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Tiziana Reports Reduction in Brain Inflammation in Third Multiple System Atrophy Patient Treated with Intranasal Foralumab

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Tiziana Life Sciences (Nasdaq: TLSA) reported quantitative PET imaging results from the third Multiple System Atrophy (MSA) patient to complete dosing in its Phase 2 trial of intranasal foralumab. PET analysis showed up to a 34% reduction in standardized uptake value (SUV) and 26% reduction in standardized uptake value ratio (SUVR) in disease-relevant brain regions, including the basal ganglia and cerebellar white matter.

According to Tiziana, these reductions are similar to those seen in the first two MSA patients, who demonstrated up to approximately 35% SUV and 24% SUVR reductions, supporting PET imaging evidence of biological activity in dampening neuroinflammation. The company plans to treat additional MSA patients and continues parallel development of intranasal foralumab in non-active secondary progressive multiple sclerosis through an expanded access program and a Phase 2a randomized trial.

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Positive

  • Third MSA patient PET results up to 34% SUV and 26% SUVR reduction in key brain regions
  • Consistent PET reductions across first three MSA patients, with prior data showing ~35% SUV and 24% SUVR decreases
  • 14 na-SPMS patients in expanded access program showed improvement or stability within 6 months, per Tiziana
  • Phase 2a randomized trial of intranasal foralumab ongoing in non-active secondary progressive multiple sclerosis
  • Only fully human anti-CD3 mAb currently in clinical development, according to Tiziana
  • Favorable safety profile and clinical responses reported to date for intranasal foralumab, per the company

Negative

  • MSA PET data currently based on only three patients who have completed dosing
  • Further validation needed, with correlation to clinical features and additional quantitative techniques recommended
  • No approved disease-modifying treatments currently exist for MSA, underscoring ongoing unmet need and development risk

News Explained

The third MSA patient completed dosing, but the reported up-to-34% SUV and 26% SUVR reductions are PET imaging findings; the release says their relationship to clinical features and confirmation with additional quantitative techniques remain to be established.

Market Context

TLSA's May 21 enrollment event carried a -9.32% 24-hour historical reaction, adding context to this ...
Analysis

TLSA's May 21 enrollment event carried a -9.32% 24-hour historical reaction, adding context to this clinical update. The record supports monitoring confirmation and clinical correlation, while low short positioning provides limited squeeze-related context.

Key Figures

MSA patients completing dosing: 3 patients SUV reduction: up to 34% SUVR reduction: 26% +4 more
7 metrics
MSA patients completing dosing 3 patients Phase 2 MSA trial
SUV reduction up to 34% Third MSA patient; basal ganglia and cerebellar white matter
SUVR reduction 26% Third MSA patient; most affected MSA brain areas
Prior SUV reduction up to 35% First two MSA patients
Prior SUVR reduction 24% First two MSA patients
Expanded access patients 14 patients Non-active secondary progressive multiple sclerosis program
Disease improvement or stability timeframe 6 months Expanded access program

Historical Context

5 past events · Latest: Jul 22 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Jul 22 Insider share purchase Positive -5.5% Executive chairman purchased shares, but the stock declined over the following 24 hours.
Jun 25 Phase 2 dosing update Positive +0.9% The last patient received a first dose in the INFORM-MS Phase 2a trial.
Jun 15 Insider share purchase Positive +0.9% Executive chairman purchased additional shares through Panetta Partners Limited.
May 28 Healthcare conference presentation Neutral -0.7% Management scheduled a corporate presentation covering clinical and corporate updates.
May 21 Phase 2 enrollment update Positive -9.3% The INFORM-MS placebo-controlled Phase 2a trial reached full enrollment.

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

Pattern Detected

TLSA showed mixed reactions to prior company announcements, including two positive clinical or insider events followed by negative moves.

Key Terms

pet imaging, standardized uptake value, standardized uptake value ratio, anti-CD3 monoclonal antibody, +1 more
5 terms
pet imaging technical
"Quantitative analysis of PET scans demonstrated reductions in inflammatory activity"
PET imaging is a noninvasive medical scan that works like a molecular camera, using tiny radioactive tracers to reveal biological activity inside the body—for example metabolism, blood flow, or the presence of specific proteins. It matters to investors because PET results guide diagnosis, show whether a drug reaches its intended target and how patients respond, and therefore affect clinical trial success, regulatory approval, reimbursement decisions and demand for scanners, tracers and related services.
standardized uptake value medical
"34% reduction in standardized uptake value (SUV)"
Standardized uptake value (SUV) is a single-number measure from a PET scan that shows how much of a radioactive tracer a specific area of the body absorbs, adjusted for the amount of tracer given and the patient’s size. Think of it like a brightness setting on a heat map that is normalized so different scans can be compared; higher or changing SUV values can indicate disease activity, treatment response, or drug effect, making it a useful metric for investors assessing clinical results or healthcare technologies.
standardized uptake value ratio medical
"26% reduction in standardized uptake value ratio (SUVR)"
A standardized uptake value ratio (SUVr) is a number from a PET scan that compares how much of a radioactive tracer collects in a target area (like a tumor or brain region) versus a reference area of the body. Think of it as measuring how much brighter one spot is compared with normal background lighting. Investors care because SUVr provides an objective, repeatable signal of disease activity or drug effect, and changes in SUVr often drive clinical decisions, trial endpoints, regulatory reviews and market adoption for diagnostics and therapies.
anti-CD3 monoclonal antibody medical
"a fully human, anti-CD3 monoclonal antibody"
A lab-made antibody engineered to attach to CD3, a protein found on T cells, so it can change how those immune cells behave. Investors care because these drugs can act like a targeted brake on an overactive immune system—useful for autoimmune disease, transplant rejection or as part of cancer therapies—but they also carry clinical trial, safety and regulatory risks that determine commercial success.
mucosal tolerance medical
"through mucosal tolerance mechanisms and reduce inflammation"
Mucosal tolerance is the immune system’s tendency to ignore or dampen responses to substances encountered on mucous membranes—such as in the nose, mouth, gut or lungs—so harmless proteins or food don’t trigger inflammation. Think of it like a neighborhood watch that learns to ignore familiar neighbors to avoid false alarms. For investors, it matters because therapies or vaccines that induce or break mucosal tolerance can change how well treatments for allergies, autoimmune diseases, or mucosal infections work and how regulators evaluate them.

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

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BOSTON, July 31, 2026 (GLOBE NEWSWIRE) -- Tiziana Life Sciences, Ltd. (Nasdaq: TLSA) (“Tiziana”), a biotechnology company developing its lead candidate, intranasal foralumab, a fully human, anti-CD3 monoclonal antibody, announces quantitative PET imaging results from the third patient with Multiple System Atrophy (MSA) in the Phase 2 clinical trial treated with intranasal foralumab to complete dosing.

Quantitative analysis of PET scans demonstrated reductions in inflammatory activity in clinically relevant brain regions known to be affected in MSA following treatment with intranasal foralumab. The third MSA patient to complete dosing has shown up to 34% reduction in standardized uptake value (SUV) and 26% reduction in standardized uptake value ratio (SUVR) in the most affected areas relevant to MSA (basal ganglia and cerebellar white matter) in the brain. These findings are similar to the first two MSA patients, who showed up to approximately 35% reduction in standardized uptake value (SUV) and 24% reduction in standardized uptake value ratio (SUVR).

“The consistency of these PET findings across MSA patients, based on our lab’s approaches, remains encouraging,” said Tarun Singhal, MBBS, M.D.,M.B.A., Founding Director, NeuroPET Program, Ann Romney Center for Neurologic Diseases, Brigham and Women’s Hospital, Mass General Brigham and Associate Professor of Neurology at Harvard Medical School. “In this third patient to complete dosing, we again saw quantitative reductions similar to those previously seen in the first two patients and reinforce the PET imaging evidence supporting biological activity of intranasal foralumab in dampening neuroinflammation in this devastating disease. Correlation with clinical features and further confirmation with additional quantitative techniques should be performed.”

Figure 1: PET Scan of MSA Patient Treated with Intranasal Foralumab
Tiziana Life Sciences

“Seeing reproducible reductions in neuroinflammation on PET imaging in a third MSA patient further strengthens our confidence in the potential of intranasal foralumab,” said Ivor Elrifi, Chief Executive Officer of Tiziana Life Sciences. “These data build directly on the positive signals already observed in the first two MSA patients, as well as in non-active secondary progressive multiple sclerosis and moderate Alzheimer’s disease. We remain committed to advancing this program for patients who currently have no approved disease modifying options.”

PET imaging comparisons conducted before and after treatment demonstrated marked reductions in radiotracer uptake across disease-relevant brain regions. These findings suggest a reduction in neuroinflammatory activity following administration of intranasal foralumab.

Intranasal foralumab is a fully human anti-CD3 monoclonal antibody designed to modulate the immune system through mucosal tolerance mechanisms and reduce inflammation without the systemic toxicities associated with traditional anti-CD3 therapies.

MSA is a rare, progressive neurodegenerative disorder characterized by autonomic dysfunction, parkinsonism, and cerebellar ataxia. There are currently no approved disease-modifying treatments for the condition.

Tiziana plans to continue evaluating intranasal foralumab in additional patients to further validate these findings and better characterize the therapy’s potential to reduce neuroinflammation in MSA.

About Foralumab

Foralumab, a fully human anti-CD3 monoclonal antibody, is a biologic candidate that has been shown to stimulate T regulatory cells when dosed intranasally. Currently, 14 patients with Non-Active Secondary Progressive Multiple Sclerosis (na-SPMS) have been dosed in an open-label intermediate sized Expanded Access (EA) Program (NCT06802328) with either an improvement or stability of disease seen within 6 months in all patients. In addition, intranasal foralumab is currently being studied in a Phase 2a, randomized, double-blind, placebo-controlled, multicenter, dose-ranging trial in patients with non-active secondary progressive multiple sclerosis (NCT06292923).

Foralumab is the only fully human anti-CD3 monoclonal antibody (mAb) currently in clinical development. Immunomodulation by intranasal foralumab represents a novel avenue for the treatment of neuroinflammatory and neurodegenerative human diseases.[1],[2],[3]

About Tiziana Life Sciences

Tiziana is a clinical-stage biopharmaceutical company developing breakthrough therapies using transformational drug delivery technologies to enable alternative routes of immunotherapy. Tiziana’s innovative nasal approach has the potential to provide an improvement in efficacy as well as safety and tolerability compared to intravenous (IV) delivery. Tiziana’s lead candidate, intranasal foralumab, which is the only fully human anti-CD3 mAb currently in clinical development, has demonstrated a favorable safety profile and clinical response in patients in studies to date. Tiziana’s technology for alternative routes of immunotherapy has been patented with several applications pending and is expected to allow for broad pipeline applications.

For more information about Tiziana and its innovative pipeline of therapies, please visit www.tizianalifesciences.com.

Forward-Looking Statements

Certain statements made in this announcement are forward-looking statements. These forward-looking statements are not historical facts but rather are based on the Tiziana's current expectations, estimates, and projections about its industry, its beliefs, and assumptions. Words such as 'anticipates,' 'expects,' 'intends,' 'plans,' 'believes,' 'seeks,' 'estimates,' and similar expressions are intended to identify forward-looking statements. These statements are not guarantees of future performance and are subject to known and unknown risks, uncertainties, and other factors, some of which are beyond the Tiziana's control, are difficult to predict, and could cause actual results to differ materially from those expressed or forecasted in the forward-looking statements. Tiziana cautions security holders and prospective security holders not to place undue reliance on these forward-looking statements, which reflect the view of Tiziana only as of the date of this announcement. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including: the uncertainties related to market conditions and other factors described more fully in the section entitled ‘Risk Factors’ in Tiziana’s Annual Report on Form 20-F for the year ended December 31, 2025, and other periodic reports filed with the Securities and Exchange Commission. The forward-looking statements made in this announcement relate only to events as of the date on which the statements are made. Tiziana will not undertake any obligation to release publicly any revisions or updates to these forward-looking statements to reflect events, circumstances, or unanticipated events occurring after the date of this announcement except as required by law or by any appropriate regulatory authority.

For further inquiries:

Tiziana Life Sciences Ltd
Paul Spencer, Business Development, and Investor Relations
+44 (0) 207 495 2379
email: info@tizianalifesciences.com

[1] https://www.pnas.org/doi/10.1073/pnas.2220272120
[2] https://www.pnas.org/doi/10.1073/pnas.2309221120
[3] https://www.neurology.org/doi/10.1212/NXI.0000000000200543

A photo accompanying this announcement is available at https://www.globenewswire.com/NewsRoom/AttachmentNg/30ec9a73-e4a3-4339-a898-67df1b9ad427


FAQ

What did Tiziana (TLSA) report from the third MSA patient treated with intranasal foralumab?

Tiziana reported that the third MSA patient showed up to a 34% SUV reduction and 26% SUVR reduction on PET imaging. According to Tiziana, these decreases occurred in disease-relevant brain regions, including basal ganglia and cerebellar white matter, suggesting reduced neuroinflammatory activity.

How do the third patient PET results compare with earlier MSA patients in Tiziana’s intranasal foralumab trial (TLSA)?

The third patient’s PET results are similar to the first two MSA patients, who showed up to ~35% SUV and 24% SUVR reductions. According to Tiziana, this consistency across three patients supports imaging evidence of biological activity in dampening neuroinflammation.

What is intranasal foralumab and how is Tiziana (TLSA) developing it for neuroinflammatory diseases?

Intranasal foralumab is a fully human anti-CD3 monoclonal antibody designed to modulate immunity via mucosal tolerance. According to Tiziana, it aims to reduce inflammation without systemic toxicities seen with traditional anti-CD3 therapies and is being studied in MSA and non-active secondary progressive multiple sclerosis.

What multiple sclerosis data has Tiziana (TLSA) disclosed for intranasal foralumab?

Tiziana disclosed that 14 non-active secondary progressive multiple sclerosis patients in an expanded access program showed improvement or stability within 6 months. According to Tiziana, intranasal foralumab is also being evaluated in a Phase 2a randomized, double-blind, placebo-controlled, multicenter, dose-ranging trial.

Why are Tiziana’s intranasal foralumab PET findings important for Multiple System Atrophy (TLSA)?

The PET findings indicate reduced radiotracer uptake in disease-relevant brain regions after treatment, suggesting lower neuroinflammatory activity. According to Tiziana, reproducible imaging changes across three MSA patients may support the biological activity of intranasal foralumab in a disease with no approved disease-modifying treatments.

What are the next steps for Tiziana’s intranasal foralumab program in MSA and MS (TLSA)?

Tiziana plans to continue evaluating intranasal foralumab in additional MSA patients to further validate the PET findings. According to Tiziana, the company is also advancing a Phase 2a trial and expanded access program in non-active secondary progressive multiple sclerosis to better characterize safety and clinical effects.

Does Tiziana (TLSA) claim intranasal foralumab is unique among anti-CD3 therapies?

Yes. According to Tiziana, foralumab is currently the only fully human anti-CD3 monoclonal antibody in clinical development. The company also highlights its intranasal delivery approach, designed to enable immunomodulation with potentially improved safety and tolerability versus traditional intravenous anti-CD3 therapies.