ASH 2025: strong evidence
Updated full data from Faron's Phase 1/2 BEXMAB study
Deep and durable responses in HR-MDS with favorable safety profile
Significant efficacy observed in TP53-mutated patients with a 70% complete remission rate in the frontline HR MDS
Key highlights:
- Median overall survival (mOS) with bexmarilimab and azacitidine in relapsed/refractory (r/r) HR-MDS patients reached 14.5 months (increased from 13.4 months observed earlier), a significant improvement in a population with historically poor survival of only 5-6 months
- In treatment-naïve patients with HR-MDS and TP53 mutation, the combination achieved a remarkable 70% complete remission (CR) rate
- Deep responses allowed 50% of treatment-naïve TP53-mutated patients and 21% of r/r TP53-mutated patients to proceed to stem cell transplant (SCT)
- For the first time, data shows 57% of frontline patients who were transfusion-dependent at baseline achieved transfusion independence, confirming restoration of healthy bone marrow function
Future:
Zeidan:/ "We remain excited about this combination as the data continue to mature over time, and we look forward to initiating the randomized registrational phase 2/3 trial in the near future."
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Reactions:
- stock market: slow
- clinical community: instant
Bono:/ "After this oral presentation, multiple top-notch and highly active centers have expressed their interest in joining our upcoming registrational trial."
+ Comments by DNB Carnegie:
https://access.dnbcarnegie.com/publication/b25f2484-06bf-4668-d8d7-08de36675890
A.o. "Another important clinical benefit observed in the study was the improvement in transfusion independence (TI). Among treatment-naïve HR-MDS patients who were transfusion-dependent at baseline, 57% achieved TI during the study. Across the overall study population, 23% of transfusion-dependent patients became TI. Achieving TI is a meaningful improvement in patients’ quality of life and is considered a key indicator of therapeutic benefit in MDS."
"We find the data presented further highlights BEX as an attractive late-stage asset well positioned for partnering, which we continue to view as the key near-term potential share-price catalyst."
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