11/03/2025
🚀 ASH 2025: A New Era of MPN Precision Medicine is Here!
I am very proud and happy to be attending the American Society of Hematology (ASH) Annual Meeting in December (in Orlando) for the 11th consecutive year!
This year, one area of focus that is truly poised to change treatment for the MPN community: Highly Targeted Therapies for CALR-Mutated Disease. It's early stage, but these approaches look promising.
I want to spotlight two impactful abstracts, both focused on the 20-30% of MPN patients who have the CALR driver mutation.
Highlight 1: The Smart Bomb Approach
Abstract: Discovery of first-in-class CALR-targeted precision ADCs delivering a CDK9 degrader payload for the treatment of CALR-mutated MPNs. (Prelude Therapeutics)
The Big Idea (The "Smart Bomb"): This is a new type of therapy called a Precision Antibody-Drug Conjugate (ADC). It acts like a guided missile that attaches directly to the abnormal mutant CALR protein found only on the surface of the malignant MPN cells.
The Impact: It then delivers a potent drug payload right inside the cell to destroy it, aiming to eliminate the disease-causing stem cells while leaving healthy cells alone. This is the definition of disease-modifying potential.
Highlight 2: The First-in-Class Antibody
Abstract: Safety And Efficacy Of INCA033989, A Novel First In Class Mutant Calreticulin-Specific Monoclonal Antibody, in MF/ET (Incyte)
The Big Idea (The "Blocker"): This is a monoclonal antibody designed to be the very first to directly target the mutant CALR protein. Instead of delivering a killer payload, it aims to block the abnormal signaling caused by the mutant CALR protein in the disease.
The Impact: The abstract will share important Phase 1 clinical data on its safety and effectiveness in patients with Myelofibrosis (MF) and Essential Thrombocythemia (ET) who haven't responded well to standard therapies. This is a critical next step in moving this new drug class toward approval.
🎯 The Takeaway: Expertise Meets Precision
The fact that two different companies are presenting powerful, novel, targeted agents for CALR-mutated MPNs is a huge win for patients. It confirms that targeting the mutant CALR protein is a validated strategy.
Furthermore, it’s worth noting the deep bench of experience behind these innovations: The CEO of Prelude Therapeutics, Dr. Kris Vaddi, was a Founding Scientist at Incyte Corporation and championed the Jakafi (ruxolitinib) research programs! We are seeing the veterans of MPN drug development apply their expertise to the next generation of precision treatments.
This is just one example that caught my eye, I will share more in the upcoming days. And before you ask, YES there are advances on JAK2 targeting as well.
Search here if you want to check out the abstracts from ASH 2025: https://submit.hematology.org/program
Be sure to visit https://www.pvreporter.com/ your MPN Resource Hub.
PV Reporter was created to provide “easy access” to pertinent information on Polycythemia Vera (PV), Essential Thrombocythemia (ET) and Myelofibrosis (MF)