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BBOT Presents Preclinical Data Showing RAS:PI3Kα Breaker BBO-10203 Inhibits PI3Kα/AKT Signaling in HER2AMP Models at the AACR Annual Meeting 2026

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BridgeBio Oncology Therapeutics (Nasdaq: BBOT) presented preclinical data for BBO-10203 at AACR Annual Meeting 2026 showing the RAS:PI3Kα breaker physically and allosterically disrupts RAS–PI3Kα interaction, inhibiting PI3Kα–AKT signaling.

Key findings: tumor regressions at 30 mg/kg QD, no hyperglycemia observed at 100 mg/kg QD, activity independent of RAS/PI3Kα mutational status, and strong in vivo combination activity with tucatinib and trastuzumab. Updated clinical data expected H2 2026.

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Positive

  • Tumor regressions observed at 30 mg/kg QD in preclinical models
  • No hyperglycemia observed at tested doses up to 100 mg/kg QD
  • Combination efficacy with tucatinib or trastuzumab in HER2AMP models
  • Mutational independence—activity reported regardless of RAS or PI3Kα mutations

Negative

  • Preclinical stage only; human clinical efficacy not yet demonstrated
  • Safety in humans unknown despite no preclinical hyperglycemia signal

News Market Reaction – BBOT

-6.24%
18 alerts
-6.24% Session close to close
-11.8% Trough in 26 hr 53 min
$778.72M Market Cap
0.8x Rel. Volume

In the Apr 22 session, BBOT declined 6.24%, reflecting a notable negative market reaction. Argus tracked a trough of -11.8% from its starting point during tracking. Our momentum scanner triggered 18 alerts that day, indicating notable trading interest and price volatility.

Data tracked by StockTitan Argus on the day of publication.

Market Context

The stock moved -6.2% in the session following this news. A negative reaction despite mechanisticall...
Analysis

The stock moved -6.2% in the session following this news. A negative reaction despite mechanistically supportive preclinical AACR data would fit the risk profile of an early-stage oncology company with no approved products. BBOT has seen prior positive moves around data and earnings, including +5.36% after its 2025 update, so a sharp decline would more likely reflect shifting risk appetite, profit-taking, or broader biotech pressures rather than a clear change in the BBO-10203 thesis alone.

Key Figures

Dose level: 30 mg/kg QD High-dose safety: 100 mg/kg QD Clinical data timing: Second half of 2026
3 metrics
Dose level 30 mg/kg QD BBO-10203 induced tumor regressions at this dose in preclinical models
High-dose safety 100 mg/kg QD No hyperglycemia observed at this BBO-10203 dose in preclinical testing
Clinical data timing Second half of 2026 Updated clinical data for BBO-10203 expected in this timeframe

Historical Context

5 past events · Latest: Apr 13 (Neutral)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Apr 13 Inducement option grant Neutral +2.6% Reported Nasdaq-compliant inducement stock options for a new hire.
Mar 18 AACR presentation update Positive +1.9% Announced multiple AACR 2026 presentations including BBO-10203 oral data.
Mar 06 Preclinical data publication Positive +5.4% Published preclinical data showing BBO-11818 as potent panKRAS inhibitor.
Mar 05 Earnings and pipeline Positive +5.4% Reported 2025 results, $425.5M cash and multiple 2026 data readouts.
Feb 12 Investor conferences Neutral -1.5% Planned participation in Oppenheimer and Leerink healthcare conferences.

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

Pattern Detected

Recent data and corporate updates, especially on RAS-pathway programs, have generally coincided with positive next-day price moves.

Recent Company History

Over recent months, BBOT has highlighted progress across its RAS‑pathway pipeline and corporate development. An earnings and pipeline update on 2026-03-05 and a Cancer Discovery preclinical publication on BBO‑11818 both preceded +5.36% moves. Announcements around AACR 2026 presentations and inducement grants on 2026-03-18 and 2026-04-13 also saw modest gains. This AACR oral presentation on BBO‑10203 fits an ongoing cadence of scientific visibility for BBOT’s KRAS and PI3Kα programs.

Key Terms

pi3kα, akt, her2amp, hyperglycemia, +1 more
5 terms
pi3kα medical
"BBO-10203 physically and allosterically disrupts the interaction between RAS and PI3Kα"
PI3Kα is a specific form of an enzyme that acts like a cellular switchboard controlling signals for cell growth, survival and movement; think of it as a traffic controller that helps decide when cells divide or stay alive. It matters to investors because drugs that block or modify this enzyme can slow tumor growth or cause side effects, so clinical trial results, approvals or safety concerns around PI3Kα-targeting therapies can significantly affect company value.
akt medical
"breaker BBO-10203 inhibits PI3Kα-AKT signaling in tumors with no observed hyperglycemia"
AKT is a family of enzymes inside cells that act like circuit breakers for growth, survival and energy use, turning biological pathways on or off. It matters to investors because drugs or diagnostics that target AKT can change the course of development for treatments in areas such as cancer and metabolic disease, affecting clinical trial results, regulatory chances and a company’s valuation much like a key part failing or working in an industrial system.
her2amp medical
"BBO-10203 displays strong in vivo combination effects with HER2 inhibitors tucatinib or trastuzumab in HER2AMP models"
HER2amp means a tumor has extra copies of the HER2 gene, causing cells to make abnormally high levels of the HER2 protein that can drive faster cancer growth. For investors, HER2 amplification matters because it determines which patients are eligible for targeted drugs and companion diagnostic tests, shaping clinical trial outcomes, regulatory approvals and the commercial market size for therapies—think of it like a factory receiving duplicate instruction manuals that ramp up production.
hyperglycemia medical
"resulting in the inhibition of RAS-driven PI3Kα-AKT signaling in tumors with no observed hyperglycemia"
Hyperglycemia is a condition where there is too much sugar in the bloodstream because the body cannot move glucose into cells effectively, like a sink with the drain partially blocked so water pools. It matters to investors because persistent high blood sugar drives demand for diabetes treatments, medical devices and hospital care, affects clinical trial outcomes and regulatory decisions, and can signal long-term cost and liability risks for healthcare companies.
non-canonical ras signaling medical
"through non-canonical RAS signaling blockade"
Non-canonical RAS signaling describes alternative ways that cells use RAS proteins to send growth and survival messages that are different from the well-known, classic routes. Like a detour around a main road, these alternate routes can keep a cell dividing or resisting drugs even when the usual pathway is blocked, so they matter to investors because they affect how well targeted therapies or diagnostics might work and influence the risk and value of related drug programs.

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

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BBO-10203 physically and allosterically disrupts the interaction between RAS and PI3Kα, leading to signaling inhibition without inhibiting the kinase activity of PI3Kα and with no observed hyperglycemia

BBO-10203 displays strong in vivo combination effects with HER2 inhibitors tucatinib or trastuzumab in HER2AMP models

Updated clinical data are expected in the second half of 2026

SOUTH SAN FRANCISCO, Calif., April 21, 2026 (GLOBE NEWSWIRE) -- BridgeBio Oncology Therapeutics, Inc. (“BBOT”) (Nasdaq: BBOT), a clinical-stage biopharmaceutical company focused on RAS-pathway malignancies, today presented new preclinical data in an oral presentation for BBO-10203, a first-in-class covalent small molecule RAS:PI3Kα breaker that selectively blocks the physical interaction between RAS and PI3Kα resulting in the inhibition of RAS-driven PI3Kα-AKT signaling in tumors with no observed hyperglycemia. The data were presented at the American Association for Cancer Research (AACR) Annual Meeting 2026.

"The interaction between RAS and PI3Kα plays a critical role in malignant cells,” said Pedro J. Beltran, PhD, Chief Scientific Officer of BBOT. “BBO-10203 physically disrupts the interaction between RAS and PI3Kα, leading to signaling inhibition and tumor regressions. Importantly, unlike competing approaches, no hyperglycemia has been observed to date. In addition, BBO-10203’s ability to block RAS-mediated activation of PI3Kα is independent of the mutational status of either RAS or PI3Kα, which may enable treatment of a broader patient population. These data suggest that non-canonical RAS proteins play a key role in PI3Kα activation in HER2AMP cell lines. Furthermore, BBO-10203 demonstrates strong in vivo combination activity with HER2-targeted therapies, including tucatinib and trastuzumab, in HER2 AMP models.”

Highlights from the oral presentation include:

  • BBO-10203 physically and allosterically disrupts the interaction between RAS and PI3Kα, leading to signaling inhibition without inhibiting the kinase activity of PI3Kα 
  • BBO-10203 induces tumor regressions at 30 mg/kg QD and no hyperglycemia observed at 100 mg/kg QD
  • BBO-10203 shows that PI3Kα activity in HER2AMP cells is RAS-dependent
  • RAS RBD mutations recapitulate the pAKT and viability effects of breaker activity in HER2AMP cell lines
  • Non-canonical RAS signaling appears to be the dominant driver of pAKT in HER2AMP cell lines
  • BBO-10203 displays strong in vivo combination effects with HER2 inhibitors tucatinib or trastuzumab in HER2AMP models

The oral presentation is titled “The RAS:PI3Kα breaker BBO-10203 inhibits PI3Kα/AKT activity in HER2AMP models through non-canonical RAS signaling blockade.” A copy of the presentation will be available on the “Publications” page of the BBOT website following the conference.

About BBO-10203
BBO-10203 is an orally bioavailable small molecule with a novel mechanism of action designed to inhibit the physical interaction between RAS and PI3Kα, inhibiting RAS-driven PI3Kα-AKT signaling in tumors. BBO-10203 binds directly and covalently to the RAS-binding domain of PI3Kα, preventing its activation by KRAS, HRAS and NRAS, reducing downstream signaling and tumor growth. It is a protein-protein inhibitor and not a kinase inhibitor, enabling inhibition of RAS-driven PI3Kα-AKT signaling in tumors without the risk of hyperglycemia. Importantly, BBO-10203’s ability to block RAS activation of PI3Kα is agnostic to the mutational status of either RAS or PI3Kα. In addition to a potentially differentiated safety profile, BBO-10203 could be combined with direct KRAS inhibitors, such as BBO-8520 and BBO-11818, or drugs that target HER2 or ER receptors. BBO-10203 is being evaluated in the Phase 1 BREAKER-101 trial (NCT06625775) for patients with locally advanced or metastatic HER2+ breast cancer, HR+/HER2- breast cancer, KRAS-mutant colorectal cancer, and KRAS-mutant non-small cell lung cancer. Updated Phase 1 clinical data are expected in the second half of 2026.

About BBOT
BBOT is a clinical-stage biopharmaceutical company advancing a next-generation pipeline of novel small molecule therapeutics targeting RAS and PI3Kα malignancies. BBOT has the goal of improving outcomes for patients with cancers driven by the two most prevalent oncogenes in human tumors. For more information, please visit www.bbotx.com and follow us on LinkedIn.

Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the U.S. Private Securities Litigation Reform Act of 1995, as amended, and other federal securities laws. Any statements in this press release that are not historical facts may be deemed forward-looking statements, which generally are accompanied by words such as “believe,” “may,” “will,” “estimate,” “continue,” “anticipate,” “intend,” “expect,” “should,” “would,” “plan,” “predict,” “potential,” “seem,” “seek,” “future,” “outlook” and similar expressions that predict or indicate future events or trends. These statements are based on various assumptions, whether or not identified in this press release, and are the current expectations of BBOT’s management and are not predictions of actual performance. Many actual events and circumstances are beyond the control of BBOT. These forward-looking statements are subject to a number of risks and uncertainties, including changes in domestic and foreign business, market, financial, political, and legal conditions; risks related to the timing of expected regulatory and business milestones, including the progress of enrollment in clinical trials and availability of data from ongoing and planned clinical trials; and those factors discussed in documents BBOT has filed or will file with the U.S. Securities and Exchange Commission.

In addition, forward-looking statements reflect BBOT’s expectations, plans, or forecasts of future events and views as of the date of this press release and are qualified in their entirety by reference to the cautionary statements herein. BBOT anticipates that subsequent events and developments will cause BBOT’s assessments to change. These forward-looking statements should not be relied upon as any guarantee, assurance, prediction or definitive statement of fact or probability or as representing BBOT’s assessments as of any date subsequent to the date of this press release. Neither BBOT, nor any of its affiliates undertake any obligation to update these forward-looking statements, except as required by law.

BBOT Contacts:

Investor Contact:
Heather Armstrong, Head of Investor Relations
BBOT
Investors@BBOTx.com

Media Contact:
Jake Robison
Inizio Evoke Comms
Jake.robison@inizioevoke.com


FAQ

What did BBOT announce about BBO-10203 at AACR on April 21, 2026?

BBOT presented preclinical data showing BBO-10203 disrupts RAS–PI3Kα interaction and inhibits PI3Kα–AKT signaling in HER2AMP models. According to the company, the presentation reported tumor regressions at 30 mg/kg QD and no hyperglycemia at 100 mg/kg QD.

How did BBO-10203 perform with HER2 inhibitors in BBOT preclinical models?

BBO-10203 showed strong in vivo combination activity with tucatinib and trastuzumab in HER2AMP models. According to the company, combinations produced enhanced antitumor effects versus single agents in the reported studies.

Did BBOT report any safety signals for BBO-10203 at AACR 2026?

No hyperglycemia was observed in the reported preclinical dosing, including at 100 mg/kg QD. According to the company, this differentiates BBO-10203 from some kinase inhibitors in preclinical testing.

Is BBO-10203 effective regardless of RAS or PI3Kα mutations, per BBOT?

The company reported that BBO-10203 blocks RAS-mediated PI3Kα activation independent of RAS or PI3Kα mutational status. According to BBOT, this could broaden potential patient applicability in HER2AMP tumors.

What dose produced tumor regressions for BBO-10203 in BBOT's preclinical data?

Tumor regressions were observed at 30 mg/kg administered once daily in the presented models. According to the company, that dose produced regressions without observed hyperglycemia at higher tested doses.

When does BBOT expect updated clinical data for BBO-10203?

BBOT expects updated clinical data in the second half of 2026. According to the company, those updates will follow the preclinical presentation and inform further clinical evaluation timelines.