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Traws Pharma Announces Receipt of FDA Guidance on Tivoxavir Marboxil and Reports Plans for Pursuing Stockpiling for Pandemic Preparedness

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Traws Pharma (NASDAQ: TRAW) has received FDA feedback regarding development paths for tivoxavir marboxil (TXM) approval for both bird flu and seasonal flu treatment. The FDA's guidance includes the potential use of the Animal Rule pathway and the possibility of conducting a combined clinical study for both flu types. The company is pursuing discussions with BARDA for potential stockpiling of TXM for pandemic preparedness, particularly given the historical 50% mortality rate associated with H5N1 virus outbreaks. Traws plans to request a Type D meeting with the FDA to specify next steps and will engage with international regulatory agencies. The company reports positive results from three animal models of bird flu, supporting TXM's potential effectiveness.
Traws Pharma (NASDAQ: TRAW) ha ricevuto riscontri dalla FDA riguardo ai percorsi di sviluppo per l'approvazione del tivoxavir marboxil (TXM) sia per il trattamento dell'influenza aviaria che di quella stagionale. Le indicazioni della FDA includono la possibilità di utilizzare la via dell'Animal Rule e la possibilità di condurre uno studio clinico combinato per entrambi i tipi di influenza. L'azienda sta avviando discussioni con BARDA per un eventuale stoccaggio di TXM in vista della preparazione a una pandemia, soprattutto considerando il tasso di mortalità storico del 50% associato agli episodi di virus H5N1. Traws intende richiedere un incontro di tipo D con la FDA per definire i prossimi passi e si impegnerà con le agenzie regolatorie internazionali. La società riporta risultati positivi da tre modelli animali di influenza aviaria, a supporto dell'efficacia potenziale di TXM.
Traws Pharma (NASDAQ: TRAW) ha recibido comentarios de la FDA sobre las vías de desarrollo para la aprobación de tivoxavir marboxil (TXM) tanto para el tratamiento de la gripe aviar como de la gripe estacional. La orientación de la FDA incluye el posible uso de la vía Animal Rule y la posibilidad de realizar un estudio clínico combinado para ambos tipos de gripe. La compañía está en conversaciones con BARDA para el posible almacenamiento de TXM para la preparación ante pandemias, especialmente dada la tasa histórica de mortalidad del 50% asociada a los brotes del virus H5N1. Traws planea solicitar una reunión Tipo D con la FDA para especificar los próximos pasos y se comprometerá con agencias regulatorias internacionales. La empresa reporta resultados positivos en tres modelos animales de gripe aviar, respaldando la posible eficacia de TXM.
Traws Pharma(NASDAQ: TRAW)는 조류독감 및 계절성 독감 치료를 위한 티복사비르 마복실(TXM) 승인 개발 경로에 대해 FDA로부터 피드백을 받았습니다. FDA의 지침에는 Animal Rule 경로 사용 가능성과 두 가지 독감 유형을 위한 통합 임상 시험 실시 가능성이 포함되어 있습니다. 회사는 특히 H5N1 바이러스 발병 시 50%의 과거 치명률을 고려하여 팬데믹 대비를 위한 TXM 비축을 위해 BARDA와 논의를 진행 중입니다. Traws는 FDA와의 Type D 미팅을 요청하여 다음 단계를 명확히 하고 국제 규제 기관과도 협력할 계획입니다. 회사는 조류독감 3가지 동물 모델에서 긍정적인 결과를 보고하여 TXM의 잠재적 효과를 뒷받침하고 있습니다.
Traws Pharma (NASDAQ : TRAW) a reçu des retours de la FDA concernant les voies de développement pour l'approbation du tivoxavir marboxil (TXM) pour le traitement de la grippe aviaire et de la grippe saisonnière. Les directives de la FDA incluent l'utilisation potentielle de la voie Animal Rule ainsi que la possibilité de mener une étude clinique combinée pour les deux types de grippe. La société engage des discussions avec BARDA en vue d'un stockage potentiel de TXM pour la préparation à une pandémie, notamment compte tenu du taux de mortalité historique de 50 % associé aux épidémies du virus H5N1. Traws prévoit de demander une réunion de type D avec la FDA pour préciser les prochaines étapes et collaborera avec les agences réglementaires internationales. L'entreprise rapporte des résultats positifs issus de trois modèles animaux de grippe aviaire, soutenant l'efficacité potentielle de TXM.
Traws Pharma (NASDAQ: TRAW) hat von der FDA Rückmeldungen zu den Entwicklungswegen für die Zulassung von Tivoxavir Marboxil (TXM) sowohl zur Behandlung der Vogelgrippe als auch der saisonalen Grippe erhalten. Die FDA-Leitlinien beinhalten die mögliche Nutzung des Animal Rule-Verfahrens sowie die Option, eine kombinierte klinische Studie für beide Grippearten durchzuführen. Das Unternehmen führt Gespräche mit BARDA über eine mögliche Bevorratung von TXM zur Pandemievorsorge, insbesondere angesichts der historischen Sterblichkeitsrate von 50 % bei Ausbrüchen des H5N1-Virus. Traws plant, ein Type-D-Meeting mit der FDA zu beantragen, um die nächsten Schritte festzulegen, und wird mit internationalen Zulassungsbehörden zusammenarbeiten. Das Unternehmen berichtet positive Ergebnisse aus drei Tiermodellen der Vogelgrippe, die die potenzielle Wirksamkeit von TXM unterstützen.
Positive
  • Positive therapeutic effects demonstrated in three animal models of bird flu
  • FDA provided guidance on development paths for dual approval (bird flu and seasonal flu)
  • Potential streamlined approval process through the Animal Rule pathway
  • Initiated discussions with BARDA for potential government stockpiling
Negative
  • Still in early clinical-stage development without human efficacy data
  • Requires additional regulatory meetings and approvals before moving forward
  • Development timeline uncertain due to dependency on regulatory processes

Insights

FDA provides guidance on tivoxavir marboxil's approval pathways for flu, including Animal Rule, boosting Traws' pandemic preparedness positioning.

Traws Pharma has received critical FDA feedback on regulatory pathways for tivoxavir marboxil (TXM), their investigational treatment for both avian (bird) flu and seasonal influenza. The FDA's written responses outline potential approval strategies, including a significant pathway under the Animal Rule - a regulatory mechanism designed specifically for situations where traditional human clinical trials would be unethical or impractical.

This regulatory milestone is particularly noteworthy as the Animal Rule provides a viable path to approval for emerging threat pathogens like H5N1 avian influenza, which has historically shown mortality rates up to 50% in human outbreaks. The FDA has suggested a combined clinical study approach that would enroll both seasonal and bird flu-infected subjects as infections naturally occur.

The company is strategically advancing on two fronts: continuing FDA engagement by requesting a Type D meeting to specify next steps, while simultaneously initiating dialog with the Biomedical Advanced Research and Development Authority (BARDA) regarding potential stockpiling arrangements. The latter represents a critical commercial opportunity, as BARDA manages pandemic preparedness stockpiling in the United States.

The FDA's acknowledgment of TXM's development pathway, coupled with the company's reported efficacy in three animal models of bird flu, positions Traws to potentially secure government procurement contracts. For pre-revenue biopharmaceutical companies, such contracts can provide substantial non-dilutive funding and revenue certainty. The company appears to be leveraging former CDC Director Dr. Redfield's expertise to navigate these specialized government procurement channels, while also planning to pursue similar stockpiling opportunities with international agencies.

NEWTOWN, Pa., May 27, 2025 (GLOBE NEWSWIRE) -- Traws Pharma, Inc. (NASDAQ: TRAW) (“Traws Pharma”, “Traws” or “the Company”), a clinical-stage biopharmaceutical company developing novel therapies to target critical threats to human health from respiratory viral diseases, today announced receipt of written responses to questions submitted for a Type B pre-Investigational New Drug Application meeting with the U.S. Food and Drug Administration (FDA, the Agency). The FDA provided feedback on development paths for potential approval of tivoxavir marboxil (TXM) for bird flu and seasonal flu, including on the use of the Animal Rule. The Animal Rule is intended to provide a path to approval in situations when human clinical studies would be unethical or impractical.

“The FDA has provided detailed feedback on the development paths for approval, including a combined clinical study enrolling seasonal flu and bird flu-infected subjects, as such infections occur. We are requesting a Type D meeting with the FDA to specify next steps and look forward to working closely with the Agency to develop TXM for bird flu and seasonal flu,” said C. David Pauza, PhD, Chief Science Officer for Traws Pharma.

“The consistent finding of therapeutic effects of TXM in three animal models of bird flu increases our confidence that this compound should be rapidly progressed for stockpiling and pandemic readiness by government agencies,” said Robert R. Redfield, MD, Chief Medical Officer for Traws Pharma and former Director of the U.S. Centers for Disease Control and Prevention (CDC). “To that end, we have initiated a dialog with the Biomedical Advanced Research and Development Authority (BARDA), the responsible agency for stockpiling for pandemic preparedness in the United States, and we plan to engage with respective international regulatory agencies for the same purpose. With the known history that previous H5N1 virus outbreaks in human populations are associated with death rates of up to 50%1, we believe that these actions should be pursued with great urgency.”

“This initial interaction with the FDA has helped guide the development of TXM as a broad therapeutic against pandemic and seasonal influenza,” commented Iain Dukes, MA DPhil, Interim CEO of Traws Pharma. “We are committed to progressing the process for stockpiling TXM to prevent any pandemic outbreaks associated with bird flu.”

About Tivoxavir Marboxil

Tivoxavir marboxil (TXM) is an investigational oral, small molecule CAP-dependent endonuclease inhibitor designed to be administered as a single-dose for the treatment of bird flu and seasonal influenza. It has potent in vitro activity against a range of influenza strains in preclinical studies, including a human isolate of the highly pathogenic avian flu H5N1 (bird flu). Consistent, positive preclinical data from three animal species indicate that a single dose of TXM demonstrated a therapeutic effect against H5N1 bird flu. Seasonal influenza represents an estimated multi-billion dollar antiviral market opportunity, largely driven by global health organizations, practice guidelines and government tenders2,3, with upside potential from potential pandemic flu outbreaks including H5N1 bird flu. We believe that these data support further development of tivoxavir marboxil as a treatment for bird flu and seasonal flu.

Source information:

  1. Per link
  2. Per link   
  3. TRAW data on file

About Traws Pharma, Inc.

Traws Pharma is a clinical stage biopharmaceutical company dedicated to developing novel therapies to target critical threats to human health in respiratory viral diseases. Traws integrates antiviral drug development, medical intelligence and regulatory strategy to meet real world challenges in the treatment of viral diseases. We are advancing novel investigational oral small molecule antiviral agents that have potent activity against difficult to treat or resistant virus strains that threaten human health: bird flu and seasonal influenza, and COVID-19/Long COVID. Tivoxavir marboxil is in development as a single dose treatment for bird flu and seasonal influenza, targeting the influenza cap-dependent endonuclease (CEN). Ratutrelvir is in development as a ritonavir-independent COVID treatment, targeting the Main protease (Mpro or 3CL protease).

For more information, please visit www.trawspharma.com and follow us on LinkedIn.

Forward-Looking Statements

Some of the statements in this release are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, and involve risks and uncertainties including statements regarding the Company, its business and product candidates, including the potential opportunity, benefits and the regulatory plans for tivoxavir marboxil. The Company has attempted to identify forward-looking statements by terminology including “believes”, “estimates”, “anticipates”, “expects”, “plans”, “intends”, “may”, “could”, “might”, “will”, “should”, “preliminary”, “encouraging”, “approximately” or other words that convey uncertainty of future events or outcomes. Although Traws believes that the expectations reflected in such forward-looking statements are reasonable as of the date made, expectations may prove to have been materially different from the results expressed or implied by such forward-looking statements. These statements are only predictions and involve known and unknown risks, uncertainties, and other factors, including the success and timing of Traws’ clinical trials, our ability to take advantage of expedited regulatory pathways for tivoxavir marboxil, our ability to obtain regulatory approval of tivoxavir marboxil, the expectations of our interactions with regulatory authorities, including both the FDA and BARDA and international regulatory agencies, market conditions, regulatory requirements, changes in government regulation, the extent of the spread and threat of the bird flu, and those discussed under the heading “Risk Factors” in Traws’ filings with the U.S. Securities and Exchange Commission (SEC). Any forward-looking statements contained in this release speak only as of its date. Traws undertakes no obligation to update any forward-looking statements contained in this release to reflect events or circumstances occurring after its date or to reflect the occurrence of unanticipated events, except to the extent required by law.

Traws Pharma Contact:
Nora Brennan
Traws Pharma, Inc.
nbrennan@trawspharma.com
www.trawspharma.com

Investor Contact:
Bruce Mackle
LifeSci Advisors, LLC
646-889-1200
bmackle@lifesciadvisors.com


FAQ

What is the status of Traws Pharma's (TRAW) tivoxavir marboxil FDA approval process?

Traws Pharma has received FDA feedback on development paths for TXM and is planning to request a Type D meeting to specify next steps for both bird flu and seasonal flu applications.

What is the potential market for TRAW's tivoxavir marboxil (TXM)?

TXM targets both bird flu and seasonal flu, with potential government stockpiling opportunities through BARDA for pandemic preparedness, particularly given H5N1's historical 50% mortality rate.

How effective is Traws Pharma's (TRAW) tivoxavir marboxil in clinical trials?

TXM has shown therapeutic effects in three animal models of bird flu, but human clinical trials have not yet been reported.

What is the Animal Rule pathway that TRAW is pursuing for tivoxavir marboxil?

The Animal Rule is an FDA approval pathway for situations where human clinical studies would be unethical or impractical, allowing approval based on animal study data.

What are the next steps for Traws Pharma (TRAW) in developing tivoxavir marboxil?

Traws plans to hold a Type D meeting with the FDA, pursue discussions with BARDA for stockpiling, and engage with international regulatory agencies.
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