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NCT Number: NCT07234773

A First-in-human Study of KT501 Administered Subcutaneously to Patients With Rheumatoid Arthritis (RA).

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).

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Kali Study Site

Bayswater, Australia

Location status: Recruiting

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.

Exclusion criteria

  • 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
  • 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

Treatment and study plan

KT501

Drug

KT501 is a monoclonal antibody that depletes B cells including plasma cells by targeting CD19, BCMA and CD3.

Primary outcomes

  1. 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.

  2. 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

  3. Changes in Pulse Rate from Baseline

    Time frame: From Baseline Up to 12 Weeks

    Vital signs: Changes in Pulse Rate from Baseline

  4. Changes in Respiratory Rate from Baseline

    Time frame: From Baseline to 12 Weeks

    Vital Signs: Changes in Respiratory Rate from Baseline

  5. Changes in Blood Pressure from Baseline

    Time frame: From Baseline Up to Week 12

    Vital Signs: Changes in Blood Pressure from Baseline

  6. Changes in Temperature from Baseline

    Time frame: From Baseline to 12 Weeks

    Vital Signs: Changes in Body Temperature from Baseline

  7. Changes in Hematology Clinical Laboratory Results from Baseline

    Time frame: From Baseline Up to 12 Weeks

    Hematology: Changes in results from Baseline

  8. Changes in Chemistry Clinical Laboratory Results from Baseline

    Time frame: From Baseline Up to 12 Weeks

    Chemistry: Changes in results from Baseline

  9. Changes in Urinalysis Clinical Laboratory Results from Baseline

    Time frame: From Baseline Up to 12 Weeks

    Urinalysis: Changes in results from Baseline

  10. Changes in Coagulation Clinical Laboratory Results from Baseline

    Time frame: From Baseline Up to 12 Weeks

    Coagulation: Changes in results from Baseline

Secondary outcomes

  1. 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.

    Blood samples will be collected at specific time points for calculating serum concentrations of KT501

  2. 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.

    For Immunogenicity: Incidence of participants with treatment induced Anti-Drug Antibodies (ADA)

  3. To Determine Cmax

    Time frame: Day 1 - Day 85

    Maximum observed serum KT501 concentration

  4. To Determine Tmax, Derived from Serum Concentration of each Dose of KT501

    Time frame: Day 1 - Day 85

    Time to maximum observed concentration

  5. 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

    Area under the concentration-time curve from 0 to the time of the last quantifiable concentration (AUClast)

  6. AUC from Time Zero to Infinity (AUCinf)

    Time frame: Day 1 - Day 85

    Area under the plasma concentration versus time curve (AUC) from time 0 extrapolated to infinity

  7. To Determine Terminal Half-Life (T1/2)

    Time frame: Day 1 - Day 85

    Terminal elimination half life summarized by dosing regimen

  8. Total Body Clearance (CL/F)

    Time frame: Day 1 - Day 85

    CL is the measure of the rate at which a drug is metabolized or eliminated by normal biological processes

  9. Volume of Distribution During the Terminal Phase (Vz/F)

    Time frame: Day 1 - Day 85

    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.

  10. 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.

    Pharmacodynamics: Change in levels of B cell counts measured at specific timepoints

  11. Duration of B Cell Depletion

    Time frame: Day 1 - Day 85

    Pharmacodynamics: The duration of B cell depletion measured from Baseline

  12. 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.

    Pharmacodynamics: Change in levels of acute Inflammatory markers (C-reactive protein (CRP) and CRS-related cytokines at specific timepoints

  13. Changes in Blood Pressure from Baseline

    Time frame: From Baseline to 12 Weeks

    Vital Signs: Changes in Blood Pressure from Baseline

Study contacts

Contact information is provided by the study sponsor or research team.

Trial Information

CONTACT

[email protected]

1-858-888-3080

Sponsors and collaborators

Lead sponsor

Kali Therapeutics, Inc.

Industry

Registry information

Official study 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

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Nov 18, 2025
Registry last updated
Mar 10, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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