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MBRX

Moleculin BiotechF
Nasdaq / Pharmaceuticals, Biotechnology & Life Sciences
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2026-07-20
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2026-07-06
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Earnings documents stored for MBRX.

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Investor releaseQuarter not tagged2026-07-06

Moleculin CEO, Walter Klemp, Highlights Positive Preliminary MIRACLE Trial Results in Virtual Investor "What This Means" Segment

GlobeNewswire

Access the segment here HOUSTON, July 06, 2026 (GLOBE NEWSWIRE) -- Moleculin Biotech, Inc., (Nasdaq: MBRX) (“Moleculin” or the “Company”), today announced that Walter Klemp, Chairman and Chief Executive Officer of Moleculin, participated in a Virtual Investor “What This Means” segment. For the segment, Chairman and CEO Wally Klemp discusses the positive preliminary unblinded efficacy results from the first 45 patients enrolled in Part A of the pivotal Phase 2/3 MIRACLE trial evaluating Annamycin in relapsed or refractory acute myeloid leukemia (R/R AML). During the conversation, Mr. Klemp provides his perspective on the significance of the early efficacy trends observed across both Annamycin treatment arms, summarizes the key data, and discusses the commercial opportunity, including insights from the Company's recent market research assessing the potential addressable market for Annamycin if approved. The segment is now available for on-demand viewing here. About Moleculin Biotech, Inc. Moleculin Biotech, Inc. is a Phase 3 clinical stage pharmaceutical company advancing a pipeline of therapeutic candidates addressing hard-to-treat tumors and viruses. The Company’s lead program, Annamycin (also known as naxtarubicin), is a highly efficacious and well tolerated anthracycline designed to avoid multidrug resistance mechanisms and to lack the cardiotoxicity common with currently prescribed anthracyclines. Annamycin is currently in development for the treatment of relapsed or refractory acute myeloid leukemia (AML) and soft tissue sarcoma (STS) lung metastases. The Company has begun the MIRACLE (Moleculin R/R AML AnnAraC Clinical Evaluation) Trial (MB-108), a pivotal, adaptive design, multi-center, randomized, double-blind, placebo-controlled Phase 2/3 trial evaluating Annamycin in combination with cytarabine, together referred to as AnnAraC (the combination of Annamycin and cytarabine, also referred to as “Ara-C”) for the treatment of relapsed or refractory acute myeloid leukemia. Following a successful Phase 1B/2 study (MB-106), with input from the FDA, the Company believes it has substantially de-risked the development pathway towards a potential approval for Annamycin for the treatment of AML. This study remains subject to appropriate future filings with potential additional feedback from the FDA and their foreign equivalents. Additionally, the Company is deve...

Investor releaseQuarter not tagged2026-06-30

Moleculin Reports Positive Phase 2/3 MIRACLE Interim Results, With Annamycin Complete Remission Rates 3-fold Greater than Control

GlobeNewswire

Moleculin Biotech, Inc. Both Annamycin dose arms outperformed control on the primary endpoint of complete remission (CR): 43% and 36% versus 12% — reported on a full intent-to-treat (ITT) basis with no patient exclusions Composite complete remission (CRc) reached 50% and 57% in the respective Annamycin arms versus 29% for control Enrollment in the MIRACLE trial continues with more than two-thirds (67 of 90 subjects) of Part A target as Company advances toward optimal dose selection HOUSTON, June 30, 2026 (GLOBE NEWSWIRE) -- Moleculin Biotech, Inc., (Nasdaq: MBRX) (“Moleculin” or the “Company”), today announced positive preliminary unblinded efficacy results from the first 45 patients enrolled in Part A of the Company's pivotal Phase 2/3 MIRACLE trial, analyzed on a full intent-to-treat basis with no patient exclusions. Both Annamycin treatment arms demonstrated favorable efficacy trends compared with the control arm in patients with relapsed or refractory acute myeloid leukemia (R/R AML). The interim analysis demonstrated a clear efficacy advantage for both Annamycin treatment arms, 190 mg/m² plus HiDAC and 230 mg/m² plus HiDAC, over the HiDAC control arm. CR reached 43% and 36% in the respective Annamycin cohorts, compared with 12% for control, while CRc reached 50% and 57%, respectively, versus 29% for the control arm. The n=45 population contained 75.6% over 60 years of age, 55.6% 7+3 and 31.1% venetoclax regimens for first line (1L) therapies. Importantly, the remission rates for all three arms, including the control arm, reflect outcomes measured after only a single cycle of therapy, as specified by the MIRACLE protocol. The most commonly cited historical benchmarks in this setting, including the MIRROS and CLASSIC I studies, as well as Moleculin’s own MB-106 study, permitted multiple cycles of treatment. The Company therefore expected absolute remission rates for both the control and Annamycin arms in this single-cycle interim analysis to be lower than those reported in such multi-cycle datasets and believes the most meaningful comparison is the performance of the Annamycin arms relative to the concurrent, randomized control arm evaluated on the same single-cycle basis. "These interim Phase 2/3 results on such a challenging subject population represent a defining moment for Moleculin and, we believe, the strongest clinical validation of Annamycin we ha...

Investor releaseQuarter not tagged2026-05-15

Moleculin Reports First Quarter 2026 Financial Results and Provides Clinical Update on Pivotal MIRACLE Trial

GlobeNewswire

Early blinded results show 40% composite complete remission rate across difficult-to-treat AML patient population in MIRACLE Trial First interim unblinding expected in June 2026 following 45 subject enrollment milestone achieved in MIRACLE trial Enrollment in MIRACLE trial continues to advance on pace with 90th subject expected in Q3 2026 HOUSTON, May 15, 2026 (GLOBE NEWSWIRE) -- Moleculin Biotech, Inc., (Nasdaq: MBRX) (“Moleculin” or the “Company”), today reported financial results for the first quarter ended March 31, 2026 and provided a corporate update. “With enrollment now surpassing the first interim analysis threshold in the MIRACLE trial, we are just weeks away from beginning what we believe will be the most transformative period in the Company’s history. The impressive preliminary blinded remission data trend we reported earlier this year continues with the 45 subject blinded data. This trend supports our belief in Annamycin’s potential to meaningfully improve outcomes for patients with relapsed or refractory AML,” said Walter Klemp, Chairman and Chief Executive Officer of Moleculin. “We also believe Annamycin has the potential to redefine the anthracycline class by addressing one of the most significant limitations of these foundational therapies, cardiotoxicity, while potentially expanding access to treatment options for patients who otherwise may not be eligible for standard anthracycline-based therapy due to current life-time dose limits,” Mr. Klemp added. Recent Highlights Achieved enrollment of the first 45 subjects in the pivotal MIRACLE Phase 2B/3 trial evaluating Annamycin in combination with cytarabine (“AnnAraC”) for the treatment of relapsed/refractory acute myeloid leukemia (AML) Continued to observe encouraging blinded efficacy trends in the MIRACLE trial, including a previously reported preliminary blinded composite complete remission (CRc) rate of 40% at the first 30 subjects treated mark and also at the 45th subject mark Completed financing transactions during the first quarter of 2026 resulting in approximately $8.3 million in gross proceeds, strengthening the Company’s near-term operating runway Continued expansion of clinical trial operations across the United States and Europe to support accelerated enrollment and future development activities Bolstered global intellectual property strategy for Annamycin, now covering four conti...

Investor releaseQuarter not tagged2026-03-19

Moleculin Reports Full Year 2025 Financial Results and Confirms Highly Anticipated 45-Patient Interim Data Unblinding in Pivotal MIRACLE Trial On Track for Mid-2026

GlobeNewswire

Miracle Trial Preliminary Blinded CRc Rate of 40% in First 30 Patients Suggests Encouraging Early Results in Relapsed/Refractory AML HOUSTON, March 19, 2026 (GLOBE NEWSWIRE) -- Moleculin Biotech, Inc., (Nasdaq: MBRX) (“Moleculin” or the “Company”), today reported financial results for the year ended December 31, 2025 and provided a clinical update highlighting rapid progress toward a major upcoming milestone in its pivotal MIRACLE trial of Annamycin in combination with cytarabine for the treatment of adult patients with acute myeloid leukemia (AML) who are refractory to or relapsed (R/R) after induction therapy (R/R AML). “With the MIRACLE trial rapidly progressing and the first MIRACLE interim readout now clearly within reach, we believe 2026 will be a defining year for Moleculin,” said Walter Klemp, Chairman and CEO of Moleculin. “The encouraging blinded efficacy data seen so far, particularly in a pretreated population that includes venetoclax failures, reinforces our belief that Annamycin has the potential to represent a significant advancement in AML therapy.” Recent Highlights Reported (n=30) MIRACLE Trial delivered 40% preliminary blinded CRc rate; Received a new independent assessment for the absence of cardiotoxicity in subjects treated with Annamycin, bringing the total number of Annamycin treated subjects reviewed by its independent expert to 90; Entered a new Annamycin research collaboration focused on glioblastoma multiforme (GBM) with CIC biomaGUNE to evaluate intra‑arterial delivery of Annamycin in preclinical models; Announced positive results from a Phase 1 clinical trial of WP1066 in pediatric recurrent malignant brain tumors, showing safety and signs of antitumor immune responses and supporting potential progression to Phase 2; Announced a grant-funded preclinical research agreement with the University of North Carolina at Chapel Hill to evaluate Annamycin for pancreatic cancer treatment; and Announced a targeted new investigator-initiated Phase 1B/2 study of Annamycin in third-line pancreatic cancer with Atlantic Health, based on preclinical data suggesting activity in advanced pancreatic tumors. Clinical Development Update Relapsed or Refractory (R/R) Acute Myeloid Leukemia (AML) The Company is currently evaluating Annamycin in combination with cytarabine (Ara-C), collectively referred to as AnnAraC, in its pivotal Phase 3 “MIRACLE” tria...

Investor releaseQuarter not tagged2025-12-17

Moleculin Announces Positive Results from Phase 1 Clinical Trial Evaluating WP1066 for the Treatment of Pediatric Recurrent Malignant Brain Tumors

GlobeNewswire

Emory University physician-sponsored clinical trial conducted at the Aflac Cancer and Blood Disorders Center at Children’s Healthcare of Atlanta Results demonstrated WP1066 induces anti-tumor immune responses and were recently published in the Journal of Clinical Investigation Insight WP1066 found to be safe and effective, warranting a Phase 2 trial HOUSTON, Dec. 17, 2025 (GLOBE NEWSWIRE) -- Moleculin Biotech, Inc., (Nasdaq: MBRX) (“Moleculin” or the “Company”), today announced positive results from the Emory University physician-sponsored Phase 1 clinical trial conducted at the Aflac Cancer and Blood Disorders Center at Children’s Healthcare of Atlanta led by pediatric oncologist, Tobey MacDonald, MD, who discovered STAT3 is critical to certain childhood brain tumors and currently serves as Professor of Pediatrics and Director of the Pediatric Neuro-Oncology Program. WP1066 is Moleculin’s flagship Immune/Transcription Modulator designed to stimulate the immune response to tumors by inhibiting the errant activity of regulatory T cells while also inhibiting key oncogenic transcription factors, including p-STAT3 (phosphorylated signal transducer and activator of transcription 3), c-Myc (oncogene driving many aggressive cancers) and HIF-1α (hypoxia-inducible factor 1α). These transcription factors are widely sought targets because of their role in cancer cell survival and proliferation, angiogenesis (coopting vasculature for blood supply), invasion, metastasis, and inflammation associated with tumors. “The results of this first-in-child trial show some encouraging signals of activity in a highly aggressive chemotherapy resistant brain cancer, such as partial tumor response in a diffuse intrinsic pontine glioma (DIPG) patient and clear anti-tumor immune changes,” said Dr. MacDonald. For the Phase 1 trial, 10 children were treated with WP1066 twice daily for 14 days to determine the maximum feasible dose. Compassionate use treatment in three children with high-grade glioma was also evaluated. Results showed there was no significant toxicity, and a maximum feasible dose was determined. Importantly, WP1066 suppressed the expression of STAT3, inhibiting its activity and demonstrating anti-tumor immune responses. While the preclinical efficacy of WP1066 had been previously demonstrated, and its effectiveness had been studied among adults, this trial was the first to...

Investor releaseQuarter not tagged2025-08-13

Moleculin Reports Second Quarter 2025 Financial Results and Highlights

GlobeNewswire

- Continues recruitment and opens US and EU sites for the Phase 2B/3 MIRACLE trial - 20+ additional clinical sites in Europe and the US expected to begin recruitment by the end of Q3 - Anticipated data readout of MIRACLE Part A targeted before end of 2025 HOUSTON, Aug. 13, 2025 (GLOBE NEWSWIRE) -- Moleculin Biotech, Inc., (Nasdaq: MBRX) (“Moleculin” or the “Company”), a late-stage pharmaceutical company with a broad portfolio of drug candidates targeting hard-to-treat cancers and viruses, today reported its financial results for the second quarter ended June 30, 2025. “The second quarter of 2025 marked a period of momentum for Moleculin. We continued to make meaningful progress in our MIRACLE trial, including a significant expansion into a number of countries, positioning ourselves to achieve our enrollment targets and, importantly, reach an expected pivotal data readout before the end of this year. In addition to progress in our AML program, we reported compelling topline data in our Phase 1B/2 soft tissue sarcoma lung metastases (STS lung mets) trial and continue to build a growing body of preclinical and clinical data showcasing the depth and breadth of the potential Annamycin has to treat a range of cancer indications,” commented Walter Klemp, Chairman and Chief Executive Officer of Moleculin. “I am proud of the dedication our team continues to show, and we look forward to building on this progress in the second half of the year and beyond.” Recent Highlights Annamycin for the Treatment of AML Expanded its Phase 2B/3 MIRACLE trial with secured approval from the Regulation Agency for Medical and Pharmaceutical Activities (RAMPA) in Georgia; Four active MIRACLE sites now screening subjects in Ukraine, Georgia, Spain and the US; Expect to add more than 20 additional sites in the European Union (EU) and the US by the end of Q3 2025; and Received positive FDA feedback on pediatric study plan for Annamycin in children with R/R AML, setting the start of that trial in 2027. Other Annamycin Announced the presentation of encouraging preclinical data for Annamycin, which demonstrated significant efficacy against various primary and metastatic liver cancers; Bolstered Annamycin intellectual property portfolio with notice of intent to grant a new European patent; Engaged industry veteran Adriano Treve to explore Annamycin related strategic partnerships; and Reported...

Investor releaseQuarter not tagged2025-06-04

Moleculin Reports Positive Topline Efficacy Results from U.S. Phase 1B/2 Clinical Trial Evaluating Annamycin for the Treatment of Soft Tissue Sarcoma Lung Metastases (MB-107)

GlobeNewswire

Annamycin delivering better performance 7th line than would be expected even in 2nd line for monotherapy Responders (Stable Disease or Partial Response) after 2 cycles of Annamycin showed improvement in OS and Progression Free Survival (“PFS”) Clinical Benefit Rate (“CBR”) was 59.4% (n=32), comprised of 18 subjects with stable disease and 1 subject with a partial response Potential to address 13,500 new incidents of STS each year and market opportunity expected to grow to $2.6B by 20301 On-demand video webcast with members of the Moleculin management team and internationally renowned Key Opinion Leaders available Thursday, June 5th HOUSTON, June 04, 2025 (GLOBE NEWSWIRE) -- Moleculin Biotech, Inc., (Nasdaq: MBRX) (“Moleculin” or the “Company”), a late-stage pharmaceutical company with a broad portfolio of drug candidates targeting hard-to-treat cancers and viruses, today reported positive topline efficacy results from its completed U.S. Phase 1B/2 clinical trial evaluating Annamycin for the treatment of soft tissue sarcoma lung metastases (“STS lung mets”) (MB-107). The MB-107 trial was a multi-center, open-label, single-arm monotherapy study that in Phase 1B determined the Maximum Tolerable Dose and Recommended Phase 2 Dose (“MTD”, “RP2D” respectively) and safety of Annamycin and in Phase 2 explored the efficacy of Annamycin as a single agent for the treatment of subjects with STS lung mets for which chemotherapy was considered appropriate. For more information about the MB-107 trial visit clinicaltrials.gov and reference identifier NCT04887298. “These positive topline results from MB-107 are incredibly encouraging. The impact Annamycin demonstrated on median overall survival, particularly with patients who received multiple prior chemotherapy regimens, exceeded expectations. Additionally, the improvement seen with PFS after two doses represents a real potential for Annamycin to provide a meaningful treatment option for the treatment of STS lung mets,” commented Walter Klemp, Chairman and Chief Executive Officer of Moleculin. “Looking ahead, we believe these results strongly support further evaluations of Annamycin for the treatment of STS lung mets and we look forward to exploring opportunities to potentially bring this important treatment option to patients.” Topline Efficacy Results Summary Clinical Benefit Rate (“CBR”) was 59.4% (n=32), comprised of 18...

Investor releaseQuarter not tagged2025-05-15

Moleculin Biotech Inc (MBRX) Q1 2025 Earnings Call Highlights: Strategic Advances and Financial ...

GuruFocus.com

Release Date: May 14, 2025 For the complete transcript of the earnings call, please refer to the full earnings call transcript. Moleculin Biotech Inc (NASDAQ:MBRX) has officially started the Phase 3 Miracle trial for Anamycin, with the first patient already treated and 38 sites selected worldwide. The European Medicines Agency has given complete sign-off for the trial in all nine EU countries, marking a significant milestone. The World Health Organization has recognized a new generic drug name for Anamycin, Naxorubicin, aiding in its future market positioning. Additional patent protection for Anamycin has been secured, extending its composition of matter protection into at least 2040. The company is progressing with WP 1,066, a lead statory inhibitor, which is showing promise in treating brain tumors and is in a new clinical trial at Northwestern University. Moleculin Biotech Inc (NASDAQ:MBRX) ended the quarter with $8 million in cash, which will only sustain operations into the third quarter of the year, necessitating a $15 million raise. The company faces potential delays in EU approval due to additional GLP preclinical data requested by the EMA. There are minor differences between the US and EU protocols for the Phase 3 trial, which could complicate the harmonization process. The company acknowledges that the development of an IV delivery for WP 1,066 could encounter speed bumps, potentially delaying progress. The durability of complete remission in the MB 106 trial is still developing, with some patients relapsing after significant periods. Warning! GuruFocus has detected 1 Warning Sign with MBRX. Q: Does the requirement for additional GLP preclinical data by the EMA affect the timeline for EU approval compared to the US? A: Walter Klimt, CEO: We don't believe it will negatively impact the timeline. The EMA requested additional GLP preclinical data, which we can produce. While this could theoretically delay the EU's progression to Part B, we plan to continue recruiting in the US and non-EU sites during this period. Thus, the trial should not slow down, and we expect to meet EU patient requirements without affecting the approval timeline. Q: How close is Emory University to developing an optimal formulation for WP 1,066? A: Walter Klimt, CEO: We are beyond the discovery phase and are now implementing a strategy for a new formulation suitable for IV delive...

Investor releaseQuarter not tagged2025-05-14

Moleculin Reports First Quarter 2025 Financial Results and Provides Corporate Update

GlobeNewswire

Enrollment and dosing underway in Phase 3 clinical trial (the “MIRACLE” trial) evaluating Annamycin (naxtarubicin) for the treatment of R/R AML Regulatory and site selection progress to date supports interim data readout expected in the second half of 2025 Recently received European Medicines Agency (EMA) approval adds nine additional countries to the Company’s ongoing MIRACLE trial; Authorization granted in all EU countries requested Company to host conference call and webcast today, May 14th at 8:30 AM ET HOUSTON, May 14, 2025 (GLOBE NEWSWIRE) -- Moleculin Biotech, Inc., (Nasdaq: MBRX) (“Moleculin” or the “Company”), a late-stage pharmaceutical company with a broad portfolio of drug candidates targeting hard-to-treat cancers and viral infections, today reported its financial results for the first quarter 2025 ended March 31, 2025. As previously announced, the Company will host a conference call and live audio webcast to discuss the operational and financial results today, May 14, 2025 at 8:30 AM ET. “We are pleased with the continued progress of our pivotal, adaptive Phase 3 MIRACLE trial and remain encouraged by the Annamycin data demonstrated to date. In particular, with the sites opening in the US, the recent approval from the EMA, and the individual country committee and/or ethics approvals we have received for Belgium, Czechia, France, Germany, Italy, Lithuania, Poland, Romania, and Spain positions us to continue building momentum and remain on track with our expected enrollment and data milestones,” commented Walter Klemp, Chairman and Chief Executive Officer of Moleculin. Mr. Klemp continued, “In addition to the progress with our AML program, we are seeing advancements across our pipeline. We continue to be encouraged by the MB-107 trial data demonstrated by Annamycin for the treatment of STS lung mets and expect to report final data readouts from that trial before the end of June. Additionally, investigator-initiated clinical and preclinical work continues on WP1066, our STAT3 inhibitor.” Recent Highlights Received European Medicines Agency (EMA) approval for its Clinical Trial Application (CTA) to conduct Phase 3 MIRACLE clinical trial in all nine countries submitted in the European Union (EU); Announced the International Nonproprietary Names (INN) Expert Committee of the World Health Organization approved “naxtarubicin” for the non-proprietary na...

TranscriptFY2025 Q12025-05-14

FY2025 Q1 earnings call transcript

Earnings source - 21 paragraphs
Operator

Good morning. Welcome to the Moleculin Biotech First Quarter 2025 Update Conference Call and Webcast. A question-and-answer session will follow the formal presentation. As a reminder, this conference is being recorded. It is now my pleasure to turn the call over to your host Jenene Thomas, Investor Relations. Please go ahead, Jenene.

Jenene Thomas

Thank you, Rod, and good morning, everyone. At this time, I'd like to remind our listeners that remarks made during this webcast may state management's intentions, beliefs, expectations, or future projections. These are forward-looking statements that involve risks and uncertainties. Forward-looking statements on this call are made pursuant to the safe harbor provisions of the Federal Securities Laws and are based on Moleculin’s current expectations and actual results could differ materially. As a result, you should not place undue reliance on any forward-looking statements. Some of the factors that could cause actual results to differ materially from these contemplated by such forward-looking statements are discussed in the periodic reports Moleculin files with the Securities and Exchange Commission. These documents are available in the Investors section of the company's website and on the Securities and Exchange Commission's website. We encourage you to review these documents carefully. Additionally, certain information contained in this webcast relates to or is based on studies, publications, surveys, and other data obtained from third-party sources in the company's own estimates and research. While the company believes these third-party sources to be reliable as of the date of this presentation, it does not independently verify and makes no representation as to the adequacy, fairness, accuracy, or completeness or that any independent source has verified any information obtained from third party source. Any data discussed regarding clinical trials and progress are considered preliminary and subject to change. Joining us on today's call from Moleculin’s leadership team are Walter Klemp, Chairman and Chief Executive Officer; Dr. John Paul Waymack, Senior Chief Medical Officer; and Jonathan Foster, Executive Vice President and Chief Financial Officer. I’d now like to turn the call over to Walter Klemp. Wally, please proceed.

Walter Klemp

Thanks, Jenene. Hello, and welcome to our first quarter earnings conference call. For most of our investors, the focus is on the Phase 3 MIRACLE trial, studying Annamycin for the treatment of relapsed and refractory acute R/R Acute Myeloid Leukemia. And with good reason. This trial has now officially started with the first patient already treated and more on the way. In total, we now have 38 sites selected worldwide between the US, Europe, Middle East and North Africa. We just announced this week that we also received complete sign off from the European Medicines Agency for all nine countries that we wanted to open in the EU. That was one of the longest lead time items for getting the EU up and running. So it was a major milestone and a real show of support from the EMA for our trial design and our objectives. Also, the World Health Organization has officially recognized a new generic drug name for Annamycin, which may now be referred to in literature as naxtarubicin. This was an important first step in actually launching Annamycin once it receives new drug approval. And compared with some of the unpronounceable crazy drug names out there, we're really pleased with naxtarubicin, especially since it sounds a lot like the next Rubicin, which really plays into the next generation positioning of Annamycin. You should expect to see us using both names together until such time as we establish an FDA approved brand name, which is the next step in positioning the drug for launch. And we also announced some additional patent protection for Annamycin. Even though we already had composition of matter protection extending into at least 2040, these additional patents just continue to build a wider fence of protection around our core asset. We should also be announcing a date for the presentation of the final data from our MB-107 clinical trial using Annamycin to treat advanced soft tissue sarcoma. Although the preliminary numbers were impressive, we think the final data are really going to turn some heads. So we look for an announcement on that. So please look for an announcement on this in the coming weeks. Now, this graphic gives you a better perspective on the status of our site selection and approval process for the MIRACLE trial. Compared with the version from our last earnings call, we now have the great majority of countries and sites approved from a regulatory standpoint. And now we're just wrapping up hospital contracts and local ethics approvals. Just to be clear though, the most important milestone for us coming up will be the unblinding of the first 45 patients. A lot of eyes will be on us for this data point, as it should tell the world definitively that we are likely headed for new drug approval. With that said, what you see here is what gives us so much confidence that we expect to have those first 45 patients treated before the end of this year. To drive this home, just averaging one patient per site for the remainder of the year gets us there. And given the enthusiasm that we've seen from these sites, we think we're going to outpace that rate. Now look, we know a lot of investors think that Annamycin is the entire ballgame for us. And to be sure, it's where most of the attention should be focused because it's so close to NDA submission. But we do have two other very exciting technologies. And one of them is WP1066, our lead STAT3 inhibitor. Don't forget that WP1066 has already shown activity in the treatment of brain tumors. And that was with a very inefficient form of drug delivery. Well, now WP1066 is in another investigator-sponsored clinical trial, this time in combination with radiation at Northwestern University. And since we announced this trial in September of last year, we've already recruited seven patients. That's nearly a patient per month for just one site. So this is moving quickly. Now, this is still with the existing oral delivery, which we know isn't optimal. And we're collaborating with Emory University on the development of an IV delivery for 1066, which we think could significantly improve its activity. So we'll keep you updated as more developments occur here. Well, that gives you a high-level overview of recent events, so now let me hand things over to Dr. Paul Waymack, Senior Chief Medical Officer, to give you a few more insights into our clinical activity. Paul?

Paul Waymack

Thanks, Wally. Before I speak about the MIRACLE trial, let's catch up on our MB-106 Phase 2 trial, which had essentially the same inclusion and exclusion criteria, plus the same treatment regimen for patients as MIRACLE, except we treated some first-line, plus some third-line and beyond subjects in MB-106. Our first patient, who did not receive a bone marrow transplant, but did achieve a complete remission, finally relapsed after over 600 days. While we are disappointed for this subject, it must be said that achieving an almost two-year complete remission for a 78-year-old following 17 cycles of a venetoclax regimen, it's remarkable given the recent literature, which documents the dismal median overall survival for venetoclax regimen failures, which have a median overall survival of less than three months, regardless of further treatments. Our durability for MB-106 is still developing as the final three subjects are maintaining their complete remission. You can see on this chart that receiving a bone marrow transplant definitely correlates with better durability. And if these three keep moving to the right, the median durability for the trial should eventually be even with subject two's durability. That is roughly 400 days. Now, moving on to the MIRACLES trial. We will only treat initial refractory relapsed AML subjects. That is, this is a second-line therapy study, where Annamycin in combination with cytarabine will be delivered on a five-plus-three-days basis, compared to just cytarabine plus placebo. As Wally mentioned, recruitment and treatment of subjects is already underway in Ukraine, and we expect the initial readout of safety and efficacy data on the first 45 subjects around the end of 2025. On May 12th, we announced that the European Medicines Agency, that is, the EMA, they approved our clinical trial application to conduct our MIRACLES trial in all nine countries we submitted to in the EU. We received final reports of acceptable for Belgium, Czechia, France, Germany, Italy, Lithuania, Poland, Romania, and Spain. These approvals were under the condition that we submit results of appropriate non-clinical GLP studies before initiating the Phase 3 portion, that is, part B of the MIRACLES study. Combined with individual country committees and ethics approval for these nine countries in the EU allows us to proceed enrolling subjects in these countries. Also, in November 2024, we amended our existing US IND by submitting the MIRACLES trial protocol, which allows for dosing of US AML patients above the lifetime maximum allowable dose for currently prescribed anthracycline. Since then, we received FDA feedback and guidance on that amendment. This feedback allowed a reduction in the number of subjects to be enrolled in part B of the Phase 3 pivotal protocol to 222 patients. And obviously, any reduction in recruitment numbers helps to shorten the time to completion of the trial. FDA made a number of other requests related to our protocol. These requested changes focused mainly on safety and subject monitoring, clinical pharmacology, and inclusion exclusion criteria. None of the requests resulted in significant alterations in the overall trial design or the dosing of Annamycin. Our last response to FDA was submitted on April 18, 2025, and we have not yet received follow-up communication since that time. We are therefore now proceeding with this amended miracle trial protocol in the U.S. As is typical with large, pivotal Phase 3 global clinical trials at their onset, there are minor differences between the U.S. and EU protocols due to FDA and EMA requests. However, we do not view these as a barrier to successfully completing the study, and we are now working to harmonize the protocols into a single global version. Regarding our newly initiated Phase 3 study, it was designed after an end of Phase 1/2 meeting with FDA. It is to be a randomized study comparing the dosing regimen with which we had great success in our MD-106 study, that is, Annamycin plus high-dose cytarabine, with a control arm of placebo plus high-dose cytarabine. We chose this design because FDA encouraged it and because two recent large, randomized clinical trials in refractory and relapsed AML patients, that is, the Mirros and Classic 1 clinical trials, used it and both achieved approximately a 17.5% complete remission rate among patients randomized to receive high-dose cytarabine plus placebo. To that end, we can expect we will need for our Annamycin plus high-dose cytarabine treatment arm to beat a 17.5% complete response rate to a statistically significant degree for our drug to be approved by FDA for market. But as a reminder, in our MD-106 study, this combination of Annamycin plus high-dose cytarabine achieved a 50% complete remission rate. The primary efficacy endpoint for this study will be the rate of complete remission of the leukemia at approximately day 35. During Part A of our study, we will have two different Annamycin treatment arms, a 190 milligram per meter square treatment arm and a 230 milligram per meter square treatment arm. There will be an unblinding of the data in Part A after the first 45 patients have completed their efficacy analyses and a second unblinding after between 75 and 90 patients have completed their efficacy analyses. These interim looks at the data are in part to determine which of the two Annamycin dosing regimens will be taken to completion of the study. In Part B of the study, we will continue enrolling patients, but we will then randomize in a one-to-one ratio the placebo plus Annamycin plus cytarabine treatment arm against whichever of the two dosing regimens of Annamycin was found to be superior plus the cytarabine treatment arm. Finally, as Wally mentioned, we intend to release the final data readout on MD-107 where we treated advanced soft tissue sarcomas, which had metastasized to the lung with Annamycin as monotherapy. Most subjects were treated well above the lifetime maximum anthracycline dose, and yet after reviewing all the cardiac safety data, our expert noted that he saw no signs of study-related drug-induced cardiotoxicity. We are excited about the results of these trials, obviously. Now I'll turn it over to Jon Foster, our Executive Vice President and CFO. Jon?

Jonathan Foster

Thanks Paul. We ended the quarter with about $8 million with cash on hand. This should run our operations into the third quarter of this year. To get us well into the first quarter of 2026, we will need to raise approximately $15 million. Now we expect this amount will get us beyond the initial 45-subject data readout, supporting our efficacy rates with 30 additional subjects receiving Annamycin or naxtarubicin. Also, by then we should have a total of 75-90 subjects recruited, moving us closer to the second data readout and the first half of 2026. Our market cap is up to over $14 million with 14.1 million shares outstanding. Our trading volume is healthy with a three-month trading volume of almost 6 million shares per day. It is spiky. We had a healthy volume of about 2.4 million shares traded this past Monday with the EU news that Wally and Paul just mentioned. Now, we've been busy by looking at this chart. We've delivered on contracting sites, site selections, presenting presentations, medical posters on MD-106, and also on our sponsored research at MD Anderson. Most importantly is what we announced Monday, the approval of the EU member countries. Obtaining all of these approvals with just 17 employees supported by a great team of consultants on the timeline which we expected and we told the public is something of which we're very, very proud. This sets the stage for announcing outside of the EU and the U.S. additional country regulatory approvals along with first by country hospital site initiation visits which sets them up to be open to recruitment. We'll update you on recruitment on our path to get to the initial 45 subjects, 15 of the control arm, and 30 with the two different doses of Annamycin. Now, this safety and efficacy readout in addition to the MD-106 data should provide the market enough data to support a substantial increase in our market cap. Wally?

Walter Klemp

Thanks, Jon. From a big picture perspective, we are all intensely focused on pushing Moleculin’s market cap into the range that it truly deserves, and we think the building blocks for that market cap breakout are well placed. Annamycin is a truly disruptive technology in a space where exit valuations are often measured in the billions. The fact is we are positioned to possibly become the first ever non-cardiotoxic anthracycline. And don't forget, anthracyclines are used to treat not just AML but nearly half of all cancers and 60% of all childhood cancers. And Moleculin doesn't just avoid cross-resistance with other anthracyclines and chemotherapies like venetoclax. It actually outperforms current anthracyclines in most preclinical tumor models. It's not just that we believe we have a better drug here. It's far more clinically advanced than we think the market is giving us credit for. Our Phase 2 efficacy data is better than any drug ever approved for second-line AML therapy, and we should have Phase 3 data to share publicly by the second half of this year. All of this is supported by a diverse pipeline of follow-on technologies and is managed by a truly veteran drug development team with multiple FDA approvals and big pharma exits to our names. The key milestones are coming quickly this year, so stay tuned for a wild ride at Moleculin. Operator, we're now ready to open up for Q&A.

Operator

[Operator Instructions] The first question is from the line of Jonathan Aschoff with ROTH Capital.

Jonathan Aschoff

Thanks. Good morning, and congrats on getting MIRACLE enrolling. I was curious, the statement about the results will be submitted as a substantial modification to the EMA, does that have any negative implications for the timeline of EU approval versus U.S.?

Walter Klemp

Well, we don't think so. As the issue here is EMA requested some additional GLP preclinical data that we know we can produce. It's just a matter of timing and budgeting. So the issue here will be how quickly we can complete that GLP testing before the EU countries are allowed to move on to Part B. That said, Jonathan, the timelines that we've built, we would continue to be recruiting in the U.S. sites and the non-EU sites even during that interim period, in theory. So the trial really doesn't have to slow down, and we believe we will get to the requisite number of EU patients to satisfy EU approval requirements. So the answer is, in theory, it shouldn't change the timeline for approval for EMA, but we have to acknowledge that depending on the time it takes to get those GLP studies done, that it could, but that's not our expectation.

Jonathan Aschoff

Okay. How close is Emory, you think, to getting an optimal formulation? Like in the bag by the end of this year, or is it something that could drag out a little?

Walter Klemp

The thing every time you ask a scientist to give you a timeline for discovering something new, they'll give you a lecture on what it takes to discover something new, right? We think we're beyond having to discover something new stage and that where we are now is actually implementing a strategy for a new formulation that satisfies the needs for IV delivery. So we feel like we're now in blocking and tackling and just getting the preclinical work done so that we can move this into clinic. And I feel like your sort of estimate there for by the end of the year is a decent target, but I do have to acknowledge things can always -- you can always get speed bumps when you're developing a new formulation. So we don't want to overpromise there, but I think you should expect to hear something from us before the end of the year.

Jonathan Aschoff

Okay, that's very fair. One for Jon, please. Is that $3.5 million sort of a fair run rate for R&D for the rest of the year's quarters, or is that, I mean, that should go up, shouldn't it?

Jonathan Foster

Yes, it'll go up, especially as we head into 2026 when we bring on the GLP and some manufacturing expenses. Right now we have enough drug for Part A, we'll have to start manufacturing drug for Part B.

Operator

The next question is in the line of Jason McCarthy with Maxim Group.

Jason McCarthy

Hey, guys, thank you for taking the questions. Good morning. You mentioned the primary is the 35-day CR rate call it one month just for simplicity. Do you need any durability data for potential approval, or is one month enough? And what are really the expectations for cytarabine alone? And if CRs are achieved with cytarabine, how long do they typically last? I'm trying to get a sense of what the bar is going to be here when you get to that unblinded interim data and say, like this looks like this should carry through all the way to the end for an approvable drug.

Walter Klemp

Well, I'm going to ask Paul to sort of give you a more thorough answer, Jason, but the good news, just to be really clear, the good news is durability is not a primary endpoint for approval here. It's a secondary objective. So, our approval doesn't depend on that. But it's still an interesting topic, and I think it's important to talk about. So, Paul, do you want to maybe give a more thorough response to Jason here?

Paul Waymack

That's a good question. As Wally said, FDA has said that's their primary endpoint. And these studies I quoted that had the 17% to 18% CR rate with high-dose cytarabine, these were not small studies. These were studies where the control arm of cytarabine plus placebo had hundreds of patients. So, we are, therefore, quite confident that in our trial, the CR rate with cytarabine is going to be in the teens. It will, as far as durability, it will last for a few months. But that's a secondary endpoint. Of course, the ultimate arbitrator is FDA. But at our end of Phase 1, two meeting, they said that's our endpoint, and they understand that we are not powered to show statistical significance for, we're not reasonably powered to show statistical significance for these other ones. There should be a strong trend. This is because that's what the FDA asked for. And when you look at the recent approvals for AML drugs, CR rate was the primary endpoint. The secondaries were overall survival durability. Those were trends. They never reached statistical significance for these drugs. So, we think we're in good shape there. And certainly, if we are anywhere near the 50% CR rate, we're in great shape.

Walter Klemp

There's a nuance here, too, Jason, that I think is important to feed in. And that is the prior studies that Paul mentioned, two specifically, the Mirros trial and the Classic 1 trial. Both of those studies allowed multiple cycles of cytarabine before measuring for CR. So, that's a difference between their trial designs and ours. In our trial, you only get one cycle. You only get that roughly 35 days. And that's when we measure. So, if the patient can't get a CR off of a single cycle of cytarabine plus placebo, then that counts as not a CR. So, partly why Paul said we expect it to be in the teens, what he didn't say was our instincts say it's probably going to be lower than that 17.5% because those patients were allowed more than one cycle of cytarabine. In ours, they won't get more than one cycle. So, logic says we should expect that number to be lower. Now, we're not statistically planning on that, but it's what we expect.

Jason McCarthy

And I'd imagine that some of your results or could they be impacted by underlying factors like age and mutational genomic alterations, are those things that will be considered when you announce the data?

Walter Klemp

Well, for sure, we will stratify by age and by genetic mutations, but our primary endpoint isn't dependent upon it. And interestingly, when you look at the Phase 2 data that we've talked about, that Paul's talked about, we're pretty agnostic to what genetic mutations are and to what prior therapies were. So, but our view is we're glad for all comers. It's a funny, just an anecdotal story. When Paul and I presented this protocol to a number of practitioners, a common theme from the practitioner was, well, we assume you're going to exclude venetoclax failures because they're so difficult to treat. And our answer is no, absolutely not. Bring them on. We are not excluding venetoclax failures. In fact, we're hoping for them because the results are so dismal for those patients. And our Phase 2 data say we deliver essentially the same CR rate for venetoclax failures as we do for anybody else. So, we are not sensitive to those differentiations in terms of, because obviously fitness for intensive chemotherapy is largely determined by age. So, there's also the assumption that we are adverse to elderly patients and that's just not the case. Our median age in the Phase 2 data set was in the 60s. And so, we're happy to have elderly patients and we're happy to have mutational abnormalities and venetoclax failures.

Operator

This will conclude today's question-and-answer session and also conclude today's call. Thank you for your participation. You may now disconnect your lines at this time. Have a wonderful day.

Investor releaseQuarter not tagged2025-05-07

Moleculin to Report First Quarter 2025 Financial Results on May 13, 2025 and Host Conference Call and Webcast

GlobeNewswire

HOUSTON, May 07, 2025 (GLOBE NEWSWIRE) -- Moleculin Biotech, Inc., (Nasdaq: MBRX) (“Moleculin” or the “Company”), a late-stage pharmaceutical company with a broad portfolio of drug candidates targeting hard-to-treat cancers and viruses, today announced that it will report its financial results for the first quarter ended March 31, 2025 on Tuesday afternoon, May 13, 2025. Moleculin management will host a conference call and live audio webcast to discuss the operational and financial results on Wednesday morning, May 14, 2025 at 8:30 AM ET. Interested participants and investors may access the conference call by dialing (877) 407-0832 (domestic) or (201) 689-8433 (international) and referencing the Moleculin Biotech Conference Call. The live audio webcast will be accessible on the Events page of the Investors section of the Moleculin website, moleculin.com, and will be archived for 90 days. About Moleculin Biotech, Inc. Moleculin Biotech, Inc. is a Phase 3 clinical stage pharmaceutical company advancing a pipeline of therapeutic candidates addressing hard-to-treat tumors and viruses. The Company’s lead program, Annamycin, is a next-generation highly efficacious and well tolerated anthracycline designed to avoid multidrug resistance mechanisms and to eliminate the cardiotoxicity common with currently prescribed anthracyclines. Annamycin is currently in development for the treatment of relapsed or refractory acute myeloid leukemia (AML) and soft tissue sarcoma (STS) lung metastases. In March of this year, the Company initiated recruitment of patients into its MIRACLE (Moleculin R/R AML AnnAraC Clinical Evaluation) Trial (MB-108), a pivotal, adaptive design Phase 3 trial evaluating Annamycin in combination with cytarabine, together referred to as AnnAraC, for the treatment of relapsed or refractory acute myeloid leukemia. Following a successful Phase 1B/2 study (MB-106), with input from the FDA, the Company believes it has substantially de-risked the development pathway towards a potential approval for Annamycin for the treatment of AML. This study is subject to appropriate future filings with potential additional feedback from the FDA and their foreign equivalents. Additionally, the Company is developing WP1066, an Immune/Transcription Modulator capable of inhibiting p-STAT3 and other oncogenic transcription factors while also stimulating a natural immune respons...

Investor releaseQuarter not tagged2025-03-25

Moleculin Biotech Inc (MBRX) Q4 2024 Earnings Call Highlights: Promising Clinical Trials and ...

GuruFocus.com

Cash Balance: Approximately $13 million as of the end of the year, including $9 million raised in February 2025. Operating Expenses: Reduced by about $3 million in 2024 compared to 2023. Market Cap: $16.2 million with 14 million shares outstanding. Phase 2 Clinical Trial Results: 50% complete remission rate in second-line AML patients treated with Annamycin plus high-dose Cytarabine. Overall Survival: 11 months for second-line therapy patients in the Phase 2 trial. Progression-Free Survival: Median of 9 months in the Phase 2 trial. Phase 3 MIRACLE Trial: Designed to compare Annamycin plus high-dose Cytarabine against placebo plus high-dose Cytarabine. Interim Data Unblinding: Planned after 45 and between 75-90 subjects in the Phase 3 trial. Shares Trading Volume: Trailing one-year trading volume of 1.4 million shares per day. Warning! GuruFocus has detected 1 Warning Sign with MBRX. Release Date: March 24, 2025 For the complete transcript of the earnings call, please refer to the full earnings call transcript. Moleculin Biotech Inc (NASDAQ:MBRX) has initiated the MIRACLE Phase 3 pivotal trial for Annamycin, targeting relapsed and refractory AML patients, with 25 sites selected globally. The company has regulatory and ethics approval in its first European country and expects more approvals in the second quarter. Annamycin has shown promising Phase 2 data with a 50% complete remission rate in second-line AML patients, outperforming existing therapies. The MIRACLE trial includes multiple unblindings of data, providing stakeholders with visibility into the trial's progress. Moleculin Biotech Inc (NASDAQ:MBRX) has reduced operating expenses by $3 million in 2024 compared to 2023, demonstrating financial discipline. The US is expected to be one of the last countries to begin enrolling in the MIRACLE trial due to longer approval processes. The company faces a significant financial challenge, with the Phase 3 trial potentially costing upwards of $60 million to $70 million. Moleculin Biotech Inc (NASDAQ:MBRX) has a limited cash runway, with funds expected to last only until the third quarter of 2025. There is uncertainty regarding which Annamycin dosing regimen will be most effective, requiring further data analysis. The company acknowledges the complexity of achieving early approval, as it requires a very statistically significant result in Part A of the trial. Q: W...

As of 2026-07-11 • Updated weeklySource: Earnings sourceIngestion runbook