Alterity Therapeutics: Appendix 4C – Q1 FY26 Quarterly Cash Flow Report

Core Insights - Alterity Therapeutics is focused on developing disease-modifying treatments for neurodegenerative diseases, particularly Multiple System Atrophy (MSA) [2][16] - The company reported positive clinical results for its lead asset, ATH434, and highlighted a potential market opportunity of approximately USD 2.4 billion for MSA treatments [4][13] Financial Overview - As of September 30, 2025, Alterity's cash position was A$54.56 million, with operating cash outflows of A$5.34 million for the quarter [5][9] - The company raised A$20 million in gross proceeds from a strategic placement to advance its programs [14] Clinical Development - Positive results from the ATH434-201 Phase 2 clinical trial showed a relative treatment effect of 35% in the 75 mg dose group at 52 weeks [8][10] - The ATH434-202 open-label trial demonstrated comparable efficacy to earlier-stage patients, confirming ATH434's favorable profile [10][16] - The company is engaging with the U.S. FDA to discuss data required for Phase 3 trials, with an End-of-Phase 2 meeting expected in mid-2026 [7][4] Regulatory and Market Engagement - ATH434 has received Fast Track Designation from the FDA, allowing for a series of Type C meetings to discuss necessary data for Phase 3 [6][7] - An independent commercial assessment indicated strong physician interest in ATH434, with over 70% of surveyed neurologists likely to prescribe it based on Phase 2 data [13] Research and Innovation - The company published findings from the bioMUSE Natural History Study, introducing the MSA Atrophy Index as a potential diagnostic tool for MSA [11] - Ongoing presentations at major conferences highlight the clinical progress and potential of ATH434 in treating MSA [12][16]