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Clinical Intelligence

BT Clinical Signals

AI-discovered and computationally designed drugs in clinical trials — tracked in real time.

15
Active Trials
4
Phase 3
8
AI Small Molecules
3
Gene Editing

Showing 15 of 15 trials

Phase 2aInsilico Medicine

Rentosertib (ISM001-055)

TNIKIdiopathic Pulmonary Fibrosis

Positive Phase 2a results published in Nature Medicine (June 2025)

First fully AI-discovered drug to show Phase 2a efficacy. 60 mg QD arm showed +98.4 mL mean FVC improvement vs decline in placebo. Published in Nature Medicine (IF 58.7).

AI Methods

PandaOmics (target ID), Chemistry42 (molecule generation), InClinico (clinical prediction)

Small MoleculeFibrosis
Phase 1/2Relay Therapeutics

Zovegalisib (RLY-2608)

PI3Kα (mutant-selective)HR+/HER2− Metastatic Breast Cancer

Pivotal study initiated mid-2025; SABCS 2025 subset analysis presented

10.3-month median PFS overall, 11.0 months in 2L. 33% ORR across all patients, 53% in kinase-mutant subset. First mutant-selective PI3Kα inhibitor — avoids hyperglycaemia of pan-PI3K drugs.

AI Methods

Dynamo™ (motion-based drug design using MD simulations + ML)

Small MoleculeOncology
Phase 1/2Recursion Pharmaceuticals

REC-4881

MEK1/2 (allosteric)Familial Adenomatous Polyposis (FAP)

Positive Phase 1b/2 TUPELO trial data (Dec 2025)

75% of evaluable patients showed polyp burden reduction; 43% median reduction at 12 weeks (4 mg QD). Rapid, durable response in rare genetic cancer predisposition syndrome.

AI Methods

Recursion OS (phenomics-based discovery from cellular imaging at scale)

Small MoleculeGastroenterology
Phase 1/2Absci

ABS-201

PRLR (prolactin receptor)Androgenetic Alopecia

First patients dosed (Dec 2025); interim data expected H2 2026

First AI-designed antibody to enter clinical trials. De novo generated using generative models — never existed in nature. Phase 2 for endometriosis planned Q4 2026.

AI Methods

Integrated Drug Creation™ (generative AI antibody design from zero-shot, no animal immunization)

AntibodyDermatology
Phase 1Generate:Biomedicines

GB-0895

TSLPSevere Asthma / COPD

Phase 1 results presented at ERS 2025; IPO raised $400M (Feb 2026)

AI-engineered ultra-high affinity anti-TSLP antibody with superior half-life vs comparators. Designed for 6-month dosing interval. Phase 1 showed durable TSLP suppression.

AI Methods

Chroma (generative protein diffusion model), proprietary ML for affinity/stability optimization

AntibodyRespiratory
Phase 3Vertex / CRISPR Therapeutics

Casgevy (exagamglogene autotemcel)

BCL11A (CRISPR-Cas9 gene editing)Sickle Cell Disease & β-Thalassaemia

FDA-approved (Dec 2023); pediatric data (ages 5-11) presented ASH 2025

First CRISPR therapy approved by FDA. 97% of SCD patients free of vaso-occlusive crises post-treatment. Pediatric expansion (ages 5-11) showed comparable efficacy. Global regulatory submissions planned H1 2026.

AI Methods

Computational guide RNA design and off-target prediction algorithms

Gene EditingHematology
Phase 1Verve Therapeutics

VERVE-102

PCSK9 (base editing)Heterozygous Familial Hypercholesterolaemia (HeFH)

HEART-2 trial ongoing; 14 patients treated as of Mar 2025

One-time in vivo base editing of PCSK9. Well-tolerated, no treatment-related SAEs. Dose-dependent LDL-C reduction observed. Phase 2 planned for 2025. Could replace lifetime statin therapy.

AI Methods

Computational base editor design, LNP optimization with ML-guided formulation

Gene EditingCardiovascular
Phase 3Daiichi Sankyo / AstraZeneca

Enhertu (T-DXd) + Pertuzumab

HER2HER2+ Metastatic Breast Cancer (1st-line)

FDA-approved Dec 2025; DESTINY-Breast09 pivotal

44% reduction in disease progression or death vs THP (HR 0.56). First new 1L regimen for HER2+ mBC in 12 years. Computationally optimized DXd payload and cleavable linker.

AI Methods

Computational linker-payload optimization, ML-based toxicity prediction

ADCOncology
Phase 3Daiichi Sankyo / AstraZeneca

Enhertu (T-DXd)

HER2HER2+ Early Breast Cancer (post-neoadjuvant)

Priority Review granted (Mar 2026); Breakthrough Therapy Designation

Expansion into early breast cancer. FDA Priority Review with PDUFA date Q3 2026. Breakthrough Therapy Designation reflects substantial improvement over existing options.

AI Methods

Computational linker-payload optimization, predictive PK/PD modelling

ADCOncology
Phase 1Iambic Therapeutics

IAU001 (undisclosed structure)

CDK2 (selective)Advanced Solid Tumours (inc. brain metastases)

Phase 1 data presented Oct 2025; dose escalation ongoing

AI-discovered selective CDK2 inhibitor with brain penetration. 28% partial response rate in non-CNS tumours, 33% in patients with measurable brain metastases. Acquired by Bristol Myers Squibb for $800M.

AI Methods

Enchant™ (physics-informed ML for potency/selectivity), Magnet™ (generative chemistry)

Small MoleculeOncology
Phase 1PharmaEngine / XtalPi

PEP08

PRMT5Solid Tumours

Phase 1 CTA approved (Australia, Sep 2025); dosing initiated

AI-designed PRMT5 inhibitor entering clinic. XtalPi's physics-based AI predicted crystal polymorphs and binding modes, accelerating lead optimization. Phase 1 in advanced solid tumours.

AI Methods

XtalPi ID4 platform (quantum mechanics + ML for crystal structure & binding prediction)

Small MoleculeOncology
Phase 1/2Recursion (ex-Exscientia) / GT Apeiron

GTAEXS617

CDK7Advanced Solid Tumours

Phase 1/2 enrolling; first AI-designed precision oncology molecule

AI-designed CDK7 inhibitor with built-in biomarker strategy for patient selection. Showcases Exscientia's precision design approach — molecule and companion diagnostic co-designed from the start.

AI Methods

Exscientia Centaur Chemist™ (active learning + generative design), patient-selection AI

Small MoleculeOncology
Phase 3Intellia Therapeutics

NTLA-2002

Kallikrein B1 (KLKB1, in vivo CRISPR)Hereditary Angioedema (HAE)

Phase 3 HAELO trial enrolling; Breakthrough Therapy Designation

In vivo CRISPR gene editing — no cell extraction needed. Phase 1/2 showed 95% mean reduction in HAE attacks. Near-complete elimination of breakthrough attacks. One-time IV infusion.

AI Methods

Computational guide RNA design, LNP formulation optimization, off-target scoring algorithms

Gene EditingHematology
Phase 1Schrödinger

SGR-3515

MALT1 (protease)B-cell Lymphomas / Autoimmune

Phase 1 initiated 2025; first wholly-owned clinical candidate

First clinical candidate from Schrödinger's own pipeline (not partnered). MALT1 protease inhibitor designed entirely with physics-based computational methods. FEP+ predicted binding affinities within 1 kcal/mol.

AI Methods

FEP+ (free energy perturbation), WaterMap, physics-based molecular design platform

Small MoleculeOncology
Phase 2BenevolentAI / AstraZeneca

BEN-8744

PDE10AUlcerative Colitis

Phase 2 data expected 2026; AI-identified novel target-indication pair

AI identified PDE10A as a novel target for ulcerative colitis — a connection not found by traditional methods. Knowledge graph mined biomedical literature to surface non-obvious target-disease links. Partnered with AstraZeneca.

AI Methods

Benevolent Platform™ (knowledge graph + NLP for target identification, repositioning)

Small MoleculeGastroenterology

Data sourced from ClinicalTrials.gov, company press releases, and conference presentations. Last curated April 2026.