Core Viewpoint - The application for Azacitidine by Excella GmbH & Co. KG has been accepted by the National Medical Products Administration, indicating a significant step in the drug approval process in China [1] Group 1: Drug Application Details - The application for Azacitidine was accepted on December 30, 2025, with the acceptance number JTH2500208 [1] - The application type is for import registration, classified as a chemical drug [1] Group 2: Company Information - Excella GmbH & Co. KG is associated with Bristol-Myers Squibb Pharma EEIG and Bristol-Myers Squibb (China) Investment Co., Ltd. [1] - Bristol-Myers Squibb (China) Investment Co., Ltd. was established on November 9, 1998, and is a large-scale foreign-owned limited liability company with a registered capital of 10,500 million USD [1] - The company is located at 17th Floor, 1717 Nanjing West Road, Jing'an District, Shanghai, and has 921 insured employees [1]

Ziftomenib + Ven/Aza in Newly Diagnosed NPM1-m AML - In newly diagnosed NPM1-m AML patients, the combination of ziftomenib 600 mg QD with Ven/Aza resulted in a composite complete remission (CRc) rate of 86% (32/37), with a complete remission (CR) rate of 73% (27/37)[35] - Among CRc responders in newly diagnosed NPM1-m AML, 68% (17/25) achieved MRD negativity at a threshold of ≤01% and 44% (11/25) at a threshold of ≤001%[36] - In newly diagnosed NPM1-m AML, 68% (27/40) of patients remained alive and continued on study after a median follow-up of 261 weeks[40] Ziftomenib + Ven/Aza in R/R NPM1-m or KMT2A-r AML - In R/R NPM1-m AML patients, the combination of ziftomenib 600 mg with Ven/Aza resulted in an overall response rate (ORR) of 65% (31/48) and a CRc rate of 48% (23/48)[57] - In R/R KMT2A-r AML patients, the combination of ziftomenib 600 mg with Ven/Aza resulted in an ORR of 41% (13/32) and a CRc rate of 28% (9/32)[57] - Among R/R NPM1-m AML patients without prior venetoclax exposure, the CRc rate was 70% (16/23) and the ORR was 83% (19/23)[58] - Among R/R KMT2A-r AML patients without prior venetoclax exposure, the CRc rate was 60% (6/10) and the ORR was 70% (7/10)[58] - For R/R NPM1-m AML, the median duration of CRc was 399 weeks after a median follow-up of 274 weeks[61] - For R/R KMT2A-r AML, the median duration of CRc was 124 weeks after a median follow-up of 169 weeks[64]

Core Insights - The combination of ziftomenib with venetoclax and azacitidine shows promising clinical activity in treating acute myeloid leukemia (AML) with NPM1 mutations, achieving an 86% composite complete remission (CRc) rate in newly diagnosed patients and a 65% overall response rate (ORR) in relapsed/refractory cases [1][2][5] - Ziftomenib has a favorable safety profile, with low rates of myelosuppression and manageable side effects, supporting its potential integration into treatment regimens for AML [4][7][8] - Ongoing registrational trials for ziftomenib are expected to further establish its role in both front-line and relapsed/refractory settings for AML [2][8][13] Summary by Category Clinical Efficacy - In newly diagnosed NPM1-m AML, 86% of patients achieved CRc, with 68% of responders attaining molecular minimal residual disease (MRD) negativity [1][3] - In relapsed/refractory NPM1-m AML, the ORR was 65%, and in venetoclax-naïve patients, it increased to 83% [2][11] - For KMT2A-r AML, the ORR was 41%, with 70% in venetoclax-naïve patients [1][11] Safety Profile - The triplet combination of ziftomenib, venetoclax, and azacitidine was well tolerated, with low rates of ziftomenib-related myelosuppression [4][7] - Adverse events included one case of grade 2 differentiation syndrome and one case of grade 3 QTc prolongation, both managed without treatment discontinuation [4][7] Ongoing Development - Kura Oncology is conducting registrational trials for ziftomenib in both intensive chemotherapy-eligible and -ineligible patients [1][2] - The company is also activating sites for pivotal trials, indicating confidence in the drug's potential as a foundational treatment for AML [8][13]

Core Insights - Kura Oncology and Kyowa Kirin announced that results from the KOMET-007 trial of ziftomenib will be presented at the ASH 2025 Annual Meeting on December 8, 2025 [1][2] Group 1: Trial Details - KOMET-007 is a Phase 1a/b study assessing ziftomenib in combination with standard chemotherapies for adults with NPM1-mutated or KMT2A-rearranged acute myeloid leukemia (AML) [2] - The upcoming presentations will include data on newly diagnosed adults with NPM1-m AML and updated results for relapsed or refractory cases treated with ziftomenib combined with venetoclax and azacitidine [2][3] Group 2: Presentation Information - Two oral presentations will take place on December 8, 2025, focusing on the safety and clinical activity results from the KOMET-007 trial [5] - The presentations will provide more mature data, including additional response-evaluable patients and expanded safety summaries [3] Group 3: Company Overview - Kura Oncology is a clinical-stage biopharmaceutical company focused on precision medicines for cancer treatment, with a pipeline targeting hematologic malignancies and solid tumors [6] - Ziftomenib is a menin inhibitor aimed at specific genetic drivers of acute myeloid leukemias, with ongoing efforts to advance menin inhibition in various cancer types [6]

Core Insights - Bleximenib, an investigational selective menin inhibitor, demonstrates potential as a combination therapy for relapsed or refractory acute myeloid leukemia (AML) and newly diagnosed, intensive chemotherapy-ineligible AML [1][2] - The Phase 1b study shows promising efficacy and safety data, with an overall response rate (ORR) of 82% for relapsed or refractory AML and 90% for newly diagnosed patients [2][3] - The safety profile indicates a low rate of differentiation syndrome and no significant cardiac safety signals, supporting further investigation in Phase 2 and 3 studies [1][2][3] Company Overview - Johnson & Johnson is committed to addressing unmet medical needs in hematologic malignancies, focusing on innovative treatment options for AML [2][8] - The company is exploring the potential of bleximenib both as a monotherapy and in combination with standard care regimens in ongoing clinical trials [6][8] Industry Context - Acute myeloid leukemia is the most common type of acute leukemia in adults, characterized by low survival rates and poor patient outcomes, particularly in those with KMT2A gene rearrangements and NPM1 mutations [2][7] - The five-year survival rate for AML remains the lowest among leukemias, highlighting the urgent need for effective treatment options [7]