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Acrivon Therapeutics Reports First Quarter 2025 Financial Results and Business Highlights

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Acrivon Therapeutics (NASDAQ: ACRV) reported its Q1 2025 financial results and key developments. The company highlighted positive data for ACR-368 in endometrial cancer patients, showing a 35% confirmed overall response rate in OncoSignature-positive patients who had received prior anti-PD-1 and platinum-based chemotherapy. Their second clinical asset, ACR-2316, demonstrated promising results with ~25% tumor shrinkage observed in Phase 1 trials. The company appointed Dr. Mansoor Raza Mirza as CMO and reported $164.8 million in cash and equivalents, expected to fund operations into Q2 2027. Financial results showed a net loss of $19.7 million for Q1 2025, compared to $16.5 million in Q1 2024, with R&D expenses increasing to $15.4 million from $11.5 million year-over-year.
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Positive

  • Strong efficacy data for ACR-368 with 35% confirmed overall response rate in OncoSignature-positive patients
  • Promising early results for ACR-2316 with 25% tumor shrinkage observed in Phase 1 trials
  • Robust cash position of $164.8M providing runway into Q2 2027
  • Strategic appointment of experienced CMO Dr. Mansoor Raza Mirza to lead development
  • Advancement of clinical pipeline with multiple upcoming milestones

Negative

  • Increased net loss to $19.7M in Q1 2025 from $16.5M in Q1 2024
  • Higher R&D expenses at $15.4M compared to $11.5M year-over-year

Insights

Acrivon shows promising 35% response rate in previously treated endometrial cancer and early tumor shrinkage with second candidate ACR-2316.

Acrivon's Q1 update reveals compelling clinical data for their lead candidate ACR-368 in endometrial cancer patients who progressed after both anti-PD-1 therapy and platinum-based chemotherapy. The 35% confirmed overall response rate in biomarker-positive patients is particularly noteworthy, as it's more than double the response rate these patients achieved on their previous therapy. Even more impressive, patients whose cancer had merely relapsed (rather than being completely refractory) showed a 50% response rate with duration exceeding 10 months - remarkable for this heavily pretreated population.

The company's second clinical candidate, ACR-2316, also shows early promise. Tumor shrinkage of approximately 25% was observed at just the third dose level, well below the projected recommended Phase 2 dose. This suggests potential for even greater efficacy at higher doses. The safety profile appears clean with no dose-limiting toxicities through the first three cohorts.

The appointment of Dr. Mansoor Raza Mirza as CMO significantly strengthens Acrivon's clinical development capabilities. His experience successfully leading registrational trials in gynecological cancers will be invaluable as ACR-368 advances toward potential registration.

With $164.8 million in cash providing runway into Q2 2027, Acrivon has sufficient resources to reach multiple value-inflection points across its pipeline. The planned update on the registrational path for ACR-368 will be critical for investors to evaluate the timeline to potential market approval.

Acrivon demonstrates strong clinical data in treatment-resistant cancers with two promising candidates and solid financial position through 2027.

Acrivon's financial position remains solid with $164.8 million in cash, providing runway into Q2 2027. The $19.7M quarterly net loss represents increased R&D investment of $15.4 million (up from $11.5 million year-over-year) as the company advances multiple clinical programs. This burn rate appears well-managed given their cash runway projection.

The clinical data for ACR-368 represents a potential significant advancement in endometrial cancer treatment. The 35% response rate in biomarker-positive patients who had all progressed after standard treatments addresses a clear unmet need. Particularly impressive is the 50% response rate and 10+ month duration of response in relapsed patients. For context, current second-line treatment options in this population typically show response rates below 15%.

The preliminary activity of ACR-2316 at dose level 3 (below the anticipated effective dose) signals promising efficacy potential. Early signs of tumor shrinkage at this stage suggest significant upside as dosing escalates. The confirmation of target engagement through their AP3 platform validates their technological approach.

The appointment of Dr. Mirza as CMO adds considerable credibility to their clinical strategy. His experience with successful registrational trials in gynecological cancers aligns perfectly with Acrivon's lead program.

The company's focus on biomarker-selected patient populations through their AP3 platform demonstrates a precision medicine approach that historically has yielded higher success rates in oncology drug development, potentially de-risking their clinical programs.

Corporate R&D event highlighted positive ACR-368 data in endometrial cancer patients who had all received prior anti-PD-1 and platinum-based chemotherapy

Confirmed overall response rate (cORR) of 35% and median duration of response (mDOR) >5.6 months (not yet reached) observed in OncoSignature-positive (BM+) patients, a majority of whom were refractory to last prior therapy, and cORR of 50% and mDOR >10 months (not yet reached) for BM+ patients who had relapsed on last prior therapy

Three dose escalation cohorts completed in ACR-2316 Phase 1 trial with tumor shrinkage observed already at dose level (DL)3, below projected recommended Phase 2 dose

AACR presentation of ACR-2316 revealing mechanisms underlying its superior preclinical activity with potent mitotic tumor cell death using AP3 Generative Phosphoproteomics

Mansoor Raza Mirza, M.D. appointed chief medical officer; accomplished clinician with stellar track record of successfully leading registrational trials through regulatory approvals, and establishing new standards of care in gynecological oncology

Cash, cash equivalents and marketable securities of $164.8 million as of March 31, 2025, expected to fund operations into the second quarter of 2027

WATERTOWN, Mass., May 14, 2025 (GLOBE NEWSWIRE) -- Acrivon Therapeutics, Inc. (“Acrivon” or “Acrivon Therapeutics”) (Nasdaq: ACRV), a clinical stage biotechnology company discovering and developing precision oncology medicines utilizing its proprietary Generative Phosphoproteomics AP3 (Acrivon Predictive Precision Proteomics) platform designed to interpret and quantify compound specific, drug-regulated pathway activity levels inside the intact cell in an unbiased and actionable manner, today reported financial results for the first quarter ended March 31, 2025 and reviewed recent business highlights.

“We made substantial progress in the first quarter in the advancement of our clinical pipeline and the expansion of our Generative Phosphoproteomics AP3 capabilities, as well as strengthening the executive team,” said Peter Blume-Jensen, M.D., Ph.D., chief executive officer, president, and founder of Acrivon. “At our corporate R&D event, we reported positive updated interim data from our ongoing ACR-368 Phase 2b study in endometrial cancer patients with large tumors and aggressive histopathologies – all of whom had progressed after prior platinum-based chemotherapy and anti-PD-1. With a significant unmet need for second-line treatment options and the potential for label expansion through a confirmatory trial in the front-line setting with ACR-368 used as switch maintenance, we remain very excited by the opportunities for this program. For our second clinical-stage asset, ACR-2316, we have observed tumor shrinkage (~25%) in a patient with significant metastatic solid tumor burden after only six weeks of treatment at dose level 3 - well before reaching our projected RP2D, supporting its potential for monotherapy activity. Finally, we are thrilled and feel privileged that Dr. Mansoor Raza Mirza, a globally recognized oncologist, is now leading the development of our pipeline as CMO. Mansoor has made significant contributions in clinical oncology as a lead investigator for multiple approved drugs and senior author of national cancer guidelines.”

Recent Highlights

  • Presented interim data (February 25, 2025) from the ongoing Phase 2b registrational-intent trial of ACR-368 in patients with heavily pretreated endometrial cancer who had all progressed on prior anti-PD-1 and chemotherapy
    • Among the 20 OncoSignature-positive (BM+) patients, the confirmed overall response rate (cORR) was 35%, more than double that in the prior line of therapy, and the disease control rate (DCR) was 80%
    • In the BM+ patients that had relapsed after the prior line of therapy, the cORR was 50%, mDOR was not yet reached (>10 months), and DCR was 100%
    • In the BM+ patients with tumors refractory to last prior line of therapy, significant clinical activity was observed with a cORR of 33% and DCR of 75%
  • Provided an overview of the expanded capabilities of the company’s Generative Phosphoproteomics AP3 platform highlighting the growing suite of powerful, internally-developed tools, including the AP3 Data Portal, designed to convert multimodal data into structured data for generative AI analyses, the AP3 Kinase Substrate Relationship Predictor, and the AP3 Interactome. These distinctive capabilities enable the company to go beyond the limitations of traditional drug discovery, as well as current AI-based target-centric drug discovery and rapidly design highly differentiated compounds with desirable pathway effects through intracellular protein network analyses and advance these agents into the clinic for streamlined development.
  • Advanced to DL4 in the Phase 1 monotherapy clinical trial of ACR-2316, with encouraging observations at DLs 1-3:
    • DL 1, 2, and 3 cleared without safety concerns or dose-limiting toxicities (DLTs) by the safety review committee, and DL4 is now enrolling
    • Drug target engagement observed at DL1 and 2 using the company’s clinical mass-spectrometry-based AP3 profiling, with evidence of approximate dose proportionality based on plasma pharmacokinetic analyses
    • Notably, initial clinical activity of ~25% RECIST tumor shrinkage and a reduction of metastatic lesions throughout the chest, abdomen and pelvis was observed after six weeks of treatment in a patient at DL3 (below projected RP2D) who had received three prior lines of therapy including chemotherapy and anti-PD1
  • Presented at the AACR Annual Meeting Generative Phosphoproteomic AP3 analyses uncovering key molecular mechanisms by which ACR-2316 induces strong mitotic and replicative tumor cell death believed to be critical for its potent single-agent activity
  • Appointed Mansoor Raza Mirza, M.D., as chief medical officer, bringing decades of experience as a distinguished and highly accomplished oncology key opinion leader with a stellar track record of successfully leading numerous registrational trials through global regulatory approvals, and establishing new standards of care in gynecological oncology
  • Promoted Adam D. Levy, Ph.D., M.B.A., to chief financial officer, having served as the company’s head of investor relations and with prior finance and strategy leadership roles at Zentalis Pharmaceuticals, Turning Point Therapeutics, Novartis, Gilead, and McKinsey & Company

Anticipated Upcoming Milestones

  • Provide update on registrational-intent trial and confirmatory trial design for ACR-368
  • Report initial clinical data from the Phase 1 clinical study of ACR-2316 in the second half of 2025
  • Advance a new potential first-in-class cell cycle drug discovery program for an undisclosed target towards development candidate nomination in 2025

First Quarter 2025 Financial Results

Net loss for the quarter ended March 31, 2025 was $19.7 million compared to a net loss of $16.5 million for the same period in 2024.

Research and development expenses were $15.4 million for the quarter ended March 31, 2025 compared to $11.5 million for the same period in 2024. The difference was primarily due to the continued execution of the clinical trials for ACR-368 and ACR-2316, as well as preclinical drug discovery advancement and increased personnel to support these research and development activities.

General and administrative expenses were $6.2 million for the quarter ended March 31, 2025, which is materially consistent with the same period in 2024.

As of March 31, 2025, the company had cash, cash equivalents and investments of $164.8 million, which is expected to fund operating expenses and capital expenditure requirements into the second quarter of 2027.

About Acrivon Therapeutics
Acrivon is a clinical stage biopharmaceutical company discovering and developing precision oncology medicines utilizing its proprietary Generative Phosphoproteomics AP3 platform. The platform allows the company to interpret and quantify compound specific, drug-regulated pathway activity levels inside the intact cell in an unbiased manner, yielding terabytes of proprietary data and delivering rapid, actionable insights. The Generative Phosphoproteomics AP3 platform is comprised of a growing suite of powerful, internally-developed tools, including the AP3 Data Portal, converting multimodal data into structured data for generative AI analyses, the AP3 Kinase Substrate Relationship Predictor and the AP3 Interactome. These distinctive capabilities enable the company to go beyond the limitations of traditional drug discovery, as well as current AI-based target-centric drug discovery, and rapidly design highly differentiated compounds with desirable pathway effects through intracellular protein network analyses and advance these agents into the clinic for streamlined development.

Acrivon is currently advancing its lead program, ACR-368 (also known as prexasertib), a selective small molecule inhibitor targeting CHK1 and CHK2 in a potentially registrational Phase 2 trial for endometrial cancer. The company has received Fast Track designation from the Food and Drug Administration, or FDA, for the investigation of ACR-368 as a monotherapy based on OncoSignature-predicted sensitivity in patients with endometrial cancer. The FDA has granted a Breakthrough Device designation for the ACR-368 OncoSignature assay for the identification of patients with endometrial cancer who may benefit from ACR-368 treatment.

In addition to ACR-368, Acrivon is also leveraging its proprietary Generative Phosphoproteomics AP3 platform for developing its co-crystallography-driven, internally discovered pipeline programs. These include ACR-2316, the company’s second clinical stage asset, a novel, potent, selective WEE1/PKMYT1 inhibitor designed for superior single-agent activity through strong activation of not only CDK1 and CDK2, but also of PLK1 to drive pro-apoptotic cell death, as observed in preclinical studies against benchmark inhibitors. The Phase 1 trial of ACR-2316 is advancing with enrollment in the first three dose-escalation cohorts completed. Drug target engagement was observed at DL1 and 2 using the company’s clinical mass-spectrometry-based AP3 profiling, with evidence of approximate dose proportionality based on plasma pharmacokinetic analyses, and initial clinical activity with tumor shrinkage observed at DL3. The company also has a preclinical cell cycle program with an undisclosed target.

Forward-Looking Statements
This press release includes certain disclosures that contain “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995 about us and our industry that involve substantial risks and uncertainties. All statements other than statements of historical facts contained in this press release, including statements regarding our future results of operations or financial condition, preclinical and clinical results, business strategy and plans and objectives of management for future operations, are forward-looking statements. In some cases, you can identify forward-looking statements because they contain words such as “anticipate,” “believe,” “contemplate,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “target,” “will,” or “would” or the negative of these words or other similar terms or expressions. Forward-looking statements are based on Acrivon’s current expectations and are subject to inherent uncertainties, risks and assumptions that are difficult to predict. Factors that could cause actual results to differ include, but are not limited to, risks and uncertainties that are described more fully in the section titled “Risk Factors” in our reports filed with the Securities and Exchange Commission. Forward-looking statements contained in this press release are made as of this date, and Acrivon undertakes no duty to update such information except as required under applicable law.

Investor and Media Contacts:
Adam D. Levy, Ph.D., M.B.A.
alevy@acrivon.com

Alexandra Santos
asantos@wheelhouselsa.com

         
Acrivon Therapeutics, Inc.
Condensed Consolidated Statements of Operations and Comprehensive Loss
(unaudited, in thousands, except share and per share data)
         
  Three Months Ended March 31,
   2025   2024 
Operating expenses:    
Research and development $15,414  $11,473 
General and administrative $6,248  $6,195 
Total operating expenses  21,662   17,668 
Loss from operations  (21,662)  (17,668)
Other income (expense), net:    
Interest income  1,996   1,446 
Other expense, net  (14)  (264)
Total other income, net  1,982   1,182 
Net loss $(19,680) $(16,486)
Net loss per share - basic and diluted $(0.51) $(0.73)
Weighted-average common stock outstanding – basic and diluted  38,350,444   22,590,804 
Comprehensive loss:    
Net loss $(19,680) $(16,486)
Other comprehensive income (loss):    
Unrealized (loss) gain on available-for-sale investments, net of tax  (164)  13 
Comprehensive loss $(19,844) $(16,473)


Acrivon Therapeutics, Inc.
Condensed Consolidated Balance Sheets
(unaudited, in thousands)
     
  March 31, December 31,
   2025   2024 
Assets    
Cash and cash equivalents $39,154  $39,818 
Investments  125,676  $144,751 
Other assets  11,519  $12,019 
Total assets $176,349  $196,588 
Liabilities and Stockholders' Equity    
Liabilities  15,959   19,802 
Stockholders' Equity  160,390   176,786 
Total Liabilities and Stockholders' Equity $176,349  $196,588 

FAQ

What were the key clinical results for ACRV's ACR-368 drug in Q1 2025?

ACR-368 showed a 35% confirmed overall response rate and >5.6 months median duration of response in OncoSignature-positive endometrial cancer patients who had received prior anti-PD-1 and platinum-based chemotherapy.

How much cash does Acrivon Therapeutics (ACRV) have and what is their runway?

As of March 31, 2025, Acrivon had $164.8 million in cash, cash equivalents and investments, expected to fund operations into the second quarter of 2027.

What was ACRV's net loss in Q1 2025?

Acrivon reported a net loss of $19.7 million for Q1 2025, compared to $16.5 million in Q1 2024.

What are the upcoming milestones for Acrivon Therapeutics (ACRV)?

ACRV plans to provide updates on the ACR-368 registrational trial, report initial clinical data from ACR-2316's Phase 1 study in H2 2025, and advance a new cell cycle drug discovery program.

Who is Acrivon's new Chief Medical Officer?

Dr. Mansoor Raza Mirza was appointed as Chief Medical Officer, bringing extensive experience in leading registrational trials and establishing new standards of care in gynecological oncology.
Acrivon Therapeutics, Inc.

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