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New foralumab biomarker data in na-SPMS from Tiziana (Nasdaq: TLSA)

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Tiziana Life Sciences reported new biomarker data for its lead candidate, intranasal foralumab, in non-active secondary progressive multiple sclerosis (na-SPMS) with progression independent of relapse activity (PIRA). In 10 patients, 14 paired assessments linked treatment to reduced cerebrospinal fluid (CSF) inflammation, increased neuroprotective proteomic pathways, and reduced microglial activation on [F-18]PBR06-PET scans.

Investigators described this as the first direct connection between PET changes and favorable CSF shifts during nasal foralumab treatment in this population, supporting its role in targeting smoldering CNS inflammation. Tiziana is running an ongoing randomized, double-blind, placebo-controlled Phase 2a trial in na-SPMS, with top-line data expected in the first half of 2026, and has dosed 14 expanded-access patients, all showing disease improvement or stability within 6 months.

Positive

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Negative

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Insights

Biomarker and imaging data strengthen foralumab’s mechanistic case but remain early-stage.

The update centers on 10 na-SPMS patients receiving intranasal foralumab, where 14 paired CSF proteomics and [F-18]PBR06-PET scans showed reduced microglial activation and more neuroprotective protein signatures. Investigators highlight this as the first direct link between PET signals and CSF biomarkers during this treatment.

These findings support the idea that nasal foralumab may dampen smoldering CNS inflammation while promoting neuroprotection, reinforcing the scientific rationale for the ongoing Phase 2a trial. However, the dataset is small, open-label, and focused on biomarkers rather than definitive clinical outcomes.

The company notes that all 14 expanded-access patients experienced improvement or stability of disease within 6 months, and Phase 2a top-line results are expected in the first half of 2026. Subsequent controlled data from this trial will be important to clarify how these biomarker effects translate into clinical benefit.

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

 

FORM 6-K

 

 

 

REPORT OF FOREIGN PRIVATE ISSUER

PURSUANT TO RULE 13a-16 OR 15d-16

UNDER THE SECURITIES EXCHANGE ACT OF 1934

 

February 2026

 

 

 

Commission File Number:  001-38723

 

 

 

Tiziana Life Sciences LTD

(Exact Name of Registrant as Specified in Its Charter)

 

 

 

9th Floor

107 Cheapside

London

EC2V 6DN

(Address of registrant’s principal executive office)

 

 

 

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.

 

Form 20-F ☒     Form 40-F ☐

 

 

 

 

 

 

INFORMATION CONTAINED IN THIS REPORT ON FORM 6-K

 

On February 25, 2026, Tiziana Life Sciences LTD (the “Company”) issued this 6K announcing, positive new biomarker data from a late-breaking poster titled “Nasal foralumab downregulates CSF inflammation and upregulates CSF neuroprotective proteomic pathways which correlate with [F-18]PBR06-PET imaging in na-SPMS with PIRA,” which was presented by investigators from Brigham and Women’s Hospital, Boston, MA.

 

The Announcement is furnished herewith as Exhibit 99.1 to this Report on Form 6-K. The information in the attached Exhibits 99.1 is being furnished and shall not be deemed “filed” for the purposes of Section 18 of the Securities Exchange Act of 1934, or otherwise subject to the liabilities of that Section, nor shall it be deemed incorporated by reference in any filing made by the Company under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, except as otherwise set forth herein or as shall be expressly set forth by specific reference in such a filing.

 

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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, thereunto duly authorized.

 

  TIZIANA LIFE SCIENCES LTD
       
       
Date: February 25, 2026 By: /s/ Keeren Shah
    Name:  Keeren Shah
    Title: Chief Financial Officer

 

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EXHIBIT INDEX

 

Exhibit No.   Description
     
99.1   Tiziana Life Sciences LTD Press Release, dated February 25, 2026

 

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Exhibit 99.1

 

 

Tiziana Life Sciences Announces New Biomarker Data Showing Nasal Foralumab Downregulates CSF Inflammation, Upregulates Neuroprotective Pathways, and Correlates with Reduced Microglial Activation on PET Scans in na-SPMS Patients with PIRA

 

BOSTON, MA, February 25, 2026 – Tiziana Life Sciences, Ltd. (Nasdaq: TLSA) (“Tiziana”), a biotechnology company developing its lead candidate, intranasal foralumab, a fully human, anti-CD3 monoclonal antibody, announces positive new biomarker data from a late-breaking poster titled “Nasal foralumab downregulates CSF inflammation and upregulates CSF neuroprotective proteomic pathways which correlate with [F-18]PBR06-PET imaging in na-SPMS with PIRA,” which was presented by investigators from Brigham and Women’s Hospital, Boston, MA.

 

In multiple sclerosis (MS), an autoimmune disease involving inflammation, demyelination, and neurodegeneration in the CNS, Cerebrospinal fluid (CSF) plays a crucial role in diagnosis, understanding disease mechanisms, and monitoring progression, especially in progressive forms like non-active secondary progressive MS (na-SPMS) with progression independent of relapse activity (PIRA). CSF analysis, typically obtained via lumbar puncture, provides direct insight into CNS-specific processes because it reflects the local environment around the brain and spinal cord, unlike blood which can be influenced by systemic factors.

 

The late-breaking poster reports results from 10 patients with non-active secondary progressive multiple sclerosis (na-SPMS) and progression independent of relapse activity (PIRA) treated with nasal foralumab in an open-label expanded-access program. Patients underwent 14 paired evaluations of [F-18]PBR06-PET scans (measuring microglial activation via m-GALP z-scores) and untargeted data-independent acquisition CSF proteomics at baseline and during up to 6 months of treatment.

 

Key findings include:

 

Nasal foralumab treatment significantly reduced voxel-wise average [F-18]PBR06-PET m-GALP z-scores in white matter and global brain regions (p<0.05 at 3 months and later follow-up), confirming decreased microglial activation.
   
CSF proteomics showed downregulation of inflammatory biomarkers (e.g., IFNAR1 in the interferon pathway and LY86 in the NF-κB pathway) and upregulation of neuroprotective proteins (e.g., MEG10).
   
Strong positive correlations were observed between PET m-GALP z-scores and inflammatory CSF proteins (e.g., IFNAR1 in high-affinity TSPO binders across whole brain, cortex, and cerebellum; r values up to 0.896, p<0.05). Negative correlations were seen with neuroprotective proteins (e.g., MEG10 and COBA1 in fibrosis-related pathways; r values up to -0.931, p<0.05).
   
These biomarker changes occurred alongside clinical stabilization or improvement, with no serious treatment-related adverse events.

 

 

“This late-breaking poster provides the first direct link between reduced microglial PET signal and favorable CSF proteomic shifts during nasal foralumab treatment in na-SPMS with PIRA,” said Tarun Singhal, M.D., lead author and neurologist at Brigham and Women’s Hospital. “The correlations demonstrate that [F-18]PBR06-PET is biologically tied to the inflammatory and neurodegenerative processes driving progression in SPMS, and that CSF proteomics can serve as a practical biomarker of therapeutic response.”

 

Howard L. Weiner, M.D., Chairman of Tiziana’s Scientific Advisory Board and co-director of the Ann Romney Center for Neurologic Diseases at Brigham and Women’s Hospital, added: “Nasal foralumab continues to show a unique ability to dampen smoldering CNS inflammation while promoting neuroprotection. These integrated imaging and proteomic results strengthen the mechanistic rationale for our ongoing Phase 2 program and offer new tools to monitor disease modification in progressive MS.”

 

Tiziana is advancing intranasal foralumab in an ongoing randomized, double-blind, placebo-controlled Phase 2a trial (NCT06292923) in na-SPMS, with top-line data expected in the first half of 2026. Nasal foralumab’s innovative intranasal delivery modulates the immune system to suppress microglial-driven neuroinflammation without broad systemic immunosuppression, distinguishing it from existing MS therapies. The Company is also evaluating the therapy in additional neuroinflammatory indications such as MSA, Alzheimer’s and ALS.

 

The poster can be found here: https://www.tizianalifesciences.com/publications/

 

About Foralumab

 

Foralumab, a fully human anti-CD3 monoclonal antibody, is a biologic candidate that has been shown to stimulate T regulatory cells when dosed intranasally. Currently, 14 patients with Non-Active Secondary Progressive Multiple Sclerosis (na-SPMS) have been dosed in an open-label intermediate sized Expanded Access (EA) Program (NCT06802328) with either an improvement or stability of disease seen within 6 months in all patients. In addition, intranasal foralumab is currently being studied in a Phase 2a, randomized, double-blind, placebo-controlled, multicenter, dose-ranging trial in patients with non-active secondary progressive multiple sclerosis (NCT06292923).

 

Foralumab is the only fully human anti-CD3 monoclonal antibody (mAb) currently in clinical development. Immunomodulation by intranasal foralumab represents a novel avenue for the treatment of neuroinflammatory and neurodegenerative human diseases.1,2,3

 

 

1https://www.pnas.org/doi/10.1073/pnas.2220272120
2https://www.pnas.org/doi/10.1073/pnas.2309221120
3https://www.neurology.org/doi/10.1212/NXI.0000000000200543

 

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About Tiziana Life Sciences

 

Tiziana is a clinical-stage biopharmaceutical company developing breakthrough therapies using transformational drug delivery technologies to enable alternative routes of immunotherapy. Tiziana’s innovative nasal approach has the potential to provide an improvement in efficacy as well as safety and tolerability compared to intravenous (IV) delivery. Tiziana’s lead candidate, intranasal foralumab, which is the only fully human anti-CD3 mAb currently in clinical development, has demonstrated a favorable safety profile and clinical response in patients in studies to date. Tiziana’s technology for alternative routes of immunotherapy has been patented with several applications pending and is expected to allow for broad pipeline applications.

 

For more information about Tiziana and its innovative pipeline of therapies, please visit www.tizianalifesciences.com.

 

Forward-Looking Statements

 

Certain statements made in this announcement are forward-looking statements. These forward-looking statements are not historical facts but rather are based on the Tiziana’s current expectations, estimates, and projections about its industry, its beliefs, and assumptions. Words such as ‘anticipates,’ ‘expects,’ ‘intends,’ ‘plans,’ ‘believes,’ ’seeks,’ ‘estimates,’ and similar expressions are intended to identify forward-looking statements. These statements are not guarantees of future performance and are subject to known and unknown risks, uncertainties, and other factors, some of which are beyond the Tiziana’s control, are difficult to predict, and could cause actual results to differ materially from those expressed or forecasted in the forward-looking statements. Tiziana cautions security holders and prospective security holders not to place undue reliance on these forward-looking statements, which reflect the view of Tiziana only as of the date of this announcement. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including: the uncertainties related to market conditions and other factors described more fully in the section entitled ‘Risk Factors’ in Tiziana’s Annual Report on Form 20-F for the year ended December 31, 2024, and other periodic reports filed with the Securities and Exchange Commission. The forward-looking statements made in this announcement relate only to events as of the date on which the statements are made. Tiziana will not undertake any obligation to release publicly any revisions or updates to these forward-looking statements to reflect events, circumstances, or unanticipated events occurring after the date of this announcement except as required by law or by any appropriate regulatory authority.

 

For further inquiries:

 

Tiziana Life Sciences Ltd

Paul Spencer, Business Development, and Investor Relations
+44 (0) 207 495 2379
email: info@tizianalifesciences.com

 

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FAQ

What did Tiziana Life Sciences (TLSA) announce in this Form 6-K?

Tiziana Life Sciences announced positive new biomarker data for intranasal foralumab in non-active secondary progressive multiple sclerosis. In 10 na-SPMS patients, paired CSF proteomics and [F-18]PBR06-PET imaging suggested reduced inflammation and enhanced neuroprotective pathways during treatment over up to six months.

What is nasal foralumab and how is Tiziana Life Sciences (TLSA) developing it?

Nasal foralumab is a fully human anti-CD3 monoclonal antibody delivered intranasally to modulate the immune system. Tiziana is developing it as its lead candidate, aiming to suppress microglial-driven neuroinflammation without broad systemic immunosuppression, and is studying it in multiple neuroinflammatory and neurodegenerative indications.

What do the new biomarker data show for Tiziana Life Sciences’ (TLSA) nasal foralumab?

The data show nasal foralumab downregulates CSF inflammation, upregulates neuroprotective proteomic pathways, and correlates with reduced microglial activation on [F-18]PBR06-PET scans. Investigators call this the first direct link between PET signal reduction and favorable CSF biomarker changes during treatment in na-SPMS with PIRA.

What ongoing clinical trials of nasal foralumab did Tiziana Life Sciences (TLSA) highlight?

Tiziana highlighted an ongoing Phase 2a randomized, double-blind, placebo-controlled trial (NCT06292923) in na-SPMS. This multicenter, dose-ranging study evaluates intranasal foralumab, with top-line data expected in the first half of 2026, supporting further assessment of its clinical impact.

What results were reported from the expanded-access program for foralumab at Tiziana Life Sciences (TLSA)?

Tiziana reported that 14 na-SPMS patients in an open-label intermediate-sized expanded-access program (NCT06802328) receiving intranasal foralumab showed either improvement or stability of disease within six months. These observations complement the biomarker findings but are not from a randomized controlled study.

Which additional indications is Tiziana Life Sciences (TLSA) exploring for nasal foralumab?

Beyond na-SPMS, Tiziana is evaluating intranasal foralumab in other neuroinflammatory indications, including multiple system atrophy (MSA), Alzheimer’s disease, and amyotrophic lateral sclerosis (ALS). The company’s patented nasal immunotherapy platform is intended to support a broader pipeline of CNS-targeted therapies.

How do the new data support Tiziana Life Sciences’ (TLSA) overall strategy with foralumab?

The integrated CSF proteomic and PET imaging findings provide mechanistic support that nasal foralumab may dampen smoldering CNS inflammation while promoting neuroprotection. Company and academic experts state these results strengthen the rationale for the Phase 2 program and provide tools to monitor disease modification in progressive MS.

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