TheraRadar
Data updated: May 26, 2026

KINERET (anakinra)

Interleukin 1 Receptor Antagonists Genetically Validated Trial Activity: Stable 23 active trials
Immunology Approved 2001-11-14

KINERET is indicated for the treatment of Rheumatoid Arthritis; Cryopyrin-Associated Periodic Syndromes; Neonatal-Onset Multisystem Inflammatory Disease; Deficiency of Interleukin-1 Receptor Antagonist.

Source: FDA Label • BIOVITRUM AB • Interleukin-1 Receptor Antagonist

How KINERET Works

Kineret blocks the biological activity of interleukin-1 (IL-1) alpha and beta by competitively inhibiting their binding to the interleukin-1 type I receptor. This receptor is expressed in various tissues and organs where IL-1 normally mediates inflammatory responses, cartilage degradation, and bone resorption. In patients with Neonatal-Onset Multisystem Inflammatory Disease or Deficiency of Interleukin-1 Receptor Antagonist, the drug addresses systemic inflammation caused by excessive or unopposed IL-1 signaling. By neutralizing these pathways, the medication helps manage the inflammatory and immunological manifestations of these diseases.

Development Insights

Virginia Commonwealth University conducting 11 trials (11%)
143 indications explored (Broad Platform)
heart failure (5 trials)
anakinra (4 trials)
macrophage activation syndrome (4 trials)
6
Indications
--
Phase 3 Trials
2
Priority Reviews
24
Years on Market

Details

Status
Prescription
First Approved
2001-11-14
Patent Cliff
2027

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Patent cliff and revenue data

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Routes
SUBCUTANEOUS
Dosage Forms
VIAL

Companies

Active Ingredient: ANAKINRA

KINERET Approval History

2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
54 FDA actions from 2001 to 2025 · 5 indication expansions
Oct 2025 SUPPL
Label · Labeling
Sep 2024 SUPPL
Label · Labeling
Dec 2020 SUPPL Priority
Efficacy

What KINERET Treats

4 indications

KINERET is approved for 4 conditions since its original approval in 2001. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Rheumatoid Arthritis
  • Cryopyrin-Associated Periodic Syndromes
  • Neonatal-Onset Multisystem Inflammatory Disease
  • Deficiency of Interleukin-1 Receptor Antagonist
Source: FDA Label

KINERET Target & Pathway

Pro

Target

IL-1 (Interleukin 1) Cytokine

KINERET Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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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.

Drugs Similar to KINERET

3 of 20

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

ARCALYST
RILONACEPT
2 shared
KINIKSA PHARMACEUTICALS (UK), LTD.
Shared indications:
Cryopyrin-Associated Periodic SyndromesDeficiency of Interleukin-1 Receptor Antagonist
ABRILADA
ADALIMUMAB-AFZB
1 shared
Pfizer
Shared indications:
ACTEMRA
TOCILIZUMAB
1 shared
Roche
Shared indications:
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Clinical Trial Registry

95 trials
Trial Sponsor ID Phase Status Title
NCT07281027 COMBAT-NORSE 2000041289 RD-2024C2-39648 Ph 3 not yet recruiting COMparison Between Anakinra and Tocilizumab in NORSE - "COMBAT-NORSE"
NCT05177822 VA-ART4 HM20022826 R01AG076360 Ph 2 active not recruiting Interleukin-1 Blockade in Acute Myocardial Infarction to Prevent Heart Failure
NCT04381936 RECOVERY NDPHRECOVERY 2020-001113-21, ISRCTN50189673 Ph 3 recruiting Randomised Evaluation of COVID-19 Therapy
NCT02902731 GiAnT 2015-005804-27 N° CHU : 15-200 Ph 3 terminated Giant Cell Arteritis and Anakinra Trial
NCT05267821 TRIPS TRIPS Ph 2, Ph 3 recruiting Targeted Reversal of Inflammation in Pediatric Sepsis-induced MODS
NCT04205838 19-000604 NCI-2019-02887, 19-000604 Ph 2 terminated Anakinra in Preventing Severe Chimeric Antigen Receptor T-Cell Related Encephalopathy Syndrome in Patients With Recurrent or Refractory Large B-cell Lymphoma
NCT05174507 Hypo-PrEA 2020-01287; me20Donath Ph 2 withdrawn Empagliflozin and Anakinra for the Treatment of Postprandial Hypoglycemia in Patients With Prediabetes
NCT02021422 013-018 Ph 1 completed A Pilot, Prospective, Non-randomized Evaluation of the Safety of Anakinra Plus Standard Chemotherapy
NCT06381661 PALETTE APHP240385 Ph 2 not yet recruiting Adaptive Platform Trial for Personnalisation of Sepsis Treatment in Children and Adults: a Multi-national, Treatable Traits-guided, Adaptive, Exploratory, Bayesian Basket Trial
NCT05611710 60DX 223004/Z/21/Z Ph 2 active not recruiting Anakinra in Dengue With Hyperinflammation ( AnaDen )
NCT05013450 STUDY-21-00907 Ph 1, Ph 2 active not recruiting Dupilumab_Metastatic NSCLC
NCT04150913 results posted 19-348 Ph 2 completed A Phase 2 Trial of Anakinra for the Prevention of CAR-T Cell Mediated Neurotoxicity
NCT03651518 PIMOC P160906J 2017-000519-18 Ph 2 completed Personalized Therapies in Inflammatory Complex Disease
NCT06062966 AID-HEART HM20027160 Ph 1 recruiting The Effects of IL-1 Blockade on Inotrope Sensitivity in Patients With Heart Failure (AID-HEART)
NCT04926467 020-476 Ph 2 recruiting Chemotherapy + Anakinra in Patients With Pancreatic Adenocarcinoma (PDAC)
NCT04148430 19-168 Ph 2 active not recruiting A Study of Anakinra to Prevent or Treat Severe Side Effects for Patients Receiving CAR-T Cell Therapy
NCT04898231 MISTIC results posted 202109 Ph 2, Ph 3 completed MIS-C Comparative Effectiveness Study
NCT04359784 results posted RG1006866 NCI-2020-01861, 10373 Ph 2 completed Anakinra for the Prevention of Cytokine Release Syndrome and Neurotoxicity in Patients With B-Cell Non-Hodgkin Lymphoma Receiving CD19-Targeted CAR-T Cell Therapy
NCT02929251 RUBI P150945 2016-002284-34 Ph 2 completed Randomized Trial Comparing Efficacy of Adalimumab, Anakinra and Tocilizumab in Non-infectious Refractory Uveitis
NCT07138898 25-00380 Ph 2 not yet recruiting Immunosuppressant Management in Rheumatology Patients Undergoing Elective Total Shoulder Arthroplasty
NCT04017936 MAGiC-ART results posted HM20015843 R21TR003103 Ph 2 completed Interleukin-1 Blockade for Treatment of Cardiac Sarcoidosis
NCT03797001 REDHART2 results posted REDHART2 HM20014686 Ph 2 completed Interleukin-1 Blockade In Recently Decompensated Heart Failure - 2
NCT06336733 KIN-ATTACK-FMF APHP220828 Ph 3 recruiting Randomized Controlled Trial in Patients on Long-term Colchicine With Colchicine-resistant Familial Mediterranean Fever (FMF) to Evaluate the Efficacy of On-demand Anakinra Treatment for Painful Attacks in Patients Who Refuse Continuous Daily Therapy
NCT06666335 Sobi.ANAKIN-701 Ph 4 not yet recruiting A Study to Evaluate Efficacy and Safety of Anakinra in Chinese Patients With Colchicine-resistent FMF
NCT04341584 CORIMUNO-ANA results posted APHP200375-5 Ph 2 completed CORIMUNO-ANA: Trial Evaluating Efficacy Of Anakinra In Patients With Covid-19 Infection
NCT05498467 results posted LEOSIC Ph 3 completed The Role of Interleukin-1 Beta Targeted Therapy for Patients Suffering From Allergic Contact Dermatitis
NCT06624436 DEDICATE-LPS DEDICATE-LPS 2023-506556-24-00 Ph 4 recruiting Immunomodulatory Effects of Dexamethasone, Tocilizumab and Anakinra During Experimental Human Endotoxemia
NCT03925194 ANAKIN EudraCT No.: 2016-004786-80-A Ph 2 recruiting A Study to Evaluate Safety and Efficacy of Subcutaneous Administration of Anakinra in Patients With CF
NCT05814159 Sobi.ANAKIN-303 Ph 3 active not recruiting A Study of Anakinra in Japanese Patients With Still's Disease (SJIA and AOSD)
NCT02278562 INSPIRED results posted NEPH-011-11S Ph 2 completed Nutrition, Inflammation and Insulin Resistance in End Stage Renal Disease-Aim 2
NCT05854251 Hyper-PreDIL 2023-00497; kt23Donath2 Ph 2 completed Hyperinsulinemia in Prediabetes Mediated by Interleukin-1β
NCT04432506 results posted 2019-1051 NCI-2020-04369, 2019-1051 Ph 2 completed Anakinra for the Reduction of CAR-T Toxicity in Patients With Relapsed or Refractory Large B-cell Lymphoma
NCT04025554 results posted 190124 19-N-0124 Ph 1, Ph 2 completed Anakinra for the Treatment of Chronically Inflamed White Matter Lesions in Multiple Sclerosis
NCT06697431 NIKITA NIKITA Ph 4 not yet recruiting Non Inferiority KawasakI Trial With Anakinra
NCT04099901 AFFECT-2 HEMSC42 Ph 2 completed Anakinra: Efficacy in the Management of Fever During Neutropenia and Mucositis in ASCT - A Randomized Controlled Trial
NCT03233776 AFFECT-1 SC35 Ph 2 completed Anakinra: Safety and Efficacy in the Management of Fever During Neutropenia and Mucositis in ASCT
NCT04018755 31834-01 Ph 1, Ph 2 completed Open-label Study of Anakinra in MPS III
NCT05280340 RES 21-0000-681A Ph 1, Ph 2 active not recruiting Anakinra for Preterm Infants Pilot
NCT02780583 MAS F151008003 FWA00005960, SOBI_UAB01 Ph 1 terminated Treatment of Macrophage Activation Syndrome (MAS) With Anakinra
NCT03182426 Pro00053082 Ph 1, Ph 2 completed Stem Cell Mobilization (Plerixafor) and Immunologic Reset in Type 1 Diabetes (T1DM)
NCT02735707 REMAP-CAP U1111-1189-1653 2015-002340-14, 602525 Ph 3 recruiting Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia
NCT01705756 FMF SHEBA-11-8557-AL-CTIL Ph 3 completed Kineret (Anakinra), in Adult Patients With Colchicine-Resistant Familial Mediterranean Fever
NCT02179853 results posted KD Anakinra Ph 1, Ph 2 completed Anakinra in Infants and Children With Coronary Artery Abnormalities in Acute Kawasaki Disease
NCT04656184 ANACOMP P200009 Ph 3 recruiting A Trial Comparing the Efficacy and Safety of Anakinra Versus Intravenous Immunoglobulin (IVIG) Retreatment, in Patients With Kawasaki Disease Who Failed to Respond to Initial Standard IVIG Treatment
NCT01277315 ANA-ALS01 Ph 2 completed Safety and Tolerability of Anakinra in Combination With Riluzol in Amyotrophic Lateral Sclerosis
NCT02090101 IRAFU 2013-003367-55 Ph 2 completed Study Evaluating the Influence of LV5FU2 Bevacizumab Plus Anakinra Association on Metastatic Colorectal Cancer
NCT04362111 results posted Chatham-Cytokine Covid-19 Ph 3 completed Early Treatment of Cytokine Storm Syndrome in Covid-19
NCT04227275 CART-PSMA-TGFβRDN-02 Ph 1 terminated A Study of CART-PSMA-TGFβRDN in Patients With Metastatic Castration Resistant Prostate Cancer
NCT04357366 SAVE SAVE 2020-001466-11 Ph 2 completed suPAR-guided Anakinra Treatment for Validation of the Risk and Management of Respiratory Failure by COVID-19 (SAVE)
NCT04544813 CR108771 77474462ADM1001 Ph 1 completed A Study of JNJ-77474462 in Healthy Participants

Showing 50 of 95 trials

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Active Pipeline

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Ongoing clinical trials by development phase

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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.

KINERET FDA Label Details

Indications & Usage

FDA Label (PDF)

KINERET is indicated for the treatment of Rheumatoid Arthritis; Cryopyrin-Associated Periodic Syndromes; Neonatal-Onset Multisystem Inflammatory Disease; Deficiency of Interleukin-1 Receptor Antagonist.

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Data Sources

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

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment