- SUMMIT NDA for bezuclastinib in patients with NonAdvSM submitted in
December 2025 ;APEX NDA submission for bezuclastinib in patients with AdvSM on track for 1H 2026 - PEAK NDA initiated for bezuclastinib in patients with 2L GIST under Real-Time Oncology Review (RTOR) and Breakthrough Therapy Designation (BTD); completion of NDA on track for
April 2026 - Six abstracts from SUMMIT trial of bezuclastinib in patients with NonAdvSM accepted for presentation at 2026 AAAAI annual meeting
- Strong financial position with
$901 million sufficient to fund operations into 2028
“Following three positive pivotal trials in 2025, we have entered 2026 with tremendous momentum and multiple value-creating regulatory catalysts underway,” said
Recent Company Highlights
- In
February 2026 , announced that six abstracts from the SUMMIT trial of bezuclastinib in patients with NonAdvanced Systemic Mastocytosis (NonAdvSM) have been accepted for presentation at the 2026 AAAAI annual meeting. - In
January 2026 , announced that theU. S. Food and Drug Administration (FDA) agreed to accept the PEAK NDA for bezuclastinib in patients with Gastrointestinal Stromal Tumors (GIST) who have received prior treatment with imatinib under the Real-Time Oncology Review (RTOR) program. Shortly thereafter Cogent initiated the NDA submission to the FDA under this program. Based on the results from the PEAK trial, inJanuary 2026 bezuclastinib was also granted Breakthrough Therapy Designation for this patient population. - In
December 2025 , presented full data from the SUMMIT trial evaluating bezuclastinib in patients with NonAdvSM, at theAmerican Society of Hematology (ASH) annual meeting, and submitted an NDA for bezuclastinib in NonAdvSM, supported by the SUMMIT dataset. Key findings from SUMMIT included:
- Clear clinical benefit across all symptom domains, including significant improvements across 11 individual symptoms and the most severe symptom at baseline
- Reduction in objective measures of disease, including serum tryptase, correlating with improvements in symptom severity, representing the first demonstration of this relationship in NonAdvSM patients
- Forty-eight-week data showing continued deepening of symptomatic improvement over time
- Clear clinical benefit across all symptom domains, including significant improvements across 11 individual symptoms and the most severe symptom at baseline
- In
December 2025 , announced topline results from the APEX trial evaluating bezuclastinib in patients with Advanced Systemic Mastocytosis (AdvSM), APEX is a registration-directed, global, open-label trial evaluating bezuclastinib in patients with AdvSM. Key findings included:
- Rapid and deep clinical benefit, with an objective response rate (CR+CRh+PR+CI) of 57% per mIWG criteria and 80% per PPR criteria
- A powerful effect on mast cell burden, with 89% of patients achieving a =50% reduction in bone marrow mast cells or clearance of aggregates
- Rapid and deep clinical benefit, with an objective response rate (CR+CRh+PR+CI) of 57% per mIWG criteria and 80% per PPR criteria
- In
December 2025 , announced initial preclinical results from the company’s novel, potent, selective JAK2 V617F inhibitor CGT1145 at the ASH annual meeting. These results showcased greater than 100-fold selectivity for JAK2 V617F mutations over JAK2 WT inhibition, positioning CGT1145 with a potential best-in-class profile. - In
November 2025 , successfully completed concurrent public offerings of common stock and convertible senior notes for net proceeds of approximately$546.8 million . - In
November 2025 , announced topline results from the Phase 3 PEAK trial of bezuclastinib in combination with sunitinib for patients with GIST who have received prior treatment with imatinib, becoming the first positive Phase 3 trial in second-line GIST patients in over 20 years. Highlights include:
- 16.5 months median progression free survival (mPFS) for bezuclastinib plus sunitinib compared to 9.2 months mPFS for sunitinib monotherapy (HR=0.50, CI: 0.39-0.65; p<0.0001)
- 46% Objective Response Rate (ORR) reported for bezuclastinib combination compared to 26% ORR for sunitinib monotherapy (p<0.0001)
- The safety profile of the bezuclastinib combination was well tolerated with no unique risks observed with the combination when compared to the known safety profile of sunitinib
- 16.5 months median progression free survival (mPFS) for bezuclastinib plus sunitinib compared to 9.2 months mPFS for sunitinib monotherapy (HR=0.50, CI: 0.39-0.65; p<0.0001)
- In
October 2025 , shared progress on Cogent’s internally developed KRAS(ON/OFF) inhibitor CGT1263 in a poster at the 2025AACR-NCI-EORTC International Conference on Molecular Targets andCancer Therapeutics . Updated results demonstrated clear selectivity over HRAS and NRAS, with picomolar (pM) activity across a broad panel of KRAS mutant cell lines. In addition, the poster also characterized CGT1815 (the prodrug of CGT1263), which is designed to optimize human pharmacokinetic performance, supported by pharmacokinetics data from both CGT1815 and CGT1263 across multiple species. Finally, the poster highlighted outcompete data in KRASG12D and KRASG12V tumor growth inhibition studies when compared to other KRAS exemplars including RMC-6236.
Projected Near-Term Milestones
Bezuclastinib
- Acceptance of the NDA for bezuclastinib in NonAdvSM in
February 2026 - Complete submission of PEAK NDA in
April 2026 for bezuclastinib in patients with GIST who have received prior treatment with imatinib - Submit
APEX NDA in 1H 2026 for bezuclastinib in patients with AdvSM - Present detailed clinical data from the PEAK and APEX pivotal trials at major medical meetings during 1H 2026
- Present updated SUMMIT data across six poster presentations at the AAAAI Annual meeting in
February 2026 - Pending FDA approval, launch bezuclastinib in the second half of 2026
Pipeline
- Submit Investigational New Drug (IND) applications for CGT1815, Cogent’s novel, selective pan-KRAS(ON) inhibitor and CGT1145, Cogent’s novel, selective JAK2 V617F inhibitor
- Share clinical data on CGT4859, Cogent’s selective and potent FGFR 2/3 inhibitor, from its Phase 1/2 study in patients with alterations in FGFR2 or FGFR3
- Complete dose escalation for both CGT4255, Cogent’s CNS-penetrant, selective mutant ErbB2 inhibitor, and CGT6297, Cogent’s novel, selective PI3Ka inhibitor
Bezuclastinib - Expanded Access Program
Working with the FDA, Cogent has established active Expanded Access Programs (EAPs) for
Leerink Healthcare Conference onWednesday, March 11 at10:40 a.m. ET .
- A live webcast can be accessed on the Investors & Media page of Cogent’s website at investors.cogentbio.com/events. A replay will be available approximately two hours after completion of the event and will be archived for up to 30 days.
- A live webcast can be accessed on the Investors & Media page of Cogent’s website at investors.cogentbio.com/events. A replay will be available approximately two hours after completion of the event and will be archived for up to 30 days.
Fourth Quarter and Full Year 2025 Financial Results
Cash and Cash Equivalents: As of
R&D Expenses: Research and development expenses were
G&A Expenses: General and administrative expenses were
Net Loss: Net loss was
Inducement Grants Under Nasdaq Listing Rule 5635(c)(4)
Cogent also announced today that, on
About
Forward Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, including, but not limited to, statements regarding: plans to submit an NDA for bezuclastinib in patients with AdvSM in the first half of 2026; plans to complete the submission of an NDA for bezuclastinib in combination with sunitinib in patients with GIST in
CONSOLIDATED STATEMENTS OF OPERATIONS (in thousands) (unaudited) | |||||||||||||||
| Three Months Ended | Year Ended | ||||||||||||||
| 2025 | 2024 | 2025 | 2024 | ||||||||||||
| Operating expenses: | |||||||||||||||
| Research and development | $ | 75,559 | $ | 62,045 | $ | 269,780 | $ | 232,658 | |||||||
| General and administrative | 23,934 | 11,689 | 63,583 | 43,281 | |||||||||||
| Total operating expenses | 99,493 | 73,734 | 333,363 | 275,939 | |||||||||||
| Loss from operations | (99,493 | ) | (73,734 | ) | (333,363 | ) | (275,939 | ) | |||||||
| Other income: | |||||||||||||||
| Interest income | 5,477 | 3,859 | 14,689 | 18,088 | |||||||||||
| Interest expense | (1,289 | ) | — | (3,062 | ) | — | |||||||||
| Loss on debt extinguishment | (7,181 | ) | — | (7,181 | ) | — | |||||||||
| Other income (expense), net | (6 | ) | 1,948 | (20 | ) | 1,992 | |||||||||
| Total other income, net | (2,999 | ) | 5,807 | 4,426 | 20,080 | ||||||||||
| Net loss | $ | (102,492 | ) | $ | (67,927 | ) | $ | (328,937 | ) | $ | (255,859 | ) | |||
SELECTED CONSOLIDATEDBALANCE SHEET DATA (in thousands) (unaudited) | ||||||||
| 2025 | 2024 | |||||||
| Cash, cash equivalents and marketable securities | $ | 900,765 | $ | 287,077 | ||||
| Working capital | $ | 846,402 | $ | 240,762 | ||||
| Total assets | $ | 937,607 | $ | 327,898 | ||||
| Total liabilities | $ | 301,236 | $ | 71,612 | ||||
| Total stockholders’ equity | $ | 636,371 | $ | 256,286 | ||||
Contact:
Senior Director, Investor Relations
christi.waarich@cogentbio.com
617-830-1653
Source: 