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Clene (NASDAQ: CLNN) to file accelerated ALS drug NDA in 2026

Filing Impact
(Moderate)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Clene Inc. announced that after a constructive Type C meeting, the FDA stated its proposed data "may be capable of supporting" an accelerated approval New Drug Application (NDA) for ALS drug candidate CNM-Au8, based on neurofilament light (NfL) biomarker data.

The FDA acknowledged that NfL could potentially serve as a reasonably likely surrogate endpoint for accelerated approval under Subpart H. Clene intends to submit the NDA in the third quarter of 2026, supported by Phase 2 HEALEY ALS Platform and RESCUE-ALS trials and an NIH-sponsored Expanded Access Protocol, and plans a Phase 3 confirmatory study starting in the first quarter of 2027.

Positive

  • FDA feedback supports accelerated approval path: The Agency stated Clene’s proposed data may be capable of supporting an ALS NDA under the accelerated approval pathway for CNM-Au8, with NfL potentially serving as a surrogate endpoint, providing a clearer regulatory route and timing for the program.

Negative

  • None.

Insights

FDA openness to an accelerated ALS NDA is a meaningful milestone but not an approval.

Clene reports that FDA feedback indicates its CNM-Au8 data "may be capable" of supporting an ALS NDA under the accelerated approval pathway. The Agency also noted NfL could potentially serve as a surrogate endpoint, which is important in a rapidly progressive disease with limited treatments.

The filing stresses that effectiveness must be shown via CNM-Au8’s effect on NfL and its link to clinical benefit, and that the NDA, targeted for Q3 2026, remains subject to FDA review. A Phase 3 confirmatory trial is planned to commence in Q1 2027, which would be critical to converting any accelerated approval into traditional approval.

From an investor perspective, the news clarifies the regulatory path and timing for CNM-Au8 in ALS, but clinical, regulatory, and financing risks described in Clene’s risk factors still apply. The impact ultimately depends on FDA’s review of the planned NDA and future Phase 3 outcomes.

Item 7.01 Regulation FD Disclosure Disclosure
Material non-public information disclosed under Regulation Fair Disclosure, often investor presentations or guidance.
Item 8.01 Other Events Other
Voluntary disclosure of events the company deems important to shareholders but not covered by other items.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Planned NDA timing Q3 2026 Target quarter for CNM-Au8 accelerated approval NDA submission in ALS
Phase 3 start Q1 2027 Intended commencement of confirmatory Phase 3 CNM-Au8 ALS study
Development stage Phase 2 and Phase 3 NDA supported by Phase 2 trials; Phase 3 confirmatory trial planned
Regulatory pathway Subpart H (21 CFR 314.510) FDA accelerated approval pathway referenced for ALS NDA
FDA designation Orphan Drug Orphan Drug Designation previously granted for CNM-Au8 in ALS
accelerated approval pathway regulatory
"supporting the submission and review of an [New Drug Application (NDA)] under the accelerated approval pathway for the treatment of ALS."
The accelerated approval pathway is a process that allows new medicines to be approved more quickly based on early evidence that they may be effective, rather than waiting for full proof. This can help patients access promising treatments faster, but it also means ongoing studies are needed to confirm the benefits. For investors, it highlights potential faster market entry and earlier revenue opportunities, along with some uncertainty about long-term outcomes.
Type C meeting regulatory
"the FDA granted to the Company a Type C in-person meeting to, among other things, discuss the ability of the Company to file an NDA"
surrogate endpoint medical
"The Agency also noted that “NfL could potentially serve as a reasonably likely surrogate endpoint to support (an) accelerated approval.”"
A surrogate endpoint is a measurable substitute used in a clinical trial—like a lab test or imaging result—that stands in for a direct patient benefit, such as longer life or improved daily function. Investors care because regulators may accept these quicker, earlier signals to clear or fast-track a treatment, which can shorten development time, reduce costs and change a drug’s market prospects; think of it as using a thermometer to predict recovery instead of waiting for full healing.
neurofilament light (NfL) medical
"effect of CNM-Au8 on neurofilament light (“NfL”) and show that the magnitude of change in NfL is reasonably likely to predict clinical benefits"
Neurofilament light (NFL) is a small structural protein released into spinal fluid and blood when nerve cells in the brain or spinal cord are damaged; higher levels act like a measurable “smoke alarm” signaling nerve injury. For investors, NFL matters because it serves as an objective, early indicator used in drug development and clinical testing to show whether a treatment is protecting or harming nerve tissue, which can speed or derail regulatory approval and market value.
Orphan Drug Designation regulatory
"CNM-Au8 has previously received Orphan Drug Designation from the FDA for the treatment of ALS."
Orphan drug designation is a special status given to medicines developed to treat rare diseases affecting only a small number of people. This status often provides benefits like faster approval processes and financial incentives, making it more attractive for companies to develop these drugs. For investors, it signals potential for exclusive market rights and reduced competition, which can impact the drug’s profitability.
Expanded Access Protocol regulatory
"and the National Institute of Health-sponsored Expanded Access Protocol for CNM-Au8."
false 0001822791 0001822791 2026-05-04 2026-05-04


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
Date of Report (Date of earliest event reported): May 4, 2026

CLENE INC.
(Exact name of registrant as specified in its charter)

 
Delaware
001-39834
85-2828339
(State or other jurisdiction
(Commission File Number)
(IRS Employer
of incorporation)
 
Identification No.)
     
6550 South Millrock Drive, Suite G50
Salt Lake City, Utah
 
84121
(Address of principal executive offices)
 
(Zip Code)
(801) 676-9695
(Registrant’s telephone number, including area code)
N/A
(Former name or former address, if changed since last report.)

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, $0.0001 par value
 
CLNN
 
The Nasdaq Capital Market
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 7.01 Regulation FD Disclosure.
 
On May 4, 2026, Clene Inc. (the “Company”) issued a press release announcing that after a successful meeting with the U.S. Food and Drug Administration (“FDA”), the Company plans to file an accelerated approval New Drug Application (“NDA”) in amyotrophic lateral sclerosis (“ALS”). A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K (the “Current Report”) and is incorporated herein by reference.
 
The information furnished in this Item 7.01, including Exhibit 99.1, shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 (the “Exchange Act”), as amended, or otherwise subject to the liabilities of that section, and shall not be deemed to be incorporated by reference into any filing made by the Company under the Exchange Act or the Securities Act of 1933 (the “Securities Act”), as amended, regardless of any general incorporation language in any such filings, except as shall be expressly set forth by specific reference in such a filing.
 
Item 8.01 Other Events.
 
As previously reported, the FDA granted to the Company a Type C in-person meeting to, among other things, discuss the ability of the Company to file an NDA for ALS under an accelerated approval pathway. The Company today announced receipt of final meeting minutes following its recent Type C meeting with the FDA.
 
During the meeting and confirmed in the final meeting minutes, the FDA stated that Clene’s “proposed data may be capable of supporting the submission and review of an [New Drug Application (NDA)] under the accelerated approval pathway for the treatment of ALS.” The FDA reminded the Company that the submission should demonstrate the effectiveness of an effect of CNM-Au8 on neurofilament light (“NfL”) and show that the magnitude of change in NfL is reasonably likely to predict clinical benefits in patients with ALS. The Company intends to submit its NDA in the third quarter of 2026, which will remain a matter of FDA review.
 
The Agency also noted that “NfL could potentially serve as a reasonably likely surrogate endpoint to support (an) accelerated approval.” This submission would occur under the Subpart H accelerated approval pathway (21 CFR 314.510) in ALS. The Agency has also requested that the Company provide additional information in its NDA, including to support a connection between the reported magnitude of reduction in NfL and clinical benefit, which the Company has prepared and will include in the submission.
 
The Company is conducting the Phase 3 confirmatory study for CNM-Au8, which it intends to commence in the first quarter of 2027. The planned NDA submission will be supported by NfL biomarker and clinical data from the Phase 2 HEALEY ALS Platform Trial and its open-label extension, as well as the Phase 2 RESCUE-ALS Trial, and the National Institute of Health-sponsored Expanded Access Protocol for CNM-Au8. Supporting data include reductions in plasma NfL associated with longer survival in the open-label extension and additional clinical outcomes. CNM-Au8 has previously received Orphan Drug Designation from the FDA for the treatment of ALS.
 
1

 
Forward-Looking Statements
 
This Current Report contains “forward-looking statements” within the meaning of Section 21E of the Exchange Act and Section 27A of the Securities Act which are intended to be covered by the “safe harbor” provisions created by those laws. Clene’s forward-looking statements include, but are not limited to, statements regarding the timing of the Company’s NDA submission, that the biomarker findings support an NDA submission, and the timing of the initiation of the Phase 3 trial. In addition, any statements that refer to projections, forecasts or other characterizations of future events or circumstances, including any underlying assumptions, are forward-looking statements. The words “anticipate,” “believe,” “contemplate,” “continue,” “estimate,” “expect,” “intends,” “may,” “might,” “plan,” “possible,” “potential,” “predict,” “project,” “should,” “will,” “would,” and similar expressions may identify forward-looking statements, but the absence of these words does not mean that a statement is not forward-looking. These forward-looking statements represent our views as of the date of this Current Report and involve a number of judgments, risks and uncertainties. We anticipate that subsequent events and developments will cause our views to change. We undertake no obligation to update forward-looking statements to reflect events or circumstances after the date they were made, whether as a result of new information, future events or otherwise, except as may be required under applicable securities laws. Accordingly, forward-looking statements should not be relied upon as representing our views as of any subsequent date. As a result of a number of known and unknown risks and uncertainties, our actual results or performance may be materially different from those expressed or implied by these forward-looking statements. Some factors that could cause actual results to differ include general market conditions, whether clinical trials demonstrate the efficacy and safety of our drug candidates to the satisfaction of regulatory authorities, or do not otherwise produce positive results which may cause us to incur additional costs or experience delays in completing, or ultimately be unable to complete the development and commercialization of our drug candidates; the clinical results for our drug candidates, which may not support further development or marketing approval; actions of regulatory agencies, which may affect the initiation, timing and progress of clinical trials and marketing approval; our ability to achieve commercial success for our drug candidates, if approved; our limited operating history and our ability to obtain additional funding for operations and to complete the development and commercialization of our drug candidates; and other risks and uncertainties set forth in “Risk Factors” in our most recent Annual Report on Form 10-K and any subsequent Quarterly Reports on Form 10-Q. In addition, statements that “we believe” and similar statements reflect our beliefs and opinions on the relevant subject. These statements are based upon information available to us as of the date of this Current Report, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review of, all potentially available relevant information. These statements are inherently uncertain and you are cautioned not to rely unduly upon these statements. All information in this Current Report is as of the date of this Current Report.
 
Item 9.01 Financial Statements and Exhibits.
 
(d) Exhibits
 
Exhibit Number   Exhibit Description
99.1   Press release, dated May 4, 2026, announcing after successful FDA meeting, Clene filing accelerated approval NDA for ALS.
104   Cover Page Interactive Data File (formatted as Inline XBRL).
 
2

 
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.
 
 
CLENE INC.
   
Date: May 4, 2026
By:
/s/ Robert Etherington
   
Robert Etherington
   
President and Chief Executive Officer
 
3
 

Exhibit 99.1

 

AFTER SUCCESSFUL FDA MEETING,

CLENE FILING ACCELERATED APPROVAL NDA FOR ALS

 

 

FDA stated that the “proposed data may be capable of supporting the submission and review of an [NDA] under the accelerated approval pathway” for CNM-Au8 based on neurofilament light (NfL) biomarker data

  FDA acknowledged NfL could potentially serve as a reasonably likely surrogate endpoint
  Clene expects to submit an NDA for CNM-Au8 to the FDA in the third quarter of 2026
  CNM-Au8 represents a potential first-in-class therapeutic approach for ALS, a disease area with significant unmet medical need

 

SALT LAKE CITY, May 4, 2026 -- Clene Inc. (Nasdaq: CLNN) (along with its subsidiaries, “Clene”) and its wholly owned subsidiary Clene Nanomedicine Inc., a late clinical-stage biopharmaceutical company focused on revolutionizing the treatment of neurodegenerative diseases, including amyotrophic lateral sclerosis (ALS) and multiple sclerosis (MS), today announced receipt of final meeting minutes following its recent Type C meeting with the U.S. Food and Drug Administration (FDA).

 

During the meeting and confirmed in the final meeting minutes, the FDA stated that Clene’s “proposed data may be capable of supporting the submission and review of an [New Drug Application (NDA)] under the accelerated approval pathway for the treatment of ALS.” The FDA reminded the Company that the submission should demonstrate the effectiveness of an effect of CNM-Au8 on NfL and show that the magnitude of change in NfL is reasonably likely to predict clinical benefits in patients with ALS. Clene intends to submit its NDA in the third quarter of 2026, which will remain a matter of FDA review.

 

The Agency also noted that “NfL could potentially serve as a reasonably likely surrogate endpoint to support (an) accelerated approval.” This submission would occur under the Subpart H accelerated approval pathway (21 CFR 314.510) in ALS. The Agency has also requested that the Company provide additional information in its NDA, including to support a connection between the reported magnitude of reduction in NfL and clinical benefit, which Clene has prepared and will include in the submission.

 

Clene’s journey with the FDA has been constructive. Today, we express our great appreciation for the FDA’s clear display of regulatory flexibility and its recent communications of a willingness to consider receipt of an NDA submission. That the Agency has now agreed to review our extensive data dossier is a critical moment in our company’s history.

 

“We are encouraged by the FDA’s careful evaluation of the benefits and risks associated with Clene’s ALS drug candidate, CNM-Au8, including the biomarker data the Company provided. The filing of an NDA submission represents an important milestone for CNM-Au8 and for the ALS community,” said Rob Etherington, President and CEO of Clene. “We are committed to working with the Agency on this filing and are conducting the Phase 3 confirmatory study for CNM-Au8, which we intend to commence in the first quarter of 2027.”

 

“People living with ALS cannot afford to wait," said Sandra Abrevaya, I AM ALS Co-Founder and Board Member. "Flexible, science-driven regulatory approaches such as this can play a critical role in accelerating access to new therapies for a fast-progressing, fatal disease. We’re grateful for the Agency’s recognition of the urgency and unmet need in ALS.”

 

The planned NDA submission will be supported by NfL biomarker and clinical data from the Phase 2 HEALEY ALS Platform Trial and its open-label extension, as well as the Phase 2 RESCUE-ALS Trial, and the NIH-sponsored Expanded Access Protocol for CNM-Au8. Supporting data include reductions in plasma NfL associated with longer survival in the open-label extension and additional clinical outcomes. CNM-Au8 has previously received Orphan Drug Designation from the FDA for the treatment of ALS.

 

 

 

About Clene

Clene Inc. (Nasdaq: CLNN), along with its subsidiaries, “Clene” and its wholly owned subsidiary Clene Nanomedicine, Inc., is a late clinical-stage biopharmaceutical company focused on improving mitochondrial health and protecting neuronal function to treat neurodegenerative diseases, including amyotrophic lateral sclerosis, Parkinson’s disease, and multiple sclerosis. CNM-Au8® is an investigational first-in-class therapy that improves central nervous system cells’ survival and function via a mechanism that targets mitochondrial function and the NAD pathway while reducing oxidative stress. CNM-Au8® is a federally registered trademark of Clene Nanomedicine, Inc. The company is based in Salt Lake City, Utah, with R&D and manufacturing operations in Maryland. For more information, please visit www.clene.com or follow us on X (formerly Twitter) and LinkedIn.

 

About CNM-Au8®

CNM-Au8 is an oral suspension of gold nanocrystals developed to restore neuronal health and function by increasing energy production and utilization. The catalytically active nanocrystals of CNM-Au8 drive critical cellular energy producing reactions that enable neuroprotection and remyelination by increasing neuronal and glial resilience to disease-relevant stressors. CNM-Au8® is a federally registered trademark of Clene Nanomedicine, Inc.

 

Forward-Looking Statements

This press release contains “forward-looking statements” within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and Section 27A of the Securities Act of 1933, as amended, which are intended to be covered by the “safe harbor” provisions created by those laws. Clene’s forward-looking statements include, but are not limited to, statements regarding the timing of the Company’s NDA submission, that the biomarker findings support an NDA submission, and the timing of the initiation of the Phase 3 trial. In addition, any statements that refer to projections, forecasts or other characterizations of future events or circumstances, including any underlying assumptions, are forward-looking statements. The words “anticipate,” “believe,” “contemplate,” “continue,” “estimate,” “expect,” “intends,” “may,” “might,” “plan,” “possible,” “potential,” “predict,” “project,” “should,” “will,” “would,” and similar expressions may identify forward-looking statements, but the absence of these words does not mean that a statement is not forward-looking. These forward-looking statements represent our views as of the date of this press release and involve a number of judgments, risks and uncertainties. We anticipate that subsequent events and developments will cause our views to change. We undertake no obligation to update forward-looking statements to reflect events or circumstances after the date they were made, whether as a result of new information, future events or otherwise, except as may be required under applicable securities laws. Accordingly, forward-looking statements should not be relied upon as representing our views as of any subsequent date. As a result of a number of known and unknown risks and uncertainties, our actual results or performance may be materially different from those expressed or implied by these forward-looking statements. Some factors that could cause actual results to differ include general market conditions, whether clinical trials demonstrate the efficacy and safety of our drug candidates to the satisfaction of regulatory authorities, or do not otherwise produce positive results which may cause us to incur additional costs or experience delays in completing, or ultimately be unable to complete the development and commercialization of our drug candidates; the clinical results for our drug candidates, which may not support further development or marketing approval; actions of regulatory agencies, which may affect the initiation, timing and progress of clinical trials and marketing approval; our ability to achieve commercial success for our drug candidates, if approved; our limited operating history and our ability to obtain additional funding for operations and to complete the development and commercialization of our drug candidates; and other risks and uncertainties set forth in “Risk Factors” in our most recent Annual Report on Form 10-K and any subsequent Quarterly Reports on Form 10-Q. In addition, statements that “we believe” and similar statements reflect our beliefs and opinions on the relevant subject. These statements are based upon information available to us as of the date of this press release, and while we believe such information forms a reasonable basis for such statements, such information may be limited or incomplete, and our statements should not be read to indicate that we have conducted an exhaustive inquiry into, or review of, all potentially available relevant information. These statements are inherently uncertain and you are cautioned not to rely unduly upon these statements. All information in this press release is as of the date of this press release. The information contained in any website referenced herein is not, and shall not be deemed to be, part of or incorporated into this press release.

 

Investor Contact: Kevin Gardner, LifeSci Advisors; kgardner@lifesciadvisors.com; 617-283-2856

 

Media Contact: Caroline Wagner, Forbes Tate Partners; CWagner@forbes-tate.com; (267) 294-6563

 

 

FAQ

What did the FDA tell Clene (CLNN) about its ALS drug CNM-Au8?

The FDA stated Clene’s proposed data "may be capable of supporting" submission and review of an ALS New Drug Application under the accelerated approval pathway, centered on neurofilament light (NfL) biomarker data and its relationship to clinical benefit.

When does Clene (CLNN) plan to submit its ALS NDA for CNM-Au8?

Clene intends to submit an accelerated approval New Drug Application for CNM-Au8 in the third quarter of 2026. The submission will remain subject to full FDA review, including evaluation of biomarker and clinical data from multiple Phase 2 studies and expanded access use.

How will neurofilament light (NfL) be used in Clene’s ALS NDA?

The FDA reminded Clene the NDA should demonstrate CNM-Au8’s effect on neurofilament light and show that the magnitude of NfL change is reasonably likely to predict clinical benefit in ALS patients, potentially allowing NfL to serve as a surrogate endpoint.

What clinical data will support Clene’s CNM-Au8 ALS NDA filing?

The planned NDA will be supported by NfL biomarker and clinical data from the Phase 2 HEALEY ALS Platform Trial and its open-label extension, the Phase 2 RESCUE-ALS Trial, and an NIH-sponsored Expanded Access Protocol, including reductions in plasma NfL linked to longer survival.

Is Clene planning a Phase 3 trial for CNM-Au8 in ALS?

Clene is conducting a Phase 3 confirmatory study for CNM-Au8 in ALS, which it intends to commence in the first quarter of 2027. This study is expected to provide confirmatory evidence following any potential accelerated approval based on NfL biomarker data.

Does CNM-Au8 have any special FDA designations for ALS?

CNM-Au8 has previously received Orphan Drug Designation from the FDA for the treatment of amyotrophic lateral sclerosis. Orphan designation can provide incentives such as market exclusivity and fee reductions if the drug ultimately obtains marketing approval.

Filing Exhibits & Attachments

5 documents