| Progressed Plans to Establish Cemsidomide as a Potentially Foundational Treatment for Multiple Myeloma; Enrollment Ongoing in Phase 2 MOMENTUM Trial and Phase 1b Trial in Combination with Elranatamab |
| Additional Phase 1b Trial Evaluating Cemsidomide in Combination with Approved Multiple Myeloma Therapies Expected to Initiate in the First Half of 2027 |
| Cash, |
“During the first quarter, we made strong progress advancing cemsidomide as a potential best-in-class IKZF1/3 degrader for the treatment of multiple myeloma, highlighted by the initiation of two new clinical trials and plans to begin an additional combination trial next year. We believe our clinical development path further supports the advancement of IKZF1/3 degradation – the only mechanism targeting a central transcriptional dependency in multiple myeloma – and will help position cemsidomide as a potentially foundational therapy for these patients with relapsed refractory disease,” said
FIRST QUARTER 2026 HIGHLIGHTS AND RECENT ACHIEVEMENTS
- Planning is underway to initiate an additional Phase 1b trial evaluating cemsidomide in combination with approved multiple myeloma (MM) therapies. The trial will include two treatment arms: (1) cemsidomide, dexamethasone, and a proteasome inhibitor, and (2) cemsidomide, dexamethasone, and a CD38 antibody, for the relapsed refractory (RR) MM patients. Trial initiation is expected in the first half of 2027 with the goal of further establishing cemsidomide’s profile as a potentially foundational therapy across multiple lines of MM treatment.
- Data from the Phase 1 trial evaluating cemsidomide in combination with dexamethasone in RRMM was accepted as a poster presentation at the European Hematology Annual
(EHA) Congress taking place fromJune 11 –June 14, 2026 , inStockholm, Sweden . Enrollment was completed inSeptember 2025 , and the poster presentation will include further analysis from the ongoing trial.
- A trial-in-progress poster highlighting the Phase 2 MOMENTUM trial evaluating cemsidomide in combination with dexamethasone in RRMM was accepted at the 2026
American Society of Clinical Oncology (ASCO) Annual Meeting taking place fromMay 29 –June 2, 2026 , inChicago, Illinois .
- The first patient was dosed in the Phase 1b trial in
March 2026 . The trial is evaluating cemsidomide and dexamethasone in combination with elranatamab (ELREXFIO®), B-cell maturation antigen CD3 targeted bispecific antibody, for earlier lines of MM treatment.
- The first patient was dosed in the Phase 2 MOMENTUM trial in
February 2026 . The trial is evaluating cemsidomide in combination with dexamethasone in MM for the fourth line or later. The trial is expected to enroll approximately 100 patients and is on track to complete enrollment by the end of Q1 2027.
- Based on the evolving treatment landscape for EGFR mutated non-small cell lung cancer (NSCLC), capital priorities, and available clinical data to date, C4T has made the decision to not advance CFT8919, an EGFR L858R degrader, into the next phase of clinical development outside of
Greater China at this time.
- C4T entered into a new collaboration agreement with Roche in
April 2026 , to advance research in the emerging degrader-antibody conjugate (DAC) modality. C4T and Roche will combine antibody-drug conjugation and targeted protein degradation to develop a new way to treat cancers. InMay 2026 , C4T received an upfront payment of$20 million .
UPCOMING MILESTONES
EHA Congress ,June 11 – 14, 2026: Dr.Sagar Lonial , MD, FACP, FASCO, Chief Medical Officer at theWinship Cancer Institute atEmory University , will present a poster titled “Updated Results of a Phase 1 First-In-Human Study of Cemsidomide, a Novel MonoDAC® Degrader, with Dexamethasone in Patients with RRMM” at theEHA Congress onFriday, June 12, 2026 at6:45 pm CEST /12:45 pm ET .
- 2H 2026: Provide an update on the dose escalation progress from the Phase 1b trial evaluating the combination of cemsidomide, dexamethasone, and elranatamab.
- By year-end 2026: Deliver at least one development candidate to a collaboration partner and advance collaborations toward key milestones.
UPCOMING INVESTOR EVENTS
May 26 th at2:30 pm ET : Management will participate in a virtual fireside chat at TD Cowen’s 7th Annual Oncology Innovation Summit: Insights for ASCO & EHA, taking place virtually fromMay 26 –May 27, 2026 .
June 3 rd at8:45 am ET : Management will participate in a fireside chat at the 2026Jefferies Global Healthcare Conference taking place inNew York, NY fromJune 2 –June 4, 2026 .
June 10 th: Management will participate in 1x1 meetings at the Goldman Sachs 47th Annual Global Healthcare Conference taking place inMiami, FL fromJune 8 – 10, 2026.
FIRST QUARTER 2026 FINANCIAL RESULTS
Revenue: Total revenue for the first quarter of 2026 was
Research and Development (R&D) Expense: R&D expense for the first quarter of 2026 was
General and Administrative (G&A) Expense: G&A expense for the first quarter of 2026 was
Net Loss and Net Loss per Share: Net loss for the first quarter of 2026 was
Cash Position and Financial Guidance: Cash, cash equivalents and marketable securities as of
About Cemsidomide
Cemsidomide is an investigational, orally bioavailable molecular glue degrader (MonoDAC® degrader) of IKZF1/3, transcription factors foundational to multiple myeloma biology. Data from the Phase 1 trial, which has completed enrollment, show cemsidomide’s differentiated safety and tolerability profile and potentially class-leading anti-myeloma activity that support the potential for durable outcomes.
About the MOMENTUM Trial
MOMENTUM (Multi-center trial Of cemsidoMidE iN relapsed/refracTory mUltiple Myeloma) is a Phase 2, open-label, single-arm study to evaluate the efficacy, safety, pharmacokinetics and pharmacodynamics of cemsidomide in combination with dexamethasone in patients with relapsed/refractory multiple myeloma. Data from the Phase 1 trial identified 100 µg as the recommended Phase 2 dose. The primary endpoint is overall response rate per
About Cemsidomide in Combination With Elranatamab (ELREXFIO®)
The Phase 1b trial is designed to evaluate the safety, tolerability and preliminary efficacy of cemsidomide and dexamethasone in combination with elranatamab, an FDA-approved B-cell maturation antigen CD3 targeted bispecific antibody. Data generated from the cemsidomide Phase 1 trial in relapsed/refractory multiple myeloma demonstrate robust T-cell activation and cytokine expression across multiple doses. By activating immune T-cells, cemsidomide, when combined with a BCMAxCD3 bispecific such as elranatamab, may amplify the anti-myeloma immune response and lead to deeper and more durable responses. The study will evaluate different cemsidomide dose levels (beginning with 75 µg, with the opportunity to simultaneously explore 50 µg and 100 µg) in patients who have received one to four prior lines of therapy, which must have consisted of at least one IKZF1/3 degrader. Exclusion criteria for patients include those who have received prior treatment with a BCMA-directed T-cell engager or BCMA-directed CAR-T therapy. More information is available at clinicaltrials.gov (NCT07280013).
About Multiple Myeloma
Multiple myeloma (MM) is a rare blood cancer affecting plasma cells. Approximately 36,000 people in
About
Forward Looking Statements
This press release contains “forward-looking statements” of
Contacts:
Investors:
Associate Director, Investor Relations
CSolberg@c4therapeutics.com
Vice President, Investor Relations
LGibson@c4therapeutics.com
Media:
Senior Director,
LSpreen@c4therapeutics.com
| Condensed Consolidated Balance Sheet Data | ||||||
| (in thousands) | ||||||
| Cash, cash equivalents and marketable securities | $ | 268,271 | $ | 297,100 | ||
| Total assets | 328,861 | 359,075 | ||||
| Deferred revenue | 25,564 | 28,334 | ||||
| Total stockholders' equity | 234,247 | 256,587 | ||||
| Condensed Consolidated Statements of Operations | ||||||||
| (in thousands, except share and per share amounts) | ||||||||
| Three Months Ended | ||||||||
| 2026 | 2025 | |||||||
| Revenue from collaboration agreements | $ | 6,152 | $ | 7,238 | ||||
| Operating expenses: | ||||||||
| Research and development | 24,606 | 27,072 | ||||||
| General and administrative | 9,331 | 9,330 | ||||||
| Total operating expenses | 33,937 | 36,402 | ||||||
| Loss from operations | (27,785 | ) | (29,164 | ) | ||||
| Other income, net: | ||||||||
| Interest and other income, net | 2,656 | 2,842 | ||||||
| Total other income, net | 2,656 | 2,842 | ||||||
| Net loss | $ | (25,129 | ) | $ | (26,322 | ) | ||
| Net loss per share - basic and diluted | $ | (0.20 | ) | $ | (0.37 | ) | ||
| Weighted-average shares outstanding - basic and diluted | 126,074,555 | 70,833,044 | ||||||
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