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Can-Fite’s Namodenoson: A Breakthrough for Pancreatic Cancer and Investors?

Theodore QuinnThursday, Apr 17, 2025 9:15 am ET
15min read

Pancreatic cancer remains one of the deadliest cancers, with a five-year survival rate of less than 10% and limited treatment options. But a new drug, Can-Fite BioPharma’s Namodenoson, has emerged as a potential game-changer. After the FDA’s first compassionate use approval in March 2025 for a U.S. pancreatic carcinoma patient, leading medical centers—including MD Anderson Cancer Center, Mayo Clinic, and Memorial Sloan Kettering—are now racing to secure expanded access. This momentum, backed by clinical data and regulatory incentives, positions Can-Fite (CFBI) as a compelling investment in oncology innovation.

The FDA’s Green Light and Orphan Drug Momentum

The FDA’s compassionate use approval for Namodenoson marks a critical milestone. This pathway, which allows access to experimental drugs for terminally ill patients with no alternatives, has been extended to 12 leading U.S. cancer centers by mid-2025. The drug’s Orphan Drug Designation, granted in October 2024, adds significant tailwinds. This status provides seven years of market exclusivity post-approval, streamlined reviews, and tax credits—crucial advantages for a company with a $7.88 million net loss in 2024 but $7.88 million in cash reserves to fund further trials.

Clinical Data: A 40% Partial Response Rate Sparks Hope

Namodenoson’s promise is rooted in its mechanism. It selectively targets the A3 adenosine receptor (A3AR), which is highly expressed in pancreatic cancer cells but not in healthy tissue. This precision minimizes side effects while attacking tumors. Early Phase II trial data from 2025 showed a 70% disease control rate and a 40% partial response rate in advanced pancreatic cancer patients—a stark contrast to existing therapies, which often achieve less than 5% response rates.

The drug’s dual action also stands out: it induces cancer cell apoptosis while boosting adiponectin, a protein that protects organs like the heart and liver from chemotherapy’s collateral damage. This profile could make Namodenoson a cornerstone of combination therapies, such as pairing it with gemcitabine, a standard chemo agent.

The U.S. Medical Center Push: A Clinical and Commercial Catalyst

Leading U.S. centers are aggressively pursuing Namodenoson access for patients who’ve exhausted standard treatments. These requests are driven by two factors:
1. Clinical Need: Pancreatic cancer’s aggressive nature leaves many patients with no options after first-line therapies fail.
2. Positive Signals: Preclinical data show Namodenoson’s anti-tumor effects at nanomolar concentrations, and a liver cancer patient treated under compassionate use achieved 8 years cancer-free survival—suggesting durable efficacy.

This expanded access isn’t just compassionate—it’s a de-risking strategy for Can-Fite. By demonstrating real-world safety and efficacy, the company can accelerate Phase III trials and regulatory approvals.

The Financial Picture: A Tightrope Walk, But Momentum is Building

Can-Fite’s financials are precarious but improving. In 2024, it spent $5.75 million on R&D (up 15% year-over-year) while maintaining a cash runway through 2025. The stock has surged +200% year-to-date on compassionate use approvals and clinical data, but volatility remains.

Investors should monitor two key catalysts:
1. Phase II Interim Data: Expected in late 2025, these results could validate Namodenoson’s efficacy and prompt FDA discussions on accelerated approval.
2. Orphan Drug Exclusivity: Securing pancreatic cancer exclusivity would lock out competitors and command premium pricing in a $2.5 billion global pancreatic cancer drug market.

Risks and Considerations

  • Clinical Uncertainty: Phase II results may not replicate in larger trials.
  • Competitor Threats: Companies like AstraZeneca (AZN) and Pfizer (PFE) are advancing novel therapies, though none target A3AR.
  • Regulatory Hurdles: Even with Fast Track status, approval timelines are unpredictable.

Conclusion: A High-Reward, High-Risk Play

Can-Fite’s Namodenoson is a rare example of a drug with both clinical and commercial potential in pancreatic cancer. With compassionate use expanding rapidly, 70% disease control rates, and Orphan Drug exclusivity, the company is primed to disrupt a $2.5 billion market.

For investors, the reward is clear: if approved, Namodenoson could generate annual sales exceeding $500 million by 2030. However, the risks—clinical setbacks, cash burn, and competition—are real. This is a stock for aggressive investors willing to bet on a high-stakes oncology breakthrough.

The FDA’s compassionate use approvals are more than a mercy treatment—they’re a loud signal that Namodenoson could redefine pancreatic cancer care. For Can-Fite, the next 12 months will determine if this potential translates into market dominance or another failed oncology candidate.

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