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Palisade Bio Receives Health Canada Clearance for Phase 1b Trial of PALI-2108 in Fibrostenotic Crohn’s Disease (FSCD)

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Palisade Bio (NASDAQ:PALI) has received Health Canada clearance for a Phase 1b clinical trial of PALI-2108, a first-in-class, ileocolonic-targeted PDE4 B/D inhibitor for treating fibrostenotic Crohn's disease (FSCD). The trial will enroll 6-12 patients to evaluate safety, pharmacokinetics, and pharmacodynamics.

PALI-2108 represents the first dual-acting anti-inflammatory and anti-fibrotic candidate for FSCD, a condition affecting up to half of Crohn's disease patients with no currently approved therapies. Patient dosing is expected to begin in H2 2025, with topline data anticipated in Q1 2026. The company plans to submit a Phase 2 IND to the FDA in H1 2026.

Palisade Bio (NASDAQ:PALI) ha ottenuto l'autorizzazione da Health Canada per uno studio clinico di fase 1b su PALI-2108, un inibitore PDE4 B/D di prima classe mirato all'ileo-colon per il trattamento della malattia di Crohn fibrostenotica (FSCD). Lo studio arruolerà 6-12 pazienti per valutare sicurezza, farmacocinetica e farmacodinamica.

PALI-2108 è il primo candidato a doppia azione anti-infiammatoria e anti-fibrotica per la FSCD, una condizione che interessa fino a metà dei pazienti con morbo di Crohn e per la quale non esistono terapie approvate. La somministrazione ai pazienti dovrebbe iniziare nel secondo semestre 2025, con dati topline attesi nel primo trimestre 2026. L'azienda prevede di presentare un IND per la fase 2 alla FDA nel primo semestre 2026.

Palisade Bio (NASDAQ:PALI) ha recibido la aprobación de Health Canada para un ensayo clínico de fase 1b de PALI-2108, un inhibidor PDE4 B/D de primera clase dirigido al íleon y colon para el tratamiento de la enfermedad de Crohn fibroesténica (FSCD). El ensayo reclutará a 6-12 pacientes para evaluar seguridad, farmacocinética y farmacodinámica.

PALI-2108 es el primer candidato con doble acción antiinflamatoria y antifibrótica para la FSCD, una afección que afecta hasta a la mitad de los pacientes con enfermedad de Crohn y para la que no hay terapias aprobadas actualmente. Se espera que la dosificación de pacientes comience en el segundo semestre de 2025, con datos principales previstos en el primer trimestre de 2026. La compañía planea presentar un IND de fase 2 a la FDA en el primer semestre de 2026.

Palisade Bio (NASDAQ:PALI)� 섬유� 협착� 크론�(FSCD) 치료� 위해 회장-결장 표적� 최초 클래� PDE4 B/D 억제제인 PALI-2108� 대� 캐나� 보건부(Health Canada)� 임상 1b� 승인� 받았습니�. � 임상은 안전�, 약동� � 약력학을 평가하기 위해 6-12�� 환자� 등록� 예정입니�.

PALI-2108은 항염� � 항섬유화� 이중 작용� 지� FSCD 최초� 후보물질�, 크론� 환자� 최대 절반까지 영향� 미치지� 현재 승인� 치료법이 없습니다. 환자 투약은 2025� 하반�� 시작� 예정이며, 주요 결과� 2026� 1분기� 예상됩니�. 회사� 2026� 상반�� FDA� 2� IND 제출� 계획하고 있습니다.

Palisade Bio (NASDAQ:PALI) a obtenu l'autorisation de Santé Canada pour un essai clinique de phase 1b de PALI-2108, un inhibiteur PDE4 B/D de première classe ciblant l'iléon et le côlon pour traiter la maladie de Crohn fibro-sténotique (FSCD). L'essai recrutera 6 à 12 patients afin d'évaluer la sécurité, la pharmacocinétique et la pharmacodynamie.

PALI-2108 représente le premier candidat à double action anti-inflammatoire et anti-fibrotique pour la FSCD, une affection touchant jusqu'à la moitié des patients atteints de la maladie de Crohn et pour laquelle il n'existe actuellement aucun traitement approuvé. Le dosage des patients devrait débuter au second semestre 2025, avec des données principales attendues au 1er trimestre 2026. La société prévoit de soumettre un IND de phase 2 à la FDA au 1er semestre 2026.

Palisade Bio (NASDAQ:PALI) hat von Health Canada die Genehmigung für eine Phase-1b-Studie mit PALI-2108 erhalten, einem first-in-class PDE4 B/D-Inhibitor mit Ileokolon-Zielgerichtetheit zur Behandlung der fibrostenotischen Crohn-Krankheit (FSCD). Die Studie wird 6�12 Patienten einschließen, um Sicherheit, Pharmakokinetik und Pharmakodynamik zu untersuchen.

PALI-2108 ist der erste Kandidat mit dualer antiinflammatorischer und antifibrotischer Wirkung für FSCD, einer Erkrankung, die bis zu die Hälfte der Crohn-Patienten betrifft und für die derzeit keine zugelassenen Therapien existieren. Die Patientendosierung soll im Zweiten Halbjahr 2025 beginnen, mit Topline-Daten voraussichtlich im Ersten Quartal 2026. Das Unternehmen plant, im Ersten Halbjahr 2026 ein Phase-2-IND bei der FDA einzureichen.

Positive
  • First dual-acting anti-inflammatory and anti-fibrotic therapy in development for FSCD, addressing an unmet medical need
  • Preclinical and clinical data show PALI-2108 is safe, well-tolerated, and demonstrates robust antifibrotic and anti-inflammatory effects
  • Targets a significant market with up to 50% of Crohn's disease patients developing FSCD
Negative
  • Early-stage clinical trial with small patient population (6-12 patients)
  • Multiple clinical development stages still required before potential commercialization

Insights

Health Canada's clearance for PALI-2108's Phase 1b trial represents a key clinical milestone for Palisade Bio's novel dual-mechanism FSCD treatment.

Palisade Bio has secured regulatory clearance from Health Canada to initiate a Phase 1b trial for PALI-2108, its first-in-class, ileocolonic-targeted PDE4 B/D inhibitor designed for fibrostenotic Crohn's disease (FSCD). This represents a significant clinical development milestone for the company's lead asset.

What makes this particularly noteworthy is that PALI-2108 is positioned as the first dual-acting anti-inflammatory and anti-fibrotic candidate for FSCD, a condition affecting up to half of Crohn's disease patients that currently has no approved anti-fibrotic therapies. Current treatment approaches (corticosteroids, balloon dilation, surgery) only manage symptoms without addressing the underlying fibrotic disease process.

The Phase 1b study design includes 6-12 patients and will evaluate multiple critical endpoints: safety/tolerability, pharmacokinetics in plasma and intestinal tissues, pharmacodynamics via RNA sequencing of paired ileal biopsies, and exploratory endpoints including histology and intestinal ultrasound. Patient dosing is expected in H2 2025 with topline data in Q1 2026.

This study builds upon previous work, as management referenced that PALI-2108 has already demonstrated ileum/colon targeting with local bioactivation, favorable safety, and both anti-inflammatory and anti-fibrotic properties in earlier studies. The company plans to use these results along with its completed Phase 1a/1b ulcerative colitis trials to support a Phase 2 IND submission to the FDA in H1 2026.

For a clinical-stage biotech company, achieving regulatory clearance to advance a novel mechanism drug with potential first-in-class status represents a crucial de-risking event in the drug development pathway, particularly in a therapeutic area with significant unmet medical need.

First dual-acting anti-inflammatory and anti-fibrotic candidate in development for FSCD, a condition with no approved therapies

Patient dosing expected to commence in H2 2025; Topline data anticipated in Q1 2026

Continued progress toward Phase 2 IND submissions in Q1 2026

Carlsbad, CA, Sept. 05, 2025 (GLOBE NEWSWIRE) -- Palisade Bio, Inc. (Nasdaq: PALI) (“Palisade,� “Palisade Bio,� or the “Company�), a clinical-stage biopharmaceutical company developing precision therapies for autoimmune, inflammatory, and fibrotic diseases, today announced that it received a No Objection Letter ("NOL") from Health Canada for its Clinical Trial Application to evaluate PALI-2108, a first-in-class, ileocolonic-targeted PDE4 B/D inhibitor, in a Phase 1b clinical study for the treatment of fibrostenotic Crohn’s disease (FSCD).

Up to half of Crohn’s disease patients develop FSCD over the course of their illness, and there are currently no approved anti-fibrotic therapies. Current standards of care—including corticosteroids, endoscopic balloon dilation, and surgery—primarily address symptoms but fail to alter the fibrotic disease process, with many patients requiring repeated interventions or resections.

The open-label Phase 1b study will enroll approximately 6-12 patients to evaluate:

  • Safety and tolerability through adverse event monitoring, labs, and EKGs;
  • Pharmacokinetics (PK) in plasma and intestinal tissues (ileum, ascending and descending colon);
  • Pharmacodynamics (PD) including paired ileal biopsies analyzed by RNA sequencing; and
  • Exploratory endpoints such as histology, intestinal ultrasound (IUS), and patient-reported outcomes.

Dosing is expected to begin in the second half of 2025, with topline safety, PK, and PD readouts anticipated in the first quarter of 2026.

Dr. Mitchell Jones, Chief Medical Officer of Palisade Bio, commented, “This Health Canada clearance marks an important milestone for PALI-2108 as the first dual anti-inflammatory and anti-fibrotic therapy in development for FSCD. Our preclinical and clinical data demonstrate that PALI-2108 is ileum and colon targeted and locally bioactivated, safe, and well tolerated, while showing robust antifibrotic activity alongside potent anti-inflammatory effects. We believe this differentiated profile positions PALI-2108 addresses the urgent and growing need for therapies that go beyond symptom management to alter the course of FSCD. Our team is now focused on initiating patient dosing in the coming months and advancing toward Phase 2.�

Data from this Phase 1b FSCD study, together with results from Palisade’s completed Phase 1a/1b trials in ulcerative colitis, will support the Company’s planned Phase 2 IND submission to the U.S. Food and Drug Administration (FDA) in the first half of 2026.

About PALI-2108
PALI-2108 is an orally administered prodrug engineered for gut-restricted delivery of PDE4 B/D inhibition to the terminal ileum and colon. Activated by bacterial enzymes in the lower intestine, PALI-2108 achieves high local tissue concentrations while minimizing systemic exposure. This design aims to maximize anti-inflammatory and anti-fibrotic effects while reducing class-related tolerability issues such as nausea and headache that have historically limited systemic PDE4 inhibitors.

About Palisade Bio
Palisade Bio is a clinical-stage biopharmaceutical company focused on developing and advancing novel therapeutics for patients living with autoimmune, inflammatory, and fibrotic diseases. The Company believes that by using a targeted approach with its novel therapeutics it will transform the treatment landscape. For more information, please go to .

Forward Looking Statements
Any statements contained in this communication that are not statements of historical fact may be deemed to be forward-looking statements for purposes of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include, but are not limited to: statements regarding the safety and tolerability, PK and drug release characteristics, potential clinical efficacy and dosing requirements of PALI-2108 based on the Company’s preclinical studies and data from its Phase 1a/b clinical study; indications and anticipated benefits of PALI-2108, including the potential of PALI-2108 to treat FSCD; and the expected timing of the Company’s planned Phase 1b clinical study of PALI-2108 for the treatment of FSCD. These forward-looking statements are based on the Company’s current expectations. Forward-looking statements involve risks and uncertainties. Important factors that could cause actual results to differ materially from those reflected in the Company’s forward-looking statements include, among others, the timing of enrollment, commencement and completion of the Company’s clinical trials; the Company’s reliance on PALI-2108, and its early stage of clinical development; the risk that prior results, such as signals of safety, activity, dosing or durability of effect, observed from preclinical or clinical trials, will not be replicated or will not continue in ongoing or future studies or clinical trials involving the Company’s product candidates in clinical trials focused on the same or different indications; the Company’s ability to secure additional financing to fund future operations and development of its product candidates; and other factors that are described in the “Risk Factors� and “Management’s Discussion and Analysis of Financial Condition and Results of Operations� sections of the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2024, filed with the Securities and Exchange Commission (“SEC�) on March 24, 2025, and the Quarterly Reports on Form 10-Q or other SEC filings that are filed thereafter. Investors are cautioned not to put undue reliance on these forward-looking statements. These forward-looking statements speak only as of the date hereof, and the Company expressly disclaims any obligation or undertaking to release publicly any updates or revisions to any forward-looking statements contained herein to reflect any change in the Company’s expectations with regard thereto or any change in events, conditions or circumstances on which any such statements are based.

Investor Relations Contact

JTC Team, LLC
Jenene Thomas
908-824-0775


FAQ

What is the significance of Health Canada's clearance for PALI-2108 in fibrostenotic Crohn's disease?

The clearance allows Palisade Bio to begin Phase 1b clinical trials for PALI-2108, the first dual-acting anti-inflammatory and anti-fibrotic therapy for FSCD, a condition with no currently approved treatments.

When will Palisade Bio (PALI) begin patient dosing for the PALI-2108 Phase 1b trial?

Patient dosing is expected to begin in H2 2025, with topline safety, pharmacokinetics, and pharmacodynamics data anticipated in Q1 2026.

How many patients will be enrolled in the PALI-2108 Phase 1b trial?

The open-label Phase 1b study will enroll approximately 6-12 patients to evaluate safety, tolerability, pharmacokinetics, and pharmacodynamics.

What percentage of Crohn's disease patients develop FSCD?

Up to 50% of Crohn's disease patients develop fibrostenotic Crohn's disease (FSCD) over the course of their illness.

What are the current treatment options for fibrostenotic Crohn's disease?

Current treatments include corticosteroids, endoscopic balloon dilation, and surgery, which only address symptoms but do not alter the fibrotic disease process.
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Biotechnology
Biological Products, (no Disgnostic Substances)
United States
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