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FDA grants Rare Pediatric Disease designation to Monopar (MNPR) Wilson disease drug ALXN1840

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

Rhea-AI Filing Summary

Monopar Therapeutics reported that the U.S. Food and Drug Administration granted Rare Pediatric Disease (RPD) designation to ALXN1840 (tiomolibdate choline), its late-stage candidate for treating Wilson disease. This designation may allow Monopar, if ALXN1840 is approved, to receive a pediatric Priority Review Voucher, which can shorten FDA review time or be sold to another company.

ALXN1840 is an oral, once-daily, first-in-class albumin tripartite complex activator designed to tightly bind excess copper and improve copper balance. In a Phase 3 pivotal trial over 48 weeks, it met the primary endpoint with copper mobilization greater than standard of care, with durable clinical improvement and a favorable safety profile across 645 patient-years in 266 patients.

Positive

  • FDA Rare Pediatric Disease designation for ALXN1840 creates potential access to a pediatric Priority Review Voucher upon any future NDA approval, which could meaningfully enhance the economic value of a successful Wilson disease program.
  • Phase 3 data for ALXN1840 are described as meeting the primary endpoint with greater copper mobilization than standard of care over 48 weeks and a favorable safety profile across 645 patient-years in 266 patients, strengthening the late-stage asset profile.

Negative

  • None.

Insights

FDA Rare Pediatric Disease status for ALXN1840 adds potential Priority Review Voucher upside if the drug is ultimately approved.

The FDA’s Rare Pediatric Disease designation for ALXN1840 confirms that Wilson disease in children qualifies under this incentive program. If Monopar later secures New Drug Application approval, the company could receive a pediatric Priority Review Voucher, a tradable asset that has historically been valuable for issuers.

The press release notes ALXN1840 is a late-stage candidate that met the primary endpoint in a Phase 3 pivotal trial over 48 weeks, with favorable safety across 645 patient-years in 266 patients. While efficacy and safety data still need full regulatory review, these details support continued development.

The disclosed risks emphasize uncertainty around ultimate approval, award and use or sale of any voucher, and Monopar’s need to raise sufficient funds to advance ALXN1840 and its broader pipeline. Future company filings may clarify regulatory interactions and financing steps as Monopar advances toward a potential marketing application.

Item 7.01 Regulation FD Disclosure Disclosure
Material non-public information disclosed under Regulation Fair Disclosure, often investor presentations or guidance.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Wilson disease prevalence 1 in 30,000 people Approximate global prevalence described for Wilson disease
Clinical follow-up exposure 645 patient-years Total follow-up exposure for ALXN1840 in 266 patients
Patients in ALXN1840 studies 266 patients Number of patients with ALXN1840 follow-up in clinical data
Phase 3 trial duration 48 weeks Duration over which ALXN1840 met primary endpoint
Pediatric age range Birth to 18 years Age range covered by Rare Pediatric Disease program definition
Rare Pediatric Disease designation regulatory
"the U.S. Food and Drug Administration (FDA) has granted Rare Pediatric Disease (RPD) designation to ALXN1840"
A rare pediatric disease designation is an official regulatory status given to a drug or therapy that targets a serious or life‑threatening condition primarily affecting children and is uncommon in the population. It matters to investors because the status often brings financial and development perks — such as tax credits, reduced fees, faster review and periods of market protection — which can lower costs, speed approval and improve the commercial outlook; think of it as a VIP pass that makes bringing a scarce, child‑focused treatment to market easier and potentially more profitable.
Priority Review Voucher regulatory
"the potential at the time of NDA approval to receive a pediatric Priority Review Voucher (PRV)"
A priority review voucher is a transferable regulatory incentive that lets a company move a future drug or device application to the front of the review line, shortening the review period by several months. For investors it matters because the voucher can speed up market access for a high-value product or be sold to other companies for significant cash, acting like a tradable fast-pass that can accelerate revenue or create immediate financial upside.
Phase 3 pivotal trial financial
"In the Phase 3 pivotal trial, ALXN1840 met the primary endpoint"
A phase 3 pivotal trial is the large, final clinical study that tests whether a new drug or medical treatment works and is safe enough for regulators to approve it for widespread use. Think of it as the full-scale dress rehearsal before a product launches: positive results can unlock regulatory approval and big commercial upside, while failures can halt a program and significantly affect investor value.
albumin tripartite complex (ATC) activator medical
"ALXN1840 (tiomolibdate choline, TMC) is a novel first-in-class albumin tripartite complex (ATC) activator"
New Drug Application (NDA) regulatory
"potential at the time of NDA approval to receive a pediatric Priority Review Voucher"
A new drug application (NDA) is a formal request submitted to regulatory authorities to gain approval for a new medication to be sold and used by the public. It is a comprehensive review process that examines the drug’s safety, effectiveness, and manufacturing quality. For investors, an NDA approval can signal a potential breakthrough product and influence a company's stock value.
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Learn about SEC filing dates
false 0001645469 0001645469 2026-06-30 2026-06-30


 
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): June 30, 2026
 
MONOPAR THERAPEUTICS INC.
(Exact name of registrant as specified in its charter)
 
Delaware
 
001-39070
 
32-0463781
(State or other jurisdiction
of incorporation)
 
(Commission
File Number)
 
(I.R.S. Employer
Identification No.)
 
1000 Skokie Blvd., Suite 350WilmetteIL
 
60091
(Address of principal executive offices)
 
(Zip Code)
 
(847388-0349
Registrant’s telephone number, including area code
 
N/A
(Former name or former address, if changed since last report)
 
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, $0.001 par value
 
MNPR
 
The Nasdaq Stock Market LLC (Nasdaq Capital Market)
 
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))
 
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 June 30, 2026, Monopar Therapeutics Inc. (“Monopar”) issued a press release announcing that the U.S. Food and Drug Administration granted Rare Pediatric Disease designation to ALXN1840 (tiomolibdate choline).
 
The press release is furnished as Exhibit 99.1 and incorporated herein by reference.
 

 
Item 9.01 Financial Statements and Exhibits.
 
 
(d)
Exhibits.
 
Exhibit
No. 
 
Description
99.1
 
Press Release Dated June 30, 2026.
104
 
Cover Page Interactive Data File - the cover page XBRL tags are 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.
 
 
Monopar Therapeutics Inc.
 
 
 
Date: June 30, 2026
By:
/s/ Quan Vu
 
Name:
Quan Vu
 
Title:
Chief Financial Officer
 

Exhibit 99.1

 

Monopar Therapeutics Receives FDA Rare Pediatric Disease Designation for ALXN1840 for the Treatment of Wilson Disease

 

WILMETTE, Ill., June 30, 2026 (GLOBE NEWSWIRE) -- Monopar Therapeutics Inc. (“Monopar” or the “Company”) (Nasdaq: MNPR), a clinical-stage biopharmaceutical company developing innovative treatments for patients with unmet medical needs, today announced that the U.S. Food and Drug Administration (FDA) has granted Rare Pediatric Disease (RPD) designation to ALXN1840 (tiomolibdate choline, TMC), the Company’s late-stage candidate for the treatment of Wilson disease.

 

The FDA grants RPD designation to therapies intended to treat serious or life-threatening diseases that primarily affect children from birth to 18 years of age. The designation provides the Company with the potential at the time of NDA approval to receive a pediatric Priority Review Voucher (PRV), which can be used to obtain priority review of a subsequent marketing application or sold or transferred to another sponsor. Priority review can reduce the FDA’s target review time by several months.

 

“Receiving Rare Pediatric Disease designation for ALXN1840 underscores the serious impact that Wilson disease has on patients and reinforces the urgency of bringing forward a new treatment option,” said Chandler Robinson, M.D., Chief Executive Officer of Monopar.

 

About Wilson Disease

 

Wilson disease is a rare genetic disorder that affects approximately 1 in 30,000 people worldwide. It is caused by mutations in the ATP7B gene, which impairs the body’s ability to excrete copper. It is characterized by toxic accumulation of copper in the liver, brain, and other organs, leading to progressive and potentially fatal outcomes if untreated.

 

About ALXN1840

 

ALXN1840 (tiomolibdate choline, TMC) is a novel first-in-class albumin tripartite complex (ATC) activator under investigation for the treatment of Wilson disease. ALXN1840 rapidly mobilizes and tightly sequesters excess copper in ATCs, suppressing its redox reactivity, limiting oxidative damage, and blocking transport across the blood–brain barrier. Clinical data demonstrate that ALXN1840 improves copper balance by increasing fecal copper excretion. In the Phase 3 pivotal trial, ALXN1840 met the primary endpoint by demonstrating rapid and sustained copper mobilization significantly greater than standard of care over 48 weeks in both previously treated and untreated patients. Durable clinical improvement and a favorable safety and tolerability profile were observed across 645 patient-years of follow-up in 266 patients. ALXN1840 is an oral tablet with a once-a-day dosing regimen.

 

About Monopar Therapeutics Inc.

 

Monopar Therapeutics is a clinical-stage biopharmaceutical company with late-stage ALXN1840 for Wilson disease, and radiopharmaceutical programs including MNPR-101-Zr (Phase 1) for imaging advanced cancers along with MNPR-101-Lu (Phase 1a) and MNPR-101-Ac (late preclinical) for the treatment of advanced cancers. For more information, visit: www.monopartx.com.

 


Exhibit 99.1

 

Forward-Looking Statements

 

Statements contained in this press release regarding matters that are not historical facts are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. The words “may,” “will,” “could,” “would,” “should,” “expect,” “plan,” “anticipate,” “intend,” “believe,” “estimate,” “predict,” “project,” “potential,” “continue,” “target” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. An example of a forward-looking statement includes the statement concerning: that the designation (RPD) provides the Company with the potential at the time of (ALXN1840) NDA approval to receive a pediatric Priority Review Voucher (PRV). The forward-looking statements involve risks and uncertainties including, but not limited to: uncertainties related to whether the ALXN1840 marketing application will receive marketing approval and, if approved, whether Monopar will be awarded a Priority Review Voucher; whether, if awarded, the Priority Review Voucher can be used to obtain priority review of a subsequent marketing application or sold or transferred to another sponsor; the continued authorization and availability of the Rare Pediatric Disease Priority Review Voucher program; uncertainties related to the regulatory process that Monopar intends to initiate related to ALXN1840 and the outcome thereof; the rate of market acceptance and competitiveness in terms of pricing, efficacy and safety, of any products for which Monopar receives marketing approval, and Monopar’s ability to competitively market any such products as compared to larger pharmaceutical firms; Monopar’s ability to raise sufficient funds in order for the Company to support continued preclinical, clinical, regulatory, precommercial and commercial development of its programs and to make contractual milestone payments, as well as its ability to further raise additional funds in the future to support any existing or future product candidate programs through completion of clinical trials, the approval processes and, if applicable, commercialization; and the significant general risks and uncertainties surrounding the research, development, regulatory approval, and commercialization of imaging agents and therapeutics. Actual results may differ materially from those expressed or implied by such forward-looking statements. Risks are described more fully in Monopar’s filings with the Securities and Exchange Commission. All forward-looking statements contained in this press release speak only as of the date on which they were made. Monopar undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made. Any forward-looking statements contained in this press release represent Monopar’s views only as of the date hereof and should not be relied upon as representing its views as of any subsequent date.

 

CONTACT:

 

Monopar Therapeutics Inc.

Investor Relations

Quan Vu

Chief Financial Officer

vu@monopartx.com

 

Follow Monopar on social media for updates:

X: @MonoparTx LinkedIn: Monopar Therapeutics

 


Source: Monopar Therapeutics Inc.

FAQ

What did Monopar Therapeutics (MNPR) announce regarding ALXN1840?

Monopar announced that the FDA granted Rare Pediatric Disease designation to ALXN1840 for Wilson disease. This status recognizes its potential to treat a serious pediatric condition and may, upon any future approval, enable receipt of a pediatric Priority Review Voucher.

What is FDA Rare Pediatric Disease designation and why is it important for MNPR?

Rare Pediatric Disease designation is granted to therapies for serious diseases that primarily affect children. For Monopar, it may allow a pediatric Priority Review Voucher upon any ALXN1840 approval, which can shorten future FDA review or be sold to another company.

How advanced is Monopar’s ALXN1840 program for Wilson disease?

ALXN1840 is described as a late-stage, first-in-class albumin tripartite complex activator. In a Phase 3 pivotal trial over 48 weeks, it met the primary endpoint with copper mobilization greater than standard of care and showed durable clinical improvement with a favorable safety profile.

What data did Monopar share about ALXN1840’s safety and efficacy?

Monopar reports that ALXN1840 rapidly mobilizes and sequesters excess copper and improved copper balance by increasing fecal copper excretion. Durable clinical improvement and a favorable safety and tolerability profile were observed across 645 patient-years of follow-up in 266 patients in clinical studies.

How does ALXN1840 work to treat Wilson disease according to Monopar?

ALXN1840 is a novel albumin tripartite complex activator that tightly sequesters excess copper, suppressing its redox activity. This limits oxidative damage and blocks transport across the blood–brain barrier, with clinical data showing improved copper balance through increased fecal copper excretion.

What risks and uncertainties did Monopar highlight about ALXN1840 and the RPD designation?

Monopar notes uncertainties around whether an ALXN1840 marketing application will receive approval and, if approved, whether a Priority Review Voucher will be awarded or usable. It also cites funding needs, regulatory risks, and competitive dynamics for any future approved products.

Filing Exhibits & Attachments

5 documents