthritis (RA), run by Kali Therapeutics, Inc. at 1 site in Australia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 10 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Trial Information (1-858-888-3080, clinical@kalitherapeutics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of Adverse Events (time frame: From Baseline Up to 12 weeks). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Mar 2026.