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BioArctic to initiate next cohorts in exidavnemab Phase 2a study after positive safety review

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BioArctic announced positive interim safety results for exidavnemab in its Phase 2a EXIST study, enabling progression to higher dose cohorts. The study evaluates exidavnemab as a potential disease-modifying treatment for Parkinson's disease and Multiple System Atrophy (MSA). The first cohort demonstrated that the lower dose was safe and well-tolerated compared to placebo in Parkinson's patients. Two new cohorts will now evaluate higher doses in both Parkinson's and MSA patients. Exidavnemab, a monoclonal antibody, selectively targets pathological alpha-synuclein aggregates while preserving physiological forms. The drug has received orphan drug designation in the US and a positive opinion for orphan medicinal product designation in the EU for MSA treatment. The EXIST study is randomized, double-blinded, and placebo-controlled, evaluating safety, tolerability, pharmacokinetics, and various biomarkers.
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Positive

  • Drug demonstrated good safety and tolerability profile in Phase 2a first cohort
  • Successful progression to higher dose cohorts in both Parkinson's and MSA patients
  • Received orphan drug designation in US and positive opinion for orphan designation in EU for MSA
  • Building on similar scientific approach as approved drug Leqembi

Negative

  • Early-stage clinical trial with no efficacy data yet
  • No guarantee of successful completion of clinical development or regulatory approval

News Market Reaction

+0.67%
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+0.67% News Effect

On the day this news was published, BIOA gained 0.67%, reflecting a mild positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

STOCKHOLM, June 13, 2025 /PRNewswire/ -- BioArctic AB (publ) (NASDAQ Stockholm: BIOA B) announced today that the interim safety review of the clinical Phase 2a study EXIST showed exidavnemab to be safe and well-tolerated, whereby the second dose cohorts will now be initiated. The EXIST study evaluates exidavnemab, a drug candidate being developed as a treatment for Parkinson's disease and Multiple System Atrophy (MSA).

The first cohort in the ongoing clinical Phase 2a study EXIST evaluated a lower dose of exidavnemab compared to placebo in patients with Parkinson's disease. An interim safety review showed that exidavnemab was safe and well tolerated. The positive outcome will result in the initiation of two further cohorts, to evaluate a higher dose of exidavnemab in comparison with placebo in patients with Parkinson's disease as well as MSA.

"Exidavnemab is BioArctic's second disease modifying treatment for severe brain diseases, building on a similar scientific approach as Leqembi®. Both originate from our antibody platform, selectively targeting aggregated, toxic misfolded proteins. I am pleased that the interim safety review of our phase 2a study EXIST of exidavnemab showed a good safety and tolerability profile as expected, supporting progression into higher doses in both Parkinson's disease and MSA," says Gunilla Osswald, CEO at BioArctic.

The Phase 2a study EXIST (EXIdavnemab Synucleinopathy Trial), is a randomized, double-blinded, placebo-controlled study to evaluate the safety and tolerability of exidavnemab and its pharmacokinetic profile. In addition, a broad range of biomarkers will be evaluated in plasma, cerebrospinal fluid (CSF), and using digital measurements.

Exidavnemab is being developed as a novel disease-modifying treatment for synucleinopathies such as Parkinson's disease and MSA. Exidavnemab is a monoclonal antibody (mAb) that selectively targets pathological alpha-synuclein aggregates, while sparing the physiological forms. Aggregated alpha-synuclein damages nerve cells, and by selectively binding and removing these aggregates, exidavnemab is intended to preserve nerve cell function and slow the disease.

There is a large unmet medical need for slowing disease progression in diseases such as Parkinson's disease and MSA. Exidavnemab has recently been granted orphan drug designation (ODD) in the US and a positive opinion regarding orphan medicinal product designation (OD) in the EU for the treatment of MSA.

This release discusses investigational uses of an agent in development and is not intended to convey conclusions about efficacy or safety. There is no guarantee that such investigational agents will successfully complete clinical development or gain health authority approval.

This information is information that BioArctic AB (publ) is obliged to disclose pursuant to the EU Market Abuse Regulation. The information was released for public disclosure, through the agency of the contact person below, on June 13, 2025, at 08:00 CET.

For further information, please contact:
Oskar Bosson, VP Communications and Investor Relations
E-mail: mailto:oskar.bosson@bioarctic.com
Telephone: +46 70 410 71 80

About Exidavnemab

Exidavnemab is a monoclonal antibody drug candidate that is designed to selectively target and eliminate pathological alpha-synuclein aggregates, while sparing the physiological forms. Aggregates of alpha-synuclein participate in neurodegenerative disorders including Parkinson's disease and Multiple System Atrophy (MSA). The goal is to develop a disease modifying treatment that stops or slow down the progression of alpha-synucleinopathies e.g. Parkinson's disease and MSA. BioArctic's phase 2a study EXIST with exidavnemab is ongoing since 2024. EXIST is an important step towards a proof-of-concept study focusing on the efficacy of the drug candidate.

Exidavnemab has been granted orphan drug designation (ODD) in the US and a positive opinion regarding orphan medicinal product designation (OD) in the EU for the treatment of Multiple System Atrophy (MSA).

About BioArctic AB

BioArctic AB (publ) is a Swedish research-based biopharma company focusing on innovative treatments that can delay or stop the progression of neurodegenerative diseases. The company is the originator of Leqembi® (lecanemab) – the world's first drug proven to slow the progression of the disease and reduce cognitive impairment in early Alzheimer's disease. Leqembi has been developed together with Eisai. BioArctic has a broad research portfolio within Alzheimer's disease, Parkinson's disease, ALS and enzyme deficiency diseases. Several of the projects utilize the company's proprietary BrainTransporter™ technology, which improves the transport of drugs into the brain. BioArctic's B share (BIOA B) is listed on Nasdaq Stockholm Large Cap. For more information, please visit www.bioarctic.com.

This information was brought to you by Cision http://news.cision.com.

https://news.cision.com/bioarctic/r/bioarctic-to-initiate-next-cohorts-in-exidavnemab-phase-2a-study-after-positive-safety-review,c4163875

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BioArctic to initiate next cohorts in exidavnemab Phase 2a study after positive safety review

 

Cision View original content:https://www.prnewswire.com/news-releases/bioarctic-to-initiate-next-cohorts-in-exidavnemab-phase-2a-study-after-positive-safety-review-302480953.html

SOURCE BioArctic

FAQ

What were the results of BioArctic's Phase 2a EXIST study for exidavnemab?

The interim safety review showed that exidavnemab was safe and well-tolerated in the first cohort testing a lower dose, allowing progression to higher dose cohorts for both Parkinson's disease and MSA patients.

What conditions is BioArctic's exidavnemab designed to treat?

Exidavnemab is being developed as a disease-modifying treatment for synucleinopathies, specifically Parkinson's disease and Multiple System Atrophy (MSA).

How does BioArctic's exidavnemab work?

Exidavnemab is a monoclonal antibody that selectively targets and removes pathological alpha-synuclein aggregates while sparing physiological forms, aiming to preserve nerve cell function and slow disease progression.

What regulatory designations has BioArctic's exidavnemab received?

Exidavnemab has received orphan drug designation in the US and a positive opinion for orphan medicinal product designation in the EU for the treatment of MSA.

What is the design of BioArctic's EXIST clinical trial?

EXIST is a randomized, double-blinded, placebo-controlled Phase 2a study evaluating exidavnemab's safety, tolerability, pharmacokinetic profile, and various biomarkers in plasma, CSF, and digital measurements.
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