LOS ANGELES — October 6, 2026
Kairos Pharma, Ltd. announced positive and statistically significant interim efficacy data from its ongoing Phase 2 clinical trial evaluating ENV-105 (carotuximab) in combination with apalutamide in patients with metastatic castration-resistant prostate cancer (mCRPC). The interim analysis showed a statistically significant improvement in progression-free survival (PFS) among patients treated with ENV-105 plus apalutamide compared with those receiving apalutamide alone. Median PFS reached 17.7 months with the combination, compared with 2 months with apalutamide alone, with a reported P value of 0.0008. The company said the interim efficacy signal supports its strategy of targeting biological mechanisms involved in cancer drug resistance, while the ongoing Phase 2 program continues to evaluate ENV-105 in combination with standard cancer therapies.
ENV-105 Demonstrates Statistically Significant PFS Signal
The interim Phase 2 analysis provides a clinical efficacy signal for ENV-105 in metastatic prostate cancer resistant to standard hormone therapy. ENV-105 is an investigational first-in-class antibody targeting CD105, a protein that Kairos Pharma has identified as a driver of treatment resistance and disease relapse following standard cancer therapy. The company is evaluating whether targeting CD105 can help overcome mechanisms that allow cancer cells to resist established treatments. In the current study, ENV-105 is being evaluated in combination with apalutamide, a standard androgen-signaling inhibitor, with the objective of improving disease control. The reported difference in median PFS between the treatment groups forms the key clinical finding from the interim analysis and provides the principal basis for the company’s decision to modify the Phase 2 development strategy. Kairos Pharma said the results further support its broader approach of addressing drug resistance in oncology through targeted therapeutic strategies.
Kairos Pharma Modifies Phase 2 Trial Enrollment Strategy
Following the interim efficacy signal, Kairos Pharma has modified the Phase 2 protocol to evaluate patients earlier in the course of disease progression. Under the modified protocol, rather than requiring patients to receive treatment after one or two anti-androgen agents, the study will enroll patients who experience a PSA increase following upfront treatment with an androgen signaling inhibitor. Patients will be randomized to receive enzalutamide alone or enzalutamide in combination with ENV-105. According to the company, the protocol modification is intended to broaden the eligible patient population and facilitate trial enrollment while continuing to investigate the potential clinical benefit of ENV-105. The Phase 2 study has enrolled patients at Cedars-Sinai Medical Center, City of Hope and Huntsman Cancer Institute at the University of Utah. Kairos Pharma is targeting completion of the Phase 2 trial in or before the fourth quarter of 2027.
Kairos Pharma Advances Drug-Resistance Oncology Strategy
The Phase 2 update strengthens Kairos Pharma’s clinical development strategy focused on overcoming cancer drug resistance and immune suppression. The company is developing ENV-105 as a targeted approach against CD105, with the broader goal of restoring or improving the activity of standard cancer therapies in resistant disease. The current clinical program is centered on metastatic prostate cancer, while the company’s stated development strategy seeks to explore the potential of CD105 targeting across multiple cancer types. The interim PFS findings provide an important clinical data point for the ENV-105 program, while the modified protocol will test the therapy in an earlier disease setting and use a revised treatment combination involving enzalutamide. As Kairos Pharma continues the Phase 2 study, the company expects the modified enrollment strategy to support continued clinical evaluation and target trial completion by late 2027. The interim results and protocol modification represent key development milestones for ENV-105 as Kairos Pharma advances its drug-resistance-focused oncology pipeline.
Source:: Kairos Pharma, press release



