RedHill Biopharma's Positive Opaganib Results Indicate Reduction in Venetoclax Resistant Cells
Rhea-AI Summary
RedHill Biopharma (NASDAQ: RDHL) announced positive in vivo data showing that adding opaganib (a SPHK2 inhibitor) to venetoclax reduced Chronic Lymphocytic Leukemia (CLL) cell counts (CD19+, CD5+) by 50% versus controls in a mouse study dated Dec. 15, 2025.
The study also reported reduced CD3+, CD4+, CD8+ T cell counts and lower PD1 expression (CD8+) versus controls. Opaganib has an established safety profile in >470 clinical trial/expanded access participants and is under clinical evaluation in a Phase 2 trial in combination with darolutamide for advanced prostate cancer.
Positive
- CLL cells reduced by 50% in vivo with opaganib+venetoclax
- Reduced CD3+, CD4+, CD8+ T cell counts and lower PD1 expression (CD8+)
- Opaganib safety shown in >b>470 clinical trial/expanded access participants
Negative
- Findings are from a mouse in vivo study, not clinical CLL data
- No clinical trial in CLL or human efficacy/timeline disclosed in the announcement
News Market Reaction
On the day this news was published, RDHL declined 1.24%, reflecting a mild negative market reaction. Argus tracked a peak move of +3.1% during that session. Argus tracked a trough of -13.0% from its starting point during tracking. Our momentum scanner triggered 3 alerts that day, indicating moderate trading interest and price volatility. This price movement removed approximately $50K from the company's valuation, bringing the market cap to $4M at that time. Trading volume was above average at 1.8x the daily average, suggesting increased trading activity.
Data tracked by StockTitan Argus on the day of publication.
Key Figures
Market Reality Check
Peers on Argus
Sector peers showed mixed moves, with names like INM up and SBFM, PRFX, SHPH down. Momentum data flagged only YCBD sharply higher and AKAN lower, indicating no unified Healthcare/Drug Manufacturers move aligned with RDHL.
Historical Context
| Date | Event | Sentiment | Move | Catalyst |
|---|---|---|---|---|
| Dec 01 | Nasdaq compliance regained | Positive | +3.3% | Nasdaq confirmed RDHL regained compliance with stockholders’ equity rules. |
| Dec 01 | Nasdaq compliance regained | Positive | +3.3% | Update on equity compliance tied to 2025 strategic initiatives and Talicia deal. |
| Nov 04 | Legal judgment win | Positive | -13.4% | New York Supreme Court awarded RDHL more than $10.5M against Kukbo. |
| Oct 22 | Nasdaq deficiency notice | Negative | -3.3% | Nasdaq staff determined RDHL missed minimum stockholders’ equity requirement. |
| Oct 20 | Talicia JV partnership | Positive | +15.3% | Cumberland joint venture to co-commercialize FDA-approved Talicia with revenue share. |
Recent news flow shows mostly aligned price reactions, with positive corporate or partnership updates tending to coincide with upside, but at least one instance of positive legal news drawing a negative reaction.
Over the last six months, RDHL news has focused on Nasdaq compliance, legal wins, and commercialization partnerships. On Oct 20, 2025, a Talicia co-commercialization deal with Cumberland coincided with a 15.33% rise. A Nasdaq deficiency notice on Oct 22, 2025 preceded a -3.33% move. A New York judgment win of more than $10.5M on Nov 4, 2025 saw shares fall 13.39%. Regaining Nasdaq equity compliance reported on Dec 1, 2025 aligned with a modest gain. Today’s opaganib data fits the ongoing narrative of advancing the oncology pipeline alongside balance sheet and listing-status developments.
Market Pulse Summary
This announcement highlights positive in vivo results where opaganib plus venetoclax reduced CLL cells by 50% versus controls and lowered key T‑cell markers, supporting its potential as an add‑on in venetoclax‑resistant disease. The data build on prior preclinical work and a Phase 2 program in advanced prostate cancer, extending opaganib’s oncology narrative. In context of recent Nasdaq compliance, legal wins, and commercialization deals, investors may watch for future clinical readouts and financing disclosures that further clarify risk and opportunity.
Key Terms
venetoclax medical
sphingosine kinase 2 (sphk2) medical
bcl-2 inhibitor medical
chronic lymphocytic leukemia (cll) medical
apoptosis medical
phase 2 medical
expanded access medical
AI-generated analysis. Not financial advice.
Resistance to venetoclax (Venclexta® and Venclyxto®, Abbvie / Genentech), the
Studies show that sphingosine kinase 2 (SPHK2) is overexpressed in venetoclax-resistant cancer cells and that SPHK2 inhibition may reduce T-cell-induced activation and proliferation of venetoclax-resistant CLL cancer cells and resensitize previously resistant CLL cells2,3
New in vivo study shows adding opaganib, a potent SPHK2 inhibitor, to venetoclax reduces CLL cell (CD19⁺, CD5⁺) counts by
Data shows opaganib's venetoclax combination potential in CLL; builds on multiple preclinical studies demonstrating opaganib's therapeutic add-on potential in oncology; further clinical evaluation ongoing in a Phase 2 study of opaganib + darolutamide in advanced prostate cancer
Opaganib has a safety and tolerability profile shown in more than 470 clinical trials / expanded access participants. It targets multiple oncology, virology, inflammation, diabetes and obesity indications, with several

"Understanding mechanisms of resistance to targeted therapies such as the BCL-2 inhibitor venetoclax is essential to improve current treatment strategies and may provide key insights to personalize treatment for chronic lymphocytic leukemia (CLL) patients," said Romina Gamberale, PhD, Independent Researcher at CONICET from the Institute of Experimental Medicine (IMEX, CONICET-National Academy of Medicine) in
Dr. Mark Levitt, Chief Scientific Officer at
Opaganib has a safety and tolerability profile shown in more than 470 clinical trials / expanded access participants. It targets multiple oncology, virology, inflammation, medical countermeasures, diabetes and obesity indications, with several
Approved by the FDA in 2016, venetoclax (Venclexta® and Venclyxto®, Abbvie / Genentech), is a first-in-class BCL-2 inhibitor that has become a mainstay of CLL therapy, achieving sales of approximately
About Chronic Lymphocytic Leukemia (CLL)
CLL is a slow-growing blood and bone marrow cancer that affects a type of white blood cell called lymphocytes. It is the most common type of leukemia in adults and has a highly variable clinical course. It is generally not considered to be curable.
About Opaganib (ABC294640)
Opaganib is a first-in-class, proprietary investigational host-directed and potentially broad-acting orally administered drug with anticancer, anti-inflammatory and antiviral activity. Opaganib is targeted at multiple potential oncology, radioprotection, viral, inflammatory, and gastrointestinal indications, including several cancers, diabetes and obesity-related disorders, gastrointestinal acute radiation syndrome (GI-ARS), COVID-19, Ebola and other viruses as part of pandemic preparedness. Opaganib has also shown positive preclinical results in renal fibrosis.
Opaganib has received orphan-drug designations from the FDA in cholangiocarcinoma and neuroblastoma. It is currently undergoing a Phase 2 clinical trial in combination with darolutamide in advanced prostate cancer and has previously undergone studies in advanced cholangiocarcinoma (Phase 2a). Opaganib also has a Phase 1 chemoradiotherapy study protocol ready for FDA-IND submission.
Opaganib is thought to work through the inhibition of multiple pathways, the induction of autophagy and apoptosis, and disruption of viral replication, through simultaneous inhibition of three sphingolipid-metabolizing enzymes in human cells (SPHK2, DES1 and GCS).
Several
Opaganib has demonstrated antiviral activity against SARS-CoV-2, multiple variants, and several other viruses, such as Influenza A and Ebola. Opaganib delivered a statistically significant increase in survival time when given at 150 mg/kg twice a day (BID) in a United States Army Medical Research Institute of Infectious Diseases (USAMRIID) in vivo Ebola virus study, making it the first host-directed molecule to show activity in Ebola virus disease. Opaganib also recently demonstrated a distinct synergistic effect when combined individually with remdesivir (Veklury®, Gilead Sciences Inc.), significantly improving potency while maintaining cell viability, in a
Being host-targeted, and based on data accumulated to date, opaganib is expected to maintain effect against emerging viral variants. In prespecified analyses of Phase 2/3 clinical data in hospitalized patients with moderate to severe COVID-19, oral opaganib demonstrated improved viral RNA clearance, faster time to recovery and significant mortality reduction in key patient subpopulations versus placebo on top of standard of care. Opaganib has demonstrated its safety and tolerability profile in more than 470 people in multiple clinical studies and expanded access use. Data from the opaganib global Phase 2/3 study was published in Microorganisms.
About RedHill Biopharma
RedHill Biopharma Ltd. (Nasdaq: RDHL) is a specialty biopharmaceutical company primarily focused on U.S. development and commercialization of drugs for gastrointestinal diseases, infectious diseases and oncology. RedHill promotes the FDA-approved gastrointestinal drug Talicia®, for the treatment of Helicobacter pylori (H. pylori) infection in adults5, with a recent co-commercialization agreement in the
More information about the Company is available at www.redhillbio.com / X.com/RedHillBio.
Forward Looking Statements
This press release contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995 and may discuss investment opportunities, stock analysis, financial performance, investor relations, and market trends. Such statements may be preceded by the words "intends," "may," "will," "plans," "expects," "anticipates," "projects," "predicts," "estimates," "aims," "believes," "hopes," "potential" or similar words, and include, among others, statements regarding the potential impact of Talicia. Forward-looking statements are based on certain assumptions and are subject to various known and unknown risks and uncertainties, many of which are beyond the Company's control and cannot be predicted or quantified, and consequently, actual results may differ materially from those expressed or implied by such forward-looking statements. Such risks and uncertainties include, without limitation: the risk that opaganib may not replicate its potential to mitigate resistance in CLL therapy; the risk that the strategic transaction with
Company contact:
Adi Frish
Chief Corporate & Business Development Officer
RedHill Biopharma
+972-54-6543-112
adi@redhillbio.com
Category: R&D
1 Al-Sawaf O, Stumpf J, Zhang C, Simon F, Bosch F, Feyzi E, Ghia P, Gregor M, Kater AP, Lindström V, Mattsson M, Niemann CU, Staber PB, Tadmor T, Thornton P, Wendtner CM, Janssens A, Noesslinger T, Bohn JP, da Cunha-Bang C, Poulsen CB, Ranti J, Illmer T, Schoettker B, Böttcher S, Gaska T, Vandenberghe E, Clifford R, Benjamini O, Frustaci AM, Scarfò L, Sportoletti P, Schreurs J, Levin MD, van der Straaten H, van der Klift M, Tran H, de la Serna J, Loscertales J, Lindblad O, Bergendahl Sandstedt A, Goede J, Baumann M, Fink AM, Fischer K, Ritgen M, Kreuzer KA, Schneider C, Tausch E, Stilgenbauer S, Robrecht S, Eichhorst B, Hallek M; CLL17 Trial Investigators. Fixed-Duration versus Continuous Treatment for Chronic Lymphocytic Leukemia. N Engl J Med. 2025 Dec 6. doi: 10.1056/NEJMoa2515458. Epub ahead of print. PMID: 41358601.
2 Elías EE, Almejún MB, Colado A, Cordini G, Vergara-Rubio M, Podaza E, Risnik D, Cabrejo M, Fernández-Grecco H, Bezares RF, Custidiano MDR, Sánchez-Ávalos JC, Vicente Á, Garate GM, Borge M, Giordano M, Gamberale R. Autologous T-cell activation fosters ABT-199 resistance in chronic lymphocytic leukemia: rationale for a combined therapy with SYK inhibitors and anti-CD20 monoclonal antibodies. Haematologica. 2018 Oct;103(10):e458-e461. doi: 10.3324/haematol.2018.188680. Epub 2018 May 10. PMID: 29748439; PMCID: PMC6165796.
3 Sarapura Martinez VJ, Buonincontro B, Cassarino C, Bernatowiez J, Colado A, Cordini G, Custidiano MDR, Mahuad C, Pavlovsky MA, Bezares RF, Favale NO, Vermeulen M, Borge M, Giordano M, Gamberale R. Venetoclax resistance induced by activated T cells can be counteracted by sphingosine kinase inhibitors in chronic lymphocytic leukemia. Front Oncol. 2023 Mar 20;13:1143881. doi: 10.3389/fonc.2023.1143881. PMID: 37020867; PMCID: PMC10067719.
4 Unpublished results - data on file
5 Talicia® (omeprazole magnesium, amoxicillin and rifabutin) is indicated for the treatment of H. pylori infection in adults. For full prescribing information see: www.Talicia.com.
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SOURCE RedHill Biopharma Ltd.