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Alpha Tau Announces FDA Approval of IDE Supplement to Expand Alpha DaRT® IMPACT Trial to Patients with Pancreatic Cancer Receiving Gemcitabine with Abraxane® (Nab-Paclitaxel)

(Neutral)

Alpha Tau (NASDAQ: DRTS) announced FDA approval of an IDE supplement to expand its U.S. IMPACT pancreatic cancer pilot trial. The supplement adds 10 patients receiving gemcitabine/nab-paclitaxel and increases total trial size from 30 to 40 patients. Recruitment completion shifts from Q2 to Q3 2026 to allow site approvals and added enrollment.

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Positive

  • FDA IDE supplement approved to expand IMPACT trial
  • Trial expanded to include gemcitabine/nab-paclitaxel combination
  • Total planned enrollment increased from 30 to 40 patients
  • Broader first-line chemotherapy coverage (mFOLFIRINOX and gem/nab-paclitaxel)

Negative

  • Estimated recruitment completion delayed from Q2 to Q3 2026
  • Additional site approvals required before treating the extra patients

News Market Reaction – DRTS

-1.24%
2 alerts
-1.24% Session close to close
$711.12M Market Cap
0.0x Rel. Volume

In the Apr 23 session, DRTS declined 1.24%, reflecting a mild negative market reaction. Our momentum scanner triggered 2 alerts that day, indicating moderate trading interest and price volatility.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement expands Alpha Tau’s IMPACT pancreatic cancer pilot, lifting enrollment to 40 patie...
Analysis

This announcement expands Alpha Tau’s IMPACT pancreatic cancer pilot, lifting enrollment to 40 patients and adding a gemcitabine/nab‑paclitaxel cohort alongside mFOLFIRINOX. It builds on a series of FDA interactions and IDE approvals across multiple tumor types. Investors may focus on recruitment progress, safety and efficacy data in unresectable or metastatic pancreatic adenocarcinoma, and how results from both chemotherapy backbones shape the future development path for Alpha DaRT.

Key Figures

Total IMPACT trial size: 40 patients Additional patients: 10 patients Locally advanced cohort: 5 patients +1 more
4 metrics
Total IMPACT trial size 40 patients IMPACT pancreatic cancer pilot after IDE supplement
Additional patients 10 patients Newly added cohort receiving gemcitabine/nab-paclitaxel plus Alpha DaRT
Locally advanced cohort 5 patients Unresectable locally advanced pancreatic cancer in new cohort
Metastatic cohort 5 patients Metastatic pancreatic cancer in new cohort

Previous Fda approval Reports

5 past events · Latest: Dec 02 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Dec 02 Prostate IDE approval Positive +2.4% FDA IDE approval for pilot Alpha DaRT study in locally recurrent prostate cancer.
Apr 02 GBM IDE approval Positive +3.2% FDA IDE approval for recurrent glioblastoma pilot using Alpha DaRT technology.
Feb 03 Pancreatic IDE expand Positive -4.6% IDE supplement expanding pancreatic Alpha DaRT pilot to 30 patients across two cohorts.
Oct 21 TAP program entry Positive +0.9% Acceptance into FDA TAP program to accelerate Alpha DaRT for recurrent GBM.
Sep 20 cSCC IDE approval Positive -3.1% FDA IDE approval for multi-center Alpha DaRT study in immunocompromised cSCC patients.

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

Pattern Detected

Past FDA approval headlines for DRTS have produced mixed reactions, with an average move of -0.24% across five events, alternating between gains and selloffs.

Recent Company History

Recent FDA-related milestones for Alpha Tau show a steady build-out of Alpha DaRT’s clinical footprint. Since Sep 2024, the company has secured IDE approvals or TAP acceptance for recurrent cSCC, glioblastoma, prostate cancer, and an earlier pancreatic trial expansion to 30 patients. Today’s IDE supplement for the IMPACT pancreatic trial, lifting total enrollment to 40 patients and adding another chemotherapy backbone, continues this multi-indication expansion strategy.

Key Terms

investigational device exemption (ide), gemcitabine, nab-paclitaxel, pancreatic adenocarcinoma, +1 more
5 terms
investigational device exemption (ide) regulatory
"the FDA has approved an Investigational Device Exemption (IDE) supplement"
An investigational device exemption (IDE) is a regulatory permission that allows a medical device to be used in clinical studies so companies can gather safety and effectiveness data before full market approval. For investors, an IDE is a key milestone because it lets a company test real-world performance and move toward commercial clearance or approval—much like a trial run that, if successful, can unlock larger revenue opportunities and reduce regulatory risk.
gemcitabine medical
"patients receiving gemcitabine/nab-paclitaxel together with Alpha DaRT"
Gemcitabine is a chemotherapy drug that works by interfering with cancer cells’ ability to copy their DNA, which slows or stops tumor growth. Investors watch it because clinical trial results, regulatory approvals, patent status, or manufacturing and supply issues for a widely used cancer medicine can materially affect a drugmaker’s sales, partnerships, and stock value—think of it as a key product whose market performance can move a company.
nab-paclitaxel medical
"Gemcitabine with Abraxane® (Nab-Paclitaxel)"
A chemotherapy drug formulation in which the anti-cancer agent paclitaxel is bound to human albumin protein particles to improve delivery into tumors and avoid harsh solvent ingredients used in older versions. Investors pay attention because clinical trial results, regulatory approvals, patent or licensing status, and manufacturing capacity for this specialized formulation can drive sales, pricing power and a company’s future revenue potential — like a better-packaged product that reaches customers more effectively.
pancreatic adenocarcinoma medical
"metastatic pancreatic adenocarcinoma"
Pancreatic adenocarcinoma is a type of cancer that starts in the cells of the pancreas, the organ that helps digestion and controls blood sugar. It matters to investors because it is often aggressive and hard to detect early, so progress or setbacks in diagnostics, drugs or clinical trials can strongly affect the value of companies working on treatments—similar to how a breakthrough or failure in fixing a critical bridge can change the fortunes of contractors and insurers.
systemic therapy medical
"whether the Alpha DART can be safely combined with systemic therapy in this setting"
Treatments that travel through the bloodstream or throughout the body to reach disease sites rather than targeting a single spot—think of a citywide water main delivering resources rather than a local hose. They include drugs given orally, by injection, or infusion and are commonly used for cancers, infections, and autoimmune diseases. Investors care because systemic therapies often address large patient populations, drive long-term drug sales, carry regulatory and safety risks, and shape competitive positioning and pricing in healthcare markets.

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

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- IDE supplement expands trial to the other primary standard-of-care chemotherapy for pancreatic cancer patients, alongside mFOLFIRINOX -

- IDE supplement also expands total trial size from 30 to 40 patients -

- Study explores Alpha DaRT combined with chemotherapy in patients with newly diagnosed unresectable locally advanced or metastatic pancreatic adenocarcinoma -

- This pilot study is a key part of Alpha Tau’s broader strategy to bring Alpha DaRT to cancer patients with some of the highest unmet needs -

JERUSALEM, April 23, 2026 (GLOBE NEWSWIRE) -- Alpha Tau Medical Ltd. (Nasdaq: DRTS, DRTSW) (“Alpha Tau”), the developer of the innovative alpha-radiation cancer therapy Alpha DaRT® today announced that the FDA has approved an Investigational Device Exemption (IDE) supplement to its U.S. multi-center pancreatic cancer pilot study, known as IMPACT (Intratumoral Pancreatic Alpha Combination Trial), evaluating the safety, feasibility, and efficacy of Alpha DaRT in combination with chemotherapy for patients with newly diagnosed unresectable locally advanced or metastatic pancreatic adenocarcinoma.

The IDE supplement expands the trial to allow ten additional newly diagnosed patients receiving gemcitabine/nab-paclitaxel together with Alpha DaRT, five of whom with unresectable locally advanced pancreatic cancer and five with metastatic pancreatic cancer. Together with the previous IDE approval to recruit 30 patients in this trial for treatment with Alpha DaRT together with mFOLFIRINOX, the IMPACT trial is now expected to recruit a total of 40 patients.

Uzi Sofer, CEO of Alpha Tau, stated, “Approval by the FDA to expand this important trial is wonderful news. The trial remains a key objective of ours as we seek to progress a new treatment for such a devastating cancer. In 2026 we are seeing increasing focus on our pancreatic cancer clinical program, with numerous presentations at leading medical conferences. While patient recruitment and interest remain strong, and we have been on track to finish patient recruitment for IMPACT during Q2 2026, we now expect recruitment to finish in Q3 2026 as we will need to secure clinical site approvals for the change and recruit the additional patients.”

“We see tremendous value in exploring the integration of Alpha DaRT with gemcitabine/nab-paclitaxel chemotherapy in both locally advanced and metastatic pancreatic cancer, to investigate whether the Alpha DART can be safely combined with systemic therapy in this setting,” commented Robert Den, MD, Chief Medical Officer of Alpha Tau. “Expanding our trial to include patients receiving either of the leading standard-of-care first-line chemotherapies offers us a broader potential development path to use Alpha DaRT in treating this terrible disease.”

About the IMPACT Study

The IMPACT study aims to enroll up to 40 patients, comprising 20 patients with inoperable locally advanced disease and 20 patients with metastatic disease, across multiple centers in the U.S., Canada and Israel.

Eligible patients must have newly diagnosed, histologically confirmed pancreatic adenocarcinoma and must be inoperable, non-irradiated, and either chemotherapy-naïve or within the first four cycles of their initial chemotherapy regimen.

Patients will continue receiving their standard-of-care chemotherapy throughout the study (mFOLFIRINOX or gemcitabine/nab-paclitaxel), and Alpha DaRT sources will be implanted into the primary tumor using ultrasound-guided endoscopy. Follow-up will continue up to 6 months after enrollment.

The primary objectives of the study are to assess the feasibility of Alpha DaRT source implantation and to evaluate its safety and tolerability, specifically monitoring for Grade 3 or higher adverse events related to the device. Secondary objectives include evaluating local tumor response using RECIST criteria and/or volumetric imaging, measuring time to local progression, monitoring progression-free survival and overall survival, and collecting patient-reported outcomes related to pain control. In addition, patients with inoperable locally advanced disease will be evaluated based on the percentage of patients who become surgically resectable after treatment with Alpha DaRT. Additional information about the IMPACT trial can be found at https://clinicaltrials.gov/study/NCT06698458.

About Alpha Tau Medical Ltd. 

Founded in 2016, Alpha Tau is an Israeli oncology therapeutics company that focuses on research, development, and potential commercialization of the Alpha DaRT for the treatment of solid tumors. The technology was initially developed by Prof. Itzhak Kelson and Prof. Yona Keisari from Tel Aviv University.

About Alpha DaRT®

Alpha DaRT (Diffusing Alpha-emitters Radiation Therapy) is designed to enable highly potent and conformal alpha-irradiation of solid tumors by intratumoral delivery of radium-224 impregnated sources. When the radium decays, its short-lived daughters are released from the sources and disperse while emitting high-energy alpha particles with the goal of destroying the tumor. Since the alpha-emitting atoms diffuse only a short distance, Alpha DaRT aims to mainly affect the tumor, and to spare the healthy tissue around it.

Forward-Looking Statements

This press release includes “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. When used herein, words including “anticipate,” “being,” “will,” “plan,” “may,” “continue,” and similar expressions are intended to identify forward-looking statements. In addition, any statements or information that refer to expectations, beliefs, plans, including with respect to the IMPACT trial, the safety, feasibility, and efficacy of Alpha DaRT in locally advanced or metastatic pancreatic cancer and the Company’s global clinical expansion strategy, including any underlying assumptions, are forward-looking. All forward-looking statements are based upon Alpha Tau’s current expectations and various assumptions. Alpha Tau believes there is a reasonable basis for its expectations and beliefs, but they are inherently uncertain. Alpha Tau may not realize its expectations, and its beliefs may not prove correct. Actual results could differ materially from those described or implied by such forward-looking statements as a result of various important factors, including, without limitation: (i) Alpha Tau’s ability to receive regulatory approval for its Alpha DaRT technology or any future products or product candidates; (ii) Alpha Tau’s limited operating history; (iii) Alpha Tau’s incurrence of significant losses to date; (iv) Alpha Tau’s need for additional funding and ability to raise capital when needed; (v) Alpha Tau’s limited experience in medical device discovery and development; (vi) Alpha Tau’s dependence on the success and commercialization of the Alpha DaRT technology; (vii) the failure of preliminary data from Alpha Tau’s clinical studies to predict final study results; (viii) failure of Alpha Tau’s early clinical studies or preclinical studies to predict future clinical studies; (ix) Alpha Tau’s ability to enroll patients in its clinical trials; (x) undesirable side effects caused by Alpha Tau’s Alpha DaRT technology or any future products or product candidates; (xi) Alpha Tau’s exposure to patent infringement lawsuits; (xii) Alpha Tau’s ability to comply with the extensive regulations applicable to it; (xiii) the ability to meet Nasdaq’s listing standards; (xiv) costs related to being a public company; (xv) changes in applicable laws or regulations; and the other important factors discussed under the caption “Risk Factors” in Alpha Tau’s annual report filed on form 20-F with the SEC on March 9, 2026, and other filings that Alpha Tau may make with the United States Securities and Exchange Commission. These and other important factors could cause actual results to differ materially from those indicated by the forward-looking statements made in this press release. Any such forward-looking statements represent management’s estimates as of the date of this press release. While Alpha Tau may elect to update such forward-looking statements at some point in the future, except as required by law, it disclaims any obligation to do so, even if subsequent events cause its views to change. These forward-looking statements should not be relied upon as representing Alpha Tau’s views as of any date subsequent to the date of this press release.

Investor Relations Contact: 

IR@alphatau.com


FAQ

What change did Alpha Tau (DRTS) announce for the IMPACT trial on April 23, 2026?

Alpha Tau received FDA approval of an IDE supplement to expand IMPACT. According to the company, the supplement adds 10 patients receiving gemcitabine/nab-paclitaxel and increases total planned enrollment from 30 to 40 patients.

How many additional pancreatic cancer patients will DRTS recruit after the IDE supplement?

The trial will recruit 10 additional patients for the gemcitabine/nab-paclitaxel arm. According to the company, five will have unresectable locally advanced disease and five will have metastatic disease.

Which chemotherapy regimens will Alpha DaRT be combined with in the expanded IMPACT trial?

Alpha DaRT will be evaluated with both mFOLFIRINOX and gemcitabine/nab-paclitaxel. According to the company, the trial now covers the two leading first-line standard-of-care chemotherapy regimens.

How does the IDE supplement affect the IMPACT trial timeline for DRTS recruitment?

Recruitment completion is expected to move from Q2 to Q3 2026 to accommodate changes. According to the company, additional site approvals and enrollment of extra patients require more time.

What is the clinical objective of Alpha Tau's expanded IMPACT study (DRTS)?

The study will assess safety, feasibility, and efficacy of Alpha DaRT combined with chemotherapy. According to the company, the pilot focuses on newly diagnosed unresectable locally advanced or metastatic pancreatic adenocarcinoma.