PDS Biotechnology(PDSB) - 2025 Q4 - Annual Report

Clinical Trials and Efficacy - In September 2024, updated data from the VERSATILE-002 Phase 2 clinical trial was presented, indicating potential efficacy in treating recurrent/metastatic head and neck squamous cell carcinoma[19]. - The colorectal cancer cohort of a Phase 2 clinical trial with PDS01ADC met pre-defined criteria for expansion to stage 2 following positive stage 1 results announced in July 2025[21]. - In October 2025, the company requested a Type C meeting with the FDA to discuss an expedited pathway for the VERSATILE-003 Phase 3 clinical trial, proposing progression-free survival as an interim primary endpoint[23]. - The VERSATILE-002 trial demonstrated that 75% of ICI naïve patients were still alive at 36 months, with median overall survival not yet reached[68]. - In the VERSATILE-003 trial, the primary endpoint is median overall survival, with progression-free survival included as an interim primary endpoint following FDA discussions[75]. - PDS0101 has shown immunological activity at all doses studied, leading to clinical regression of cervical lesions in patients[63]. - The combination of PDS01ADC with Versamune® may significantly enhance disease control, with a 12-month overall survival rate of 72% in ICI-resistant patients[68]. - The ongoing Phase 2 trials for PDS0101 in various HPV-related cancers are expected to yield favorable results in 2022, 2023, 2024, and 2025[63]. - The 36-month overall survival (OS) rate was 84.4%, with 100% OS for patients receiving all five doses of Versamune® HPV, compared to approximately 64% OS historically with chemoradiation[97]. - The 36-month progression-free survival (PFS) rate was 74.9%, with 100% PFS for patients receiving all five doses of PDS0101, compared to approximately 61% PFS historically with chemoradiation[97]. Immunotherapy and Mechanisms - The company is developing a pipeline of targeted cancer and infectious disease immunotherapies based on the Versamune® T cell activator and PDS01ADC, an IL-12 fused antibody drug conjugate[17]. - Versamune® has shown the potential to induce large quantities of high-quality, polyfunctional CD4 helper and CD8 killer T cells, which are critical for effective cancer treatment[18]. - Preclinical studies demonstrated that Versamune® reduced the Treg/CD8 T cell ratio, enhancing the immune response against tumors[50]. - The company believes that Versamune® can promote efficient antigen processing and T cell presentation, addressing significant limitations in current immunotherapy[40]. - Versamune® has been shown to upregulate type I interferon genes, facilitating the activation and expansion of CD8 killer T cells in lymph nodes[44]. - Evidence from preclinical studies suggests that Versamune® can induce immune memory, providing long-term protection against tumor recurrence[51]. - The company is focused on overcoming the tumor's immune suppressive mechanisms to enhance the effectiveness of its immunotherapy products[31]. - Versamune® has shown potential to enhance tumor-specific memory responses, potentially reducing tumor recurrence and improving patient survival[52]. Financial Performance and Projections - The company reported net losses of $34.5 million and $37.6 million for the years ended December 31, 2025 and 2024, respectively, with an accumulated deficit of $216.6 million as of December 31, 2025[108]. - As of December 31, 2025, the company had $26.7 million in cash and cash equivalents[109]. - The company has not generated any product revenue to date and has incurred net losses each year since inception[107]. Regulatory and Compliance - Regulatory approvals for product candidates require substantial time and financial resources, with compliance to FDA regulations being critical for market entry[149]. - The FDA requires a 30-day waiting period after the filing of each IND before it is considered effective, allowing for review to ensure human subjects are not exposed to unreasonable health risks[154]. - The BLA submission for marketing approval must include results from nonclinical testing and clinical studies, along with manufacturing and controls data[168]. - The FDA aims to review most BLA applications within ten months from the filing date, with priority review applications targeted for six months[170]. - An independent IRB must review and approve the clinical trial plan before it commences, ensuring compliance with FDA regulations[157]. - The FDA may impose clinical holds on trials if safety concerns arise, delaying or suspending the investigation[155]. - The manufacturing process for biological products must comply with cGMP requirements to ensure consistent quality and safety[167]. - The FDA reviews Biologics License Applications (BLAs) to ensure safety, potency, and effectiveness, and may refer applications to advisory committees for recommendations[171]. Partnerships and Agreements - PDS Biotech has entered into a License Agreement with Merck KGaA, which includes a one-time cash payment of $5 million and the issuance of 378,787 shares valued at $5 million[129]. - The Merck KGaA License Agreement includes milestone payments of up to $11 million and royalties of 10% on aggregate net sales of the product[131]. - The company has licensed patented antigens from the US government for use in its immunotherapies, including TARP for prostate and breast cancers[126]. - PDS Biotech has a non-exclusive agreement with the University of Georgia Research Foundation to develop COBRA universal influenza antigens for a clinical trial[127]. - The company has a Clinical Trial Collaboration and Supply Agreement with MSD International GmbH to evaluate the safety and efficacy of a combination therapy for recurrent or metastatic head and neck cancer[141]. Competitive Landscape - The biotechnology and pharmaceutical industries are characterized by intense competition, with major companies like Johnson & Johnson and Merck engaged in similar immunotherapy and vaccine research[146]. - The company anticipates facing increasing competition as new immunotherapies enter the market, which may affect its market position[148]. Intellectual Property - The company holds 14 U.S. patents related to its Versamune® platform, with expiration dates ranging from 2026 to 2037, and 79 issued foreign patents[125]. - The company entered into a Patent License Agreement with the U.S. Department of Health and Human Services to develop TARP peptide-based therapies, which includes a nonexclusive, worldwide license[136]. Future Plans - PDS Biotech plans to seek FDA marketing authorization for product candidates PDS0101 and PDS01ADC through the Biologics License Application pathway[123]. - Intent to initiate a registrational study in first-line treatment in HPV16-positive recurrent/metastatic HNSCC with the combination of PDS0101 + pembrolizumab announced in August 2024[82].

PDS Biotechnology(PDSB) - 2025 Q4 - Annual Report - Reportify