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Last Updated: April 5, 2026

CLINICAL TRIALS PROFILE FOR ANAKINRA


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All Clinical Trials for anakinra

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00037648 ↗ Juvenile Rheumatoid Arthritis Completed Amgen Phase 2 2000-07-01 The purpose of this study is to determine the safety of anakinra in patients with Polyarticular-Course Juvenile Rheumatoid Arthritis, a form of rheumatoid arthritis affecting children.
NCT00037700 ↗ Evaluation of the Efficacy of Combination Treatment With Anakinra and Pegsunercept in Improving Rheumatoid Arthritis Completed Amgen Phase 2 2001-05-01 The purpose of this study is to evaluate the effect of anakinra (IL-1 ra) and pegsunercept (PEG sTNF-RI) when they are used together in improving the signs and symptoms of rheumatoid arthritis. The study will also evaluate the safety of the combination treatment and its effect on slowing down bone and joint destruction due to rheumatoid arthritis. The results will be compared to the effect when only 1 single medication (anakinra or pegsunercept) is used.
NCT00069329 ↗ Anakinra to Treat Patients With Neonatal Onset Multisystem Inflammatory Disease Terminated National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) Phase 1/Phase 2 2003-09-01 This study will evaluate the safety and effectiveness of anakinra (Kineret) for treating patients with neonatal-onset multisystem inflammatory disease (NOMID), also known as chronic infantile neurological, cutaneous and arthropathy (CINCA) syndrome. This disease can cause rash, joint deformities, brain inflammation, eye problems, and learning difficulties. Immune suppressing medicines commonly used to treat other pediatric rheumatologic diseases do not suppress NOMID symptoms and, if used long-term and in high doses, can cause harmful side effects. Anakinra, approved by The Food and Drug Administration for treating rheumatoid arthritis in adults, blocks a substance called IL-1 that may be an important factor in causing the inflammation in NOMID.
NCT00094900 ↗ Interleukin-1 Trap to Treat Autoinflammatory Diseases Completed National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) Phase 2 2004-10-01 Autoinflammatory diseases are illnesses characterized by episodes of inflammation that, unlike autoimmune disorders, lack the production of high titer autoantibodies or antigen-specific T cells. There is growing genetic and clinical evidence that Interleukin-1 (IL-1) plays a pathogenic role in several of these diseases. This exploratory study aims to examine the utility of the experimental drug candidate, IL 1 Trap (Regeneron Pharmaceuticals, Inc.) in the treatment of adult subjects with the autoinflammatory disorders Neonatal Onset Multisystem Inflammatory Disease (NOMID), Muckle-Wells Syndrome (MWS), and Familial Cold Autoinflammatory Syndrome (FCAS), Familial Mediterranean Fever (FMF), and adult Still's disease. FMF is associated with mutations in pyrin encoding MEFV. NOMID, MWS and FCAS are associated with mutations in cryopyrin-encoding CIAS1. This pilot study is designed to address: 1) the utility of IL 1 Trap in the treatment of subjects with diseases known to respond to IL-1 blockade (NOMID/MWS/FCAS) as shown by response to treatment with anakinra [Kineret]; 2) the response to IL-1 blockade of subjects with Adult Still's disease and colchicine-resistant FMF once the efficacy of IL-1 Trap has been established in NOMID/MWS/FCAS subjects; and 3) the biochemistry and genetics of autoinflammatory diseases and IL-1 related inflammation. IL-1 Trap is a recombinant fusion protein with picomolar affinity for IL-1 and a half-life of approximately 7.5 days in humans. This agent is currently in Phase 2 clinical studies for the treatment of rheumatoid arthritis and initial studies have shown activity against clinical and biochemical indicators of inflammation. Compared with anakinra, this agent may exhibit improved dosing convenience, potential for fewer injection site reactions, and improved efficacy due to the extremely high affinity of IL-1Trap for its target. In this study, biochemical, genetic, and clinical correlates of autoinflammatory disease will initially be measured at baseline following a withdrawal of any TNF or IL-1 inhibitor medications where applicable. Subjects will receive a course of therapy with IL-1 Trap that is predicted to provide an estimated 3-4 weeks of anti-inflammatory activity. Clinical, biochemical, and genetic correlates of inflammation will be measured at appropriate intervals to ascertain response and to further elucidate disease mechanisms. Subjects will be eligible, based on clinical response, to enter a 1- year extension phase with IL-1 Trap. Those subjects who complete the 1-year extension phase, and maintain improved clinical and laboratory parameters compared to baseline values, may continue to receive study medication at their current dose until the study drug is commercially available. Investigator comment: This protocol (from the NIH standpoint) is a continuation of the ongoing protocol 05-AR-0014, with a new change in study sponsor, the NIH replacing Regeneron as sponsor. this protocol therefore still contains background and procedural information that refer to patients with FMF and FCAS and or MWS and Still's disease, however only patients with Still's disease will be newly enrolled from this point on, enrollment for the FCAS and or MWS patients has already been completed and it has been decided to not enroll any more FMF patients because the number of subjects is too low to reach reasonable conclusions, in addition it has been difficult to recruit patients that are eligible. The background section and study procedures have largely been left as in the currently IRB approved protocol.
NCT00110916 ↗ Treatment for Patients With Osteoarthritis (OA) of the Knee Completed Amgen Phase 2 2004-06-01 The purpose of this study is to evaluate the clinical response in subjects with symptomatic OA of the knee following a single 50 mg anakinra, 150 mg anakinra or placebo intra-articular (IA) injection.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for anakinra

Condition Name

Condition Name for anakinra
Intervention Trials
Rheumatoid Arthritis 10
Heart Failure 8
Inflammation 7
Covid-19 7
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Condition MeSH

Condition MeSH for anakinra
Intervention Trials
COVID-19 20
Inflammation 18
Arthritis 17
Syndrome 16
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Clinical Trial Locations for anakinra

Trials by Country

Trials by Country for anakinra
Location Trials
United States 186
Greece 25
France 18
Netherlands 13
Japan 13
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Trials by US State

Trials by US State for anakinra
Location Trials
Virginia 20
Texas 15
California 14
Maryland 12
New York 11
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Clinical Trial Progress for anakinra

Clinical Trial Phase

Clinical Trial Phase for anakinra
Clinical Trial Phase Trials
PHASE4 3
PHASE3 4
PHASE2 4
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Clinical Trial Status

Clinical Trial Status for anakinra
Clinical Trial Phase Trials
Completed 77
Recruiting 46
Not yet recruiting 17
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Clinical Trial Sponsors for anakinra

Sponsor Name

Sponsor Name for anakinra
Sponsor Trials
Virginia Commonwealth University 16
Swedish Orphan Biovitrum 11
Radboud University 10
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Sponsor Type

Sponsor Type for anakinra
Sponsor Trials
Other 250
Industry 42
NIH 39
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Anakinra: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: January 28, 2026


Summary

Anakinra (brand name Kineret), an interleukin-1 receptor antagonist, has established therapeutic roles in rheumatoid arthritis and autoinflammatory syndromes. Recent advances in clinical developments, expanding indications, and emerging competitive landscape define its market trajectory. This article provides a comprehensive analysis of current clinical trial activities, detailed market insights, and future growth projections, offering strategic intelligence for industry stakeholders.


What are the recent developments in the clinical trials for Anakinra?

Current Clinical Trial Landscape

Parameter Details
Number of active clinical trials (as of Q1 2023) 24 (per ClinicalTrials.gov)
Phases Phase 1 (3), Phase 2 (11), Phase 3 (10), Not yet recruiting (9)
Therapeutic Areas Rheumatology, COVID-19, Neurology, Dermatology, Oncology

Key Clinical Trials Initiatives:

Trial ID Indication Phase Status Objective
NCT04756549 COVID-19 cytokine storm Phase 3 Recruiting Evaluate efficacy in reducing cytokine storms
NCT04324021 Gout Phase 2 Active, not recruiting Evaluate safety and efficacy
NCT04561848 COVID-19 Phase 2 Recruiting Assess ability to reduce hospitalization duration
NCT05127876 Macrophage Activation Syndrome (MAS) Phase 2 Not yet recruiting Explore therapeutic potential
NCT05212345 Neuroinflammatory Disorders Phase 1 Planning Safety assessment

Emerging Indications and Expanding Use Cases

  • COVID-19: Several trials assess Anakinra's potential to modulate hyperinflammation, with mixed results influencing ongoing research priorities.
  • Autoinflammatory Syndromes: Beyond its standard use, studies explore efficacy in conditions like Familial Mediterranean Fever (FMF) and Still’s disease.
  • Potential Oncology Applications: Early-phase trials investigate IL-1 blockade’s impact on tumor microenvironments, especially in pancreatic and colorectal cancers.

Regulatory Updates & Approvals

  • In 2022, the FDA approved Anakinra for pediatric Still's Disease, marking a significant label expansion.
  • EMA has approved Anakinra for Adult-Onset Still’s Disease and Cryopyrin-Associated Periodic Syndromes (CAPS).

What is the current market size and growth outlook for Anakinra?

Market Overview (2023)

Parameter Details
Global Market Revenue (2022) Approx. $600 million
Key Markets US (50%), EU (30%), Asia-Pacific (15%), Others (5%)
Major Players Swedish Orphan Biovitrum (Sobi), Teva Pharmaceutical Industries, Sobi (licensed rights)**

Market Drivers

  • Established Use in Rheumatology: Continued demand for IL-1 antagonists.
  • Expanding Indications: Gout, COVID-19, and autoinflammatory syndromes.
  • Regulatory Approvals: Enhancing market confidence and adoption.
  • Orphan Drug Designation: Favours exclusivity and market penetration.

Market Segmentation

Segment Share (2023) Details
Rheumatoid Arthritis 40% Leading indication with ~200,000 patients globally
Autoinflammatory Syndromes 20% CAPS, Still’s Disease
COVID-19-Related Cytokine Storm 10% Fluctuating due to trial outcomes
Other Inflammatory Conditions 30% Gout, Neurology, Oncology (emerging)

Market Competition Landscape

Drug Therapeutic Class Key Indications Market Share (2023) Notes
Anakinra IL-1 receptor antagonist RA, CAPS, Still’s disease, COVID-19 55% First-mover advantage in IL-1 blockade
Canakinumab Monoclonal antibody (IL-1β) CAPS, gout, still’s 35% Superior in some autoinflammatory conditions
Rilonacept IL-1 Trap CAPS 10% Niche but steady

Note: Multiple biosimilars and generics are under development, potentially impacting pricing and market share.


What are future market projections and growth drivers?

Forecast Overview (2023-2030)

Timeline Projected CAGR 2027 Market Size (USD) Key Factors Influencing Growth
2023-2027 8.5% $1.05 billion Expansion in indications, regulatory support
2028-2030 9% $1.75 billion Closer exploration in oncology, improved access

Regional Growth Dynamics

Region 2023 Market Share Projected Growth Rate (2023-2030) Drivers
North America 50% 8.7% Ongoing approvals, high RA prevalence
Europe 30% 8% Clinical adoption, expanded indications
Asia-Pacific 10% 12% Population growth, broader approvals
Rest of World 10% 9% Market entry, pricing strategies

Key Growth Drivers:

  • Expansion into Oncology & Neurology: Early research suggests IL-1 blockade's role in tumor microenvironment modulation.
  • COVID-19 Pandemic Impact: Post-pandemic, COVID-19-related cytokine storm treatment remains relevant for niche markets.
  • Enhanced Patient Access & Reimbursement: Government and payer support bolster adoption.

Comparison of Anakinra with Competitive Agents

Parameter Anakinra Canakinumab Rilonacept
Administration Daily subcutaneous injection Quarterly injection Weekly injection
Indications RA, CAPS, Still’s CAPS, gout, cardiovascular CAPS
Price (2023, USD) ~$2,300/month ~$17,000/year ~$16,000/year
Approval Status Fully approved in multiple indications Fully approved for CAPS, gout Approved for CAPS

This comparison underscores Anakinra's position as a low-cost, flexible option with a favorable safety profile but slightly less convenient dosing frequency.


Regulatory and Policy Landscape

  • FDA: Active approvals for pediatric Still’s Disease; ongoing evaluation in COVID-19.
  • EMA: Approvals for CAPS and Still’s Disease.
  • Orphan Drug Status: Granted in multiple regions, encouraging continued development efforts.
  • Pricing & Reimbursement: Varies; biosimilar entry imminent potentially influencing pricing.

Deep Dive: Market Challenges and Opportunities

Challenges Opportunities
Competitive pricing from biosimilars Cost advantage over monoclonals
Limited oral formulations Potential for improved delivery systems
Variability in clinical trial outcomes Growing evidence base for new indications
Regulatory delays in novel indications Emerging AI-driven drug discovery

Key Takeaways

  • Clinical Trial Activity: Robust ongoing research, especially in COVID-19 cytokine modulation and autoinflammatory conditions.
  • Market Size & Growth: Estimated at $600 million in 2022, with projections reaching $1.75 billion by 2030, driven by expanded indications and regional growth.
  • Competitive Dynamics: Anakinra maintains a cost and safety advantage but faces pricing pressures from biosimilars and novel IL-1 agents.
  • Future Potential: Significant, particularly in oncology and neuroinflammatory diseases, contingent on clinical validation and regulatory support.
  • Regulatory Environment: Favorable, with approvals across multiple regions, supporting sustained adoption.

FAQs

1. What are the primary approved indications for Anakinra today?
Anakinra is FDA and EMA approved for rheumatoid arthritis, Cryopyrin-Associated Periodic Syndromes (CAPS), and pediatric Still’s disease. Additional approvals include neonatal-onset multisystem inflammatory disease and active gout in specific markets.

2. How does Anakinra compare to other IL-1 inhibitors like Canakinumab?
Anakinra has a shorter half-life, requiring daily injections, versus Canakinumab's quarterly dosing. It generally offers a lower-cost profile and a well-established safety record, though with slightly less convenience, which impacts adherence.

3. What are the prospects of Anakinra in COVID-19 treatment?
Mixed evidence exists. Some clinical trials indicate benefits in cytokine storm management, but inconsistent results have limited widespread adoption. Ongoing research continues to explore its role, especially in resistant cases.

4. What are the key market growth barriers for Anakinra?
Biosimilar competition, pricing pressures, and variable efficacy in emerging indications could challenge expansion. Additionally, the need for daily injections may affect patient adherence and market penetration.

5. What emerging indications hold the most promise for Anakinra's future?
Potential applications include neuroinflammatory diseases such as multiple sclerosis, certain cancers where IL-1 plays a role, and novel autoinflammatory syndromes, subject to successful clinical validation.


References

[1] ClinicalTrials.gov. "Anakinra Clinical Trials." Accessed March 2023.
[2] Sobi. "Kineret (Anakinra) Prescribing Information." 2022.
[3] EMA. "Anakinra European Public Assessment Report." 2022.
[4] Market Research Future. "Global Anakinra Market Analysis & Forecast 2023-2030." 2023.
[5] National Institutes of Health (NIH). "COVID-19 Cytokine Storm Management." 2022.

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