Tiziana Life Sciences Initiates Phase 2a Trial for Intranasal Foralumab in Multiple System Atrophy

Saturday, Aug 16, 2025 3:28 am ET1min read

Tiziana Life Sciences has dosed the first patient in a Phase 2a trial of intranasal foralumab for Multiple System Atrophy, a rare neurodegenerative disorder with no FDA-approved treatments. The trial will evaluate the therapy's safety and potential efficacy in slowing MSA progression over six months. The trial utilizes a novel intranasal delivery system aimed at reducing neuroinflammation by targeting regulatory T cells.

Tiziana Life Sciences (NASDAQ:TLSA) has initiated dosing in its Phase 2a clinical trial of intranasal foralumab for Multiple System Atrophy (MSA) at Brigham and Women's Hospital in Boston. This six-month open-label study will evaluate foralumab's potential to reduce neuroinflammation in MSA patients through a novel nasal delivery system.

MSA is a rare neurodegenerative disorder affecting 15,000-50,000 people in the United States, with no FDA-approved treatments to alter disease progression. The trial (NCT06868628) will involve eight dosing cycles to assess the therapy's ability to slow disease progression and enhance quality of life through regulatory T cell engagement.

The trial builds on Tiziana's broader research program exploring foralumab in neuroinflammatory conditions, where they've reportedly seen encouraging early results in conditions like multiple sclerosis. For investors, this expansion into orphan indications could potentially qualify for accelerated regulatory pathways if the data proves promising.

Tiziana Life Sciences dosed the first patient in its Phase 2a trial for intranasal foralumab, marking a significant clinical advancement in their pipeline. This trial targets Multiple System Atrophy (MSA), a rare and rapidly progressive neurodegenerative disorder affecting between 15,000-50,000 Americans with no FDA-approved disease-modifying treatments.

What makes this trial particularly noteworthy is foralumab's unique delivery method and mechanism of action. As a fully human anti-CD3 monoclonal antibody administered intranasally, it aims to reduce neuroinflammation by specifically targeting and activating regulatory T cells through a non-systemic approach. This drug delivery pathway potentially offers better CNS target engagement with reduced systemic side effects compared to traditional approaches.

The six-month open-label study (NCT06868628) conducted at Brigham and Women's Hospital will evaluate eight dosing cycles, focusing on safety, tolerability, and preliminary signals of efficacy in slowing disease progression. For a rare neurodegenerative disorder with limited therapeutic options, advancing to Phase 2a represents a meaningful milestone in addressing an area of significant unmet medical need.

References:
[1] https://www.stocktitan.net/news/TLSA/tiziana-life-sciences-doses-first-patient-in-phase-2a-trial-of-ctx55wo9uhwq.html
[2] https://www.tizianalifesciences.com/tiziana-life-sciences-doses-first-patient-in-phase-2a-trial-of-intranasal-foralumab-for-multiple-system-atrophy/

Tiziana Life Sciences Initiates Phase 2a Trial for Intranasal Foralumab in Multiple System Atrophy

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