C4 Therapeutics(US:CCCC)2026-02-11 17:32Summary of C4 Therapeutics Conference Call Company Overview - C4 Therapeutics is focused on targeted protein degradation (TPD) with a clinical pipeline that includes its lead program, cemsidomide, an IKZF1/3 degrader, which is in later-stage clinical development [6][8] - The company has a phase 2 study called the MOMENTUM trial, which is set to start this quarter, and a phase 1/b study in combination with elranatamab planned for the second quarter [6][8] - C4 has collaborations with Betta Pharmaceuticals for an EGFR degrader in China, and ongoing partnerships with Biogen, Roche, and Merck KGaA [7] Pipeline and Development Focus - Cemsidomide is a key focus, but the company is also excited about its discovery efforts and collaborations [8] - The company plans to evaluate data from the phase 1 study for the EGFR degrader to determine potential U.S. clinical development [8] - The emphasis on discovery collaborations is crucial for the company's strategy [8] Regulatory Environment and MRD Negativity - The FDA's new draft guidance on minimal residual disease (MRD) as a surrogate endpoint for myeloma is seen as beneficial for expediting drug development [10][11] - C4 Therapeutics believes that incorporating MRD negativity as an endpoint can help de-risk drug development and support accelerated approval [11][14] - The company plans to measure MRD negativity in its trials to strengthen the case for cemsidomide's approval [13][14] Competitive Landscape - Upcoming data from Bristol's iberdomide and mezigdomide trials will provide insights into the efficacy of highly potent degraders, which could benefit the field [16][17] - C4 Therapeutics does not view these trials as direct competition but anticipates they will provide benchmark data for planning pivotal trials [17] Clinical Trial Design and Expectations - The company aims for a 40% response rate in the MOMENTUM trial, with a minimum expected response rate of 20% to support accelerated approval [25][24] - The timeline for patient enrollment is set at 12 months, with early readouts expected within a year of closing the study [26][23] - Full regulatory endpoints will require longer follow-up, projected into 2028 [26] Financing and Future Plans - Recent financing has extended the company's runway to the end of 2028, allowing for the execution of planned studies [28] - Additional funding of over $200 million could facilitate a swift transition from phase 1/b to phase 3 planning [28] Combination Studies and Dosing Strategies - The company is designing studies for cemsidomide in combination with elranatamab, focusing on patients with 2 to 4 lines of prior therapy [30] - Dosing strategies are being carefully considered to manage overlapping toxicities and ensure patient safety [34][35] Communication and Updates - C4 Therapeutics commits to providing reasonable top-line updates as the trial progresses, with the first update expected after completing the first cohort [37][39] Conclusion - C4 Therapeutics is strategically positioned in the TPD space with a strong focus on cemsidomide and its potential for accelerated approval through innovative trial designs and regulatory strategies [6][8][10]