60 Degrees Pharmaceuticals Announces Clinical Improvement and Negative PCR Results in All Completed Expanded Access Babesiosis Study Patients

Four of five completed patients tested negative on sensitive post-treatment testing, but its ability to predict lasting benefit remains unestablished.

Rhea-AI Summary

60 Degrees Pharmaceuticals (SXTP) reported clinical improvement and negative conventional parasite tests in all five completed patients in its expanded access babesiosis study. Immunosuppressed patients received tafenoquine-containing combinations. All five reported being much or very much improved, with negative conventional PCR tests during treatment or follow-up. Four also tested negative on a more sensitive nucleic acid amplification test (NAT), collected 66–120 days after treatment; one remained reactive.

Two additional patients remain on treatment. The company expects to unblind its separate randomized hospital study in January 2027, then seek an FDA meeting on the regulatory pathway. It conditionally plans to pursue accelerated approval using post-treatment NAT nonreactivity as a proposed surrogate for lasting benefit. That relationship remains unestablished, and the expanded access findings come from a small, uncontrolled study.

Positive

• Minor pointAll five completed patients reported being much or very much improved after tafenoquine-containing combination treatment.
• Minor pointAll five completed patients had negative conventional PCR results during treatment or subsequent follow-up.
• Minor pointFour of five patients (80%) were NAT-negative on samples collected 66–120 days after tafenoquine treatment.
• Minor pointSix of seven published cases (85.7%) remained retreatment-free for at least 12 weeks versus model-estimated 23.5%.
• Minor pointExploratory historical-case comparison found a statistically significant association using an approximate patient-clustered score test; two-sided p = 0.019.

4 minor points

• Minor pointExpanded access enrollment reached seven, with two additional patients remaining on treatment.
• Minor point. Forward-looking: it has not happened yet and may not happen.January 2027 is the expected unblinding date for the separate randomized, placebo-controlled hospital study.
• Minor point. Forward-looking: it has not happened yet and may not happen.FDA pre-sNDA meeting is planned after unblinding to discuss both studies and the regulatory pathway.
• Minor point. Forward-looking: it has not happened yet and may not happen.Accelerated approval is planned if the efficacy dossier primarily uses immunosuppressed relapsing-babesiosis data, with NAT proposed as a surrogate.

Negative

• Minor pointOne completed patient remained NAT-reactive despite a negative follow-up conventional PCR result.
• Minor point. Forward-looking: it has not happened yet and may not happen.Five-patient, uncontrolled expanded access findings and historical comparisons may not predict larger-study outcomes.
• Minor pointPost-treatment NAT nonreactivity is not established as predicting sustained freedom from relapse; FDA acceptance remains uncertain.
• Minor point. Forward-looking: it has not happened yet and may not happen.Proposed accelerated approval pathway would include a postmarketing confirmatory study to verify benefit and the NAT–relapse relationship.

Argus 15 min delay 42 alerts

-2.53% vs previous close $0.85 last price 7190.7x rel. volume Open Argus

Details

Market Reaction – SXTP

+29.0% Peak in 33 min

$0.82 – $1.33 Day Range

$2.98M Mkt Cap at Last Price

On Oct 27, the day this news came out, the latest delayed price for SXTP is 2.53% below the previous close. Argus tracked a peak move of +29.0% during the session. Our momentum scanner has recorded 42 alerts for this stock so far that day. The latest delayed price is $0.85. Relative volume is exceptionally heavy at 7190.7x the average.

Data tracked by StockTitan Argus (15 min delayed). Upgrade to Gold for real-time data.

Key Figures

Clinical improvement and conventional PCR: 5 of 5 patients (100%) Post-treatment NAT nonreactivity: 4 of 5 patients (80%) Reactive post-treatment NAT: 1 patient +5 more

Clinical improvement and conventional PCR

5 of 5 patients (100%)

All completed patients reported improvement and tested negative on conventional PCR

Post-treatment NAT nonreactivity

4 of 5 patients (80%)

Highly sensitive blood-donor NAT testing after treatment

Reactive post-treatment NAT

1 patient

Reactive NAT despite a negative follow-up conventional PCR result

Study enrollment

7 patients

Two additional patients remained on treatment

Retreatment-free cases

6 of 7 patients (85.7%)

Published relapsing babesiosis cases treated with tafenoquine–atovaquone combinations; at least 12 weeks

Model-estimated conventional-treatment rate

23.5%

Expected retreatment-free rate in the article's comparison

Exploratory Cox comparison

p = 0.019

Approximate patient-clustered score test; two-sided

NAT assay sensitivity

500-fold

Compared with conventional PCR

Historical Context

1 past event · Latest: Oct 06

1 event

1. Oct 06

   Expanded-access update

   24h Move

   -22.9%

   Molecular cure was confirmed in the first three expanded-access patients; screening of two more was pending.

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

Key Terms

polymerase chain reaction, nucleic acid amplification test, surrogate endpoint, pre-supplemental New Drug Application

4 terms

polymerase chain reaction medical

"negative conventional polymerase chain reaction (PCR) test results"

A polymerase chain reaction (PCR) is a laboratory method that makes many copies of a tiny piece of genetic material, like using a photocopier to turn one page into thousands so it can be read and analyzed. Investors care because PCR underlies many diagnostic tests, research tools and quality control processes; changes in demand, costs, accuracy or regulation of PCR can affect revenue, competitive positions and the speed at which medical products reach the market.

nucleic acid amplification test medical

"highly sensitive blood-donor nucleic acid amplification test (NAT)"

A nucleic acid amplification test (NAAT) is a laboratory method that detects the genetic material (DNA or RNA) of a microorganism by first copying — or amplifying — specific genetic sequences so they can be measured. Common amplification techniques include polymerase chain reaction (PCR) and various isothermal methods; because the test looks for the organism’s nucleic acid, it can identify current infection with high analytical sensitivity and usually requires laboratory equipment or a validated point-of-care device to perform.

surrogate endpoint regulatory

"propose post-treatment blood-donor NAT nonreactivity as a surrogate endpoint"

A surrogate endpoint is a measurable substitute used in a clinical trial—like a lab test or imaging result—that stands in for a direct patient benefit, such as longer life or improved daily function. Investors care because regulators may accept these quicker, earlier signals to clear or fast-track a treatment, which can shorten development time, reduce costs and change a drug’s market prospects; think of it as using a thermometer to predict recovery instead of waiting for full healing.

pre-supplemental New Drug Application regulatory

"request a pre-supplemental New Drug Application (pre-sNDA) meeting with FDA"

A pre-supplemental new drug application is an interaction or formal meeting request between a drug sponsor and a medicines regulatory agency to discuss a proposed supplemental new drug application (sNDA) before the sponsor files it. It covers planned changes to an already approved drug—such as new indications, dosage forms, manufacturing changes, or labeling updates—and is meant to clarify data expectations, study design, regulatory pathway, and review requirements so the sponsor can prepare an appropriate submission. The meeting does not itself change approval status; it only provides the agency’s feedback and guidance that the sponsor may use when preparing the actual supplemental application.

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

See more from StockTitan in Google Search and AI answers. Adds StockTitan as a preferred source · opens Google

Add on Google Not now

• All five completed patients (100%) reported much or very much improved clinical outcomes and tested negative for Babesia on conventional PCR tests
• Four of five completed patients (80%) were negative on highly sensitive post-treatment NAT testing
• Results reinforce favorable retreatment-free outcomes reported with tafenoquine–atovaquone regimens
• Two additional patients remain on treatment, bringing total enrollment to seven; study remains open pending potential discussions with FDA

WASHINGTON, Oct. 27, 2026 (GLOBE NEWSWIRE) -- 60 Degrees Pharmaceuticals, Inc. (NASDAQ: SXTP; SXTPW) (“60 Degrees” or the “Company”), a pharmaceutical company focused on developing new medicines for vector-borne disease, today announced clinical and molecular results from the first five patients to complete treatment with tafenoquine-containing combination regimens in the Company’s expanded access study of relapsing babesiosis in immunosuppressed patients (NCT06478641).

All five patients reported being much improved or very much improved on study-completion forms, and each had negative conventional polymerase chain reaction (PCR) test results for Babesia documented during treatment or subsequent follow-up. Four of the five patients (80%) were also nonreactive on a highly sensitive blood-donor nucleic acid amplification test (NAT) for Babesia performed on blood collected after treatment. The remaining patient had a reactive blood-donor NAT despite a negative follow-up conventional PCR result from Mayo Clinic.

Human babesiosis is a tick-borne illness that can cause fever, chills, sweats, joint aches, and fatigue. In immunosuppressed patients, infection can persist or recur despite treatment and can be life-threatening. Krause and colleagues reported fatal outcomes in three of 14 patients (21%) with persistent or relapsing babesiosis in their 2008 study. A broader 2025 multicenter study by Kakoullis and colleagues reported 12-month all-cause mortality of 7% among patients who were immunocompromised and/or had impaired splenic function, compared with 1% among immune-intact patients. Human babesiosis is an orphan disease.

The Company’s open-label, multi-site expanded access study evaluates the safety and efficacy of tafenoquine combined with atovaquone and other antimalarial or antibiotic medications in patients with relapsing babesiosis and risk factors for severe disease. The study builds on findings published in Clinical Infectious Diseases in 2024 by researchers from the Yale School of Public Health, Tufts Medical Center, Brown University and other institutions.

Current guidance emphasizes the importance of duration of therapy, recommending at least six consecutive weeks of antibabesial therapy for highly immunocompromised patients, including two final weeks without parasites detected on blood smears before stopping treatment. Microscopy can miss low-level parasitemia capable of causing relapse despite clinical improvement, creating a need for more sensitive measures of parasite clearance. The guidance also allows for more sensitive conventional PCR testing to inform treatment discontinuation on a case-by-case basis but does not specify PCR-based stopping criteria.

The expanded access protocol standardizes the treatment discontinuation decision, requiring that tafenoquine, given as part of an atovaquone combination regimen, be continued until two weeks after two consecutive negative conventional PCR tests and resolution of babesiosis symptoms. The study then prospectively assesses parasite clearance using a blood-donor NAT assay that is 500-fold more sensitive than conventional PCR and is not routinely available for patient care. Transfusion-transmitted babesiosis has fallen substantially since NAT screening of blood donations was introduced. NAT samples from the five completed patients were collected 66–120 days after completion of tafenoquine treatment.

Current guidance does not establish a standardized definition of cure for relapsing babesiosis in immunosuppressed patients. However, Krause and colleagues’ 2008 publication in Clinical Infectious Diseases, on which the prolonged-treatment recommendations are based, defined cure as the absence of symptoms and parasites detectable on blood smear for more than three months after treatment ended. A 12-week retreatment-free interval means no additional babesiosis treatment for at least 12 weeks after treatment ends. It provides a practical indicator of sustained clinical response over a comparable follow-up period.

The Company has conducted an analysis of published relapsing babesiosis cases and found that six of seven patients (85.7%) treated with tafenoquine–atovaquone combinations remained retreatment-free for at least 12 weeks after treatment—approximately 3.6 times the model-estimated 23.5% expected from conventional treatment accounting for the duration of atovaquone coadministration, the accompanying non-tafenoquine medications and prior treatment history. The association was statistically significant in an exploratory Cox comparison (approximate patient-clustered score test; two-sided p = 0.019). Together with sequential negative conventional PCR tests in many of these cases, this finding supports the rationale for the expanded access study: the potential for a higher cure rate when tafenoquine is added to atovaquone-containing therapy.

To the Company’s knowledge, this is the first prospective study in immunosuppressed patients with relapsing babesiosis to combine a predefined PCR-guided tafenoquine–atovaquone treatment approach with objective post-treatment assessment using a highly sensitive blood-donor NAT assay. Favorable clinical and conventional-PCR outcomes in all five completed patients and an 80% post-treatment NAT-negative rate provide molecular evidence consistent with definitive cure in four of five patients. These findings support the Company’s hypothesis that post-treatment NAT nonreactivity reflects the absence of a biologically relevant circulating parasite burden, marks parasite eradication and predicts freedom from further babesiosis relapse. The Company reiterates its call for treatment guidance to be updated to address tafenoquine-containing combinations and sensitive molecular monitoring.

The Company plans to pursue accelerated approval if the efficacy section of its registration dossier is based primarily on data from immunosuppressed patients with relapsing babesiosis. In that setting, the Company would propose post-treatment blood-donor NAT nonreactivity as a surrogate endpoint reasonably likely to predict durable clinical benefit, with a postmarketing confirmatory study designed to verify that benefit and confirm the relationship between NAT nonreactivity and sustained freedom from relapse.

Two additional patients remain on treatment in the expanded access study, bringing total enrollment to seven. The study remains open pending potential discussions with the U.S. Food and Drug Administration (FDA).

The Company expects to unblind its separate randomized, placebo-controlled study of tafenoquine or placebo added to standard-of-care therapy in patients hospitalized for babesiosis (NCT06207370) in January 2027. Following unblinding, the Company intends to request a pre-supplemental New Drug Application (pre-sNDA) meeting with FDA to discuss data from the hospital and expanded access studies and the appropriate regulatory pathway for tafenoquine in babesiosis.

Tafenoquine is not FDA-approved for the treatment or prevention of babesiosis. It is approved in the United States for malaria prophylaxis under the brand name ARAKODA®.

About ARAKODA (tafenoquine)

Tafenoquine is approved for malaria prophylaxis in the United States under the product name ARAKODA®. The safety of the approved regimen of tafenoquine for malaria prophylaxis has been assessed in five separate randomized, double-blind, active comparator or placebo-controlled trials for durations of up to six months.

Tafenoquine was discovered by the Walter Reed Army Institute of Research. Tafenoquine was approved for malaria prophylaxis in 2018 in the United States as ARAKODA® and in Australia as KODATEF®. Both were commercially launched in 2019 and are currently distributed through pharmaceutical wholesaler networks in each respective country. They are available at retail pharmacies as a prescription-only malaria prevention drug.

According to the Centers for Disease Control and Prevention, the long terminal half-life of tafenoquine, which is approximately 16 days, may offer potential advantages in less frequent dosing for malaria prophylaxis. ARAKODA® is not suitable for everyone, and patients and prescribers should review the Important Safety Information below. Individuals at risk of contracting malaria are prescribed ARAKODA® 2 x 100 mg tablets once per day for three days prior to travel to an area of the world where malaria is endemic, 2 x 100 mg tablets weekly for up to six months during travel, then 2 x 100 mg in the week following travel.

ARAKODA^® (tafenoquine) Important Safety Information
ARAKODA is an antimalarial indicated for the prophylaxis of malaria in patients aged 18 years and older.

Contraindications
ARAKODA should not be administered in the following situations:

• Glucose-6-phosphate dehydrogenase (“G6PD”) deficiency or unknown G6PD status;
• Breastfeeding by a lactating woman when the infant is found to be G6PD deficient or if the G6PD status of the infant is unknown;
• Patients with a history of psychotic disorders or current psychotic symptoms; or
• Known hypersensitivity reactions to tafenoquine, other 8-aminoquinolines, or any component of ARAKODA.

Warnings and Precautions
Hemolytic Anemia: G6PD testing must be performed before prescribing ARAKODA due to the risk of hemolytic anemia. Monitor patients for signs or symptoms of hemolysis.

G6PD Deficiency in Pregnancy or Lactation: ARAKODA may cause fetal harm when administered to a pregnant woman with a G6PD-deficient fetus. ARAKODA is not recommended during pregnancy. A G6PD-deficient infant may be at risk for hemolytic anemia from exposure to ARAKODA through breast milk. Check the infant’s G6PD status before breastfeeding begins.

Methemoglobinemia: Asymptomatic elevations in blood methemoglobin have been observed. Initiate appropriate therapy if signs or symptoms of methemoglobinemia occur.

Psychiatric Effects: Serious psychotic adverse reactions have been observed in patients with a history of psychosis or schizophrenia, at doses different from the approved dose. If psychotic symptoms (hallucinations, delusions, or grossly disorganized thinking or behavior) occur, consider discontinuation of ARAKODA therapy and evaluation by a mental health professional as soon as possible.

Hypersensitivity Reactions: Serious hypersensitivity reactions have been observed with administration of ARAKODA. If hypersensitivity reactions occur, institute appropriate therapy.

Delayed Adverse Reactions: Due to the long half-life of ARAKODA (approximately 16 days), psychiatric effects, hemolytic anemia, methemoglobinemia, and hypersensitivity reactions may be delayed in onset and/or duration.

Adverse Reactions: The most common adverse reactions (incidence greater than or equal to 1 percent) were headache, dizziness, back pain, diarrhea, nausea, vomiting, increased alanine aminotransferase (ALT), motion sickness, insomnia, depression, abnormal dreams, and anxiety.

Drug Interactions: Avoid co-administration with drugs that are substrates of organic cation transporter-2 or multidrug and toxin extrusion transporters.

Use in Specific Populations: Lactation: Advise women not to breastfeed a G6PD-deficient infant or infant with unknown G6PD status during treatment and for 3 months after the last dose of ARAKODA. To report SUSPECTED ADVERSE REACTIONS, contact 60 Degrees Pharmaceuticals, Inc. at 1-888-834-0225 or the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. The full prescribing information of ARAKODA is located here.

About 60 Degrees Pharmaceuticals, Inc.

60 Degrees Pharmaceuticals, Inc., founded in 2010, develops and commercializes new medicines for the treatment and prevention of vector-borne disease. The Company achieved U.S. Food and Drug Administration approval of its lead product, ARAKODA® (tafenoquine), for malaria prevention in 2018 and currently has active clinical trials underway for babesiosis, an emerging tick-borne disease. ARAKODA is sold commercially in the U.S. and Australia. 60 Degrees also collaborates with prominent research and academic organizations in the U.S. and Australia to advance science around vector-borne disease. The Company is headquartered in Washington, D.C., with a subsidiary in Australia. Learn more at www.60degreespharma.com.

Cautionary Note Regarding Forward-Looking Statements
This press release may contain “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. Forward-looking statements reflect the current view about future events. When used in this press release, the words “anticipate,” “believe,” “estimate,” “expect,” “future,” “intend,” “plan,” or the negative of these terms and similar expressions, as they relate to us or our management, identify forward-looking statements. Forward-looking statements are neither historical facts nor assurances of future performance. Instead, they are based only on our current beliefs, expectations and assumptions regarding the future of our business, future plans and strategies, projections, anticipated events and trends, the economy, activities of regulators and future regulations and other future conditions. Because forward-looking statements relate to the future, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict and many of which are outside of our control. Our actual results and financial condition may differ materially from those indicated in the forward-looking statements. Therefore, you should not rely on any of these forward-looking statements. Important factors that could cause our actual results and financial condition to differ materially from those indicated in the forward-looking statements include, among others, the following: there is substantial doubt as to our ability to continue on a going-concern basis; we might not be eligible for Australian government research and development tax rebates; if we are not able to successfully develop, obtain FDA approval for, and provide for the commercialization of non-malaria prevention indications for tafenoquine (ARAKODA® or other regimen) or castanospermine in a timely manner, we may not be able to expand our business operations; we may not be able to successfully conduct planned clinical trials; and we have no manufacturing capacity, which puts us at risk of lengthy and costly delays in bringing our products to market. Findings from a small, uncontrolled expanded access study and historical case comparisons may not predict outcomes in larger studies. A 12-week retreatment-free interval, clinical improvement and negative conventional PCR results have not been established as equivalent to post-treatment blood-donor NAT nonreactivity. Post-treatment NAT nonreactivity has not been established as a predictor of sustained freedom from relapse, and FDA may not accept historical comparisons or post-treatment NAT nonreactivity as a surrogate for clinical benefit or as sufficient evidence to support approval. More detailed information about the Company and the risk factors that may affect the realization of forward-looking statements is set forth in the Company’s filings with the Securities and Exchange Commission (“SEC”), including the information contained in our Annual Report on Form 10-K filed with the SEC on March 30, 2026, and our subsequent SEC filings. Investors and security holders are urged to read these documents free of charge on the SEC’s website at www.sec.gov. As a result of these matters, changes in facts, assumptions not being realized, or other circumstances, the Company’s actual results may differ materially from the expected results discussed in the forward-looking statements contained in this press release. Any forward-looking statement made by us in this press release is based only on information currently available to us and speaks only as of the date on which it is made. We undertake no obligation to publicly update any forward-looking statement, whether written or oral, that may be made from time to time, whether as a result of new information, future developments or otherwise.

Contacts

Media Contact:
Kristen Landon
kristenlandon@60degreespharma.com

Investor Contact:
Patrick Gaynes
patrickgaynes@60degreespharma.com

FAQ

AI-generated questions and answers. How Rhea-AI works. Not financial advice.

What did 60 Degrees Pharmaceuticals report in its expanded access babesiosis study?

All five completed patients reported being much or very much improved and had negative conventional PCR tests during treatment or follow-up. Four were also negative on more sensitive post-treatment NAT testing; one remained reactive. The study evaluated tafenoquine-containing combinations in immunosuppressed patients with relapsing babesiosis.

When does SXTP expect its next babesiosis study milestone?

60 Degrees expects to unblind its separate randomized, placebo-controlled hospital study in January 2027. Afterward, it intends to request an FDA pre-supplemental New Drug Application meeting to discuss the hospital and expanded access data and the appropriate regulatory pathway.

How does the 60 Degrees expanded access study decide when to stop babesiosis treatment?

The protocol requires tafenoquine within an atovaquone combination regimen to continue until two weeks after two consecutive negative conventional PCR tests and resolution of babesiosis symptoms. Post-treatment assessment uses a blood-donor NAT assay that is 500-fold more sensitive than conventional PCR and is not routinely available for patient care.