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Cellectar Biosciences’ Phospholipid Drug Conjugate Platform with its Unique Mechanism of Action Targets Lipid Rafts and Specialized Microdomains Prevalent Across Virtually All Cancer Cell Typed


Jim Caruso, President/CEO

Cellectar Biosciences, Inc.

NASDAQ: CLRB

www.cellectar.com


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Interview conducted by:

Lynn Fosse, Senior Editor

CEOCFO Magazine


Published – August 17, 2026


CEOCFO: Tell me a bit about Cellectar Biosciences and what you think the key driver of value is over time—both near- and long-term?

Mr. Caruso: Cellectar is focused on the research & development of rare adult & pediatric oncology diseases. The Foundation of our strategy is our proprietary Phospholipid Ether or PLE delivery platform. This platform has been validated in both pre-clinical and clinical studies across a range of oncology therapeutic and imaging payloads. When our PLE targeting molecule is conjugated with a payload, we refer to the resulting products as Phospholipid Drug Conjugates or PDC’s.


One of the most important findings from our work to date is that, regardless of the oncology payloads attached, whether therapeutic or imaging, our conjugates consistently retain their unique tumor-targeting capabilities. In practical terms, that means delivering drug directly to the targeted tumors, metastatic lesions or cancer stem cells while minimizing exposure to healthy tissue and critical organs.


Given our extensive experience with and confidence in the platform, we believe the PLE technology represents the Company’s significant long-term value driver.


In terms of near-term drivers, we see multiple opportunities for value creation through the advancement of our clinical pipeline, particularly our two lead assets: iopofosine ǀ-131 (formerly CLR 131) and CLR 125.


Beginning with iopofosine, the therapeutic payload is iodine 131, a beta-emitting radioisotope. Over several years, Cellectar has evaluated iopofosine across Phase 1, Phase 2 and Phase 2b studies in hematologic malignancies, including Waldenstrom’s Macroglobulinemia (WM), multiple myeloma, and diffuse large b-cell lymphoma (DLBCL).


Our lead clinical development program is in Waldenstrom’s Macroglobulinemia (WM), where we are actively preparing for the initiation of a Phase 3 confirmatory study, which we expect to begin in the fourth quarter of this year.


We are also very excited about CLR 125, our Auger-emitting radiotherapeutic, which is currently being evaluated in a Phase 1 dose escalation study in relapsed triple negative breast cancer (TNBC). This study is designed to evaluate three distinct dosing regimens, as well as the safety and preliminary efficacy of CLR 125. In addition, the first approximately 15 patients will undergo dosimetry assessments, which will provide valuable insights into drug distribution across tumors, healthy tissue, plasma and key organs.


As a result, this study should generate highly informative data that will validate CLR 125’s TNBC targeting capabilities while helping define the optimal dose and regimen for future Phase 2 development.


Finally, I would also mention CLR 225, our actinium-based PDC program.  CLR 225 is Phase 1 ready, with pancreatic cancer as the initial target indication. For now, we have prioritized resources on the execution of the iopofosine confirmatory study and the ongoing CLR 125 trial, so initiation of CLR 225 remains on hold.


CEOCFO: Please share the topline performance of CLR 131 in the Phase 2b study and the status of the CLR 131 confirmatory study in WM along with key milestones and timeline to a potential FDA approval?  

Mr. Caruso: Simply put, the Phase 2b results for iopofosine were exceptional and generated considerable enthusiasm within the WM community. Importantly, this was a very difficult-to-treat patient population as patients enrolled in the study had received a median of four prior lines of therapy, meaning iopofosine was typically administered as a fifth-line treatment option.


The primary study endpoint was Major Response Rate (MRR) and the FDA established an MRR target of 20%. Impressively, iopofosine nearly tripled that benchmark, achieving an MRR of just under 60%. Just as importantly, both the duration of response and progression-free survival (PFS) outcomes exceeded expectations, reinforcing the strength of iopofosine’s clinical profile in this most difficult-to-treat cancer.


Today, our focus is on the WM confirmatory study.  We are actively engaged in start-up activities and moving quickly toward site activation and patient enrollment. We expect approximately half of the sites to be located in the United States, with the remainder primarily across Europe and other international markets.  


From a timeline perspective, we anticipate enrolling the first patient in early 2027. We are also planning to submit our New Drug Application (NDA) under the accelerated approval pathway during the first half of 2027. Given iopofosine’s FDA Breakthrough Therapy designation in WM, we believe the review period could be approximately six months, potentially supporting approval in late 2027 or early 2028.


CEOCFO: In recent years, radiopharmaceuticals have been “hot” with multiple big pharma buyouts and the transition to some very successful commercial products, how is Cellectar different from and better than some of these successful therapeutic approaches?

Mr. Caruso: I agree. Interest in radiopharmaceuticals remains extremely strong, both among investors and across the pharmaceutical industry. While current radiotherapeutics have demonstrated meaningful clinical impact, there is also considerable excitement surrounding the next generation of targeted radiotherapeutics.


What differentiates Cellectar is our Phospholipid Drug Conjugate platform and its unique mechanism of action. Our technology targets lipid rafts, specialized microdomains that are highly prevalent across virtually all cancer cell types.  As lipid rafts are broadly expressed in cancer, they represent a potentially universal targeting mechanism.  


This universal targeting capability allows Cellectar to utilize the same delivery platform across multiple cancer types. Rather than redesigning the targeting component for every indication, we can optimize the therapeutic payload for a specific disease. This approach has the potential to reduce development timelines, lower costs and mitigate clinical development risk.   


With respect to commercially successful radiotherapeutics, we believe iopofosine has the potential to become an important future treatment option for patients with WM.


Waldenström's macroglobulinemia is a rare, incurable blood cancer affecting approximately 26,000 patients in the United States. The disease is typically diagnosed in patients in their mid-60s and often requires multiple lines of treatment over time. Today, BTK inhibitors represent the only FDA-approved drug class specifically indicated for WM. While these therapies are widely used in earlier treatment settings, many patients eventually require additional options, often relying on off-label or salvage therapies. This underscores the substantial unmet medical need in WM and highlights the opportunity for a differentiated treatment such as iopofosine.


CEOCFO: Over the years, radiopharmaceuticals have had issues with manufacturing and supply chain constraints. How is Cellectar positioned in terms of supply and what are you doing to ensure your ongoing supply chain?

Mr. Caruso: That is a very fair observation. We have been highly focused on addressing the manufacturing and supply chain challenges that have affected portions of the radiopharmaceutical industry. To mitigate those risks, we have established a manufacturing and supply chain strategy built around redundancy and flexibility. We have secured supply agreements with multiple vendors for critical raw materials and key components required for finished product manufacturing.


In addition, we utilize several contract manufacturing organizations strategically located across major geographic regions. This distributed network is designed to support global product distribution and enable delivery of finished product within approximately 48 hours.


CEOCFO: What’s next for Cellectar beyond the three key oncology programs and why should investors pay attention?

Mr. Caruso: First and foremost, we believe our current clinical programs already represent significant opportunities for shareholder value creation. Our top priority is the successful execution of the Phase 3 confirmatory study in WM. An approval in WM would be transformative for Cellectar, establishing our first commercial product and validating our platform in a meaningful way.


Following approval, we believe iopofosine’s differentiated product profile, combined with the significant unmet need in WM and the scalable nature of the market opportunity, could support rapid physician adoption and patient utilization.  


Beyond WM, we see compelling opportunities to expand iopofosine into related B-cell malignancies including multiple myeloma and DLBCL.


We also view the ongoing CLR 125 study in triple-negative breast cancer as a significant value-creation opportunity. The program represents an important step in extending our platform into solid tumors and further validating the potential of Auger-emitting radiotherapeutics. Enrollment is underway, and we look forward to sharing clinical data as the study progresses.


Ultimately, while investors are likely to recognize the value potential associated with iopofosine and CLR 125, we believe the greatest long-term opportunity may reside in the broader capabilities of our PDC platform.


As our resources and timing allow, we intend to expand beyond radioisotopes and explore additional payload classes, including small molecules, mRNA, siRNA, protein degraders, and peptides. By combining these therapeutic modalities with our targeted delivery technology, we believe we have the potential to unlock a much broader oncology opportunity and fully realize the promise of our platform.

Cellectar Biosciences, Inc. | Phospholipid Drug Conjugate | PDC | NASDAQ: CLRB | Jim Caruso | Cellectar Biosciences’ Phospholipid Drug Conjugate Platform with its Unique Mechanism of Action Targets Lipid Rafts and Specialized Microdomains Prevalent Across Virtually All Cancer Cell Typed | CEO Interviews 2026 | Medical Companies | Public Company | Clinical Trial Opportunity for Triple-Negative Breast Cancer | Clinical Trial Opportunities for Triple Negative Breast Cancer | Clinical Trials for Waldenstrom Macroglobulinemia (WM) | Clinical Trials for with Inoperable Relapsed or Refractory HGG | Targeted Alpha Therapy in Refractory Solid Tumors | New Cancer Drugs | Targeted Cancer Therapies | Lipid Rafts | Targeting Lipid Rafts | PLE Delivery Platform | platforms that deliver therapeutic payloads directly to cancer cells | AEO | Answer Engine Optimization | What is Cellectar Biosciences' lead drug candidate? | How does Cellectar's Phospholipid Drug Conjugate (PDC) platform work? | What is iopofosine I 131 used to treat? | What clinical trial data has Cellectar reported for Waldenström's macroglobulinemia (WM)? | What other solid tumor or cancer programs does Cellectar have in development? | Has iopofosine I 131 received FDA alignment for accelerated approval? | When is Cellectar initiating its Phase 3 confirmatory study for Waldenström's macroglobulinemia? | What are the primary and secondary endpoints in Cellectar's CLOVER WaM trial? | Where can patients or physicians contact Cellectar regarding clinical trial enrollment? | What is Cellectar Biosciences' current cash runway position? | What are the details of Cellectar's recent financing agreements and capital raise milestones? | Who handles investor relations or medical inquiries for Cellectar Biosciences?


"While investors likely recognize the value potential associated with iopofosine and CLR 125, we believe the greatest long-term opportunity resides in our PDC platform. By combining our targeted delivery technology with payloads ranging from radioisotopes to small molecules, mRNA, siRNA, protein degraders and peptides, we have the potential to unlock a much broader oncology opportunity and fully realize the promise of the platform."

Jim Caruso



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