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Greenwich LifeSciences Announces Expansion of Flamingo-01 into Romania

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Greenwich LifeSciences (NASDAQ:GLSI) has received regulatory approval to expand its Phase III clinical trial, FLAMINGO-01, into Romania. The trial, which evaluates GLSI-100 immunotherapy for breast cancer recurrence prevention, will now include Romanian sites in addition to approximately 150 approved sites across Spain, France, Germany, Italy, Poland, and the US.

Dr. Nicoleta Antone, Head of Breast Cancer Centre at the Chiricuta Institute of Oncology, will serve as the national principal investigator in Romania. The expansion targets a significant market, as Romania reported 12,861 new breast cancer cases in 2022, representing 28% of all female cancers, with 3,877 deaths recorded that year.

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Positive

  • Expansion of Phase III FLAMINGO-01 trial into Romania adds to existing 150 approved sites
  • Access to significant patient pool with 12,861 new breast cancer cases in Romania (2022)
  • Strong local leadership with Dr. Antone, Chair of Romania Breast Cancer Group
  • Advanced start-up activities position trial for immediate patient enrollment

Negative

  • Only 123 out of 150 approved sites currently actively enrolling patients

News Market Reaction – GLSI

-4.62%
5 alerts
-4.62% News Effect
+2.5% Peak in 1 hr 53 min
-$8M Valuation Impact
$168M Market Cap
0.7x Rel. Volume

On the day this news was published, GLSI declined 4.62%, reflecting a moderate negative market reaction. Argus tracked a peak move of +2.5% during that session. Our momentum scanner triggered 5 alerts that day, indicating moderate trading interest and price volatility. This price movement removed approximately $8M from the company's valuation, bringing the market cap to $168M at that time.

Data tracked by StockTitan Argus on the day of publication.

STAFFORD, Texas, Aug. 13, 2025 (GLOBE NEWSWIRE) -- Greenwich LifeSciences, Inc. (Nasdaq: GLSI) (the "Company"), a clinical-stage biopharmaceutical company focused on its Phase III clinical trial, FLAMINGO-01, which is evaluating GLSI-100, an immunotherapy to prevent breast cancer recurrences, today announced the addition of clinical sites in Romania.

The Company's application to expand Flamingo-01 into Romania has been formally approved by European regulators, thus adding Romanian sites to the approximately 150 approved sites in Spain, France, Germany, Italy, Poland and the US. At present, there are approximately 123 actively enrolling sites globally.

According to the latest data collected by the European Cancer Information System (click here), a total of 12,861 new cases of breast cancer were diagnosed in Romania in 2022, which is the most common cancer diagnosed in women, representing approximately 28% of all cancers in women. Breast cancer is the leading cause of death from cancer in women in Romania with 3,877 deaths in 2022.

The Company is collaborating with Dr. Nicoleta Antone, who is leading one of the largest academic breast cancer focused centers in Cluj Napoca, Romania, and her colleagues from at least 3 other sites in Romania. The Romanian clinical sites will be listed here with an interactive map.

Dr. Antone will be serving as the national principal investigator in Romania for FLAMINGO-01. She is Head of Breast Cancer Centre at the Chiricuta Institute of Oncology in Cluj Napoca, Romania. She has been the Chair of the Romania Breast Cancer Group since 2021 and a member of the Women's Empowerment Cancer Advocacy Network since 2015.

CEO Snehal Patel commented, "Romania is the first of several additional countries in Europe that we hope to add to Flamingo-01 as we now focus on mid-sized population countries with large population centers. We have visited the sites in Romania multiple times to assess study feasibility and provide training, and we are impressed with their facilities and commitment to the study. We look forward to working with Dr. Antone and her colleagues and have sufficiently advanced start-up activities this summer to be potentially screening and enrolling our first Romanian patients in the coming months."

About FLAMINGO-01 and GLSI-100

FLAMINGO-01 (NCT05232916) is a Phase III clinical trial designed to evaluate the safety and efficacy of GLSI-100 (GP2 + GM-CSF) in HER2 positive breast cancer patients who had residual disease or high-risk pathologic complete response at surgery and who have completed both neoadjuvant and postoperative adjuvant trastuzumab based treatment. The trial is led by Baylor College of Medicine and currently includes US and European clinical sites from university-based hospitals and academic and cooperative networks with plans to open up to 150 sites globally. In the double-blinded arms of the Phase III trial, approximately 500 HLA-A*02 patients will be randomized to GLSI-100 or placebo, and up to 250 patients of other HLA types will be treated with GLSI-100 in a third arm. The trial has been designed to detect a hazard ratio of 0.3 in invasive breast cancer-free survival, where 28 events will be required. An interim analysis for superiority and futility will be conducted when at least half of those events, 14, have occurred. This sample size provides 80% power if the annual rate of events in placebo-treated subjects is 2.4% or greater.

For more information on FLAMINGO-01, please visit the Company's website here and clinicaltrials.gov here. Contact information and an interactive map of the majority of participating clinical sites can be viewed under the "Contacts and Locations" section. Please note that the interactive map is not viewable on mobile screens. Related questions and participation interest can be emailed to: flamingo-01@greenwichlifesciences.com

About Breast Cancer and HER2/neu Positivity

One in eight U.S. women will develop invasive breast cancer over her lifetime, with approximately 300,000 new breast cancer patients and 4 million breast cancer survivors. HER2 (human epidermal growth factor receptor 2) protein is a cell surface receptor protein that is expressed in a variety of common cancers, including in 75% of breast cancers at low (1+), intermediate (2+), and high (3+ or over-expressor) levels.

About Greenwich LifeSciences, Inc.

Greenwich LifeSciences is a clinical-stage biopharmaceutical company focused on the development of GP2, an immunotherapy to prevent breast cancer recurrences in patients who have previously undergone surgery. GP2 is a 9 amino acid transmembrane peptide of the HER2 protein, a cell surface receptor protein that is expressed in a variety of common cancers, including expression in 75% of breast cancers at low (1+), intermediate (2+), and high (3+ or over-expressor) levels. Greenwich LifeSciences has commenced a Phase III clinical trial, FLAMINGO-01. For more information on Greenwich LifeSciences, please visit the Company's website at www.greenwichlifesciences.com and follow the Company's Twitter at https://twitter.com/GreenwichLS.

Forward-Looking Statement Disclaimer

Statements in this press release contain "forward-looking statements" that are subject to substantial risks and uncertainties. All statements, other than statements of historical fact, contained in this press release are forward-looking statements. Forward-looking statements contained in this press release may be identified by the use of words such as "anticipate," "believe," "contemplate," "could," "estimate," "expect," "intend," "seek," "may," "might," "plan," "potential," "predict," "project," "target," "aim," "should," "will," "would," or the negative of these words or other similar expressions, although not all forward-looking statements contain these words. Forward-looking statements are based on Greenwich LifeSciences Inc.'s current expectations and are subject to inherent uncertainties, risks and assumptions that are difficult to predict, including statements regarding the intended use of net proceeds from the public offering; consequently, actual results may differ materially from those expressed or implied by such forward-looking statements. Further, certain forward-looking statements are based on assumptions as to future events that may not prove to be accurate. These and other risks and uncertainties are described more fully in the section entitled "Risk Factors" in Greenwich LifeSciences' Annual Report on the most recent Form 10-K for the year ended December 31, 2024, and other periodic reports filed with the Securities and Exchange Commission. Forward-looking statements contained in this announcement are made as of this date, and Greenwich LifeSciences, Inc. undertakes no duty to update such information except as required under applicable law.

Company Contact
Snehal Patel
Investor Relations
Office: (832) 819-3232
Email: info@greenwichlifesciences.com

Investor & Public Relations Contact for Greenwich LifeSciences
Dave Gentry
RedChip Companies Inc.
Office: 1-800-RED CHIP (733 2447)
Email: dave@redchip.com


FAQ

What is the status of Greenwich LifeSciences' (GLSI) FLAMINGO-01 trial expansion in Romania?

The expansion has been formally approved by European regulators, with Dr. Nicoleta Antone leading as national principal investigator across at least 3 sites in Romania.

How many clinical sites does Greenwich LifeSciences (GLSI) have for the FLAMINGO-01 trial?

GLSI has approximately 150 approved sites across Spain, France, Germany, Italy, Poland, and the US, with 123 sites actively enrolling patients.

What is the market size for breast cancer treatment in Romania for GLSI?

In 2022, Romania reported 12,861 new breast cancer cases, representing 28% of all female cancers, with 3,877 deaths.

Who is leading Greenwich LifeSciences' FLAMINGO-01 trial in Romania?

Dr. Nicoleta Antone, Head of Breast Cancer Centre at the Chiricuta Institute of Oncology and Chair of the Romania Breast Cancer Group, serves as the national principal investigator.

When will Greenwich LifeSciences (GLSI) begin enrolling patients in Romania?

The company expects to begin screening and enrolling its first Romanian patients in the coming months, following completed start-up activities in summer 2025.
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