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NeuroSense Completes PrimeC Pre-NDS Process and Advances Toward December 2026 Filing with Health Canada

(Very Positive)
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NeuroSense (NASDAQ: NRSN) completed the Pre‑New Drug Submission (Pre‑NDS) process with Health Canada for PrimeC, its lead ALS candidate, and is targeting an NDS filing in December 2026. Meeting minutes reflect alignment with Health Canada on the planned content, structure and proposed filing timeline.

Following administrative screening and, if accepted, a standard review of about 300 days, the NDS will be supported by Phase 2b PARADIGM data, including achievement of the primary TDP‑43 biomarker endpoint, long‑term ALSFRS‑R outcomes, an estimated ~15‑month median survival benefit (HR 0.35, p=0.0037), multi‑pathway biomarker findings, and favorable safety and tolerability. NeuroSense is also preparing PARAGON, a confirmatory Phase 3 trial.

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Positive

  • Pre‑NDS process completed with Health Canada and alignment on NDS content and structure
  • Health Canada raised no concerns with NeuroSense’s December 2026 PrimeC NDS filing target
  • Phase 2b PARADIGM showed ~15‑month median survival benefit for PrimeC (HR 0.35, p=0.0037)
  • Planned NDS backed by primary TDP‑43 biomarker endpoint achievement and ALSFRS‑R outcomes
  • PrimeC exhibited a favorable safety and tolerability profile during extended treatment and follow‑up

Negative

  • None.

Market Context

Insider filings recorded 500,000 shares purchased during the analyzed period. That buying provides a...
Analysis

Insider filings recorded 500,000 shares purchased during the analyzed period. That buying provides a separate ownership signal for the Health Canada filing target, while the active shelf remains a financing risk to monitor.

Key Figures

Target NDS filing: December 2026 Standard NDS review timeline: approximately 300 days Canadians living with ALS: over 3,000 +5 more
8 metrics
Target NDS filing December 2026 Health Canada submission target for PrimeC
Standard NDS review timeline approximately 300 days Following acceptance for review
Canadians living with ALS over 3,000 Publicly reported Canadian data
Annual Canadian ALS diagnoses approximately 1,000 Publicly reported Canadian data
Oral edaravone annual cost approximately C$120,000 (approximately US$85,000) Per patient based on Canadian list price
Median survival benefit approximately 15 months Phase 2b PARADIGM clinical evidence
Survival hazard ratio HR 0.35 Phase 2b PARADIGM clinical evidence
Survival benefit p-value p=0.0037 Phase 2b PARADIGM clinical evidence

Historical Context

5 past events · Latest: Jul 22 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Jul 22 Health Canada pathway Positive -7.1% Planned NDS filing followed constructive Pre-NDS meeting and regulatory pathway alignment
Jul 06 KOL webinar Neutral -1.7% Company announced participation in a Roth-hosted ALS treatment webinar
Jun 29 Phase 2b clinical data Positive -6.3% Phase 2b study met its primary TDP-43 biomarker endpoint
Jun 25 Phase 2 clinical data Positive -0.1% RoAD study reported positive Alzheimer's biomarker findings without new safety signals
Jun 22 Community event Neutral -1.9% EverythingALS announced an online community event focused on PrimeC and ALS

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

Pattern Detected

Recent news events all carried negative 24-hour reactions, including positive clinical and regulatory updates, indicating repeated divergence between announcement direction and price response.

Key Terms

new drug submission, pre-nds, tdp-43, alsfrs-r
4 terms
new drug submission regulatory
"targeting December 2026 for the filing of a New Drug Submission"
A new drug submission is a formal package of scientific data and paperwork sent to a health authority to request permission to sell a medicine. For investors it signals a key milestone: approval opens the door to sales and revenue, while rejection or delays can cut expected value — think of it like applying for a building permit that determines whether and when a new product can be put on the market.
pre-nds regulatory
"successful finalization of the Pre-NDS process with Health Canada"
pre-NDS (pre-New Drug Submission) describes the preparatory steps a drug developer takes before formally filing for regulatory approval of a new medicine, including data reviews, regulatory meetings and finalizing study results. For investors, pre-NDS activity is like a company rehearsing and checking equipment before a big product launch: it signals how close the drug is to an official approval request and helps gauge development risk and potential timing for future value milestones.
tdp-43 medical
"Achievement of the study's prespecified primary TDP-43 biomarker endpoint"
TDP-43 is a protein inside cells that helps regulate how genetic instructions are used; when it misfolds or accumulates into clumps in brain or spinal cord cells, it is linked to neurodegenerative conditions like ALS and some dementias. For investors, TDP-43 matters because it is a clear biological target for diagnostics and therapies—detecting or stopping its abnormal behavior could change patient care and create commercial value, similar to fixing a faulty part in a complex machine.
alsfrs-r medical
"Long-term clinical outcomes demonstrating consistent effects on ALSFRS-R decline"
A L S F R S - R is a widely used clinical scoring system that rates how well people with amyotrophic lateral sclerosis (ALS) can perform everyday activities such as speaking, swallowing, walking and breathing. Scores summarize changes in patients’ functional abilities over time, acting like a medical report card for disease progression. Investors watch ALSFRS-R results because they are often used to judge a drug’s real-world benefit, influence regulatory decisions and shape a therapy’s commercial value.

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Final meeting minutes reflect alignment with Health Canada on the planned content and structure of the ALS submission

CAMBRIDGE, Mass., Aug. 6, 2026 /PRNewswire/ -- NeuroSense Therapeutics Ltd. (NASDAQ: NRSN) ("NeuroSense"), a late-stage clinical biotechnology company focused on developing disease-modifying treatments for neurodegenerative diseases, today announced that it is targeting December 2026 for the filing of a New Drug Submission ("NDS") with Health Canada for PrimeC, its lead therapeutic candidate for amyotrophic lateral sclerosis ("ALS").

NeuroSense Therapeutics Logo

The filing target follows the successful finalization of the Pre-NDS process with Health Canada and the associated meeting minutes. The discussions with Health Canada provided alignment regarding the content and structure of the submission. Health Canada has also indicated that it has no concerns with the Company's proposed filing timeline and advised the Company to target early December.

NDS is the Canadian equivalent of a New Drug Application (NDA) in the United States. Following the successful completion of the Pre-NDS process, the application will undergo an administrative screening and, if accepted for review, a comprehensive scientific evaluation. Health Canada's target review timeline for a standard NDS is approximately 300 days following acceptance for review.

"We now have an alignment with the Canadian regulator and a clear operational target," said Alon Ben-Noon, Chief Executive Officer of NeuroSense. "Our team is advancing the remaining clinical, biomarker, manufacturing and regulatory components of the NDS, with the objective of filing in December 2026. Canada represents an important potential market for PrimeC and, more importantly, an opportunity to bring a promising therapy to people living with ALS."

Significant need for additional ALS treatments in Canada

Based on publicly reported Canadian data1, over 3,000 Canadians are currently living with ALS, and approximately 1,000 Canadians are diagnosed with the disease each year. Given the limited treatment options available and their modest clinical benefit, ALS remains a progressive and fatal neurodegenerative disease with substantial unmet medical need.

Health Canada-approved treatments for the broad ALS population include riluzole and edaravone. Based on the publicly reported Canadian list price assessed by the Canadian Agency for Drugs and Technologies in Health, now Canada's Drug Agency, oral edaravone carries an estimated annual drug-acquisition cost of approximately C$120,000 (approximately US$85,000) per patient. Actual prices paid by public drug plans may differ because of confidential pricing arrangements and negotiated rebates.

NeuroSense believes these market dynamics underscore both the considerable healthcare burden associated with ALS and the need for additional therapies capable of meaningfully affecting disease progression and survival.

PrimeC clinical evidence

The planned NDS will be supported by the totality of evidence generated through NeuroSense's Phase 2b PARADIGM clinical program, including:

  • Achievement of the study's prespecified primary TDP-43 biomarker endpoint;
  • Long-term clinical outcomes demonstrating consistent effects on ALSFRS-R decline;
  • Statistically significant ~15-month median survival benefit (HR 0.35, p=0.0037);
  • Consistent findings across PrimeC's multi-pathway biomarker program; and
  • A favorable safety and tolerability profile during extended treatment and follow-up.

NeuroSense is progressing the Canadian NDS in parallel with preparations for PARAGON, its confirmatory Phase 3 clinical study of PrimeC in ALS.

About NeuroSense

NeuroSense Therapeutics is a late-clinical stage biotechnology company developing novel treatments for severe neurodegenerative diseases, including amyotrophic lateral sclerosis (ALS) and Alzheimer's disease. The Company's lead product candidate, PrimeC, is a novel oral therapy designed to target multiple key biological pathways underlying disease progression, including neuroinflammation, oxidative stress and dysregulated iron metabolism.

NeuroSense has recently completed analysis of long-term follow-up data from its Phase 2b PARADIGM study in ALS, supporting meaningful slowing of disease progression. The Company also reported significant biological activity across multiple biomarkers associated with ALS, including microRNAs, supporting PrimeC's multi-target mechanism of action and representing a potentially important advance in the treatment of ALS.

NeuroSense has received clearance from the U.S. Food and Drug Administration (FDA) to initiate a pivotal Phase 3 clinical trial (PARAGON) in ALS, which is expected to enroll approximately 300 participants, primarily in the United States.

For additional information, we invite you to visit our website and follow us on LinkedInYouTube and X. Information that may be important to investors may be routinely posted on our website and these social media channels.

About PrimeC

PrimeC, NeuroSense's lead drug candidate, is a novel extended-release oral formulation composed of a unique fixed-dose combination of two FDA-approved drugs: ciprofloxacin and celecoxib. PrimeC is designed to target several key mechanisms that contribute to neuron degeneration, inflammation, iron accumulation and impaired ribonucleic acid ("RNA") regulation, with the potential to inhibit disease progression.

About ALS

Amyotrophic lateral sclerosis ("ALS") is an incurable neurodegenerative disease that causes complete paralysis and death within 2-5 years from diagnosis. Every year, more than 5,000 people are diagnosed with ALS in the U.S. alone, with an annual disease burden of $1 billion. The number of people living with ALS is expected to grow by 24% by 2040 in the U.S. and EU.

Forward-Looking Statements

This press release contains "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 NeuroSense Therapeutics' current expectations and are subject to inherent uncertainties, risks and assumptions that are difficult to predict and include statements regarding the timing of the filing of the NDS with Health Canada for PrimeC, the timing of review by Health Canada of the NDS and the commercial potential of PrimeC. Further, certain forward-looking statements are based on assumptions as to future events that may not prove to be accurate. The future events and trends may not occur and actual results could differ materially and adversely from those anticipated or implied in the forward looking statements. These risks include risks of delay in the planned filing of the NDS with Health Canada; the risk of delay in the review by Health Canada of the NDS; the risk that Health Canada will not approve the NDS; the uncertainty regarding the commercial potential of PrimeC; uncertainty regarding outcomes and the timing of current and future clinical trials; the risk that PrimeC will not advance towards later-stage development, timing for reporting data, including from the study of PrimeC in Alzheimer's disease; that the study will not be successful; the ability of NeuroSense to remain listed on Nasdaq; and other risks and uncertainties set forth in NeuroSense's filings with the Securities and Exchange Commission (SEC). You should not rely on these statements as representing our views in the future. More information about the risks and uncertainties affecting NeuroSense is contained under the heading "Risk Factors" in the Annual Report on Form 20-F filed with the Securities and Exchange Commission on March 31, 2026 and NeuroSense's subsequent filings with the SEC. Forward-looking statements contained in this announcement are made as of this date, and NeuroSense undertakes no duty to update such information except as required under applicable law.

1 https://news.ontario.ca/en/release/1003213/ontario-first-in-canada-to-provide-coverage-for-new-als-treatment?utm_source=chatgpt.com

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SOURCE NeuroSense

FAQ

What did NeuroSense (NRSN) announce about its PrimeC NDS filing with Health Canada on August 6, 2026?

NeuroSense announced it completed the Pre‑NDS process and is targeting a December 2026 New Drug Submission for PrimeC in ALS. According to NeuroSense, meeting minutes confirm alignment with Health Canada on submission content, structure and the proposed filing timeline.

When is NeuroSense (NRSN) planning to file the PrimeC New Drug Submission in Canada?

NeuroSense plans to file the PrimeC New Drug Submission with Health Canada in December 2026. According to NeuroSense, the regulator advised targeting early December, following successful completion of the Pre‑NDS process and agreement on the submission’s content and structure.

What clinical results support NeuroSense’s PrimeC NDS filing for ALS in Canada?

The PrimeC NDS will be supported by Phase 2b PARADIGM data, including an estimated ~15‑month median survival benefit. According to NeuroSense, results also include the prespecified TDP‑43 biomarker endpoint, long‑term ALSFRS‑R outcomes, multi‑pathway biomarker findings, and favorable safety and tolerability.

How long could Health Canada take to review NeuroSense’s (NRSN) PrimeC New Drug Submission?

Health Canada’s target review timeline for a standard New Drug Submission is approximately 300 days after acceptance. According to NeuroSense, PrimeC’s NDS will first undergo administrative screening, and only then proceed to comprehensive scientific evaluation if accepted for review.

How large is the potential ALS patient population for PrimeC in Canada?

Over 3,000 Canadians are currently living with ALS, with about 1,000 new diagnoses annually. According to NeuroSense, these figures and limited existing treatments highlight substantial unmet need and the potential market opportunity for additional ALS therapies such as PrimeC.

What other ALS treatments and costs did NeuroSense reference alongside PrimeC in Canada?

NeuroSense referenced riluzole and edaravone as Health Canada–approved ALS treatments, noting oral edaravone’s estimated annual list cost around C$120,000. According to NeuroSense, actual prices may differ due to confidential arrangements and these dynamics underscore ALS’s healthcare burden.

What is NeuroSense’s PARAGON Phase 3 trial and how does it relate to PrimeC?

PARAGON is NeuroSense’s planned confirmatory Phase 3 clinical study of PrimeC in ALS. According to NeuroSense, the company is progressing the Canadian NDS in parallel with PARAGON preparations, aiming to build on Phase 2b PARADIGM findings in a larger confirmatory program.