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Eupraxia (NASDAQ: EPRX) posts strong RESOLVE EoE trial results

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Eupraxia Pharmaceuticals reported encouraging new data from the Phase 1b/2a part of its RESOLVE trial testing EP-104GI for eosinophilic esophagitis. At 12 weeks, patients on the highest dose (8mg/site, 20 sites, n=3) showed the greatest tissue improvement seen so far, with EoEHSS Grade improving by 0.57 (94% improvement) and Stage by 0.63 (97% improvement), described as near-complete normalization of tissue health. At 36 weeks, patients in the 4mg/site groups (n=9) maintained the tissue health gains first seen at week 12.

Among patients who had at least 60% of their esophagus treated, 58% were in clinical remission at 12 weeks (n=19), 79% maintained remission at 24 weeks (n=14), and 67% maintained remission at 52 weeks (n=6). EP-104GI has shown a favorable safety profile so far, with over 200 patient-months of follow-up in 31 patients, no serious adverse events and no cases of oral candidiasis reported. The randomized Phase 2b part of RESOLVE is now recruiting, with top-line data expected in Q3 2026.

Positive

  • Strong tissue response at highest dose: At 12 weeks, the 8mg/site cohort (n=3) showed EoEHSS Grade and Stage improvements of 94% and 97%, described as near-complete normalization of tissue health.
  • Durable clinical remission after single administration: In patients with at least 60% of the esophagus treated, 58% achieved clinical remission at 12 weeks, with 79% maintaining remission at 24 weeks and 67% at 52 weeks.
  • Favorable safety profile to date: Over 200 patient-months of follow-up in 31 patients have produced no Serious Adverse Events and no oral candidiasis, with EP-104GI reported as well tolerated at all dose levels.

Negative

  • None.

Insights

Early RESOLVE data show strong tissue and symptom outcomes with clean safety.

The new RESOLVE Phase 1b/2a data suggest that EP-104GI is having a robust biological effect in eosinophilic esophagitis. The highest dose cohort (8mg/site, 20 sites, n=3) produced EoEHSS Grade and Stage improvements of 94% and 97% at 12 weeks, described as near-complete normalization of tissue health. A dose–response across 2.5–8mg/site supports a pharmacologic effect rather than random variability.

Symptom outcomes are also notable in patients with at least 60% of the esophagus treated. Clinical remission, defined as a ≥3‑point reduction in SDI, was seen in 58% of patients at 12 weeks (n=19), with maintenance in 79% at 24 weeks (n=14) and 67% at 52 weeks (n=6). This durability from a single administration, if reproduced in larger controlled settings, could differentiate EP-104GI from current options.

Safety is a key strength so far: more than 200 patient‑months of follow‑up across 31 patients have produced no Serious Adverse Events and no oral candidiasis, while the drug is described as well tolerated at all dose levels, including the highest. The ongoing randomized Phase 2b portion, now recruiting with a 120mg (20 x 6mg) dose and top‑line results expected in Q3 2026, will be critical to confirm these early open‑label findings and determine how they translate into a registrational pathway.

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

Form 6-K

REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16 UNDER THE SECURITIES EXCHANGE ACT OF 1934

For the month of January 2026

Commission File Number: 001-41923

EUPRAXIA PHARMACEUTICALS INC.
(Exact name of Registrant as specified in its charter)

N/A
(Translation of Registrant’s name)

201-2067 Cadboro Bay Road
Victoria, British Columbia, Canada V8R 5G4
Telephone: (250) 590-3968 

(Address and telephone number of registrant’s principal executive office)

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
Form 20-F [   ]      Form 40-F [ X ]

 

 


DOCUMENTS INCLUDED AS PART OF THIS REPORT

Exhibit  
  
99.1 Press Release dated January 8, 2026


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, thereunto duly authorized.

  EUPRAXIA PHARMACEUTICALS INC.
   
  
Date: January 8, 2026 By: /s/ Alex Rothwell                     
  Name: Alex Rothwell
  Title: Chief Financial Officer
  

EXHIBIT 99.1

Eupraxia Pharmaceuticals Reports Positive Tissue Health Data from its Ongoing RESOLVE Trial in Eosinophilic Esophagitis Demonstrating Near-Complete Improvement on Biopsy

  • At week 12, the highest dosed patients achieved the best tissue response seen in the trial to date, with a near complete improvement in tissue health1.

  • At lower doses, patients maintained the improvements in tissue health1 reported at week 12 out until week 36.

  • Clinical remission2 was achieved by 8 weeks and maintained through 52 weeks in the majority of patients for which more than 60% of their esophagus was treated.

  • EP-104GI continues to be well tolerated by patients receiving the drug; over 200 patient-months of follow-up have been reported with no Serious Adverse Events ("SAEs"), and no cases of oral candidiasis.

VICTORIA, British Columbia, Jan. 08, 2026 (GLOBE NEWSWIRE) -- Eupraxia Pharmaceuticals Inc. ("Eupraxia" or the "Company") (NASDAQ:EPRX) (TSX:EPRX), a clinical-stage biotechnology company leveraging its proprietary Diffusphere™ technology designed to optimize local, controlled drug delivery for applications with significant unmet need, today announced positive 12-week and 36-week tissue health data from its ongoing Phase 1b/2a part of the RESOLVE trial evaluating EP-104GI for the treatment of eosinophilic esophagitis ("EoE").

"These tissue health data provide compelling evidence supporting our belief that EP-104GI is addressing the underlying pathology of EoE at the tissue level, as well as managing symptoms," said Dr. James A. Helliwell, Chief Executive Officer of Eupraxia. "While early, the EoEHSS improvements we're seeing are encouraging - particularly at the highest dose where patients are achieving near-complete normalization of tissue health. What's especially encouraging is the improvement in tissue health is being accompanied by improvements in symptom relief. These improvements are maintained out to 52 weeks after a single administration with no serious adverse events, reinforcing EP-104GI's potential to significantly improve upon the current standard of care as a once-yearly treatment."

Key New Findings from the RESOLVE Trial

Tissue Health Outcomes

  • At 12 weeks after administration, patients who received the highest dose level of EP-104GI (Cohort 9, 8mg/site, 20 sites, n=3), demonstrated the greatest improvement from baseline measured to date (EoEHSS Grade: -0.57 [94% improvement], Stage: -0.63 [97% improvement]), representing near-complete normalization of tissue health
  • At 36 weeks after administration, patients in the 4mg/site dose groups (Cohorts 5-7, 12-20 sites, n=9) maintained the tissue health improvements seen at week 12 (EoEHSS Grade: -0.22, Stage: -0.24)
  • A dose-response relationship in EoEHSS Grade and Stage was observed across the EP-104GI dose cohorts ranging from 2.5mg/site to 8 mg site

Clinical Remission and Symptom Response
Due to the open label nature of the study, data from different number of patients can be reported at different time points (2, 4, 8, 12, 24, 36 and 52 weeks) following administration of EP-104GI. To date Eupraxia has observed that in patients who had at least 60% of their esophagus treated with EP-104GI (ie. a minimum of 12 of the 20 potential injection sites injected):

  • At 12 weeks (n=19), 58% of patients achieved clinical remission2
  • At 24 weeks (n=14), 79% of patients maintained clinical remission2
  • At 52 weeks (n=6), 67% of patients maintained clinical remission2

Safety and Tolerability Outcomes

  • To date, over 200 patient-months of follow-up have been reported in 31 patients across all cohorts
  • There have been no Serious Adverse Events (SAEs) reported
  • There have been no cases of oral candidiasis
  • EP-104GI has been reported to be well tolerated at all dose levels, including at the highest dose (8mg/site)

An updated summary of the above and previously announced clinical trial results are posted in the Investor Section of the Eupraxia Pharmaceuticals website and can be found here.

About the RESOLVE Trial
The Phase 1b/2a part of the RESOLVE trial, is a multicenter, open-label, dose-escalation study evaluating the safety, tolerability, pharmacokinetics, and efficacy of EP-104GI in adults with histologically confirmed active EoE. The treatment is administered as a single dose via 4 to 20 esophageal wall injections, with dose escalations modifying either the dose per site and/or the number of sites. Participants were followed for up to 24 weeks in Cohorts 1-4 (4x1mg, 8x1mg, 8x2.5mg and 12x2.5mg) or 52 weeks in Cohorts 5-9 (12x4mg, 16x4mg,20x4mg,20x6mg and 20x8mg). Eupraxia plans to disclose additional data from the open-label Phase 1b/2a part of the RESOLVE trial in the coming months.

The Phase 2b part of the RESOLVE trial, a randomized placebo-controlled study of EP-104GI, is currently recruiting with the first clinical dose of 120mg (20 x 6mg). The top-line data from the Phase 2b part of the RESOLVE trial is expected in Q3 2026. 

Notes 

  1. As measured by EoEHSS

  2. Clinical remission is defined as a reduction of at least 3 points on the SDI scale.  Achieving clinical remission is a positive outcome for the RESOLVE trial.

  3. SDI is a patient-reported outcome score that uses a seven-day recall measuring dysphagia (trouble swallowing) severity and frequency. A reduction in SDI is a positive outcome for the RESOLVE trial. 

About Eosinophilic Esophagitis (EoE) 
EoE is an inflammatory-mediated disease in which white blood cells migrate into and become trapped in the esophagus, creating pain and difficulty with swallowing food. According to market research from Clearview Healthcare Partners, EoE affects more than 450,000 people in the United States and has been identified by the American Gastroenterological Association as rapidly increasing in both incidence and prevalence. Impacts from both symptoms and interventions frequently lead to mental health issues, compounding the disease burden of EoE for both the healthcare system and the individual. 

About Eupraxia Pharmaceuticals Inc.
 Eupraxia is a clinical-stage biotechnology company focused on the development of locally delivered, extended-release products that have the potential to address therapeutic areas with high unmet medical need. Diffusphere™, a proprietary, polymer-based micro-sphere technology, is designed to facilitate targeted drug delivery of both existing and novel drugs. The technology is designed to support extended duration of effect and delivery of drugs in a hyper-localized fashion, targeting only the tissues that physicians are wanting to treat. We believe the potential for fewer adverse events may be achieved through the precision targeting and the stable and flat delivery of the active ingredient when using the Diffusphere™ technology, versus the peaks and troughs seen with more traditional drug delivery methods. The precision of Eupraxia's Diffusphere™ technology platform has the potential to augment and transform existing FDA-approved drugs to improve their safety, tolerability, efficacy and duration of effect. The potential uses in therapeutic areas may go beyond pain and inflammatory gastrointestinal disease, where Eupraxia currently is developing advanced treatments, to also be applicable in oncology, infectious disease and other critical disease areas.

Eupraxia's EP-104GI is currently in a Phase 1b/2 trial, the RESOLVE trial, for the treatment of EoE. EP-104GI is administered as an injection into the esophageal wall, providing local delivery of drug. This is a unique treatment approach for EoE. Eupraxia also completed a Phase 2b clinical trial (SPRINGBOARD) of EP-104IAR for the treatment of pain due to knee osteoarthritis. The trial met its primary endpoint and three of the four secondary endpoints. In addition, Eupraxia is developing a pipeline of later and earlier-stage long-acting formulations. Potential pipeline indications include candidates for other inflammatory joint indications and oncology, each designed to improve on the activity and tolerability of currently approved drugs. For further details about Eupraxia, please visit the Company's website at: www.eupraxiapharma.com.

Notice Regarding Forward-looking Statements and Information
This news release includes forward-looking statements and forward-looking information within the meaning of applicable securities laws. Often, but not always, forward-looking information can be identified by the use of words such as "plans", "is expected", "expects", "suggests", "scheduled", "intends", "contemplates", "anticipates", "believes", "proposes", "potential" or variations (including negative and grammatical variations) of such words and phrases, or statements that certain actions, events or results "may", "could", "would", "might" or "will" be taken, occur or be achieved. Forward-looking statements in this news release include statements regarding the Company’s expected timing of reporting additional data from the RESOLVE trial; the Company's product candidates, including their expected benefits to patients with respect to safety, tolerability, efficacy and duration and potential uses in therapeutic areas beyond pain and inflammatory gastrointestinal disease; the expectations around proceeding to clinical trials for the Company’s product candidates; the results gathered from studies and trials of Eupraxia's product candidates; the potential for the Company’s technology to impact the drug delivery process; potential market opportunity for the Company’s product candidates; and potential pipeline indications. Such statements and information are based on the current expectations of Eupraxia's management, and are based on assumptions, including but not limited to: future research and development plans for the Company proceeding substantially as currently envisioned; industry growth trends, including with respect to projected and actual industry sales; the Company's ability to obtain positive results from the Company's research and development activities, including clinical trials; and the Company's ability to protect patents and proprietary rights. Although Eupraxia's management believes that the assumptions underlying these statements and information are reasonable, they may prove to be incorrect. The forward-looking events and circumstances discussed in this news release may not occur by certain dates or at all and could differ materially as a result of known and unknown risk factors and uncertainties affecting Eupraxia, including, but not limited to: risks and uncertainties related to the Company's limited operating history; the Company's novel technology with uncertain market acceptance; if the Company breaches any of the agreements under which it licenses rights to its product candidates or technology from third parties, the possibility that the Company could lose license rights that are important to its business; the Company's current license agreement may not provide an adequate remedy for its breach by the licensor; the possibility that the Company's technology may not be successful for its intended use; the fact that the Company's future technology will require regulatory approval, which is costly and the Company may not be able to obtain it; the possibility that the Company may fail to obtain regulatory approvals or only obtain approvals for limited uses or indications; the possibility that the Company's clinical trials may fail to demonstrate adequately the safety and efficacy of its product candidates at any stage of clinical development; the possibility that the Company may be required to suspend or discontinue clinical trials due to side effects or other safety risks; the fact that the Company completely relies on third parties to provide supplies and inputs required for its product candidates and services; the potential impact of tariffs on the cost of the Company’s active pharmaceutical ingredients and clinical supplies of EP-104IAR and EP-104GI; the fact that the Company relies on external contract research organizations to provide clinical and non-clinical research services; the possibility that the Company may not be able to successfully execute its business strategy; the fact that the Company will require additional financing, which may not be available; the fact that any therapeutics the Company develops will be subject to extensive, lengthy and uncertain regulatory requirements, which could adversely affect the Company's ability to obtain regulatory approval in a timely manner, or at all; the impact of health pandemics or epidemics on the Company's operations; the Company's restatement of its consolidated financial statements, which may lead to additional risks and uncertainties, including loss of investor confidence and negative impacts on the Company's common share price; and other risks and uncertainties described in more detail in Eupraxia's public filings on SEDAR+ (sedarplus.ca) and EDGAR (sec.gov). Although Eupraxia has attempted to identify important factors that could cause actual actions, events or results to differ materially from those described in forward-looking statements and information, there may be other factors that cause actions, events or results to differ from those anticipated, estimated or intended. No forward-looking statement or information can be guaranteed. Except as required by applicable securities laws, forward-looking statements and information speak only as of the date on which they are made and Eupraxia undertakes no obligation to publicly update or revise any forward-looking statement or information, whether as a result of new information, future events or otherwise.   

For investor and media inquiries, please contact: 

James Meikle, Eupraxia Pharmaceuticals Inc. 
236-330-7084 
jmeikle@eupraxiapharma.com 

or 

Kevin Gardner, on behalf of: 
Eupraxia Pharmaceuticals Inc. 
617-283-2856 
kgardner@lifesciadvisors.com 

SOURCE Eupraxia Pharmaceuticals Inc.

FAQ

What did Eupraxia Pharmaceuticals (EPRX) report in its RESOLVE trial update?

Eupraxia reported new Phase 1b/2a RESOLVE trial data for EP-104GI in eosinophilic esophagitis, showing strong improvements in tissue health, meaningful rates of clinical remission and a favorable safety profile, and confirmed that a randomized Phase 2b portion is underway.

How strong were the tissue health results for EP-104GI in EoE?

At 12 weeks, patients on the highest dose (8mg/site, 20 sites, n=3) achieved the greatest improvement seen so far, with EoEHSS Grade improving by 0.57 (94%) and Stage by 0.63 (97%), which the company describes as near-complete normalization of tissue health.

What clinical remission rates were observed in the RESOLVE trial for EPRX?

In patients with at least 60% of their esophagus treated, 58% achieved clinical remission at 12 weeks (n=19), 79% maintained remission at 24 weeks (n=14), and 67% maintained remission at 52 weeks (n=6), based on a ≥3‑point reduction in SDI.

How safe and tolerable is EP-104GI based on current RESOLVE data?

EP-104GI has shown a favorable safety profile to date, with over 200 patient-months of follow-up in 31 patients, no Serious Adverse Events, no cases of oral candidiasis and the drug reported as well tolerated at all dose levels, including the highest dose.

What is the design of Eupraxia’s RESOLVE trial for EP-104GI in EoE?

The Phase 1b/2a part is a multicenter, open-label, dose-escalation study in adults with active eosinophilic esophagitis, using a single dose delivered via 4 to 20 esophageal wall injections at escalating doses and site numbers, with follow-up up to 24 or 52 weeks depending on cohort.

What are the next steps in the RESOLVE program and when is more data expected?

The randomized, placebo-controlled Phase 2b part of RESOLVE is currently recruiting at a 120mg (20 x 6mg) dose, and top-line data from this portion of the trial are expected in Q3 2026.

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