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Biodexa announces major milestone for its Serenta registrational Phase 3 trial in FAP

(Positive)

Biodexa (Nasdaq: BDRX) reported a key recruitment milestone in its registrational Phase 3 Serenta trial of eRapa in Familial Adenomatous Polyposis (FAP), NCT06950385. As of August 19, 2026, 87 of a planned 168 subjects have been enrolled, exceeding the halfway target.

The double-blind, placebo-controlled study is planned to randomize patients 2:1 (drug:placebo) and is recruiting at 29 clinical sites across the US and five European countries, with three Canadian sites expected to open. Biodexa plans a futility analysis after 25 Progression Free Survival (PFS) events and database lock after 75 PFS events, using a composite endpoint to define PFS events.

The Phase 3 program is supported by a $20 million grant from the Cancer Prevention and Research Institute of Texas. eRapa, an oral mTOR inhibitor formulation of rapamycin, holds Orphan Drug Designation in the US and Europe for FAP.

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Positive

  • Serenta Phase 3 trial over halfway enrolled with 87 of 168 subjects
  • Planned 30 clinical sites across US and Europe plus Canada expansion
  • Predefined futility and database lock at 25 and 75 PFS events
  • Program backed by $20 million CPRIT grant
  • eRapa holds Orphan Drug Designation in both US and Europe for FAP

Negative

  • None.

Market reaction after Phase 3 recruitment milestone: BDRX -3.60%

-3.60% $1.34 503.4x vol
15m delay
-3.60% Vs previous close
+8.7% Peak in 0 min
$1.34 Last Price
$1.29 $2.01 Day Range
$1.38M Market Cap
503.4x Rel. Volume

Following this news, BDRX has declined 3.60%, reflecting a moderate negative market reaction. Argus tracked a peak move of +8.7% during the session. Our momentum scanner has triggered 17 alerts so far, indicating notable trading interest and price volatility. The stock is currently trading at $1.34. Trading volume is exceptionally heavy at 503.4x the average, suggesting significant selling pressure.

Data tracked by StockTitan Argus (15 min delayed). Upgrade to Gold for real-time data.

Market Context

2.41% short interest represented low short positioning as this Phase 3 recruitment milestone arrived...
Analysis

2.41% short interest represented low short positioning as this Phase 3 recruitment milestone arrived. The historical record adds caution: four of five comparable clinical-trial announcements diverged negatively, making futility and database-lock events key watch points.

Key Figures

Subjects recruited: 87 subjects Planned enrollment: 168 subjects Clinical sites: 29 sites +5 more
8 metrics
Subjects recruited 87 subjects As of August 19, 2026, in the Serenta Phase 3 trial
Planned enrollment 168 subjects Serenta Phase 3 trial
Clinical sites 29 sites Across the US and five European countries
Additional sites 3 sites Canada sites expected to be initiated shortly
Futility analysis threshold 25 PFS events Planned Serenta trial analysis
Database lock threshold 75 PFS events Planned Serenta trial database lock
CPRIT grant $20 million Support for the Phase 3 program
FAP incidence 1 in 5,000 to 10,000 Reported incidence in the US

Previous Clinical trial Reports

5 past events · Latest: Jun 29 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Jun 29 Phase 3 expansion approval Positive -2.4% Health Canada approved expansion of the Serenta Phase 3 trial into Canada.
Feb 04 Molecular glue license Positive -11.0% Biodexa closed an exclusive license with Otsuka for Phase 1-ready OPB-171775.
Dec 01 Phase 3 patient enrollment Positive +2.2% The first three European patients entered the pivotal Serenta Phase 3 trial.
Nov 24 European site activation Positive -1.4% The University of Bonn became the first European site for the Serenta trial.
Nov 03 European trial approval Positive -2.4% Biodexa announced EMA approval of the Serenta Clinical Trial Application.

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

Pattern Detected

Clinical-trial announcements historically diverged from the stock’s response, with four of five selected events followed by negative 24-hour reactions.

Key Terms

pfs, composite endpoint, orphan drug designation, mtor inhibitor
4 terms
pfs medical
"after 25 Progression Free Survival (PFS) events"
Progression-free survival (PFS) is a clinical-trial measure that records how long, on average, patients live without their disease getting worse after starting a treatment. For investors, PFS acts like a stopwatch of a drug’s effectiveness: longer PFS can signal meaningful patient benefit, improve chances of regulatory approval or label strength, and raise a drug’s commercial value, while shorter or unchanged PFS can weigh on a company’s prospects.
composite endpoint medical
"The Serenta protocol includes a composite endpoint"
A composite endpoint is a single result used in clinical studies that combines several different outcomes—such as hospitalization, disease progression, or death—into one measure. For investors, it matters because bundling outcomes can change how a trial’s success looks: it can make a treatment appear more or less effective depending on which events are included, so it affects regulatory chances, market expectations, and the perceived commercial value of a therapy. Think of it as averaging multiple exam scores into one final grade.
orphan drug designation regulatory
"eRapa has received Orphan Drug Designation"
Orphan drug designation is a special status given to medicines developed to treat rare diseases affecting only a small number of people. This status often provides benefits like faster approval processes and financial incentives, making it more attractive for companies to develop these drugs. For investors, it signals potential for exclusive market rights and reduced competition, which can impact the drug’s profitability.
mtor inhibitor medical
"Rapamycin is an mTOR (mammalian Target Of Rapamycin) inhibitor"
mTOR inhibitors are drugs that block the mTOR protein, a cell-signaling “traffic light” that tells cells when to grow, divide or produce energy. They matter to investors because these drugs can treat cancers, immune disorders and other conditions, so clinical results, safety and regulatory approvals can dramatically affect a biotech’s future revenue and valuation much like a new product changing a company’s market prospects.

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

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August 19, 2026

Biodexa announces major milestone for its Serenta registrational Phase 3 trial in FAP

87 subjects, over 50% of target, recruited

Biodexa Pharmaceuticals PLC (Nasdaq: BDRX) (“Biodexa” or “the Company”), a clinical stage biopharmaceutical company developing innovative products focused on the treatment or prevention of gastrointestinal cancers is pleased to announce that it has exceeded the half-way point in the recruitment of subjects in its registrational Phase 3 trial of eRapa in Familial Adenomatous Polyposis (FAP), NCT06950385. As of today, 87 of a planned 168 subjects have been recruited into the Serenta trial. The trial is recruiting at 29 clinical sites across the US and five countries in Europe with a further three sites in Canada expected to be initiated shortly.

The Company is planning a futility analysis after 25 Progression Free Survival (PFS) events and database lock after 75 PFS events in the Serenta trial. The Serenta protocol includes a composite endpoint which defines the nature of the PFS events.

Commenting, Stephen Stamp, Chief Executive Officer of Biodexa said “I should like to thank our collaborators at the leading FAP treatment centers who have helped drive recruitment in Serenta and put us ahead of any competition.”

About Familial Adenomatous Polyposis

FAP is characterized by the proliferation of polyps in the colon and/or rectum, usually occurring in mid-teens. There is no approved therapeutic option for treating FAP patients, for whom active surveillance and surgical resection of the colon and/or rectum remain the standard of care. If untreated, FAP typically leads to cancer of the colon and/or rectum. There is a significant hereditary component to FAP with a reported incidence of one in 5,000 to 10,000 in the US and one in 11,300 to 37,600 in Europe. eRapa has received Orphan Drug Designation in the US and in Europe. Importantly, mTOR has been shown to be over-expressed in FAP polyps – thereby underscoring the rationale for using a potent and safe mTOR inhibitor like eRapa to treat FAP.

About eRapa
eRapa is a proprietary oral capsule formulation of rapamycin, also known as sirolimus. Rapamycin is an mTOR (mammalian Target Of Rapamycin) inhibitor. mTOR has been shown to have a significant role in the signalling pathway that regulates cellular metabolism, growth and proliferation and is activated during tumorigenesis. Importantly, mTOR has been shown to be over-expressed in FAP polyps – thereby underscoring the rationale for using a potent and safe mTOR inhibitor like eRapa to treat FAP. Data from an open label Phase 2 trial were presented at Digestive Disease Week and InSIGHT 2024 in May and June 2024, respectively. Based on those data, Biodexa initiated a double-blind, placebo-controlled Phase 3 registrational trial which is planned to initiate 30 clinical sites across the US and Europe and to enrol 168 subjects randomized 2:1, drug: placebo. The Phase 3 program is supported by a $20 million grant from the Cancer Prevention and Research Institute of Texas.

The Cancer Prevention and Research Institute of Texas
To date, CPRIT has awarded $2.9 billion in grants to Texas research institutions and organizations through its academic research, prevention and product development research programs. CPRIT has recruited 237 distinguished researchers, supported the establishment, expansion or relocation of 43 companies to Texas and generated over $5.7 billion in additional public and private investment. CPRIT funding has advanced scientific and clinical knowledge and provided 7.4 million life-saving cancer prevention and early detection services reaching Texans from all 254 counties. On November 5, 2019, Texas voters overwhelmingly approved a constitutional amendment to provide an additional $3 billion to CPRIT for a total $6 billion investment in cancer research and prevention. Learn more at https://cprit.texas.gov/.

About Biodexa Pharmaceuticals PLC

The Company’s lead development programs include eRapa, under development for Familial Adenomatous Polyposis and Non-Muscle Invasive Bladder Cancer, MTX240 under development for Gastrointestinal Stromal Tumors (GIST) and tolimidone, under development for the treatment of type 1 diabetes.

eRapa is a proprietary oral capsule formulation of rapamycin, also known as sirolimus. Rapamycin is an mTOR (mammalian Target Of Rapamycin) inhibitor. mTOR has been shown to have a significant role in the signalling pathway that regulates cellular metabolism, growth and proliferation and is activated during tumorigenesis.

MTX240 is a molecular glue, bringing two intracellular proteins, PDE3a and SLFN12, specifically co-expressed by GIST cancer cells, into close proximity to form a stable complex. This interaction stabilizes SLFN12, enabling it to drive RNase-mediated apoptosis in GIST cells through a mechanism independent of KIT or PDGFR signalling.

Tolimidone is an orally delivered, potent and selective inhibitor of Lyn kinase. Lyn is a member of the Src family of protein tyrosine kinases, which is mainly expressed in hematopoietic cells, in neural tissues, liver, and adipose tissue. Tolimidone has demonstrated glycaemic control via insulin sensitization in animal models of diabetes and has the potential to become a first-in-class blood glucose modulating agent.

Biodexa’s headquarters and R&D facility is in Cardiff, UK. For more information visit www.biodexapharma.com.

For more company information, please contact:

Stephen Stamp, CEO
Tel: +44 (0)29 20480 180
www.biodexapharma.com

For information on the Company’s Early Access Program for eRapa, please contact erapa@tannerpharma.com

Forward-Looking Statements
Certain statements in this announcement may constitute “forward-looking statements” within the meaning of legislation in the United Kingdom and/or United States. Such statements are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 and are based on management’s belief or interpretation. All statements contained in this announcement that do not relate to matters of historical fact should be considered forward-looking statements, including, without limitation, statements regarding the pace, timing and completion of recruitment and enrolment in the Serenta trial; the planned number of subjects and clinical sites and the expected initiation of additional sites, including in Canada; the planned futility analysis and database lock and the timing and number of PFS events; the potential therapeutic benefits, safety and efficacy of eRapa, MTX240 and tolimidone and the potential for tolimidone to be first-in-class; the Company’s plans to seek orphan drug designation in Europe; the availability of funding under the CPRIT grant; and the Company’s development and regulatory plans generally. In certain cases, forward-looking statements can be identified by the use of words such as “plans”, “expects” or “does not anticipate”, or “believes”, “anticipates”, “intends”, “estimates”, “targets”, “potential”, “planned”, “should” or “continue”, or variations of such words and phrases or statements that certain actions, events or results “may”, “could”, “would”, “might” or “will be taken”, “occur” or “be achieved.” Forward-looking statements and information are subject to various known and unknown risks and uncertainties, many of which are beyond the ability of the Company to control or predict, that may cause the Company’s actual results, performance or achievements to be materially different from those expressed or implied thereby, and are developed based on assumptions about such risks, uncertainties and other factors set out herein, including, without limitation: the rate of subject recruitment, enrolment and retention and the risk that recruitment is not completed on the anticipated timetable; delays in initiating or the failure to initiate additional clinical sites; the rate at which PFS events accrue and the resulting timing of the futility analysis and database lock; the outcome of the futility analysis and the risk that earlier or interim data are not predictive of final results; risks relating to the safety, efficacy and regulatory approval of eRapa, MTX240 and tolimidone; the Company’s ability to obtain and maintain regulatory designations; the availability of funding under the CPRIT grant and the Company’s ability to satisfy its conditions; and the Company’s need for additional capital.

Reference should be made to those documents that Biodexa shall file from time to time or announcements that may be made by Biodexa in accordance with the rules and regulations promulgated by the SEC, which contain and identify other important factors that could cause actual results to differ materially from those contained in any projections or forward-looking statements. These forward-looking statements speak only as of the date of this announcement. All subsequent written and oral forward-looking statements by or concerning Biodexa are expressly qualified in their entirety by the cautionary statements above. Except as may be required under relevant laws in the United States, Biodexa does not undertake any obligation to publicly update or revise any forward-looking statements because of new information, future events or events otherwise arising.


FAQ

What milestone did Biodexa (NASDAQ: BDRX) announce for its Serenta Phase 3 FAP trial?

Biodexa announced that its Serenta Phase 3 trial of eRapa in FAP has enrolled 87 of 168 planned subjects. According to Biodexa, this exceeds the halfway point of recruitment and reflects active enrollment across sites in the US and Europe.

How is the Serenta Phase 3 trial of eRapa in FAP (BDRX) designed?

The Serenta trial is a double-blind, placebo-controlled Phase 3 study randomizing 168 subjects 2:1 to eRapa or placebo. According to Biodexa, it includes a composite Progression Free Survival endpoint and plans analyses at 25 and 75 PFS events.

How many sites and countries are involved in Biodexa’s Serenta Phase 3 FAP trial?

According to Biodexa, Serenta is recruiting at 29 sites across the US and five European countries, with three Canadian sites expected. The company has planned around 30 clinical sites overall to support enrollment of 168 randomized FAP subjects.

What funding supports Biodexa’s eRapa Phase 3 program in FAP and how large is it?

The eRapa Phase 3 program in FAP is supported by a $20 million grant from the Cancer Prevention and Research Institute of Texas. According to Biodexa, this CPRIT funding underpins the registrational Serenta study across North American and European centers.

Does eRapa for FAP have Orphan Drug Designation and what is its mechanism?

Yes, eRapa has Orphan Drug Designation for FAP in both the US and Europe. According to Biodexa, eRapa is an oral rapamycin formulation that inhibits mTOR, a signaling pathway involved in cell growth and over-expressed in FAP polyps.

What is Familial Adenomatous Polyposis (FAP) and why is Biodexa targeting it with eRapa?

Familial Adenomatous Polyposis is a hereditary disorder causing numerous colon or rectal polyps, often progressing to cancer if untreated. According to Biodexa, FAP lacks approved drug therapies, and over-expressed mTOR in FAP polyps supports evaluating eRapa as a potential treatment.

What other pipeline programs does Biodexa (BDRX) have besides eRapa for FAP?

Besides eRapa, Biodexa is developing MTX240 for gastrointestinal stromal tumors and tolimidone for type 1 diabetes. According to Biodexa, eRapa is also being developed for non-muscle invasive bladder cancer as part of its gastrointestinal cancer-focused portfolio.