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Data updated: May 26, 2026

ANKTIVA (nogapendekin alfa inbakicept-pmln)

Genetic Support
First-in-Class Breakthrough Therapy Fast Track
Oncology Approved 2024-04-22

ANKTIVA (nogapendekin alfa inbakicept-pmln) is an interleukin-15 (IL-15) receptor agonist indicated for use in combination with Bacillus Calmette-Guérin (BCG). It is approved for the treatment of adult patients with nonmuscle invasive bladder cancer (NMIBC) that is unresponsive to BCG. This therapeutic role specifically addresses patients presenting with carcinoma in situ (CIS), occurring either with or without papillary tumors.

Source: FDA Label • ALTOR BIOSCIENCE, LLC, AN INDIRECT WHOLLY-OWNED SU

How ANKTIVA Works

ANKTIVA acts as an IL-15 receptor agonist that signals through a heterotrimeric receptor complex to stimulate the immune system. The drug is trans-presented to the shared IL-2/IL-15 receptor located on the surface of natural killer (NK) cells and CD8+ T cells. This interaction leads to the proliferation and activation of these effector cells to enhance anti-tumor activity. This mechanism is designed to activate immune responses without the proliferation of immunosuppressive regulatory T cells.

1
Indication
--
Phase 3 Trials
2
Years on Market

Details

Status
Prescription
First Approved
2024-04-22
Routes
INTRAVESICAL
Dosage Forms
SOLUTION

ANKTIVA Approval History

2025
2026
Original
New Indication
New Form
Label Update
1 FDA actions from 2024 to 2024
Apr 2024 ORIGINAL
New Drug · Type 1 - New Molecular Entity

What ANKTIVA Treats

2 indications

ANKTIVA is approved for 2 conditions since its original approval in 2024. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Nonmuscle Invasive Bladder Cancer
  • Carcinoma In Situ
Source: FDA Label

ANKTIVA Target & Pathway

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Target

IL-2 (Interleukin 2) Cytokine

ANKTIVA Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in ANKTIVA's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications ANKTIVA treats. First-in-class if their pivotal trials read out positive.

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Clinical Trial Registry

1 trials
Trial Sponsor ID Phase Status Title
NCT07123727 COVID-4.019-LONG Ph 2 recruiting A Study to Examine Anktiva for the Treatment of COVID-19.
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Active Pipeline

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

ANKTIVA FDA Label Details

Indications & Usage

FDA Label (PDF)

ANKTIVA is indicated for the treatment of Nonmuscle Invasive Bladder Cancer; Carcinoma In Situ.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.