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OS Therapies Achieves Global Regulatory Alignment on Design of Phase 3 Trial of OST-HER2 in Fully Resected, Pulmonary Metastatic Osteosarcoma

(Very Positive)

OS Therapies (NYSE American: OSTX) reported global regulatory alignment on the Phase 3 trial design of OST-HER2 for fully resected, pulmonary metastatic osteosarcoma. FDA, EMA, MHRA and TGA have agreed on CMC plans and use of a pharmacodynamic biomarker as a surrogate efficacy endpoint.

The confirmatory Phase 3 trial is expected to start in Australia in the third quarter of 2026, supporting potential year-end regulatory decisions and possible 2027 patient access. OST-HER2 holds multiple FDA and EMA/MHRA designations, and EMA has begun rolling review while a BLA filing with FDA is underway.

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Positive

  • Global regulatory alignment on OST-HER2 Phase 3 trial design
  • Phase 3 trial expected to start in Q3 2026 in Australia
  • MHRA and TGA permit use of remaining Phase 2b drug product
  • Pharmacodynamic biomarker accepted as surrogate efficacy endpoint
  • FDA, EMA, MHRA and TGA aligned on CMC plan and potency assays
  • EMA rolling review begun and BLA filing initiated with FDA
  • OST-HER2 granted ODD, FTD, RPDD/ATMP designations across regulators
  • Potential Priority Review Voucher if BLA for osteosarcoma is granted

Negative

  • None.

News Market Reaction – OSTX

+0.56%
+0.56% Session close to close

In the Jun 8 session, OSTX gained 0.56%, reflecting a mild positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement advances OST-HER2 by securing multi-agency alignment on a confirmatory Phase 3 des...
Analysis

This announcement advances OST-HER2 by securing multi-agency alignment on a confirmatory Phase 3 design, surrogate biomarker endpoints, and Chemistry, Manufacturing and Controls plans. It also ties into an ongoing BLA process and rolling EMA review. Against this clinical progress, investors should track funding needs given recent offerings and shelf capacity, the timing of potential 2026 regulatory decisions, and whether upcoming Phase 3 execution stays aligned with prior guidance.

Key Figures

Phase 3 start timing: Late third quarter 2026 Regulatory decisions window: Fourth quarter 2026 Target patient access: 2027 +1 more
4 metrics
Phase 3 start timing Late third quarter 2026 Planned initiation of confirmatory Phase 3 in Australia
Regulatory decisions window Fourth quarter 2026 Company positioning for potential regulatory decisions
Target patient access 2027 Company goal for OST-HER2 patient access if approvals occur
Regulatory agencies aligned 4 agencies FDA, EMA, MHRA and TGA aligned on CMC and Phase 3 design

Previous Clinical trial Reports

5 past events · Latest: Mar 27 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Mar 27 Global Phase 3 meetings Positive +2.9% Secured multi-agency meetings to review global confirmatory Phase 3 design.
Jan 15 Positive biomarker data Positive -5.8% Reported Phase 2b biomarker data correlating survival with interferon gamma pathway.
Dec 15 FDA Type C meeting Positive -7.7% FDA confirmed single-arm Phase 2b data could support BLA via Accelerated Approval.
Dec 09 UK pre-MAA meeting Positive +0.0% MHRA pre-MAA meeting aligned on non-clinical, CMC and confirmatory study design.
Sep 12 OST-504 trial update Neutral -2.6% Completed Phase 1b prostate trial visits and flagged upcoming OST-HER2 survival update.

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

Pattern Detected

Clinical and regulatory updates have often been followed by negative or mixed next-day moves, despite generally constructive trial and regulatory progress.

Recent Company History

Over the past year, OS Therapies has steadily advanced OST-HER2 toward accelerated and conditional approvals. Prior clinical-trial news included positive biomarker data, successful FDA and MHRA meetings, and progression toward a global confirmatory Phase 3 design. These announcements often paired strong regulatory engagement with modest or negative price reactions. Today’s Phase 3 design alignment and surrogate endpoint acceptance extend this theme of incremental de‑risking for OST‑HER2 within a historically choppy trading pattern around clinical milestones.

Key Terms

biologics license application, accelerated approval program, conditional marketing authorisation applications, clinical trial notification (ctn) scheme, +4 more
8 terms
biologics license application regulatory
"A confirmatory Phase 3 study is required to have commenced prior to the grant of a Biologics License Application (BLA)..."
A biologics license application is a formal request submitted to regulatory authorities seeking approval to market a new biological medicine, such as vaccines or treatments made from living organisms. It is a comprehensive review process that evaluates the safety, effectiveness, and manufacturing quality of the product. For investors, receiving approval signals that a biological therapy can be sold to the public, potentially leading to revenue growth and market success.
accelerated approval program regulatory
"prior to the grant of a Biologics License Application (BLA) under the Accelerated Approval Program in the U.S."
A regulatory pathway that lets a drug or treatment reach the market sooner for serious or life‑threatening conditions based on early signs of benefit (such as lab tests or short‑term results) rather than long‑term proof. It matters to investors because it can accelerate revenue and competitive advantage but carries higher risk: the approval depends on follow‑up studies, and if those fail regulators can withdraw the approval, which can sharply affect a company’s value.
conditional marketing authorisation applications regulatory
"and Conditional Marketing Authorisation Applications (CMAAs) in the U.K., Europe and Australia."
An application seeking temporary regulatory approval to sell a medicine or vaccine based on early positive data, with the condition that the company must provide complete safety and effectiveness evidence later. For investors, this is like a provisional permit: it can allow early sales and revenue but carries higher regulatory risk and uncertainty because final approval depends on future data and inspections.
clinical trial notification (ctn) scheme regulatory
"prepare the Clinical Trial Notification (CTN) scheme submission to the Australian Therapeutic Goods Administration (TGA)"
A clinical trial notification (CTN) scheme is a regulatory pathway where the organization running a drug or device study formally alerts the health authority and provides study details and safety oversight plans, while taking legal responsibility for conducting the trial. It matters to investors because this pathway can speed trial startup and shift regulatory risk to the sponsor—like choosing to notify a building inspector before work begins rather than waiting for a lengthy permit process—affecting development timelines, costs and the likelihood of delays.
regenerative medicine advanced therapy (rmat) designation regulatory
"decisions regarding rolling review and Regenerative Medicine Advanced Therapy (RMAT) designation in the United States"
A Regenerative Medicine Advanced Therapy (RMAT) designation is a U.S. regulatory status given to certain cell, gene, or tissue-based treatments that show promise for serious conditions and early clinical evidence of benefit. It signals that regulators will provide extra guidance and expedited review steps—like giving a promising project a “fast pass” through some development checkpoints—which can shorten time to market and reduce regulatory risk, making the program more valuable and noteworthy to investors.
orphan drug designation regulatory
"OST-HER2 has received Orphan Drug Designation (ODD), Fast Track Designation (FTD) and Rare Pediatric Disease Designation (RPDD)"
Orphan drug designation is a special status given to medicines developed to treat rare diseases affecting only a small number of people. This status often provides benefits like faster approval processes and financial incentives, making it more attractive for companies to develop these drugs. For investors, it signals potential for exclusive market rights and reduced competition, which can impact the drug’s profitability.
fast track designation regulatory
"OST-HER2 has received Orphan Drug Designation (ODD), Fast Track Designation (FTD) and Rare Pediatric Disease Designation (RPDD)"
Fast track designation is a status the U.S. Food and Drug Administration grants to drugs intended to treat serious conditions and address an unmet medical need. It gives the developer more frequent communication with the FDA and can allow parts of the application to be reviewed on a rolling basis, and it may pave the way to priority review or accelerated approval. It can shorten development timelines, though it does not guarantee approval.
priority review voucher regulatory
"it will become eligible to receive a Priority Review Voucher (PRV) that it intends to sell."
A priority review voucher is a transferable regulatory incentive that lets a company move a future drug or device application to the front of the review line, shortening the review period by several months. For investors it matters because the voucher can speed up market access for a high-value product or be sold to other companies for significant cash, acting like a tradable fast-pass that can accelerate revenue or create immediate financial upside.

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

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  • Confirmatory Phase 3 trial to commence prior to BLA grant under Accelerated Approval Program in the U.S. and Conditional MAA in the U.K., Europe and Australia
  • Patent pending pharmacodynamic response biomarker accepted as surrogate clinical efficacy endpoint
  • TGA and MHRA agree to allow utilization of remaining Phase 2b drug product for initiation of confirmatory Phase 3
  • FDA and EMA fully align with Company on Chemistry, Manufacturing and Controls (CMC)
  • Market access process initiated with UK NICE and EU JCA

New York, New York and Rockville, Maryland--(Newsfile Corp. - June 8, 2026) - OS Therapies, Inc. (NYSE American: OSTX) ("OS Therapies" or "the Company"), the world leader in gene-edited, Listeria-based cancer immunotherapies, today announced that it achieved alignment on the design of its pending Phase 3 study of OST-HER2 in the prevention or delay of recurrence in fully resected, pulmonary metastatic osteosarcoma with the U.S. Food & Drug Administration (FDA) and the U.K. Medicines and Healthcare products Regulatory Agency (MHRA). A confirmatory Phase 3 study is required to have commenced prior to the grant of a Biologics License Application (BLA) under the Accelerated Approval Program in the U.S. and Conditional Marketing Authorisation Applications (CMAAs) in the U.K., Europe and Australia. The Phase 3 study has received substantial support from international KOLs as part of regulatory meetings and is expected to commence late in the third quarter in Australia making the Company eligible for regulatory decisions in the fourth quarter.

"This alignment amongst each of the four key regulatory agencies where we are seeking early market access allows us to move forward with confidence as we prepare the Clinical Trial Notification (CTN) scheme submission to the Australian Therapeutic Goods Administration (TGA) to gain authorization to initiate the Phase 3 study," said Dr. Craig Eagle, Chief Medical Advisor of OS Therapies. "Australia has a very attractive R&D tax incentive program complementing the company's existing UK R&D tax credit strategy to incentivize the initiation of global clinical trials, allowing us to initiate the Phase 3 with minimal cost. MHRA and TGA are allowing us to initiate the Phase 3 trial with the same drug product used in the Phase 2b trial, positioning the Phase 3 trial to open in the third quarter of 2026. FDA, MHRA, EMA and TGA have now aligned with the Company on the CMC plan and potency assays for commercial drug product. These alignments allow the Company to be positioned for potential year-end regulatory decisions and 2027 patient access."

Dr. Eagle continued, "Both FDA and MHRA also aligned with the EMA and TGA to include the pharmacodynamic biomarker signature as a surrogate clinical efficacy endpoint in the Phase 3. EMA has already begun rolling review of the regulatory dossier and we expect decisions regarding rolling review and Regenerative Medicine Advanced Therapy (RMAT) designation in the United States following our upcoming Type B Pre-BLA Meeting following the successful Type C Phase 3 Design Meeting last week."

OST-HER2 has received Orphan Drug Designation (ODD), Fast Track Designation (FTD) and Rare Pediatric Disease Designation (RPDD) from the FDA, and ODD, FTD and Advanced Therapeutic Medicinal Product (ATMP) designation from the EMA and MHRA. Under the RPDD program, if the Company is granted a BLA in the United States, it will become eligible to receive a Priority Review Voucher (PRV) that it intends to sell. The Company has begun filing a BLA for osteosarcoma with FDA and has received rolling review from the EMA.

About OS Therapies

OS Therapies is a clinical stage oncology company focused on the identification, development, and commercialization of treatments for Osteosarcoma (OS) and other solid tumors. The Company is the world leader in gene-edited, Listeria-based cancer immunotherapies. OST-HER2, the Company's lead asset, is an immunotherapy leveraging the immune-stimulatory effects of Listeria bacteria to initiate a strong immune response targeting the HER2 protein. OST-HER2 is designed to target two mutated extracellular epitopes and one mutated intracellular epitope of the HER2 oncogene, requiring only one of these three epitopes to be present in a tumor (or micro-metastasis) to trigger the desired immune response. OST-HER2 has received Orphan Drug Designation (ODD), Fast Track Designation (FTD) and Rare Pediatric Disease Designation (RPDD) from the U.S. Food & Drug Administration and has received ODD, FTD and ATMP from the European Medicines Agency.

The Company reported positive data in its Phase 2b clinical trial of OST-HER2 in recurrent, fully resected, lung metastatic osteosarcoma, demonstrating clinically significant benefit in the 12-month event free survival (EFS) primary endpoint of the study and the overall survival (OS) secondary endpoint. The Company is seeking a Biologics License Application (BLA) from the U.S. FDA for OST-HER2 in osteosarcoma in 2026 and, if approved, would become eligible to receive a Priority Review Voucher that it could then sell. The Company also anticipates receiving Conditional Marketing Authorisation Applications from the U.K.'s Medicines and Healthcare products Regulatory Agency and the EMA for OST-HER2 in 2026. OST-HER2 has completed a Phase 1 clinical study primarily in breast cancer patients, in addition to showing preclinical efficacy data in various models of breast cancer. OST-HER2 has been conditionally approved by the U.S. Department of Agriculture for the treatment of canines with osteosarcoma.

In addition, OS Therapies is advancing its next-generation Antibody Drug Conjugate (ADC) and Drug Conjugates (DC), known as tunable ADC (tADC), which features tunable, tailored antibody-linker-payload candidates. This platform leverages the Company's proprietary silicone Si-Linker and Conditionally Active Payload (CAP) technology, enabling the delivery of multiple payloads per linker. For more information, please visit www.ostherapies.com.

Forward-Looking Statements

Statements in this press release about future expectations, plans and prospects, as well as any other statements regarding matters that are not historical facts, may constitute forward-looking statements within the meaning of the federal securities laws. These forward-looking statements and terms such as "anticipate," "expect," "intend," "may," "will," "should" or other comparable terms involve risks and uncertainties because they relate to events and depend on circumstances that will occur in the future. Those statements include statements regarding the intent, belief or current expectations of OS Therapies and members of its management, as well as the assumptions on which such statements are based. OS Therapies cautions readers that forward-looking statements are based on management's expectations and assumptions as of the date of this press release and are subject to certain risks and uncertainties that could cause actual results to differ materially, including, but not limited to the potential approval of OST-HER2 by the U.S. FDA and other risks and uncertainties described in "Risk Factors" in the Company's most recent Annual Report on Form 10-K and other subsequent documents the Company files with the Securities and Exchange Commission. Any forward-looking statements contained in this press release speak only as of the date hereof, and, except as required by the federal securities laws, OS Therapies specifically disclaims any obligation to update any forward-looking statement, whether as a result of new information, future events or otherwise.

OS Therapies Contact Information:

Investor Relations
Harrison Seidner, PhD
WaterSeid Partners
OSTX@waterseid.com

Public Relations
Stephanie Chen
Elev8 New Media
media@ostherapies.com

https://x.com/OSTherapies
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https://www.facebook.com/OSTherapies/
https://www.linkedin.com/company/os-therapies/

To view the source version of this press release, please visit https://www.newsfilecorp.com/release/300469

FAQ

What did OS Therapies (OSTX) announce on June 8, 2026 about the OST-HER2 Phase 3 trial?

OS Therapies announced global regulatory alignment on the design of its confirmatory Phase 3 OST-HER2 trial. According to OS Therapies, FDA, EMA, MHRA and TGA agreed on key elements, including Chemistry, Manufacturing and Controls and use of a pharmacodynamic biomarker surrogate endpoint.

When will the OST-HER2 Phase 3 trial for osteosarcoma start and what is the timeline for OSTX regulatory decisions?

The OST-HER2 Phase 3 trial is expected to start in Australia in the third quarter of 2026. According to OS Therapies, this timing could support regulatory decisions around year-end and may enable potential patient access beginning in 2027, subject to approvals.

Which regulators aligned with OS Therapies (OSTX) on the OST-HER2 Phase 3 study design?

FDA, EMA, MHRA and TGA aligned with OS Therapies on the OST-HER2 Phase 3 design. According to OS Therapies, these agencies agreed on CMC plans, potency assays, and inclusion of a pharmacodynamic biomarker signature as a surrogate clinical efficacy endpoint.

What regulatory designations has OST-HER2 received that could benefit OS Therapies (OSTX) investors?

OST-HER2 has FDA Orphan Drug, Fast Track and Rare Pediatric Disease designations, plus EMA and MHRA Orphan, Fast Track and ATMP designations. According to OS Therapies, the Rare Pediatric Disease designation could make the company eligible for a transferable Priority Review Voucher if BLA approval is granted.

How does the pharmacodynamic biomarker surrogate endpoint affect the OST-HER2 Phase 3 trial for OSTX?

The pharmacodynamic biomarker signature will serve as a surrogate clinical efficacy endpoint in Phase 3. According to OS Therapies, FDA, EMA, MHRA and TGA have accepted this biomarker, potentially allowing earlier assessment of OST-HER2’s effect on recurrence risk in osteosarcoma.

What is the status of OS Therapies’ (OSTX) BLA and EMA rolling review for OST-HER2?

OS Therapies has begun filing a Biologics License Application for osteosarcoma with FDA, and EMA has started rolling review. According to OS Therapies, upcoming U.S. Type B Pre-BLA interactions may address rolling review and Regenerative Medicine Advanced Therapy designation requests.

How are MHRA and TGA reducing OST-HER2 Phase 3 trial costs for OS Therapies (OSTX)?

MHRA and TGA will allow use of remaining Phase 2b drug product to initiate Phase 3. According to OS Therapies, combining this with Australian and UK R&D tax incentives may help start the global confirmatory trial with relatively limited upfront manufacturing expense.