−Removed: We are a clinical stage genetic medicines company on a mission to improve the lives of patients with neurodegenerative diseases.
+Added: We are a clinical stage genetic medicines company focused on improving the lives of patients with neurodegenerative diseases.
Our primary focus is the development and advancement of cutting-edge, one-time gene therapies designed to target critical underlying pathologies in these conditions.
11 unchanged sentences
We have received positive regulatory feedback on the clinical pathway to treating FTD- C9orf72 patients and ALS patients with PBFT02.
−Removed: We are proceeding with clinical development of PBFT02 in FTD- C9orf72 patients and plan to initiate dosing in the first half of 2025.
−Removed: On July 31, 2024, we entered into a series of sublicense agreements with Gemma Biotherapeutics, Inc., or Gemma, a newly formed genetic medicines company co-founded by Dr.
−Removed: James Wilson in connection with the outlicensing of PBGM01 for the treatment of GM1 gangliosidosis, or GM1, PBKR03 for the treatment of Krabbe disease, and PBML04 for the treatment of metachromatic leukodystrophy, or MLD, collectively the Outlicensed Programs, and such agreements, the Gemma Sublicenses.
−Removed: Pursuant to the Gemma Sublicenses, we will receive (i) initial payments of an aggregate of $10.0 million for licenses and clinical product supply;
−Removed: (ii) up to an additional $10.0 million contingent on the completion by Gemma of certain business milestones;
−Removed: (iii) up to an additional $114.0 million in development and commercial milestone payments;
−Removed: and (iv) single digit royalties as a percentage of annual worldwide net sales in exchange for sublicenses to relevant intellectual property, transfer of regulatory dossiers and transfer of clinical trial materials and product supply related to the Outlicensed Programs.
−Removed: Pursuant to the Gemma Sublicenses, Gemma will also be responsible for all payments due to the Trustees of the University of Pennsylvania, or Penn, under the Penn License Agreement, as further described below, related to the Outlicensed Programs.
−Removed: We also entered into a transition services agreement with Gemma, or the Transition Services Agreement, as amended by the First Amendment to the Transition Services Agreement, dated January 31, 2025, pursuant to which, we will provide transitional services at cost to Gemma through May 31, 2025, unless terminated earlier, and be entitled to reimbursement for transitional services performed retroactively from March 1, 2024, related to the transfer of the Outlicensed Programs.
−Removed: As of December 31, 2024, we have collected $5.0 million in initial payments and $3.2 million in transition services payments under these agreements.
−Removed: Subsequent to December 31, 2024, we have received an additional $0.5 million in transition services payments.
−Removed: We also entered into a research, collaboration and license agreement with Gemma, or the Gemma Collaboration Agreement, pursuant to which (i) Gemma will conduct certain preclinical and Investigational New Drug, or IND, enabling work for our active research program in Huntington’s disease and a currently paused research program in Temporal Lobe Epilepsy, or TLE, which were previously being conducted by Penn under the Penn Agreement and (ii) Gemma will grant us options to conduct new research programs in four new CNS indications.
−Removed: We refer to the Gemma Sublicenses, the Transition Services Agreement, and the Gemma Collaboration Agreement, collectively, as the Outlicense Transaction Agreements.
−Removed: As a result of the Outlicense Transaction Agreements, we also entered into an Amended and Restated Research, Collaboration and License Arrangement with Penn as of July 31, 2024, or the Penn License Agreement, to (i) terminate our funding of discovery research;
−Removed: (ii) terminate the research and exploratory research programs being conducted by Penn;
−Removed: (iii) terminate the remaining options we had to select new research programs in the CNS field;
−Removed: and (iv) terminate the transaction fee due to Penn as a result of certain corporate transactions.
−Removed: Prior to the execution of the Outlicense Transaction Agreements, we progressed four product candidates from preclinical to clinical stage development and had one active preclinical program in Huntington’s disease through our research collaboration with Penn’s Gene Therapy Program, or GTP.
+Added: We have initiated clinical development of PBFT02 in FTD- C9orf72 patients in the upliFT-D trial for this population.
+Added: We have an active preclinical research program to develop a genetic medicine to treat Huntington’s disease through our research, collaboration and license agreement, or the Gemma Collaboration Agreement, with Gemma Biotherapeutics, Inc., or Gemma.
+Added: Huntington’s disease, or HD, is an adult-onset, progressive neurodegenerative disease characterized by motor, cognitive, and behavioral deterioration, ultimately leading to death within approximately 15 to 20 years after symptom onset.
+Added: There are currently no disease-modifying therapies approved for the treatment of HD, and we estimate the prevalence of HD in the United States and Europe is approximately 70,000, based on available literature.
+Added: We are also party to a series of sublicense agreements, as amended, with Gemma in connection with the outlicensing of three pediatric programs we had previously advanced to clinical stage development, collectively the Outlicensed Programs, and such agreements, the Amended Gemma Sublicenses.
+Added: In addition, we entered into a Transition Services Agreement, as amended, with Gemma.
+Added: We refer to the Amended Gemma Sublicenses, the Transition Services Agreement, and the Gemma Collaboration Agreement, collectively, as the Outlicense Transaction Agreements.
+Added: Prior to the execution of the Outlicense Transaction Agreements, we advanced our preclinical programs through our research collaboration with the Trustees of the University of Pennsylvania’s, or Penn’s, Gene Therapy Program, or GTP.
This collaboration provided access to differentiated scientific expertise for the conduct of rigorous preclinical studies to generate promising product candidates.
3 unchanged sentences
† US/EU prevalence per third-party sources
+Added: In addition to the indications above, we believe amyotrophic lateral sclerosis, or ALS, and Alzheimer’s disease, or AD, represent future potential pipeline expansion opportunities for PBFT02.
PBFT02 for the Treatment of FTD-GRN
7 unchanged sentences
ICM administration of AAV1 to NHPs resulted in elevated CSF levels of human PGRN when compared with CSF levels in healthy human subjects, and in excess of levels achieved in NHPs with AAVhu68 or AAV5.
−Removed: We have an active IND application from the U.S.
+Added: We have an active Investigational New Drug, or IND, application from the U.S.
Food and Drug Administration, or the FDA, and approved clinical trial authorizations, or CTAs, in multiple countries for PBFT02.
We are conducting our upliFT-D trial, an international, multi-center, open-label, single-arm Phase 1/2 clinical trial of PBFT02 in patients with a diagnosis of symptomatic FTD- GRN .
−Removed: In January 2025, we reported biomarker data from patients in our upliFT-D trial who received Dose 1 of PBFT02 (3.3e10 genome copies/g estimated brain weight, or 4.50e13 total genome copies).
−Removed: Dose 1 of PBFT02 resulted in robust and durable increases in CSF PGRN levels, with concentrations increasing from below 3.0 ng/mL at baseline to 8.0 to 17.3 ng/mL at 30 days post-treatment (n=6), 13.2 to 27.3 ng/mL at six months post-treatment (n=4), and 22.3 to 34.0 ng/mL at 12 months post-treatment (n=2).
−Removed: CSF PGRN levels generally plateaued by 6 months post-treatment and have remained durable through the longest available follow-up of 18 months post-treatment (n=1).
+Added: In June 2025, we reported biomarker data from patients in our upliFT-D trial.
+Added: Dose 1 of PBFT02 (3.3e10 genome copies/g estimated brain weight, or 4.5e13 total genome copies) resulted in robust and durable increases in CSF PGRN levels, with concentrations increasing from below 3.0 ng/mL at baseline to a mean of 12.4 ng/mL at one month (n=6), 19.4 ng/mL at six months (n=6), 25.9 ng/mL at 12 months (n=4), and 23.8 ng/mL at 18 months (n=2).
These levels of CSF PGRN are higher than the range found in healthy adult controls of 3.3 to 8.2 ng/mL (mean=4.8 ng/mL;
−Removed: In contrast, following PBFT02 administration, plasma PGRN levels were unaltered, remaining similar to baseline concentrations and below levels found in healthy adult controls.
−Removed: Dose 1 of PBFT02 also resulted in an average 13% decrease in plasma neurofilament light chain, or NfL, levels, a biomarker associated with disease progression, compared to baseline at 12 months post-treatment (n=2).
−Removed: This reduction in plasma NfL after PBFT02 administration contrasts with an expected increase in plasma NfL levels of approximately 29% per year among untreated, symptomatic FTD- GRN patients, according to published natural history data (Saracino 2021).
−Removed: As of December 2024, interim safety highlights from Dose 1 of PBFT02 in FTD- GRN patients (n=7) included:
−Removed: ● In five of seven patients, all treatment emergent adverse events were mild to moderate in severity.
−Removed: ● Two of seven patients experienced a total of three serious adverse events.
−Removed: Patient 1 experienced the asymptomatic serious adverse events of venous sinus thrombosis, or VST, and hepatotoxicity, leading to a revised immunosuppression regiment in all subsequent patients (1,000 mg IV methylprednisolone on days 1-3 followed by 60 mg oral prednisone through day 60).
−Removed: Patient 7 also experienced the serious adverse event of VST, which was asymptomatic and completely resolved prior to day 30 following treatment with anticoagulants.
−Removed: Patient 7 had no evidence of hepatotoxicity, immune response, or other laboratory abnormalities.
−Removed: ● No evidence of clinically significant immune responses in any patient who received the revised immunosuppression regimen.
−Removed: ● No evidence of dorsal root ganglion toxicity, as measured by nerve conduction studies, and no complications during ICM administration were observed across any of the seven treated patients.
−Removed: ● Patients treated (n=7) range from 1 – 18 months post-dose.
−Removed: Given the robust PGRN expression observed among patients who received Dose 1 of PBFT02, and to allow for dose exploration and support the program regulatory strategy, we are evaluating Dose 2, which is 50% lower than Dose 1, in subsequent FTD- GRN patients.
+Added: CSF PGRN levels for the first patient treated with Dose 2 of PBFT02 (1.6e10 genome copies/g estimated brain weight, or 2.2e13 total genome copies) increased substantially from 1.5 ng/mL at baseline to 7.6 ng/mL at one month, approaching the upper limit of the range found in healthy adult controls.
+Added: In contrast, following PBFT02 administration, plasma PGRN levels were unaltered, remaining similar to baseline concentrations and below mean levels found in healthy adult controls.
+Added: Dose 1 of PBFT02 resulted in an average 4% increase in plasma neurofilament light chain, or NfL, levels, a biomarker associated with disease progression, compared to baseline at 12 months post-treatment (n=4).
+Added: This change in plasma NfL after PBFT02 administration contrasts with an expected increase in plasma NfL levels of approximately
+Added: 28% and 29% per year among untreated, symptomatic FTD- GRN patients, based on analysis of the ALLFTD natural history data and published natural history data (Saracino 2021), respectively.
+Added: As of our June 2025 data disclosure, interim safety highlights from PBFT02 in FTD- GRN patients (n=8) included:
+Added: ● Seven patients experienced a collective total of 26 treatment emergent adverse events, or TEAEs, considered related to PBFT02.
+Added: ● Two patients experienced a total of three serious TEAE considered related to PBFT02.
+Added: These included venous sinus thrombosis (2 patients) and hepatoxicity (1 patient).
+Added: These serious TEAE all occurred at Dose 1, were asymptomatic and responded to treatment.
+Added: ● One patient experienced one serious TEAE of pulmonary embolism in the setting of a concurrent systemic infection six weeks after receiving PBFT02, considered unrelated to PBFT02.
+Added: ● No evidence of thrombotic angiopathy, dorsal root ganglion toxicity as measured by nerve conduction studies, and no complications during ICM administration were observed across any of the eight treated patients.
+Added: We completed the dosing of Cohorts 1 and 2 in the upliFT-D trial in July 2025.
+Added: Cohort 1 consists of 5 patients who received Dose 1 of PBFT02, and Cohort 2 consists of 4 patients, split equally between Dose 1 and Dose 2 of PBFT02.
+Added: Cohorts 1 and 2 included participants with a global Clinical Dementia Rating, or CDR, plus National Alzheimer’s Coordinating Center with Frontotemporal Lobar Degeneration, or NACC FTLD, score of 1 or 2 at baseline.
+Added: The global CDR rating is scored from 0 (normal/asymptomatic) to 3 (severe).
+Added: In advance of enrolling Cohort 3, which we expect to consist of 10 FTD- GRN patients receiving Dose 2 of PBFT02, we amended the upliFT-D clinical trial protocol to introduce a short course of low dose prophylactic anticoagulation.
+Added: We also amended the protocol to exclude patients with a global CDR score of 2 (moderate) at baseline and include only patients with global CDR scores of 0.5 (prodromal) or 1 (mild) at baseline.
+Added: As of March 2026, we are enrolling patients in Cohort 3 across our global trial sites.
+Added: In September 2025, we completed a Type D Chemistry, Manufacturing, and Controls meeting with the FDA and aligned on key elements of the analytical plan to establish comparability of product manufactured with our high-productivity, suspension-based PBFT02 manufacturing process to the current product being used in our ongoing clinical trial.
We expect to deliver on the following related to our upliFT-D trial for PBFT02 for the treatment of FTD- GRN :
−Removed: ● Report 12-month follow-up data from Dose 1 and interim safety and biomarker data from Dose 2 in the second half of 2025;
−Removed: ● Seek regulatory feedback on registrational trial design in the first half of 2026.
+Added: ● Report updated interim safety and biomarker data from Dose 2 in FTD patients in the first half of 2026;
+Added: ● Seek regulatory feedback on registrational trial design in FTD- GRN in the first half of 2026.
PBFT02 for the Treatment of FTD-C9orf72 and ALS
We are also evaluating PBFT02 for the treatment of additional adult neurodegenerative diseases where we believe elevated PGRN levels could provide benefits.
−Removed: This approach stems from PGRN’s pleiotropic cellular effects including
−Removed: the regulation of microglial activation and lysosomal function, and in particular its potential to ameliorate TDP-43 pathology.
+Added: This approach stems from PGRN’s pleiotropic cellular effects including the regulation of microglial activation and lysosomal function, and in particular its potential to ameliorate TDP-43 pathology.
TDP-43 is a ribonucleic acid / deoxyribonucleic acid, or RNA/DNA, binding protein that normally resides in the nucleus where it regulates gene expression, RNA splicing, RNA trafficking, and mRNA turnover.
5 unchanged sentences
We have initiated preclinical studies to extend these initial observations.
−Removed: We received positive regulatory feedback on the clinical pathway to treating FTD- C9orf72 with PBFT02 in the ongoing upliFT-D trial and amended the upliFT-D clinical trial protocol to include two cohorts of FTD- C9orf72 patients to be enrolled sequentially.
−Removed: Each cohort will consist of three to five symptomatic FTD patients with C9orf72 gene mutations and patients will initially receive Dose 2 PBFT02.
−Removed: We expect to initiate dosing of FTD- C9orf72 patients in the first half of 2025.
−Removed: There are no disease modifying therapies approved for the treatment of FTD- C9orf72 .
Based on available literature, we estimate the prevalence of FTD- C9orf72 in the United States and Europe is approximately 21,000.
−Removed: Similarly, we received positive regulatory feedback on the clinical pathway to treating ALS with PBFT02.
+Added: There are no disease modifying therapies approved for the treatment of FTD- C9orf72 .
+Added: We received positive regulatory feedback on the clinical pathway to treating FTD- C9orf72 with PBFT02 in the ongoing upliFT-D trial, and Cohorts 4 and 5 of upliFT-D will consist of three to five symptomatic FTD patients with C9orf72 gene mutations who will initially receive Dose 2 PBFT02.
+Added: We are enrolling and have initiated dosing patients in Cohort 4 across our global trial sites.
+Added: Similarly, we received positive regulatory feedback on the clinical pathway to treating ALS with PBFT02 which we believe represents a future pipeline opportunity.
PBFT02 for the Treatment of AD
−Removed: We believe that elevating PGRN levels has the potential to improve the course of AD in patients who carry the GRN rs5848 single nucleotide polymorphism, or GRN SNP.
+Added: We also believe that elevating PGRN levels has the potential to improve the course of AD in patients who carry the GRN rs5848 single nucleotide polymorphism, or GRN SNP.
The GRN SNP has an allele frequency of approximately 30% and is associated with reduced PGRN levels.
2 unchanged sentences
Third party preclinical studies in animal models have demonstrated that low levels of PGRN may exacerbate AD pathology and, conversely, high levels of PGRN may reduce AD pathology.
−Removed: We have initiated preclinical studies in AD to further explore the potential for benefit from elevated levels of PGRN.
−Removed: PBFT02 Clinical Supply
−Removed: Through our partners, we have manufactured the PBFT02 clinical supply to support completion of the ongoing Phase 1/2 clinical trial in FTD- GRN and FTD- C9orf72 , and initiation of a registrational study in FTD- GRN .
−Removed: Other Clinical Product Candidates
−Removed: As of July 31, 2024, we out-licensed our clinical stage pediatric programs in GM1 (PBGM01), Krabbe disease (PBKR03), and MLD (PBML04) as part of the Outlicense Transaction Agreements.
+Added: We believe this represents a future pipeline opportunity for PBFT02.
+Added: Clinical Supply
+Added: Through our partners, we have manufactured the PBFT02 clinical supply to support completion of the ongoing Phase 1/2 clinical trial in FTD- GRN and FTD- C9orf72 , and initiation of a registrational trial in FTD- GRN .
Active Research Programs
−Removed: We have one unnamed preclinical research program through the Gemma Collaboration Agreement (which was previously conducted by Penn under the Penn Agreement) for which we are exploring multiple potential treatment targets for Huntington’s disease.
−Removed: Beyond this program, through the Gemma Collaboration Agreement, we also have the option to license programs for four additional new indications in CNS diseases from Gemma.
−Removed: Paused Research Programs
−Removed: We have a research program through the Gemma Collaboration Agreement for TLE, which was previously conducted by Penn under the Penn Agreement.
−Removed: In order to reduce operating expenses, we have paused development of this program.
−Removed: We are a genetic medicines company on a mission to improve the lives of patients with neurodegenerative diseases.
−Removed: Our primary focus is the development and advancement of cutting-edge, one-time therapies designed to target the underlying pathology of these conditions.
+Added: We have an active preclinical research program through the Gemma Collaboration Agreement to develop a genetic medicine to treat HD.
+Added: HD is an autosomal dominant disorder caused by a mutation in the huntingtin gene, or HTT , in which a CAG trinucleotide repeat tract in the DNA is expanded.
+Added: This leads to the expression of mutant huntingtin protein.
+Added: HTT CAG repeat tracts are unstable and can continue to elongate over time, termed somatic instability.
+Added: In neurons, CAG expansion occurs at different rates in different cells, and CAG expansion to above a certain threshold leads to neuronal dysfunction and death.
+Added: DNA repair proteins such as MSH3 play a key role in driving somatic instability in HD, by erroneously incorporating extra CAG repeats into HTT DNA in certain circumstances.
+Added: Published literature has shown that reducing somatic instability by decreasing MSH3 expression reduced disease pathology in HD mice.
+Added: Further, published human genetic studies have shown that certain genetic MSH3 variants which reduce somatic instability are associated with delayed disease onset and slowed progression in HD patients.
+Added: Our approach is to reduce somatic instability and thereby slow neurodegeneration in HD by suppressing MSH3 expression in the brain, via AAV-mediated delivery of a miRNA gene.
+Added: We expect to declare a clinical candidate for this program in the second half of 2026.
+Added: Beyond this program, through the Gemma Collaboration Agreement, we also have the option to license programs for four additional new indications in CNS diseases.
+Added: Our primary focus is the development and advancement of cutting-edge, one-time therapies designed to target the underlying pathology of neurodegenerative diseases .
To achieve our vision, we have assembled a world-class team whose members have decades of collective experience in drug development and commercialization.
−Removed: We leverage this experience as we strive to develop treatments that benefit patients with neurodegenerative conditions and their families.
+Added: We leverage this experience as we strive to develop
+Added: treatments that benefit patients with neurodegenerative conditions and their families.
Patients are considered in every decision we make.
3 unchanged sentences
• Advance PBFT02 for the treatment of FTD- GRN .
−Removed: Based on the initial clinical data for PBFT02 in FTD- GRN , we are prioritizing the execution of the ongoing upliFT-D study, with the goal of advancing this program to the registrational phase.
+Added: Based on the initial clinical data for PBFT02 in FTD- GRN , we are prioritizing the execution of the ongoing upliFT-D trial, with the goal of advancing this program to the registrational phase.
We believe this product candidate has the potential to provide FTD- GRN patients improved clinical outcomes, given our initial observations of robust and durable elevations in CSF PGRN levels and early evidence of reductions in plasma NfL, a disease progression biomarker, in patients after PBFT02 administration .
• Broaden the application of PBFT02 by exploring its potential in additional neurodegenerative indications .
−Removed: Based on initial clinical data for PBFT02 in FTD- GRN and evidence supporting progranulin’s role in neurodegeneration, we are exploring the therapeutic potential of PBFT02 in multiple diseases, including FTD- C9orf72 , ALS and AD.
+Added: Based on initial clinical data for PBFT02 in FTD- GRN and evidence supporting progranulin’s role in neurodegeneration, we have expanded our upliFT-D trial to include FTD- C9orf72 cohorts and are exploring the therapeutic potential of PBFT02 in other diseases, including ALS and AD.
We believe that our approach of advancing one genetic medicine candidate to treat multiple indications is a cost-effective strategy due to shared research and development costs, streamlined regulatory processes, and the opportunity for diversified revenue streams.
7 unchanged sentences
We have combined broad in-house expertise with an outsourced model for execution.
−Removed: The strategy enables innovation in manufacturing testing and process development while maintaining operational efficiency.
Our internal manufacturing and quality experts oversee external manufacturing and supply chain operations provided by third-party strategic relationships, such as Catalent Maryland, a unit of Catalent, Inc.
1 unchanged sentence
We believe Catalent is capable of producing enough supply to support our planned clinical trials of our current clinical product candidate, and its initial commercial launch if approved.
−Removed: • Continue to leverage our existing research and s electively enter into new research relationships.
−Removed: We will continue to leverage existing research collaborations and explore other potential collaborations to
−Removed: build or advance our pipeline, contingent on the prioritization of operating expenses .
−Removed: We will look to nurture our genetic medicine technology capabilities by keeping abreast of advances in next-generation capsid development, promoter selection, transgene design, gene silencing and gene editing, which will help us to engineer optimal product profiles to address life-threating CNS disorders.
+Added: • Selectively enter new research and development relationships.
+Added: We will selectively enter new research collaborations and explore other potential collaborations to build or advance our pipeline, contingent on the prioritization of operating expenses.
+Added: We will look to nurture our genetic medicine technology capabilities by keeping abreast of advances in next-generation capsid development, promoter selection, transgene design, gene silencing and gene editing, which will help us to engineer optimal product profiles to address diseases with substantial unmet clinical needs.
Genetic Medicine Background
4 unchanged sentences
One gene therapy approach is to introduce into cells a new, fully functional version of a defective or missing gene.
−Removed: This approach is the basis for our FTD- GRN program.
−Removed: In addition, gene therapy can also be applied to correct dysfunctional biological pathways that are not necessarily inherited or associated with one defective gene.
−Removed: This approach aims to reduce the expression of pathological proteins or increase the production of corrective biological targets.
−Removed: This is the basis for our programs that target conditions such as FTD- C9orf72 , ALS, and AD.
+Added: This approach is the basis for our FTD- GRN
+Added: In addition, gene therapy can also be applied to correct dysfunctional biological pathways that are not necessarily inherited or associated with one defective gene, by reducing the expression of pathological proteins or increasing the production of corrective biological targets.
+Added: This is the basis for our programs that target conditions such as FTD- C9orf72 and HD.
The development of molecular therapeutics to modulate human gene expression and correct disease-causing genetic defects had its advent several decades ago, and with advances in science and a deeper understanding of human genetics it has expanded to include a broad range of genetic medicines with the potential to modulate gene expression through diverse molecular mechanisms.
15 unchanged sentences
Our gene therapy product candidates use AAV, a small, non-pathogenic virus that is genetically engineered to function as a delivery vehicle, or vector.
−Removed: In our current clinical program s , the AAV is administered to a patient to introduce a healthy copy of a gene, or the transgene, to the cells in a process referred to as transduction.
+Added: In our current clinical program, the AAV is administered to a patient to introduce a healthy copy of a gene, or the transgene, to the cells in a process referred to as transduction.
Our current approaches use AAVs to deliver a wild type transgene to either (i) restore expression of a fully functional version of a mutated gene or to (ii) overexpress a gene product.
−Removed: The components of an AAV gene therapy vector include the therapeutic gene that makes up the DNA payload, or the transgene, the outer viral shell that encloses the DNA payload, or the capsid, and any promotors added to the vector to boost expression of the transgene.
+Added: The components of an AAV gene therapy vector include the therapeutic gene that makes up the DNA payload, or the transgene, the outer viral shell that encloses the DNA payload, or the capsid, and any promoters added to the vector to boost expression of the transgene.
The AAV is often described by the serotype, or strain, of the vector.
The core tenets of our approach include a rigorous process for selecting product candidates, mitigation of early development risk through relationships with leading researchers and academic institutions, and mitigation of clinical development risk through deep relationships with patient advocacy groups, key opinion leaders and practitioners.
−Removed: Together, these relationships allow us to directly benefit from decades of collective experience, the latest technologies and contemporary perspectives from patients.
+Added: these relationships allow us to directly benefit from decades of collective experience, the latest technologies and contemporary perspectives from patients.
In selecting our product candidates, we are focusing initially on optimizing transduction and expression of transgenes in the indication-specific target tissues.
7 unchanged sentences
The optimal route of administration for CNS treatments should also leverage the immuno-privileged aspects of the CNS to reduce the potential for deleterious effects of neutralizing antibodies, or NAbs , on the biodistribution of AAV capsids .
−Removed: We evaluate preclinical stud y outcomes and other data to decide the preferred route of administration on a program-by-program basis.
−Removed: For our clinical stage product candidate s , we believe that ICM administration is the optimal route of administration as compared to other potential delivery mechanisms due to its potential to provide widespread biodistribution to the brain and spinal cord .
+Added: We evaluate preclinical trial outcomes and other data to decide the preferred route of administration on a program-by-program basis.
+Added: For our clinical stage product candidate, we believe that ICM administration is the optimal route of administration as compared to other potential delivery mechanisms due to its potential to provide widespread biodistribution to the brain and spinal cord .
Further, when compared with systemic and other intra-thecal administration routes, we can achieve comparable protein expression at lower dosages, and thereby also lower the potential for toxicit ies.
12 unchanged sentences
Our collaboration with Gemma, and previously with GTP, allows us to choose programs that have been, or will be, validated through extensive testing in preclinical disease models.
−Removed: These activities include developing of payload constructs, evaluating efficacy in cells and in relevant animal models of disease, selecting the optimum capsid and route of administration for the targeted indication, and evaluating transduction efficiency, biodistribution, safety and tolerability of lead candidates in NHPs.
−Removed: We believe that the gene therapy preclinical expertise provided previously by GTP, and by Gemma moving forward, improves the probability of technical and regulatory success of our clinical programs for PBFT02 indications, for our Huntington’s disease preclinical program, and for future pipeline programs.
+Added: These activities include developing payload constructs, evaluating efficacy in cells and in relevant animal models of disease, selecting the optimum capsid and route of administration for the targeted indication, and evaluating transduction efficiency, biodistribution, safety and tolerability of lead candidates in NHPs.
+Added: We believe that the gene therapy preclinical expertise provided previously by GTP, and now by Gemma, improves the probability of technical and regulatory success of our clinical programs for PBFT02 indications, for our Huntington’s disease preclinical program, and for future pipeline programs.
Our Lead Program – PBFT02 for the treatment of FTD- GRN
1 unchanged sentence
FTD presents as a rapidly progressive clinical syndrome and causes impairment in behavior, language, and executive function.
−Removed: Changes in personal and social conduct occur in early stages of the disease, including loss of inhibition, apathy, social withdrawal, hyperorality and ritualistic compulsive behaviors.
+Added: Changes in personal and social conduct occur in early stages of the disease, including loss of inhibition, apathy,
+Added: social withdrawal, hyperorality and ritualistic compulsive behaviors.
These symptoms are severely disabling and may lead to misdiagnosis as a psychological or emotionally based problem, or, in the elderly, be mistaken for withdrawal or eccentricity.
19 unchanged sentences
o Pharmacodynamic biomarker.
−Removed: PGRN is a secreted protein that can be measured in the CSF and plasma, and it has been shown to be reduced in the CSF of human GRN mutation carriers.
+Added: PGRN is a secreted protein that can be measured in CSF and plasma, and it has been shown to be reduced in the CSF of human GRN mutation carriers.
o Disease progression biomarkers.
−Removed: We expect to be able to use recent progress in the identification of clinical disease progression biomarkers for FTD, including plasma, CSF, neuroimaging and retinal biomarkers, to facilitate clinical development by enabling early detection of treatment effects on disease pathophysiology.
+Added: We expect to be able to use recent progress in the identification of clinical disease progression biomarkers for FTD, including plasma and CSF biomarkers, and neuroimaging, to facilitate clinical development by enabling early detection of treatment effects on disease pathophysiology.
• Preclinical Validation:
6 unchanged sentences
Production of Human PGRN-protein in CSF of NHPs Following ICM-Administration of Different AAVs with Human GRN Gene Payload
−Removed: Two adult rhesus macaques per treatment received ICM AAV.hPGRN High dose, 3.0 x 10 13 GC / 3.3 x 10 11 GC/g brain) on study day 0.
+Added: Two adult rhesus macaques per treatment received ICM AAV.hPGRN High dose, 3.0e13 GC / 3.3e11 GC/g brain) on study day 0.
+Added: The decline in hPGRN after peak levels in NHPs correlated with the appearance of antibodies against the human transgene product.
Healthy adult sample range of PGRN levels in CSF (n = 61) (Passage Bio data).
52 unchanged sentences
Dose-Related Increases in CSF Progranulin in NHPs Following ICM PBFT02 Administration
−Removed: Adult rhesus macaques received ICM PBFT02 (n = 3/dose) or vehicle (n =2) on study day 0.
+Added: Adult rhesus macaques received ICM PBFT02 (n = 3/dose) or vehicle (n =2) on trial day 0.
CSF sampled 14 days post-dose.
4 unchanged sentences
Clinical Development
−Removed: Our clinical development plan is to treat FTD- GRN patients with a single dose of PBFT02 via ICM administration.
+Added: Our clinical development plan is to treat FTD- GRN and FTD- C9orf72 patients with a single dose of PBFT02 via ICM administration.
We initiated our upliFT-D trial, an international, multi-center, open-label, single-arm Phase 1/2 clinical trial of PBFT02 in patients with a diagnosis of symptomatic FTD- GRN .
−Removed: The FTD- GRN portion of the trial is a three-cohort dose-escalation trial, with three to five subjects per cohort.
−Removed: Dose 1 (3.3x10 10 genome copies/gm brain weight, or 4.50x10 13 total genome copies) was administered to five patients in Cohort 1 and the first two patients in Cohort 2.
−Removed: In January 2025, we disclosed plans to introduce Dose 2, which is 50% lower than Dose 1 and exceeds the minimum effective dose in the Grn -/- mouse model.
−Removed: Dose 2 will be administered to the remaining patients in Cohort 2 and to all patients in Cohort 4 (FTD- C9orf72 ).
+Added: The FTD- GRN portion of the trial is a three-cohort dose-escalation trial, with three to ten subjects per cohort.
+Added: Dose 1 (3.3e10 genome copies/gm brain weight, or 4.50e13 total genome copies) was administered to five patients in Cohort 1 and the first two patients in Cohort 2.
+Added: With the third patient in Cohort 2, we introduced Dose 2, which is 50% lower than Dose 1 and exceeds the minimum effective dose determined in the Grn -/- mouse model.
+Added: Dose 2 was administered to the remaining patients in Cohort 2, is expected to be administered to all patients in Cohort 3, and to all patients in Cohort 4 (FTD- C9orf72 ).
+Added: Patients in Cohorts 1 and 2 had a global CDR score of 1 or 2.
+Added: All patients in Cohorts 3, 4 and 5 will have a global CDR score of 0.5 or 1.
The primary endpoint of the trial is to assess safety and tolerability over 60 months.
−Removed: To better understand the clinical significance of the peripheral nerve findings in NHPs, we implemented clinical monitoring, consisting of both nerve conduction studies and neurological exams focused on sensory and peripheral nerve function.
−Removed: Secondary endpoints are to assess change from baseline to 24 months on biomarkers, including CSF and plasma PGRN levels, biomarkers of lysosomal function, neurodegeneration and disease progression, and change in clinical outcomes as measured by the Clinical Dementia Rating plus National Alzheimer’s Coordinating Center with Frontotemporal Lobar Degeneration, or CDR ® plus NACC FTLD, and other neurocognitive assessments.
+Added: Additional endpoints are to assess change from baseline to 24 months on biomarkers, including CSF and plasma PGRN levels, biomarkers of lysosomal function, neurodegeneration and disease progression, changes in brain volume by MRI, and change in clinical outcomes as measured by the CDR plus NACC FTLD, and other neurocognitive assessments.
Interim analyses are planned for certain biomarkers starting at one month post dosing and for clinical outcomes beginning at one year post dosing.
2 unchanged sentences
Clinical Development Results
−Removed: In January 2025, we reported interim biomarker data from six patients in our upliFT-D trial who received Dose 1 of PBFT02 (P1 through P6 in figures below).
−Removed: Dose 1 of PBFT02 resulted in robust and durable increases in CSF PGRN levels, with concentrations increasing from below 3.0 ng/mL at baseline to 8.0 to 17.3 ng/mL at 30 days post-treatment (n=6), 13.2 to 27.3 ng/mL at 6 months post-treatment (n=4), and 22.3 to 34.0 ng/mL at 12 months post-treatment (n=2).
−Removed: CSF PGRN levels generally plateaued by 6 months post-treatment and have remained durable through the longest available follow-up of 18 months post-treatment (n=1).
+Added: In June 2025, we reported interim biomarker data from eight patients in our upliFT-D trial.
+Added: Dose 1 of PBFT02 resulted in robust and durable increases in CSF PGRN levels, with concentrations increasing from below 3.0 ng/mL at baseline to a mean of 12.4 ng/mL at one month (n=6), 19.4 ng/mL at six months (n=6), 25.9 ng/mL at 12 months (n=4), and 23.8 ng/mL at 18 months (n=2).
These levels of CSF PGRN are higher than the range found in healthy adult controls of 3.3 to 8.2 ng/mL (mean=4.8 ng/mL;
−Removed: In contrast, following PBFT02 treatment, plasma PGRN levels were unaltered, remaining similar to baseline concentrations and below levels found in healthy adult controls.
−Removed: CSF Progranulin Levels Following Administration of PBFT02 Dose 1
−Removed: Reference range for healthy adult controls’ PGRN levels in CSF (3.28 – 8.15 ng/mL, n = 61) (Passage Bio data)
+Added: CSF PGRN levels for the first patient treated with Dose 2 of PBFT02 (1.6e10 genome copies/g estimated brain weight, or 2.2e13 total genome copies) increased substantially from 1.5 ng/mL at baseline to 7.6 ng/mL at one month, approaching the upper limit of the range found in healthy adult controls.
+Added: In contrast, following PBFT02 administration, plasma PGRN levels were unaltered, remaining similar to baseline concentrations and below mean levels found in healthy adult controls (data not shown).
+Added: CSF Progranulin Levels Following Administration of PBFT02
+Added: Healthy adult sample range for CSF PGRN (range:
+Added: 3.28 – 8.15 ng/mL, mean:
+Added: 4.76 ng/mL, n = 61) (Passage Bio data)
CSF , cerebrospinal fluid;
−Removed: Plasma Progranulin Levels Following Administration of PBFT02 Dose 1
−Removed: Lower limit of normal of reference range for healthy adult controls’ PGRN levels in plasma (91.6 – 372.4 ng/mL, n = 56) (Passage Bio data)
−Removed: Plasma NfL levels were 13% lower than baseline on average at 12 months (n=2) post-treatment.
−Removed: In contrast, in untreated symptomatic FTD- GRN patients, plasma NfL levels are expected to increase by approximately 29% per year, according to published natural history data.
+Added: Dose 1 of PBFT02 resulted in an average 4% increase in plasma neurofilament light chain, or NfL, levels, a biomarker associated with disease progression, compared to baseline at 12 months post-treatment (n=4).
+Added: This change in plasma NfL after PBFT02 administration contrasts with an expected increase in plasma NfL levels of approximately 28% and 29% per year among untreated symptomatic FTD- GRN patients, based on analysis of the ALLFTD natural history data and published natural history data (Saracino 2021), respectively.
Plasma NfL Annual Rate of Change
2 unchanged sentences
average time since diagnosis 2.9 years (Saracino et al, 2021).
−Removed: Average time since diagnosis in PBFT02 patients 2 years (n=2).
+Added: 2 Passage Bio analysis of ALLFTD natural history sample comprised of individuals with a pathogenic GRN mutation and a CDR+NACC FTLD global score between 0.5 and 2, inclusive.
+Added: In upliFT-D FTD-GRN cohort, average time since diagnosis in PBFT02 patients 2.3 years (n=4).
NfL, neurofilament light chain;
+Added: NHx, natural history.
Safety and Tolerability
−Removed: As previously reported, Patient 1, who received a low level of immunosuppression (60 mg oral prednisone daily for 60 days), per the initial trial protocol, experienced two serious adverse events during week eight that were both asymptomatic and likely consistent with an immune response.
−Removed: The serious adverse events included hepatotoxicity, as manifest by an increase in liver function tests, and VST.
−Removed: Notably, the increase in liver function tests was not associated with an increase in total or direct bilirubin levels, and quickly resolved following treatment with IV methylprednisolone.
−Removed: Patient 1 declined further treatment and withdrew consent for the trial at week 10, and no additional follow-up is available.
−Removed: Following Patient 1, the protocol was amended to increase the steroid regimen to include 1,000 mg IV methylprednisolone on days 1-3 followed by 60 mg oral prednisone for 60 days post treatment, as well as additional safety monitoring.
−Removed: With this modified immunosuppression regimen, Dose 1 of PBFT02 was generally well-tolerated in patients 2 through 6.
−Removed: In these five patients, no serious adverse events were reported, all treatment emergent adverse events were mild to moderate in severity, and there was no evidence of a clinically significant immune response, hepatotoxicity, or safety related imaging findings in either patient.
−Removed: As previously reported, following treatment, Patient 7 experienced one serious adverse event of VST that was asymptomatic and completely resolved prior to day 30 following treatment with anticoagulants.
−Removed: This patient had no evidence of hepatotoxicity, immune response or other laboratory abnormalities and remains enrolled in the clinical study as of data evaluation on December 31, 2024.
−Removed: In all seven patients, there was no evidence of dorsal root ganglion toxicity, as measured by nerve conduction studies, and no complications were observed related to the ICM administration procedure.
+Added: Seven patients experienced a collective total of 26 TEAEs considered related to PBFT02.
+Added: Two of those patients experienced a total of three serious TAEs considered related to PBFT02, including venous sinus thrombosis experienced by two patients and hepatoxicity experienced by one patient.
+Added: These serious TEAE all occurred at Dose 1, were asymptomatic, and responded to treatment.
+Added: One patient experienced one serious TEAE, considered unrelated to PBFT02, of pulmonary embolism in the setting of a concurrent systemic infection six weeks after receiving PBFT02.
+Added: There has been no evidence of thrombotic angiopathy, dorsal root ganglion toxicity as measured by nerve conduction studies, and no complications during ICM administration were observed across any of the treated patients.
Clinical Development Plan Guidance
−Removed: In January 2025, we announced our plans to treat the remaining patients in Cohort 2 of the upliFT-D trial at Dose 2.
−Removed: We expect to report 12 month safety and biomarker data from Dose 1 patients and interim safety and biomarker data from Dose 2 patients in the second half of 2025.
+Added: We expect to report updated interim safety and biomarker data in the first half of 2026.
As our clinical data matures, we are planning for continued interactions with regulatory authorities to align on design of the registrational trial and appropriate pathway to submission of a Biologics License Application, or BLA, and regulatory approval for commercialization in the United States and internationally.
−Removed: We expect to seek regulatory feedback on registrational trial design in the first half of 2026 .
+Added: We expect to seek regulatory feedback on registrational trial design in FTD- GRN in the first half of 2026 .
Regulatory Designations and Clinical Trial Approvals for PBFT02
9 unchanged sentences
This process is substantially more efficient than the current adherent-based process, with improved yield and the potential of a lower cost of goods.
−Removed: In addition, we have developed and received initial positive feedback from the FDA on the suitability of a potency assay for the release of PBFT02 for late-stage clinical studies and commercialization.
+Added: In September 2025, we completed a Type D CMC meeting with the FDA and reached alignment on the analytical plan to support comparability between product manufactured using our high‑productivity, suspension‑based PBFT02 process and the product used in our upliFT-D clinical trial.
+Added: In addition, we have developed a potency assay for the release of PBFT02 for late-stage clinical studies and commercialization, and received initial positive feedback from the FDA on the suitability of the potency assay and our plans to implement the assay in our comparability protocol and lot release ahead of late-stage clinical development.
These two achievements position the PBFT02 program for late-stage development.
−Removed: We have an amended and restated collaboration agreement with Catalent that governs our relationship with Catalent for the supply of current Good Manufacturing Practices, or cGMP, capacity.
+Added: We have a collaboration agreement with Catalent that governs our relationship with Catalent for the supply of current Good Manufacturing Practices, or cGMP, capacity.
Access to cGMP manufacturing capacity gives us the ability to meet production requirements for our current and future clinical trials.
2 unchanged sentences
The limited exclusive relationship under the Amended Catalent Agreements converts to a non-exclusive relationship (i) in the event Catalent fails to meet certain performance standards and (ii) following certain conditional events related to the divestiture by us of either PBFT02 or PBGM01, in which case, if such events occur, we would pay Catalent certain fees.
−Removed: The outlicense of GM1 to Gemma under the Outlicense Transaction Agreements, and subsequent business decisions implemented by Gemma in their sole discretion, could be considered an event related to the divesture of GM1 under the Amended Catalent Agreements and require us to make payment of certain fees to Catalent, for which fees are immaterial.
−Removed: In addition, in the event of certain transactions, we may terminate the Amended Catalent Agreements for convenience with respect to such products, in which case, we would pay to Catalent a certain termination fee.
+Added: In the event of certain transactions, we may terminate the Amended Catalent Agreements for convenience with respect to such products, in which case, we would pay Catalent a certain termination fee.
+Added: The outlicense and completed transition of our program in GM1 gangliosidosis, or GM1, to Gemma under the Outlicense Transaction Agreements, is deemed by Catalent to be a divestiture under the Amended Catalent Agreements.
+Added: As such, we are required to make payment of $0.9 million to Catalent.
Other Active Research Programs
−Removed: We have one unnamed preclinical research program through the Gemma Collaboration Agreement (which was previously conducted by Penn under the Penn Agreement) for which we are exploring multiple potential treatment targets for Huntington’s disease.
+Added: We have an active preclinical research program to develop a genetic medicine to treat Huntington’s disease through our Gemma Collaboration Agreement (which was previously conducted by Penn under the Penn Agreement) for which we are exploring multiple potential treatment targets for HD.
+Added: HD is an adult-onset, progressive neurodegenerative disease characterized by motor, cognitive, and behavioral deterioration, ultimately leading to death within approximately 15 to 20 years after symptom onset.
+Added: There are currently no disease-modifying therapies approved for the treatment of HD and we estimate the prevalence of HD in the United States and Europe is approximately 70,000, based on available literature.
+Added: HD is an autosomal dominant disorder caused by a mutation in the huntingtin gene, or HTT , in which a CAG trinucleotide repeat tract in the DNA is expanded.
+Added: This leads to the expression of mutant huntingtin protein.
+Added: repeat tracts are unstable and can continue to elongate over time, termed somatic instability.
+Added: In neurons, CAG expansion occurs at different rates in different cells, and CAG expansion to above a certain threshold leads to neuronal dysfunction and death.
+Added: DNA repair proteins such as MSH3 play a key role in driving somatic instability in HD, by erroneously incorporating extra CAG repeats into HTT DNA in certain circumstances.
+Added: Published literature has shown that reducing somatic instability by decreasing MSH3 expression reduced disease pathology in HD mice.
+Added: Further, published human genetic studies have shown that certain genetic MSH3 variants which reduce somatic instability are associated with delayed disease onset and slowed progression in HD patients.
+Added: Our approach is to reduce somatic instability and thereby slow neurodegeneration in HD by suppressing MSH3 expression in the brain, via AAV-mediated delivery of a miRNA gene.
+Added: We expect to declare a clinical candidate for this program in the second half of 2026.
Beyond this program, as a result of the Gemma Collaboration Agreement, we also have the option to license programs for four additional CNS indications.
3 unchanged sentences
For the treatment of FTD, there are no approved disease-modifying therapies.
−Removed: We consider our most direct competitors with respect to PBFT02 for the treatment of FTD- GRN to be Prevail Therapeutics Inc.
−Removed: (part of Eli Lilly & Co), which is conducting a Phase 1/2 clinical trial for an ICM administered gene therapy treatment for FTD- GRN and AviadoBio Ltd, which is conducting a Phase 1/2 intrathalamic gene therapy trial in patients with FTD- GRN .
−Removed: AviadoBio Ltd entered into an exclusive option and licensing agreement with Astellas in October 2024.
−Removed: Alector, Inc.
−Removed: (partnered with GSK plc) is conducting a Phase 3 clinical trial with a humanized anti-human sortilin monoclonal antibody for FTD- GRN .
+Added: We consider our most direct competitor with respect to PBFT02 for the treatment of FTD- GRN to be AviadoBio Ltd, which began enrolling their Phase 1/2 gene therapy trial in patients with FTD- GRN in 2023.
+Added: AviadoBio Ltd entered into an exclusive option and licensing agreement with Astellas Pharma Inc.
+Added: in October 2024.
Additional companies, including Kyowa Kirin Co., Ltd.
and QurAlis Corporation, are conducting preclinical research using genetic medicine approaches to treat patients with FTD- GRN .
−Removed: Denali Therapeutics Inc.
−Removed: in partnership with Takeda Pharmaceutical Company Limited, is conducting a Phase 1/2 clinical trial for their recombinant progranulin protein.
−Removed: Vesper Bio ApS began enrollment of a Ph1b/2a study of a small molecule sortilin antagonist in asymptomatic GRN mutation carriers in January 2025.
−Removed: We are also aware of other therapeutic approaches in preclinical development that may target FTD- GRN patients, including the Arkuda Therapeutics small molecule progranulin enhancer program.
−Removed: Johnson & Johnson exercised their exclusive option to acquire the Arkuda lysosomal function enhancer portfolio in January 2025.
−Removed: to PBFT02 for the treatment of FTD- C9orf72 , our clinical stage competitors are Transposon Therapeutics, Inc., which is conducting a Phase 2 trial with a small molecule autophagy modulator for FTD- C9orf72 , and Alector, Inc.
−Removed: (partnered with GSK plc) which conducted a Phase 2 clinical trial for latozinemab in FTD- C9orf72 .
+Added: Denali Therapeutics Inc., in partnership with Takeda Pharmaceutical Company Limited, is conducting a Phase 1/2 clinical trial for their recombinant progranulin protein.
+Added: Vesper Bio ApS completed a Phase 1/2 trial for a small molecule sortilin antagonist in asymptomatic patients with a GRN mutation.
+Added: We are also aware of other therapeutic approaches in preclinical development that may target FTD- GRN patients, including the small molecule progranulin enhancer program by Arkuda Therapeutics, who entered into an exclusive option and asset purchase agreement with Johnson & Johnson Innovative Medicine in the first quarter 2024.
+Added: With respect to PBFT02 for the treatment of FTD- C9orf72 , Transposon Therapeutics, Inc., conducted a Phase 2 trial with a small molecule autophagy modulator for FTD- C9orf72 .
There are other approaches in preclinical development for the treatment of FTD- C9orf72 .
−Removed: In addition to the GRN and C9orf72 targeted therapies, there are two other clinical stage programs targeting the TDP-43 pathway.
+Added: In addition to the GRN and C9orf72 targeted therapies, there are numerous programs targeting the TDP-43 pathway and other targets for the treatment of FTD.
+Added: For the treatment of Huntington’s disease, there are no approved disease-modifying therapies.
+Added: There are multiple clinical-stage trials evaluating potential disease modifying therapies with mechanisms of action including targeting HTT lowering.
+Added: We consider our most direct competitors to be those directly targeting somatic instability via modulating DNA repair.
+Added: There are four companies with preclinical gene therapy programs targeting the DNA repair protein MSH3 including Evox Therapeutics Ltd, Latus Bio, Inc., uniQure N.V., and Voyager Therapeutics, Inc.
+Added: Multiple other companies are exploring different approaches to target MSH3 in preclinical research.
+Added: Approaches targeting other DNA repair proteins, such as upregulation of FAN1, are also in preclinical development.
+Added: Numerous companies are exploring other targets for the treatment of HD.
Many of our potential competitors, alone or with their strategic partners, have substantially greater financial, technical, and other resources than we do, such as larger research and development, clinical, marketing and manufacturing organizations.
Mergers and acquisitions in the biotechnology and pharmaceutical industries may result in even more resources being concentrated among a smaller number of competitors.
−Removed: Our commercial opportunity could be reduced or eliminated if competitors develop and commercialize products that are safer, more effective, have fewer or less severe side effects, are more convenient or are less expensive than any product candidates that we may develop.
+Added: Our commercial opportunity could be reduced or eliminated if competitors develop and commercialize products that are safer,
+Added: more effective, have fewer or less severe side effects, are more convenient or are less expensive than any product candidates that we may develop.
Competitors also may obtain FDA or other regulatory approval for their products more rapidly than we may obtain approval for ours, which could result in our competitors establishing a strong market position before we are able to enter the market, if ever.
Additionally, new or advanced technologies developed by our competitors may render our current or future product candidates uneconomical or obsolete, and we may not be successful in marketing our product candidates against competitors.
−Removed: License Agreement
+Added: License Agreements
University of Pennsylvania
4 unchanged sentences
(iv) terminated the transaction fee payable to Penn in the event of certain corporate transactions;
−Removed: and (v) retained our current exclusive and non-exclusive licenses to our programs in FTD, GM1, Krabbe and MLD and certain platform technologies resulting from the discovery programs that we funded.
+Added: and (v) retained our current exclusive and non-exclusive licenses to our programs in FTD, GM1, Krabbe disease, or Krabbe, and metachromatic leukodystrophy, or MLD, and certain platform technologies resulting from the discovery programs that we funded.
For our licensed programs in FTD, GM1, Krabbe and MLD, the Penn License Agreement requires that we make payments of up to $16.5 million per product candidate.
1 unchanged sentence
In addition, on a product-by-product basis, we are obligated to make up to $55.0 million in sales milestone payments on each licensed product based on annual worldwide net sales of the licensed product in excess of defined thresholds.
−Removed: Pursuant to the Gemma Sublicenses, Gemma is responsible for the payments to Penn related to the Outlicensed Programs.
−Removed: Upon successful commercialization of a product using the licensed technology, we are obligated to pay to Penn, on a licensed product-by-licensed product and country-by-country basis, tiered royalties (subject to customary reductions) a percentage in the mid-single digits on annual worldwide net sales of such licensed product.
−Removed: In addition, other than the Gemma Sublicenses, we are obligated to pay to Penn a percentage of sublicensing income, ranging from the mid-single digits to low double digits, for sublicenses under the Penn License Agreement.
+Added: Pursuant to the Amended Gemma Sublicenses, Gemma is responsible for the payments to Penn related to the Outlicensed Programs.
+Added: Upon successful commercialization of a product using the licensed technology, we are obligated to pay to Penn, on a licensed product-by-licensed product and country-by-country basis, tiered royalties (subject to customary reductions) in the mid-single digits percentage on annual worldwide net sales of such licensed product.
+Added: In addition, other than the Amended Gemma Sublicenses, we are obligated to pay to Penn a percentage of sublicensing income, ranging from the mid-single digits to low double digits, for sublicenses under the Penn License Agreement.
The agreement will expire on a licensed product-by-licensed product and country-by-country basis upon the later of (i) the expiration of the last valid claim of the licensed patent rights that covers the exploitation of such licensed product in such country, and (ii) the expiration of the royalty period.
−Removed: Pursuant to the Gemma Sublicenses, Gemma is responsible for the payments to Penn related to the Outlicensed Programs.
+Added: Pursuant to the Amended Gemma Sublicenses, Gemma is responsible for the payments to Penn related to the Outlicensed Programs.
Gemma - Research, Collaboration and License Agreement
9 unchanged sentences
Gemma - Sublicense Agreements and Transition Services Agreement
−Removed: In connection with the transfer of the Outlicensed Programs to Gemma, we have entered into the Gemma Sublicenses, pursuant to which, we will receive (i) initial payments of an aggregate of $10.0 million for licenses and clinical product supply;
−Removed: (ii) up to an additional $10.0 million contingent on the completion by Gemma of certain business milestones;
+Added: In connection with the transfer of the Outlicensed Programs to Gemma, in July 2024, we entered into the Gemma Sublicenses.
+Added: On May 7, 2025, we agreed to amend each of the Gemma Sublicenses to revise certain financial terms related to the Outlicensed Programs, or the Amended Gemma Sublicenses.
+Added: Pursuant to the Amended Gemma Sublicenses, we are entitled to receive (i) an aggregate total of $15.0 million in initial payments for licenses and clinical product supply, of which $7.5 million was previously received, $2.5 million of which was due in May 2025, and $5.0 million of which is due in March 2026;
+Added: (ii) an additional $5.0 million contingent on Gemma completing certain business milestones;
(iii) up to an additional $114.0 million in development and commercial milestone payments;
1 unchanged sentence
In addition, Gemma is responsible for all payments to Penn related to the Outlicensed Programs under the Penn License Agreement.
−Removed: In addition, we entered into the Transition Services Agreement, as amended by the First Amendment to the Transition Services Agreement, dated January 31, 2025, pursuant to which, we will provide transitional services at cost to Gemma through May 31, 2025, unless terminated earlier, and be entitled to reimbursement for transitional services performed retroactively from March 1, 2024, related to the transfer of the Outlicensed Programs.
+Added: In addition, we entered into the Transition Services Agreement, as amended by the First Amendment to the Transition Services Agreement, dated January 31, 2025, pursuant to which, we provided transitional services at cost to Gemma through May 31, 2025, and are entitled to reimbursement for transitional services performed retroactively from March 1, 2024, related to the transfer of the Outlicensed Programs.
As of December 31, 2025, we have collected $7.5 million in initial payments and $4.8 million in transition services payments under these agreements.
−Removed: Subsequent to December 31, 2024, we have received an additional $0.5 million in transition services payments.
+Added: In addition, we have applied $1.5 million in amounts owed to Gemma for the Huntington’s disease program against amounts due to us for transition services.
Intellectual Property
2 unchanged sentences
We also rely on trade secrets, know-how, continuing technological innovation and in-licensing opportunities to develop, strengthen and maintain our proprietary position in the field of gene therapy.
−Removed: Additionally, we intend to rely on regulatory protection afforded through rare drug designations, data exclusivity and market exclusivity as well as patent term extensions, where available.
−Removed: Currently, our patent protection consists of patents and patent applications that (i) we have in-licensed from Penn under the Penn Agreement for product candidates in our licensed indications and (ii) we solely own based on the internally developed processes for manufacturing or analyzing our product candidate as well as use of the product candidate in relation to certain neurodegenerative diseases.
−Removed: The in-licensed patent applications are directed to new AAV capsids and certain defined variants, to recombinant AAV viruses, or rAAVs, capable of delivering certain genes into human cells to treat monogenic diseases of the CNS, to methods of treating those monogenic diseases with rAAV, as well as certain aspects of our manufacturing capabilities and related technologies.
+Added: Additionally, we intend to rely on regulatory protection afforded through rare drug designations, data exclusivity and market exclusivity as well as patent term extensions, or PTE, and patent term adjustments, or PTA, where available.
+Added: Currently, our patent protection consists of patents and patent applications that (i) we have in-licensed from Penn under the Penn Agreement for product candidates in our licensed indications and (ii) we solely own based on the internally developed processes for manufacturing or analyzing our product candidate as well as use of the product candidate in relation to certain neurodegenerative diseases, and (iii) we co-own, with Penn, related to product candidates for the treatment of Huntington’s disease.
+Added: The in-licensed patent applications are directed to new AAV capsids and certain defined variants, to recombinant AAV viruses, or rAAVs, capable of delivering certain genes into human cells to treat monogenic diseases of the CNS, as well as to methods of treating those monogenic diseases with rAAV.
Our in-licensed patent portfolio currently includes two patent families with claims directed to rAAV for use in treating FTD.
−Removed: The first patent family includes applications pending in 14 jurisdictions, including the U.S., Argentina, Brazil, Canada, China, Europe, Israel, Japan, and Korea.
−Removed: Any patents that may issue from applications in this family are expected to expire on February 21, 2040, absent any term adjustments or extensions.
+Added: The first patent family includes patents issued in the U.S., Japan, and Saudia Arabia, and applications pending in 13 jurisdictions, including the U.S., Argentina, Brazil, Canada, China, Europe, Israel, Japan, and Korea.
+Added: The patent applications and any patents that may issue from applications in this family are expected to expire on February 21, 2040, absent any term adjustments or extensions.
The second patent family includes applications in 16 jurisdictions, including the U.S., Argentina, Taiwan, Brazil, Canada, China, Europe, Israel, Japan and Korea.
2 unchanged sentences
The patent families have been sublicensed to Gemma under our sublicense agreements with Gemma in connection with the outlicense of PBGM01 for the treatment of GM1, PBKR03 for the treatment of Krabbe, and PBML04 for the treatment of MLD.
−Removed: We have options under the Penn Agreement and the Gemma Collaboration Agreement to add additional intellectual property to our existing license, as described in the section “License Agreement”.
+Added: We have options under the Penn Agreement and the Gemma Collaboration Agreement to add additional intellectual property to our existing license, as described in the section “License Agreements”.
Our patent portfolio, which we solely own, includes one patent family with claims directed to the method of purifying rAAV.
−Removed: The patent family includes a patent cooperation treaty and a Taiwanese application.
+Added: This patent family includes applications pending in 12 jurisdictions, including the U.S., Brazil, Canada, China, Europe, Israel, Japan, and Korea.
Any patents that may issue from applications in this family are expected to expire on October 6, 2043, absent any term adjustments or extensions.
−Removed: The term of individual patents may vary based on the countries in which they are obtained.
+Added: The company-owned patent portfolio further includes a patent family directed to the use of rAAV for the treatment of FTD and other neurodegenerative diseases as well as a patent family directed to an assay for testing the potency of the rAAV.
+Added: The first patent family includes a patent cooperation treaty, or PCT, application and a Taiwanese application.
+Added: Any patents that may issue from applications in this family are expected to expire on March 3, 2045, absent any term adjustments or extensions.
+Added: The second patent family includes a PCT application.
+Added: Any patents that may issue from applications in this family are expected to expire on June 5, 2045, absent any term adjustments or extensions.
+Added: The terms of individual patents may vary based on the countries in which they are obtained.
Generally, patents issued from applications filed in the United States are effective for 20 years from the earliest effective non-provisional filing date.
+Added: This term may be extended with a patent term adjustment to account for delays caused by the U.S.
+Added: Patent and Trademark Office, or USPTO.
In addition, in certain instances, a patent term can be extended to recapture a portion of the term effectively lost as a result of an FDA regulatory review period.
6 unchanged sentences
We also seek to preserve the integrity and confidentiality of our data, trade secrets and know-how, including by implementing measures intended to maintain the physical security of our premises and the physical and electronic security of our information technology systems.
−Removed: Our ability to stop third parties from making, using, selling, offering to sell or importing our products may depend on the extent to which we have rights under valid and enforceable patents or trade secrets that cover these activities.
−Removed: With respect to our owned or licensed intellectual property, we cannot be sure that patents will issue with respect to any of the pending patent applications to which we own or license rights or with respect to any patent applications that we or our licensors may file in the future, nor can we be sure that any of our licensed patents or any patents that may be issued in the future to us or our licensors will be commercially useful in protecting our product candidates and methods of manufacturing the same.
+Added: Our ability to stop unauthorized third parties from making, using, selling, offering to sell or importing our products may depend on the extent to which we have rights under valid and enforceable patents or trade secrets that cover these activities.
+Added: With respect to our owned or licensed intellectual property, we cannot be sure that patents will issue with respect to any of the pending patent applications to which we own or license rights or with respect to any patent applications that we or our licensors may file in the future, nor can we be sure that any of our licensed patents or any patents that may be issued in the future to us or our licensors will be commercially
+Added: useful in protecting our product candidates and methods of manufacturing the same.
Moreover, we may be unable to obtain patent protection for certain of our product candidates generally, as well as with respect to certain indications.
27 unchanged sentences
The trial protocol and informed consent information for subjects in clinical trials must also be submitted to an institutional review board, or IRB, for approval.
−Removed: An IRB may also require the clinical trial at the site to be halted, either temporarily or permanently, for failure to comply with the IRB’s requirements, or may impose other conditions if it believes that the subjects are subject to unacceptable risk.
+Added: may also require the clinical trial at the site to be halted, either temporarily or permanently, for failure to comply with the IRB’s requirements, or may impose other conditions if it believes that the subjects are subject to unacceptable risk.
Clinical trials to support BLAs for marketing approval are typically conducted in three sequential phases, but the phases may overlap.
3 unchanged sentences
In most cases, the FDA requires two adequate and well-controlled Phase 3 clinical trials to demonstrate the safety and efficacy of the drug or biologic.
+Added: In rare instances, a single Phase 3 trial may be sufficient when either (1) the trial is a large, multicenter trial demonstrating internal consistency and a statistically very persuasive finding of a clinically meaningful effect on mortality, irreversible morbidity or prevention of a disease with a potentially serious outcome and confirmation of the result in a second trial would be practically or ethically impossible or (2) the single trial is supported by confirmatory evidence.
In addition, the manufacturer of an investigational drug in a Phase 2 or Phase 3 clinical trial for a serious or life-threatening disease is required to make available, such as by posting on its website, its policy on evaluating and responding to requests for expanded access to such investigational drug.
7 unchanged sentences
A BLA for a drug that has been designated as an orphan drug is not subject to an application fee, unless the BLA includes an indication for other than a rare disease or condition.
−Removed: The FDA has 60 days from its receipt of a BLA to determine whether the application will be accepted for filing based on the Agency’s determination that it is adequately organized and sufficiently complete to permit substantive review.
−Removed: Once the submission is accepted for filing, the FDA begins an in-depth review.
+Added: The FDA has 60 days from its receipt of a BLA to determine whether to file the application based on the Agency’s determination that it is adequately organized and sufficiently complete to permit substantive review.
+Added: Once the FDA files the submission, the FDA begins an in-depth review.
The FDA has agreed to certain performance goals to complete the review of BLAs.
−Removed: Most applications are classified as Standard Review products that are reviewed within ten months of the date the FDA accepts the BLA for filing;
+Added: Most applications are classified as Standard Review products that are reviewed within ten months of the date the FDA files the BLA;
applications classified as Priority Review are reviewed within six months of the date the FDA accepts the BLA for filing.
7 unchanged sentences
After the FDA evaluates the BLA and completes any clinical and manufacturing site inspections, it issues either an approval letter or a complete response letter.
−Removed: A complete response letter generally outlines the deficiencies in the BLA submission and may require substantial additional testing, or information, in order for the FDA to reconsider the application for approval.
+Added: A complete response letter generally outlines the deficiencies in
+Added: the BLA submission and may require substantial additional testing, or information, in order for the FDA to reconsider the application for approval.
If, or when, those deficiencies have been addressed to the FDA’s satisfaction in a resubmission of the BLA, the FDA will issue an approval letter.
1 unchanged sentence
An approval letter authorizes commercial marketing and distribution of the biologic with specific prescribing information for specific indications.
−Removed: As a condition of BLA approval, the FDA may require a Risk Evaluation and Mitigation
−Removed: Strategy, or REMS, to help ensure that the benefits of the biologic outweigh the potential risks to patients.
+Added: As a condition of BLA approval, the FDA may require a Risk Evaluation and Mitigation Strategy, or REMS, to help ensure that the benefits of the biologic outweigh the potential risks to patients.
A REMS can include medication guides, communication plans for healthcare professionals, and elements to assure a product’s safe use, or ETASU.
9 unchanged sentences
the proper preclinical assessment of gene therapies;
−Removed: the CMC information that should be included in an IND application;
+Added: the chemistry, manufacturing, and controls, or CMC, information that should be included in an IND application;
the proper design of tests to measure product potency in support of an IND or BLA application;
3 unchanged sentences
Orphan Drug Designation
−Removed: Under the Orphan Drug Act, the FDA may grant Orphan Drug Designation to biological products intended to treat a rare disease or condition—generally a disease or condition that affects fewer than 200,000 individuals in the United States, or if it affects more than 200,000 individuals in the United States, there is no reasonable expectation that the cost of developing and making a product available in the United States for such disease or condition will be recovered from sales of the product.
+Added: Under the Orphan Drug Act, the FDA may grant Orphan Drug Designation to biological products intended to treat a rare disease or condition—a disease or condition that affects fewer than 200,000 individuals in the United States, or if it affects more than 200,000 individuals in the United States, there is no reasonable expectation that the cost of developing and making a product available in the United States for such disease or condition will be recovered from sales of the product.
Orphan Drug Designation must be requested before submitting a BLA.
1 unchanged sentence
Orphan Drug Designation does not convey any advantage in, or shorten the duration of, the regulatory review and approval process.
−Removed: The first BLA applicant to receive FDA approval for a particular active moiety to treat a particular disease with FDA Orphan Drug Designation is entitled to a seven-year exclusive marketing period in the United States for that product in the approved indication.
+Added: The first BLA applicant to receive FDA licensure for a particular active moiety to treat a particular disease with FDA Orphan Drug Designation is entitled to a seven-year exclusive marketing period in the United States for that product in the approved indication.
For large molecule drugs, including gene therapies, sameness is determined based on the principal molecular structural features of a product.
2 unchanged sentences
The FDA does not intend to consider minor differences between transgenes and vectors to be different principal molecular structural features.
−Removed: When two gene therapy products express the same transgene and have or use the same vector, determining whether two gene therapies are the same drug may also depend on additional features of the final gene therapy product, such as regulatory elements and the cell type that is transduced (for genetically modified cells).
+Added: When two gene therapy products express the same transgene and have or use the same vector, determining whether two gene therapies are the same drug may also depend on additional features of the final gene therapy product that can contribute to the therapeutic effect, such as
+Added: regulatory elements and the cell type that is transduced (for genetically modified cells).
In such cases, the FDA generally intends to determine whether two gene therapy products are different on a case-by-case basis.
1 unchanged sentence
A product can be considered clinically superior if it is safer, more effective or makes a major contribution to patient care.
−Removed: Orphan drug exclusivity does not prevent the FDA from approving a different drug or biological product for the
−Removed: same disease or condition, or the same biological product for a different disease or condition.
+Added: Orphan drug exclusivity does not prevent the FDA from approving a different drug or biological product for the same disease or condition, or the same biological product for a different disease or condition.
Among the other benefits of Orphan Drug Designation are tax credits for certain research and a waiver of the BLA user fee.
21 unchanged sentences
As with drugs, after approval of a BLA, biologics manufacturers must address any safety issues that arise, are subject to recalls or a halt in manufacturing, and are subject to periodic inspection after approval.
−Removed: The Biologics Price Competition and Innovation Act of 2009, or BPCIA, creates an abbreviated approval pathway for biological products shown to be highly similar to or interchangeable with an FDA-licensed reference biological product.
−Removed: Biosimilarity sufficient to reference a prior FDA-approved product requires that there be no differences in conditions of use, route of administration, dosage form, and strength, and no clinically meaningful differences between the biological product and the reference product in terms of safety, purity, and potency.
−Removed: Biosimilarity must be shown through analytical trials, animal studies, and a clinical trial or trials, unless the
−Removed: Secretary of Health and Human Services waives a required element.
+Added: The Biologics Price Competition and Innovation Act of 2009, or BPCIA, created an abbreviated approval pathway for biological products shown to be highly similar to or interchangeable with an FDA-licensed reference biological product.
+Added: Biosimilarity sufficient to reference a prior FDA-approved product requires that there be no differences in route of administration, dosage form, and strength, and no clinically meaningful differences between the biological product and the reference product in terms of safety, purity, and potency.
+Added: Biosimilarity must be shown through analytical trials, animal studies, and, in some cases, a clinical trial or trials.
A biosimilar product may be deemed interchangeable with a previously approved product if it meets the higher hurdle of demonstrating that it can be expected to produce the same clinical results as the reference product and, for products administered multiple times, the biologic and the reference biologic may be switched after one has been previously administered without increasing safety risks or risks of diminished efficacy relative to exclusive use of the reference biologic.
The first biosimilar product was approved by the FDA in 2015, and the first interchangeable product was approved in 2021.
−Removed: A reference biologic is granted 12 years of exclusivity from the time of first licensure, or BLA approval, of the reference product, and no application for a biosimilar can be submitted for four years from the date of licensure of the reference product.
−Removed: The first biologic product submitted under the biosimilar abbreviated approval pathway that is determined to be interchangeable with the reference product has exclusivity against a finding of interchangeability for other biologics for the same condition of use for the lesser of (i) one year after first commercial marketing of the first interchangeable biosimilar, (ii) 18 months after the first interchangeable biosimilar is approved if there is no patent challenge, (iii) 18 months after resolution of a lawsuit over the patents of the reference biologic in favor of the first interchangeable biosimilar applicant, or (iv) 42 months after the first interchangeable biosimilar’s application has been approved if a patent lawsuit is ongoing within the 42-month period.
+Added: A reference biologic is granted 12 years of exclusivity from the time of first licensure, or BLA approval, of the reference product during which no application for a biosimilar may be licensed, and no application for a biosimilar can be submitted for four years from the date of licensure of the reference product.
+Added: The first biologic product submitted under the biosimilar abbreviated approval pathway that is determined to be interchangeable with the reference product has exclusivity against a finding of interchangeability for other biologics for the same condition of use for the lesser of (i) one year after first commercial marketing of the first interchangeable biosimilar, (ii) 18 months after the first interchangeable biosimilar is approved if no patent litigation ensues, (iii) 18 months after resolution of a lawsuit over the asserted patents of the reference biologic in favor of the first interchangeable biosimilar applicant, or (iv) 42 months after the first interchangeable biosimilar’s application has been approved if a patent lawsuit is ongoing within the 42-month period.
Post-Approval Requirements
14 unchanged sentences
Attorney offices within the DOJ, and state and local governments.
−Removed: The laws biotechnology companies may have to comply with include the anti-fraud and abuse provisions of the Social Security Act, the federal false claims laws, the privacy and security provisions of the Health Insurance Portability and Accountability Act, or HIPAA, and similar state laws, each as amended, as applicable.
+Added: The laws biotechnology companies may have to comply with include the anti-fraud and abuse provisions of the Social Security Act, the
+Added: federal false claims laws, the privacy and security provisions of the Health Insurance Portability and Accountability Act, or HIPAA, and similar state laws, each as amended, as applicable.
The federal Anti-Kickback Statute prohibits, among other things, any person or entity from knowingly and willfully offering, paying, soliciting or receiving any remuneration, directly or indirectly, overtly or covertly, in cash or in kind, to induce or in return for purchasing, leasing, ordering, recommending or arranging for the purchase, lease or order of any item or service reimbursable under Medicare, Medicaid or other federal healthcare programs.
The term remuneration has been interpreted broadly to include anything of value.
−Removed: The Anti- Kickback
−Removed: Statute has been interpreted to apply to arrangements between pharmaceutical manufacturers on one hand and prescribers, purchasers, and/or formulary managers on the other.
+Added: The Anti- Kickback Statute has been interpreted to apply to arrangements between pharmaceutical manufacturers on one hand and prescribers, purchasers, and/or formulary managers on the other.
There are a number of statutory exceptions and regulatory safe harbors protecting some common activities from prosecution.
18 unchanged sentences
HIPAA requires covered entities to limit the use and disclosure of protected health information to specifically authorized situations, and requires covered entities to implement security measures to protect health information that they maintain in electronic form.
−Removed: Among other things, HITECH made HIPAA’s security standards directly applicable to business associates, independent contractors or agents of covered entities that receive or obtain protected health information in
−Removed: connection with providing a service on behalf of a covered entity.
+Added: Among other things, HITECH made HIPAA’s security standards directly applicable to business associates, independent contractors or agents of covered entities that receive or obtain protected health information in connection with providing a service on behalf of a covered entity.
HITECH also created four new tiers of civil monetary penalties, amended HIPAA to make civil and criminal penalties directly applicable to business associates, and gave state attorneys general new authority to file civil actions for damages or injunctions in federal courts to enforce the federal HIPAA laws and seek attorneys’ fees and costs associated with pursuing federal civil actions.
9 unchanged sentences
Significant uncertainty exists as to the coverage and reimbursement status of any product candidates for which regulatory approval is obtained.
−Removed: In the United States and markets in other countries, sales of any products for which regulatory approval is received for commercial sale will depend, in part, on the extent to which third-party payors provide coverage, and establish adequate reimbursement levels for such products.
+Added: In the United States and markets in other countries, sales of any products for which regulatory approval is obtained for commercial sale will depend, in part, on the extent to which third-party payors provide coverage, and establish adequate reimbursement levels for such products.
In the United States, third-party payors include federal and state healthcare programs, private managed care providers, health insurers and other organizations.
−Removed: The process for determining whether a third-party payor will provide coverage for a product may be separate from the process for setting the price of a product or for establishing the reimbursement rate that such a payor will pay for the product.
Third-party payors may limit coverage to specific products on an approved list, also known as a formulary, which might not include all of the FDA-approved products for a particular indication.
2 unchanged sentences
Product candidates may not be considered medically necessary or cost-effective.
−Removed: A payor’s decision to provide coverage for a product does not imply that an adequate reimbursement rate will be approved.
+Added: The process for determining whether a third-party payor will provide coverage for a product may be separate from the process for setting the price of a product or for establishing the reimbursement rate that such a payor will pay for the product and a payor’s decision to provide coverage for a product does not imply that an adequate reimbursement rate will be approved.
Further, one payor’s determination to provide coverage for a product does not assure that other payors will also provide coverage for the product.
+Added: In the United States, the principal decisions about reimbursement for new medicines are typically made by the Centers for Medicare and Medicaid Services, or CMS.
+Added: CMS decides whether and to what extent our products will be covered and reimbursed under Medicare.
+Added: Although private third-party payors tend to follow Medicare practices, no uniform or consistent policy of coverage and reimbursement for drug products exists among third-party payors.
Adequate third-party reimbursement may not be available to enable the maintenance of price levels sufficient to realize an appropriate return on investment in product development.
14 unchanged sentences
government rebate programs and additional downward pressure on pharmaceutical product prices.
−Removed: Healthcare reform proposals recently culminated in the enactment of the Inflation Reduction Act, or IRA, which will eliminate, beginning in 2025, the coverage gap under Medicare Part D by significantly lowering the enrollee maximum out-of-pocket cost and requiring manufacturers to subsidize, through a newly established manufacturer discount program, 10% of Part D enrollees’ prescription costs for brand drugs below the out-of-pocket maximum, and 20% once the out-of-pocket maximum has been reached.
−Removed: The IRA will also allow HHS to directly negotiate the selling price of a statutorily specified number of drugs and biologics each year that CMS reimburses under Medicare Part B and Part D.
−Removed: Only high-expenditure single-source biologics that have been approved for at least 11 years (seven years for drugs) can qualify for negotiation, with the negotiated price taking effect two years after the selection year.
−Removed: Negotiations for Medicare Part D products begin in 2024 with the negotiated price taking effect in 2026, and negotiations for Medicare Part B products begin in 2026 with the negotiated price taking effect in 2028.
−Removed: In August 2023, HHS announced the ten Medicare Part D drugs and biologics that it selected for negotiations, and by October 1, 2023, each manufacturer of the selected drugs signed a manufacturer agreement to participate in the negotiations.
−Removed: HHS announced the negotiated maximum fair prices on August 15, 2024, and this price cap, which cannot exceed a statutory ceiling price, will come into effect on January 1, 2026.
−Removed: A drug or biological product that has an orphan drug designation for only one rare disease or condition will be excluded from the IRA’s price negotiation requirements, but loses that exclusion if it has designations for more than one rare disease or condition, or if is approved for an indication that is not within that single designated rare disease or condition, unless such additional designation or such disqualifying approvals are withdrawn by the time CMS evaluates the drug for selection for negotiation.
−Removed: The IRA also imposes rebates on Medicare Part B and Part D drugs whose prices have increased at a rate greater than the rate of inflation.
+Added: Several healthcare reform proposals culminated in the enactment of the Inflation Reduction Act of 2022, or IRA, which, among other things, eliminated, beginning in 2025, the coverage gap under Medicare Part D by significantly lowering the enrollee maximum out-of-pocket cost and requiring manufacturers to subsidize, through a newly established manufacturer discount program, 10% of Part D enrollees’ prescription costs for brand drugs below the out-of-pocket maximum, and 20% once the out-of-pocket maximum has been reached.
+Added: The IRA also requires HHS to directly negotiate the selling price of a statutorily specified number of drugs and biologics each year that CMS reimburses under Medicare Part B and Part D.
+Added: The negotiated price may not exceed a statutory ceiling price.
+Added: Only high-expenditure single-source biologics that have been approved for at least 11 years (seven years for single-source drugs) are eligible to be selected by CMS for negotiation, with the negotiated price taking effect two years after the selection year.
+Added: For 2026, the first year in which negotiated prices became effective, CMS selected 10 high-cost Medicare Part D products in 2023, negotiations began in 2024, and the negotiated maximum fair price has been announced.
+Added: In addition, CMS selected and announced the negotiated maximum fair price for 15 additional Medicare Part D drugs, which will become effective in 2027.
+Added: For 2028, CMS selected an additional 15 drugs, comprised of drugs covered under Medicare Part D and, for the first time, drugs payable under Medicare Part B.
+Added: For 2029 and subsequent years, 20 Part B or Part D drugs will be selected.
+Added: Currently, a drug or biological product that has an orphan drug designation for only one rare disease or condition will be excluded from the IRA’s price negotiation requirements, but loses that exclusion if it has designations for more than one rare disease or condition, or if is approved for an indication that is not within that single designated rare disease or condition, unless such additional designation or such disqualifying approvals are withdrawn by the time CMS evaluates the drug for selection for negotiation.
+Added: However, as a result of a statutory amendment enacted in July 2025, beginning with the 2028 negotiated price applicability year, a drug may be designated for more than one rare disease or condition and still be excluded from price negotiation, as long as the only approved indications are for such rare diseases or conditions.
+Added: The IRA also imposes rebates on Medicare Part B and Part D drugs whose prices have increased at a rate greater than the rate of inflation, and in November 2024, CMS finalized regulations for the Medicare Part B and Part D inflation rebates.
The IRA permits the Secretary of HHS to implement many of these provisions through guidance, as opposed to regulation, for the initial years.
Manufacturers that fail to comply with the IRA may be subject to various penalties, some significant, including civil monetary penalties.
−Removed: The IRA also extends enhanced subsidies for individuals purchasing health insurance coverage in ACA marketplaces through plan year 2025.
−Removed: These provisions are taking effect progressively starting in 2023, although they may be subject to legal challenges.
+Added: These provisions may be subject to legal challenges.
For example, the provisions related to the negotiation of selling prices of high-expenditure single-source drugs and biologics have been challenged in multiple lawsuits.
−Removed: Thus, while it is unclear how the IRA will be implemented, it will likely have a significant impact on the
−Removed: pharmaceutical industry and the pricing of our products and product candidates.
+Added: Thus, while it is unclear how the IRA will be implemented, it will likely have a significant impact on the pharmaceutical industry and the pricing of our products and product candidates.
It is unclear to what extent other statutory, regulatory, and administrative initiatives will be enacted and implemented in the future.
1 unchanged sentence
As of December 31, 2025, we had 24 full-time employees.
−Removed: From time to time, we also retain independent contractors to support our organization.
Of these employees, 7 held Ph.D., Pharm.D.
2 unchanged sentences
None of our employees are represented by a labor union or covered by collective bargaining agreements, and we believe our relationship with our employees is good.
−Removed: In January 2025, the Company’s board of directors approved a restructuring plan that included a reduction of 55% in the Company’s workforce.
−Removed: The Company’s restructuring plan is described more fully in Note 15 to our financial statements found elsewhere in this Form 10-K.
+Added: From time to time, we also retain independent contractors to support our organization.
Our Mission and Our Employees
28 unchanged sentences
o We work hard and find ways to make it fun
−Removed: Our Commitment to Diversity, Equity and Inclusion
−Removed: We are committed to creating and maintaining a diverse, equitable and inclusive workplace where all of our employees can thrive in an environment that values differences, provides equal opportunities and embraces
−Removed: different backgrounds and perspectives.
−Removed: We treat all individuals with respect and dignity and provide all of our employees with fair treatment based on merit.
−Removed: By embracing diversity and inclusion, we create an organization committed to working together to develop innovative solutions in support of our mission.
−Removed: Our core values include a commitment to diversity, equity, and inclusion, and we have embraced them as integral parts of our business strategy.
+Added: Our Working Environment
+Added: We are committed to creating and maintaining a workplace where all our employees can thrive in an environment that values differences, provides equal opportunities and embraces different backgrounds and perspectives.
+Added: We treat all individuals with respect and dignity and provide all our employees with fair treatment based on merit.
+Added: We emphasize working together to develop innovative solutions in support of our mission.
+Added: We believe our working environment allows us to attract and retain the best employees and develop the best solutions.
+Added: It is an integral part of our business strategy.
Our Compensation and Benefits
12 unchanged sentences
For non-executive officers, we utilize a third-party resource to evaluate market rates for base compensation.
+Added: Reverse Stock Split
+Added: On May 28, 2025, our stockholders provided authorization for our Board of Directors to effect a reverse stock split to regain compliance with Nasdaq’s listing requirements.
+Added: On July 14, 2025, we effected a 1-for-20 reverse stock split of our common stock, or the Reverse Stock Split.
+Added: No fractional shares were issued in connection with the Reverse Stock Split.
+Added: Stockholders who were otherwise entitled to receive fractional shares received the number of shares of Common Stock as rounded up to the nearest whole share.
+Added: All share and per share amounts in this Annual Report, including the stock options, restricted stock units, and employee stock purchase plan activity, as well as other share information in this Report have been adjusted retroactively to reflect the Reverse Stock Split for all periods presented.
Legal Proceedings
From time to time, we may be involved in legal proceedings arising in the ordinary course of our business.
−Removed: We are a defendant in litigation with a former employee, who filed a lawsuit in the Court of Common Pleas of Philadelphia County asserting claims for breach of contract and violation of the Pennsylvania Wage Payment and Collection Law.
−Removed: The plaintiff, who was terminated from his employment in 2019, contended that we entered into a binding settlement agreement in February 2020 under which he was to receive shares of company stock and additional compensation.
+Added: We are the defendant in litigation with a former employee, who filed a lawsuit in the Court of Common Pleas of Philadelphia County asserting claims for breach of contract and violation of the Pennsylvania Wage Payment and Collection Law.
+Added: The plaintiff, who was terminated from their employment in 2019, contended that we entered into a binding settlement agreement in February 2020 under which he was to receive shares of company stock and additional compensation.
Specifically, he contended that before the announcement of our initial public offering in February 2020, he was promised 150,000 shares of stock as part of the settlement, and that those shares were not subject to the reverse stock split that was implemented for all shareholders.
−Removed: We responded that the shares offered in settlement negotiations in 2020 were to be subject to the reverse split, and that had the settlement been finalized, the plaintiff would have been entitled to 33,836 shares.
+Added: We responded that the shares offered in settlement negotiations in 2020 were to be subject to the reverse split, and that had the settlement been finalized, the plaintiff would have been entitled to 33,836 shares (1,692 shares adjusted for the Reverse Stock Split effected in 2025).
A trial in this case was held in October 2024.
2 unchanged sentences
Both sides then challenged the verdict, and on December 12, 2024, the judge who presided over the trial delivered a judgment in our favor, finding that no binding agreement was reached and that the plaintiff was not entitled to recover any damages.
−Removed: On December 23, 2024, the plaintiff filed an appeal with the Superior Court of Pennsylvania, which is currently pending.
−Removed: The Company intends to continue to defend against this claim.
+Added: On December 23, 2024, the plaintiff filed an appeal with the Superior Court of Pennsylvania.
+Added: On September 25, 2025, the appellate court affirmed the entry of judgment in favor of the Company and on October 7, 2025, the plaintiff filed an Application for Reargument to the Superior Court of Pennsylvania.
+Added: In December 2025, the Superior Court of Pennsylvania denied the Application for Reargument.
+Added: In December 2025, the plaintiff petitioned for review of their appeal to the Pennsylvania Supreme Court which is currently pending.
+Added: We intend to continue to defend against this claim.
Other than the above, we are not presently a party to any legal proceedings that, in the opinion of management, would, if decided against us, have a material adverse effect on our business.
11 unchanged sentences
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.