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Tvardi Therapeutics Selects Ulcerative Colitis as Initial Indication for TTI-109

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Tvardi Therapeutics (NASDAQ: TVRD) has selected ulcerative colitis (UC) as the initial indication for its next-generation oral STAT3 inhibitor TTI-109, following completion of a Phase 1 healthy volunteer study. TTI-109 modulated multiple STAT3-driven immune cell populations, including Th17, T follicular helper (Tfh) and B cells, which are implicated in UC pathology.

Across the active dose range, Tvardi observed up to 76% reduction in pathogenic Th17 subsets, up to 43% reduction in disease-associated Tfh subsets, and up to 71% decline in B-cell subsets linked to colonic inflammation. Tvardi plans to start a trial of TTI-109 in moderate-to-severe UC in 2027, subject to IND clearance and additional funding, with safety as the primary endpoint and 12-week clinical remission as a secondary endpoint. The company highlights UC’s estimated $3 billion U.S. and $9 billion global market and notes differentiated safety across more than 400 subjects treated with its STAT3 inhibitors to date. Tvardi will also host a KOL webinar on Wednesday, August 19, at 11:00 a.m. ET to review new TTI-109 data and the UC treatment landscape.

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Positive

  • TTI-109 Phase 1 showed up to 76% reduction in pathogenic Th17 subsets
  • Disease-associated Tfh subsets reduced by up to 43% in Phase 1 immune analyses
  • B-cell subsets linked to colonic inflammation declined up to 71%
  • Tvardi reports >400 subjects dosed with STAT3 inhibitors with differentiated safety vs JAK inhibitors
  • Preclinical UC models showed >8-fold higher TTI-109 levels in colon tissue vs plasma
  • UC targeted market estimated at $3 billion in the U.S. and $9 billion globally

Negative

  • Planned moderate-to-severe UC trial for TTI-109 deferred until 2027
  • UC trial initiation is contingent on IND clearance and additional funding

News Explained

Funding remains conditional; an active shelf authorizes 12.5 million dollars of common-stock offers, and March 31 cash equaled 304.9 days of prior-quarter cash use.

Tvardi has selected UC for TTI-109, but the planned 2027 study remains conditional on IND clearance and additional funding rather than being a currently funded program.

An active shelf’s Sales Agreement authorizes up to $12,500,000 of common-stock offers; that is an authorization, not a disclosed issuance or committed proceeds for the study.

At March 31, 2026, cash and equivalents were $19,851,000, equal to 304.9 days of the last reported operating cash use.

Sources and calculations
  • Cash and equivalents vs quarterly operating cash outflow, in days of cash use $19,851,000 / ($5,859,000 / 90) = [object Object]

Market Context

Tvardi's recent record included a 54.23% 24-hour gain after July 7 clinical data and a -6.75% move a...
Analysis

Tvardi's recent record included a 54.23% 24-hour gain after July 7 clinical data and a -6.75% move after an investor-events notice. The active S-3 shelf and conditional 2027 trial provide financing and execution risks to monitor.

Key Figures

Patients without remission: More than 70% Th17 subset reduction: Up to 76% Tfh subset reduction: Up to 43% +5 more
8 metrics
Patients without remission More than 70% Currently approved UC therapies
Th17 subset reduction Up to 76% Phase 1 healthy volunteer study
Tfh subset reduction Up to 43% Phase 1 healthy volunteer study
B-cell subset reduction Up to 71% Phase 1 healthy volunteer study
U.S. UC patients More than 1.25 million patients Diagnosed in the United States
U.S. addressable market Approximately $3 billion Ulcerative colitis market
Global addressable market $9 billion Ulcerative colitis market
Clinical remission rates Below 30% Placebo-adjusted rates for currently approved therapies

Historical Context

5 past events · Latest: Jul 7 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Jul 7 Phase 1 clinical data Positive +54.2% TTI-109 showed STAT3 target engagement, improved tolerability, and immune-cell reductions.
May 21 Investor event participation Neutral -6.8% Management announced participation in two June investor events.
May 8 First-quarter earnings Neutral -0.7% Q1 results included a $6.8M net loss and cash runway into Q4 2026.
Apr 2 Investor symposium participation Neutral +0.7% Tvardi announced one-on-one meetings at an April biotech symposium.
Mar 31 Annual earnings update Positive -5.7% Full-year update reported cash runway and reduced annual net loss.

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

Pattern Detected

Tvardi's July clinical-data announcement aligned with a gain, while several investor, earnings, and business-update events showed limited or negative price reactions.

Key Terms

stat3, pharmacodynamic, single nucleotide polymorphisms, black box warning, +1 more
5 terms
stat3 technical
"STAT3 acts as a convergent node downstream of multiple signaling pathways"
STAT3 is a protein inside cells that acts like a control knob for turning sets of genes on or off, influencing cell growth, survival and immune responses. For investors, STAT3 matters because drugs or tests that block or measure its activity can be used to treat or track cancers and inflammatory diseases, so progress on STAT3-targeted therapies or diagnostics can affect the value and prospects of biotech and pharmaceutical firms.
pharmacodynamic medical
"Exploratory pharmacodynamic endpoints will include serum/tissue biomarkers"
Pharmacodynamic describes how a drug acts on the body — the biological effects it produces, how strong those effects are, and how long they last. For investors, pharmacodynamic data show whether a treatment actually works and at what dose, shaping expectations about a drug’s safety, effectiveness, regulatory success and market potential; think of it like testing how well a key turns a lock and whether it reliably opens the door.
single nucleotide polymorphisms medical
"analysis of single nucleotide polymorphisms (SNPs)"
A single nucleotide polymorphism (SNP) is a change in just one ‘letter’ of the genetic code at a specific spot in the genome, like a single-letter typo in a long instruction manual for the body. SNPs can influence disease risk, how patients respond to drugs, and whether a genetic test can identify suitable treatments, so they matter to investors because they inform drug development, diagnostics, regulatory pathways and the commercial potential of healthcare products.
black box warning regulatory
"JAK inhibitors carry a black box warning for major adverse cardiovascular events"
A black box warning is the strongest safety notice a drug regulator puts on a medication’s label to highlight risks of serious or life‑threatening side effects, like a bold red alert on a product. For investors it signals higher regulatory scrutiny, potential drops in prescriptions, increased liability and marketing limits, all of which can meaningfully affect a drug maker’s sales, costs and stock outlook.
investigational new drug regulatory
"subject to clearance of Investigational New Drug (IND) application"
An investigational new drug is a medication that is still being tested in clinical trials to determine if it is safe and effective for treating a specific condition. For investors, it represents a potential breakthrough that could lead to a new treatment and significant financial gains if successful, but also carries risks since it has not yet been approved for widespread use.

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

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STAT3 acts as a convergent node downstream of multiple signaling pathways implicated in ulcerative colitis (UC), integrating immune dysregulation, inflammation and tissue remodeling 

More than 70% of patients do not achieve clinical remission with currently approved UC therapies, which target individual upstream pathways; TTI-109 is designed to directly inhibit STAT3 where these pathways intersect

Selection follows completion of the TTI-109 Phase 1 healthy volunteer study, which demonstrated placebo-adjusted reductions across cellular and humoral immune cell subsets implicated in UC pathology

Company to host KOL webinar with Dr. Randy Longman, M.D., Ph.D. on Wednesday, August 19 at 11:00 AM ET to discuss current treatment landscape and share new data supporting the potential of TTI-109 in UC

HOUSTON, July 30, 2026 (GLOBE NEWSWIRE) -- Tvardi Therapeutics, Inc. (“Tvardi” or the “Company”) (NASDAQ: TVRD), a clinical-stage biopharmaceutical company focused on the development of novel, oral, small molecule therapies targeting STAT3 to treat inflammatory and proliferative diseases, today announced that it has selected ulcerative colitis (UC) as the initial disease indication for its next generation STAT3 inhibitor, TTI-109.

Tvardi’s decision follows its successful Phase 1 healthy volunteer study, in which TTI-109 successfully modulated multiple STAT3-driven immune cell populations, including Th17, T follicular helper (Tfh) and B cells. These same cell types are known to expand with UC disease severity and infiltrate the inflamed colon.

Further analysis of immune cell populations across the active dose range elucidated:

  • Broad suppression of pathogenic Th17-associated immune populations, including up to 76% reduction in subsets associated with mucosal destruction and treatment-refractory UC
  • The Tfh immune populations that drive mucosal B cell responses were reduced up to 43% in Tfh subsets associated with disease UC activity
  • Suppression extended to B cell (humoral) immunity, including up to 71% decline in subsets associated with colonic inflammation

STAT3 sits at the center of the three interconnected processes that drive UC: immune dysregulation, chronic inflammation and the tissue remodeling that leads to fibrosis, positioning it as a single, convergent therapeutic target for a disease with multiple underlying drivers. These findings are further supported by published clinical studies linking reductions in activated STAT3 with higher rates of clinical remission across multiple UC therapeutic classes.

UC is a large and underserved market. More than 1.25 million patients are diagnosed with UC in the United States, representing an addressable market of approximately $3 billion in the U.S. and $9 billion globally. Currently approved therapies, including anti-TNF, anti-integrin, anti-IL-12/23, S1P and JAK inhibitors, achieve placebo-adjusted clinical remission rates below 30%, and most are administered parenterally. Additionally, JAK inhibitors carry a black box warning for major adverse cardiovascular events, mortality, thrombosis, serious infections and malignancy.

By contrast, TTI-109, an oral small molecule, is designed to inhibit STAT3 directly, addressing the inflammation, immune dysregulation and proliferation that single-pathway therapies leave unresolved. Across more than 400 subjects dosed to date with Tvardi’s STAT3 inhibitors demonstrated a differentiated safety profile from JAK inhibitors. TTI-109 is administered orally without a loading dose, and in preclinical models of UC, achieved more than eight-fold greater drug concentration in target tissue relative to plasma.

Imran Alibhai, Ph.D., Chief Executive Officer of Tvardi, stated, “In our healthy volunteer study we observed reductions across immune cell populations that the published literature implicates in UC pathogenesis, and we saw them consistently across the active dose range. STAT3 sits downstream of the cytokines that drive UC, including IL-23, IL-6 and IL-17. We believe a single oral agent acting at that convergence point has the potential to help patients who have not responded adequately to a biologic or JAK inhibitor. This is what led us to prioritize UC as our initial indication for TTI-109.”

Planned UC Clinical Trial

Tvardi plans to initiate a study of TTI-109 in patients with moderate-to-severe UC in 2027, subject to clearance of Investigational New Drug (IND) application and additional funding. The primary endpoint will be safety, and the secondary endpoint will be clinical remission at 12 weeks. Exploratory pharmacodynamic endpoints will include serum/tissue biomarkers and analysis of single nucleotide polymorphisms (SNPs).

Key Opinion Leader Webinar

Tvardi will host a Key Opinion Leader (KOL) webinar featuring Randy Longman, MD, PhD, of Weill Cornell Medicine on Wednesday, August 19, at 11:00 a.m. ET. During the event, Tvardi management will present new data supporting the therapeutic potential of TTI-109 in ulcerative colitis, while Dr. Longman will provide an overview of the evolving UC treatment landscape, remaining unmet needs and the potential role of novel therapies.

To register for the webinar, please click here or visit the Investor Relations section of Tvardi’s website.

KOL Biography – Randy Longman, MD, PhD

Randy Longman is the Director of the Jill Roberts Center for IBD and an Associate Professor of Medicine in the Jill Roberts Institute for Research in IBD at Weill Cornell Medicine. He received his undergraduate degree from Yale University, his M.D. from Weill Cornell Medical College, and his Ph.D. in immunology from The Rockefeller University. He completed clinical training in Internal Medicine and Gastroenterology at Columbia University Medical Center and a post-doctoral research fellowship with Dr. Dan Littman at the Skirball Institute, NYU School of Medicine. His research focuses on defining the cellular and molecular mechanisms underlying host-microbiota interactions that drive the pathogenesis of mucosal and systemic inflammation in IBD. He has received research funding from many foundations including the NIH, Rainin Foundation, and the Crohn’s and Colitis Foundation. In recognition of his research, he has received the Irma T. Hirschl Career Scientist Award and was recently elected to the American Society for Clinical Investigation. He is currently an associate editor at Journal for Crohn’s and Colitis and a member of the National Scientific Advisory Committee for the Crohn’s and Colitis Foundation.

About Tvardi Therapeutics

Tvardi is a clinical-stage biopharmaceutical company focused on the development of novel, oral small molecule therapies targeting STAT3 to treat inflammatory and proliferative diseases with significant unmet need. STAT3 is a central mediator across critical signaling pathways that drive uncontrolled proliferation, survival and immune dysregulation. STAT3 is also positioned at the intersection of many signaling pathways integral to the survival and immune evasion of cancer cells. The Company has completed a Phase 1 healthy volunteer study of TTI-109 and plans to initiate a clinical trial of TTI-109 in its initial indication, ulcerative colitis, pending IND clearance and the availability of additional funding. The company is also conducting a Phase 1b/2 clinical trial of TTI-101 in hepatocellular carcinoma (NCT05440708). To learn more, please visit tvarditherapeutics.com or follow us on LinkedIn and X (Twitter).

Contacts:

For Tvardi:
Tvardi Investor Relations
ir@tvardi.com

PJ Kelleher
LifeSci Advisors
617-430-7579
pkelleher@lifesciadvisors.com

Cautionary Statement Regarding Forward-looking Statements

Statements contained in this press release regarding matters that are not historical facts are "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. Examples of these forward-looking statements include statements concerning the anticipated benefits of Tvardi’s product candidates, including TTI-109 in dermatologic and GI therapeutic areas and of the Company’s STAT3 inhibitors, including as compared to single-pathway biologics; the potential benefits of TTI-109 as compared to TTI-101, including improved delivery and tolerability; its ongoing and planned clinical trials, including its ongoing Phase 1b/2 clinical trial of TTI-101 in hepatocellular carcinoma and its planned future trials of TTI-109; the results from the Phase 1 trial of TTI-109 validating the Company’s prodrug strategy and supporting its continued development pathway; the Company’s plans to develop TTI-109 in UC, subject to clearance of an IND application and receipt of additional funding; and other statements regarding management’s intentions, plans, beliefs, expectations or forecasts for the future, and, therefore, you are cautioned not to place undue reliance on them.

Because such statements are subject to risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements. These forward-looking statements are subject to a number of risks, including, among other things: the uncertainties associated with Tvardi’s product candidates, as well as risks associated with the clinical development and regulatory approval of product candidates, including potential delays in the completion of clinical trials or safety or other complications related to its product candidates; the ability to obtain IND clearance for TTI-109 in UC on the timelines expected or at all; the requirement for additional capital to continue to advance these product candidates, which may not be available on favorable terms or at all; the significant net losses Tvardi has incurred since inception; Tvardi’s ability to initiate and complete ongoing and planned preclinical studies and clinical trials and advance its product candidates through clinical development; the timing of the availability of data from Tvardi’s clinical trials; the outcome of preclinical testing and clinical trials of the Tvardi’s product candidates, including the ability of those trials to satisfy relevant governmental or regulatory requirements; Tvardi’s plans to research, develop and commercialize its current and future product candidates; the clinical utility, potential benefits and market acceptance of Tvardi’s product candidates; the estimated patient populations and total addressable markets for the indications in which Tvardi seeks to develop its product candidates; Tvardi’s anticipated cash runway; Tvardi’s ability to attract, hire, and retain skilled executive officers and employees; Tvardi’s ability to protect its intellectual property and proprietary technologies; Tvardi’s reliance on third parties, contract manufacturers and contract research organizations; the possibility that Tvardi may be adversely affected by other economic, business or competitive factors; risks associated with changes in applicable laws or regulations; those factors discussed in Tvardi’s filings with the Securities and Exchange Commission, including the “Risk Factors” section of the Annual Report on Form 10-K for the year ended December 31, 2025, and Tvardi’s other documents subsequently filed with or furnished to the SEC, all of which are available on the SEC’s website at www.sec.gov. All forward-looking statements contained in this press release speak only as of the date on which they were made. The company undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made, except as required by law.


FAQ

What did Tvardi Therapeutics (NASDAQ: TVRD) announce about TTI-109 and ulcerative colitis on July 30, 2026?

Tvardi Therapeutics announced that ulcerative colitis (UC) will be the initial indication for its oral STAT3 inhibitor TTI-109. According to Tvardi, this decision follows a Phase 1 healthy volunteer study showing modulation of STAT3-driven immune cell populations implicated in UC pathogenesis.

What were the key Phase 1 findings for Tvardi’s TTI-109 that support its use in ulcerative colitis (TVRD)?

Phase 1 data showed up to 76% reduction in pathogenic Th17 subsets, 43% reduction in disease-associated Tfh subsets, and 71% decline in B-cell subsets. According to Tvardi, these immune cells expand with UC severity and infiltrate inflamed colonic tissue.

When will Tvardi Therapeutics start the TTI-109 clinical trial in moderate-to-severe ulcerative colitis and what are its endpoints?

Tvardi plans to initiate a TTI-109 study in moderate-to-severe UC in 2027, subject to IND clearance and funding. According to Tvardi, the primary endpoint will be safety, with 12-week clinical remission and pharmacodynamic biomarkers as secondary and exploratory endpoints.

How large is the ulcerative colitis market Tvardi Therapeutics is targeting with TTI-109 (NASDAQ: TVRD)?

Tvardi estimates more than 1.25 million U.S. UC patients, representing about $3 billion in U.S. addressable market and $9 billion globally. According to Tvardi, many patients do not reach clinical remission with existing pathway-specific therapies.

How does Tvardi’s TTI-109 differ from currently approved JAK inhibitors for ulcerative colitis?

TTI-109 is an oral small molecule designed to directly inhibit STAT3, a convergent signaling node, rather than JAK pathways. According to Tvardi, over 400 subjects have received its STAT3 inhibitors, showing a differentiated safety profile compared with JAK inhibitors, which carry boxed warnings.

What are the planned pharmacodynamic and biomarker analyses in Tvardi’s upcoming TTI-109 ulcerative colitis trial?

The planned UC study will include exploratory pharmacodynamic endpoints such as serum and tissue biomarkers and analysis of single nucleotide polymorphisms (SNPs). According to Tvardi, these measures are intended to characterize STAT3 pathway modulation and patient-level biological responses.

When is Tvardi’s KOL webinar on TTI-109 in ulcerative colitis and what will it cover?

Tvardi will host a KOL webinar on Wednesday, August 19, at 11:00 a.m. ET, featuring Dr. Randy Longman. According to Tvardi, the event will review new TTI-109 data, UC treatment landscape, unmet needs, and potential roles for novel STAT3-targeted therapies.