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Pliant Therapeutics Announces First Patient Dosed in FORTIFY, the Phase 1b Indication Expansion Trial Evaluating PLN-101095 in Patients with ICI-Refractory Solid Tumors

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Pliant Therapeutics (Nasdaq: PLRX) announced dosing of the first participant in FORTIFY, a Phase 1b open-label indication expansion trial of oral PLN-101095 plus pembrolizumab in ICI-refractory advanced or metastatic solid tumors.

The trial enrolls three expansion cohorts (NSCLC, clear cell RCC, high tumor mutational burden tumors). PLN-101095 is dosed 1,000 mg twice daily for 14 days as monotherapy before adding pembrolizumab. Enrollment is underway; interim data are expected in 2027.

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Positive

  • First patient dosed in FORTIFY Phase 1b trial
  • Three expansion cohorts: NSCLC, clear cell RCC, and high TMB tumors
  • PLN-101095 monotherapy dosing: 1,000 mg twice daily for 14 days before combo

Negative

  • No clinical efficacy readouts reported yet; only first-patient dosing announced
  • Interim data expected in 2027, leaving a multi-quarter wait for preliminary results

News Market Reaction – PLRX

+0.83%
+0.83% Session close to close

In the Apr 30 session, PLRX gained 0.83%, reflecting a mild positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement marks the first patient dosed in the FORTIFY Phase 1b expansion of PLN‑101095 plus...
Analysis

This announcement marks the first patient dosed in the FORTIFY Phase 1b expansion of PLN‑101095 plus pembrolizumab in ICI‑refractory solid tumors, advancing a program that previously showed early antitumor activity. The design includes a 14-day monotherapy lead‑in at 1,000 mg twice daily across three tumor cohorts, with interim data expected in 2027. Against a backdrop of mixed past price reactions to positive data and an effective $300,000,000 shelf, investors may track enrollment progress and upcoming readouts closely.

Key Figures

PLN-101095 dose: 1,000 mg twice daily Monotherapy lead-in: 14 days FORTIFY cohorts: 3 cohorts +5 more
8 metrics
PLN-101095 dose 1,000 mg twice daily FORTIFY Phase 1b monotherapy lead-in
Monotherapy lead-in 14 days PLN-101095 before adding pembrolizumab
FORTIFY cohorts 3 cohorts NSCLC, clear cell RCC, high tumor mutational burden tumors
Trial identifier NCT 06270706 Phase 1a/1b PLN-101095 trial
Interim data timing 2027 Expected interim FORTIFY readout
Shelf registration size $300,000,000 S-3 filed March 30, 2026
ATM capacity $50,000,000 At-the-market offering with Leerink Partners
52-week range $1.09 – $1.95 PLRX share price over last 52 weeks

Historical Context

5 past events · Latest: Mar 18 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Mar 18 Conference presentation Positive -3.8% Announced upcoming AACR oral presentation of Phase 1 PLN-101095 data.
Mar 11 Earnings and update Positive +6.0% Reported positive Phase 1 data and accelerated PLN-101095 development with cash runway.
Feb 23 Conference participation Neutral -0.8% Announced virtual participation and fireside chat at Oppenheimer conference.
Dec 04 Clinical interim data Positive -14.9% Reported interim Phase 1 PLN-101095 data with multiple responders and tolerability.
Dec 01 Conference participation Neutral -5.0% Outlined participation and webcast plans for Piper Sandler healthcare conference.

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

Pattern Detected

PLRX often showed price divergence on positive PLN-101095 clinical updates, while broader corporate/financial updates leaned more aligned with subsequent price moves.

Recent Company History

Over the last six months, Pliant has repeatedly highlighted PLN‑101095 in ICI‑refractory solid tumors. Interim Phase 1 data in Dec 2025 and an AACR presentation announcement in Mar 2026 both preceded negative price moves despite clinically positive framing. By contrast, the Mar 11, 2026 corporate update with Phase 1 data, development acceleration, and cash runway into H2 2028 saw a positive reaction. Today’s first‑patient‑dosed FORTIFY milestone follows that expansion plan.

Key Terms

immune checkpoint inhibitor, pembrolizumab, integrins αvβ8 and αvβ1, tumor microenvironment, +4 more
8 terms
immune checkpoint inhibitor medical
"in patients with immune checkpoint inhibitor (ICI)-refractory advanced or metastatic solid"
An immune checkpoint inhibitor is a type of medicine that helps the body's immune system recognize and attack cancer cells more effectively. It works by blocking certain signals that cancer uses to hide from immune defenses, allowing the immune system to target tumors. This breakthrough has led to new cancer treatments, making immune checkpoint inhibitors an important area of growth and innovation in the healthcare industry.
pembrolizumab medical
"trial of PLN-101095 in combination with pembrolizumab, in patients with immune"
A cancer immunotherapy drug that helps the body’s immune system recognize and attack tumor cells by blocking a molecular “brake” that tumors use to hide. Investors watch it because regulatory approvals, clinical trial results, dosing rules, and competition directly affect potential sales, profit forecasts, and the valuation of companies that sell or license the drug—think of trial outcomes as checkpoint signs that can open or close a revenue road.
integrins αvβ8 and αvβ1 medical
"dual selective inhibitor of the integrins αvβ8 and αvβ1."
Integrins αvβ8 and αvβ1 are specific pairs of proteins on cell surfaces that act like adjustable hooks and switches, helping cells stick to their surroundings and send signals that control growth, inflammation and tissue repair. Investors should care because these molecules are proven drug targets: drugs that block or modulate them can alter disease pathways in conditions such as fibrosis, cancer and immune disorders, which affects clinical trial prospects and commercial value.
tumor microenvironment medical
"foster an immuno-suppressive tumor microenvironment (TME) that contributes to"
The tumor microenvironment is the immediate area surrounding a cancer cell, made up of nearby cells, blood vessels, and support structures that influence how the cancer grows and spreads. It functions like a bustling neighborhood that can either help or hinder the tumor’s development. For investors, understanding changes in this environment can signal the effectiveness of treatments and potential shifts in a cancer-related market.
CD8+ T cell medical
"increased CD8+ T cell tumor infiltration in the tumor microenvironment compared"
A CD8+ T cell is a type of white blood cell that acts like a specialized security guard, identifying and destroying virus-infected or abnormal cells in the body. Investors care because levels and activity of these cells are used as measurable signals in drug and vaccine trials, safety assessments, and companion diagnostics—changes can indicate whether an immune therapy is working, predict clinical outcomes, or affect regulatory and commercial prospects.
monoclonal antibody medical
"in combination with an anti-PD-1 monoclonal antibody (mAb) elicited a dose-dependent"
A monoclonal antibody is a laboratory-made protein designed to recognize and attach to a specific target in the body, such as a disease-causing substance or cell. It functions like a highly precise lock-and-key tool, helping to treat or detect illnesses. For investors, companies developing monoclonal antibodies can represent promising opportunities in the healthcare sector, especially as these treatments often address unmet medical needs.
tumor mutational burden medical
"subset of tumors with high tumor mutational burden."
Tumor mutational burden is a measure of how many genetic changes a cancer cell carries, often expressed as the number of mutations per length of DNA. Think of it like counting typos in a book: more typos can make the abnormal cells stand out to the immune system, and cancers with higher counts sometimes respond better to certain immunotherapies. For investors, TMB can affect how well drugs perform in trials, the need for companion diagnostic tests, and the commercial potential of cancer therapies.
pharmacokinetics medical
"objective of this trial is to evaluate the safety, tolerability, pharmacokinetics and"
Pharmacokinetics is the study of how a substance, such as a drug or chemical, moves through and is processed by the body over time. It tracks how it is absorbed, distributed, broken down, and eventually eliminated. For investors, understanding pharmacokinetics helps gauge the effectiveness, safety, and potential risks of new medications or treatments, which can influence a company’s success and valuation in the healthcare industry.

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

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SOUTH SAN FRANCISCO, Calif., April 30, 2026 (GLOBE NEWSWIRE) -- Pliant Therapeutics (Nasdaq: PLRX) today announced the dosing of the first participant in the FORTIFY Phase 1b open-label indication expansion clinical trial of PLN-101095 in combination with pembrolizumab, in patients with immune checkpoint inhibitor (ICI)-refractory advanced or metastatic solid tumors. PLN-101095 is an oral, small molecule, dual selective inhibitor of the integrins αvβ8 and αvβ1.

“We are pleased to announce this milestone for the FORTIFY trial and the expansion into solid tumor cohorts that we believe are supported by PLN-101095’s mechanism of action,” said Bernard Coulie, M.D., Ph.D.., Chief Executive Officer of Pliant. “As a leader in integrin drug development, we look forward to exploring the full potential of this novel drug candidate.”

FORTIFY - Phase 1b Clinical Trial Design

The primary objective of this trial is to evaluate the safety, tolerability, pharmacokinetics and preliminary evidence of anti-tumor activity of PLN-101095 when administered orally in combination with pembrolizumab in adult participants with advanced or metastatic solid tumors. The expansion trial is enrolling three cohorts of patients with NSCLC, clear cell renal cell carcinoma, or one of a subset of tumors with high tumor mutational burden. Patients will be treated for 14 days with PLN-101095 as monotherapy dosed at 1,000 mg twice daily, after which pembrolizumab will be added as combination therapy. Enrollment is underway with interim data expected in 2027.

PLN-101095 for the Treatment of Checkpoint Resistant Tumors

PLN-101095 is an oral, small molecule inhibitor of integrins αvβ8 and αvβ1. Activated transforming growth factor-β (TGF-β) has been shown to foster an immuno-suppressive tumor microenvironment (TME) that contributes to immune-checkpoint inhibitor (ICI) resistance and treatment failure in cancer.1 Blocking integrins αvβ8 and αvβ1 has been shown to prevent the activation of TGF-β and is expected to stimulate immune activation by increasing immune cell infiltration into the tumor microenvironment.2,3 PLN-101095 is currently being evaluated in Phase 1a/1b open-label, dose-escalation and indication expansion trial (NCT 06270706) to evaluate the safety, tolerability, pharmacokinetics, and preliminary evidence of antitumor activity of PLN-101095 in combination with pembrolizumab, in patients with immune checkpoint inhibitor (ICI)-refractory advanced or metastatic solid tumors. PLN-101095 in combination with an anti-PD-1 monoclonal antibody (mAb) elicited a dose-dependent reduction in tumor volume and increased CD8+ T cell tumor infiltration in the tumor microenvironment compared with anti-PD-1 mAb therapy alone.4 In preclinical studies, PLN-101095 demonstrated monotherapy activity in reduction of tumor volume and increased cluster of differentiation (CD)8+ T cell infiltration.

About Pliant Therapeutics, Inc.

Pliant Therapeutics is a clinical-stage biopharmaceutical company focused on the discovery and development of integrin-based therapeutics. Pliant’s lead program is PLN-101095, a small molecule, dual-selective inhibitor of αvß8 and αvß1 integrins, that is being developed for the treatment of ICI-refractory advanced or metastatic solid tumors. PLN-101095 is being investigated in FORTIFY, a Phase 1b indication expansion trial of PLN-101095 enrolling patients with NSCLC, tumors with high tumor mutational burden or clear cell renal cell carcinoma. Pliant’s preclinical research is focused on tissue-specific delivery and internalization of drug payloads utilizing integrin receptor-binding molecules with programs focused on delivering siRNAs to skeletal muscle cells, adipocytes, and renal cells. For additional information, please visit: www.PliantRx.com. Follow Pliant on social media at XLinkedIn and Facebook.

Forward-Looking Statements

Statements contained in this press release regarding matters that are not historical facts are "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. Words such as "may," "will," "expect," "anticipate," "estimate," "intend," and similar expressions (as well as other words or expressions referencing future events, conditions, or circumstances) are intended to identify forward-looking statements. These statements include express or implied statements regarding ongoing clinical trial development of PLN-101095, including timing of enrollment and data; the potential benefits of PLN-101095; and Pliant’s plans for the continued development of PLN-101095 among others, including its integrin-based drug delivery platform. Because such statements deal with future events and are based on Pliant’s current expectations, they are subject to various risks and uncertainties and actual results, performance or achievements of Pliant could differ materially from those described in or implied by the statements in this press release. These forward-looking statements are subject to risks and uncertainties, including those related to the development and commercialization of Pliant’s product candidates, including any delays in Pliant’s ongoing or planned preclinical or clinical trials, the impact of current macroeconomic, geopolitical and marketplace conditions on Pliant’s business, operations, clinical supply and plans, Pliant’s reliance on single-source third parties located in foreign jurisdictions, including China, for critical aspects of Pliant development operations, the risks inherent in the drug development process, the risks regarding the accuracy of Pliant’s estimates of expenses and timing of development, its capital requirements and the sufficiency of its cash to support Pliant’s planned operations, and Pliant’s ability to obtain and maintain intellectual property protection for Pliant’s product candidates. These and additional risks are discussed in the sections titled "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" in Pliant’s Annual Report on Form 10-K for the period ended December 31, 2025, and subsequent filings with the Securities and Exchange Commission (SEC), which are available on the SEC's website at www.sec.gov. Unless otherwise noted, Pliant is providing this information as of the date of this news release and does not undertake any obligation to update any forward-looking statements contained in this document as a result of new information, future events or otherwise.

Investor and Media Contact:
Christopher Keenan
Vice President, Investor Relations and Corporate Communications
Pliant Therapeutics, Inc.
ir@pliantrx.com 

1 Pickup M. et al. Nat Rev Cancer. 2013 Nov;13(11):788-99.

2 Takasaka N. et al. JCI Insight. 2018 Oct 18;3(20).

3 Reed NI. et al. Sci Transl Med. 2015 May 20;7(288):288ra79.

4 Kothari V, et al. J Immunother Cancer. 2022;10(Suppl 2): A1403 abstract 1352 (SITC 2022)


FAQ

What did Pliant Therapeutics (PLRX) announce on April 30, 2026 about the FORTIFY trial?

They announced dosing of the first participant in the Phase 1b FORTIFY expansion trial. According to Pliant, the trial will test PLN-101095 plus pembrolizumab in ICI-refractory solid tumor cohorts with enrollment underway.

What is the dosing regimen for PLN-101095 in the FORTIFY Phase 1b trial (PLRX)?

PLN-101095 is given orally at 1,000 mg twice daily for 14 days as monotherapy. According to Pliant, pembrolizumab is added after the 14-day monotherapy period for combination therapy.

Which patient cohorts are included in Pliant's FORTIFY expansion (PLRX) study?

The expansion enrolls NSCLC, clear cell renal cell carcinoma, and select high tumor mutational burden tumors. According to Pliant, these three cohorts target ICI-refractory advanced or metastatic solid tumors.

When can investors expect interim data from Pliant's FORTIFY trial (PLRX)?

Interim data are expected in 2027. According to Pliant, enrollment is currently underway and the company anticipates sharing preliminary findings during 2027.

What is PLN-101095 and how does it work in combination with pembrolizumab (PLRX)?

PLN-101095 is an oral dual selective inhibitor of integrins αvβ8 and αvβ1. According to Pliant, blocking these integrins may prevent TGF-β activation and could increase immune cell infiltration into tumors.