Terns Pharmaceuticals, Inc. — Cyborg Score 8/10

Strong
Biopharmaceutical/Clinical-Stage Oncology

Strategic Profile

TERN-701 is a highly selective allosteric BCR-ABL inhibitor with a potentially best-in-disease profile that could meaningfully improve upon the efficacy, safety and convenience of existing CML treatments. The Phase 1 CARDINAL trial showed a 75% cumulative major molecular response (MMR) rate by 24 weeks with 100% MMR durability and encouraging safety across doses.

Cyborg Score Rationale

The company raised $747.5 million in a December 2025 capital offering, with expected cash runway into 2028. Multiple key milestones planned for 2026 include pivotal dose selection, FDA End of Phase 2 meeting in mid-2026, and initiation of a pivotal trial in late 2026/early 2027.

Top Insights

  • Unprecedented Phase 1 CML efficacy data showing 75% MMR achievement by 24 weeks in higher dose cohorts with durable responses and favorable safety profile
  • $747.5 million capital raise closed December 2025 provides extended runway to fund development and manufacturing
  • Multiple transformational milestones planned for 2026: pivotal dose selection, FDA regulatory interaction mid-2026, and pivotal trial initiation targeting faster enrollment than historical CML standards
  • Company discontinued obesity drug program after Phase 2 trial showed modest efficacy and safety concerns, allowing focused strategy on high-potential TERN-701

Named Competitors

  • Dasatinib — Second-generation BCR-ABL tyrosine kinase inhibitor for CML
  • Nilotinib — Second-generation BCR-ABL tyrosine kinase inhibitor for CML
  • Bosutinib — Second-generation BCR-ABL tyrosine kinase inhibitor for CML

Recent Developments

  • (February 2026) Equity inducement grants to new employees signal ongoing team expansion
  • (December 2025) Public offering of 18.7M shares at $40/share raising $747.5M gross proceeds
  • (December 2025) ASH 2025 abstract presented expanded CARDINAL Phase 1/2 data with 75% MMR at 24 weeks in higher doses

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