January 8, 2026
Finance

Enliven Therapeutics Shares Rally Following Positive Phase 1b Trial Outcomes for ELVN-001

Advanced Clinical Results in CML Patients Boost Investor Confidence Ahead of Phase 3 Launch

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Summary

Enliven Therapeutics Inc. experienced a significant uptick in its stock price after releasing promising initial findings from its Phase 1b ENABLE trial studying ELVN-001 in chronic myeloid leukemia patients who are resistant or intolerant to current tyrosine kinase inhibitors. The study demonstrated robust molecular response rates across multiple dosing cohorts, with a consistent safety profile that supports advancement to a Phase 3 trial planned for late 2026.

Key Points

Phase 1b ENABLE trial of ELVN-001 enrolled 60 heavily pre-treated chronic myeloid leukemia patients as of December 22, 2025.
In the 80 mg once-daily cohort (n=19), rates of major molecular response (38%) and deep molecular response (16%) compare favorably to existing BCR::ABL1 TKIs such as Novartis's Scemblix.
Randomized dosing cohorts at 60 mg and 120 mg observed major molecular response and deep molecular response rates of 53% and 35%, respectively.
Safety data demonstrated favorable tolerability with no maximum tolerated dose identified and no new safety signals reported across evaluated doses.

Shares of Enliven Therapeutics Inc. (NASDAQ: ELVN) surged prominently on Thursday trading, reflecting heightened investor interest fueled by encouraging clinical trial data. The stock recorded a trading volume of approximately 6.61 million shares, a substantial rise against its typical daily average volume of 631,520 shares, according to market analytics from Benzinga Pro.

The company, positioned within the clinical-stage biopharmaceutical sector, unveiled initial results from its ongoing Phase 1b ENABLE trial evaluating ELVN-001. This investigational compound targets patients with chronic myeloid leukemia (CML) who have either relapsed, are refractory, or intolerant to existing tyrosine kinase inhibitors (TKIs), a common drug class for managing CML.

Per trial data collected through the assessment cutoff of December 22, 2025, a total of 60 patients, all heavily pre-treated prior to enrollment, were included in the study parameters. The Phase 1b study design incorporated distinct dosing cohorts, notably the 80 mg once-daily (QD) group featuring 19 patients. In this cohort, all participants were evaluable for efficacy endpoints at the 24-week mark.

The 80 mg cohort demonstrated competitive efficacy profiles, registering a 38% major molecular response (MMR) rate and a 16% deep molecular response (DMR) rate. These figures are particularly notable when compared with outcomes from prior Phase 1 clinical trials involving approved BCR::ABL1-targeting TKIs, such as Novartis AG's (NYSE: NVS) Scemblix (asciminib).

Further data from randomized dosing cohorts receiving 60 mg and 120 mg ELVN-001 (total n=41) revealed even higher response rates, with MMR achievement at 53% and DMR at 35%, underscoring the potential efficacy across different dosage levels.

Cumulatively, across all Phase 1b dosing groups, it was observed that 100% of the evaluable patients who had MMR at the time of enrollment either maintained or improved their molecular response during the trial duration. This outcome indicates sustained efficacy in this patient population.

Regarding safety observations, ELVN-001 showed clinical activity across the investigated doses ranging from 60 mg to 120 mg once daily. Importantly, the trial data did not reveal a distinct dose-response relationship in either therapeutic benefit or adverse events within this dosage range.

The safety profile remained consistent with prior reports, with no maximum tolerated dose established to date. Additionally, no novel safety signals were identified, and the tolerability of ELVN-001 was considered favorable throughout the evaluated doses, an encouraging indicator for future development stages.

Looking forward, Enliven Therapeutics has announced plans to initiate the ENABLE-2 Phase 3 trial for ELVN-001 in the latter half of 2026. This subsequent study will presumably build upon these Phase 1b findings in a larger patient cohort to further establish efficacy and safety benchmarks required for potential regulatory approval.

Following the announcement of these positive clinical outcomes, the company's stock price rose sharply by 50.42%, reaching $23.27 at publication time, reflecting strong market reception to the trial data.

Overall, these results highlight significant progress for Enliven Therapeutics in advancing ELVN-001 as a potential therapeutic in CML cases with limited options due to resistance or intolerance to existing TKIs.

Risks
  • Current data is preliminary, based on Phase 1b clinical trial results, which may not fully predict later phase trial outcomes.
  • No clear dose-response relationship was observed, which could complicate optimization of dosing for Phase 3 and beyond.
  • The ENABLE-2 Phase 3 trial is scheduled to start in the second half of 2026, so definitive efficacy and safety confirmation are pending.
  • As a clinical-stage biopharmaceutical company, Enliven Therapeutics faces the inherent risks associated with drug development, including regulatory and market approval uncertainties.
Disclosure
Education only / not financial advice
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