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Gain Therapeutics Highlights Biomarker Evidence Supporting Disease-Modifying Potential of GT-02287

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Rhea-AI Summary

Gain Therapeutics (Nasdaq: GANX) reported Phase 1b biomarker and clinical data for GT-02287 on January 6, 2026, showing biochemical and clinical signals after 90 days of dosing.

Key findings: in participants with elevated baseline cerebrospinal fluid glucosylsphingosine (GluSph), GluSph fell 81% on average after 90 days; as of Nov 30, 2025, 19 patients completed Part 1 (90 days), and 15 evaluable patients showed an average -2.20 point change in the sum of MDS‑UPDRS Part II+III (Part II: -0.6; Part III: -1.6). Four patients were excluded from MDS‑UPDRS analysis (two alpha-synuclein assay negative; two missing ‘off’ state scores). The company describes the GluSph reduction as a first-ever CSF observation after a GCase modulator and says results support continued development and evaluation in the dosing extension.

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Positive

  • GluSph -81% on average after 90 days in elevated-baseline patients
  • 15 evaluable patients with -2.20 point average change in MDS‑UPDRS II+III
  • 19 patients completed Part 1 of the study as of Nov 30, 2025
  • First-ever reported CSF GluSph reduction after GCase modulator in PD patients

Negative

  • 4 patients excluded from MDS‑UPDRS analysis (2 alpha‑syn negative; 2 missing ‘off’ scores)
  • Study duration 90 days, limiting long-term efficacy interpretation
  • Study was not designed to assess clinical efficacy, per company statement
  • Small evaluable cohort (15 patients) for clinical score analysis

News Market Reaction 20 Alerts

-14.14% News Effect
-24.3% Trough in 31 hr 36 min
-$20M Valuation Impact
$120M Market Cap
0.9x Rel. Volume

On the day this news was published, GANX declined 14.14%, reflecting a significant negative market reaction. Argus tracked a trough of -24.3% from its starting point during tracking. Our momentum scanner triggered 20 alerts that day, indicating elevated trading interest and price volatility. This price movement removed approximately $20M from the company's valuation, bringing the market cap to $120M at that time.

Data tracked by StockTitan Argus on the day of publication.

Key Figures

GluSph reduction 81% decrease Average CSF GluSph drop after 90 days of GT-02287 in elevated-baseline participants
Treatment duration 90 days Length of dosing in Part 1 of Phase 1b GT-02287 study
Part 1 completers 19 patients Patients completing 90 days of dosing as of Nov 30, 2025
MDS-UPDRS analysis set 15 patients Patients included in MDS-UPDRS Part II+III analysis
MDS-UPDRS change 2.20-point improvement Average change in sum of MDS-UPDRS Part II and III scores
Part II change 0.6-point improvement Average MDS-UPDRS Part II score change
Part III change 1.6-point improvement Average MDS-UPDRS Part III score change
KOL event time 10:00 a.m. ET Scheduled start of virtual GT-02287 biomarker webinar

Market Reality Check

$2.44 Last Close
Volume Volume 1,204,490 is below the 20-day average 2,164,156, suggesting muted trading interest into this update. low
Technical Shares at $2.97 are trading above the 200-day MA $2.08 but sit 31.57% below the 52-week high.

Peers on Argus 1 Up

GANX fell 6.6% while close peers were mixed: APLT -3.66%, CAMP -3.23%, ALXO -3.45% versus INKT +9.84% and MNOV +2.99%, pointing to stock-specific pressure rather than a clear sector trend.

Historical Context

Date Event Sentiment Move Catalyst
Dec 18 KOL event announcement Positive -44.4% Announced Jan 6, 2026 KOL webinar to review GT-02287 biomarker data.
Dec 18 Phase 1b data Positive -44.4% Reported first-ever GluSph CSF reduction and target engagement in Phase 1b.
Nov 20 Preclinical data Positive +3.6% Presented preclinical mitochondrial and neuronal benefits across PD models.
Nov 12 Earnings and update Neutral +10.1% Q3 2025 results with enrollment completion, safety data and new financing.
Oct 30 Conference notice Neutral -3.3% Announcement of GT-02287 poster presentation at Neuroscience 2025.
Pattern Detected

Recent history shows sharp selloffs on positive GT-02287 updates (two December events each saw -44.44%), while preclinical and earnings/operational updates have drawn modest gains, indicating a tendency for clinical enthusiasm to be faded.

Recent Company History

Over the last few months, Gain has repeatedly highlighted GT-02287. A Nov 12, 2025 update reported full enrollment in the Phase 1b Parkinson’s study and additional financing, followed by preclinical mitochondrial and neuronal data on Nov 20, 2025. In December, the company disclosed positive Phase 1b biomarker results and scheduled today’s KOL event, yet those announcements coincided with a -44.44% move. Today’s detailed biomarker and MDS‑UPDRS data extend that same GT‑02287 narrative.

Regulatory & Risk Context

Active S-3 Shelf Registration 2025-11-07
$100,000,000 registered capacity

An effective mixed shelf on Form S-3/A registering up to $100,000,000 of securities gives the company flexibility to raise capital via equity, debt, or other instruments, which could be used for working capital and general corporate purposes when activated.

Market Pulse Summary

The stock dropped -14.1% in the session following this news. A negative reaction despite supportive biomarker data fits a recent pattern where favorable GT‑02287 updates on Dec 18, 2025 coincided with a -44.44% move. Today’s report reiterates an 81% GluSph reduction and modest MDS‑UPDRS improvements over 90 days in 15 analyzed patients, yet prior financing activity and a $100,000,000 mixed shelf may keep investors cautious until larger, longer-term datasets emerge.

Key Terms

glucosylsphingosine medical
"Elevated GluSph, a hallmark of GCase dysfunction, has been shown..."
Glucosylsphingosine is a small fat-like molecule that builds up when a specific cellular cleanup enzyme is not working properly; it acts as a biological signal or biomarker for certain metabolic disorders. For investors, its level is important because it is used in diagnostics, patient monitoring and clinical trials to show whether a therapy is working—think of it as a smoke alarm that helps drug developers and regulators detect and measure disease activity and treatment effects.
cerebrospinal fluid medical
"In participants with elevated baseline levels of glucosylsphingosine (GluSph) in cerebrospinal fluid (CSF)..."
A clear fluid that surrounds and cushions the brain and spinal cord, acting like a protective bath and cleanup system that removes waste and helps circulate nutrients. For investors, cerebrospinal fluid matters because it is a common source of diagnostic markers and a route for delivering or testing neurological drugs; changes in its composition can signal disease or affect a therapy’s development, approval prospects, and market value.
alpha synuclein medical
"has been shown to increase the aggregation of alpha synuclein and to impair mitochondrial function..."
A protein found in brain cells that can misfold and clump together, damaging the cells’ ability to work properly; these clumps are a hallmark of several neurodegenerative diseases. Investors pay attention because measuring or targeting this protein is a major path for new diagnostics and treatments, and progress or setbacks in that research can strongly affect the value and risk of companies developing related drugs — similar to how fixing a key engine part can make or break an automaker’s prospects.
mitochondrial medical
"has been shown to increase the aggregation of alpha synuclein and to impair mitochondrial function..."
Relating to mitochondria, the tiny structures inside cells that act like power plants to produce the energy cells need and help control cell survival. For investors this matters because problems with mitochondrial function are linked to certain diseases and are a focus for drugs, diagnostics and safety testing, so claims about “mitochondrial” effects can signal potential market opportunities or risks for healthcare-related companies.
Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) medical
"were excluded from the Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) analysis."
A standardized clinical scale used to measure the severity and progression of Parkinson’s disease symptoms across motor skills, daily function and non-motor issues. Researchers and regulators use it like a ruler to quantify whether a treatment is helping patients, so clear improvements on the MDS-UPDRS in clinical trials can meaningfully affect a drug’s chances of approval, market value and commercial prospects — information investors use to judge risk and reward.
seed amplification assay medical
"Two of these patients resulted negative in the alpha synuclein seed amplification assay..."
A seed amplification assay is a laboratory test that detects tiny amounts of disease-linked misfolded proteins by encouraging them to multiply until they are measurable, much like coaxing a few embers to become a visible flame. For investors, it matters because these assays can enable earlier and more reliable diagnosis, speed clinical trials, and create commercial markets for diagnostic kits and companion tests, which can alter the value and risk of companies developing related therapies or diagnostics.
Phase 1b medical
"provided additional biomarker and clinical data from the Phase 1b clinical study of GT-02287..."
"Phase 1b" is an early stage in testing a new medical treatment or vaccine, where it is given to a small group of people to evaluate its safety and determine the right dose. For investors, this phase signals progress in development, indicating the treatment is advancing through initial safety checks, which can influence expectations for future success and potential market impact.
GCase modulator medical
"following the administration of a GCase modulator to PD patients..."
A GCase modulator is a drug that changes the activity of the enzyme glucocerebrosidase, a molecular “clean-up” machine inside cells that helps break down certain fats. For investors, these drugs matter because they target biological processes linked to neurodegenerative and genetic diseases—so clinical trial results, regulatory decisions, or partnership deals can strongly affect a company’s development prospects and potential market value, much like a promising new engine can change the outlook for a carmaker.

AI-generated analysis. Not financial advice.

Results to be discussed in KOL event today at 10 a.m. ET

BETHESDA, Md., Jan. 06, 2026 (GLOBE NEWSWIRE) -- Gain Therapeutics, Inc. (Nasdaq: GANX) (“Gain”, or the “Company”), a clinical-stage biotechnology company leading the discovery and development of the next generation of allosteric small molecule therapies, today provided additional biomarker and clinical data from the Phase 1b clinical study of GT-02287 in people with Parkinson’s disease (PD) with or without a GBA1 mutation that further supports the disease-modifying potential of GT-02287.

In participants with elevated baseline levels of glucosylsphingosine (GluSph) in cerebrospinal fluid (CSF) at baseline, GluSph decreased by an average of 81% after 90 days of treatment with GT-02287. Elevated GluSph, a hallmark of GCase dysfunction, has been shown to increase the aggregation of alpha synuclein and to impair mitochondrial function and other intracellular processes in neurons. The reduction in GluSph in CSF, a first-ever observation following the administration of a GCase modulator to PD patients, suggests increased GCase activity in the brain, which is expected to impact the progression of Parkinson’s disease (PD).

As of November 30, 2025, 19 patients completed Part 1 of the study, 90 days of dosing. Two of these patients resulted negative in the alpha synuclein seed amplification assay, calling into question their PD diagnosis and so were excluded from the Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) analysis. Two additional patients were also excluded from the analysis because MDS-UPDRS Part III scores were not collected in the ‘off’ state at all time points. The remaining 15 patients experienced an average improvement of 2.20 points in the sum of MDS-UPDRS Part II and Part III scores (0.6 in Part II and 1.6 in Part III).

Gene Mack, President and CEO of Gain Therapeutics commented, “These results mark an important step forward for our program. The observed decrease in GluSph, alongside improvement or stabilization of MDS-UPDRS scores, provides encouraging evidence that our approach is engaging the underlying biology of the disease, suggesting a disease modifying action. We believe these data support continued clinical development and the potential of our therapy to meaningfully impact disease progression.”

“While this study was not designed to assess clinical efficacy, it has been encouraging to see stabilization in MDS-UPDRS scores and to observe anecdotal improvements in specific functional areas such as balance, gait, and sense of smell after 90 days of dosing with GT-02287,” said Michele DeSciscio, lead investigator of the Phase 1b clinical study of GT-02287. “We look forward to seeing longer term outcomes in the dosing extension part of the Phase 1b study of GT-02287.”

Virtual KOL Event on GT-02287

Gain Therapeutics will host a webinar “Understanding GCase Substrates in Parkinson’s Disease: Perspectives on Biomarkers and Disease Modification, Contextualizing emerging biomarker data from the Phase 1b clinical study of GT-02287”, featuring key opinion leaders Roy Alcalay, M.D., M.Sc., and Peter Lansbury, Ph.D., today at 10:00 a.m. ET to discuss the results announced today and host a question-and-answer session. To register, please click here.

About GT-02287
Gain Therapeutics’ lead drug candidate, GT-02287, is in clinical development for the treatment of Parkinson’s disease (PD) with or without a GBA1 mutation. The orally administered, brain-penetrant small molecule is an allosteric enzyme modulator that restores the function of the lysosomal enzyme glucocerebrosidase (GCase) which becomes misfolded and impaired due to mutations in the GBA1 gene, the most common genetic abnormality associated with PD, or other age-related stress factors. In preclinical models of PD, GT-02287 restored GCase enzymatic function, reduced ER stress, lysosomal and mitochondrial pathology, aggregated α-synuclein, neuroinflammation and neuronal death, as well as plasma neurofilament light chain (NfL) levels, a biomarker of neurodegeneration. In rodent models of both GBA1-PD and idiopathic PD, GT-02287 was shown to rescue deficits in motor function and gait and prevent the development of deficits in complex behaviors such as nesting.

Compelling preclinical data in models of both GBA1-PD and idiopathic PD, demonstrating a disease-modifying effect after administration of GT-02287, suggest that GT-02287 may have the potential to slow or stop the progression of Parkinson’s disease.

Results from a Phase 1 study of GT-02287 in healthy volunteers demonstrated favorable safety and tolerability, plasma and CNS exposures in the projected therapeutic range, and target engagement with an increase in glucocerebrosidase (GCase) activity among those receiving GT-02287 at clinically relevant doses.

GT-02287 is currently being evaluated in a Phase 1b clinical trial for the treatment of Parkinson’s disease with or without a GBA1 mutation. The primary endpoint of the trial, which enrolled participants across seven sites in Australia, is to evaluate the safety and tolerability of GT-02287 after three months of dosing in people with Parkinson’s disease. The recently commenced Phase 1b study extension allows participants to continue to be treated with GT-02287 for up to a total of 12 months.

Gain’s lead program in Parkinson’s disease has been awarded funding support early in its development from The Michael J. Fox Foundation for Parkinson’s Research (MJFF) and The Silverstein Foundation for Parkinson’s with GBA, as well as from the Eurostars-2 joint program with co-funding from the European Union Horizon 2020 research and Innosuisse – Swiss Innovation Agency.

About Gain Therapeutics, Inc.
Gain Therapeutics, Inc. is a clinical-stage biotechnology company leading the discovery and development of next generation allosteric therapies. Gain’s lead drug candidate, GT-02287 is currently being evaluated for the treatment of Parkinson’s disease with or without a GBA1 mutation in a Phase 1b clinical trial. GT-02287 has further potential in Gaucher’s disease, dementia with Lewy bodies, and Alzheimer’s disease. Gain has multiple undisclosed preclinical assets targeting lysosomal storage disorders, metabolic diseases, and solid tumors.

Gain’s unique approach enables the discovery of novel, allosteric small molecule modulators that can restore or disrupt protein function. Deploying its highly advanced Magellan™ platform, Gain is accelerating drug discovery and unlocking novel disease-modifying treatments for untreatable or difficult-to-treat disorders including neurodegenerative diseases, rare genetic disorders and oncology.

Forward-Looking Statements
This release contains “forward-looking statements” made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. These statements are typically preceded by words such as “believes,” “expects,” “anticipates,” “intends,” “will,” “may,” “should,” or similar expressions. These forward-looking statements reflect management’s current knowledge, assumptions, judgment and expectations regarding future performance or events. Although management believes that the expectations reflected in such statements are reasonable, they give no assurance that such expectations will prove to be correct or that those goals will be achieved, and you should be aware that actual results could differ materially from those contained in the forward-looking statements. Forward-looking statements are subject to a number of risks and uncertainties, including, but not limited to, statements regarding: the development of the Company’s current or future product candidates including GT-02287; expectations regarding the completion and timing of results from a Phase 1b clinical study for GT-02287, including any extension studies; expectations regarding the timing of patient enrollment for a Phase 1b clinical study for GT-02287, including any extension studies; the timing of any submissions to the FDA or other regulatory bodies and agencies; and the potential therapeutic and clinical benefits of the Company’s product candidates. For a further description of the risks and uncertainties that could cause actual results to differ from those expressed in these forward-looking statements, as well as risks relating to the Company’s business in general, please refer to the Company’s Form 10-K for the year ended December 31, 2024. All forward-looking statements are expressly qualified in their entirety by this cautionary notice. You are cautioned not to place undue reliance on any forward-looking statements, which speak only as of the date of this release. We have no obligation, and expressly disclaim any obligation, to update, revise or correct any of the forward-looking statements, whether because of new information, future events or otherwise.

Investors:
Gain Therapeutics, Inc. 
Apaar Jammu 
Manager, Investor Relations and Public Relations
ajammu@gaintherapeutics.com

LifeSci Advisors LLC
Chuck Padala
Managing Director
chuck@lifesciadvisors.com

Media:
Russo Partners LLC
Nic Johnson and Elio Ambrosio
nic.johnson@russopartnersllc.com
elio.ambrosio@russopartnersllc.com
(760) 846-9256


FAQ

What biomarker change did Gain Therapeutics report for GT-02287 on Jan 6, 2026 (GANX)?

In patients with elevated baseline CSF GluSph, GluSph decreased by 81% on average after 90 days of GT-02287 dosing.

How many patients completed Part 1 of the GT-02287 Phase 1b study (GANX) and when?

19 patients completed Part 1 (90 days of dosing) as of Nov 30, 2025.

What was the clinical MDS‑UPDRS outcome reported for GT-02287 (GANX)?

Among 15 evaluable patients, the sum of MDS‑UPDRS Part II+III improved by an average of 2.20 points (Part II: -0.6; Part III: -1.6) after 90 days.

Why were some patients excluded from the MDS‑UPDRS analysis in the GT-02287 Phase 1b study (GANX)?

Four patients were excluded: two were alpha‑synuclein seed amplification assay negative and two lacked ‘off’ state Part III scores at all time points.

Does the GT-02287 Phase 1b study prove clinical efficacy for Parkinson’s disease (GANX)?

No; the company stated the study was not designed to assess clinical efficacy and results are described as encouraging signals to support further study.

When and how will Gain Therapeutics discuss the GT-02287 data (GANX)?

Gain hosted a virtual KOL webinar on Jan 6, 2026 at 10:00 a.m. ET to discuss the Phase 1b biomarker data and field questions.
Gain Therapeutics, Inc.

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