Company Description
MAIA Biotechnology, Inc. (NYSE American: MAIA) is a clinical-stage biopharmaceutical company focused on developing targeted immunotherapies for cancer. The company is advancing a telomere-targeting approach in oncology, with its work centered on patients with advanced non-small cell lung cancer (NSCLC) who have limited treatment options after becoming resistant to prior immunotherapy and chemotherapy.
MAIA’s lead investigational candidate is ateganosine (also referred to as THIO, 6‑thio‑dG or 6‑thio‑2’-deoxyguanosine), described as a first-in-class small molecule telomere-targeting agent. According to the company’s disclosures and clinical posters referenced in its SEC filings, ateganosine is being evaluated as a second or later line of treatment for NSCLC in patients who have progressed beyond standard-of-care checkpoint inhibitor regimens.
Scientific focus and mechanism
Ateganosine is characterized as a dual-mechanism therapy. It is a modified nucleotide that is selectively incorporated into cancer-cell telomeres by telomerase, an enzyme that plays a fundamental role in the survival of cancer cells and their resistance to current therapies. This incorporation induces telomerase-dependent telomeric DNA modification, DNA damage responses, and selective cancer cell death.
In addition to direct effects on telomeres, ateganosine-damaged telomeric fragments accumulate in cytosolic micronuclei and activate both innate (cGAS/STING) and adaptive (T-cell) immune responses. Company materials describe this as an integrated telomere-targeting plus immune-activation model. In advanced in vivo cancer models, sequential treatment with ateganosine followed by PD-(L)1 inhibitors has been associated with profound and persistent tumor regression and the induction of cancer type–specific immune memory.
Clinical development in NSCLC
MAIA is running a clinical program in advanced NSCLC built around ateganosine sequenced with immune checkpoint inhibitors. The company highlights two key trials:
- THIO-101 Phase 2 trial: A multicenter, open-label, dose-finding Phase 2 study evaluating ateganosine followed by PD-(L)1 inhibition in patients with advanced NSCLC who previously did not respond or developed resistance and progressed after a first-line regimen containing another checkpoint inhibitor and chemotherapy. The trial’s primary objectives include assessing safety and tolerability and evaluating clinical efficacy using Overall Response Rate as a primary endpoint. The expansion phase (Part C) focuses on third-line NSCLC patients resistant to prior checkpoint inhibitor and chemotherapy regimens.
- THIO-104 Phase 3 trial: A multicenter, open-label, randomized Phase 3 pivotal trial in third-line advanced NSCLC. Patients who are resistant to checkpoint inhibitor and chemotherapy treatments are randomized to receive ateganosine sequenced with a checkpoint inhibitor versus investigator’s choice of chemotherapy. The trial is designed with two primary objectives: assessing clinical efficacy using median Overall Survival as the primary endpoint and evaluating the safety and tolerability of ateganosine in sequential combination with a checkpoint inhibitor.
Company communications indicate that MAIA has obtained regulatory approvals to screen patients for THIO-104 in Taiwan, Turkey, select European Medicines Agency (EMA) countries, and Georgia, and that screening and enrollment are underway. MAIA has also reported enrollment of patients in the THIO-101 expansion phase in countries including Hungary, Poland, Turkey, Taiwan, and Romania.
Regulatory designations and positioning
The U.S. Food and Drug Administration (FDA) has granted Fast Track designation for ateganosine for the treatment of NSCLC. MAIA states that this designation supports its strategy to pursue accelerated or commercial approval pathways as the program advances through mid- to late-stage clinical development. Company press releases filed as exhibits to Form 8-Ks also note that ateganosine has received FDA Orphan Drug Designations for glioblastoma, hepatocellular carcinoma (HCC), and small cell lung cancer (SCLC), which the company views as potential additional oncology indications beyond NSCLC.
In its public statements, MAIA describes ateganosine as, to its knowledge, the only direct telomere-targeting anticancer agent currently in clinical development and characterizes it as the first drug in a new therapeutic class. The company emphasizes the unmet need in NSCLC patients without actionable mutations and in those who have become refractory to checkpoint inhibitors and chemotherapy, and frames telomere-targeting therapeutics as a potential new pathway for this hard-to-treat population.
Capital formation and insider participation
MAIA has used private placements to fund its clinical programs and working capital. An 8-K dated December 16, 2025 describes a Securities Purchase Agreement with accredited investors for common stock and warrants in a private placement, with the company indicating that net proceeds are intended to fund the starting cost for Step 1 of Part C of the THIO-101 Phase 2 trial and for working capital.
Company news releases furnished to the SEC highlight repeated participation by directors and officers in these financings and in open-market purchases of MAIA common stock. The company presents this insider buying as a sign of alignment and confidence in the ateganosine program and its clinical and commercial potential.
Engagement with the oncology community
MAIA regularly presents data and trial-in-progress updates at major oncology and immunotherapy conferences. According to its 8-K filings, the company has prepared and presented posters on THIO-101 and THIO-104 at meetings such as the Society for Immunotherapy of Cancer (SITC), the AACR-NCI-EORTC International Conference on Molecular Targets and Cancer Therapeutics, and the European Society for Medical Oncology (ESMO) Congress. These posters, filed as exhibits to Form 8-Ks and referenced in press releases, describe ongoing enrollment, safety observations, and trial designs for ateganosine-based regimens in advanced NSCLC.
MAIA has also highlighted presentations by its leadership and scientific advisors at conferences focused on oncology research and innovation, including events in Romania. These communications underscore the company’s emphasis on expanding trial access across multiple countries and engaging investigators in regions where advanced NSCLC remains a significant clinical challenge.
Business focus
Within the broader category of research and development in biotechnology and the professional, scientific, and technical services sector, MAIA Biotechnology’s activities are concentrated on:
- Clinical-stage development of ateganosine as a telomere-targeting anticancer agent.
- Combination regimens in which ateganosine is administered prior to PD-(L)1 checkpoint inhibitors.
- Later-line treatment settings in advanced NSCLC, particularly third-line patients resistant to prior checkpoint inhibitor and chemotherapy regimens.
- Exploration of additional indications where Orphan Drug Designations have been granted, such as glioblastoma, HCC, and SCLC, as disclosed in company communications.
According to its SEC filings, MAIA also prepares investor and conference presentation materials that summarize its clinical strategy, regulatory designations, and trial progress. These materials are periodically filed as exhibits to Form 8-Ks and posted to the company’s website.
Risk profile and stage
MAIA Biotechnology remains a clinical-stage company, and ateganosine is described as an investigational therapy. All references in company communications and SEC filings emphasize that regulatory approvals have not yet been obtained for commercial use, and that ongoing Phase 2 and Phase 3 trials are intended to generate the safety and efficacy data required for potential approval in NSCLC and other indications. As with other clinical-stage biopharmaceutical companies, MAIA’s prospects are closely tied to clinical trial outcomes, regulatory interactions, and its ability to finance continued development.