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CNI2-001
Phase II
Oncology
2L metastatic solid tumor
Randomized double blind placebo controlled 1:1 N=180 24w
PFS
Primary p=0.18 HR 0.82 CI 0.62-1.09; OS exploratory
PFS not significant; ORR +3% absolute
SAE 14% vs 9%; G3+ 28% vs 18%
Subgroup PD-L1 high HR 0.62 p=0.04 post hoc
Multiple subgroups; no adjustment
Interim: trend observed on PFS with acceptable safety
Topline: clinically meaningful PFS benefit supports registration intent
Topline results demonstrate meaningful benefit and momentum
We basically hit the endpoint in the patients that matter
CSR: Primary endpoint did not reach significance; safety signals include higher SAE
Primary missed framed as success|Subgroup promoted beyond evidence|Registration readiness overstated|Safety imbalance softened
not_supportable
high
The primary endpoint did not meet statistical significance for PFS. Exploratory analyses including PD-L1 high subgroup are hypothesis generating and not adjusted for multiplicity. Safety showed higher SAE and G3+ rates versus placebo. Results support further study with prespecified endpoints and risk mitigation rather than registration intent
CNI2-002
Phase III
Cardio
HFpEF N=920
Randomized active control non inferiority 52w
Composite CV death or HF hospitalization
Met non inferiority margin; superiority p=0.21
Non inferiority met; no superiority
AE similar; hypotension higher 8% vs 4%
No consistent subgroup benefit
Multiplicity controlled for primary only
Interim: on track for pivotal readout
Topline: improved outcomes vs standard of care
New therapy improves outcomes for HFpEF patients
We have a winner and the market will see it
CSR: Non inferiority met; superiority not demonstrated; hypotension increased
Non inferiority reframed as superiority|Certainty language beyond stats|Safety risk underplayed
borderline
medium
The study met its non inferiority objective for the primary composite endpoint. Superiority was not demonstrated. Adverse events were broadly similar, with higher hypotension versus control. Findings support non inferiority positioning with clear safety labeling and no superiority claims
CNI2-003
Phase II
Immunology
Moderate UC N=140
Randomized placebo controlled 12w
Clinical remission at week 12
Remission 18% vs 12% p=0.29; secondary endoscopic improvement p=0.04
Primary not significant; secondary signal
Serious infection 3% vs 1%
Subgroup biologic naive p=0.06
Secondary not multiplicity adjusted
Interim: encouraging endoscopic signal
Topline: meaningful efficacy demonstrated
Meaningful efficacy demonstrated in ulcerative colitis
We showed clear efficacy and a clean profile
CSR: Primary not significant; endoscopic secondary nominal p; infections slightly higher
Primary missed framed as efficacy|Secondary promoted without caveats|Safety minimized
borderline
medium
Clinical remission at week 12 did not differ significantly versus placebo. A nominal secondary endoscopic improvement signal was observed without multiplicity adjustment and should be interpreted cautiously. Serious infections were numerically higher. Results support refinement of dose and population and a larger confirmatory study with prespecified hierarchy
CNI2-004
Phase I
Oncology
Advanced hematologic malignancy N=42
Open label dose escalation
DLT rate and safety
DLT 19%; MTD not reached
No efficacy endpoint; responses observed 6 PR
CRS any grade 31%; G3 CRS 7%
Responses in dose level 3 only
Exploratory only
Interim: manageable CRS observed
Topline: favorable safety supports rapid expansion
Favorable safety supports rapid expansion
CRS is basically solved and we can scale dosing
CSR: CRS common including G3; responses limited; no MTD
Safety risk softened|Expansion oversold|Efficacy implied beyond design
borderline
high
In dose escalation, CRS was common including grade 3 events, and the MTD was not reached. Limited partial responses were observed in a subset at one dose level and are exploratory. Safety supports continued cautious escalation and protocol guided expansion with clear CRS management and monitoring
CNI2-005
Phase III
Neuro
Early AD N=760
Randomized placebo controlled 18mo
Change in cognitive scale
Difference -0.8 points p=0.049; missingness 22% vs 14%
Nominal p with high missingness; sensitivity mixed
ARIA-E 12% vs 3%
APOE4 carriers larger effect
Multiplicity controlled; missing data sensitivity preplanned
Interim: trending toward benefit
Topline: statistically significant slowing supports filing
Statistically significant slowing of decline
We have definitive proof of disease modification
CSR: nominal significance; missingness higher; ARIA-E increased; sensitivity mixed
Overstatement of certainty|Missingness downplayed|Safety risk softened|APOE4 subgroup promoted
borderline
high
The primary endpoint showed a small nominally significant difference with higher missingness in the active arm and mixed sensitivity analyses. ARIA-E occurred more frequently. Subgroup patterns including APOE4 require cautious interpretation within the prespecified analysis plan. Results may support discussion with regulators with full sensitivity and safety disclosure rather than definitive efficacy claims
CNI2-006
Phase II
Metabolic
T2D N=210
Randomized placebo controlled 16w
HbA1c change
-0.4 vs -0.2 p=0.11
Primary not significant
GI AE 22% vs 10%
Subgroup baseline HbA1c high p=0.03 post hoc
Many subgroups unadjusted
Interim: signal in high baseline HbA1c
Topline: robust glycemic control achieved
Robust glycemic control achieved
If you look at the right patients it works great
CSR: Primary not significant; GI AE higher; subgroup post hoc
Primary missed framed as robust|Subgroup cherry pick|Safety underplayed
not_supportable
medium
HbA1c reduction did not differ significantly versus placebo on the primary analysis. A post hoc signal in higher baseline HbA1c subgroup is hypothesis generating and not adjusted for multiplicity. GI adverse events were more frequent. Results support further dose and population selection work before confirmatory trials
CNI2-007
Phase III
Respiratory
Severe asthma N=520
Randomized active comparator 52w
Annual exacerbation rate
Rate ratio 0.92 p=0.33
No significant difference
Anaphylaxis 0.6% vs 0%
Eosinophil high subgroup RR 0.70 p=0.07
Subgroup exploratory
Interim: comparable efficacy expected
Topline: meaningful reduction in exacerbations
Meaningful reduction in exacerbations
Clinicians will switch once they see this
CSR: no significant difference; rare anaphylaxis events
No diff framed as meaningful|Switch claim overreach|Safety signal omitted
borderline
medium
The study did not demonstrate a statistically significant reduction in annual exacerbations versus comparator. Exploratory subgroup trends were not significant. Rare anaphylaxis events occurred with active treatment. Results do not support claims of superior exacerbation reduction and require clear safety communication
CNI2-008
Phase II
Infectious
Hospital CAP N=160
Randomized open label non inferiority
Clinical cure day 14
Non inferiority met; mortality higher 6% vs 2%
NI met; mortality imbalance
QT prolongation 9% vs 3%
No clear subgroup
Primary NI only
Interim: NI likely
Topline: successful trial supports broad use
Successful trial supports broad use
We proved it is just as good and safe
CSR: NI met; mortality imbalance; QT prolongation higher
Safety imbalance omitted|Broad use overstated|Certainty beyond mixed safety
borderline
high
The trial met its non inferiority objective for clinical cure. Mortality and QT prolongation were numerically higher in the active arm and require careful evaluation. Conclusions should state NI for cure with explicit safety imbalances and a plan for further safety characterization before broad claims
CNI2-009
Phase I
Oncology
Solid tumor N=36
Open label expansion cohorts
Safety and PK
No DLT; exposure variable
Stable disease 14/36; no PR
Transaminitis G3 11%
Stable disease in slow growing tumors
Exploratory
Interim: clean safety profile
Topline: strong anti tumor activity
Strong anti tumor activity observed
We are seeing responses everywhere
CSR: no PR; stable disease common; transaminitis noted
Efficacy inflated|Certainty language|Safety minimized
not_supportable
medium
In early phase evaluation, no DLTs were observed, and exposure was variable. No confirmed partial responses were reported; stable disease occurred in some patients and may reflect disease biology. Grade 3 transaminitis occurred. Conclusions should avoid claims of strong activity and present these findings as preliminary
CNI2-010
Phase III
Oncology
NSCLC 1L N=640
Randomized active control
OS
OS HR 0.88 p=0.09; PFS HR 0.86 p=0.04 secondary
Primary OS not significant; secondary PFS nominal
Immune AE 21% vs 14%
Subgroup PD-L1 high OS HR 0.74 p=0.06
Secondary nominal; hierarchy prespecified OS first
Interim: PFS benefit possible
Topline: improved survival and disease control
Improved survival in first line NSCLC
We improved survival and will file fast
CSR: OS not significant; PFS nominal; immune AE higher
Primary OS overclaimed|Secondary PFS promoted|Filing readiness overstated|Safety underplayed
borderline
high
Overall survival did not reach statistical significance. A nominal secondary PFS difference was observed within the hierarchical framework and should be reported with appropriate caveats. Immune related adverse events were more frequent. Results support continued evaluation and regulator discussion without definitive survival claims