For information regarding recent FDA correspondence, please read the press release.

complete response ability.

62% complete response rate.

(n=77; 95% CI: 51-73)

Help your immune system fight back. Anktiva works with Bacillus Calmette-Guérin (BCG) to activate your body’s natural defenses against BCG-unresponsive nonmuscle invasive bladder cancer (NMIBC) with carcinoma in situ (CIS) using the Tri-offense.1

There is no quit in this fight

Up to 47+ Months.

+ Denotes an ongoing response.

Help your immune system fight back. Anktiva works with Bacillus Calmette-Guérin (BCG) to activate your body’s natural defenses against BCG-unresponsive nonmuscle invasive bladder cancer (NMIBC) with carcinoma in situ (CIS) using the Tri-offense.1

The Tri-Offense: Activating Your Immune Response

In the pivotal clinical trial, treatment of participants with BCG-unresponsive NMIBC with CIS with or without papillary disease with Anktiva plus BCG was found to have complete and durable responses.1

QUILT-3.032 Study

Primary Endpoint
Infographic on black background showing a partial blue-and-gray circular gauge with large purple text “62% CR” and explanatory text below: “of study participants achieved a complete response, meaning their cancer was eliminated. (n=77; 95% CI: 51-73)¹ Biopsy confirmed.”
Duration of Response
Up to
47+Months

58% (n=28) ≥12 months; 40% (n=19) ≥24 months; range: 0.0–47.0+ months.1

+ Denotes an ongoing response.

Full Enrollment Follow-up

Primary Endpoint
Infographic on black background displaying a partial blue-and-gray circular gauge with large purple text “71% CR” and supporting text: “of study participants had a complete response. (n=100; 95% CI: 61.1-79.6)² Biopsy confirmed.”
Duration of Response
Up to
53+Months

Some patients remained NMIBC-free for over 4 years.2

+ Denotes an ongoing response.

QUILT-3.032 is a multicenter, single-arm study in adults with BCG-unresponsive high-risk NMIBC with CIS ± Ta/T1 papillary disease. Efficacy was evaluated in 77 adults (label), with updated follow-up in 100 patients. Patients received nogapendekin alfa inbakicept-pmln 400 mcg plus BCG weekly for 6 weeks, with re-induction permitted at month 3. The primary endpoint was complete response.1,2

Infographic diagram on black background titled “TRI-OFFENSE” in a central yellow banner, showing Anktiva’s three-pronged immune mechanism in a large inverted triangle: top gray section activates natural killer cells to kill evasive cancer cells (yellow icon); bottom-left blue section attacks with CD8+ killer T cells to eliminate cancer and prime memory cells (blue icon); bottom-right purple section drives memory T cells for ongoing bladder cancer recognition (pink icon).

References: 1. Anktiva (nogapendekin alfa inbakicept-pmln) prescribing information. ImmunityBio, 2024. 2. Chang, S. (2025, April 26-29). An Update on QUILT-3.032: Durable Complete Responses to NAI (ANKTIVA) Plus BCG Therapy in BCG-Unresponsive CIS With or Without Ta/T1 Papillary Disease and in Papillary Disease without CIS. [Conference Presentation]. AUA2025, Las Vegas, Nevada, United States.

Adverse Reactions Occurring in ≥15% of Patients in Cohort A in QUILT-3.032

Adverse Reaction Anktiva with BCG1 (n=88)
All Grades, % Grades 3 or 4, %
Dysuria 32 0
Hematuriaa 32 3.4
Urinary Frequency 27 0
Micturition Urgencya 25 0
Urinary Tract Infectiona 24 2.3
Musculoskeletal Paina 17 2.3
Chills 15 0
Pyrexia 15 0
a. Includes other related terms

Clinically relevant adverse reactions in <15% of patients who received Anktiva with BCG included fatigue (14%), nausea (14%), bladder irritation (11%), diarrhea (9%), and nocturia (7%). 

Efficacy Results in QUILT-3.032

Anktiva with BCG1 (n=88)
Complete Response Rate (95% CI) 62% (51, 73)
Duration of Responsea
Range in months 0.0, 47.0+
% (n) with duration ≥ 12 months 58% (28)
% (n) with duration ≥ 24 months 40% (19)
+. Denotes ongoing response
a. Based on 48 patients that achieved a complete response at any time; reflects period from the time complete response was achieved

Getting Started With Anktiva

A patient-friendly overview of how Anktiva plus BCG work together, as well as what patients should expect before and after treatment

Patient Stories

Patients Like You

Read about patients who participated in the clinical trials for Anktiva

Justin’s Journey

Justin’s Journey

An avid outdoorsman, Justin faced a challenging diagnosis of non-muscle invasive bladder cancer. After struggling with the side effects of his Bacillus Calmette-Guérin (BCG) treatment, he found renewed hope though his doctors' introduction to an immunotherapy for those who experienced a recurrence of NMIBC.

Learn More

Wayne’s Journey

Wayne’s Journey

Wayne has lived a rich life with his wife, two daughters, and three grandchildren. He describes himself as someone who “just likes people.” When he was first told, “you might have a tumor in your bladder,” he became very concerned, especially when he learned his first treatment with BCG wasn’t working. Wayne feels lucky that a friend told him about a clinical trial for patients like himself who were not cured by BCG alone.

Learn More

Anktiva Resources

Learn more about the clinical story of Anktiva

Peer-reviewed Paper

Future Oncology
A plain language review of the published findings on the Phase 1b BCG-naïve and Phase 2/3 BCG-unresponsive studies (QUILT 3.032).

Indication and Important Safety Information

INDICATION AND USAGE

ANKTIVA is an interleukin-15 (IL-15) receptor agonist indicated with Bacillus Calmette-Guérin (BCG) for the treatment of adult patients with BCG-unresponsive non-muscle invasive bladder cancer (NMIBC) with carcinoma in situ (CIS) with or without papillary tumors.

WARNINGS AND PRECAUTIONS

Risk of Metastatic Bladder Cancer with Delayed Cystectomy. Delaying cystectomy can lead to the development of muscle invasive or metastatic bladder cancer, which can be lethal. If patients with CIS do not have a complete response to treatment after a second induction course of ANKTIVA with BCG, reconsider cystectomy.

DOSAGE AND ADMINISTRATION

For lntravesical Use Only. Do not administer by subcutaneous or intravenous routes. Instill intravesically only after dilution. Total time from vial puncture to the completion of the intravesical instillation should not exceed 2 hours.

USE IN SPECIFIC POPULATIONS

Pregnancy: May cause fetal harm. Advise females of reproductive potential of the potential risk to a fetus and to use effective contraception.

ADVERSE REACTIONS

The most common (≥15%) adverse reactions, including laboratory test abnormalities, are increased creatinine, dysuria, hematuria, urinary frequency, micturition urgency, urinary tract infection, increased potassium, musculoskeletal pain, chills and pyrexia.

For more information about ANKTIVA, please see the Full Prescribing Information at www.anktiva.com.

You are encouraged to report negative side effects of prescription drugs to FDA. Visit www.FDA.gov/medwatch or call 1-800-332-1088. You may also contact lmmunityBio at 1-877-ANKTIVA (1-877-265-8482)

When BCG Alone Isn’t Enough,

Bring On the Tri-Offense With Anktiva.

For more information, please call 1-877-ANKTIVA.