Two Partner Programs Advanced to Phase III
Roche advanced prasinezumab into the Phase III PARAISO trial (≈900 participants; primary completion expected in 2029). Novo Nordisk advanced coramitug into the Phase III CLEOPATTRA trial (≈1,280 patients; primary completion expected in 2029).
Strong Phase II Biomarker and Clinical Signals
Prasinezumab exploratory subset (patients on levodopa) showed a 40% relative reduction in MDS‑UPDRS Part III progression (nominal p=0.0177). Coramitug 60 mg/kg produced a 48% reduction in NT‑proBNP versus placebo (p=0.0017) and echocardiographic improvements suggestive of cardiac remodeling.
Robust Financial Position vs. Guidance
Year‑end 2025 cash and restricted cash of $308.4M (favorable to guidance of $298M). Net cash used in operating and investing activities was $163.7M (favorable to guidance $170M–$178M). Net loss of $244.1M was in line with guidance ($240M–$248M).
Material Near‑Term and Long‑Term Upside from Partnered Programs
Potential to earn up to $105M in aggregate clinical milestone payments in 2026 tied to coramitug enrollment targets and a BMS decision on PRX019. Aggregate partner programs could deliver up to approximately $3.0B in future milestone payments (in addition to royalties).
CYTOPE Platform and TDP‑43 Preclinical Progress
Introduced CYTOPE technology and presented TDP‑43 CYTOPE data showing systemic CNS activity in aggressive ALS mouse models, reduction of brain and muscle pathology, and attenuation of RNA mis‑splicing—supporting intracellular targeting capability.
PRX012 Clinical Activity Demonstrated
ASCENT Phase I interim results: mean amyloid PET reduction to ~27.5 centiloids at 12 months for patients on monthly 400 mg subcutaneous PRX012; preliminary 18‑month mean centiloid ≈16 with 9 of 12 patients (75%) achieving amyloid negativity (<24.1 centiloids).
Partnership and Development Momentum
BMS completed full enrollment in Phase II TargetTau‑1 (~310 patients) with primary completion expected H1 2027; BMS‑986446 received FDA Fast Track designation. Ongoing research collaboration(s) for CYTOPE with a large pharmaceutical company. Company approved for a 2026 share redemption program by shareholders and Irish High Court.