Denali Therapeutics Presents Enzyme TransportVehicle™ Progress Across Three Clinical Programs for Treatment of Lysosomal Storage Disorders at 2026 WORLDSymposium™
Rhea-AI Summary
Denali Therapeutics (NASDAQ: DNLI) presented clinical and preclinical data across three lysosomal storage disorder programs highlighting Enzyme TransportVehicle (ETV) delivery to brain and body. Key points: tividenofusp alfa (DNL310) maintained CSF and urine heparan sulfate reductions through Week 201; DNL126 showed an 80% mean CSF HS reduction at Week 49; DNL952 Phase 1 design and preclinical glycogen reductions in muscle and brain were presented.
Positive
- CSF heparan sulfate reduced and normalized through Week 201
- DNL126 showed mean 80% CSF HS reduction at Week 49
- Urine HS reduced 83% with DNL126 at Week 49
- BLA for tividenofusp alfa is under Priority Review with PDUFA 4/5/2026
Negative
- Most common treatment-related adverse events were infusion-related reactions
- DNL126 safety is preliminary and based on short-duration cohorts (≤49 weeks)
Key Figures
Market Reality Check
Peers on Argus
DNLI is down 2.3% while key biotech peers like AGIO, BLTE, IDYA and TVTX also show single-day declines, but momentum scanner flags only 1 peer (APGE) moving up, supporting a stock-specific move rather than a broad sector rotation.
Historical Context
| Date | Event | Sentiment | Move | Catalyst |
|---|---|---|---|---|
| Feb 02 | Webcast announcement | Positive | +4.6% | Announced webcast to review ETV presentations at 2026 WORLDSymposium. |
| Jan 29 | Data presentations | Positive | +0.7% | Flagged upcoming tividenofusp, DNL126, and DNL952 data at WORLDSymposium. |
| Jan 06 | 2026 milestones | Positive | +7.4% | Outlined 2026 priorities including expected tividenofusp commercial launch. |
| Dec 30 | NEJM publication | Positive | -1.0% | Published Phase 1/2 tividenofusp data in NEJM backing FDA Priority Review. |
| Dec 10 | Equity offering | Negative | -10.6% | Priced public offering of common stock and prefunded warrants for funding. |
DNLI has generally reacted positively to ETV platform and milestone updates, with occasional divergence such as a small drop on NEJM clinical data and a larger decline on an equity offering.
Over the past few months, DNLI has repeatedly highlighted progress for tividenofusp alfa and its broader Enzyme TransportVehicle™ platform. A WORLDSymposium-focused webcast on Feb 2, 2026 and prior data-presentation announcements in late January saw modest to strong gains. A Dec 30, 2025 NEJM publication of Phase 1/2 tividenofusp data coincided with a slight decline, while a Dec 10, 2025 public offering linked to roughly $200 million in proceeds led to a sharper selloff. Today’s detailed clinical updates extend that same program narrative.
Market Pulse Summary
This announcement consolidates Denali’s Enzyme TransportVehicle™ story with extended Phase 1/2 data in Hunter and Sanfilippo syndromes and outlines the Phase 1 design in Pompe disease. It reinforces the April 5, 2026 PDUFA date for tividenofusp alfa and presents substantial biomarker reductions for DNL126, alongside an accelerated approval pathway. Investors may watch for upcoming regulatory decisions, Phase 3 planning, and any further financing or insider activity disclosed in SEC filings.
Key Terms
enzyme replacement therapies medical
cerebrospinal fluid medical
biologics license application regulatory
priority review regulatory
prescription drug user fee act regulatory
surrogate endpoint medical
accelerated approval regulatory
pharmacokinetics medical
AI-generated analysis. Not financial advice.
- Analysis from continued follow-up of Phase 1/2 clinical trial data in Hunter syndrome (MPS II) reinforces potential for tividenofusp alfa (DNL310) to address full disease spectrum
- Launch readiness established in anticipation of April 5, 2026, Prescription Drug User Fee Act (PDUFA) date for tividenofusp alfa
- Preliminary Phase 1/2 study data show treatment with DNL126 (ETV:SGSH) substantially reduced disease biomarkers in cerebrospinal fluid (CSF) and peripheral tissues, including an
80% mean reduction in CSF heparan sulfate, in Sanfilippo syndrome type A (MPS IIIA); safety profile generally consistent with established enzyme replacement therapies - Design of ongoing DNL952 (ETV:GAA) Phase 1 clinical study presented in addition to preclinical data that show therapeutic potential to treat both muscle and nervous system manifestations of Pompe disease
SOUTH SAN FRANCISCO, Calif., Feb. 05, 2026 (GLOBE NEWSWIRE) -- Denali Therapeutics Inc. (Nasdaq: DNLI) today announced data from programs in Hunter syndrome (mucopolysaccharidosis type II, MPS II), Sanfilippo syndrome type A (MPS IIIA) and Pompe disease that highlight the potential of its Enzyme TransportVehicle™ (ETV) to enable the delivery of enzyme replacement therapies (ERT) to the whole body, including the brain. Data were presented this week at the 22nd Annual WORLDSymposium™ in San Diego, California.
“The data presented at this year’s WORLDSymposium reflect the strong momentum of our Enzyme TransportVehicle franchise as we continue to prepare for the potential commercial launch of tividenofusp alfa for Hunter syndrome and make meaningful progress across lysosomal storage disorders,” said Peter Chin, M.D., Acting Chief Medical Officer and Head of Development of Denali Therapeutics. “From advancing our program in Sanfilippo to expanding into muscle disease with Pompe, we are continuing to broaden the reach of our ETV platform with the goal of delivering new medicines in areas of high unmet need. This progress is made possible through constructive collaboration with regulatory authorities and close partnership with the community, listening to and learning from them to better understand treatment journeys of individuals and their families living with these debilitating diseases.”
Key highlights from the presentations are summarized below.
Tividenofusp alfa (DNL310, ETV:IDS) for Hunter syndrome (MPS II)
An analysis from continued follow-up of the Phase 1/2 study of the investigational therapy tividenofusp alfa (DNL310) for MPS II showed that rapid, substantial reduction from baseline and normalization of cerebrospinal fluid heparan sulfate (CFS HS) and urine HS, both key biomarkers of disease, resulting from treatment was maintained through Week 201 (as of the clinical data cut-off of March 28, 2025). Stabilization or improvement in clinical endpoints including adaptive behavior, cognition and hearing, and normalization of liver volume was also observed through Week 201. Safety and tolerability data were consistent with previously reported results from the Phase 1/2 study. Data from this Phase 1/2 study support the Biologics License Application (BLA) for tividenofusp alfa that is currently under Priority Review by the U.S. Food and Drug Administration (FDA) with a target decision date of April 5, 2026.
Denali also highlighted data from a case study of two male siblings with non-neuronopathic MPS II enrolled in the Phase 1/2 trial, which further supports the potential of tividenofusp alfa to address the full disease spectrum.
DNL126 (ETV:SGSH) for Sanfilippo syndrome type A (MPS IIIA)
The ongoing Phase 1/2 study of the investigational therapy DNL126 (ETV:SGSH) is fully enrolled with a total of 20 participants and is an open-label, 25-week study followed by an open-label extension period through 193 weeks. Preliminary data as of the clinical data cut-off (June 4, 2025) were presented, including biomarker results from the dose-finding cohorts (n=8) and safety data from the dose-finding and efficacy cohorts (n=14). Preliminary biomarker results from dose-finding cohorts showed treatment with DNL126 resulted in a mean reduction in CSF HS of
“These promising data show for the first time that treatment with the brain-penetrant enzyme replacement therapy DNL126 substantially reduced biomarkers of substrate accumulation in cerebrospinal fluid and peripheral tissues,” said Elizabeth Jalazo, M.D., University of North Carolina at Chapel Hill and an investigator in the Phase 1/2 study. “Currently, there are no approved disease-modifying therapies for individuals living with Sanfilippo syndrome type A, which presents with developmental delay and behavior problems that progress to severe cognitive and motor decline. Many affected individuals do not live beyond adolescence.”
In August 2025, Denali announced that it reached alignment with the FDA that CSF HS may be considered a reasonably likely surrogate endpoint to predict clinical benefit and may therefore be used to support an accelerated approval path for DNL126 for MPS IIIA. Denali expects a BLA submission and potential approval for DNL126 for MPS IIIA in 2027. Planning for a global Phase 3 confirmatory study is ongoing.
DNL952 (ETV:GAA) for Pompe disease
Denali presented the Phase 1 clinical study design for the investigational therapy DNL952 (ETV:GAA) in participants with late-onset Pompe disease. The study includes planned cohorts evaluating different dose regimens of DNL952 in patients previously treated with second-generation ERTs, as well as optional additional cohorts including treatment-naïve patients. The study is intended to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of DNL952. Preclinical data also presented at WORLDSymposium showed improved glycogen reduction compared to a second-generation ERT in both skeletal muscle and brain in a mouse model of Pompe disease.
About Hunter syndrome (MPS II)
Hunter syndrome, also known as MPS II, is a rare genetic lysosomal storage disease caused by mutations in the iduronate-2-sulfatase (IDS) gene. This results in a deficiency of the IDS enzyme, which is responsible for breaking down glycosaminoglycans (GAGs) such as heparan sulfate and dermatan sulfate. The accumulation of GAGs leads to progressive damage in multiple organs and tissues, including the brain. Symptoms of Hunter syndrome include developmental delays, cognitive decline, behavioral abnormalities and physical complications such as joint stiffness, hearing loss and organ dysfunction. Current standard-of-care enzyme replacement therapies do not cross the blood-brain barrier and therefore do not address the neurological symptoms of the disease. There is a significant unmet need for therapies that address both the central nervous system (CNS) and peripheral manifestations of Hunter syndrome.
About Tividenofusp Alfa
Tividenofusp alfa (DNL310) is composed of the iduronate 2-sulfatase (IDS) enzyme fused to Denali’s proprietary TransportVehicle™ (TV) platform, designed to deliver IDS into the brain and the body, with the goal of addressing behavioral, cognitive and physical symptoms of Hunter syndrome (MPS II). In addition to Rare Pediatric Disease Designation and Breakthrough Therapy Designation, the U.S. Food and Drug Administration has granted Fast Track and Orphan Drug designations to tividenofusp alfa for development in the treatment of MPS II. The European Medicines Agency has granted Priority Medicines designation to tividenofusp alfa.
Denali is conducting the Phase 2/3 COMPASS study in participants with MPS II in North America, South America and Europe to support global approval. Participants are randomized 2:1 to receive either tividenofusp alfa or idursulfase, respectively. More information about the COMPASS study can be found here.
Tividenofusp alfa is an investigational therapeutic and has not been approved for use by any Health Authority.
About Sanfilippo syndrome type A (MPS IIIA)
Sanfilippo syndrome type A, also known as MPS IIIA, is a rare, genetic lysosomal storage disorder characterized by severe neurocognitive deterioration during childhood, with many affected individuals not living past adolescence. MPS IIIA results from a deficiency of the sulfoglucosamine sulfohydrolase (SGSH) enzyme, which is responsible for degrading heparan sulfate in the lysosome. There are no approved disease-modifying therapies for MPS IIIA.
About DNL126 (ETV:SGSH)
DNL126 (ETV:SGSH) is an investigational, intravenously administered, Enzyme TransportVehicle™ (ETV)-enabled N-sulfoglucosamine sulfohydrolase (SGSH) replacement therapy designed to deliver SGSH into the brain and body, with the goal of addressing the behavioral, cognitive and physical manifestations of MPS IIIA. In 2024, the U.S. Food and Drug Administration (FDA) selected DNL126 for participation in the Support for clinical Trials Advancing Rare disease Therapeutics (START) Pilot Program, with the stated purpose to further accelerate the pace of development of novel drug and biological products that are intended to address an unmet medical need as a treatment for a rare disease.
Denali is conducting a multicenter, open-label, Phase 1/2 study to assess the safety, tolerability, pharmacokinetics, pharmacodynamics and exploratory clinical efficacy of DNL126 in participants with MPS IIIA. The core study period is approximately 6 months and is followed by an open-label extension for approximately 18 months. The study has five cohorts (two dose-finding cohorts and three efficacy cohorts). The primary endpoint of the Phase 1/2 study is percent change in baseline in cerebrospinal fluid heparan sulfate (CSF HS) at Week 49. More information about the study can be found here. Planning for a global Phase 3 confirmatory study is ongoing.
About Pompe disease
Pompe disease is a rare, progressively debilitating genetic disorder in which the body cannot break down glycogen, a complex sugar that is stored in cells for energy. This is caused by a deficiency of the lysosomal enzyme, acid alpha-glucosidase (GAA), which is responsible for the breakdown of glycogen. As a result, glycogen builds up in cells, especially in muscle tissue, including the heart, diaphragm and skeletal muscles, leading to muscle weakness, breathing difficulties and, in some cases, life-threatening complications.
About DNL952 (ETV:GAA)
DNL952 (ETV:GAA) is an investigational therapy being developed by Denali. This treatment is proposed to work by using the Enzyme TransportVehicle™ (ETV) to enhance delivery of the missing enzyme, GAA, into muscle tissues and across the blood-brain barrier into the brain. Denali is conducting a Phase 1 clinical study of DNL952 in participants with late-onset Pompe disease. More information about the study can be found here.
About the Denali TransportVehicle™ Platform
The blood-brain barrier (BBB) is essential in maintaining the brain’s microenvironment and protecting it from harmful substances and pathogens circulating in the bloodstream. Historically, the BBB has posed significant challenges to drug development for central nervous system diseases by preventing most drugs from reaching the brain in therapeutically relevant concentrations. Denali’s TransportVehicle™ (TV) platform is a proprietary technology designed to effectively deliver large therapeutic molecules such as antibodies, enzymes and oligonucleotides throughout the whole body, including the brain, by crossing the BBB after intravenous administration. The TV platform is based on engineered Fc domains that bind to specific natural transport receptors, such as transferrin receptor and CD98 heavy chain amino acid transporter, which are expressed at the BBB and deliver the TV and its therapeutic cargo to the brain through receptor-mediated transcytosis. In animal models, antibodies and enzymes engineered with the TV platform demonstrate more than 10- to 30-fold greater brain exposure than similar antibodies and enzymes without this technology. Oligonucleotides engineered with the TV platform demonstrate more than a 1,000-fold greater brain exposure in primates than systemically delivered oligonucleotides without this technology. Improved exposure and broad distribution in the brain may increase therapeutic efficacy by enabling widespread achievement of therapeutically relevant concentrations of product candidates. The TV platform has been clinically validated and five TV-enabled programs are currently in clinical development.
About Denali Therapeutics
Denali Therapeutics Inc. is a biotechnology company pioneering a new class of biotherapeutics designed to cross the blood-brain barrier using its proprietary TransportVehicle™ platform. With a clinically validated delivery platform and a growing portfolio of therapeutic candidates across all stages of development, Denali is advancing toward its goal of delivering effective medicines to transform the lives of people living with neurodegenerative, lysosomal storage and other serious diseases. For more information, please visit www.denalitherapeutics.com.
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements expressed or implied in this press release include, but are not limited to, statements regarding Denali Therapeutics Inc.'s ("Denali" or the "Company") business strategy and business plans, including expected key milestones for Denali's therapeutic portfolio in 2026 and beyond and Denali’s ability to execute on its commercial strategies; plans, timelines and expectations related to Denali's ETV franchise and its therapeutic and commercial potential; plans, timelines and expectations relating to tividenofusp alfa (DNL310), including the timing, likelihood and scope of regulatory approvals and commercial launch, the therapeutic potential of tividenofusp alfa, and the likelihood of the Phase 2/3 COMPASS data to support confirmatory evidence for global regulatory submissions and approval; plans, timelines and expectations related to DNL126, including the timing and availability of data from the Phase 1/2 study, the therapeutic potential of DNL126, the likelihood of regulatory approval, and the plans to initiate a Phase 3 study; plans and expectations regarding DNL952, the design of the Phase 1 study and the program's therapeutic potential; expectations regarding Denali's leadership in developing transferrin receptor (TfR)-enabled and BBB-crossing therapeutics; and statements by Drs. Chin and Jalazo. Actual results are subject to risks and uncertainties and may differ materially from those indicated by these forward-looking statements as a result of these risks and uncertainties, including but not limited to: uncertainties related to the FDA’s policies and accelerated approval program, including risks that the PDUFA action date may be extended and the FDA may not approve tividenofusp alfa; the possibility of events or changes that could lead to the termination of Denali’s collaboration agreements; Denali’s dependence on successful development and commercialization of its BBB platform technology and TV-enabled product candidates; Denali’s ability to initiate and enroll patients in its current and future clinical trials; Denali’s ability to conduct or complete clinical trials on expected timelines; Denali’s reliance on third parties for the manufacture and supply of its product candidates for clinical trials and commercial products; the potential for clinical trial results to differ from preclinical, early clinical, preliminary or expected results; the risk of significant adverse events, toxicities or other undesirable side effects; the risk that results from early clinical biomarker studies will not translate to clinical benefit in late clinical studies; the risk that product candidates may not receive regulatory approval necessary to be commercialized; developments relating to Denali’s competitors and its industry, including competing product candidates and therapies; Denali’s ability to obtain, maintain or protect intellectual property rights; and other risks and uncertainties. In light of these risks, uncertainties and assumptions, the forward-looking statements in this press release are inherently uncertain and may not occur, and actual results could differ materially and adversely from those anticipated or implied in the forward-looking statements. Accordingly, you should not rely upon forward-looking statements as predictions of future events. Denali's product candidates are investigational, and their safety and efficacy profiles have not yet been established. No Denali product candidates have been approved by any health authority for any use. Information regarding additional risks and uncertainties may be found in Denali’s Annual and Quarterly Reports filed on Forms 10-K and 10-Q filed with the Securities and Exchange Commission (SEC) on February 27, 2025, and November 6, 2025, respectively, and Denali’s future reports to be filed with the SEC. Denali does not undertake any obligation to update or revise any forward-looking statements, to conform these statements to actual results or to make changes in Denali’s expectations, except as required by law.
Investor Contact:
Laura Hansen, Ph.D.
hansen@dnli.com
Media Contact:
Erin Patton
epatton@dnli.com