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Medicus Pharma, Pfizer agree CD228V deal with $1B+

Medicus updates its S-1 with a Pfizer co-development deal for CD228V, involving upfront and milestone payments plus future royalties.

(Neutral)
(Neutral)
Form Type
424B3

Rhea-AI Filing Summary

Medicus Pharma Ltd. (MDCX) filed a prospectus supplement registering 3,245,595 common shares issuable upon exercise of outstanding warrants and updating investors with a new collaboration disclosure. The attached Form 8-K describes a Co-Development and License Agreement under which Pfizer granted Medicus exclusive, worldwide rights to develop and commercialize CD228V, an early clinical-stage antibody-drug conjugate targeting melanotransferrin (CD228). Medicus paid Pfizer a $12.0 million upfront fee, will owe an additional $15.0 million on the first anniversary, and received a $2.0 million Development Funding Payment to support CD228V development. Pfizer remains economically involved through potential development, regulatory and sales milestones that in aggregate exceed $1.0 billion and through low double-digit royalties on annual net sales, while Medicus retains control over development, regulatory and commercialization activities.

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Filing Explained

The supplement registers warrant shares for possible future issuance, while Pfizer’s $2.0 million funding is restricted solely to CD228V development.

The September 3 supplement updates the effective S-1 with the September 2 Form 8-K and registers 3,245,595 common shares for possible warrant exercise; it does not report those shares as issued or sold.

Under the S-1 framework, registration alone sells nothing. The warrants have a $4.64 exercise price and expire on November 15, 2029, so this filing establishes capacity for a possible future share issuance rather than a present increase in shares.

The agreement provides a $2.0 million Development Funding Payment that Medicus must apply solely to CD228V development activities, while Medicus remains obligated to pay Pfizer an additional $15.0 million on the first anniversary.

Pfizer's possible funding of development from the first pivotal trial is not committed financing: it would require a separate agreement covering the funding and consideration, and neither party is obligated to enter that agreement.

Shares issuable upon warrant exercise 3,245,595 shares Common shares covered by the prospectus supplement
Public Warrant exercise price $4.64 per share Exercise price of MDCXW warrants expiring November 15, 2029
Common share last reported sale price $0.2599 MDCX closing price on September 2, 2026
Public Warrant last reported sale price $0.31 MDCXW closing price on September 2, 2026
Upfront payment to Pfizer $12.0 million One-time non-refundable payment at Agreement effective date
Additional payment to Pfizer $15.0 million One-time non-refundable payment due on first anniversary of effective date
Development Funding Payment from Pfizer $2.0 million Non-refundable payment to be used solely for CD228V development
Potential aggregate milestones Over $1.0 billion Development, regulatory and sales milestone payments to Pfizer across multiple indications
Co-Development and License Agreement regulatory
"entered into a Co-Development and License Agreement (the "Agreement") with Pfizer"
antibody-drug conjugate medical
"an early clinical-stage antibody-drug conjugate targeting melanotransferrin (CD228)"
An antibody-drug conjugate is a targeted medicine that combines an antibody, which can identify specific cells, with a powerful drug designed to destroy those cells. This approach allows for precise treatment, minimizing damage to healthy tissue. For investors, developments in this area can signal advances in cancer therapies and potential growth opportunities in the biotech sector.
melanotransferrin (CD228) medical
"targeting melanotransferrin (CD228), and products incorporating it"
Development Funding Payment financial
"a one-time, non-refundable payment of $2.0 million (the "Development Funding Payment")"
royalty-bearing financial
"an exclusive, sublicensable, royalty-bearing, worldwide license under specified Pfizer patent rights"
An asset, contract, or revenue stream described as royalty-bearing requires regular payments calculated as a percentage or fixed fee based on sales, production, or use. For investors, this matters because such payments either reduce the cash an owner keeps from a product or create a predictable income stream for the party receiving the royalty—think of it like renting out a patent or mine where the operator pays the owner a portion of what they earn.
emerging growth company regulatory
"We are an "emerging growth company" under applicable Securities and Exchange Commission rules"
An emerging growth company is a recently public or smaller public firm that qualifies for temporary, lighter regulatory and disclosure rules to reduce the cost and effort of being public. For investors, it means the company may provide less historical financial detail and face fewer reporting requirements than larger firms, so it can grow more quickly but also carries higher uncertainty—like buying a promising early-stage product with fewer user reviews.
Offering Type shelf

FAQ

What securities does Medicus Pharma (MDCX) register in this prospectus supplement?

The supplement covers 3,245,595 common shares of Medicus Pharma Ltd. issuable upon the exercise of existing warrants. These warrants have an exercise price of $4.64 per share and an expiration date of November 15, 2029.

What is the key Pfizer agreement disclosed by MDCX in this filing?

Medicus, via its subsidiary, entered a Co-Development and License Agreement with Pfizer Inc. Pfizer granted Medicus exclusive, sublicensable, royalty-bearing global rights to develop, manufacture and commercialize CD228V (PF-08046031) and related products for all human diseases and disorders.

How much is Medicus Pharma paying and receiving upfront under the Pfizer deal?

Medicus paid Pfizer a $12.0 million non-refundable upfront fee at effectiveness and must pay another $15.0 million on the first anniversary. Pfizer paid Medicus a $2.0 million non-refundable Development Funding Payment to be used solely for CD228V development activities.

What is the potential milestone and royalty structure for Pfizer in the MDCX agreement?

Pfizer is eligible for development and regulatory milestones, sales-based milestones, and tiered royalties. The aggregate potential development, regulatory and sales milestone payments exceed $1.0 billion, and Pfizer is entitled to low double-digit royalties on annual Net Sales during the royalty term.

Who controls development and commercialization of CD228V under the MDCX-Pfizer deal?

Medicus retains sole authority and responsibility for the development, manufacture, regulatory approval and commercialization of CD228V and related products, including associated costs. Pfizer can review and comment on plans and budgets but has no approval or veto rights over development activities.

What option does Pfizer have for future CD228V development funding?

Pfizer holds an option to elect to fund all or a portion of development of a product from and after its first pivotal trial. Any such funding would require a separate definitive agreement, and neither party is obligated to enter into such an agreement.

What are the recent trading prices and listing details for MDCX securities?

Medicus’s common shares and public warrants trade on the Nasdaq Capital Market under symbols MDCX and MDCXW. On September 2, 2026, the last reported sale prices were $0.2599 per common share and $0.31 per public warrant.

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

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Filed Pursuant to Rule 424(b)(3)

Registration No. 333-287599

PROSPECTUS SUPPLEMENT NO. 7

(to prospectus dated effective March 27, 2026)

Medicus Pharma Ltd.

3,245,595 Common Shares Issuable upon the Exercise of Warrants


This prospectus supplement amends and supplements the prospectus dated effective March 27, 2026, as supplemented or amended from time to time (the "Prospectus"), which forms a part of our Registration Statement on Form S-1 (Registration Statement No. 333-287599). This prospectus supplement is being filed to update and supplement the information included or incorporated by reference in the Prospectus with the information contained in our Current Report on Form 8-K, filed with the Securities and Exchange Commission on September 3, 2026 (the "Form 8-K"). Accordingly, we have attached the Form 8-K to this prospectus supplement.

This prospectus supplement updates and supplements the information in the Prospectus and is not complete without, and may not be delivered or utilized except in combination with, the Prospectus, including any amendments or supplements thereto. This prospectus supplement should be read in conjunction with the Prospectus and if there is any inconsistency between the information in the Prospectus and this prospectus supplement, you should rely on the information in this prospectus supplement.

Our common shares and warrants, with an exercise price of $4.64 and expiration date of November 15, 2029 (the "Public Warrants"), are listed on The Nasdaq Capital Market ("Nasdaq") under the symbols "MDCX" and "MDCXW," respectively. On September 2, 2026, the last reported sales prices of the common shares and Public Warrants were $0.2599 and $$0.31, respectively.

We are an "emerging growth company" under applicable Securities and Exchange Commission rules and are eligible for reduced public company disclosure requirements.

Investing in our securities involves a high degree of risk. You should review carefully the risks and uncertainties described under the heading "Risk Factors" beginning on page 7 of the Prospectus, and under similar headings in any amendment or supplements to the Prospectus.

None of the Securities and Exchange Commission, any state securities commission or the securities commission of any Canadian province or territory has approved or disapproved of the securities offered by this prospectus supplement or the Prospectus or determined if the Prospectus or this prospectus supplement is truthful or complete. Any representation to the contrary is a criminal offense.

The date of this prospectus supplement is September 3, 2026.


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 2, 2026

MEDICUS PHARMA LTD.
(Exact name of registrant as specified in its charter)

Ontario 001-42408 98-1778211
(State or other jurisdiction (Commission (IRS Employer
of incorporation) File Number) Identification No.)

300 Conshohocken State Road, Suite 200
Conshohocken, Pennsylvania, United States 19428
(Address of principal executive offices) (ZIP Code)

Registrant's telephone number, including area code: (610) 540-7515

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 Symbols   Name of each exchange on which registered
Common shares, no par value   MDCX   NASDAQ Capital Market
Warrants, each exercisable for one common share at an exercise price of $4.64 per share   MDCXW   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 1.01. Entry into a Material Definitive Agreement.

On September 2, 2026, Medicus Pharma Ltd. (the "Company"), through its wholly owned subsidiary, Medicus Pharma Inc., entered into a Co-Development and License Agreement (the "Agreement") with Pfizer Inc. ("Pfizer"). Under the Agreement, Pfizer granted the Company, subject to certain rights retained by Pfizer and other qualifications contained in the Agreement, an exclusive, sublicensable, royalty-bearing, worldwide license under specified Pfizer patent rights, and a non-exclusive, sublicensable, royalty-bearing, worldwide license under related platform patent rights and know-how, in each case to develop, manufacture and commercialize PF-08046031 ("CD228V"), an early clinical-stage antibody-drug conjugate targeting melanotransferrin (CD228), and products incorporating it, for the treatment, prevention, diagnosis, control and maintenance of all human diseases and disorders. The Agreement is structured as a co-development arrangement, under which Pfizer is expected to remain involved in the CD228V program following the effective date. Pfizer is contributing funding toward the Company's development activities through the Development Funding Payment (as defined below), will receive the Company's development plan, development budget and periodic progress reports for the program, has the right to review and comment on those plans and budgets and to meet with the Company periodically to discuss the program, and holds an option to elect to fund all or a portion of the development of a product from and after the first pivotal trial for such product, in each case as described below. Pfizer also retains ownership of the licensed patent rights, which are to be prosecuted and maintained in Pfizer's name, and will continue to participate in the program economically through the milestone payments, royalties and other payments described below. The Company, however, retains sole authority over and control of the development, manufacture, regulatory approval and commercialization of CD228V and products incorporating it, as described below.

As consideration for the licenses and rights granted under the Agreement, the Company paid Pfizer a one-time, non-refundable upfront payment of $12.0 million on the effective date of the Agreement and is obligated to pay an additional one-time, non-refundable payment of $15.0 million on the first anniversary of the effective date. In addition, on the effective date of the Agreement, Pfizer paid the Company a one-time, non-refundable payment of $2.0 million (the "Development Funding Payment"), which the Company is required to apply solely to fund development activities for CD228V and products incorporating it under the development plan contemplated by the Agreement.

Pfizer is also eligible to receive development and regulatory milestone payments upon the achievement of specified clinical and regulatory events across multiple indications, as well as sales-based milestone payments upon the achievement of specified annual and cumulative net sales thresholds. In addition, Pfizer is eligible to receive tiered royalties on annual net sales of products on a product-by-product and country-by-country basis during the applicable royalty term. The aggregate potential development, regulatory and sales milestone payments under the Agreement exceed $1.0 billion, assuming achievement of all applicable milestones across multiple indications and commercial thresholds, and low double-digit royalties on Net Sales per calendar year.


The Company may grant sublicenses under the Agreement, subject to the terms and conditions set forth therein, and is obligated to use commercially reasonable efforts to develop and commercialize products in specified major market countries. The Company retains sole authority over and control of, and sole responsibility for the costs and expenses of, the development, manufacture, regulatory approval and commercialization of CD228V and products incorporating it. Pfizer does not have any approval, consent, veto or other decision-making right with respect to development activities. The Company is also required to notify Pfizer upon determining to initiate the first pivotal trial for a product, or to enter into a transaction pursuant to which a third party would fund all or a material portion of the development of a product from and after the first pivotal trial, and Pfizer has the right, but not the obligation, to elect to fund all or a portion of those development activities. Any such funding would be subject to the negotiation and execution of a separate definitive agreement, including as to the amount and schedule of funding and the consideration payable to Pfizer, and neither party is obligated to enter into any such agreement or to agree to any particular term.

The Agreement also provides that Pfizer is entitled to receive a portion of specified consideration payable in connection with a change of control of the Company or sublicensing of, or certain other strategic transactions involving the licensed program. The Agreement contains certain termination provisions as described therein and sets forth the Company's obligations to transfer certain property and licenses to Pfizer in certain termination events. Unless earlier terminated in accordance with its terms, the Agreement continues in effect on a product-by-product and country-by-country basis until expiration of the applicable royalty term.

The foregoing description of the Agreement does not purport to be complete and is qualified in its entirety by reference to the full text of the Agreement, a copy of which is filed as Exhibit 10.1 to this Current Report on Form 8-K and is incorporated herein by reference.


Item 9.01. Financial Statements and Exhibits.

(d) Exhibits.

Exhibit
No.
  Description
10.1*#   Co-Development and License Agreement, dated September 2, 2026, by and between Medicus Pharma Inc. and Pfizer Inc.
104   Cover Page Interactive Data File (embedded with the Inline XBRL document).

* Certain portions of this exhibit have been redacted pursuant to Item 601(b)(2)(ii) of Regulation S-K. The Company agrees to furnish supplementally an unredacted copy of the exhibit to the Securities and Exchange Commission upon its request.

# Certain schedules and exhibits have been omitted in accordance with Item 601(a)(5) of Regulation S-K. A copy of any omitted schedule and/or exhibit will be furnished to the Securities and Exchange Commission upon request.


Forward Looking Statements

This Current Report on Form 8-K contains 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, and the Private Securities Litigation Reform Act of 1995, as amended. Such forward-looking statements include, but are not limited to, statements regarding the Agreement and the anticipated benefits thereof, the Company's plans and expectations relating to the development, manufacture and commercialization of CD228V across human therapeutic indications, the Company's ability to satisfy its payment obligations under the Agreement, the Company's expectations regarding Pfizer's continued involvement in the co-development of CD228V, the Company's receipt and application of the Development Funding Payment, Pfizer's option to fund development activities from and after the first pivotal trial for a product and the parties' ability to negotiate and enter into any agreement with respect to such funding, the future development, regulatory and commercial milestone payments and tiered royalties potentially payable to Pfizer, and the Company's rights to sublicense CD228V and to pursue strategic development and commercialization partnerships. All statements, other than statements of historical fact, are statements that could be deemed forward-looking statements. In addition, forward-looking statements are typically identified by words such as "plan," "believe," "goal," "target," "aim," "expect," "anticipate," "intend," "outlook," "estimate," "forecast," "project," "continue," "could," "may," "might," "possible," "potential," "predict," "should," "would" and other similar words and expressions, although the absence of these words or expressions does not mean that a statement is not forward-looking. Forward-looking statements are based on the current expectations and beliefs of the Company's management and are inherently subject to a number of factors, risks, uncertainties and assumptions and their potential effects. There can be no assurance that future developments will be those that have been anticipated. Actual results may vary materially from those expressed or implied by forward-looking statements based on a number of factors, risks, uncertainties and assumptions, including the risks and uncertainties detailed from time to time in the Company's filings with the SEC. Potential investors, shareholders and other readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date on which they were made. The Company does not assume any obligation to publicly update any forward-looking statement after it was made, whether as a result of new information, future events or otherwise, except as required by law or regulation. Investors are referred to the full discussion of risks and uncertainties associated with forward-looking statements and the discussion of risk factors contained in the Company's filings with the SEC, which are available at www.sec.gov.


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.

  MEDICUS PHARMA LTD.
     
  By: /s/ Raza Bokhari
    Raza Bokhari
    Executive Chairman and Chief Executive Officer
     
Date: September 3, 2026