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NRx Pharmaceuticals (Nasdaq: NRXP) Subsidiary HOPE Therapeutics Treats First Patients Using Zeta Surgical's FDA-Cleared Zeta TMS Navigation System

(Very Positive)
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NRx Pharmaceuticals (Nasdaq: NRXP) reported that subsidiary HOPE Therapeutics has treated its first patients using Zeta Surgical's FDA-cleared Zeta TMS Navigation System at clinics in West Palm Beach and Sarasota, Florida.

The AI-guided, sub-millimetric navigation is integrated into outpatient TMS workflows and supports NRx's planned SPARC-TMS trial of NRX-101 with robotic-enabled TMS for depression and suicidality.

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Positive

  • First Zeta TMS–navigated patients treated at two HOPE clinics in Florida
  • AI-powered, sub-millimetric image guidance added to outpatient TMS workflows
  • Technology supports planned SPARC-TMS trial of NRX-101 with robotic-enabled TMS
  • Deployment strengthens HOPE's interventional psychiatry platform and service offering

Negative

  • None.

Market Context

This announcement strengthens NRXP’s HOPE clinic platform by moving Zeta‑navigated TMS into routine ...
Analysis

This announcement strengthens NRXP’s HOPE clinic platform by moving Zeta‑navigated TMS into routine care, supporting the planned SPARC‑TMS program. Investors may watch execution at initial Florida sites and funding needs under the existing shelf registration.

Key Figures

Imaging registration time: under two minutes Treatment-resistant share: one-third of patients
2 metrics
Imaging registration time under two minutes Time for Zeta TMS system to register MRI/CT to facial anatomy
Treatment-resistant share one-third of patients Proportion of major depressive disorder patients who are treatment-resistant

Historical Context

5 past events · Latest: Jun 23 (Neutral)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Jun 23 Technology deployment Neutral -3.6% Partner Zeta reported first Zeta TMS patient treatment at a HOPE clinic.
Jun 22 FDA expanded access Positive -2.6% FDA authorized an expanded access protocol for NRX‑101 with TMS in depression.
Jun 05 Clinical data highlight Neutral +2.2% Company highlighted real‑world evidence comparing IV ketamine and nasal esketamine.
Jun 04 Equity offering close Negative +2.2% Closed $22.3M common stock offering at $3.50 per share including overallotment.
Jun 03 Equity offering pricing Negative -12.3% Priced 5,714,286-share public offering at $3.50 with optional additional shares.

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

Pattern Detected

Recent NRXP news around FDA and financing has produced mixed reactions, with some positive catalysts met by selling while dilutive offerings have sometimes been absorbed.

Key Terms

tms, major depressive disorder, hyperbaric oxygen therapy
3 terms
tms medical
"TMS is a non-invasive therapy used primarily for treatment-resistant depression"
Transcranial magnetic stimulation is a noninvasive medical treatment that uses brief magnetic pulses to stimulate specific areas of the brain, similar to tapping a circuit to reset its activity. Investors watch TMS because approvals, clinical trial results, or wider insurance coverage can open large markets for devices and services, affecting revenue and growth prospects for companies developing or delivering the therapy.
major depressive disorder medical
"for patients with Major Depressive Disorder and other CNS conditions"
A clinical condition characterized by persistent, severe low mood, loss of interest in daily activities, and reduced ability to function at work or home, lasting weeks or longer. It matters to investors because it drives demand for treatments and mental health services, affects workforce productivity and absenteeism, influences health-care and insurance costs, and shapes risks and opportunities for companies developing drugs, therapies or workplace programs—like a long-lasting storm that lowers economic output.
hyperbaric oxygen therapy medical
"includes ketamine and Spravato® delivery, TMS, Hyperbaric Oxygen Therapy, and other neuroplastic therapies"
A medical treatment in which a patient breathes pure oxygen in a pressurized chamber to increase the amount of oxygen in the blood and tissues, used for conditions like wounds that won't heal, certain infections, and decompression sickness. Investors care because equipment makers, treatment centers, and drug or device developers can see revenue and regulatory risk tied to approvals, reimbursement and scientific evidence—think of it as a niche industrial service whose growth depends on clinical results and insurance backing.

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

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  • First Zeta-navigated TMS treatments have begun at HOPE Therapeutics clinics in West Palm Beach and Sarasota, Florida, marking the transition from research deployment to active patient care
  • AI-powered, sub-millimetric image guidance is now being applied in HOPE's outpatient TMS workflows for patients with Major Depressive Disorder and other CNS conditions
  • Milestone advances HOPE's interventional psychiatry platform and aligns with NRx's planned trial of NRX-101 in combination with robotic-enabled TMS in civilian and military treatment facilities (the SPARC-TMS trial).

WILMINGTON, Del., June 25, 2026 (GLOBE NEWSWIRE) -- NRx Pharmaceuticals, Inc. (Nasdaq: NRXP) ("NRx Pharmaceuticals", "NRx" or the "Company"), a clinical-stage biopharmaceutical company, today announced that its subsidiary, HOPE Therapeutics, Inc. ("HOPE"), has treated its first patients using Zeta Surgical's FDA-cleared Zeta TMS Navigation System. HOPE has installed Zeta TMS Navigation Systems at its clinics in West Palm Beach and Sarasota, Florida, with Zeta-navigated patient treatments now underway at both locations.

The first treatments mark HOPE's transition from system deployment to active patient care, bringing AI-powered, sub-millimetric image guidance into routine outpatient TMS workflows for patients with Major Depressive Disorder and other neurological conditions. The Zeta TMS Navigation System uses proprietary RealTrack™ technology to provide real-time, markerless image guidance for TMS procedures, applying artificial intelligence and computer vision to register a patient's MRI or CT imaging to their facial anatomy in under two minutes and to continuously track the position of the TMS coil relative to the planned brain target with sub-millimetric accuracy.

"Treating our first patients with the Zeta TMS Navigation System moves the integrated treatment model we are building at HOPE from concept to clinical reality," said Jonathan Javitt, MD, MPH, Chairman and CEO of NRx Pharmaceuticals and HOPE Therapeutics. "Bringing neurosurgical-grade targeting precision into the outpatient setting is exactly the kind of capability that distinguishes the HOPE network, and it directly supports our planned trial of NRX-101 in combination with robotic-enabled TMS in patients with depression and suicidality. Our goal has always been to deliver measurable remission to patients who have run out of options, and precision-guided TMS is a meaningful step toward that goal."

TMS is a non-invasive therapy used primarily for treatment-resistant depression, which affects approximately one-third of patients with major depressive disorder. It is also used in other neuropsychiatric conditions, including obsessive-compulsive disorder and other disorders involving brain circuit dysfunction. Because TMS is intended to modulate specific brain regions and neural circuits, accurate and repeatable targeting of patient-specific treatment sites is an important component of treatment delivery, which is the gap the Zeta system is designed to address.

The deployment complements HOPE's broader interventional psychiatry platform, which includes ketamine and Spravato® delivery, TMS, Hyperbaric Oxygen Therapy, and other neuroplastic therapies offered across the HOPE network of clinics. It also aligns with NRx's previously announced clinical trial program of NRX-101 (oral D-cycloserine/lurasidone) in combination with robotic-enabled TMS for patients with depression and suicidality, which is planned to be conducted across a leading US academic teaching hospital, three HOPE Therapeutics clinics, and two military treatment facilities.

About NRx Pharmaceuticals, Inc.
NRx Pharmaceuticals, Inc. (www.nrxpharma.com), is a clinical-stage biopharmaceutical company developing therapeutics based on its NMDA platform for the treatment of central nervous system disorders, specifically suicidal depression, chronic pain, and PTSD. The Company is developing NRX-100 (preservative-free intravenous ketamine) and NRX-101, (oral D-cycloserine/lurasidone). NRX-100 has been awarded Fast Track Designation for the treatment of Suicidal ideation in Depression, including Bipolar Depression. NRX-101 has been awarded Breakthrough Therapy Designation for the treatment of suicidal bipolar depression. NRx has filed an Abbreviated New Drug Application (ANDA), and initiated a New Drug Application filing for NRX-100 with an application for the Commissioner’s National Priority Voucher Program for the treatment of suicidal ideation in patients with depression, including bipolar depression.

About HOPE Therapeutics
HOPE Therapeutics, a subsidiary of NRx Pharmaceuticals (Nasdaq: NRXP), is a provider of advanced psychiatric and neurological care, specializing in evidence-based treatments for major depressive disorder, anxiety, and other complex neurological conditions. Operating out of state-of-the-art clinics, HOPE Therapeutics focuses on improving patient outcomes through the application of modern medical technologies and clinical practices.
For more information, please visit www.hopetherapeutics.com

About ZETA SURGICAL 
ZETA SURGICAL is redefining the standard of care for image-guided surgery and targeted neuro-therapeutics. Its navigation and robotics platform applies advanced artificial intelligence and computer vision to enable high-accuracy image guidance across virtually any point of care in minutes, unlocking less invasive and more precise targeted therapies. The Zeta Navigation System and Zeta TMS Navigation System are cleared by the FDA and commercially available in the United States.
For more information, please visit www.zetasurgical.com
Media Contact -- media@zetasurgical.com

Notice Regarding Forward-Looking Statements
The information contained herein includes forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and Section 27A of the Securities Act of 1933, as amended. Forward-looking statements generally include statements that are predictive in nature and depend upon or refer to future events or conditions, and include words such as "may," "will," "should," "would," "expect," "plan," "believe," "intend," "look forward," and other similar expressions among others. These statements relate to future events or to the Company's future financial performance, and involve known and unknown risks, uncertainties and other factors that may cause the Company's actual results to be materially different from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking statements. The Company has reported regulatory milestones as they have been achieved but has not predicted the outcome of any future regulatory determination. You should not
place undue reliance on forward-looking statements since they involve known and unknown risks, uncertainties and other factors which are, in some cases, beyond the Company's control and which could, and likely will, materially affect actual results, levels of activity, performance or achievements. Any forward-looking statement reflects the Company's current views with respect to future events and is subject to these and other risks, including uncertainties and assumptions relating to the Company's operations, results of operations, growth strategy, and, among other things, liquidity. More detailed information about the Company and the risk factors that may affect the realization of forward-looking statements is set forth in the Company's most recent Annual Report on Form 10-K and other filings with the Securities and Exchange Commission. Investors and security holders are urged to read these documents free of charge on the SEC's website at http://www.sec.gov. Except as may be required by applicable law, the Company assumes no obligation to publicly update or revise these forward-looking statements for any reason, or to update the reasons actual results could differ materially from those anticipated in these forward-looking statements, whether as a result of new information, future events or otherwise.

For further information:
Brian Korb
Managing Partner, astr partners
(917) 653-5122
brian.korb@astrpartners.com


FAQ

What did NRx Pharmaceuticals (NRXP) announce about HOPE Therapeutics and the Zeta TMS Navigation System?

NRx announced that HOPE Therapeutics has started treating patients with Zeta Surgical's FDA-cleared Zeta TMS Navigation System. According to NRx, the system is now operating at HOPE clinics in West Palm Beach and Sarasota, integrating image-guided TMS into routine care.

How does the Zeta TMS Navigation System work in HOPE Therapeutics clinics?

The Zeta TMS Navigation System uses AI-driven, markerless RealTrack technology to guide TMS treatments. According to NRx, it registers MRI or CT images to facial anatomy in under two minutes and tracks TMS coil position with sub-millimetric accuracy during outpatient procedures.

Which conditions are being targeted with Zeta-navigated TMS at HOPE Therapeutics?

HOPE is using Zeta-navigated TMS for patients with major depressive disorder and other neurological or neuropsychiatric conditions. According to NRx, accurate, repeatable targeting of patient-specific brain regions aims to improve treatment delivery for disorders involving brain circuit dysfunction.

How does this Zeta TMS deployment relate to the planned NRX-101 SPARC-TMS trial for NRXP?

The deployment is intended to support a planned SPARC-TMS trial combining NRX-101 with robotic-enabled TMS in depression and suicidality. According to NRx, the study is expected across an academic hospital, three HOPE clinics, and two military treatment facilities.

What other treatments are part of HOPE Therapeutics' interventional psychiatry platform?

HOPE's platform includes ketamine, Spravato, TMS, Hyperbaric Oxygen Therapy, and other neuroplastic therapies. According to NRx, adding the Zeta TMS Navigation System complements these services, aiming to deliver measurable remission for patients with limited treatment options.

Why is precise targeting important for TMS treatments offered through NRx Pharmaceuticals' HOPE network?

Precise targeting is important because TMS aims to modulate specific brain regions and neural circuits. According to NRx, the Zeta system addresses gaps in accurate, repeatable targeting, potentially improving treatment consistency for conditions like treatment-resistant depression and obsessive-compulsive disorder.