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AtaiBeckley’s BPL-003 Shows Rapid, Durable Antidepressant Response in Treatment-Resistant Depression Patients on SSRIs; Phase 2a Data Published in CNS Drugs

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AtaiBeckley (NASDAQ: ATAI) reported peer‑reviewed Phase 2a results showing a single intranasal dose of BPL‑003 produced a 66.7% antidepressant response rate by Day 2 in SSRI‑concomitant TRD patients (n=12) and durable responses at Day 85: 83% (10 mg) and 66.7% (12 mg).

FDA Breakthrough Therapy designation granted Oct 2025; Phase 3 initiation is on track for Q2 2026 following FDA End‑of‑Phase 2 alignment.

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Positive

  • Day‑2 responder rate of 66.7% (≥50% MADRS reduction)
  • Durability to Day‑85: 83% responders (10 mg) and 66.7% (12 mg)
  • FDA Breakthrough Therapy designation granted October 2025
  • Phase 3 on track to start in Q2 2026 after EOP2 alignment
  • Rapid clinical effect with mean discharge ~100 minutes post‑dose
  • No serious adverse events reported in the study cohort

Negative

  • Small sample size: Part 2 cohort n=12 limits statistical power
  • Open‑label, single‑center design increases potential bias and limits generalizability
  • Dose durability discrepancy: 10 mg cohort showed higher Day‑85 response than 12 mg

News Market Reaction – ATAI

-0.79%
3 alerts
-0.79% News Effect
+2.2% Peak Tracked
-$11M Valuation Impact
$1.38B Market Cap
6.27K Volume

On the day this news was published, ATAI declined 0.79%, reflecting a mild negative market reaction. Argus tracked a peak move of +2.2% during that session. Our momentum scanner triggered 3 alerts that day, indicating moderate trading interest and price volatility. This price movement removed approximately $11M from the company's valuation, bringing the market cap to $1.38B at that time.

Data tracked by StockTitan Argus on the day of publication.

Key Figures

Day 2 response rate: 66.7% Durable response 10 mg: 83% (5/6) Durable response 12 mg: 66.7% (4/6) +5 more
8 metrics
Day 2 response rate 66.7% TRD patients on SSRIs after single intranasal BPL-003 dose (10 mg & 12 mg cohorts, n=12)
Durable response 10 mg 83% (5/6) Responders at Day 85 / Week 12 in 10 mg cohort
Durable response 12 mg 66.7% (4/6) Responders at Day 85 / Week 12 in 12 mg cohort
MADRS 6-core change 19.2 → 6.2 (10 mg); 21.0 → 9.3 (12 mg) Change from baseline to follow-up; ≤10 = remission threshold
Discharge readiness ~100 minutes Mean time to discharge readiness post-dose in Phase 2a SSRI-concomitant cohort
Phase 2b sample size 193 participants Double-blind randomized Phase 2b BPL-003 trial referenced by management
Baseline severity MADRS ≥24; age 18–75 years Eligibility criteria for Phase 2a TRD participants on stable SSRI therapy
Prior monotherapy result 12.6-point MADRS reduction Mean reduction by Day 2 in Part 1 monotherapy Phase 2a (n=12), sustained 12 weeks

Market Reality Check

Price: $3.64 Vol: Volume 2,527,521 is 0.54x...
low vol
$3.64 Last Close
Volume Volume 2,527,521 is 0.54x the 20-day average of 4,707,349, showing lighter-than-normal trading ahead of this release. low
Technical Shares at $3.79 were trading below the 200-day MA of $4.11 and about 43.85% under the 52-week high of $6.75 before this news.

Peers on Argus

Momentum scanner flagged only RAPP in this window, moving -3.02% while ATAI was ...
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Momentum scanner flagged only RAPP in this window, moving -3.02% while ATAI was flagged as moving up. Broader peer list shows mixed moves, suggesting today’s setup is stock-specific rather than a coordinated biotech move.

Historical Context

5 past events · Latest: Mar 24 (Positive)
Pattern 5 events
Date Event Sentiment Move Catalyst
Mar 24 Index inclusion Positive -0.3% Added to major S&P and CRSP indices with large passive AUM exposure.
Mar 17 Clinical data Positive +0.0% Phase 2a BPL-003 monotherapy data showed rapid, durable MADRS reduction.
Mar 10 Pipeline update Positive +6.4% Confirmed BPL-003 Phase 3 start in Q2 2026 after successful FDA EOP2.
Mar 06 Earnings update Neutral -4.2% Reported FY25 results, cash of $220.7M and runway into early 2029.
Mar 03 Regulatory meeting Positive +0.3% Announced successful FDA End-of-Phase 2 meeting for BPL-003 in TRD.
Pattern Detected

Recent ATAI news has often seen muted or negative reactions even to positive clinical and index‑inclusion catalysts, with only the End‑of‑Phase 2 update showing a clearly strong upside response.

Recent Company History

Over the past month, AtaiBeckley has repeatedly highlighted BPL‑003’s progress. A March 3 End‑of‑Phase 2 update and the March 10 Phase 3 program confirmation underscored FDA support and timing for dual pivotal studies. Subsequent March 17 and March 24 communications reinforced rapid, durable antidepressant effects and inclusion in major indices, yet price reactions were flat to slightly negative. This new Phase 2a SSRI-concomitant dataset extends the same BPL‑003 narrative of rapid, durable response as Phase 3 approaches in Q2 2026.

Regulatory & Risk Context

Active S-3 Shelf
Shelf Active
Active S-3 Shelf Registration 2025-09-29

The company has an effective S-3ASR shelf filed on September 29, 2025, used for registering securities for resale. The filing is effective, with at least 3 prospectus supplements (424B) already filed, indicating the shelf has been tapped multiple times. No aggregate capacity amount is specified in the provided summary.

Market Pulse Summary

This announcement highlights peer-reviewed Phase 2a data showing a 66.7% Day‑2 response rate and dur...
Analysis

This announcement highlights peer-reviewed Phase 2a data showing a 66.7% Day‑2 response rate and durable antidepressant benefit for BPL‑003 in TRD patients continuing SSRI therapy, with discharge readiness at about 100 minutes and no serious adverse events. It extends prior monotherapy evidence and supports planned Phase 3 initiation in Q2 2026. Investors may track upcoming Part 4 adjunctive data, overall BPL‑003 Phase 3 design, and future financing or regulatory steps around commercialization plans.

Key Terms

breakthrough therapy designation, end-of-phase 2, madrs, 5-ht1a, +4 more
8 terms
breakthrough therapy designation regulatory
"BPL-003 received FDA Breakthrough Therapy Designation in October 2025"
A breakthrough therapy designation is a regulatory fast-track given to a drug or treatment that shows early signs of providing a major improvement over existing options for a serious condition. Think of it as a VIP lane that can speed up development and more intensive guidance from regulators, which matters to investors because it can shorten time to market, reduce development risk and potentially increase a company’s value — though it does not guarantee approval.
end-of-phase 2 regulatory
"Phase 3 studies are on track... following recent FDA End-of-Phase 2 (EOP2) alignment"
End-of-phase 2 is the development milestone when a drug or medical treatment completes its mid-stage human testing and the sponsor and regulators review the results to decide whether and how to proceed to larger late-stage trials. It matters to investors because this review signals whether the product showed enough benefit and acceptable safety to justify expensive Phase 3 studies, much like passing a major exam before committing to the final, costly year of a degree, and can materially affect a company’s value and funding needs.
madrs medical
"achieved rapid and sustained reductions in MADRS scores from baseline"
MADRS (Montgomery–Åsberg Depression Rating Scale) is a short, clinician‑completed questionnaire that assigns numbers to common symptoms of depression to produce a single score reflecting severity—think of it as a clinical “mood thermometer.” Investors watch MADRS results because drug trials often use changes in this score as the key measure of whether a treatment works; clear improvements or failures can strongly affect regulatory outcomes, market prospects and stock value.
5-ht1a medical
"Mechanism | 5-HT1A and 5-HT2A agonist associated with rapid onset"
5-HT1A is a specific protein on nerve cells that responds to serotonin, a brain chemical involved in mood, anxiety and other functions. Investors care because drugs that activate or block this receptor can change symptoms, side effects and how well a medicine works, so success or failure of such drugs can strongly affect a biotech’s prospects — think of the receptor as a lock and a drug as the key that can turn symptoms up or down.
5-ht2a medical
"Mechanism | 5-HT1A and 5-HT2A agonist associated with rapid onset"
5-HT2A is a specific protein on brain cells that acts like a lock for the chemical serotonin, helping control mood, perception, and cognition; when the lock is turned it changes how brain circuits behave. Investors care because many psychiatric and neurological drugs, including certain antidepressants, antipsychotics and experimental psychedelic therapies, target this receptor to produce therapeutic effects or side effects, so drug candidates that affect 5-HT2A can drive clinical value, regulatory risk, and market opportunity.
ssri medical
"TRD patients remained on a stable dose of one of four SSRIs"
A selective serotonin reuptake inhibitor (SSRI) is a class of prescription drug that raises levels of serotonin, a brain chemical linked to mood, by slowing its reabsorption into nerve cells. Think of it as adjusting a thermostat to keep mood-regulating signals warmer for longer. Investors watch SSRIs because their approvals, patent status, safety signals or new clinical results can change sales, market share and the value of companies that develop or sell them.
open-label medical
"four-part Phase 2a open-label study. Part 2 (SSRI-concomitant, n=12)"
Open-label describes a situation where everyone involved in a study or process knows the full details, such as who is receiving a treatment or intervention. For investors, understanding whether a project or product is open-label helps gauge the level of transparency and potential biases, influencing trust and decision-making. It’s like knowing whether a test or experiment is conducted openly or behind closed doors.
phase 3 medical
"Phase 3 initiation on track for Q2 2026"
Phase 3 is the late-stage clinical testing step for a new drug or medical treatment, where the product is given to large groups of patients to confirm effectiveness, monitor side effects, and compare it to standard care. Successful Phase 3 results are often the final scientific hurdle before regulators decide on approval and market launch—like passing a final exam before graduation—and can sharply change a company's valuation and future revenue prospects.

AI-generated analysis. Not financial advice.

  • 66.7% of participants achieved an antidepressant response by Day 2 following a single intranasal dose of BPL-003 in both the 10 mg (n=6) and 12 mg (n=6) cohorts
  • Durable responses observed at Day 85: 83% (5/6) (10 mg) and 66.7% (4/6) (12 mg)
  • BPL-003 received FDA Breakthrough Therapy Designation in October 2025
  • Phase 3 initiation on track for Q2 2026

NEW YORK, April 08, 2026 (GLOBE NEWSWIRE) -- AtaiBeckley Inc. (NASDAQ: ATAI) (“AtaiBeckley” or “Company”), a clinical-stage biotechnology company on a mission to transform patient outcomes by developing rapid-acting, durable and convenient mental health treatments, today announced peer-reviewed Phase 2a results (NCT05660642) in CNS Drugs demonstrating that a single intranasal dose of BPL-003 (mebufotenin benzoate), which holds FDA Breakthrough Therapy Designation, achieved rapid and sustained reductions in MADRS scores from baseline in participants with treatment-resistant depression (TRD) who remained on stable SSRI therapy throughout the study (n=12). A 66.7% antidepressant response rate (≥50% reduction from baseline MADRS score) was observed at Day 2 in both the 10 mg (n=6) and 12 mg (n=6) cohorts, with 83% (5/6) of participants in the 10 mg cohort and 66.7% (4/6) of participants in the 12 mg cohort maintaining a response at Week 12. BPL-003 was generally well tolerated with no serious adverse events reported, and participants achieved a mean discharge approximately 100 minutes post-dose. Phase 3 studies are on track to initiate in Q2 2026 following recent FDA End-of-Phase 2 (EOP2) alignment.

Clinical Data Summary
DrugBPL-003 (mebufotenin benzoate intranasal spray)
Mechanism5-HT1A and 5-HT2A agonist associated with rapid onset and treatment experience of ~2 hours
IndicationTreatment-resistant depression (TRD); failure to respond to ≥2 prior antidepressants at adequate dose and duration
DesignationsU.S. FDA Breakthrough Therapy Designation granted October 2025
TrialNCT05660642: four-part Phase 2a open-label study. Part 2 (SSRI-concomitant, n=12) reported here; Part 1 (monotherapy, single dose, n=12) published in Journal of Psychopharmacology in March 2026. Part 3 (8 mg + 12 mg, monotherapy, n = 12) topline announced September 2025. Part 4 (8 mg + 8 mg, adjunctive) ongoing; initial data expected Q4 2026.
EndpointSafety and tolerability; exploratory Montgomery-Asberg Depression Rating Scale (MADRS) total score change from baseline
Responder Rate (Day 2)66.7% of participants achieved ≥50% MADRS reduction from a single dose
Durability (Day 85)83% responders (10 mg cohort); 66.7% (12 mg cohort)
MADRS6 Core Symptoms19.2 → 6.2 (10 mg); 21.0 → 9.3 (12 mg); ≤10 = remission
SafetyNo serious adverse events; majority of drug‑related AEs transient and resolved on same day
Discharge ReadinessMean ~100 minutes post‑dose
Phase 3 StatusEnd-of-Phase 2 meeting with U.S. FDA completed; Phase 3 initiation on track for Q2 2026


Management Commentary

Srinivas Rao, Co-Founder and Chief Executive Officer of AtaiBeckley said: "A 66.7% Day‑2 response rate with a single intranasal dose of BPL‑003, maintained through Week 12 in the 10 mg cohort, represents a compelling clinical signal in patients who remained on their baseline SSRI therapy. Combined with our statistically significant double-blind, randomized Phase 2b results in 193 participants and our recent FDA End‑of‑Phase 2 alignment, these Phase 2a data reinforce the potential of BPL‑003 to transform the treatment paradigm for TRD as we prepare to initiate Phase 3 in Q2 2026.”

Dr. Kevin Craig, Chief Medical Officer at AtaiBeckley, added: “This study provides the first Phase 2a evidence that BPL‑003 can be administered alongside SSRIs without compromising efficacy or safety, a meaningful advance given that many TRD patients remain on chronic SSRI therapy. The rapid resolution of acute effects and ~100‑minute discharge readiness further support the feasibility of integrating BPL‑003 into existing interventional psychiatry settings.”

Study Details
The 12-week, open-label, single-center, ascending-dose trial enrolled 12 adults aged 18 to 75 years with moderate-to-severe major depressive disorder (baseline MADRS ≥24) and TRD. All participants had failed at least two prior antidepressants and remained on a stable dose of one of four SSRIs - citalopram, escitalopram, sertraline or fluoxetine - throughout the study. Six participants received a single intranasal 10 mg dose of BPL-003 and six received a single intranasal 12 mg dose of BPL-003, with psychological support before, during and after dosing. Participants were followed for 12 weeks.

This publication represents Part 2 of the four-part Phase 2a open-label study. Data from Part 1 (BPL-003 monotherapy, 10 mg single dose, n=12) was published in the Journal of Psychopharmacology in March 2026, reporting a mean 12.6-point MADRS reduction by Day 2, sustained through 12 weeks. Topline data from Part 3 (8 mg + 12 mg, BPL-003 monotherapy, n=12) were announced in September 2025, showing that a second dose of BPL-003 at Week 2 has the potential to induce additional reductions in MADRS scores without impact on the safety and tolerability profile of the treatment. Part 4 of the program - evaluating a two-dose induction regimen of BPL-003 (8 mg + 8 mg) in participants with TRD who are also receiving defined antidepressants – is ongoing. Initial data from that cohort is expected in Q4 2026.

About BPL-003
BPL-003 is a patent-protected, proprietary intranasal formulation of mebufotenin benzoate (5-MeO-DMT), administered via a nasal spray device used in a previously approved drug product. BPL-003 is designed to deliver rapid and durable effects from a single dose, with a short psychedelic duration, and is being investigated as a potential therapy for treatment-resistant depression (TRD) and alcohol use disorder (AUD). BPL-003 has been granted Breakthrough Therapy designation by the U.S. Food and Drug Administration and is covered by granted US, UK and European composition-of-matter patents, with multiple further claims pending in various jurisdictions.

About Treatment Resistant Depression
Treatment-resistant depression affects an estimated 30% of the nearly 300 million people living with depression around the globe, representing one of the largest areas of unmet need in psychiatry. TRD occurs when a patient does not achieve an adequate response following at least two courses of antidepressants.

About AtaiBeckley Inc.
AtaiBeckley is a clinical-stage biotechnology company on a mission to transform patient outcomes by developing rapid-acting, durable and convenient mental health treatments. AtaiBeckley’s pipeline of novel therapies includes BPL-003 (mebufotenin benzoate nasal spray) for treatment-resistant depression (TRD), VLS-01 (DMT buccal film) for TRD and EMP-01 ((R)-MDMA HCI) for social anxiety disorder. BPL-003 is in Phase 3 planning, VLS-01 and EMP-01 are in Phase 2 clinical development. The Company is also advancing a drug discovery program to identify novel, non-hallucinogenic 5-HT2AR agonists for opioid use disorder and TRD. These programs aim to create breakthroughs in mental health through transformative interventional psychiatry therapies that can integrate seamlessly into healthcare systems.

For the latest updates and to learn more about the AtaiBeckley mission, visit www.ataibeckley.com or follow the Company on LinkedIn and on X.

Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended. We intend such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. The words “believe,” “may,” “will,” “estimate,” “continue,” “anticipate,” “intend,” “expect,” “initiate,” “could,” “would,” “project,” “plan,” “potentially,” “preliminary,” “likely,” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these words. Forward-looking statements include express or implied statements relating to, among other things: our business strategy and plans; expectations regarding the outcome of regulatory discussions regarding the development of BPL-003; expectations regarding the advancement into Phase 3 studies in adults with TRD and related milestones; expectations regarding the design of the Phase 3 program; and the potential benefits of BPL-003 for patients with TRD.

Forward-looking statements are neither promises nor guarantees, but involve known and unknown risks and uncertainties that could cause actual results to differ materially from those projected, including, without limitation, the important factors described in the section titled “Risk Factors” in our most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission (“SEC”), as such factors may be updated from time to time in our quarterly reports and other filings with the SEC. AtaiBeckley disclaims any obligation to update or revise any forward-looking statements contained in this press release, other than to the extent required by applicable law.

Contact Information:
Investors:
Jason Awe, PhD
VP, Investor Relations
IR@ataibeckley.com

Media:
Charlotte Chorley
Associate Director, Communications
PR@ataibeckley.com


FAQ

What were the Phase 2a Day‑2 results for BPL‑003 in ATAI's TRD study?

A single intranasal dose achieved a 66.7% antidepressant response rate by Day 2 in SSRI‑concomitant patients. According to AtaiBeckley, both the 10 mg and 12 mg cohorts (n=6 each) met the ≥50% MADRS reduction threshold on Day 2.

How durable were BPL‑003 responses through Week 12 in ATAI's April 8, 2026 release?

Responses persisted to Day 85 with 83% (10 mg) and 66.7% (12 mg) maintaining response. According to AtaiBeckley, durability was assessed at Week 12 in the open‑label, 12‑week follow‑up of the adjunctive cohorts.

Did ATAI report any serious adverse events for BPL‑003 in the Phase 2a adjunctive study?

No serious adverse events were reported in the adjunctive Phase 2a cohort (n=12). According to AtaiBeckley, most drug‑related adverse events were transient and resolved the same day, supporting tolerability in SSRI‑concomitant patients.

What regulatory milestones did ATAI announce for BPL‑003 and what is the Phase 3 timing?

BPL‑003 holds FDA Breakthrough Therapy designation and Phase 3 initiation is on track for Q2 2026. According to AtaiBeckley, this follows End‑of‑Phase 2 alignment with the U.S. Food and Drug Administration.

What are limitations of the Phase 2a SSRI‑concomitant data for ATAI investors?

Key limitations include the small, open‑label, single‑center cohort (n=12) and lack of a randomized control arm. According to AtaiBeckley, these factors constrain statistical power and generalizability despite promising responder and durability signals.