Q32 Bio reports positive bempikibart trial data in alopecia areata
Q32 Bio Inc. announced positive 36-week topline results from Part B of the SIGNAL-AA Phase 2a clinical trial evaluating bempikibart in patients with severe or very severe alopecia areata. The data demonstrated a mean percent reduction in SALT score from baseline of 35.3% in the prespecified modified intent-to-treat (mITT) analysis. The company intends to advance the drug into a registration-directed program in the first half of 2027.

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Q32 Bio Inc. announced positive 36-week topline results from Part B of the SIGNAL-AA Phase 2a clinical trial evaluating bempikibart in patients with severe or very severe alopecia areata. The data demonstrated a mean percent reduction in SALT score from baseline of 35.3% in the prespecified modified intent-to-treat (mITT) analysis. The company intends to advance the drug into a registration-directed program in the first half of 2027.
Key Efficacy Results
The trial met its primary endpoint and showed clinically meaningful efficacy across various measures. The results indicated that 40.0% of patients in the mITT analysis and 30.3% of patients in the intent-to-treat (ITT) analysis achieved a SALT-20 response at Week 36. SALT-20 is defined as 80% of scalp hair coverage.
| Metric | mITT Analysis | ITT Analysis |
|---|---|---|
| SALT-20 Response | 40.0% (10/25) | 30.3% (10/33) |
| SALT30 Response | 44.0% (11/25) | 33.3% (11/33) |
| SALT50 Response | 44.0% (11/25) | 33.3% (11/33) |
Safety and Tolerability
Bempikibart exhibited a generally well-tolerated safety profile consistent with prior studies, with no new safety signals observed. There were no serious adverse events or Grade 3 or higher adverse events related to treatment. The most common treatment-emergent adverse event was injection site reaction (ISR), occurring in 36.3% of patients, though these were primarily singular events with an incidence of 4% across all dose administrations. All ISRs were mild and resolved without intervention.
Trial Design and Next Steps
Part B of the SIGNAL-AA program was an open-label trial evaluating 33 patients with severe or very severe alopecia areata. The dosing regimen included an initial loading phase of 200mg weekly for four doses, followed by 200mg every other week for 32 weeks. The company plans to share full results from Part B at a future medical meeting. Q32 Bio will host a conference call and webcast today, July 13, 2026, at 8:00 a.m. ET to discuss the findings.
What regulatory pathway will Q32 Bio pursue for the registration-directed program starting in 2027?
How will the efficacy of bempikibart compare to currently approved treatments for severe alopecia areata?
What are the anticipated timelines for Phase 3 trials and potential market launch?






















