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FDA lifts hold on Filana simufilam epilepsy trial

Filana Therapeutics, Inc. (FLNA) reports that the U.S. FDA has lifted the full clinical hold on its investigational new drug application for simufilam, allowing a planned Phase 2a proof-of-concept study in TSC-related epilepsy to proceed.

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Form Type
8-K

Rhea-AI Filing Summary

Filana Therapeutics, Inc. (FLNA) reports that the U.S. FDA has lifted the full clinical hold on its investigational new drug application for simufilam, allowing a planned Phase 2a proof-of-concept study in TSC-related epilepsy to proceed. During the hold, Filana lined up a leading CRO, identified U.S. trial sites, and recruited potential investigators, with drug supply in place.

The 16-week multicenter, randomized, double-blind study will test two doses of simufilam in about 40 patients aged 12 to 55 with refractory TSC-related seizures at 13 U.S. sites, followed by a 48-week extension for completers. Endpoints focus on safety, tolerability, pharmacokinetics, and seizure-related outcomes, with data expected to guide further development, including potential studies in younger patients.

Positive

  • FDA lifts clinical hold on simufilam IND, enabling Filana to advance a Phase 2a proof-of-concept trial in TSC-related epilepsy with trial infrastructure and drug supply already prepared.

Negative

  • None.

Filing Explained

The lifted hold permits development to advance, but no approved or saleable simufilam product exists and screening is expected by the first quarter of 2027.

The FDA has lifted the full clinical hold on Filana’s IND for simufilam, but the Phase 2a study remains planned rather than underway: patient screening is expected by the first quarter of 2027.

The filing states that simufilam remains investigational, has not been approved for any medical indication, and is not available for sale anywhere.

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, or exhibit attachments filed with this report.
Phase 2a treatment duration 16 weeks Length of the double-blind treatment phase for simufilam in TSC-related epilepsy
Extension study duration 48 weeks Eligible for subjects who complete the double-blind Phase 2a trial
Planned trial sites 13 sites U.S. locations for the multicenter Phase 2a simufilam study
Target enrollment 40 subjects Patients aged 12 to 55 with refractory TSC-related seizures in Phase 2a
Patient age range 12 to 55 years Inclusion age range for the Phase 2a simufilam trial
TSC-related epilepsy patients in U.S. 45,000 people Estimated U.S. population affected by TSC-related epilepsy
TSC patients with seizures 80%–90% Proportion of TSC patients experiencing seizures
Refractory to antiepileptic therapy More than 60% Share of TSC patients remaining refractory despite multiple approved treatments
clinical hold regulatory
"the FDA has lifted the clinical hold on the Company's investigational"
A clinical hold is an order from a drug or medical-device regulator to stop or suspend a clinical trial or development activity because of safety concerns, inadequate study plans, or incomplete data. Think of it like a referee pausing a game until rules or safety issues are resolved; investors care because a hold can delay approval, increase costs, create uncertainty about a product’s future, and often affects a company’s valuation until the issues are addressed.
investigational new drug (IND) application regulatory
"the Company's investigational new drug (IND) application to initiate a planned"
An investigational new drug (IND) application is a formal request submitted to a drug regulator asking permission to begin testing a new medicine in people. It compiles lab results, manufacturing details and proposed human trial plans so regulators can judge safety before human studies start; for investors, an accepted IND is a key milestone that opens the clinical development pathway and can materially change a company’s risk profile and potential value, like getting a license to road-test a prototype.
proof-of-concept study medical
"planned Phase 2a proof-of-concept study for simufilam in tuberous"
A proof-of-concept study is an early-stage test that checks whether a new drug, device, or treatment produces the intended effect in people or in lab models — like a pilot run to see if an idea actually works. For investors, its results are a key early signal: positive findings can greatly reduce uncertainty and boost a project’s value, while negative results often lead to delays, additional costs, or program termination.
tuberous sclerosis complex medical
"for the treatment of Tuberous Sclerosis Complex (TSC)-related epilepsy"
Tuberous sclerosis complex is a genetic disorder that causes noncancerous growths to form in multiple organs such as the brain, kidneys, heart and lungs, often leading to seizures, developmental delays and organ problems. Investors watch it because treatments, diagnostics and devices targeting this condition can drive clinical trial activity, regulatory decisions and long-term healthcare costs; think of it like a design flaw in a building blueprint that creates many small structural issues needing medical solutions and funding.
mechanistic target of rapamycin (mTOR) pathway medical
"These mutations affect the mechanistic target of rapamycin (mTOR) pathway"

FAQ

AI-generated questions and answers. How Rhea-AI works. Not financial advice.

What did the FDA decide regarding Filana Therapeutics (FLNA) simufilam program?

The FDA lifted the full clinical hold on Filana’s IND for simufilam in TSC-related epilepsy, enabling the company to initiate a planned Phase 2a proof-of-concept trial once trial sites are activated and enrollment begins.

What is the design of Filana Therapeutics (FLNA) Phase 2a simufilam trial?

The Phase 2a study is a 16-week multicenter, randomized, double-blind trial at 13 U.S. sites, evaluating two doses of simufilam in about 40 patients aged 12 to 55 with refractory TSC-related seizures, with a 48-week extension for completers.

When will patient screening start for Filana Therapeutics (FLNA) Phase 2a study?

Filana expects patient screening to begin by the first quarter of 2027 for the planned Phase 2a simufilam trial in TSC-related epilepsy, following completion of site initiation and other readiness activities.

What outcomes will Filana Therapeutics (FLNA) measure in the Phase 2a simufilam trial?

The trial is designed to assess safety, tolerability, pharmacokinetics, and seizure-related measures, including seizure frequency, intensity, duration, nighttime seizures, and sleep-related outcomes in patients with refractory TSC-related seizures.

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

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False000106953000010695302026-09-222026-09-22iso4217:USDxbrli:sharesiso4217:USDxbrli:shares
 

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):  September 22, 2026

_______________________________

Filana Therapeutics, Inc.

(Exact name of registrant as specified in its charter)

_______________________________

Delaware 001-4190591-1911336
(State or Other Jurisdiction of Incorporation)(Commission File Number)(I.R.S. Employer Identification No.)

6801 N Capital of Texas Highway, Building 1; Suite 300

Austin, Texas 78731

(Address of Principal Executive Offices) (Zip Code)

(512) 501-2444

(Registrant's telephone number, including area code)

 

(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 classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $0.001 par valueFLNANASDAQ 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 September 22, 2026, Filana Therapeutics, Inc. (the “Company”) issued a press release related to the matters described in Item 8.01 of this Current Report on Form 8-K. A copy of the press release is attached as Exhibit 99.1 and incorporated into this Item 7.01 by reference.

 

The information in this Item 7.01 (including Exhibit 99.1) is being furnished pursuant to Item 7.01 and shall not be deemed to be “filed” for the 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, nor shall such information be deemed to be 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 references in such a filing.

 

Item 8.01. Other Events.

 

FDA Clinical Hold Lifted

 

On September 22, 2026, the Company announced that the U.S. Food and Drug Administration has lifted the full clinical hold on the Company’s investigational new drug (IND) application to initiate a planned Phase 2a proof-of-concept study for simufilam in tuberous sclerosis complex (“TSC”)-related epilepsy.

 

Planned Phase 2a Trial Design

 

During the course of the clinical hold, the Company completed key trial-readiness activities, including engaging a leading clinical research organization, identifying clinical trial sites, and recruiting potential investigators. With investigational drug supply in place, implementation of the Company’s phase 2a study of simufilam is now able to progress expeditiously toward site initiation and patient enrollment. Patient screening is expected to begin by the first quarter of 2027.

 

Filana’s Phase 2a study is a 16-week multicenter, randomized, double-blind clinical trial to evaluate two doses of simufilam in patients with refractory TSC-related seizures. The study is planned to be conducted at 13 sites in the U.S. with a target enrollment of 40 subjects aged 12 to 55. All subjects who complete the double-blind treatment phase are eligible to participate in a 48-week extension study.

 

The study is designed to assess safety, tolerability, pharmacokinetics, and seizure-related measures, including seizure frequency, seizure intensity and duration, nighttime seizures, and sleep-related outcomes. Data from the study are expected to help inform the development path for simufilam in TSC-related epilepsy, including the design of future studies in younger patient populations.

 

Cautionary Note Regarding Forward-Looking Statements:

 

This report contains forward-looking statements that may include but are not limited to statements regarding: the timing and plans to initiate and conduct clinical studies with simufilam in TSC-related epilepsy; the design, structure, duration, objectives, endpoints, patient population, conduct, enrollment, completion, and potential results of the Company’s planned Phase 2a clinical trial; the Company’s ability to work with clinical research organizations, clinical sites, patient advocacy organizations, and the TSC community to advance the trial efficiently; the potential for simufilam as a treatment for TSC-related epilepsy and other potential indications; and the timing of anticipated milestones, including announcing study sites and screening patients. These statements may be identified by words such as “anticipate”, “before”, “believe”, “could”, “expect”, “forecast”, “intend”, “may”, ”pending”, “plan”, “possible”, “potential”, “prepares for”, “will”, and other words and terms of similar meaning.

 

Such statements are based on the Company’s current expectations and projections about future events. Such statements speak only as of the date of this news release and are subject to a number of risks, uncertainties and assumptions, including, but not limited to, those risks relating to the Company’s ability to initiate, enroll, conduct, and complete the planned Phase 2a study of simufilam in TSC-related epilepsy; the Company’s ability to engage clinical trial sites and participants; ability to work effectively with clinical research organizations, vendors, investigators, patient advocacy organizations, and the TSC community; potential changes to the clinical trial protocol, trial design, endpoints, timing, patient population, or development plans; the Company’s ability to generate clinical data that support further development of simufilam; risks inherent in drug discovery and development; and other risks specific to Filana Therapeutics, Inc., as described in the section entitled “Risk Factors” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2025 and subsequent reports to be filed with the SEC. The foregoing sets forth many, but not all, of the factors that could cause actual results to differ from expectations in any forward-looking statement. In light of these risks, uncertainties and assumptions, the forward-looking statements and events discussed in this news release are inherently uncertain and may not occur, and actual results could differ materially and adversely from those anticipated or implied in the forward-looking statements. Accordingly, you should not rely upon forward-looking statements as predictions of future events. Except as required by law, we disclaim any intention or responsibility for updating or revising any forward-looking statements. For further information regarding these and other risks related to the Company’s business, investors should consult the Company’s filings with the SEC, which are available on the SEC's website at www.sec.gov.

 

Item 9.01. Financial Statements and Exhibits.

 

The following exhibits are being furnished as part of this report.

 

Exhibit No. Description
   
99.1 Press Release issued by Filana Therapeutics, Inc. on September 22, 2026
104 Cover Page Interactive Data File (embedded within the Inline XBRL document)
 
 

 

SIGNATURE

 

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.

 

 Filana Therapeutics, Inc.
 a Delaware corporation
   
  
Date: September 22, 2026By: /s/ Eric J. Schoen        
  Eric J. Schoen
  Chief Financial Officer
  

 

EXHIBIT 99.1

Filana Therapeutics Announces FDA Lift of Clinical Hold on Simufilam, Enabling Phase 2a Study in TSC-Related Epilepsy

  • Patient screening for the Phase 2a study is expected to begin by the first quarter of 2027
  • Filana has engaged a leading clinical research organization, has identified clinical trial sites, and is recruiting potential investigators
  • Ongoing collaboration with the TSC Alliance and the broader TSC community is intended to support patient engagement and study execution

AUSTIN, Texas, Sept. 22, 2026 (GLOBE NEWSWIRE) -- Filana Therapeutics, Inc. (NASDAQ: FLNA, “Filana Therapeutics”, the “Company”), a biotechnology company currently focused on developing simufilam for the treatment of Tuberous Sclerosis Complex (TSC)-related epilepsy, today announced that the U.S. Food and Drug Administration (FDA) has lifted the clinical hold on the Company's investigational new drug (IND) application, enabling Filana to initiate a planned Phase 2a proof-of-concept study in patients aged 12 to 55 with TSC-related epilepsy. Patient screening is expected to begin by the first quarter of 2027.

“With the clinical hold lifted, we can now execute our development plan for simufilam in TSC-related epilepsy,” said Rick Barry, President and Chief Executive Officer of Filana. “While on hold, we completed key trial-readiness activities, including engaging a leading clinical research organization, identifying clinical trial sites, and recruiting potential investigators. With investigational drug supply in place, implementation of our Phase 2a study of simufilam is now able to progress expeditiously toward site initiation and patient enrollment.”

“Drug-resistant epilepsy remains a challenge for a majority of individuals affected by TSC,” said Kari Luther Rosbeck, President and Chief Executive Officer of the TSC Alliance. “Research investigating different molecular pathways involved in TSC offers hope for potential new options for those living with the disease. The TSC Alliance applauds Filana for their innovative work in exploring a new target mechanism and their plans to launch a clinical trial to test the effectiveness of that potential new treatment to help address a major unmet need for the TSC community.”

Planned Phase 2a Trial Design

Filana’s Phase 2a study is a 16-week multicenter, randomized, double-blind clinical trial to evaluate two doses of simufilam in patients with refractory TSC-related seizures. The study is planned to be conducted at 13 sites in the U.S. with a target enrollment of 40 subjects aged 12 to 55. All subjects who complete the double-blind treatment phase are eligible to participate in a 48-week extension study.

The study is designed to assess safety, tolerability, pharmacokinetics, and seizure-related measures, including seizure frequency, seizure intensity and duration, nighttime seizures, and sleep-related outcomes. Data from the study are expected to help inform the development path for simufilam in TSC-related epilepsy, including the design of future studies in younger patient populations.

Scientific Rationale

Simufilam is an oral small molecule intended to modulate the filamin A protein. The clinical evaluation of simufilam in TSC-related epilepsy is supported by findings from two preclinical mouse models. Initial studies were conducted in the laboratory of Angélique Bordey, PhD, Rothberg Professor of Neurosurgery at Yale School of Medicine and Senior Vice President, Neuroscience at Filana. Those studies showed that simufilam reduced seizure frequency in a mouse model of focal onset seizures involving TSC-related pathology1. In a separate study conducted with the TSC Alliance Preclinical Consortium using a well-accepted TSC-knockout mouse model, simufilam attenuated the progression of seizure activity in a dose-dependent manner2.

Filana holds an exclusive worldwide license from Yale University to intellectual property supporting the use of simufilam in TSC-related epilepsy.

About TSC and TSC-Related Epilepsy

TSC is a rare genetic disorder resulting from a mutation in the TSC1 or TSC2 gene. These mutations affect the mechanistic target of rapamycin (mTOR) pathway and can cause tumors to grow in multiple organs3,4. Epilepsy is the most common health issue affecting the TSC community, with 80% to 90% of TSC patients experiencing seizures5. TSC-related epilepsy affects approximately 45,000 people in the U.S.1,3. Most patients start having seizures within their first year of life1. Even with multiple approved treatments, more than 60% of TSC patients remain refractory to antiepileptic therapy6.

About Filana Therapeutics, Inc.

Filana Therapeutics, Inc. (NASDAQ: FLNA), is a biotechnology company focused on developing novel, investigational therapies to modulate the filamin A protein for the treatment of central nervous system disorders, such as tuberous sclerosis complex (TSC)-related epilepsy, and other diseases associated with dysregulation or overexpression of filamin A.

For more information, please visit: https://www.FilanaTx.com

References:

  1. Zhang L, Huang T, Teaw S, Nguyen LH, Hsieh LS, Wong X, Burns LH, Bordey A. Filamin A inhibition reduces seizure activity in a mouse model of focal cortical malformations. Science Translational Medicine. 2020;12(531):eaay0289. DOI: 10.1126/scitranslmed.aay0289
  2. Stansley B, Islam MM, Aguiar DJ, Fuchs Z, Catron M, Morairty S, et al. The small molecule simufilam dose-dependently attenuates the worsening of seizures in a mouse model of tuberous sclerosis complex. Epilepsia. 2026;00:1–13. DOI: 10.1002/epi.70227
  3. https://www.tscalliance.org/understanding-tsc/what-is-tsc/
  4. https://www.tscalliance.org/understanding-tsc/genetics/
  5. Crino P, Nathanson K, Henske EP. The tuberous sclerosis complex. N Engl J Med. 2006;355(13):1345-1356. DOI: 10.1056/NEJMra055323
  6. Chu-Shore CJ, Major P, Camposano S, Muzykewicz D, Thiele EA. The natural history of epilepsy in tuberous sclerosis complex. Epilepsia. 2010;51(7):1236–1241. DOI: 10.1111/j.1528-1167.2009.02474.x

For More Information Contact:
Investors
Mike Moyer
mmoyer@lifesciadvisors.com

Filana Therapeutics
Eric Schoen, Chief Financial Officer
(512) 501-2450
ESchoen@FilanaTx.com
IR@FilanaTx.com

Cautionary Note Regarding Forward-Looking Statements:

This news release contains forward-looking statements that may include but are not limited to statements regarding: the timing and plans to initiate and conduct clinical studies with simufilam in TSC-related epilepsy; the design, structure, duration, objectives, endpoints, patient population, conduct, enrollment, completion, and potential results of our planned Phase 2a clinical trial; our ability to work with clinical research organizations, clinical sites, patient advocacy organizations, and the TSC community to advance the trial efficiently; the potential for simufilam as a treatment for TSC-related epilepsy and other potential indications; and the timing of anticipated milestones, including announcing study sites and screening patients. These statements may be identified by words such as “anticipate”, “before”, “believe”, “could”, “expect”, “forecast”, “intend”, “may”, “pending”, “plan”, “possible”, “potential”, “prepares for”, “will”, and other words and terms of similar meaning.

Such statements are based on our current expectations and projections about future events. Such statements speak only as of the date of this news release and are subject to a number of risks, uncertainties and assumptions, including, but not limited to, those risks relating to our ability to initiate, enroll, conduct, and complete the planned Phase 2a study of simufilam in TSC-related epilepsy; our ability to engage clinical trial sites and participants; our ability to work effectively with clinical research organizations, vendors, investigators, patient advocacy organizations, and the TSC community; potential changes to the clinical trial protocol, trial design, endpoints, timing, patient population, or development plans; our ability to generate clinical data that support further development of simufilam; risks inherent in drug discovery and development; and other risks specific to Filana Therapeutics, Inc., as described in the section entitled “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2025 and subsequent reports to be filed with the SEC. The foregoing sets forth many, but not all, of the factors that could cause actual results to differ from expectations in any forward-looking statement. In light of these risks, uncertainties and assumptions, the forward-looking statements and events discussed in this news release are inherently uncertain and may not occur, and actual results could differ materially and adversely from those anticipated or implied in the forward-looking statements. Accordingly, you should not rely upon forward-looking statements as predictions of future events. Except as required by law, we disclaim any intention or responsibility for updating or revising any forward-looking statements. For further information regarding these and other risks related to our business, investors should consult our filings with the SEC, which are available on the SEC's website at www.sec.gov.

All of our pharmaceutical assets under development are investigational product candidates. These have not been approved for use in any medical indication by any regulatory authority in any jurisdiction and their safety, efficacy or other desirable attributes, if any, have not been established in any patient population. Consequently, none of our product candidates is approved or available for sale anywhere in the world.

Our clinical results from earlier-stage clinical trials or preclinical studies may not be indicative of future results from later-stage or larger scale clinical trials and do not ensure regulatory approval. You should not place undue reliance on these statements or any scientific data we present or publish.

We are in the business of new drug discovery and development. Our research and development activities are long, complex, costly and involve a high degree of risk. Holders of our common stock should carefully read our Annual Report on Form 10-K and subsequent Quarterly Reports on Form 10-Q in their entirety, including the risk factors therein. Because risk is fundamental to the process of drug discovery and development, you are cautioned to not invest in our publicly traded securities unless you are prepared to sustain a total loss of the money you have invested.

Filing Exhibits & Attachments

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