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Atossa Therapeutics Highlights Progress in RECAST™ DCIS Platform Trial at Early Detection Research Conference; Laura Esserman, MD, MBA, to Discuss Active-Surveillance Strategy and Novel Endocrine Agents

Key Takeaway: Atossa Therapeutics announced progress in its RECAST trial for ductal carcinoma in situ (DCIS) at the Early Detection Research Conference. The trial aims to determine which hormone receptor-positive DCIS patients can safely avoid surgery through active surveillance and novel endocrine therapies. Enrollment is ongoing, with 50 patients enrolled towards a target of 400.
Price reaction · baseline $15.15 (2025-10-20 close) · hit pre-market · clean, no other ATOS news in the window
day 0 close · peak
-4.5%

Market Sentiment Analysis

POSITIVE FACTORS

  • Enrollment momentum in the RECAST trial is strong.
  • Potential to identify patients who can avoid surgery.
  • Novel therapies like (Z)-Endoxifen show promise in early disease settings.

BiopharmaWatch Analysis

From our catalyst data and publicly available data · not financial advice
Cash runway
~8 mo
Medium dilution risk
Lead asset
endoxifen
Phase 2 · Breast Neoplasms

Full Press Release Details

Investor-focused update underscores enrollment momentum, biomarker strategy, and near-term data readouts designed to de-risk development of (Z)-Endoxifen and other endocrine therapies for DCIS

SEATTLE,Oct. 21, 2025/PRNewswire/ -- Atossa Therapeutics, Inc. (Nasdaq:ATOS) ("Atossa" or the "Company"), a clinical-stage biopharmaceutical company developing innovative medicines in oncology, today announced that Laura J. Esserman, MD, MBA, Professor of Surgery and Radiology at the University of California, San Francisco and Principal Investigator of RECAST™, will speak at the Early Detection Research Conference in Portland, OR, about the Company's collaborative work in the RECAST platform trial for ductal carcinoma in situ (DCIS), a biologically heterogeneous, non-invasive breast condition that can progress to invasive breast cancer in a subset of patients.
RECAST is a multi-arm, Phase 2, randomized, neoadjuvant platform trial designed to identify which patients with hormone receptor–positive DCIS are best suited for active surveillance and to determine whether novel endocrine therapies can expand the population that can safely avoid surgery. The trial includes arms evaluating standard therapy (tamoxifen or aromatase inhibitor) as well as novel agents: (Z)-Endoxifen, elacestrant, and Hav-088. Efficacy is assessed with mammography and breast MRI, alongside biomarker discovery and quality-of-life endpoints. Enrollment began in January 2024; 50 patients have been enrolled toward a target of 400 across 17 activated clinical sites, with additional sites planned.

Why this matters for investors

"RECAST is purpose-built to answer the question that payers, physicians, and patients care most about: who truly needs surgery and who does not," said Steven Quay, MD, PhD, Chairman and CEO of Atossa Therapeutics. "For Atossa, the trial offers a capital-efficient path to demonstrate the potential of (Z)-Endoxifen in a large early-disease setting, generate decision-grade biomarkers, and position us for value-creating milestones over the coming quarters."

RECAST Trial Objectives

Current Trial Status

About Atossa Therapeutics

Atossa Therapeutics, Inc. (Nasdaq:ATOS) is a clinical-stage biopharmaceutical company developing novel therapies in oncology, including (Z)-Endoxifen, to improve outcomes for patients across the breast cancer continuum of care. Information about Atossa can be found at the website:https://atossatherapeutics.com/. Information about the conference can be found here:https://www.earlydetectionresearch.com/

Forward-Looking Statements

This press release contains forward-looking statements, including statements regarding the design, conduct, timing, and potential impact of the RECAST trial; the development, safety, and efficacy of (Z)-Endoxifen and other endocrine therapies; potential changes to standards of care; anticipated milestones, data readouts, regulatory interactions, and market opportunities; and the benefits of collaborative platform trials. These statements are subject to risks and uncertainties that could cause actual results to differ materially, including those described in Atossa's filings with the SEC. Atossa undertakes no obligation to update forward-looking statements except as required by law.

Frequently Asked Questions

What is the RECAST trial?

The RECAST trial is a Phase 2 platform trial aimed at identifying which hormone receptor-positive DCIS patients can safely avoid surgery.

Who is leading the RECAST trial?

Dr. Laura J. Esserman is the Principal Investigator of the RECAST trial.

How many patients are enrolled in the RECAST trial?

Currently, 50 patients have been enrolled towards a target of 400.

What therapies are being evaluated in the RECAST trial?

The trial evaluates standard therapies like tamoxifen and novel agents such as (Z)-Endoxifen.

Last updated: Oct 21, 2025