CGEM Phase 1 CLN-049 AML data: ORR 69% at 12 μg/kg
Cullinan Therapeutics reported new Phase 1 data for CLN-049 in relapsed/refractory AML and MDS, to be presented at the ASH Annual Meeting in December.
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Rhea-AI Filing Summary
Cullinan Therapeutics reported new Phase 1 data for CLN-049 in relapsed/refractory AML and MDS, to be presented at the ASH Annual Meeting in December. As of the June 2025 cutoff, 40 patients were enrolled and 29 AML patients were efficacy evaluable.
In AML at target doses ≥6 μg/kg (n=23), CLN-049 showed a CRc rate of 30% and an ORR of 57%. At 12 μg/kg (n=13), the CRc rate was 31% and ORR was 69%. Among nine patients achieving bone marrow blasts <5%, three were MRD negative by flow cytometry; relapse was not observed in MRD-negative patients, and one patient has remained on study for >6 months. Responses were observed regardless of baseline genetic risk, including four responses (2 CRh, 2 MLFS) among five TP53‑mutated AML patients treated at 12 μg/kg.
Safety findings indicate a manageable profile in 40 patients: the most common TEAEs were CRS (40%) and infusion-related reaction (35%). All CRS events were Grade 1–2, with one Grade 1 ICANS; none led to discontinuation. Grade ≥3 TEAEs >10% included febrile neutropenia and white blood cell count decrease (17.5% each), and pneumonia (12.5%). Dose escalation is ongoing.
Insights
Early AML signals with manageable safety; durability needs further follow-up.
CLN-049 demonstrated anti-leukemic activity in heavily pretreated AML at higher target doses. At ≥6 μg/kg (n=23), CRc was 30% and ORR 57%. At 12 μg/kg (n=13), CRc reached 31% and ORR 69%, as of the June 2025 cutoff.
Safety appears manageable: CRS occurred in 40% of patients and was Grade 1–2; one Grade 1 ICANS was noted. Grade ≥3 events occurring in >10% included febrile neutropenia and white blood cell count decrease (17.5% each) and pneumonia (12.5%).
Signals in TP53‑mutated AML (four responses among five at 12 μg/kg) are notable for this high-risk group, but durability metrics remain early. The company plans presentation at the ASH Annual Meeting in December, and dose escalation continues in the ongoing study.
8-K Event Classification
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