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Nkarta Announces Initial Clinical Data for NKX019 in Myositis and Systemic Sclerosis at ACR Convergence

  • Nkarta announced positive initial clinical data for its investigational allogeneic CAR NK cell therapy, NKX019, from the Ntrust program presented at ACR Convergence 2026.
  • In myositis patients treated at a 4 billion-cell dose, 83% (5/6) achieved moderate or major responses measured by the Total Improvement Score (TIS) with at least three months of follow-up.
  • In systemic sclerosis patients treated at a 4 billion-cell dose, 86% (6/7) achieved an rCRISS-25 response or greater, while 71% (5/7) achieved an rCRISS-50 response or greater.
  • Systemic sclerosis patients treated at the 4 billion-cell dose showed rapid skin responses with a median 15-point reduction in modified Rodnan skin score (mRSS) at Day 90, where 71% achieved at least a 50% reduction from baseline.
  • No immune effector cell-associated toxicities, including cytokine release syndrome (CRS), ICANS, IEC-HS, or graft-versus-host disease (GvHD), were observed among 40 patients treated across five indications.
  • Treatment was well-tolerated with no deaths, no treatment discontinuations due to adverse events, and no cases of leukoencephalopathy reported.
  • Deep peripheral CD19+ B-cell depletion was observed at the 4 billion-cell dose, with a pattern consistent with a B-cell immune reset in patients with low to moderate naïve B cells at baseline.
  • Patients received three doses of NKX019 on Days 0, 3, and 7 following lymphodepleting preconditioning, totaling 12 billion cells in the initial dosing schedule.
  • Nkarta amended Ntrust protocols to compress dosing to Days 0, 2, and 4 based on T-cell recovery data, with plans to evaluate a 6 billion-cell dose.
  • The company anticipates FDA interactions to discuss registrational pathways for myositis and systemic sclerosis, with plans to report additional data in the first half of 2027.
  • An investor webcast regarding these findings was scheduled for November 9, 2026, at 8 a.m. ET.