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Sana Biotechnology Announces Follow-On Publication in The New England Journal of Medicine (NEJM) Highlighting Groundbreaking Long-Term Data and Durability of Hypoimmune-Modified Islet Cell Transplantation Without Immunosuppression in Type 1 Diabetes

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Sana Biotechnology (NASDAQ: SANA) reported that The New England Journal of Medicine published a peer-reviewed Letter to the Editor with 14‑month follow-up data from an investigator-sponsored study of UP421, an allogeneic human pancreatic islet cell therapy engineered with Sana’s hypoimmune (HIP) technology.

According to Sana, the updated data are consistent with the original 2025 NEJM report, showing HIP‑modified insulin-secreting cells remain detectable, survive, and function for over one year without immunosuppression, with no safety issues identified. The findings support development of SC451, a HIP‑modified, stem cell‑derived islet therapy, for which Sana expects to file an IND and begin a Phase 1/2 trial as early as this year.

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Positive

  • 14‑month follow-up shows durable insulin production with HIP‑modified islet cells and no immunosuppression
  • No safety issues identified over 14 months, including 52‑week PET‑MRI evidence of islet cells at the transplant site
  • NEJM publication of longer‑term UP421 data enhances external validation of the hypoimmune (HIP) platform
  • Planned IND filing and Phase 1/2 start for SC451 as early as this year

Negative

  • Evidence base remains early stage, relying on an investigator-sponsored study and 14‑month data from a single treated patient

News Explained

The release adds 14-month UP421 follow-up evidence, while SC451’s IND and Phase 1/2 milestones remain prospective and no holder-level transaction is disclosed.

The July 13 release reports that The New England Journal of Medicine published a peer-reviewed letter describing 14-month follow-up data from an investigator-sponsored UP421 islet-cell transplantation study. The company-level change is an updated clinical evidence point; the release does not describe a completed SC451 trial or a new ownership, financing, or liquidity commitment.

The reported results concern UP421, an allogeneic primary human pancreatic islet-cell therapy engineered with Sana’s hypoimmune platform, while SC451 is described as a separate stem-cell-derived therapy that Sana plans to advance. The release characterizes the UP421 observations as continued safety, cell survival, and insulin-producing function, based on C-peptide results and 52-week PET-MRI findings; these are study findings rather than a disclosed regulatory approval or commercial launch.

The named next milestones are Sana’s expected filing of an Investigational New Drug application and possible initiation of a Phase 1/2 trial for SC451 as early as 2026; the release does not state that either milestone has occurred.

Market reaction after UP421 14-month clinical data: SANA -5.45% in the Jul 13 session

-5.45%
12 alerts
-5.45% Session close to close
-3.7% Trough in 4 hr 47 min
$1.09B Market Cap
0.4x Rel. Volume

In the Jul 13 session, SANA declined 5.45%, reflecting a notable negative market reaction. Argus tracked a trough of -3.7% from its starting point during tracking. Our momentum scanner triggered 12 alerts that day, indicating notable trading interest and price volatility.

Data tracked by StockTitan Argus on the day of publication.

Market Context

The stock moved -5.5% in the session following this news. A sharp decline could reflect investors fa...
Analysis

The stock moved -5.5% in the session following this news. A sharp decline could reflect investors fading the UP421 durability update despite continued function at 14 months, echoing the prior -8.43% reaction to Q1 results. With an effective S-3ASR ATM for up to $150,000,000 and moderate short interest, concerns about future equity issuance or short sellers pressing their view could amplify downside.

Key Figures

Follow-up duration: 14 months Insulin production duration: over one year Assessment timepoint: month 14 +2 more
5 metrics
Follow-up duration 14 months UP421 investigator-sponsored study follow-up highlighted in NEJM letter
Insulin production duration over one year HIP-modified islet cells continued producing insulin post-transplant without immunosuppression
Assessment timepoint month 14 Fasting and MMTT-stimulated C-peptide levels compared with earlier study months
Imaging timepoint 52 weeks PET-MRI scan demonstrating islet cells at the forearm muscle transplant site
Historical insulin use 100 years Reference to a century of reliance on insulin for type 1 diabetes

Historical Context

5 past events · Latest: Jul 01 (Neutral)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Jul 01 Conference presentation Neutral +2.0% EASD 2026 symposium announcement on UP421 clinical data in type 1 diabetes.
May 27 Investor conferences Neutral +2.3% Planned business overview and corporate update at June 2026 investor conferences.
May 15 ATM equity offering Negative -2.2% Sale of shares through ATM facility to raise capital and extend cash runway.
May 11 1Q26 earnings report Negative -8.4% Q1 2026 results with net loss and pipeline updates including SC451 and UP421 data.
May 05 Conference presentation Neutral +4.3% Upcoming BofA 2026 Healthcare Conference presentation and company update webcast.

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

Pattern Detected

Recent news-driven moves have mostly aligned with the apparent tone of announcements, with conferences and financing drawing smaller reactions than the notably negative response to Q1 earnings.

Key Terms

investigational new drug (ind), phase 1/2 trial, c-peptide, mixed meal tolerance test (mmtt), +2 more
6 terms
investigational new drug (ind) regulatory
"Sana Expects to File Investigational New Drug (IND) Application and Initiate Phase 1/2 Trial"
An investigational new drug (IND) is a drug or biologic that is being tested but has not yet been approved for general use; it is the application and formal status that allows a company to begin human clinical trials under regulator oversight. Investors care because an IND marks the transition from lab work to human testing — like getting a permit to run real-world experiments — which creates important milestones, costs, timelines and regulatory risk that drive a development-stage company's value.
phase 1/2 trial clinical
"file Investigational New Drug (IND) Application and Initiate Phase 1/2 Trial as Early as This Year"
A phase 1/2 trial combines the earliest human safety testing with an initial look at whether a treatment works, typically starting by checking tolerability and side effects and then expanding to measure early signs of benefit and the best dose. For investors, results from these trials are an early indicator of a drug’s clinical promise and regulatory path: positive data can materially increase a company’s value and reduce development risk, while negative data can sharply lower expectations.
c-peptide medical
"presence of circulating C-peptide, a biomarker indicating that transplanted beta cells are producing insulin"
C‑peptide is a short protein fragment released at the same time the pancreas produces insulin; because it lingers in the blood longer than insulin itself, clinicians measure C‑peptide levels as a clear sign of how much natural insulin a person still makes. For investors, C‑peptide matters because it’s used as a measurable outcome in diabetes drug and device trials, in diagnostic tests, and by regulators to judge treatment benefit — results that can affect clinical success, approvals, and market value.
mixed meal tolerance test (mmtt) medical
"C-peptide levels also increase during a mixed meal tolerance test (MMTT)"
A mixed meal tolerance test is a clinical exam where a person eats a standardized meal and doctors measure how their body handles the nutrients—usually tracking blood sugar, insulin and related hormones over several hours. It shows how well the body regulates metabolism after a real-world meal, and matters to investors because it’s often used in drug or device trials to demonstrate effectiveness, influence regulatory decisions and predict commercial value.
pet-mri medical
"52-week PET-MRI scanning also demonstrated islet cells at the transplant site"
PET‑MRI combines two medical scans—one that maps metabolic activity by tracking a tiny injected tracer and one that produces high‑resolution pictures of internal anatomy—into a single exam, like overlaying a heat map on a detailed photograph. Investors care because the technology can improve diagnostic accuracy and treatment planning, influence hospital purchasing and service revenues, and hinge on adoption, cost and insurance reimbursement decisions.
allogeneic medical
"an allogeneic primary human pancreatic islet cell therapy engineered with Sana’s hypoimmune platform"
Allogeneic describes a process or material involving different individuals of the same species, such as cells, tissues, or organs donated from one person to another. It is important to investors because products or treatments based on allogeneic sources can enable scalable, off-the-shelf solutions, potentially reducing costs and increasing accessibility in healthcare and biotech industries.

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Peer-Reviewed Letter to the Editor Describes Updated Long-Term Findings Consistent with Initial Trial Data Featured in NEJM Article Published in 2025

Seminal Study Successfully Achieved Primary and Secondary Endpoints, Demonstrating that Hypoimmune (HIP)-Modified Islets are Safe, Evade Detection by the Immune System, Survive, and Function Long-Term and Continue to Produce Insulin in the Patient for Over One Year Following Administration Without Immunosuppression

Sana Expects to File Investigational New Drug (IND) Application and Initiate Phase 1/2 Trial as Early as This Year for SC451, a HIP-Modified, Stem Cell-Derived Therapy Designed as a One-Time Treatment for Patients with Type 1 Diabetes, with a Goal of Long-Term Normal Blood Glucose Without the Need for Insulin Therapy or Immunosuppression

SEATTLE, July 13, 2026 (GLOBE NEWSWIRE) -- Sana Biotechnology, Inc. (NASDAQ: SANA), a company focused on changing the possible for patients through engineered cells, today announced that The New England Journal of Medicine (NEJM) has published a peer-reviewed Letter to the Editor by clinicians at Uppsala University Hospital highlighting 14-month follow-up data from an investigator-sponsored study of UP421, an allogeneic primary human pancreatic islet cell therapy engineered with Sana’s hypoimmune platform (HIP) technology, showing that the transplantation of HIP-modified insulin-secreting cells has the potential to treat type 1 diabetes without the use of immunosuppressants.

“We are excited to have our study data once again highlighted in The New England Journal of Medicine,” said Per-Ola Carlsson, MD, Study Principal Investigator, Senior Physician and Professor at the Clinic for Endocrinology and Diabetology at Uppsala University Hospital. “After a century of relying on insulin, people living with type 1 diabetes deserve more than incremental improvements. With this 14-month follow-up data using the hypoimmune technology, we believe that a functional cure for type 1 diabetes without immunosuppression is possible.”

The long-term findings provide further evidence that HIP-modified cells are safe and can evade both allogeneic and autoimmune rejection with durable function, supporting the potential of Sana’s HIP-modified, stem cell-derived pancreatic islet cell therapy, SC451, as a broadly accessible one-time treatment for patients with type 1 diabetes, with the goal of long-term normal blood glucose without the need for insulin therapy or immunosuppression.

Gary Meininger, MD, Sana’s Executive Vice President, Chief Medical Officer, added, “We continue to be encouraged by these results, which demonstrate the promise of our HIP-modified cells and their potential as a significant medical breakthrough for people living with type 1 diabetes. The recognition by the NEJM of the importance of these longer-term follow-up data is notable. As we advance SC451 toward a Phase 1/2 study, we are inspired by the opportunity to move beyond lifelong disease management and toward restoring natural glucose control. Our goal is to make a one-time, functional cure without the need for immunosuppression for individuals living with type 1 diabetes.”

Results of the study at 14 months after islet cell transplantation demonstrate the continued safety of the transplanted pancreatic beta cells, as well as continued survival and function of these cells as measured by the presence of circulating C-peptide, a biomarker indicating that transplanted beta cells are producing insulin. C-peptide levels also increase during a mixed meal tolerance test (MMTT), consistent with insulin secretion in response to a meal. At baseline, the patient had undetectable C-peptide both fasting and during an MMTT.

Fasting and MMTT-stimulated C-peptide levels at month 14 are comparable to those observed in the first six months of the study and exceed levels measured at months 9 and 12. Between months 12 and 14, the patient achieved tighter glycemic control, and the improved insulin secretion at month 14 underscores the importance of glucose control in optimizing pancreatic beta cell function. 52-week PET-MRI scanning also demonstrated islet cells at the transplant site, a forearm muscle. No safety issues were identified in the study.

About the Uppsala University Hospital Investigator-Sponsored Study of UP421 in Type 1 Diabetes
The investigator-sponsored study of UP421 is supported by a grant from The Leona M. and Harry B. Helmsley Charitable Trust. The study evaluates whether HIP-modified insulin-producing pancreatic islet cells can be transplanted safely and help to regain insulin production in individuals with type 1 diabetes without the need of simultaneous treatment with immunosuppressive medicines. To do this, UP421 is engineered using Sana’s HIP technology at Oslo University Hospital. The study involves intramuscular surgical transplantation of HIP-modified primary islet cells into the forearm of patients with type 1 diabetes. The primary objective of the study is to investigate the safety of UP421 transplantation in patients with type 1 diabetes, with secondary endpoints including immune evasion, cell survival, and C-peptide production. Circulating C-peptide is a measure of endogenous insulin production. This first-in-human study examines a low dose of HIP-modified primary islets to initially establish the safety and function of HIP-modified islets without immunosuppression and, as a result, is not intended to show improvement in glycemia and/or reduction in exogenous insulin administration.

About SC451 – Sana’s Product Candidate for Type 1 Diabetes
SC451 is an investigational, gene-modified, stem cell-derived pancreatic islet cell therapy that Sana is advancing toward the clinic as a potential one-time treatment for patients with type 1 diabetes (T1D) that leads to euglycemia without the need for exogenous insulin or immunosuppression. SC451 is a potentially scalable solution, manufactured from cells that have been modified to overcome both allogeneic and autoimmune rejection through Sana’s proprietary hypoimmune (HIP) technology. An investigator-sponsored clinical study evaluating the transplantation of donor-derived, HIP-modified pancreatic islet cells into a patient with T1D show these cells are well-tolerated, evade detection by the immune system, survive, and continue to produce insulin in the patient through 14 months of follow-up to date.

About Sana Biotechnology
Sana Biotechnology, Inc. is focused on creating and delivering engineered cells as medicines for patients. We share a vision of repairing and controlling genes, replacing missing or damaged cells, and making our therapies broadly available to patients. We are a passionate group of people working together to create an enduring company that changes how the world treats disease. Sana has operations in Seattle, WA, Cambridge, MA, and South San Francisco, CA.

Cautionary Note Regarding Forward-Looking Statements
This press release contains forward-looking statements about Sana Biotechnology, Inc. (the “Company,” “we,” “us,” or “our”) within the meaning of the federal securities laws, including those related to the Company’s vision, progress, and business plans; expectations for its development programs, product candidates, and technology platforms, including its preclinical, clinical, and regulatory development plans and timing expectations, including the potential timing of INDs and clinical trials for its SC451 program; the potential impact of SC451 for individuals living with type 1 diabetes, including the ability to provide a scalable solution, to be a broadly accessible one-time treatment, to achieve long-term normal blood glucose without exogenous insulin or immunosuppression, and to provide a functional cure and move beyond lifelong disease management toward restoring natural glucose control; the potential impact and significance of data from the UP421 study of islet cell transplantation without immunosuppression in a patient with type 1 diabetes (“Study”), including the potential for transplantation of HIP-modified insulin-secreting cells to treat and provide a functional cure for type 1 diabetes without the use of immunosuppressants; the potential safety and long-term survival, durable function, and evasion of allogeneic and autoimmune rejection of HIP-modified cells, including the potential impact of glucose control on beta cell function; the potential application of the learnings from the Study to the Company’s SC451 program; and statements made by Study Principal Investigator, Senior Physician and Professor at the Clinic for Endocrinology and Diabetology at Uppsala University Hospital and statements made by the Company’s Executive Vice President, Chief Medical Officer. All statements other than statements of historical facts contained in this press release, including, among others, statements regarding the Company’s strategy, expectations, cash runway and future financial condition, future operations, and prospects, are forward-looking statements. In some cases, you can identify forward-looking statements by terminology such as “aim,” “anticipate,” “assume,” “believe,” “contemplate,” “continue,” “could,” “design,” “due,” “estimate,” “expect,” “goal,” “intend,” “may,” “objective,” “plan,” “positioned,” “potential,” “predict,” “seek,” “should,” “target,” “will,” “would,” and other similar expressions that are predictions of or indicate future events and future trends, or the negative of these terms or other comparable terminology. The Company has based these forward-looking statements largely on its current expectations, estimates, forecasts and projections about future events and financial trends that it believes may affect its financial condition, results of operations, business strategy and financial needs. In light of the significant uncertainties in these forward-looking statements, you should not rely upon forward-looking statements as predictions of future events. These statements are subject to risks and uncertainties that could cause the actual results to vary materially, including, among others: the risks inherent in drug development such as those associated with the initiation, cost, timing, progress, and results of the Company’s current and future research and development programs and preclinical and clinical trials, including that the timing of an IND submission and clinical development for SC451 is subject to change, IND acceptance is subject to the discretion of the U.S. Food and Drug Administration, IND acceptance and initiation of clinical development for SC451 are not predictive of clinical trial results or whether clinical trials will successfully enroll or dose patients, results of preclinical or clinical studies may not be predictive of results of potential future studies, including clinical trials, of SC451 or other product candidates, and Sana’s product candidates may not be successfully developed or commercialized in any indication; and risks related to economic, market, and other disruptions, which could cause delays in the Company’s business plans, impede the Company’s access to additional capital, and impede the clinical development of SC451, among other things. For a detailed discussion of the risk factors that could affect the Company’s actual results, please refer to the risk factors identified in the Company’s SEC reports, including but not limited to its Quarterly Report on Form 10-Q dated May 11, 2026. Except as required by law, the Company undertakes no obligation to update publicly any forward-looking statements for any reason.

Investor Relations & Media:
Nicole Keith
investor.relations@sana.com
media@sana.com


FAQ

What did Sana Biotechnology (SANA) announce about its hypoimmune islet cell therapy in July 2026?

Sana Biotechnology announced NEJM publication of 14‑month follow-up data on UP421, a HIP‑modified islet cell therapy. According to Sana Biotechnology, the data show ongoing insulin production without immunosuppression and no safety issues, supporting its SC451 program for type 1 diabetes.

How long did the HIP-modified islet cells function without immunosuppression in Sana Biotechnology’s (SANA) UP421 study?

The HIP‑modified islet cells functioned for at least 14 months without immunosuppression in the reported case. According to Sana Biotechnology, C‑peptide remained detectable at 14 months, increased during mixed meal testing, and PET‑MRI confirmed islet cells at the transplant site.

What are the key 14-month clinical results from Sana Biotechnology’s (SANA) UP421 islet cell transplantation study?

Key 14‑month results include continued C‑peptide production, meal‑stimulated increases, and tighter glycemic control in the patient. According to Sana Biotechnology, fasting and stimulated C‑peptide levels at month 14 matched early study values, exceeded months 9 and 12, and no safety issues were identified.

How do the new NEJM data impact Sana Biotechnology’s SC451 program for type 1 diabetes (SANA)?

The NEJM data support advancing SC451, Sana’s HIP‑modified, stem cell‑derived islet therapy. According to Sana Biotechnology, the durable function and safety of UP421 bolster the rationale for SC451 as a potential one‑time treatment and underpin plans for an IND and Phase 1/2 trial.

When does Sana Biotechnology (SANA) plan to start clinical trials of SC451 for type 1 diabetes?

Sana plans to file an IND and begin a Phase 1/2 SC451 trial as early as this year. According to Sana Biotechnology, the 14‑month UP421 data help justify moving SC451 into clinical testing as a one‑time, HIP‑modified islet cell therapy.

Were there any safety concerns in Sana Biotechnology’s (SANA) 14-month UP421 islet cell transplantation follow-up?

No safety issues were identified in the 14‑month follow‑up of the UP421 transplantation. According to Sana Biotechnology, PET‑MRI at 52 weeks confirmed islet cells in the forearm muscle transplant site, and continued C‑peptide production suggested viable, functioning beta cells without immunosuppression.