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Annovis Reaches Full Enrollment in Pivotal Phase 3 Trial of Buntanetap for Early Alzheimer’s Disease

(Moderate)
(Very Positive)

Annovis Bio (NYSE:ANVS) completed full enrollment in its pivotal Phase 3 trial of oral buntanetap for early Alzheimer’s disease, enrolling 850 pTau217-positive patients across 83 US sites.

The dual-design study targets 6‑month symptomatic and 18‑month disease‑modifying readouts, with top-line data expected in Q1 2027 and Q1 2028 and planned NDA submissions after each.

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Positive

  • Pivotal Phase 3 early Alzheimer’s trial fully enrolled with 850 patients
  • Enrollment exceeded original patient target, potentially increasing statistical power
  • Trial conducted across 83 clinical sites in the United States
  • Dual 6‑ and 18‑month readouts designed to support two NDAs
  • Top-line symptomatic data expected Q1 2027; disease-modifying data Q1 2028
  • Patients selected with pTau217-confirmed Alzheimer’s pathology and MMSE 20–28

Negative

  • Efficacy and safety outcomes for buntanetap remain unknown until Phase 3 readouts
  • First top-line symptomatic data not expected until Q1 2027

News Market Reaction – ANVS

-2.54% 1.7x vol
17 alerts
-2.54% Session close to close
+7.3% Peak Tracked
-2.4% Trough Tracked
$83.81M Market Cap
1.7x Rel. Volume

In the Jul 7 session, ANVS declined 2.54%, reflecting a moderate negative market reaction. Argus tracked a peak move of +7.3% during that session. Argus tracked a trough of -2.4% from its starting point during tracking. Our momentum scanner triggered 17 alerts that day, indicating notable trading interest and price volatility. Trading volume was above average at 1.7x the daily average, suggesting increased trading activity.

Data tracked by StockTitan Argus on the day of publication.

Market Context

Full enrollment of 850 patients in the pivotal early Alzheimer’s Phase 3 trial locks in symptomatic ...
Analysis

Full enrollment of 850 patients in the pivotal early Alzheimer’s Phase 3 trial locks in symptomatic and disease‑modifying readouts in 2027 and 2028. Prior clinical news drew mixed reactions, and elevated short interest leaves sentiment-sensitive volatility a key risk.

Key Figures

Phase 3 enrollment: 850 patients Trial sites: 83 clinical sites Symptomatic readout timing: Q1 2027 +5 more
8 metrics
Phase 3 enrollment 850 patients Pivotal early Alzheimer’s trial
Trial sites 83 clinical sites U.S. Phase 3 Alzheimer’s study
Symptomatic readout timing Q1 2027 6‑month symptomatic top‑line data
Disease‑modifying readout Q1 2028 18‑month disease‑modifying top‑line data
Daily dose 30 mg Oral buntanetap regimen in Phase 3 trial
Cognitive status range MMSE 20–28 Inclusion criteria for early AD patients
Prior enrollment level 50 patients Enrollment one year before reaching 850 patients
Primary endpoints ADAS‑Cog13, ADCS‑iADL Cognition and function measures in Phase 3 trial

Previous Clinical trial Reports

5 past events · Latest: Apr 28 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Apr 28 Phase 2/3 results Positive -2.1% Nature NPJ publication of Phase 2/3 buntanetap data showing dose‑dependent benefit.
Feb 12 DSMB safety review Positive +2.5% Independent DSMB cleared pivotal Phase 3 AD trial to continue without changes.
Nov 18 FDA meeting update Positive +11.2% FDA Type C meeting set for PDD and reaffirmed FDA alignment on AD Phase 3 design.
Nov 06 Phase 3 progress Positive -2.5% All AD Phase 3 sites activated with 25% enrollment and first 6‑month completions.
Feb 05 Phase 3 initiation Positive +0.0% First patients entered 18‑month pivotal Phase 3 study for early Alzheimer’s disease.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Clinical-trial headlines have drawn mixed reactions, with several upbeat milestones followed by flat or negative one-day moves.

Key Terms

ptau217, mmse, adas-cog13, adcs-iadl, +1 more
5 terms
ptau217 medical
"The trial enrolled 850 patients with pTau217-confirmed AD pathology"
ptau217 is a specific form of the brain protein tau that carries a small chemical tag at a particular spot (position 217) and can be measured in blood or spinal fluid as a signal of Alzheimer’s disease. It matters to investors because a reliable early signal — like a smoke alarm for brain changes — can speed drug trials, enable earlier diagnosis and create markets for tests and treatments, affecting the value of biotech and diagnostic companies.
mmse medical
"patients diagnosed with early AD (MMSE 20-28) who are positive"
The Mini-Mental State Examination (MMSE) is a short, standardized test doctors use to measure basic memory, attention, language and thinking skills, typically scored numerically to indicate cognitive function. Investors should care because MMSE scores are often used to define who can join clinical trials, assess whether a drug or device changes cognition, and influence regulatory decisions and market potential—think of it as a quick health meter that helps determine a treatment’s effectiveness and target patient group.
adas-cog13 medical
"The primary endpoints will assess changes in cognition (ADAS-Cog13)"
ADAS-Cog13 is a 13-item cognitive test used in Alzheimer's clinical trials to measure memory, language, orientation, and problem-solving abilities and to track changes over time. For investors it functions like a standardized scoreboard: the size and direction of score changes in a trial help determine whether a treatment is considered effective, which in turn affects regulatory approval prospects, market potential, and how analysts value a drug program.
adcs-iadl medical
"and function (ADCS-iADL)."
ADCS-iADL is a clinical assessment tool developed for dementia research that measures a patient’s ability to perform instrumental activities of daily living—tasks like managing money, cooking, shopping and using transportation. It matters to investors because changes on this scale are used in trials to show whether a treatment preserves everyday functioning, which regulators and payers consider when deciding approvals and reimbursement; think of it as a report card on a drug’s real-world impact.
new drug application (nda) regulatory
"each intended to support a separate regulatory submission for a New Drug Application (NDA)."
A new drug application (NDA) is a formal request submitted to regulatory authorities to gain approval for a new medication to be sold and used by the public. It is a comprehensive review process that examines the drug’s safety, effectiveness, and manufacturing quality. For investors, an NDA approval can signal a potential breakthrough product and influence a company's stock value.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Pivotal Phase 3 trial enrolls 850 patients, exceeding original projections

Study completion on track: symptomatic data readout - Q1 2027, disease-modifying data readout - Q1 2028

Company positions for two NDA submissions following each readout

MALVERN, Pa., July 07, 2026 (GLOBE NEWSWIRE) -- Annovis Bio, Inc. (NYSE: ANVS) (“Annovis” or the “Company”), a Phase 3 clinical-stage biotechnology company developing the investigational oral therapy, buntanetap, for neurodegenerative diseases such as Alzheimer’s disease (AD) and Parkinson’s disease (PD), today announced full enrollment of its pivotal Phase 3 trial (NCT06709014) evaluating buntanetap in patients with early AD. The trial enrolled 850 patients with pTau217-confirmed AD pathology across 83 clinical sites in the US.

“Reaching this level of enrollment, well above our original goal, reflects the trust patients and families living with this disease have placed in our work, and that is not something we take for granted,” said Maria Maccecchini, Ph.D., Founder, President and CEO of Annovis. “This achievement is the product of outstanding trial design, management, and execution led by Cheng Fang, our CSO, and Sarah MacCallum, our VP of Clinical Operations, built from the ground up. I am deeply grateful to them and the entire Annovis team for their professionalism and passion in conducting this study according to the highest standards.”

The pivotal Phase 3 AD study is a randomized, placebo-controlled, double-blind dual clinical trial designed with two pre-specified readouts: a 6-month analysis of symptomatic effects and an 18-month analysis of disease-modifying effects of daily oral buntanetap (30mg). The trial has recruited patients diagnosed with early AD (MMSE 20-28) who are positive for blood biomarker pTau217, which indicates Alzheimer's pathology in the brain. The primary endpoints will assess changes in cognition (ADAS-Cog13) and function (ADCS-iADL). This dual design will produce two distinct data readouts, each intended to support a separate regulatory submission for a New Drug Application (NDA).

Next Milestones

With the last patient expected to complete the 6-month treatment period in January 2027, followed by data cleaning and analysis, Annovis anticipates the following near-term milestones:

  • Q1 2027: 6-month symptomatic top-line data readout
  • Q1 2028: 18-month disease-modifying top-line data readout
  • Regulatory submissions: The Company has already begun preparations for NDA submissions to the U.S. Food and Drug Administration (FDA), building on guidance received during prior FDA interactions, to position Annovis for submission shortly after each respective readout

“That level of enthusiasm from the patient community underscores how urgently a new treatment for Alzheimer's is needed, and how eager people affected by the disease are to help advance it toward the finish line,” said Cheng Fang, Ph.D., CSO at Annovis. “High enrollment also strengthens the statistical power of our dataset. Combined with the FDA-aligned protocol, we are executing this trial according to regulatory requirements as we approach this important moment for our company and the Alzheimer's community.”

“This time last year, our trial had 50 patients enrolled; today, the number stands at 850. We want to thank every patient, caregiver, and investigator who made this progress possible,” said Sarah MacCallum, VP, Clinical Operations at Annovis. “Seamless execution across so many clinical sites and consistent follow-up with every patient throughout this rigorous enrollment process – all required great effort from every party involved, and we are thankful to everyone who helped us reach this milestone.”

About Annovis
Headquartered in Malvern, Pennsylvania, Annovis Bio, Inc. (NYSE: ANVS) is a Phase 3 clinical-stage biotechnology company developing treatments for neurodegenerative diseases such as Alzheimer's disease (AD) and Parkinson's disease (PD). The Company's lead drug candidate, buntanetap (formerly posiphen), is an investigational once-daily oral therapy that inhibits the translation of multiple neurotoxic proteins, including APP and amyloid beta, tau, alpha-synuclein, and TDP-43, through a specific RNA-targeting mechanism of action. By addressing the underlying causes of neurodegeneration, Annovis aims to halt disease progression and improve cognitive and motor functions in patients. For more information, visit www.annovisbio.com and follow us on LinkedInYouTube, and X.

Investor Alerts
Interested investors and shareholders are encouraged to sign up for press releases and industry updates by registering for email alerts at https://www.annovisbio.com/email-alerts.

Forward-Looking Statements
This press release contains forward-looking statements under the Securities Act of 1933 and the Securities Exchange Act of 1934, as amended. Actual results may differ due to various risks and uncertainties, including those outlined in the Company’s SEC filings under “Risk Factors” in its Annual Report on Form 10-K and Quarterly Reports on Form 10-Q. The Company undertakes no obligation to update forward-looking statements except as required by law.

Contact Information:
Annovis Bio Inc.
101 Lindenwood Drive
Suite 225
Malvern, PA 19355
www.annovisbio.com

Investor Contact:
Alexander Morin, Ph.D.
Director, Strategic Communications
Annovis Bio
ir@annovisbio.com


FAQ

What did Annovis Bio (NYSE:ANVS) announce about its Phase 3 buntanetap trial for early Alzheimer’s disease?

Annovis Bio announced full enrollment of its pivotal Phase 3 trial of buntanetap for early Alzheimer’s, with 850 patients. According to Annovis, the study includes pTau217-confirmed patients at 83 US sites and is designed with two planned clinical readouts.

When will Annovis Bio (ANVS) report Phase 3 top-line data for buntanetap in early Alzheimer’s?

Annovis Bio expects 6‑month symptomatic top-line data in Q1 2027 and 18‑month disease‑modifying data in Q1 2028. According to Annovis, the last patient should complete the 6‑month treatment period in January 2027, followed by data cleaning and analysis.

How is the Phase 3 buntanetap trial for early Alzheimer’s designed, and what are its primary endpoints?

The Phase 3 trial is randomized, placebo-controlled, double-blind, with daily 30 mg oral buntanetap. According to Annovis, it features two pre-specified readouts and primary endpoints assessing cognition via ADAS‑Cog13 and function via ADCS‑iADL in early Alzheimer’s patients.

How many patients and sites are involved in Annovis Bio’s Phase 3 early Alzheimer’s trial of buntanetap (ANVS)?

The trial enrolled 850 patients with pTau217-confirmed Alzheimer’s pathology across 83 US clinical sites. According to Annovis, participants have early Alzheimer’s with MMSE scores between 20 and 28, aiming to strengthen statistical power and meet regulatory expectations.

What regulatory plans does Annovis Bio (ANVS) have for buntanetap after the Phase 3 Alzheimer’s readouts?

Annovis Bio plans two New Drug Application submissions to the FDA following each Phase 3 readout. According to Annovis, NDA preparations are underway, using guidance from prior FDA interactions, aiming to submit shortly after the symptomatic and disease‑modifying data.

What makes the Annovis Bio (ANVS) Phase 3 buntanetap study pivotal for early Alzheimer’s treatment development?

The study is pivotal because its dual design targets both symptomatic and disease-modifying outcomes to support NDAs. According to Annovis, strong enrollment, biomarker-confirmed pTau217 patients, and an FDA-aligned protocol aim to satisfy regulatory requirements for potential approval.