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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934
March 30, 2026
Date of Report (Date of earliest event reported)
Aprea Therapeutics, Inc.
(Exact name of registrant as specified in its
charter)
| Delaware |
001-39069 |
84-2246769 |
(State or other jurisdiction
of incorporation) |
(Commission
File Number) |
(IRS Employer
Identification No.) |
| |
|
|
|
3805 Old Easton Road
Doylestown, PA
(Address of principal executive offices) |
18902
(Zip Code) |
| |
|
|
|
|
Registrant's telephone number, including
area code: (215) 948-4119
(Former name or former address,
if changed since last report): Not applicable |
Check the appropriate box below if the Form 8-K filing
is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
| ¨ | Written communications pursuant to Rule 425 under
the Securities Act (17 CFR 230.425) |
| ¨ | Soliciting material pursuant to Rule 14a-12 under
the Exchange Act (17 CFR 240.14a-12) |
| ¨ | Pre-commencement communications pursuant to Rule 14d-2(b)
under the Exchange Act (17 CFR 240.14d-2(b)) |
| ¨ | Pre-commencement communications pursuant to Rule 13e-4(c)
under the Exchange Act (17 CFR 240.13e-4(c)) |
Securities registered pursuant to Section 12(b) of the
Act:
| Title of each class |
|
Trading Symbol(s) |
|
Name of each exchange on
which registered |
| Common stock, par value $0.001 per share |
|
APRE |
|
The Nasdaq Stock Market LLC |
Indicate by check mark whether the registrant is an emerging
growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities
Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company ¨
If an emerging growth company, indicate by check mark if the
registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards
provided pursuant to Section 13(a) of the Exchange Act. ¨
Item 1.01 Entry Into a Material Definitive
Agreement.
On March 30, 2026, Aprea Therapeutics, Inc. (the
“Company”) entered into a securities purchase agreement (the “Purchase Agreement”) with certain
accredited investors (the “Purchasers”), pursuant to which the Company agreed to issue and sell to the Purchasers,
and the Purchasers agreed to purchase from the Company (i) pre-funded Common Stock purchase warrants (the “Pre-Funded Warrants”)
to purchase up to approximately 37.2 million shares (the “Pre-Funded Warrant Shares”) of common stock, par value $0.001 per share of
the Company (“Common Stock”) at a purchase price per Pre-Funded Warrant equal to $0.808, less the Pre-Funded Warrant
Exercise Price, and (ii) common stock purchase warrants to purchase up to approximately 37.2 million shares of Common Stock (the “Warrant Shares”)
at an exercise price of $0.683 per share (the “Common Warrants” and together with the Pre-Funded Warrants, the “Warrants”).
The closing of the private placement (the “Private Placement”) is expected to occur on March 31, 2026, subject to satisfaction
of customary closing conditions (the “Closing Date”). The expected gross proceeds of the Private Placement are approximately
$30 million, before deducting the placement agent fees and estimated offering expenses payable by the Company.
The Common Warrants will be exercisable immediately
until December 31, 2029 (the “Termination Date”); provided, however, that, if the holder exercises all or any portion
of the holder’s Pre-Funded Warrant, then, with respect to each such exercise of the holder’s Pre-Funded Warrant, the Termination
Date of the Common Warrant with respect to such number of Warrant Shares as correspond to the number of shares of Common Stock issued
upon such exercise of such Pre-Funded Warrant by the holder shall be the thirtieth (30th) calendar day after the date upon
which the holder exercises such Pre-Funded Warrant. If a resale registration statement covering the shares of Common Stock underlying
the Common Warrants is not effective and available at the time of exercise, the Common Warrants may be exercised by means of a “cashless”
exercise formula. The Common Warrants may not be exercised to the extent that immediately following such exercise, the holder would beneficially
own greater than 4.99% (or, at the election of the holder, greater than 9.99%) of the Company’s outstanding Common Stock.
The unfunded exercise price of each Pre-Funded
Warrant will be fixed at a nominal amount of $0.001 per underlying Pre-Funded Warrant Share (the “Pre-Funded
Warrant Exercise Price”). The Pre-Funded Warrants will be exercisable from the date of issuance until exercised in full
and may not be exercised to the extent that immediately following such exercise, the holder would beneficially own greater than 4.99%
(or, at the election of the holder, greater than 9.99%) of the Company’s outstanding Common Stock. The Pre-Funded Warrants may
be exercised by means of a “cashless” exercise formula at any time while outstanding.
The Warrants do not contain any Black Scholes
cash payment obligations, any “price protection” anti-dilution protection or any “price reset” provisions pursuant
to which the exercise price of the Warrants is subject to adjustment or reset at a future date or upon the occurrence of specified or
contingent events directly or indirectly related to the business of the Company or the market prices for the Common Stock, or upon any
future issuance or sale by the Company of shares of its capital stock or securities exercisable or exchangeable for or convertible into
shares of the Company’s capital stock at exercise or conversion prices below the exercise price of the warrants, other than standard
pro rata adjustments for any reorganization, recapitalization, non-cash dividend, stock split, reverse stock split or other similar transaction
that would impact the Common Stock generally.
In connection with the Private Placement, the
Company and the Purchasers entered into a Registration Rights Agreement, dated March 30, 2026 (the “Registration Rights Agreement”),
providing for the registration for resale of the Pre-Funded Warrant Shares and the shares of Common Stock underlying the Common Warrants
that are not then registered on an effective registration statement, pursuant to a registration statement (the “Registration
Statement”) to be filed with the Securities and Exchange Commission (the “SEC”) on or prior to the 30th
day after the Closing Date. The Company has agreed to use its reasonable best efforts to cause the Registration Statement to be declared
effective as promptly as practicable, but in no event later than the earlier of (i) the fifth trading day following the date on which
the Company is notified by the SEC that the Registration Statement will not be reviewed or is no longer subject to further review and
comments and (ii) the 45th calendar day following the date on which the Registration Statement is filed with the SEC (or, in
the event of a “full review” by the SEC, the 60th calendar day following the filing date), and to keep the Registration
Statement continuously effective from the date on which the SEC declares the Registration Statement to be effective until such date that
all Registrable Securities (as such term is defined in the Registration Rights Agreement) covered by the Registration Statement have been
sold pursuant to a registration statement under the Securities Act or under Rule 144 as promulgated by the SEC under the Securities
Act. The Company has granted the Purchasers customary indemnification rights in connection with the Registration Statement. The Purchasers
have also granted the Company customary indemnification rights in connection with the Registration Statement.
The Purchase Agreement also prohibits the Company
from: (a) for 90 days following the date the Registration Statement has been declared effective, issuing, entering into any agreement
to issue or announcing the issuance or proposed issuance of any shares of Common Stock or any Common Stock Equivalents (as defined in
the Purchase Agreement) or filing any registration statement other than the Registration Statement contemplated by the Purchase Agreement,
or (b) for 180 days following the date the Registration Statement has been declared effective the Company or its Subsidiaries (as defined
in the Purchase Agreement) effecting or entering into any agreement to effect the issuance any shares of Common Stock or any Common Stock
equivalents involving a Variable Rate Transaction (as defined in the Purchase Agreement), subject to customary exceptions, including,
without limitation, (i) issuances contemplated by the Purchase Agreement, (ii) pursuant to employee benefit plans, or (iii) beginning
on the 90th day following the date the Registration Statement has been declared effective, pursuant to the Company’s existing at-the-market
offering sales agreement. The Company has agreed to pay the reasonable and documented fees and expenses of counsel to the Lead Investor
(as defined in the Purchase Agreement) in an amount not to exceed $50,000 in the aggregate.
Additionally, each of the directors and executive
officers of the Company, pursuant to lock-up agreements, agreed not to sell or transfer any of the Company securities which they hold,
subject to certain exceptions, during the period beginning on the Closing Date through the close of trading on the date that is the ninetieth
(90th) day following the date the Registration Statement has been declared effective (each, a “Lock-Up Agreement”).
On March 30, 2026, and in connection with the
Purchase Agreement, the Company entered into a customary placement agency agreement (the “Placement Agency Agreement”)
with Oppenheimer & Co Inc. (“Oppenheimer”) and Maxim Group LLC (“Maxim” together with Oppenheimer,
the “Placement Agents”). Pursuant to the Placement Agency Agreement, the Placement Agents are entitled to an aggregate
cash fee of 7% of the gross cash proceeds paid by investors in the Private Placement (the “Placement Fee”). The Company
has agreed to reimburse Oppenheimer for its reasonable expenses incurred in connection with the Private Placement in an aggregate amount
not to exceed $50,000.
On March 30, 2026, in connection with the Private
Placement, the Company entered into an Amendment to the Securities Purchase Agreement (the “Amendment”), effective
as of March 26, 2026, with purchasers that purchased at least 50.1% in interest of the Shares (as defined in the January Purchase Agreement
(as defined below)), to amend that certain Securities Purchase Agreement, dated January 28, 2026, by and among the Company and the purchasers
party thereto (the “January Purchase Agreement”). Prior to the Amendment, the January Purchase Agreement prohibited
the Company from (a) for a period of 30 days following the date the Registration Statement (as defined in the January Purchase Agreement)
was declared effective, issuing, entering into any agreement to issue or announcing the issuance or proposed issuance of any shares of
Common Stock or any Common Stock Equivalents (each as defined in the January Purchase Agreement) or filing any registration statement
other than the Registration Statement contemplated by the January Purchase Agreement, and (b) engaging in any Variable Rate Transaction
(as defined in the January Purchase Agreement) for a period of 180 days following the date the Registration Statement contemplated by
the January Purchase Agreement was declared effective. Pursuant to the Amendment, the January Purchase Agreement was amended to provide
that the Company is prohibited (a) from the date of the January Purchase Agreement until March 26, 2026, from issuing, entering into any
agreement to issue or announcing the issuance or proposed issuance of any shares of Common Stock or any Common Stock Equivalents (each
as defined in the January Purchase Agreement) or filing any registration statement other than the Registration Statement contemplated
by the January Purchase Agreement, and (b) from effecting any Variable Rate Transaction (as defined in the January Purchase Agreement),
until March 26, 2026, subject to customary exemptions.
The foregoing descriptions of the Pre-Funded Warrants,
the Common Warrants, the Purchase Agreement, the Registration Rights Agreements, the Placement Agency Agreement, the Lock-Up Agreement
and the Amendment are qualified in their entirety by reference to the full text of the forms of such documents, copies of which are attached
hereto as Exhibits 4.1, 4.2, 10.1, 10.2, 10.3, 10.4 and 10.5 respectively, and each of which is incorporated herein in its entirety by
reference. The representations, warranties and covenants contained in such agreements were made only for purposes of such agreements and
as of specific dates, were solely for the benefit of the parties to such agreements and may be subject to limitations agreed upon by the
contracting parties.
Item 3.02 Unregistered Sales of Securities.
The information set forth in Item 1.01 of this
Current Report on Form 8-K regarding the Private Placement is incorporated herein by reference into this Item 3.02.
The Common Warrants, the Pre-Funded Warrants,
and the shares of common stock underlying the Common Warrants and the Pre-Funded Warrants (collectively, the “Securities”)
were, and will be, offered and sold in transactions exempt from registration under the Securities Act in reliance on Section 4(a)(2) thereof
and Rule 506(b) of Regulation D thereunder. Each Purchaser is an “accredited investor,” as defined in Regulation D, and is
acquiring the Securities for investment only and not with a view towards, or for resale in connection with, the public sale or distribution
thereof. Accordingly, the Securities will not initially be registered under the Securities Act and the Securities may not be offered or
sold in the United States absent registration or an exemption from registration under the Securities Act and any applicable state securities
laws.
Neither this Current Report on Form 8-K nor the
exhibits attached hereto is an offer to sell or the solicitation of an offer to buy shares of common stock, notes, or any other securities
of the Company.
Item 7.01 Regulation FD Disclosure.
On March 30, 2026, the Company issued a press
release announcing the signing of Purchase Agreement with the Purchasers. A copy of the press release is furnished as Exhibit 99.1 and
is incorporated herein by reference.
The information furnished under this Item 7.01,
including Exhibit 99.1, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as
amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, and shall not be deemed incorporated
by reference into any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth
by specific reference in such filing.
Item 8.01 Other Events.
On March 30, 2026, the Company issued a press
release announcing the confirmation of a partial response (PR) in its ongoing ACESOT-1051 trial evaluating APR-1051, a potent and selective
WEE1 kinase inhibitor. A copy of the press release is filed as Exhibit 99.2 hereto and incorporated herein by reference.
On March 30, 2026, the Company updated its corporate
presentation slide deck. A copy of the corporate presentation slide deck is filed as Exhibit 99.3 hereto and incorporated herein by reference.
Item 9.01 Financial Statements and Exhibits.
(d) Exhibits.
Exhibit
Number |
Title |
| 4.1 |
Form of Pre-Funded Warrant |
| 4.2 |
Form of Common Warrant |
| 10.1* |
Form of Securities Purchase Agreement |
| 10.2 |
Form of Registration Rights Agreement |
| 10.3 |
Form of Placement Agency Agreement |
| 10.4 |
Form of Lock-Up Agreement |
| 10.5 |
Form of Amendment to the Securities Purchase Agreement |
| 99.1 |
Press Release of Aprea Therapeutics, Inc., dated as of March 30, 2026 |
| 99.2 |
Press Release of Aprea Therapeutics, Inc., dated as of March 30, 2026 |
| 99.3 |
Corporate Presentation (March 2026) |
| 104 |
Cover Page Interactive Data File (embedded within the Inline XBRL document). |
*Schedules and exhibits have been omitted from this exhibit pursuant
to Item 601(a)(5) of Regulation S-K. The registrant hereby undertakes to furnish copies of any of the omitted schedules and exhibits upon
request by the U.S. Securities and Exchange Commission.
SIGNATURES
Pursuant to the requirements
of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto
duly authorized.
| |
Aprea Therapeutics, Inc. |
| |
|
| Dated: March 30, 2026 |
By: |
/s/ Oren Gilad |
| |
Name: |
Oren Gilad, Ph.D. |
| |
Title: |
President and Chief Executive Officer |
Exhibit 99.1
Aprea Therapeutics
Announces Oversubscribed $30 Million Private Placement
| · | Financing led by Soleus Capital with participation from Vestal Point Capital,
Squadron Capital Management and additional new and existing investors |
DOYLESTOWN, PA, March 30, 2026 (GLOBE NEWSWIRE)
— Aprea Therapeutics, Inc. (Nasdaq: APRE) (“Aprea”, or the “Company”), a clinical-stage precision
medicine oncology company focused on the discovery and development of targeted therapies for patients with biomarker-defined cancers,
today announced that it has entered into a securities purchase agreement for an oversubscribed private placement financing that is expected
to result in total gross proceeds of approximately $30 million to the Company before deducting placement agent fees and other private
placement expenses (the “Offering”).
The private placement was led by Soleus Capital
with participation from other new investors, including Vestal Point Capital and Squadron Capital Management, existing investors and certain
insiders of the Company.
In connection with the Offering the Company plans
to sell (i) pre-funded warrants to purchase up to an aggregate of approximately 37.2 million shares of common stock (“Pre-Funded
Warrants”), for a purchase price equal to $0.808, minus $0.001 per Pre-Funded Warrant, and (ii) warrants to purchase up to
an aggregate of approximately 37.2 million shares of common stock. The warrants to be issued will have an exercise price of $0.683 per
share, will be exercisable immediately upon issuance, and will expire on the earlier of (i) December 31, 2029, and (ii) 30
calendar days after the exercise of a holder’s Pre-Funded Warrant on a pro rata basis.
The gross proceeds to the Company from the Offering
are estimated to be approximately $30 million before deducting the placement agent’s fees and other estimated Offering expenses.
The Company intends to use the upfront net proceeds from the private placement for general corporate purposes and for research and development
expenses. The Offering is expected to close on or about March 31, 2026, subject to the satisfaction of customary closing conditions.
In addition to the existing biomarker-enriched
cohorts under evaluation in the ongoing ACESOT-1051 Phase 1 trial, Aprea plans to use commercially reasonable efforts to seek enrollment
of at least 50 patients with uterine serous carcinoma (USC), as well as patients with Cyclin E-overexpressing, platinum-resistant ovarian
cancer (PROC) in order to further assess APR-1051 in selected patient populations with high unmet medical need. The Company currently
anticipates completing dose escalation of the ACESOT-1051 trial in the second quarter of 2027 and currently expects that the proceeds
from the Offering will be sufficient to extend its cash runway into the first quarter of 2028, in each case, based on the Company’s
current business plans and assumptions.
Oppenheimer & Co. Inc. is acting as the
lead placement agent for the private placement. Maxim Group LLC is acting as co-lead placement agent for the private placement.
The offer and sale of the foregoing securities
are being made in a private placement under Section 4(a)(2) of the Securities Act of 1933, as amended (the “Securities
Act”), and/or Regulation D promulgated thereunder, and the securities have not been registered under the Securities Act or applicable
state securities laws. Accordingly, the securities may not be reoffered or resold in the United States except pursuant to an effective
registration statement or an applicable exemption from the registration requirements of the Securities Act and such applicable state securities
laws. The Company has agreed to file a registration statement with the Securities and Exchange Commission registering the resale of the
securities purchased in the private placement.
This press release does not constitute an offer
to sell or the solicitation of an offer to buy the securities, nor shall there be any sale of the securities in any state in which such
offer, solicitation or sale would be unlawful prior to the registration or qualification under the securities laws of such state. Any
offering of the securities under the resale registration statement will only be made by means of a prospectus.
About Aprea
Aprea is a clinical-stage precision medicine
oncology company focused on the discovery and development of targeted therapies for patients with biomarker-defined cancers. The Company
is pioneering a new approach to treat cancer by exploiting vulnerabilities associated with cancer cell mutations. This approach was developed
to kill tumors while minimizing the effect on normal, healthy cells. Aprea’s technology has potential applications across multiple
cancer types, enabling it to target a range of tumors, including ovarian, endometrial, colorectal and head and neck squamous cell carcinoma.
The company’s lead programs are APR-1051, an oral, small-molecule inhibitor of WEE1 kinase, and ATRN-119, a small molecule ATR
inhibitor, both in clinical development for solid tumor indications. For more information, please visit the company website at www.aprea.com.
The Company may use, and intends to use, its investor
relations website at https://ir.aprea.com/ as a means of disclosing material nonpublic information and for complying with its disclosure
obligations under Regulation FD.
Forward-Looking Statement
Certain information contained in this press
release includes “forward-looking statements”, within the meaning of Section 27A of the Securities Act of 1933, as amended,
and Section 21E of the Securities Exchange Act of 1934, as amended related to our study analyses, clinical trials, regulatory submissions,
and projected cash position. We may, in some cases use terms such as “future,” “predicts,” “believes,”
“potential,” “continue,” “anticipates,” “estimates,” “expects,” “plans,”
“intends,” “targeting,” “confidence,” “may,” “could,” “might,”
“likely,” “will,” “should” or other words that convey uncertainty of the future events or outcomes
to identify these forward-looking statements. Our forward-looking statements are based on current beliefs and expectations of our management
team and on information currently available to management that involve risks, potential changes in circumstances, assumptions, and uncertainties.
All statements contained in this press release other than statements of historical fact are forward-looking statements, including statements
regarding our ability to develop, commercialize, and achieve market acceptance of our current and planned products and services, our
research and development efforts, including timing considerations and other matters regarding our business strategies, use of capital,
results of operations and financial position, and plans and objectives for future operations. Any or all of the forward-looking statements
may turn out to be wrong or be affected by inaccurate assumptions we might make or by known or unknown risks and uncertainties. These
forward-looking statements are subject to risks and uncertainties including, without limitation, the risk that the proposed private placement
and the transactions described herein may not be completed in a timely manner or at all, the failure to realize the anticipated benefits
of the private placement and related transactions, market and other conditions, as well as other factors described under “Risk
Factors,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and elsewhere
in the documents we file with the U.S. Securities and Exchange Commission. For all these reasons, actual results and developments
could be materially different from those expressed in or implied by our forward-looking statements. You are cautioned not to place undue
reliance on these forward-looking statements, which are made only as of the date of this press release. We undertake no obligation to
update such forward-looking statements for any reason, except as required by law.
Investor Contact:
Mike Moyer
LifeSci Advisors
mmoyer@lifesciadvisors.com
Exhibit 99.2
Aprea
Therapeutics Highlights Positive Emerging Clinical Activity for WEE1
Inhibitor, APR-1051, with a Confirmed Partial Response in the Ongoing
Phase 1 ACESOT-1051 Trial
| · | Confirmed
partial response at 220 mg indicates anti-tumor activity of APR-1051 in biomarker-defined
cancers |
| · | Early
clinical data suggest the potential of APR-1051 as a best-in-class WEE1 inhibitor |
| · | Emerging
clinical proof of concept responses without class-limiting toxicity to date support Aprea’s
development strategy of differentiated WEE1 inhibition with an improved therapeutic index |
| · | A
further update from the trial is expected in the second quarter of 2026 |
DOYLESTOWN,
PA, March 30, 2026 (GLOBE NEWSWIRE) – Aprea Therapeutics, Inc. (Nasdaq: APRE) (“Aprea”, or the “Company”),
a clinical-stage precision medicine oncology company focused on the discovery and development of targeted therapies for patients with
biomarker-defined cancers, today announced the confirmation of a partial response (PR) in its ongoing ACESOT-1051 trial evaluating APR-1051,
a potent and selective WEE1 kinase inhibitor.
The
confirmed PR was observed in a patient with PPP2R1A-mutated endometrial cancer who is currently being treated at the 220 mg once daily
dose level. Aprea announced on February 18, 2026 that, at their first imaging assessment, this patient achieved a 50% reduction in target
lesion size (meeting RECIST criteria for partial response) as well as a reduction in CA-125 levels. This response was subsequently confirmed
at the second image assessment, with an additional 9.5% reduction in target lesion size, and a reduction in CA-125 to 40.2U/ml (from
362 U/mL at baseline).
ACESOT-1051
is a biomarker focused Phase 1 trial designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-tumor activity
of APR-1051 in patients with advanced solid tumors harboring cancer-associated genetic alterations. A total of 24 patients have been
treated to date, at doses ranging from 10 mg to 220 mg once daily. Two patients have achieved partial responses, both with endometrial
cancers harboring PPP2R1A mutations. One of these responses has been confirmed, as described above. Both patients remain on treatment.
Five
other patients in ACESOT-1051 have achieved a best overall response of stable disease, including patients with HPV+ head and neck squamous
cell carcinoma (HNSCC), colorectal and endometrial cancers with relevant genomic alternations. APR-1051 has been generally safe and well
tolerated with the most common adverse events reported as Grade 1 or 2, primarily consisting of nausea and fatigue.
“The
data emerging from the ACESOT-1051 trial continue to support the clinical potential of APR-1051, with confirmation of a partial response
in the 220 mg cohort indicating evidence of sustained anti-tumor activity,” said Eugene Kennedy, MD, Chief Medical Advisor at Aprea. “APR-1051
appears to be generally well-tolerated with an encouraging therapeutic window and overall, these findings strengthen our confidence in
the ability of this candidate to successfully target WEE1 in genetically defined cancers, where patients face significant unmet need.”
Dose
escalation is ongoing, with plans to advance to Dose Level 9 (300 mg once daily) in the second quarter of 2026. In parallel, the company
plans to enroll additional patients as specified in the protocol based on the understanding that their tumor types or specific mutations
gives them an increased probability of responding to this class of potential therapeutics. This includes patients with uterine serous
carcinoma (a subset of endometrial), colorectal and HPV+ tumors. For more information on ACESOT-1051, refer to ClinicalTrials.gov NCT06260514.
About
Aprea
Aprea
is a clinical-stage precision medicine oncology company focused on the discovery and development of targeted therapies for patients with
biomarker-defined cancers. The Company is pioneering a new approach to treat cancer by exploiting vulnerabilities associated with cancer
cell mutations. This approach was developed to kill tumors while minimizing the effect on normal, healthy cells. Aprea’s technology
has potential applications across multiple cancer types, enabling it to target a range of tumors, including ovarian, endometrial, colorectal
and head and neck squamous cell carcinoma. The company’s lead programs are APR-1051, an oral, small-molecule inhibitor of WEE1
kinase, and ATRN-119, a small molecule ATR inhibitor, both in clinical development for solid tumor indications. For more information,
please visit the company website at www.aprea.com.
The
Company may use, and intends to use, its investor relations website at https://ir.aprea.com/ as a means of disclosing material
nonpublic information and for complying with its disclosure obligations under Regulation FD.
Forward-Looking
Statement
Certain
information contained in this press release includes “forward-looking statements”, within the meaning of Section 27A of the
Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended related to our study analyses,
clinical trials, regulatory submissions, and projected cash position. We may, in some cases use terms such as “future,” “predicts,”
“believes,” “potential,” “continue,” “anticipates,” “estimates,” “expects,”
“plans,” “intends,” “targeting,” “confidence,” “may,” “could,”
“might,” “likely,” “will,” “should” or other words that convey uncertainty of the future
events or outcomes to identify these forward-looking statements. Our forward-looking statements are based on current beliefs and expectations
of our management team and on information currently available to management that involve risks, potential changes in circumstances, assumptions,
and uncertainties. All statements contained in this press release other than statements of historical fact are forward-looking statements,
including statements regarding our ability to develop, commercialize, and achieve market acceptance of our current and planned products
and services, our research and development efforts, including timing considerations and other matters regarding our business strategies,
use of capital, results of operations and financial position, and plans and objectives for future operations. Any or all of the forward-looking
statements may turn out to be wrong or be affected by inaccurate assumptions we might make or by known or unknown risks and uncertainties.
These forward-looking statements are subject to risks and uncertainties including, without limitation, risks related to the success,
timing, and cost of our ongoing clinical trials and anticipated clinical trials for our current product candidates, including statements
regarding the timing of initiation, pace of enrollment and completion of the trials (including our ability to fully fund our disclosed
clinical trials, which assumes no material changes to our currently projected expenses), futility analyses, presentations at conferences
and data reported in an abstract, and receipt of interim or preliminary results (including, without limitation, any preclinical results
or data), which are not necessarily indicative of the final results of our ongoing clinical trials, our understanding of product candidates
mechanisms of action and interpretation of preclinical and early clinical results from its clinical development programs, and our ability
to predict clinical outcomes based on such preclinical and early clinical results, our ability to continue as a going concern, and the
other risks, uncertainties, and other factors described under “Risk Factors,” “Management’s Discussion and Analysis
of Financial Condition and Results of Operations” and elsewhere in the documents we file with the U.S. Securities and Exchange
Commission. For all these reasons, actual results and developments could be materially different from those expressed in or implied by
our forward-looking statements. You are cautioned not to place undue reliance on these forward-looking statements, which are made only
as of the date of this press release. We undertake no obligation to update such forward-looking statements for any reason, except as
required by law.
Investor
Contact:
Mike
Moyer
LifeSci
Advisors
mmoyer@lifesciadvisors.com
Exhibit
99.3
| 
| 1
| © 2026 Aprea Therapeutics, Inc. All Rights Reserved
A clinical-stage precision
medicine oncology company
focused on the discovery and
development of targeted
therapies for patients with
biomarker-defined cancers
March 2026 |
| 
| 2
| © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Forward-Looking Statements
Certain information contained in this presentation includes “forward-looking statements”, within the meaning of Section 27A of the Securities Act of 1933, as
amended, and Section 21E of the Securities Exchange Act of 1934, as amended related to our study analyses, clinical trials, regulatory submissions, and projected
cash position. We may, in some cases use terms such as “future,” “predicts,” “believes,” “potential,” “continue,” “anticipates,” “estimates,” “expects,” “plans,”
“intends,” “targeting,” “confidence,” “may,” “could,” “might,” “likely,” “will,” “should” or other words that convey uncertainty of the future events or outcomes to identify
these forward-looking statements. Our forward-looking statements are based on current beliefs and expectations of our management team and on information
currently available to management that involve risks, potential changes in circumstances, assumptions, and uncertainties. All statements contained in this
presentation other than statements of historical fact are forward-looking statements, including statements regarding our ability to develop, commercialize, and
achieve market acceptance of our current and planned products and services, our research and development efforts, including timing considerations and other
matters regarding our business strategies, use of capital, results of operations and financial position, and plans and objectives for future operations. Any or all of
the forward-looking statements may turn out to be wrong or be affected by inaccurate assumptions we might make or by known or unknown risks and
uncertainties. These forward-looking statements are subject to risks and uncertainties including, without limitation, risks related to the success, timing, and cost of
our ongoing clinical trials and anticipated clinical trials for our current product candidates, including statements regarding the timing of initiation, pace of enrollment
and completion of the trials (including our ability to fully fund our disclosed clinical trials, which assumes no material changes to our currently projected expenses),
futility analyses, presentations at conferences and data reported in an abstract, and receipt of interim or preliminary results (including, without limitation, any
preclinical results or data), which are not necessarily indicative of the final results of our ongoing clinical trials, our understanding of product candidates
mechanisms of action and interpretation of preclinical and early clinical results from its clinical development programs and our ability to predict clinical outcomes
based on such preclinical and early clinical result, and our ability to continue as a going concern, and the other risks, uncertainties, and other factors described
under “Risk Factors,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and elsewhere in the documents we file with
the U.S. Securities and Exchange Commission. For all these reasons, actual results and developments could be materially different from those expressed in or
implied by our forward-looking statements. You are cautioned not to place undue reliance on these forward-looking statements, which are made only as of the date
of this presentation. We undertake no obligation to update such forward-looking statements for any reason, except as required by law. This presentation shall not
constitute an offer to sell or the solicitation of an offer to buy any securities, nor shall there be any sale of any securities in any state or jurisdiction in which such
offer, solicitation or sale would be unlawful prior to registration or qualification under the securities laws of any such state or jurisdiction. This presentation may not
be reproduced, forwarded to any person or published, in whole or in part. Private placements are speculative, illiquid, carry a high degree of risk and securities
issued in a private placement should only be purchased by persons who can afford the loss of their entire investment. |
| 
| 3
| © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Aprea Therapeutics (NASDAQ: APRE)
One Critical Pathway - Multiple Targets
DNA Damage Response (DDR)
1. Ngoi N, et al. Targeting the replication stress response through synthetic lethal strategies in cancer medicine.
Trends in Cancer. (2021); 7(10):930-957
Precision
Medicine
Synthetic
Lethality Aprea
DYRK1
Target
Trends in Cancer 1
Positioned at the Forefront of Synthetic Lethality and Precision Medicine
Transition from broad, toxic chemotherapy
to potentially safer, precision-guided
targeted therapies
Targeted Oncology
Develop highly selective cancer therapies
that exploit tumor-specific mutations to
maximize cancer cell killing while sparing
healthy tissue
Precision-Driven
Development
All programs are designed to address
significant unmet medical needs across
genetically defined cancer populations
Pipeline with
Clinical Momentum
Single agent activity demonstrated in
ongoing Phase 1 trial
Early Clinical
Proof-of-Concept |
| 
| 4
| © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Robust DDR Development Pipeline Milestones
2024-2026 Accomplished and anticipated clinical milestones
2024 2025 2026
H1 H2 H1 H2 H1 H2
ATR
ATRN-119
WEE1
APR-1051
RP2D for
QD dosing
ACESOT-1051: Phase 1 – Monotherapy Dose Escalation
Enrolled
First Patient
Complete Dose
Escalation
IND
Cleared
ABOYA-119: Phase 1 Monotherapy Dose Escalation: QD*
BOIN Design
Initiate
BID Regimen
Optimization
ABOYA-119: Phase 1
Monotherapy Dose Escalation: BID*
* We have started an orderly wind-down of certain clinical trial site activities associated with the
monotherapy arms as we explore ATTN-119 in potential combination approaches
Safety &
Efficacy Data
Safety &
Efficacy Data
Combinations
Safety &
Efficacy Data
Backfill |
| 
| 5
| © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Strong Drug Development and Commercial Expertise
Experienced team in synthetic lethality and targeted therapy
Management
Board of Directors
Richard Peters, M.D., Ph.D.
Chairman of the Board
Oren Gilad, Ph.D.
President and CEO
Jean-Pierre Bizzari, M.D.
Director
Marc Duey
Director
Michael Grissinger
Director
Gabriela Gruia, M.D.
Director
John Henneman
Director
Rifat Pamukcu, M.D.
Director
Bernd R. Seizinger, M.D., Ph.D.
Director
Oren Gilad, Ph.D.
President and CEO
John P. Hamill
Sr. Vice President and
CFO
Eugene Kennedy, MD
Chief Medical Advisor
Ze’ev Weiss, CPA,
B.Sc.
Chief Business Advisor
Mike Carleton, Ph.D.
Translational Medicine
Advisor
Brian Wiley
SVP, Corporate
Strategy |
| 
| 6
| © 2026 Aprea Therapeutics, Inc. All Rights Reserved 6
WEE1 Inhibitor: APR-1051
ACESOT-1051:
Clinical Proof-Of-Concept |
| 
| 7
| © 2026 Aprea Therapeutics, Inc. All Rights Reserved
APR-1051: Next–Generation WEE1 Inhibitor Expanding the
Therapeutic Index
1. Zentalis Corporate Presentation, January 2026
2. Debio 0123-101, A Phase 1 Trial of Debio 0123 In Combination With Carboplatin In Advanced Solid Tumors:
Safety, Pharmacokinetic, And Preliminary Antitumor Activity Data, Poster ASCO 2023
3. Results of A Phase 1, Dose-Finding Study of Debio 0123 As Monotherapy In Adult Patients With Advanced Solid
Tumors —Safety, Pharmacokinetic, And Preliminary Antitumor Activity Data, Poster ASCO 2024
Targeting the clinically validated WEE1 pathway with an engineered profile aimed at widening the
therapeutic window and improving tolerability versus earlier inhibitors
Program Clinical Limitation Strategic Outcome What It Signals
Adavosertib
(AstraZeneca)
Hematologic & GI toxicity limited
dose intensity
Terminated further clinical development
Returned by AstraZeneca to
Merck & Co.
Biology works, narrow
therapeutic window
Azenosertib
(Zentalis) Continuous dosing not tolerated1 Ongoing dosing and schedule
optimization
Biology works, therapeutic
window still being defined
Debio 0123
(Debiopharm)
QT prolongation liability at high
doses2
Limited single-agent activity – no
clinical responses at doses up to and
including at MTD3
Cardiac safety restricts
exposure
APR-1051
(Aprea Therapeutics)
Early signals of tumor reduction
without class-limiting tox to date Dose escalation progressing Potentially widened
therapeutic window
No head-to-head studies have been conducted. Trial information is based on publicly available data and should be interpreted cautiously. |
| 
| 8
| © 2026 Aprea Therapeutics, Inc. All Rights Reserved
ACESOT-1051: Phase 1 Study Design
* Higher doses permitted if indicated
Multi-center, open-label Phase 1 single-agent dose escalation and dose selection optimization
Part 1 Dose escalation
up to 50 patients
RP2D
Oral single-agent APR-1051 will be administered once-daily for 28-day cycles
Objectives
Primary: Safety, DLT, MTD/MAD, RP2D
Secondary: Pharmacokinetics, Antitumor activity (RECIST/PCWG3)
Exploratory: Pharmacodynamics
= cleared
Accelerated titration; 1-6 patients per dose level
BOIN design; 3-12 patients per dose level
Part 2 Dose selection optimization
Up to 80 patients
Selected
dose 2
Selected
dose 1
1:1
randomization
R
Dose level 1
10 mg
Dose level 2
20 mg
Dose level 3
30 mg
Dose level 4
50 mg
Dose level 5
70 mg
Dose level 6
100 mg
Dose level 7
150 mg
Dose level 8
220 mg
Dose level 9
300mg*
Confirmed
PR Observed
First uPR
Observed
Select 2
dose levels
Eligible patients
≥ 18 yo with advanced solid
tumor harboring cancer-associated gene alterations
o CCNE1,CCNE2, FBXW7
or PPP2R1A
o USC regardless biomarker
status
o HPV+ oropharyngeal
squamous cell carcinoma,
cervical, vaginal, or vulvar
carcinoma
o KRAS-GLY12/GLY13 &
TP53 colorectal cancer
= currently enrolling
Backfill
Backfill
Backfill |
| 
| 9
© 2026 Aprea Therapeutics, Inc. All Rights Reserved
50
36
44
21
22
42
44
55
56
43
49
223
36
56
112
178
28
111
85
12
58
63
7
0 50 100 150 200 250
02-001
01-001
01-002
01-003
01-004
02-002
03-002
03-003
03-004
02-003
03-005
01-005
03-007
01-006
03-008
03-006
03-010
01-010
01-008
03-011
03-012
01-011
01-012
220 mg 150 mg
100 mg 70 mg
50 mg 30 mg
20 mg 10 mg
Days on treatment
Study patient
APR-1051 once-daily dose
Not all data source verified
✼
Data cutoff: February 18, 2026
✼
Progressive disease (PD)
Stable disease (SD)
Consent withdrawn
Treatment continues
Physician decision
Unrelated death
Partial response* (PR)
APR-1051 Summary of Duration of Treatment (n=23)
* Unconfirmed
✼
✼
✼
✼
✼
✼
✼
✼
✼
✼
✼
✼
✼
Enrollment status |
| 
| 10 © 2026 Aprea Therapeutics, Inc. All Rights Reserved
MedDRA Preferred Term APR-1051 All dose levels (N=23)
Treatment-related AEsa All Grades
n (%)
Grade ≥ 3b
n (%)
Nausea 7 (30.4) 0 (0)
Fatigue 4 (17.4) 0 (0)
Vomiting 2 (8.7) 0 (0)
Alanine aminotransferase increased 1 (4.3) 1 (4.3)c
Aspartate aminotransferase increase 1 (4.3) 1 (4.3)c
Anemia 1 (4.3) 0 (0)
Blood bilirubin increased 1 (4.3) 0 (0)
Constipation 1 (4.3) 0 (0)
Dehydration 1 (4.3) 0 (0)
Dysgeusia 1 (4.3) 0 (0)
Dyspepsia 1 (4.3) 0 (0)
Gastroesophageal reflux disease 1 (4.3) 0 (0)
Hypokalemia 1 (4.3) 0 (0)
Lymphocyte count decreased 1 (4.3) 1 (4.3)
Treatment-related AEs in Patients Treated with APR-1051 (N=23)
a A patient may have more than one AE and/or have the same AE more than once
b Grade 3 unless otherwise indicated
c Increased alanine aminotransferase and aspartate aminotransferase occurred in the same patient and was considered one DLT event
Not all data source verified
Data cutoff: February 18, 2026 |
| 
| 11 © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Confirmed Partial Response in Patient 01-011 • 220 mg QD (On Treatment)
• Demographics: 63-year-old Black Female
Site: MD Anderson Cancer Center
Diagnosis: Uterine carcinosarcoma (form of endometrial)
Key Mutations: PPP2R1A
• Treatment History (4 prior lines)
• Line 1: Carboplatin + Paclitaxel → 126 days, PD (Apr-Sep 2024)
• Line 2: Doxorubicin → 56 days, PD (Sep-Nov 2024)
• Line 3: Topotecan → 70 days, PD (Dec 2024-Feb 2025)
• Line 4: Pembrolizumab + Lenvatinib → 5months, PD (May 2025-Oct 2025)
• APR-1051 Response
• C1D1: Dec 18, 2025
• Current Status: Mar 10, 2026 On treatment 83 days (C4D1)
• Best Response: Confirmed PR (additional -9.5% reduction from C3D1) Mar 10, 2026
PR (-50%) at first assessment Feb 10, 2026
• Tumor marker: CA-125 reduction from BL 362.4 U/mL to C3D1 46.8 U/mL (87% decrease); 40.2 U/mL Mar 11, 2026
• Adverse Events: C1D22. Grade 1 rash. Gr1 thrombocytopenia at C1D15 possible relation to IP. Intermittent Nausea
Gr1 probably related. Amylase Increase Gr1 unlikely related. No DLT. |
| 
| 12 © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Partial Response in Patient 01-010 • 150 mg QD (On treatment)
• Demographics: 68-year-old White Female
Site: MD Anderson Cancer Center
Diagnosis: Uterine Serous Carcinoma (Stage IV, M1)
Key Mutations: PPP2R1A
• Treatment History (4 prior lines)
• Line 1: Paclitaxel + Carboplatin → 105 days, CR (Aug 2023 - Nov 2023)
• Line 2: Docetaxel + Carboplatin → 134 days, PR (Sep 2024 - Feb 2025)
• Line 3: Letrozole → 79 days, PD (Apr 2025 - Jul 2025)
• Line 4: AKT1 E17K Allosteric Inhibitor → 55 days, PD (Aug 2025 - Oct 2025)
• APR-1051 Response
• C1D1: Oct 31, 2025
• Current Status: Mar 19, 2026 On treatment with progression after treatment interruption unrelated to study drug
• Best Response: uPR (-50%) at first assessment Dec 21, 2025
• Duration: 131 days (as of Mar10, 2026)
• Tumor marker: CA-125 reduction from 732 to 69.5 U/mL (>90% decrease) on Dec 22, 25 - Increased during treatment interruption to
277.5 U/mL on Jan 21, 26; most recent Mar 04, 26: 291.6 U/mL
• Last assessment: 01Mar26 - PD (+52.9% from nadir but still -23.5% from baseline), no new lesion; continuing on treatment for clinical
benefit
• Grade ≥3 AEs: Elevated Creatinine (G3), Hypercalcemia (G4), Elevated Lipase/Amylase (G4) all unrelated to study drug
• Pancreatitis (G3), not related to APR-1051, pt hospitalized, APR-1051 interrupted.
• Anemia (G3) w/ HgB 7.7; referred to ED & admitted 22Jan26 for melena; not related to APR-1051, pt hospitalized. (Jan 3-Feb 1), restarted at 150mg on Feb02, 26. |
| 
| 13 © 2026 Aprea Therapeutics, Inc. All Rights Reserved
APR-1051 (ACESOT-1051): Update March 10th, 2026
• Seven dose levels cleared: 10 mg, 20 mg, 30 mg, 50 mg, 70 mg, 100mg, 150 mg QD
• Efficacy update – Two partial responses (PRs) observed, one confirmed thus far
• Patient 01-011 (220 mg): Confirmed PR (additional -9.5%) Mar 10, 2026 Unconfirmed PR with ~50% reduction at first assessment Feb 10, 2026; in uterine
carcinosarcoma (UCS), Mutation: PPP2R1A
• CA-125 reduction from BL 362.4 U/mL to C3D1 46.8 U/mL (87% decrease) to 40.2U/mL March 11, 2026
• Patient 01-010 (150 mg): Unconfirmed PR with -50% tumor shrinkage in uterine serous carcinoma (USC), Mutation: PPP2R1A
• Patient off study due to AE not related to study drug for 30 days, restarted study drug at 150mg Feb 02, 2026, follow up scan after 30 days back on drug show +52.9%
progression from nadir but still -23.5% from baseline
• CA-125 biomarker: 90% reduction initially: 732 baseline →69.5 Dec 22, 2025(nadir); 277.5 Jan 21, 2026 (while off treatment); essentially stable once back on treatment
291.6 U/mL Mar 04, 2026
• Patient to remain on study drug at 150mg and rescan
• Dose 8 (220 mg) cohort enrolling:
• Four patients enrolled (01-011, 03-011, 03-012, 01-012), C1D1 from Dec 17, 2025 to Feb 12, 2026
• 03-011 deceased (G5 cardiac arrest [ventricular fibrillation], Day 12, unlikely related), HPV+, replaced
• No DLTs for 01-011 and 03-012
• 01-012 experienced hospitalization for G3 colon obstruction, deemed unrelate, study treatment held resulting in <75% of cycle 1 doses administered, to be
replaced as concerns DLT clearance; to remain on study treatment if clinician believes there is potential benefit
• Next planned dose: 300 mg; no dose reductions for any patients in 220mg and 150mg cohorts as of March 10, 2026.
• Patient status changes
• 03-006 (100 mg): 86 year old withdrew consent / opted to stop study treatment after 178 days – achieved SD with -14.8% shrinkage, mutation FBXW7
• 03-012 (220 mg): Disease progression after 58 days, mutation KRAS G12 + TP53
• Safety note – Patient 01-012 (220 mg)
• Grade ≥3 AEs: colonic obstruction, unrelated to study drug
• Restart of study drug at 220mg planned; mutation PPP2R1A + CCNE1 |
| 
| 14 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Disease Control Observed in Early Patient Outcomes
APR-1051 shows single agent activity in cancer with mutated FBXW7
Clinical Data
100 mg Cohort
Patient: 86-year-old Asian Female
Diagnosis: Rectal Cancer
Key Mutations: FBXW7 (Drives Cyclin E accumulation and overexpression)
Treatment History: 5 prior lines - heavily pretreated
• Line 1: Capecitabine/oxaliplatin → 191 days, PD
• Line 2: Capecitabine/oxaliplatin/bevacizumab → 45 days, PD
• Line 3: FOLFIRI + bevacizumab → 43 days, PD
• Line 4: Local XRT (lung mets) → 12 days, not evaluable
• Line 5: Tretinoin/bevacizumab/Tecentriq (ATRT trial) → 50 days, PD
APR-1051 Activity:
• Current Status: Consent withdrawn after 178 days
• Best Response: SD at third scan (-15% tumor response)
Notes: Durable SD maintained 181 days in a heavily pretreated 86-year-old patient; well
tolerated with minimal toxicity. FBXW7 mutation may be relevant to response
Stable disease maintained for 178 days in patient with FBXW7 mutation (100 mg QD) (Consent withdrawn) |
| 
| 15 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Clinical Data
70 mg Cohort
Disease Control Observed in Early Patient Outcomes
Patient: 62-year-old White Male
Diagnosis: HPV+ Oropharyngeal Squamous Cell Carcinoma (base of tongue)
Key Mutations: P16+
Treatment History: 3 prior lines
• Line 1: Concomitant cisplatin/XRT → 49 days, PD
• Line 2: Pembrolizumab→ 84 days, PD
• Line 3: Paclitaxel/carboplatin → 184 days, PD
APR-1051 Activity
• Current Status: PD after 223 days of SD treatment
• Best Response: SD at first scan (-5% tumor response)
Notes: Stable disease maintained for 223 days.
APR-1051 shows single agent activity in HPV+ head and neck cancer
Stable disease maintained for 223 days in patient 01-005 HPV+ head and neck cancer (70 mg QD) (PD) |
| 
| 16 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
A Biomarker Defined Path to Registration
Data are preliminary from an ongoing dose-escalation study. Responses and stable disease require confirmation in
additional patients, and may change as follow-up matures. Safety and efficacy outcomes may vary by dose,
schedule, and patient characteristics.
Early responses across cohorts in PPP2R1A-mutated endometrial cancer, with additional disease
control signals across broader genomically defined tumors
Objective Responses
PPP2R1A-mutated endometrial cancer
• Confirmed Partial Response at 220 mg
• Partial Response at 150 mg
Disease Control
FBXW7-mutated CRC
• Stable disease at 100 mg
HPV+ Head and Neck
• Stable disease at 70 mg
Safety
• Well tolerated to date
• Potential wide therapeutic window
• Responses across dose levels support a biomarker enriched expansion path
• Activity beyond endometrial cancer supports additional biomarker-defined cohorts
Clinical Activity by Biomarker and Dose Path to Registrational Cohort
1 Expand PPP2R1A-mutated cohort
Add additional cohorts
• FBXW7-mutated CRC
• HPV+ cancers
2
Confirm durability, consistency of
response and safety
3 |
| 
| 17 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
HPV+ Cancer – Collaboration with MD Anderson Ovarian Cancer*
UMSCC47 tumor cells OVCAR3 tumor xenograft
Tumor Volume (mm3
)
Vehicle
Aprea ATRi 30 mg/kg QD
Aprea WEE1i 30 mg/kg QD
Combination – half dose,
15mg/kg each
Days Post Treatment
Tumor Volume (mm3
)
Days since start of xenograft
mEER tumor cells
Tumor Volume (mm3
)
Days since start of xenograft
APR-1051 Demonstrated Preclinical Activity in Combination with
Chemo, IO and ATRi Across Multiple Cancer Models
* Data on file.
Start of
treatment
0 10 20 30
0
20
0
0
0
100
ntreated
AP 1051
Cis atin
C m
Start of
treatment
** P<0.0001
* P=0.0067
**
** *
Chemotherapy Immuno-oncology DDR combination
APR-1051 demonstrates synergistic potential preclinically with standard oncology agents |
| 
| 18 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Summary
APR-1051 aims to be the first WEE1 inhibitor to translate validated biology into a scalable commercial
asset
1 Clinically validated target
• WEE1 inhibition has shown promising activity in genomically defined tumors
APR-1051 opportunity
• Early clinical proof-of-concept at 150 mg and 220 mg dose levels
• Potentially favorable safety profile at active dose levels
• Enrollment continues, additional clinical data expected over the next 3-6 months
• Clinical team strengthened to drive next phase of development
• Capital in place to achieve meaningful inflection points
• Valuation lags fundamentals, creating an asymmetric opportunity
Competitor programs constrained by low therapeutic index
• Dose intensity and duration limited by hematologic, GI or cardiac toxicity
2
3 |
| 
| 19 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved 19
APR-1051:
Potentially Differentiated WEE1 Inhibitor
Pre-Clinical |
| 
| 20 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
APR-1051: Potentially Best-in-Class WEE1 Inhibitor
Structurally differentiated: high potency, limited off-target inhibition design compared to other molecules
AstraZeneca
Adavosertib (AZD-1775)
Zentalis
Azenosertib (ZN-c3)
Aprea
APR-1051
Undisclosed
APR-1051 is based on a different molecular structure from AZD-1775 and ZN-c3
No head-to-head clinical studies have been conducted. |
| 
| 21 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
APR-1051: Potentially Best-in-Class WEE1 Inhibitor
Potent inhibitor of WEE1
Does not substantially inhibit structurally and functionally related PLK1, PLK2 or PLK3
-10 -9 -8 -7 -6 -5 -4
0
25
50
75
100
125
PLK1 IC50 Determination
Log10 [conc] (M)
% Activity
ZN-c3
APR-1051
-10 -9 -8 -7 -6 -5 -4
0
25
50
75
100
125
PLK2 IC50 Determination
Log10 [conc] (M)
% Activity
ZN-c3
APR-1051
-10 -9 -8 -7 -6 -5 -4
0
25
50
75
100
125
PLK3 IC50 Determination
Log10 [conc] (M)
% Activity
ZN-c3
APR-1051
ZN-c3 = 92.1 nM
APR-1051 = 15,900 nM
PLK1 Inhibition
IC50 >150-fold difference
ZN-c3 = 32.0 nM
APR-1051 = 1,800 nM
PLK2 Inhibition
IC50 >50-fold difference
ZN-c3 = 52.2 nM
APR-1051 = 31,600 nM
PLK3 Inhibition
IC50 >600-fold difference
Important difference in off-target inhibition between APR-1051 and ZN-c3 On 1
-target WEE1 potency1
ZN-c3 = 2.9 nM
APR-1051 = 1.6 nM
WEE1 Inhibition
IC50 similar to ZN-c3
125
100
75
50
25
0
10 9 8 7 6 5
APR 1051
c3
WEE1 IC50 Determination
% Activity
Log10 [conc] (M)
1 AACR-NCI-EORTC Meeting, Poster B323, 2024 Data from exploratory in-vitro studies
APR-1051 specificity for WEE1 opens potential for greater therapeutic window |
| 
| 22 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
PLK1 Inhibition Counteracts Effect of WEE1 Inhibitors1
Minimal PLK1 co-inhibition enhances therapeutic window for APR-1051 37 nM 111 nM 333 nM 1 µM 37 nM 111 nM 333 nM 1 µM
Phos-H2AX
Control
(MCM3)
NT
Phos-CDK1
APR-1051
75 nM
GSK-PLKi
Control
(MCM3)
37 nM
111 nM
333 nM
1 µM
37 nM
111 nM
333 nM
NT
1 µM
Phos-H2AX
400 nM
BI-PLKi
APR-1051
Phos-CDK1
PLK inhibitor, BI-2536, interferes with the
effects of APR-1051 in OVCAR-3 cells
1 AACR-NCI-EORTC Meeting, Poster B323, 2024 Data from exploratory in-vitro studies
Evidence of DNA damage
allowed by WEE1 inhibition.
PLK1 reduces functional
potency of WEE1 inhibition
PLK inhibitor, GSK-461364, interferes with
the effects of APR-1051 in OVCAR-3 cells
Inhibition of PLK1 reduces efficacy of APR-1051 inhibition. Results in requiring
higher doses of WEE1 inhibitors and introduces PLK1 related toxicity |
| 
| 23 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Studies Show PLK1 Suppression is Associated with Sepsis-Induced
Loss of Intestinal Barrier Function
1 PLK1 protects against sepsis-induced intestinal barrier dysfunction, Cao et al, Scientific Reports (2018).
2 PLK1 protects intestinal barrier function in sepsis: A translational research, Cao et al, Cytokine (2023).
3 PLK1 protects intestinal barrier function in sepsis: A translational research, Cao et al, Molecular Medicine (2022).
4 LncRNA DANCR improves the dysfunction of the intestinal barrier and alleviates epithelial injury by targeting the
miR‐1306‐5p/PLK1 axis in sepsis, Wang et al., Cell Biology International (2021). |
| 
| 24 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved 24
Intellectual Property Portfolio
Financial Summary & Capitalization
Investment Highlights |
| 
| 25 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Robust Global Intellectual Property Protection
Family 1: Ataxia Telangiectasia and Rad3-Related (ATR) Protein Kinase Inhibitors
• Macrocyclic inhibitors of ATR & methods of using them to treat various cancers, filed on Oct. 13th, 2015
• Patents granted in AU, BR, CA, CN, EP, IL, IN, JP, KR, MX, HK.
• 1.1: Issued on May 30, 2017 as U.S. Patent 9,663,535
• 1.2: Issued on May 29, 2018 as U.S. Patent 9,981,989
• 1.3: Issued on Feb. 5, 2019 as U.S. Patent 10,196,405
Family 2: ATR Inhibitors and Methods of Use
• Carboxylic acid-containing macrocyclic ATR inhibitors, and prodrugs; methods of using these inhibitors to treat various cancers;
filed on Apr. 12th, 2017
• Issued on May 28th
, 2019 as U.S. Patent 10,301,324
Family 3: ATR Inhibitor Pharmaceutical Composition and Methods
• International application filed on Apr. 14th, 2023
• Pharmaceutical formulation and composition of our lead ATR inhibitor in the clinic
• Patent granted in JP; Applications pending US, AU, BR, CA, CN, EA, EP, HK, IL, IN, KR, MX, NZ, PH, SG, ZA
Family 4: WEE1 Inhibitor Pharmaceutical Compositions and Methods
• International Application filed on Jun. 3rd, 2022
• Composition of our lead WEE1 inhibitor compounds
• Patent granted in AU; Applications pending in US, AU, BR, CA, CN, EP, HK, IL, IN, JP, KR, MX, ZA
Family 5: Methods of Treating Cancer
• International application filed on Sept. 19, 2025
• Clinical methods of treating advanced solid cancer tumors using lead ATR inhibitor
Family 6: Macrocyclic Undisclosed DDR target Inhibitors and Methods of their Preparation and Use
• International application filed on Jan. 22, 2026
• U.S. Provisional Applications filed on Jun. 6, 2025, and Sep. 19, 2025 |
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| 26 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Securities Common Equivalents
as of March 9, 2026
Preferred Stock (as converted) 15,596
Common Stock (1) 11,452,452
Warrants (2) 16,212,687
Options 840,121
Restricted Stock Units 25,176
Fully Diluted Equivalents 28,546,032
Aprea Therapeutics (NASDAQ: APRE) Financial Summary and
Capitalization
1. 400,000,000 common shares authorized
2. Total warrants include pre-funded, Tranche A, Tranche B and Purchase
Cash and Equivalents of ~$14.6M as of December 31, 2025
$5.6M in gross proceeds raised in private placement Jan 30, 2026 |
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| 27 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Expected cash runway into Q1 2027
• Achieve near term inflection points and catalysts
• Evaluate optimal strategic partnerships
Near term catalysts
• APR-1051: Q1 2026 Safety/efficacy data ✓ Q3 2026 Complete dose escalation
• ATRN-119: October 2025 RP2D ✓ H2 2026 Potential collaborations on combinations
Highly potent and selective design, potential best in class inhibitors, de-risked programs
• Diversified portfolio including WEE1 (APR-1051) and ATR (ATRN-119) inhibitors
• Early evidence of clinical activity including PRs (one confirmed) with APR-1051
• Single agent and combination potential therapies
Technology developed by pioneers in synthetic lethality
• Management with strong drug development and commercial expertise
Investment Highlights |
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| 28 | © 2026 Aprea Therapeutics, Inc. All Rights Reserved
Aprea Therapeutics
(NASDAQ: APRE) |