Create Medicines, Inc., a Cambridge, Massachusetts-based clinical-stage biotechnology company developing in vivo immune programming therapies, has closed a USD 122 million Series B financing round to advance its mRNA-lipid nanoparticle CAR pipeline across autoimmune disease and oncology.
The round was co-led by existing investors Newpath Partners, ARCH Venture Partners, and Hatteras Venture Partners, with participation from Alexandria Venture Investments and other members of the existing syndicate. Proceeds will fund the clinical advancement of CRT-402, a CD19-targeted in vivo CAR-T therapy for autoimmune disease, expansion of a dual CAR CD19 x BCMA program, and continued development across the oncology portfolio. The company said it has dosed more than 50 patients across its in vivo CAR clinical programs, which it describes as the largest clinical dataset in the field to date.
The Series B follows a USD 73 million Series A closed in May 2023 under the company’s prior name, Myeloid Therapeutics, which was led by Hatteras with participation from ARCH Venture Partners, Moore Strategic Ventures, Newpath Partners, and 8VC. The company launched in January 2021 with more than USD 50 million in seed financing.
In conjunction with the financing, Ron Philip, a veteran biopharma executive, has joined as Executive Chairman. Brian Cuneo, Senior Partner at ARCH Venture Partners, and Tom Thomas of Newpath Partners have joined the board of directors.
CREATE’s proprietary mRNA-LNP platform is designed to engineer immune cells — including T cells, NK cells, and myeloid cells — directly inside the body, bypassing the ex vivo manufacturing process required by conventional CAR-T therapies. The genetic payload is delivered as mRNA rather than through viral vector transduction, meaning that expression is transient and non-integrating, which the company says enables repeat dosing and reduces the risk of insertional mutagenesis associated with retroviral or lentiviral approaches.
The lead autoimmune candidate, CRT-402, targets CD19, a pan-B cell surface marker. By transiently programming endogenous T cells to deplete the B cell compartment, the approach is intended to eliminate autoreactive clones driving conditions such as systemic lupus erythematosus and inflammatory myopathy, with the potential for B cell repopulation from naive precursors following treatment. The company said CRT-402 has demonstrated deep and durable B cell depletion in non-human primates and is being positioned for clinical entry. A dual CAR program targeting both CD19 and BCMA is also in development, designed to broaden coverage across refractory autoimmune indications.
In oncology, Create’s MT-303 program targets glypican-3 (GPC3), a cell-surface proteoglycan overexpressed in hepatocellular carcinoma. The program uses myeloid cells as the effector population rather than T cells, reflecting the immunosuppressive tumor microenvironment characteristic of solid tumors, where T cell-based approaches have faced persistent challenges. The company said early clinical data from MT-303 in frontline hepatocellular carcinoma has produced a response profile it characterizes as compelling. A separate TROP2-targeted program, MT-302, is being evaluated in advanced gastroesophageal cancer in the SPaCE-MT trial conducted in collaboration with Amsterdam University Medical Center, registered under European Union Clinical Trial number EUCT 2024-520213-45-00.
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