Curis Announces Additional Data from TakeAim Leukemia Study
Rhea-AI Summary
Curis announced updated data from its ongoing TakeAim Leukemia study, focusing on emavusertib (CA-4948) treatment for relapsed/refractory AML patients with FLT3 and U2AF1/SF3B1 mutations. The dataset increased from 5 to 30 patients, showing 6 objective responses in 11 FLT3m patients and 4 in 18 SFm patients. Notable responses included complete remission and morphologic leukemia-free state. The data also highlighted increased neutrophil counts in several ongoing patients, indicating potential clinical benefits. These findings will be presented at the ASCO and EHA conferences.
Positive
- Expansion of patient dataset from 5 to 30 enhances study robustness.
- 6 objective responses in 11 response-evaluable FLT3m patients, including 3 complete remissions.
- Increased neutrophil counts in several SFm patients, indicating clinical improvement.
- Data to be presented at high-profile ASCO and EHA conferences, increasing visibility.
Negative
- Only 4 out of 18 response-evaluable SFm patients showed objective responses.
- 2 patients were not response-evaluable, raising concerns about data completeness.
- Majority of FLT3m and SFm patients previously treated with venetoclax and HMA, indicating potential resistance or new treatment options.
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Data update expands AML dataset from 5 to 30 patients
This update includes data for 25 new patients in the FLT3 mutation (FLT3m) and U2AF1/SF3B1 Splicing Factor mutation (SFm) cohorts who had received fewer than 3 lines of prior therapy and were treated with emavusertib as monotherapy at the Recommended Phase 2 Dose (RP2D) of 300 mg BID.
Prior Data | New | Total | ||||
FLT3m AML | 3 | 9 | 12 | |||
SFm AML | 3 | 17 | 20 | |||
adjustment for patients with dual mutation** | (1) | (1) | (2) | |||
5 | 25 | 30 | ||||
* data cut-off as of February 26, 2024
** 2 patients had both FLT3m and SFm (dual mutation)
1 patient in the initial group of 5 patients; 1 patient in the new group of 25 additional patients
FLT3m Cohort – 12 relapsed/refractory patients enrolled to date
12 R/R AML patients with FLT3m were treated with emavusertib. Prior therapies included venetoclax (8/12), hypomethylating agents or HMA (9/12), and FLT3 inhibitors (9/12). Preliminary data show 6 objective responses in 11 response-evaluable patients: 3 complete remission (CR), 1 CR with partial hematologic recovery (CRh) and 2 morphologic leukemia-free state (MLFS) with on-treatment duration range of 46-324 days. 4 patients are ongoing at the data-cutoff, including 1 CRh and 1 MLFS.
- 3 of 3 patients who were naïve to FLT3i treatment achieved objective response (2 CR, 1 MLFS)
- 3 of 8 patients who progressed on, or following, prior FLT3i treatment achieved objective response (1 CR, 1 CRh, 1 MLFS)
- 1 patient is not response-evaluable
All responders demonstrated complete normalization of blast counts in the bone marrow. One of these patients proceeded to allogenic stem cell transplantation. Responses were achieved rapidly in this population, with 5 of 6 responses occurring within one cycle of treatment.
SFm Cohort – 20 relapsed/refractory patients enrolled to date
20 R/R AML patients with SFm were treated with emavusertib. Prior therapies included venetoclax (18/20) and HMA (17/20). Preliminary data show 4 of 18 response-evaluable patients in this population have achieved objective response (CR/CRh/MLFS). 8 of 20 patients are ongoing at the data-cutoff, including 1 MLFS and 3 non-responding patients who have shown increased neutrophil counts.
- All 4 responders (1 CR, 2 CRh, 1 MLFS) had received prior treatment with an HMA; 3 of whom had also received prior treatment with venetoclax
- 3 additional non-responding patients are ongoing and have shown increased neutrophil counts
- 2 patients are not response-evaluable
All responders demonstrated complete normalization of blast counts in the bone marrow. One of these patients proceeded to allogenic stem cell transplantation. "In addition to the responders, we see increased neutrophil counts in several additional ongoing patients. Since a leading cause of death in patients with AML is infection (related to low neutrophil counts), an increase in neutrophils represents a meaningful clinical improvement for these patients," said Dr. Robert Martell, MD, PhD, Chief Scientific Officer of Curis.
"We are encouraged by emavusertib's continued demonstration of clear single-agent activity supporting its potential in both monotherapy and combination therapy in AML," said James Dentzer, President and CEO of Curis.
About Curis, Inc.
Curis is a biotechnology company focused on the development of emavusertib, an orally available, small molecule IRAK4 inhibitor. Emavusertib is currently undergoing testing in the Phase 1/2 TakeAim Lymphoma study in patients with relapsed/refractory primary central nervous system lymphoma (PCNSL) in combination with the BTK inhibitor ibrutinib, as a monotherapy in the Phase 1/2 TakeAim Leukemia study in patients with relapsed/refractory acute myeloid leukemia (AML) and relapsed/refractory high risk myelodysplastic syndrome (hrMDS) with either a FLT3 mutation or a splicing factor mutation (U2AF1 or SF3B2), and as a frontline combination therapy with azacitidine and venetoclax in patents with AML. Emavusertib has received Orphan Drug Designation from the
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SOURCE Curis, Inc.