I'm seeing this behaviour as well with the following compiler options.
{:main app.ns
:optimizations :advanced}
while I feel this is something that would require further attention, the solution I applied was.
{:main app.ns
:optimizations :advanced
:language-in :ecmascript-next
:language-out :ecmascript-next}
Note: I'm not suggesting this is what you should do. Some may not be able to just change their output like this, but for my case it was fine.