Detailed Narrative
Iopopacin I-131 in WM
The company's near-term priority is advancing Iopopacin I-131 for relapsed or refractory Waldenstrom's macroglobulinemia (WM), particularly for patients whose disease progressed after BTK inhibitor therapy. This represents a significant unmet medical need and an attractive opportunity for a differentiated treatment. The full 12-month follow-up results from the Clover-WAM study reinforced the depth and durability of response, meeting both primary and secondary endpoints.
Clinical Data for Iopopacin
New data presented at ASCO 2026 from the Clover-WAM study highlighted outcomes in WM patients treated immediately following BTKI therapy, showing a 79.2% major response rate, an 87.5% overall response rate, and 100% clinical benefit rate, with a median duration of response of 16 months. The full 12-month follow-up data for all patients showed a median durability of 17.8 months and approximately 62% achieving a major response, with very good partial response and complete response rates increasing to 14.5% in these late-line, highly refractory patients.
PDC Platform Validation and Expansion
The phospholipid drug conjugate (PDC) platform is a highly differentiated targeting technology designed to selectively deliver therapeutic payloads to cancer cells, including primary tumors, metastatic lesions, and cancer stem cells. Its versatility allows combination with various payloads and isotopes (beta-emitting, OGIE-emitting, alpha-emitting radiotherapeutics). The success with Iopopacin is validating the platform and creating a strong foundation for future pipeline expansion, including CLR125 (OGIE-emitting program in solid tumors) and CLR225 (alpha-emitting program).
Financing and Financial Strength
An oversubscribed financing completed in May has the potential to provide up to $140 million in capital, with $35 million upfront and up to $105 million tied to future milestones. This significantly strengthens the balance sheet and provides resources to execute the WM strategy, advance regulatory initiatives, and invest in the broader radiopharmaceutical pipeline. The company ended Q2 FY26 with $34.0 million in cash and cash equivalents, up from $13.2 million at year-end 2025.
Manufacturing and Commercial Strategy
The company has been producing the targeting ligand for its radiopharmaceuticals at commercial scale for several years, with over five years of stability data. While the isotope and finished product are near-term, just-in-time productions, the commercial infrastructure is built out and ready, capable of producing for about 100 patients per week. The company is evaluating commercialization options for Iopopacin, including self-commercialization due to the targeted market (80% of WM patients in 15 states) or partnering with third parties.
Actinium-225 Supply Chain
The supply chain for Actinium-225, a key component for alpha-emitting programs like CLR225, has improved over the past year with new suppliers coming online (SpectronRx, Northstar, Ionetics, Nucleus). While future constriction is possible as programs advance, Cellectar has a multi-sourcing strategy for all components, including ready supply agreements with four parties for Actinium-225, to ensure access for its programs.