RE: FDA reporting Regulations22 Sep 2025 11:17
Aside from the required reporting of such events one thing worth remembering when thinking about P1 and P2 is that relapse risk in AML is very front-loaded. If a patient is going to relapse after achieving remission, it almost always happens in the first few weeks or months – because any surviving leukaemic progenitor cells will start repopulating the marrow very quickly. The fact that P1 is now more than six months post-HEMO-CAR-T and P2 is four months out with no relapse is hugely encouraging. Each extra month in remission actually makes it less likely that they will relapse, not more likely.
This is because CAR-T can generate memory T-cells that continue to patrol for any stray leukaemic cells. The longer a patient stays MRD-negative, the more evidence we have that either there are no leukaemic stem cells left or that the immune system is successfully keeping them in check. That’s why survival curves for CAR-T therapies flatten out over time – once you get past the early risk window you often see a “tail of the curve” where most patients stay in long-term remission and may effectively be cured.
So when you see P1 at 6+ months and P2 at 4+ months, it’s not just good news – it actually becomes increasingly powerful evidence that HEMO-CAR-T is doing more than just bridging to transplant. It’s showing the potential for durable, possibly curative remissions in FLT3+ r/r AML without HSCT.