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FDA grants Orphan Drug Designation to REYOBIQ from Plus Therapeutics (PSTV)

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

Rhea-AI Filing Summary

Plus Therapeutics reported that the U.S. FDA has granted Orphan Drug Designation to its radiotherapeutic candidate REYOBIQ (rhenium Re186 obisbemeda) for treating pediatric malignant gliomas, a group of rare, aggressive brain tumors with limited options and poor outcomes.

The designation, which also encompasses pediatric ependymoma, offers potential benefits such as seven years of market exclusivity upon approval, tax credits for clinical trial costs, and certain fee exemptions. It builds on prior regulatory and clinical progress for REYOBIQ in leptomeningeal metastases and pediatric brain cancers, where the drug is being studied in multiple ongoing ReSPECT trials.

Positive

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Insights

FDA orphan designation is a meaningful regulatory milestone but still early-stage.

The FDA’s Orphan Drug Designation for REYOBIQ in pediatric malignant gliomas signals official recognition of a high unmet medical need and the potential of this CNS-targeted radiotherapeutic. The scope is broader than requested, extending to pediatric ependymoma.

Economically, orphan status can improve the program’s attractiveness by offering 7 years of U.S. market exclusivity upon approval, tax credits for eligible trials, and regulatory fee reductions. These incentives may support continued development across indications like leptomeningeal metastases and recurrent glioblastoma.

However, this is not an approval and does not confirm safety or efficacy. Future value impact depends on outcomes from the ReSPECT-GBM, ReSPECT-LM, and ReSPECT-PBC studies and on whether subsequent FDA interactions, including potential pivotal trial designs, progress as the company expects.

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, and exhibit attachments filed with this report.
Orphan exclusivity period 7 years Market exclusivity in U.S. upon approval under Orphan Drug Designation
Pediatric HGG incidence 3.3 cases per 100,000 persons Rarity of pediatric high grade gliomas including ependymoma
Five-year survival for HGG 22% Five-year survival rates as low as 22% for pediatric high grade gliomas
LM occurrence in cancer 5% Leptomeningeal metastases occurs in approximately 5% of people with cancer
LM survival at 1 and 2 years 7% at 1 year; 3% at 2 years Survival rates for leptomeningeal metastases patients
CPRIT grant for ReSPECT-LM $17 grant over three years Funding from Cancer Prevention & Research Institute of Texas
DoD grant for ReSPECT-PBC $3 million U.S. Department of Defense Peer Reviewed Cancer Research Program
Breast cancer LM rate 3–5% Portion of breast cancer patients who develop leptomeningeal metastases
Orphan Drug Designation regulatory
"the U.S. Food and Drug Administration (FDA) has granted Orphan Drug Designation (ODD) to REYOBIQ"
Orphan drug designation is a special status given to medicines developed to treat rare diseases affecting only a small number of people. This status often provides benefits like faster approval processes and financial incentives, making it more attractive for companies to develop these drugs. For investors, it signals potential for exclusive market rights and reduced competition, which can impact the drug’s profitability.
leptomeningeal metastases medical
"LM is a rare complication of cancer in which the primary cancer spreads to the cerebrospinal fluid"
Leptomeningeal metastases occur when cancer cells spread to the thin layers of tissue covering the brain and spinal cord, similar to how weeds can invade the surface layer of soil. This condition often indicates advanced disease and can lead to serious neurological problems. For investors, the presence of such metastases may signal challenges in treatment options and can impact the outlook for related healthcare companies or research developments.
Investigational New Drug (IND) regulatory
"the Company has received FDA clearance of its Investigational New Drug (IND) application to evaluate REYOBIQ"
An investigational new drug (IND) is a drug or biologic that is being tested but has not yet been approved for general use; it is the application and formal status that allows a company to begin human clinical trials under regulator oversight. Investors care because an IND marks the transition from lab work to human testing — like getting a permit to run real-world experiments — which creates important milestones, costs, timelines and regulatory risk that drive a development-stage company's value.
radiotherapeutics medical
"a clinical-stage pharmaceutical company developing targeted radiotherapeutics with advanced platform technologies"
Radiotherapeutics are medical treatments that use tiny amounts of radioactive material to directly damage and kill diseased cells, most often cancer, by delivering radiation precisely to a tumor rather than the whole body. Investors care because these products combine drug development, specialized manufacturing and strict regulation—so clinical trial results, approval decisions, supply reliability and reimbursement determine commercial potential much like a new, precision tool transforming how a common problem is fixed.
leptomeninges medical
"spreads to the cerebrospinal fluid (CSF) and leptomeninges surrounding the brain and spinal cord"
laboratory-developed tests technical
"develops and commercializes proprietary laboratory-developed tests, such as CNSide®"
false000109598100010959812026-04-082026-04-08

 

 

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): April 8, 2026

 

 

PLUS THERAPEUTICS, INC.

(Exact name of Registrant as Specified in Its Charter)

 

 

Delaware

001-34375

33-0827593

(State or Other Jurisdiction
of Incorporation)

(Commission File Number)

(IRS Employer
Identification No.)

 

 

 

 

 

6420 LEVIT GREEN BOULEVARD

Suite 310

 

Houston, Texas

 

77021

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s Telephone Number, Including Area Code: (737) 255-7194

 

 

(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 class

 

Trading
Symbol(s)

 


Name of each exchange on which registered

Common Stock, par value $0.001 per share

 

PSTV

 

The 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 8.01 Other Events.

On April 8, 2026, Plus Therapeutics, Inc. (the “Company”) issued a press release announcing that REYOBIQ™ (rhenium Re186 obisbemeda) was granted Orphan Drug Designation by the U.S. Food and Drug Administration for the treatment of pediatric malignant gliomas.

A copy of the press release is attached as Exhibit 99.1 to this report and is incorporated herein by reference.

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits.

Exhibit
Number

Description

99.1

Press Release dated April 8, 2026

104

Cover Page Interactive Data File (embedded within the Inline XBRL document)


 

 


 

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.

 

 

 

PLUS THERAPEUTICS, INC.

 

 

 

 

Date:

April 8, 2026

By:

/s/ Marc H. Hedrick, M.D.

 

 

 

Marc H. Hedrick, M.D.
President and Chief Executive Officer

 

 


Exhibit 99.1

Plus Therapeutics Granted U.S. FDA Orphan Drug Designation to REYOBIQ™ in Pediatric Malignant Gliomas

 

HOUSTON, Texas, April 08, 2026 (GLOBE NEWSWIRE) – Plus Therapeutics, Inc. (Nasdaq: PSTV) (the “Company”), a clinical-stage pharmaceutical company developing targeted radiotherapeutics with advanced platform technologies for central nervous system (CNS) cancers, today announced that the U.S. Food and Drug Administration (FDA) has granted Orphan Drug Designation (ODD) to REYOBIQ™ (rhenium Re186 obisbemeda) for the treatment of pediatric malignant gliomas.

 

Pediatric malignant gliomas are rare, aggressive brain tumors with limited treatment options and poor outcomes, where current standards of care—including surgery and radiation—often fail to prevent recurrence.

 

Notably, the FDA granted orphan designation for malignant glioma more broadly than originally requested, encompassing pediatric ependymoma.

 

“Receiving orphan drug designation for REYOBIQ in pediatric malignant gliomas, including the broader scope for progressive pediatric ependymoma, is an important milestone and further validates our approach to delivering targeted radiotherapy directly to CNS tumors,” said Marc Hedrick, M.D., President and Chief Executive Officer of Plus Therapeutics. “We believe REYOBIQ’s ability to deliver high-dose radiation precisely to tumor sites while minimizing exposure to healthy brain tissue has the potential to meaningfully improve outcomes in this underserved patient population. This orphan designation reinforces the potential applicability of REYOBIQ across a wider range of CNS tumor indications and our continued advancement of REYOBIQ across multiple CNS cancer indications.”

 

Orphan Drug Designation is granted by the FDA to investigational therapies intended to treat rare diseases affecting fewer than 200,000 people in the United States. The designation provides several potential benefits, including seven years of market exclusivity upon approval, tax credits for qualified clinical trial expenses, and exemptions from certain regulatory fees.

 

The ODD for pediatric malignant gliomas builds on recent regulatory and clinical progress for REYOBIQ, including completion of a Type B meeting with the FDA supporting development plans in leptomeningeal metastases (LM), encouraging clinical data from the ReSPECT-LM trial, and ongoing advancement of Phase 1 and Phase 2 studies. In addition, the Company has received FDA clearance of its Investigational New Drug (IND) application to evaluate REYOBIQ in pediatric patients with high-grade glioma and ependymoma.

 

About Pediatric Malignant Gliomas

Pediatric malignant gliomas are high-grade brain tumors that form from glial cells in the central nervous system that tend to grow quickly in children. Pediatric high grade gliomas (HGG), including ependymoma, are rare (approximately 3.3 cases per 100,000 persons) but aggressive brain tumors with limited treatment options and poor prognosis, particularly in recurrent settings. Standard treatments, including surgical resection and external beam radiation therapy, often fail to prevent recurrence, with 5-year survival rates as low as 22% for HGG, depending on tumor grade and resection extent.

 

About Leptomeningeal Metastases

LM is a rare complication of cancer in which the primary cancer spreads to the cerebrospinal fluid (CSF) and leptomeninges surrounding the brain and spinal cord. All malignancies originating from solid tumors, primary brain tumors, or hematological malignancies have this LM complication potential with breast cancer as the most common cancer linked to LM, with 3-5% of breast cancer patients developing LM. Additionally, lung cancer, GI cancers and melanoma can also spread to the CSF and result in LM. LM occurs in approximately 5% of people with cancer and is usually terminal with 1-year and 2-year survival of just 7% and 3%, respectively. The incidence of LM is on the rise, partly because cancer patients

 


 

are living longer and partly because many standard chemotherapies cannot reach sufficient concentrations in the spinal fluid to kill the tumor cells, yet there are no FDA-approved therapies specifically for LM patients, who often succumb to this complication within weeks to several months, if untreated.

 

About REYOBIQ™ (rhenium Re186 obisbemeda)

REYOBIQ (rhenium Re186 obisbemeda) is a novel injectable radiotherapy specifically formulated to deliver direct targeted high dose radiation in CNS tumors in a safe, effective, and convenient manner to optimize patient outcomes. REYOBIQ has the potential to reduce off target risks and improve outcomes for CNS cancer patients, versus currently approved therapies, with a more targeted and potent radiation dose. Rhenium-186 is an ideal radioisotope for CNS therapeutic applications due to its short half-life, beta energy for destroying cancerous tissue, and gamma energy for real-time imaging. REYOBIQ is being evaluated for the treatment of recurrent glioblastoma, leptomeningeal metastases, and pediatric brain cancer in the ReSPECT-GBM, ReSPECT-LM, and ReSPECT-PBC clinical trials. ReSPECT-GBM is supported by an award from the National Cancer Institute (NCI), part of the U.S. National Institutes of Health (NIH), and ReSPECT-LM is funded by a three-year $17.6M grant by the Cancer Prevention & Research Institute of Texas (CPRIT). The Company’s ReSPECT-PBC clinical trial for pediatric brain cancer is supported by a $3 million grant from the U.S. Department of Defense’s Peer Reviewed Cancer Research Program.

 

About CNSide Diagnostic, LLC

CNSide Diagnostics, LLC is a wholly owned subsidiary of Plus Therapeutics, Inc. that develops and commercializes proprietary laboratory-developed tests, such as CNSide®, designed to identify tumor cells that have metastasized to the central nervous system in patients with carcinomas and melanomas. The CNSide® CSF Assay Platform enables quantitative analysis of the cerebrospinal fluid that informs and improves the management of patients with leptomeningeal metastases.

 

About Plus Therapeutics

Headquartered in Houston, Texas, Plus Therapeutics, Inc. is a clinical-stage pharmaceutical company developing targeted radiotherapeutics for difficult-to-treat cancers of the central nervous system with the potential to enhance clinical outcomes. Combining image-guided local beta radiation and targeted drug delivery approaches, the Company is advancing a pipeline of product candidates with lead programs in leptomeningeal metastases (LM) and recurrent glioblastoma (GBM). The Company has built a supply chain through strategic partnerships that enable the development, manufacturing, and future potential commercialization of its products. For more information, visit https://www.plustherapeutics.com.

 

Forward-Looking Statements

This press release contains statements that may be deemed “forward-looking statements” within the meaning of U.S. securities laws, including statements regarding clinical trials, expected operations and upcoming developments. All statements in this press release other than statements of historical fact are forward-looking statements. These forward-looking statements may be identified by future verbs, as well as terms such as “expect” “potential,” “anticipating,” “planning” and similar expressions or the negatives thereof. Such statements are based upon certain assumptions and assessments made by management in light of their experience and their perception of historical trends, current conditions, expected future developments and other factors they believe to be appropriate.

 

The forward-looking statements included in this press release could differ materially from those expressed or implied by these forward-looking statements because of risks, uncertainties, and other factors that include, but are not limited to, the following:

statements relating to the significance of the FDA ODD grant to the advancement of REYOBIQ as potential treatment of patients who suffer from for pediatric malignant gliomas; statements regarding the potential promise of REYOBIQ, including the next steps in developing the Company’s product candidates; and, the Company’s clinical trials, including statements regarding the Company’s engagement with the FDA with respect to the possibility of defining a pivotal trial

 


 

strategy for certain of the Company’s clinical trials. This list of risks, uncertainties, and other factors is not complete. Plus Therapeutics discusses some of these matters more fully, as well as certain risk factors that could affect Plus Therapeutics’ business, financial condition, results of operations, and prospects, in its reports filed with the SEC, including Plus Therapeutics’ annual report on Form 10-K for the fiscal year ended December 31, 2024, quarterly reports on Form 10-Q, and current reports on Form 8-K. These filings are available for review through the SEC’s website at www.sec.gov. Any or all forward-looking statements Plus Therapeutics makes may turn out to be wrong and can be affected by inaccurate assumptions Plus Therapeutics might make or by known or unknown risks, uncertainties, and other factors, including those identified in this press release. Accordingly, you should not place undue reliance on the forward-looking statements made in this press release, which speak only as of its date. The Company assumes no responsibility to update or revise any forward-looking statements to reflect events, trends or circumstances after the date they are made unless the Company has an obligation under U.S. federal securities laws to do so.

 

 

 

Investor Contact
CORE IR

investor@plustherapeutics.com

 

 


FAQ

What did Plus Therapeutics (PSTV) announce about REYOBIQ in this 8-K?

Plus Therapeutics announced that the FDA granted Orphan Drug Designation to REYOBIQ for treating pediatric malignant gliomas. This recognizes the therapy’s potential in a rare, aggressive pediatric brain cancer setting with limited existing treatment options and poor patient outcomes.

What benefits does FDA Orphan Drug Designation provide to Plus Therapeutics (PSTV)?

Orphan Drug Designation can provide seven years of U.S. market exclusivity upon approval, tax credits for qualified clinical trial expenses, and exemptions from certain FDA regulatory fees. These incentives may help support REYOBIQ’s clinical development in rare CNS cancer indications.

How broad is the FDA orphan indication granted for REYOBIQ by Plus Therapeutics (PSTV)?

The FDA granted orphan designation for malignant glioma more broadly than Plus Therapeutics originally requested, encompassing pediatric ependymoma. This broader scope potentially expands the range of pediatric CNS tumors where REYOBIQ might be clinically developed and ultimately used if approved.

What clinical programs support REYOBIQ’s development at Plus Therapeutics (PSTV)?

REYOBIQ is being studied in the ReSPECT-GBM trial for recurrent glioblastoma, ReSPECT-LM for leptomeningeal metastases, and ReSPECT-PBC for pediatric brain cancer. These Phase 1 and Phase 2 studies provide clinical and regulatory groundwork across multiple central nervous system tumor indications.

How severe are pediatric malignant gliomas targeted by Plus Therapeutics’ REYOBIQ?

Pediatric malignant gliomas are high-grade, fast-growing brain tumors with poor prognosis and limited treatments. Standard surgery and radiation often fail to prevent recurrence, and five-year survival rates can be as low as 22%, highlighting the significant unmet medical need in this population.

What external funding supports Plus Therapeutics’ REYOBIQ clinical trials?

The ReSPECT-GBM trial is supported by a National Cancer Institute award, ReSPECT-LM is funded by a three-year $17 grant from the Cancer Prevention & Research Institute of Texas, and the ReSPECT-PBC pediatric trial is backed by a $3 million U.S. Department of Defense grant.

Filing Exhibits & Attachments

2 documents