Core Insights - Aptose Biosciences is presenting promising data from the TUSCANY trial, which evaluates the safety and efficacy of the tuspetinib-based triplet therapy (TUS+VEN+AZA) for newly diagnosed AML patients ineligible for induction chemotherapy [1][2][3] Group 1: Clinical Trial Data - The TUSCANY trial has shown that the addition of tuspetinib to the standard treatment of venetoclax and azacitidine has resulted in complete remission (CR) or complete remission with incomplete hematologic recovery (CRh) in 100% of patients treated at higher doses of 80 mg and 120 mg [5][6] - Overall, 90% of patients in the trial have achieved CR/CRh responses, with 88% of FLT3 wildtype AML patients responding positively [6][8] - The therapy has demonstrated activity across diverse genetic subtypes, including those with unmutated FLT3, FLT3-ITD, NPM1c, biallelic TP53, RAS, and myelodysplasia-related mutations [3][14] Group 2: Safety Profile - The TUS+VEN+AZA combination has been well tolerated, with no significant safety concerns or dose-limiting toxicities reported, including no prolonged myelosuppression, differentiation syndrome, QTc prolongation, or treatment-related deaths [2][6] - Dosing has commenced at the 160 mg level, indicating ongoing escalation in the trial [5][14] Group 3: Trial Design and Objectives - The TUSCANY trial is a Phase 1/2 study being conducted at 10 leading U.S. clinical sites, aiming to establish a safe and effective frontline therapy for a broad range of newly diagnosed AML patients [9][11] - The trial is designed to test various doses and schedules of tuspetinib in combination with standard dosing of azacitidine and venetoclax, with an anticipated enrollment of 18-24 patients by the end of 2025 [9][10]

Core Insights - The TUSCANY trial is evaluating the safety and efficacy of a triplet therapy combining tuspetinib (TUS) with venetoclax (VEN) and azacitidine (AZA) for newly diagnosed acute myeloid leukemia (AML) patients who are ineligible for induction chemotherapy [1][8] - Initial results from 10 patients show promising clinical safety and antileukemic activity, with a high rate of complete remissions (CR) and minimal safety concerns [2][3] Summary by Sections Trial Overview - The TUSCANY Phase 1/2 trial is designed to test various doses of TUS in combination with standard dosing of AZA and VEN for AML patients [9] - The trial is being conducted at 10 leading U.S. clinical sites, with an expected enrollment of 18-24 patients by the end of 2025 [9] Safety and Efficacy - No significant safety concerns or dose-limiting toxicities (DLTs) have been observed in the TUSCANY trial, including no prolonged myelosuppression or treatment-related deaths [2][6] - The addition of TUS to VEN+AZA achieved CR/CRh responses in 100% of patients treated at higher dose levels of 80 mg and 120 mg, exceeding the expected 66% response rate from VEN+AZA alone [5][6] Patient Responses - Out of 10 patients, 9 achieved complete remissions, with 7 demonstrating minimal residual disease (MRD) negativity [3][14] - The therapy has shown effectiveness across diverse genetic subtypes, including those with unmutated FLT3, FLT3-ITD, and TP53 mutations [3][14] Current Developments - Dosing has progressed to the 160 mg TUS level, with ongoing assessments of safety and efficacy [2][5][14] - The triplet therapy is being developed as a mutation-agnostic frontline treatment for AML, targeting a broad range of patient populations [2][8]

Core Insights - Aptose Biosciences Inc. presented data from its Phase 1/2 TUSCANY trial for newly diagnosed AML patients treated with tuspetinib in combination with venetoclax and azacitidine at the EHA 2025 Congress [1][3] Group 1: Study Overview - The TUS+VEN+AZA triplet is being developed as a mutation-agnostic frontline therapy for newly diagnosed AML patients who cannot receive induction chemotherapy [2][8] - The TUSCANY trial is designed to test various doses of tuspetinib in combination with standard dosing of azacitidine and venetoclax [9] Group 2: Key Findings - The addition of tuspetinib to standard care creates a well-tolerated and mutation-agnostic frontline therapy for newly diagnosed AML [5] - Ten AML patients have been treated with the TUS+VEN+AZA combination, with complete remissions and minimal residual disease negativity observed across diverse mutations [6][7] - At the 40 mg dose level, three out of four patients achieved complete remissions and were MRD-negative, while at the 80 mg dose level, all three patients achieved composite complete remissions [6] Group 3: Safety and Efficacy - No dose-limiting toxicities (DLTs) have been observed to date, and all ten subjects treated remain alive [6][7] - TUS demonstrated activity across diverse genetic populations, including those with adverse TP53 mutations [6][8] - The triplet therapy continues to be well tolerated, with no treatment-related deaths or significant adverse events reported [6][7]