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Plus Therapeutics Granted U.S. FDA Orphan Drug Designation to REYOBIQ™ in Pediatric Malignant Gliomas

(Very Positive)

Plus Therapeutics (Nasdaq: PSTV) announced the U.S. FDA granted Orphan Drug Designation to REYOBIQ (rhenium Re186 obisbemeda) for the treatment of pediatric malignant gliomas, with the designation scope broadened to include progressive pediatric ependymoma. The company also noted FDA IND clearance for pediatric high-grade glioma and ependymoma and ongoing Phase 1/2 studies.

The designation offers potential benefits including seven years of market exclusivity, tax credits, and regulatory fee exemptions.

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Positive

  • FDA granted Orphan Drug Designation for REYOBIQ in pediatric malignant gliomas
  • Designation scope broadened to include progressive pediatric ependymoma
  • FDA cleared IND to evaluate REYOBIQ in pediatric high-grade glioma and ependymoma
  • Completion of FDA Type B meeting supporting leptomeningeal metastases development
  • Encouraging clinical data reported from the ReSPECT-LM trial

Negative

  • REYOBIQ remains investigational with no FDA approval yet
  • Clinical development still in Phase 1 and Phase 2 studies

News Market Reaction – PSTV

+8.56%
34 alerts
+8.56% Session close to close
+18.3% Peak Tracked
-4.2% Trough Tracked
$28.13M Market Cap
1.3x Rel. Volume

In the Apr 8 session, PSTV gained 8.56%, reflecting a notable positive market reaction. Argus tracked a peak move of +18.3% during that session. Argus tracked a trough of -4.2% from its starting point during tracking. Our momentum scanner triggered 34 alerts that day, indicating elevated trading interest and price volatility.

Data tracked by StockTitan Argus on the day of publication.

Market Context

The stock moved +8.6% in the session following this news. A strong positive reaction aligns with the...
Analysis

The stock moved +8.6% in the session following this news. A strong positive reaction aligns with the strategic importance of FDA Orphan Drug Designation in a rare pediatric CNS cancer setting. Historical REYOBIQ clinical updates have shown mixed average moves of about -1.41%, so sustained strength would mark a shift from prior trading patterns. Investors would likely monitor future pediatric trial readouts and broader CNS indications as key validation points for this move.

Key Figures

U.S. prevalence threshold: fewer than 200,000 people Market exclusivity: 7 years Trial phases: Phase 1 and Phase 2
3 metrics
U.S. prevalence threshold fewer than 200,000 people Definition of rare disease for FDA Orphan Drug Designation
Market exclusivity 7 years Orphan Drug Designation benefit upon potential approval
Trial phases Phase 1 and Phase 2 Ongoing REYOBIQ studies referenced alongside new pediatric ODD

Previous Clinical trial Reports

5 past events · Latest: Dec 04 (Positive)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Dec 04 Clinical data updates Positive +9.8% Three REYOBIQ clinical data presentations showing encouraging efficacy and safety signals.
Dec 01 Conference presentation Positive -4.4% Announcement of SABCS spotlight poster for Phase 1 LM dose-escalation results.
Nov 24 FDA meeting update Positive +8.0% Completion of FDA Type B meeting on REYOBIQ LM pivotal trial planning.
Nov 06 Trial results highlight Positive -5.7% ReSPECT-LM data with >75% clinical benefit and no dose-limiting toxicities.
Aug 18 Positive Phase 1 data Positive -14.6% Positive ReSPECT-LM Phase 1 results with strong response and survival outcomes.

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

Pattern Detected

Clinical trial and REYOBIQ updates have produced mixed to negative average moves, with 3 divergences and 2 alignments versus generally positive clinical narratives.

Recent Company History

Recent REYOBIQ clinical-news flow centers on leptomeningeal metastases and recurrent glioblastoma. Between Aug 18, 2025 and Dec 4, 2025, Plus Therapeutics reported positive ReSPECT-LM Phase 1 data, highlighted strong response and survival metrics, and advanced interactions with the FDA, including a Type B meeting on future development plans. Despite primarily favorable clinical signals, share reactions often skewed negative or muted, suggesting prior optimism was not consistently rewarded in the stock price.

Key Terms

orphan drug designation, leptomeningeal metastases, ependymoma, investigational new drug, +3 more
7 terms
orphan drug designation regulatory
"the U.S. Food and Drug Administration (FDA) has granted Orphan Drug Designation (ODD) to REYOBIQ"
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.
leptomeningeal metastases medical
"development plans in leptomeningeal metastases (LM), encouraging clinical data from the ReSPECT-LM trial"
Leptomeningeal metastases occur when cancer cells spread to the thin layers of tissue covering the brain and spinal cord, similar to how weeds can invade the surface layer of soil. This condition often indicates advanced disease and can lead to serious neurological problems. For investors, the presence of such metastases may signal challenges in treatment options and can impact the outlook for related healthcare companies or research developments.
ependymoma medical
"encompassing pediatric ependymoma."
A tumor that grows from ependymal cells lining the brain’s ventricles or the spinal cord, often affecting children and adults differently. Investors watch ependymoma because diagnosis, treatment options, and clinical trial results can drive revenue for drug and device makers, change future healthcare costs, and alter regulatory risk—like seeing a traffic jam cleared or created on a company’s path to profit depending on trial success or approval.
investigational new drug regulatory
"received FDA clearance of its Investigational New Drug (IND) application to evaluate REYOBIQ"
An investigational new drug is a medication that is still being tested in clinical trials to determine if it is safe and effective for treating a specific condition. For investors, it represents a potential breakthrough that could lead to a new treatment and significant financial gains if successful, but also carries risks since it has not yet been approved for widespread use.
phase 1 medical
"ongoing advancement of Phase 1 and Phase 2 studies."
Phase 1 is the first stage of testing a new drug or medical treatment in people, focused primarily on safety, how the body handles the product, and finding a tolerated dose. Think of it as a short, tightly controlled experiment with a small group to check for dangerous side effects before wider testing; for investors it is an early milestone that reduces some uncertainty but still carries high risk and potential for both big value changes and setbacks.
phase 2 medical
"ongoing advancement of Phase 1 and Phase 2 studies."
Phase 2 is the mid-stage clinical trial where a new drug or treatment is tested in a larger group of patients to see if it works and to keep checking safety after initial human testing. Think of it as a field test that proves whether a product actually delivers its promised benefit. Investors watch Phase 2 closely because its results strongly influence a medicine’s chances of reaching the market, the size of its potential sales, and the company’s valuation.
central nervous system medical
"targeted radiotherapeutics with advanced platform technologies for central nervous system (CNS) cancers"
The central nervous system (CNS) is the body's main control center, made up of the brain and spinal cord, that processes information and directs movement, sensation and basic functions like breathing. For investors, CNS-related products and research matter because they face long development times, strict safety testing and regulatory hurdles; success or failure can dramatically affect a company’s costs, timelines and potential market value.

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

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HOUSTON, April 08, 2026 (GLOBE NEWSWIRE) -- Plus Therapeutics, Inc. (Nasdaq: PSTV) (the “Company”), a clinical-stage pharmaceutical company developing targeted radiotherapeutics with advanced platform technologies for central nervous system (CNS) cancers, today announced that the U.S. Food and Drug Administration (FDA) has granted Orphan Drug Designation (ODD) to REYOBIQ™ (rhenium Re186 obisbemeda) for the treatment of pediatric malignant gliomas.

Pediatric malignant gliomas are rare, aggressive brain tumors with limited treatment options and poor outcomes, where current standards of care—including surgery and radiation—often fail to prevent recurrence.

Notably, the FDA granted orphan designation for malignant glioma more broadly than originally requested, encompassing pediatric ependymoma.

“Receiving orphan drug designation for REYOBIQ in pediatric malignant gliomas, including the broader scope for progressive pediatric ependymoma, is an important milestone and further validates our approach to delivering targeted radiotherapy directly to CNS tumors,” said Marc Hedrick, M.D., President and Chief Executive Officer of Plus Therapeutics. “We believe REYOBIQ’s ability to deliver high-dose radiation precisely to tumor sites while minimizing exposure to healthy brain tissue has the potential to meaningfully improve outcomes in this underserved patient population. This orphan designation reinforces the potential applicability of REYOBIQ across a wider range of CNS tumor indications and our continued advancement of REYOBIQ across multiple CNS cancer indications.”

Orphan Drug Designation is granted by the FDA to investigational therapies intended to treat rare diseases affecting fewer than 200,000 people in the United States. The designation provides several potential benefits, including seven years of market exclusivity upon approval, tax credits for qualified clinical trial expenses, and exemptions from certain regulatory fees.

The ODD for pediatric malignant gliomas builds on recent regulatory and clinical progress for REYOBIQ, including completion of a Type B meeting with the FDA supporting development plans in leptomeningeal metastases (LM), encouraging clinical data from the ReSPECT-LM trial, and ongoing advancement of Phase 1 and Phase 2 studies. In addition, the Company has received FDA clearance of its Investigational New Drug (IND) application to evaluate REYOBIQ in pediatric patients with high-grade glioma and ependymoma.

About Pediatric Malignant Gliomas
Pediatric malignant gliomas are high-grade brain tumors that form from glial cells in the central nervous system that tend to grow quickly in children. Pediatric high grade gliomas (HGG), including ependymoma, are rare (approximately 3.3 cases per 100,000 persons) but aggressive brain tumors with limited treatment options and poor prognosis, particularly in recurrent settings. Standard treatments, including surgical resection and external beam radiation therapy, often fail to prevent recurrence, with 5-year survival rates as low as 22% for HGG, depending on tumor grade and resection extent.

About Leptomeningeal Metastases
LM is a rare complication of cancer in which the primary cancer spreads to the cerebrospinal fluid (CSF) and leptomeninges surrounding the brain and spinal cord. All malignancies originating from solid tumors, primary brain tumors, or hematological malignancies have this LM complication potential with breast cancer as the most common cancer linked to LM, with 3-5% of breast cancer patients developing LM. Additionally, lung cancer, GI cancers and melanoma can also spread to the CSF and result in LM. LM occurs in approximately 5% of people with cancer and is usually terminal with 1-year and 2-year survival of just 7% and 3%, respectively. The incidence of LM is on the rise, partly because cancer patients are living longer and partly because many standard chemotherapies cannot reach sufficient concentrations in the spinal fluid to kill the tumor cells, yet there are no FDA-approved therapies specifically for LM patients, who often succumb to this complication within weeks to several months, if untreated.

About REYOBIQ™ (rhenium Re186 obisbemeda)
REYOBIQ (rhenium Re186 obisbemeda) is a novel injectable radiotherapy specifically formulated to deliver direct targeted high dose radiation in CNS tumors in a safe, effective, and convenient manner to optimize patient outcomes. REYOBIQ has the potential to reduce off target risks and improve outcomes for CNS cancer patients, versus currently approved therapies, with a more targeted and potent radiation dose. Rhenium-186 is an ideal radioisotope for CNS therapeutic applications due to its short half-life, beta energy for destroying cancerous tissue, and gamma energy for real-time imaging. REYOBIQ is being evaluated for the treatment of recurrent glioblastoma, leptomeningeal metastases, and pediatric brain cancer in the ReSPECT-GBM, ReSPECT-LM, and ReSPECT-PBC clinical trials. ReSPECT-GBM is supported by an award from the National Cancer Institute (NCI), part of the U.S. National Institutes of Health (NIH), and ReSPECT-LM is funded by a three-year $17.6M grant by the Cancer Prevention & Research Institute of Texas (CPRIT). The Company’s ReSPECT-PBC clinical trial for pediatric brain cancer is supported by a $3 million grant from the U.S. Department of Defense’s Peer Reviewed Cancer Research Program.

About CNSide Diagnostic, LLC
CNSide Diagnostics, LLC is a wholly owned subsidiary of Plus Therapeutics, Inc. that develops and commercializes proprietary laboratory-developed tests, such as CNSide®, designed to identify tumor cells that have metastasized to the central nervous system in patients with carcinomas and melanomas. The CNSide® CSF Assay Platform enables quantitative analysis of the cerebrospinal fluid that informs and improves the management of patients with leptomeningeal metastases.

About Plus Therapeutics
Headquartered in Houston, Texas, Plus Therapeutics, Inc. is a clinical-stage pharmaceutical company developing targeted radiotherapeutics for difficult-to-treat cancers of the central nervous system with the potential to enhance clinical outcomes. Combining image-guided local beta radiation and targeted drug delivery approaches, the Company is advancing a pipeline of product candidates with lead programs in leptomeningeal metastases (LM) and recurrent glioblastoma (GBM). The Company has built a supply chain through strategic partnerships that enable the development, manufacturing, and future potential commercialization of its products. For more information, visit https://www.plustherapeutics.com.

Forward-Looking Statements
This press release contains statements that may be deemed “forward-looking statements” within the meaning of U.S. securities laws, including statements regarding clinical trials, expected operations and upcoming developments. All statements in this press release other than statements of historical fact are forward-looking statements. These forward-looking statements may be identified by future verbs, as well as terms such as “expect” “potential,” “anticipating,” “planning” and similar expressions or the negatives thereof. Such statements are based upon certain assumptions and assessments made by management in light of their experience and their perception of historical trends, current conditions, expected future developments and other factors they believe to be appropriate.

The forward-looking statements included in this press release could differ materially from those expressed or implied by these forward-looking statements because of risks, uncertainties, and other factors that include, but are not limited to, the following: statements relating to the significance of the FDA ODD grant to the advancement of REYOBIQ as potential treatment of patients who suffer from for pediatric malignant gliomas; statements regarding the potential promise of REYOBIQ, including the next steps in developing the Company’s product candidates; and, the Company’s clinical trials, including statements regarding the Company’s engagement with the FDA with respect to the possibility of defining a pivotal trial strategy for certain of the Company’s clinical trials. This list of risks, uncertainties, and other factors is not complete. Plus Therapeutics discusses some of these matters more fully, as well as certain risk factors that could affect Plus Therapeutics’ business, financial condition, results of operations, and prospects, in its reports filed with the SEC, including Plus Therapeutics’ annual report on Form 10-K for the fiscal year ended December 31, 2024, quarterly reports on Form 10-Q, and current reports on Form 8-K. These filings are available for review through the SEC’s website at www.sec.gov. Any or all forward-looking statements Plus Therapeutics makes may turn out to be wrong and can be affected by inaccurate assumptions Plus Therapeutics might make or by known or unknown risks, uncertainties, and other factors, including those identified in this press release. Accordingly, you should not place undue reliance on the forward-looking statements made in this press release, which speak only as of its date. The Company assumes no responsibility to update or revise any forward-looking statements to reflect events, trends or circumstances after the date they are made unless the Company has an obligation under U.S. federal securities laws to do so.

Investor Contact
CORE IR
investor@plustherapeutics.com


FAQ

What did Plus Therapeutics announce on April 8, 2026 about REYOBIQ (PSTV)?

Plus Therapeutics announced FDA Orphan Drug Designation for REYOBIQ in pediatric malignant gliomas, including pediatric ependymoma. According to the company, this builds on IND clearance and ongoing Phase 1 and Phase 2 studies supporting pediatric development.

What does FDA Orphan Drug Designation for REYOBIQ mean for PSTV shareholders?

Orphan designation may provide seven years of market exclusivity and regulatory incentives if approved. According to the company, it also offers tax credits for qualified trials and potential fee exemptions that could lower development costs.

Does the FDA designation expand REYOBIQ's target indications for PSTV?

Yes, the FDA granted designation for pediatric malignant gliomas and broadened it to include progressive pediatric ependymoma. According to the company, this could extend the drug's applicability across additional CNS tumor indications.

What clinical progress did Plus Therapeutics report alongside the orphan designation for REYOBIQ?

The company cited completion of a Type B meeting with the FDA and encouraging ReSPECT-LM trial data. According to the company, IND clearance for pediatric high-grade glioma and ependymoma supports ongoing clinical plans.

Will the Orphan Drug Designation speed FDA approval of REYOBIQ for pediatric gliomas (PSTV)?

Orphan designation does not guarantee approval but provides development incentives and exclusivity upon approval. According to the company, the designation supports continued clinical advancement but regulatory approval still requires successful trial outcomes.