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Fulcrum Therapeutics (FULC) investor relations material
Fulcrum Therapeutics 44th Annual J.P. Morgan Healthcare Conference summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Strategic focus and pipeline
Focused on developing oral small molecules to modify gene expression for rare diseases, with a primary emphasis on sickle cell disease.
Lead asset, pociredir, is a fetal hemoglobin inducer with Fast Track and Orphan designation, and patents extending to 2040.
Early-stage pipeline includes discovery efforts in other benign hematological conditions and oncology.
Strong cash position of $352 million, providing runway into at least 2029.
Sickle cell disease landscape and unmet need
Sickle cell disease affects 7.7 million globally, with significant prevalence in the US and Europe, primarily impacting Black and brown populations.
Patients experience chronic pain, acute vaso-occlusive crises (VOCs), and a substantial reduction in life expectancy.
Recent withdrawals of Adakveo and Oxbrita, and limited uptake of gene therapies, highlight persistent unmet needs.
Oral, once-daily fetal hemoglobin inducers are positioned as a promising alternative due to ease of use and efficacy.
Clinical data and efficacy of pociredir
Phase Ib study tested 2mg, 6mg, 12mg, and 20mg doses in sickle cell patients, focusing on safety, HbF induction, hemolysis markers, anemia, and VOCs.
20mg cohort showed robust HbF increase from 7% to 16.9% in 6 weeks; over half of patients exceeded 20% HbF after 12 weeks.
All patients achieved at least a 6.5% HbF increase, correlating with meaningful reductions in VOCs.
Markers of hemolysis (LDH, bilirubin, reticulocytes, red cell distribution width) decreased, and total hemoglobin increased by 0.8g/dL in 6 weeks.
Observed 5 VOCs in 12 patients over 12 weeks, versus 16 expected, with 8 patients experiencing no VOCs.
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