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Pivekimab Sunirine

Phase 2

Acute Myeloid Leukemia | Small molecule | Oncology |AbbVie Inc.|Last Updated: Jun 2, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment678
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07581002A Study to Assess Adverse Events and Change in Disease Activity When Intravenous (IV) Pivekimab Sunirine is Given in Combination With Oral Venetoclax and IV or Subcutaneous Azacitidine in Adult Participants With Acute Myeloid Leukemia (AML)PHASE2 NOT YET_RECRUITING 660Jul 22, 2026Jun 1, 2032May 12, 2026 -
NCT07306832A Study to Assess Adverse Events and How Intravenous (IV) Pivekimab Sunirine Moves Through the Body in Pediatric Participants With Relapsed or Refractory Acute Myeloid Leukemia (AML)PHASE1 RECRUITING 18May 20, 2026Mar 1, 2030Jun 2, 20265 United States, Australia +1
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Study Endpoints
Primary Endpoints
Phase 2: Complete remission (CR)
Up to Approximately 71 Months

CR per modified 2022 European LeukemiaNet (ELN) response criteria in AML

Phase 3: Complete remission (CR)
Up to Approximately 71 Months

CR per modified 2022 European LeukemiaNet (ELN) response criteria in AML

Phase 3: Overall Survival (OS)
Up to Approximately 71 Months

The time (in number of days) from randomization to death due to any cause.

Number of Participants with Adverse Events (AEs)
Up to approximately 71 months

An AE is defined as any untoward medical occurrence in a patient or clinical investigation in which a participant is administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

Number of Participants with Treatment-Emergent Adverse Events (TEAEs) Leading to Treatment Discontinuation
Up to Approximately 24 Months

Number of participants with protocol specified Treatment-Emergent Adverse Events (TEAEs) during and after treatment with pivekimab sunirine (PVEK). Severity of TEAEs will be graded according to the National Cancer Institute (NCI) Common Toxicity Criteria for Adverse Events (CTCAE) version 5.0.

Maximum Observed Serum/Plasma Concentration (Cmax) of Intact Antibody-Drug Conjugate (ADC)
Up to Approximately 22 Months

Maximum observed serum/plasma concentration of intact ADC.

Cmax of FGN849 Payload
Up to Approximately 22 Months

Maximum observed serum/plasma concentration of FGN849 payload.

Area Under the Concentration-Time Curve (AUC) of Intact ADC
Up to Approximately 22 Months

Area under the concentration-time curve of intact ADC.

AUC of FGN849 payload
Up to Approximately 22 Months

Area under the concentration-time curve of FGN849 payload.

Time to Cmax (Tmax) of Intact ADC
Up to Approximately 22 Months

Time to Cmax of intact ADC.

Tmax of FGN849 Payload
Up to Approximately 22 Months

Time to Cmax of payload.

Secondary Endpoints
Phase 2 and Phase 3: Composite Response
Up to Approximately 71 Months
Phase 2 and Phase 3: Duration of CR (DoCR)
Up to Approximately 71 Months
Phase 2: Change from baseline in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORCT QLQ-C30) domains
Up to Approximately 71 Months
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Phase 2: Arm A - PVEK, VEN, and AZAEXPERIMENTALParticipants will receive PVEK, VEN, and AZA
Phase 2: Arm B - VEN and AZAACTIVE_COMPARATORParticipants will receive VEN and AZA
Phase 3: Arm A - PVEK, VEN, and AZAEXPERIMENTALParticipants will receive PVEK, VEN, and AZA
Phase 3: Arm B - PVEK-Placebo, VEN, and AZAEXPERIMENTALParticipants will receive PVEK-Placebo, VEN, and AZA
Cohort 1: Pivekimab Sunirine Ages 2 to < 6 YearsEXPERIMENTALParticipants will receive pivekimab sunirine, as part of the approximately 28 month study duration. If enrolled, subjects aged 6 months to less than 2 years will be included in Cohort 1
Cohort 2: Pivekimab Sunirine Ages 6 to < 12 YearsEXPERIMENTALParticipants will receive pivekimab sunirine, as part of the approximately 28 month study duration.
Cohort 3: Pivekimab Sunirine Ages 12 to < 17 YearsEXPERIMENTALParticipants will receive pivekimab sunirine, as part of the approximately 28 month study duration.
Interventions
NameTypeDescription
Pivekimab SunirineDRUGIntravenous
VenetoclaxDRUGOrally
AzacitidineDRUGIntravenous Or Subcutaneous
Matching Placebo for PVEKDRUGIntravenous
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: 1. Participants must have newly diagnosed, untreated confirmed acute myeloid leukemia (AML) diagnosis as per the 5th edition of World Health Organization (WHO) criteria with a projected life expectancy of at least 12 weeks. 2. CD123-positive 3. Ineligible for intensive induction...

Countries:United StatesAustraliaTaiwan
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Recent Changes (Last 90 Days)
MEDIUMJun 2, 2026NCT07306832Status: NOT_YET_RECRUITING → RECRUITING
MEDIUMJun 2, 2026NCT07306832Status: NOT_YET_RECRUITING → RECRUITING
MEDIUMJun 2, 2026NCT07306832Status: NOT_YET_RECRUITING → RECRUITING
LOWMay 26, 2026NCT07306832primaryCompletionDate: changed
LOWMay 24, 2026NCT07581002studyFirstPostDate: changed
LOWMay 24, 2026NCT07306832studyFirstPostDate: changed
LOWMay 21, 2026NCT07581002NEW_TRIAL: changed
LOWMay 21, 2026NCT07581002NEW_TRIAL: changed