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Kazia Therapeutics Expands Ongoing Phase 1b Trial of Paxalisib in Advanced Breast Cancer

(Very Positive)
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Kazia Therapeutics (NASDAQ: KZIA) plans to expand its ongoing Phase 1b trial of paxalisib in advanced triple negative breast cancer, increasing planned enrollment from 12 to 36 patients. The study combines paxalisib with pembrolizumab and chemotherapy.

The larger cohort aims to better characterize safety, tolerability, dose optimization, and preliminary efficacy, including ORR, PFS, and translational biomarkers. Kazia attributes the expansion to encouraging safety, tolerability, and clinical activity data and expects further clinical updates through 2026 and into 2027.

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Positive

  • Planned trial enrollment increased from 12 to 36 patients
  • Expansion driven by encouraging safety, tolerability and clinical activity data
  • Phase 1b trial to better assess ORR, PFS and biomarkers
  • Preclinical AACR-published data support dual PI3K/mTOR inhibition with paxalisib

Negative

  • Paxalisib program in TNBC remains at Phase 1b, early clinical stage
  • ASCO 2026 abstracts withdrawn, limiting near-term public data presentation

News Market Reaction – KZIA

-8.42%
11 alerts
-8.42% Session close to close
-11.4% Trough in 29 hr 5 min
$150.89M Market Cap
0.7x Rel. Volume

In the May 26 session, KZIA declined 8.42%, reflecting a notable negative market reaction. Argus tracked a trough of -11.4% from its starting point during tracking. Our momentum scanner triggered 11 alerts that day, indicating notable trading interest and price volatility.

Data tracked by StockTitan Argus on the day of publication.

Market Context

The stock moved -8.4% in the session following this news. A negative reaction despite positive trial...
Analysis

The stock moved -8.4% in the session following this news. A negative reaction despite positive trial expansion would fit KZIA’s history of occasional selloffs after constructive clinical news, such as prior paxalisib and NDL2 updates. The move to 36 patients in TNBC increases data breadth but also extends timelines and resource use. Investors have also seen an effective $200,000,000 shelf and $100,000,000 ATM facility, which can weigh on sentiment if capital needs rise.

Key Figures

Planned enrollment (prior): 12 patients Planned enrollment (new): 36 patients TNBC share of breast cancer: 15 to 20 percent
3 metrics
Planned enrollment (prior) 12 patients Original design of Phase 1b TNBC trial
Planned enrollment (new) 36 patients Expanded Phase 1b paxalisib TNBC trial
TNBC share of breast cancer 15 to 20 percent Proportion of all breast cancer diagnoses attributed to TNBC

Historical Context

5 past events · Latest: Apr 15 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Apr 15 CSO appointment Positive +5.7% Appointment of Dr. Sudha Rao as Chief Scientific Officer to lead oncology platform.
Apr 13 Platform expansion Positive +5.2% In-licensing of first-in-class SETDB1 epigenetic drug platform with AI-integrated discovery.
Jan 30 Preclinical data Positive -3.9% Compelling preclinical NDL2 data in TNBC models with tumor reduction and metastasis impact.
Jan 27 Clinical update Positive -9.8% Preliminary clinical responses from Phase 1b paxalisib study in late-stage metastatic TNBC.
Jan 08 Conference update Positive +1.5% J.P. Morgan conference participation and guidance for upcoming clinical and translational updates.

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

Pattern Detected

Recent KZIA news has produced mixed reactions: 3 positive price moves and 2 declines after generally positive R&D and leadership updates, suggesting variable market reception to pipeline developments.

Recent Company History

Over the last six months, KZIA has highlighted multiple oncology platform advances. In January 2026, it reported preliminary paxalisib Phase 1b responses in TNBC and separate compelling preclinical data for NDL2. In April 2026, it expanded its epigenetic platform via a SETDB1 license and appointed Dr. Sudha Rao as CSO, with those April updates seeing positive share reactions. Today’s paxalisib trial expansion continues this focus on difficult-to-treat TNBC.

Key Terms

triple negative breast cancer, objective response rate, ORR, progression-free survival, +4 more
8 terms
triple negative breast cancer medical
"patients with advanced triple negative breast cancer ("TNBC")."
Triple negative breast cancer is a type of breast cancer that lacks three common markers used to identify and target the disease, making it more challenging to treat. It tends to grow and spread more quickly than other forms, which can lead to more aggressive outcomes. Its complexity can impact medical research and treatment developments, influencing investor interest in healthcare companies working on new therapies.
objective response rate medical
"assessment of objective response rate ("ORR"), progression-free survival"
The objective response rate (ORR) is the percentage of patients in a clinical trial whose tumors measurably shrink or disappear according to preset rules. Investors use it as a quick, objective signal of a drug’s ability to produce a clear treatment effect—like counting how many plants visibly respond after applying a new fertilizer—and higher ORR can improve odds of regulatory approval, commercial success, and company valuation.
ORR medical
"assessment of objective response rate ("ORR"), progression-free survival"
Objective Response Rate (ORR) is the percentage of patients in a clinical trial whose tumors shrink or disappear by a predefined amount after treatment. For investors, ORR is a quick, measurable signal of a therapy’s effectiveness—like early sales numbers for a new product—and strong ORR data can boost a drug’s commercial prospects and company valuation, while weak ORR can temper expectations.
progression-free survival medical
"ORR, progression-free survival ("PFS") and translational biomarkers."
Progression-free survival is the length of time during and after a treatment that a patient's disease does not get worse, measured from the start of treatment until the disease shows measurable signs of progression or the patient dies. Investors care because longer progression-free survival in clinical trials often signals that a drug is effective, improving chances of regulatory approval, market adoption, and revenue potential—think of it as a stopwatch showing how long a therapy can keep the illness at bay.
PFS medical
"ORR, progression-free survival ("PFS") and translational biomarkers."
Progression-free survival (PFS) is a clinical-trial measure that records how long, on average, patients live without their disease getting worse after starting a treatment. For investors, PFS acts like a stopwatch of a drug’s effectiveness: longer PFS can signal meaningful patient benefit, improve chances of regulatory approval or label strength, and raise a drug’s commercial value, while shorter or unchanged PFS can weigh on a company’s prospects.
translational biomarkers medical
"a more meaningful assessment of ORR, PFS and translational biomarkers."
Translational biomarkers are measurable signs—like a blood test result or imaging feature—that help link laboratory research to patient outcomes, acting as a bridge between early-stage science and real-world treatment effects. For investors they matter because reliable biomarkers can speed development, reduce clinical trial risk, and improve chances of regulatory approval, similar to having a test that predicts whether a new product will work before full-scale production.
PI3K/mTOR inhibition medical
"dual PI3K/mTOR inhibition with paxalisib altered tumor cell state"
PI3K/mTOR inhibition is a drug strategy that blocks two key proteins that act like control switches for cell growth and survival; think of it as cutting power to a factory’s main control panels to slow or stop production. For investors, it matters because this approach can shrink tumors or slow disease progression in cancers and other conditions, but effectiveness, side effects and trial results drive a drug’s commercial and regulatory prospects.
at-the-market financial
"sales will be made on an at-the-market basis and that Leerink Partners"
"At-the-market" is a method for companies to sell new shares of stock directly into the open market over time, rather than all at once. It allows companies to raise money gradually, similar to selling slices of a pie instead of the entire pie at once, which can help manage the sale's impact on the stock price. This approach gives investors a steady supply of shares while providing companies with flexible funding options.

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

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Planned Enrollment to Increase from 12 to 36 Patients Following Continued Encouraging Safety and Tolerability Data

SYDNEY, May 26, 2026 /PRNewswire/ -- Kazia Therapeutics Limited (NASDAQ: KZIA) ("Kazia" or the "Company"), a clinical-stage oncology company advancing therapies designed to reprogram cancer biology and overcome treatment resistance, today announced plans to expand its ongoing Phase 1b clinical trial evaluating lead asset paxalisib in combination with standard-of-care therapies in patients with advanced triple negative breast cancer ("TNBC"). Based on continued encouraging safety, tolerability and clinical activity data observed to date, planned enrollment has increased from 12 to 36 patients.

The expansion is intended to further evaluate the safety, tolerability, dose optimization and preliminary efficacy of the paxalisib-based combination regimen with pembrolizumab and chemotherapy. The expanded dataset is expected to provide a more meaningful assessment of objective response rate ("ORR"), progression-free survival ("PFS") and translational biomarkers. Additional clinical trial updates are anticipated throughout 2026 and into 2027.

"We remain encouraged by the safety and tolerability data observed to date, and expanding enrollment allows us to generate a broader clinical and translational dataset as we advance paxalisib in difficult-to-treat advanced breast cancer, such as TNBC," said Dr. John Friend, CEO, Kazia Therapeutics. "Paxalisib's mechanism, modulating key resistance and immune-related pathways, addresses the very reasons that current therapies fail, and we believe it holds meaningful potential for an underserved patient population. While we planned to present scientific progress at ASCO 2026, we made the decision to withdraw our abstracts solely to protect our intellectual property position ahead of anticipated filings. The withdrawal was not related to any safety or clinical concerns. We expect to share additional clinical and translational updates in the coming months."

The Phase 1b study is evaluating paxalisib in combination with established breast cancer regimens across multiple dose cohorts. The trial expansion is supported by a recently published preclinical study in Molecular Cancer Therapeutics, a journal of the American Association for Cancer Research ("AACR"), demonstrating that dual PI3K/mTOR inhibition with paxalisib altered tumor cell state and immune signaling in preclinical TNBC models. TNBC accounts for approximately 15 to 20 percent of all breast cancer diagnoses and is associated with poorer outcomes relative to other breast cancer subtypes.

About Kazia Therapeutics

Kazia Therapeutics (NASDAQ: KZIA) is an oncology-focused drug development company, based in Sydney, Australia. The Company's lead asset, paxalisib, is an investigational brain penetrant inhibitor of the PI3K/Akt /mTOR pathway, which is being developed to treat multiple forms of cancer. Licensed from Genentech in late 2016, paxalisib is or has been the subject of 10 clinical trials. A completed Phase 2/3 study in glioblastoma (GBM-Agile) was reported in 2024, and discussions are ongoing for designing and executing a pivotal registrational study in pursuit of a standard approval.

Other clinical trials involving paxalisib are ongoing in advanced breast cancer, brain metastases, diffuse midline gliomas, and primary central nervous system lymphoma, with several of these trials having reported encouraging interim data. Paxalisib was granted Orphan Drug Designation for glioblastoma by the U.S. Food and Drug Administration (FDA) in February 2018, and Fast Track Designation (FTD) for glioblastoma in August 2020. Paxalisib was also granted FTD in July 2023 for the treatment of solid tumor brain metastases harboring PI3K pathway mutations in combination with radiation therapy.

Additionally, paxalisib was granted Rare Pediatric Disease Designation and Orphan Drug Designation by the FDA for diffuse intrinsic pontine glioma in August 2020 and for atypical teratoid / rhabdoid tumors in June 2022 and July 2022, respectively. Kazia is also developing EVT801, a small molecule inhibitor of VEGFR3, which was licensed from Evotec SE in April 2021. In addition to its clinical-stage programs, Kazia is advancing NDL2, a potentially first-in-class intracellular PD-L1 protein degrader program targeting a newly identified mechanism of immunotherapy resistance and metastatic progression, as well as MSETC, a potentially first-in-class SETDB1 inhibitor program intended to restore immune signaling in tumors that have become resistant to immunotherapy, including checkpoint inhibitors. Both programs are currently in preclinical development. For more information, please visit www.kaziatherapeutics.com or follow us on X @KaziaTx.

Forward Looking Statements

This announcement may contain forward-looking statements, which can generally be identified as such by the use of words such as "may," "will," "estimate," "future," "forward," "anticipate," "expect," "plan," "believe," "potential," or other similar words.  Any statement describing Kazia's future plans, strategies, intentions, expectations, objectives, goals or prospects, and other statements that are not historical facts, are also forward-looking statements, including, but not limited to, statements regarding: the planned expansion of the Phase 1b clinical trial of paxalisib in advanced TNBC; the anticipated increase in enrollment from 12 to 36 patients; expectations regarding the safety, tolerability, dose optimization and preliminary efficacy of paxalisib in combination with pembrolizumab and chemotherapy; the potential of paxalisib to treat advanced breast cancer, including TNBC; expectations regarding objective response rate, progression-free survival and translational biomarkers; anticipated timing of clinical trial updates throughout 2026 and into 2027; the timing and content of future public disclosures regarding the Company's clinical programs; the Company's decisions regarding the timing and manner of scientific presentations and publications, including the withdrawal of abstracts from scientific conferences for intellectual property-related reasons; and statements regarding the potential therapeutic benefit of paxalisib to modulate key resistance and immune-related pathways in difficult-to-treat breast cancer populations.  Such statements are based on Kazia's current expectations and projections about future events and future trends affecting its business and are subject to certain risks and uncertainties that could cause actual results to differ materially from those anticipated in the forward-looking statements, including risks and uncertainties associated with: the development of early-stage therapeutic programs; the conduct of clinical trials, including the ability to enroll patients and achieve anticipated enrollment targets; the preliminary nature of data from a small, open-label clinical study, which may not be predictive of later-stage clinical results; risks related to regulatory approvals; risks related to Kazia's reliance on third-party collaborators and clinical trial sites; risks related to the Company's ability to obtain, maintain and protect its intellectual property, including decisions regarding the timing and manner of scientific disclosures; risks related to the impact of global economic conditions; and risks related to Kazia's ability to maintain compliance with the applicable NASDAQ continued listing requirements and standards.  These and other risks and uncertainties are described more fully in Kazia's Annual Report on Form 20-F filed with the SEC, and in subsequent filings with the United States Securities and Exchange Commission.  Kazia undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events, or otherwise, except as required under applicable law.  You should not place undue reliance on these forward-looking statements, which apply only as of the date of this announcement.

Media Contact
Michaela Fawcett
KCSA Strategic Communications
mfawcett@kcsa.com

Cision View original content:https://www.prnewswire.com/news-releases/kazia-therapeutics-expands-ongoing-phase-1b-trial-of-paxalisib-in-advanced-breast-cancer-302781345.html

SOURCE Kazia Therapeutics Limited

FAQ

What did Kazia Therapeutics (NASDAQ: KZIA) announce about its paxalisib breast cancer trial on May 26, 2026?

Kazia announced an expansion of its ongoing Phase 1b trial of paxalisib in advanced triple negative breast cancer, increasing planned enrollment from 12 to 36 patients. According to Kazia, this follows encouraging safety, tolerability and clinical activity data observed to date in the study.

Why is Kazia Therapeutics increasing enrollment in the paxalisib Phase 1b trial for TNBC?

Kazia is increasing enrollment to 36 patients to further evaluate safety, tolerability, dose optimization and preliminary efficacy of paxalisib combinations. According to Kazia, the larger dataset should allow more meaningful assessment of objective response rate, progression-free survival and translational biomarkers in advanced TNBC.

How is paxalisib being used in Kazia Therapeutics’ Phase 1b trial for advanced triple negative breast cancer (KZIA)?

Paxalisib is being evaluated in combination with standard-of-care therapies, including pembrolizumab and chemotherapy, in multiple dose cohorts. According to Kazia, the regimen targets resistance and immune-related pathways in advanced TNBC, aiming to improve outcomes in this difficult-to-treat breast cancer subtype.

What are the key endpoints of Kazia Therapeutics’ expanded paxalisib Phase 1b trial in TNBC?

The expanded trial focuses on characterizing safety, tolerability, dose optimization and preliminary efficacy of the paxalisib-based regimen. According to Kazia, key measures include objective response rate, progression-free survival and translational biomarkers from patients with advanced triple negative breast cancer.

What preclinical data support Kazia Therapeutics’ paxalisib program in triple negative breast cancer?

A recently published preclinical study in Molecular Cancer Therapeutics showed dual PI3K/mTOR inhibition with paxalisib altered tumor cell state and immune signaling in TNBC models. According to Kazia, these findings support the ongoing Phase 1b trial in advanced triple negative breast cancer.