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Monopar Therapeutics (MNPR) begins rolling NDA for ALXN1840 in Wilson disease

(Moderate)
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

Monopar Therapeutics Inc. has begun a rolling submission of a New Drug Application to the U.S. Food and Drug Administration for ALXN1840 (tiomolibdate choline), a first-in-class albumin tripartite complex activator being developed to treat Wilson disease.

The FDA has authorized this rolling process and the first sections of the application have been submitted. In a pivotal Phase 3 trial, ALXN1840 met its primary endpoint, showing rapid and sustained copper mobilization significantly greater than standard of care over 48 weeks. Across the clinical development program, durable clinical improvement and favorable tolerability were observed over 645 patient-years in 266 patients. ALXN1840 holds Fast Track, Orphan Drug and Rare Pediatric Disease designations, which provide the potential, at the time of NDA approval, to receive a pediatric Priority Review Voucher.

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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 worldwide Approximate global prevalence of Wilson disease
Phase 3 trial duration 48 weeks Period over which ALXN1840 showed greater copper mobilization than standard of care
Patients in ALXN1840 program 266 patients Total patients in the ALXN1840 clinical development program
ALXN1840 follow-up exposure 645 patient-years Total follow-up across the ALXN1840 clinical development program
rolling submission regulatory
"initiated the rolling submission of a New Drug Application"
A rolling submission is a regulatory filing process where a company sends portions of its application to health authorities as each section is completed, rather than waiting to submit the entire package at once. For investors, this can shorten the time to review and potential approval and reduces the risk of a single big setback—think of it like mailing chapters of a manuscript to an editor as they’re finished so feedback and progress happen sooner.
New Drug Application regulatory
"rolling submission of a New Drug Application ("NDA") to the U.S. Food"
A new drug application is a formal request submitted to government regulators seeking approval to market a new medicine. It is like a detailed proposal that shows the drug has been tested for safety and effectiveness. For investors, receiving approval signals that the drug may soon become available for sale, potentially leading to revenue growth and impacting the company's value.
Rare Pediatric Disease regulatory
"ALXN1840 received Rare Pediatric Disease ("RPD") designation by the FDA"
A rare pediatric disease is a serious medical condition that primarily affects children and occurs so infrequently that only a small number of patients exist. Investors care because treatments for such conditions often get special regulatory incentives—think of government fast lanes and rewards for developers—making smaller markets potentially profitable due to pricing power, shorter development timelines, and reduced competition, much like a niche product that receives government-backed advantages.
Priority Review Voucher regulatory
"potential, at the time of NDA approval, to receive a pediatric Priority Review Voucher"
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.
albumin tripartite complex medical
"first-in-class albumin tripartite complex ("ATC") activator for the treatment"
An albumin tripartite complex is a three-part molecular assembly in which human serum albumin—an abundant blood protein—carries two other attached components, such as a therapeutic molecule and a helper tag. For investors, this matters because using albumin as a transporter can act like a slow-release backpack, keeping drugs in circulation longer, improving delivery to target tissues and reducing dosing frequency, which can boost a drug candidate’s commercial prospects and pricing power.

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FAQ

What did Monopar Therapeutics (MNPR) announce regarding ALXN1840?

Monopar Therapeutics initiated a rolling New Drug Application submission to the U.S. FDA for ALXN1840 in Wilson disease, with the agency authorizing this rolling process and the company already having submitted the first completed sections of the application.

What is ALXN1840 and how does it work in Wilson disease for MNPR?

ALXN1840 is a first-in-class albumin tripartite complex activator under investigation for Wilson disease. It rapidly mobilizes and tightly sequesters excess copper, forming stable complexes that limit oxidative damage, block copper transport across the blood–brain barrier, and increase fecal copper excretion.

Which FDA designations has ALXN1840 received for Monopar Therapeutics (MNPR)?

ALXN1840 has Fast Track, Orphan Drug and Rare Pediatric Disease designations from the FDA. The Rare Pediatric Disease designation provides Monopar with the potential, at the time of NDA approval, to receive a pediatric Priority Review Voucher.

What clinical data support ALXN1840 in Wilson disease for MNPR investors?

In a pivotal Phase 3 trial, ALXN1840 met its primary endpoint, showing rapid, sustained copper mobilization significantly greater than standard of care over 48 weeks. Across the program, durable clinical improvement and favorable tolerability were seen over 645 patient-years in 266 patients.

How common is Wilson disease targeted by Monopar Therapeutics (MNPR)?

Wilson disease is described as a rare genetic disorder affecting approximately 1 in 30,000 people worldwide. It involves toxic copper accumulation in the liver, brain and other organs, leading to progressive and potentially fatal outcomes if not treated.

What other programs are in Monopar Therapeutics (MNPR) pipeline besides ALXN1840?

Monopar is also developing a radiopharmaceutical portfolio, including MNPR-101-Zr in Phase 1 for imaging advanced cancers, and MNPR-101-Lu (Phase 1a) and MNPR-101-Ac (late preclinical) for the treatment of advanced cancers.
false 0001645469 0001645469 2026-07-22 2026-07-22


 
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): July 22, 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 July 22, 2026, Monopar Therapeutics Inc. (“Monopar”) issued a press release announcing that it had initiated the rolling submission of a New Drug Application for ALXN1840 (tiomolibdate choline) in Wilson disease to the U.S. Food and Drug Administration.
 
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 July 22, 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: July 22, 2026
By:
/s/ Quan Vu
 
 
Name:
Quan Vu
 
 
Title:
Chief Financial Officer
 
 

Exhibit 99.1

 

Monopar Initiates Rolling NDA Submission for ALXN1840 in Wilson Disease

 

WILMETTE, Ill., July 22, 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 it has initiated the rolling submission of a New Drug Application (“NDA”) to the U.S. Food and Drug Administration (“FDA”) for ALXN1840 (tiomolibdate choline, TMC), its first-in-class albumin tripartite complex (“ATC”) activator for the treatment of Wilson disease. The FDA has authorized Monopar to submit the NDA on a rolling basis, allowing completed sections of the application to be submitted and reviewed while the Company finalizes the remaining sections. Monopar has submitted the first completed sections of the NDA.

 

If the completed NDA is accepted for filing and subsequently approved, ALXN1840 would be the first therapy with a novel mechanism of action approved in the United States for Wilson disease in decades.

 

“Wilson disease is a serious, lifelong condition, and patients and their families have waited a long time for a new treatment option,” said Chandler Robinson, M.D., Chief Executive Officer of Monopar. “Initiating the rolling NDA submission marks an important milestone in our efforts to bring this novel copper-sequestering therapy to patients.”

 

In addition to Fast Track and Orphan Drug designations, ALXN1840 received Rare Pediatric Disease (“RPD”) designation by the FDA in June 2026. The RPD designation provides the Company with the potential, at the time of NDA approval, to receive a pediatric Priority Review Voucher (“PRV”).

 

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 stable ATCs, suppressing copper’s redox reactivity, limiting oxidative damage, and blocking its transport across the blood–brain barrier. Clinical data have also demonstrated that ALXN1840 improves copper balance by increasing fecal copper excretion.

 

In the pivotal Phase 3 trial, ALXN1840 met its primary endpoint, demonstrating rapid and sustained copper mobilization that was significantly greater than standard of care over 48 weeks in both previously treated and treatment-naïve patients. Across the ALXN1840 clinical development program, durable clinical improvement and favorable tolerability were observed across 645 patient-years of follow-up in 266 patients, with a well-characterized safety profile.

 


Exhibit 99.1

 

About Monopar Therapeutics Inc.

 

Monopar Therapeutics is a clinical-stage biopharmaceutical company developing ALXN1840, a late-stage program for Wilson disease, and a portfolio of 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.

 

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. Examples of these forward-looking statements include statements concerning: that if the completed NDA is accepted for filing and subsequently approved, ALXN1840 would be the first therapy with a novel mechanism of action approved in the United States for Wilson disease in decades; and that the RPD designation provides the Company with the potential, at the time of 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 the regulatory process that Monopar has initiated related to ALXN1840, including whether the FDA will accept the NDA for filing and the outcome of any review thereof; 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; 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

 

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Filing Exhibits & Attachments

5 documents