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Parabilis Medicines Reports Third Quarter 2026 Financial Results and Provides Business Updates

Key Takeaway: Parabilis Medicines reported promising Phase 1/2 data for zolucatetide, showing a 72.2% objective response rate in desmoid tumors. The company has aligned with the FDA on the Phase 3 PEDESTAL trial design, set to begin in early 2027. Additionally, Parabilis initiated a dose-ranging study for familial adenomatous polyposis and entered a collaboration with Revolution Medicines for colorectal cancer.
Price reaction · baseline $29.65 (2026-11-11 close) · hit pre-market · clean, no other PBLS news in the window
day 0 close · peak
-6.6%

Market Sentiment Analysis

POSITIVE FACTORS

  • 72.2% objective response rate reported for zolucatetide
  • Favorable safety and tolerability profile demonstrated
  • Alignment with FDA on Phase 3 trial design achieved
  • Strong cash position expected to fund operations into 2030

BiopharmaWatch Analysis

From our catalyst data and publicly available data · not financial advice
Cash runway
~78 mo
Low dilution risk
Lead asset
FOG-001
Phase 2 · Cancer

Full Press Release Details

Presented updated Phase 1/2 data at ESMO Congress 2026 demonstrating a 72.2% objective response rate at the 32-week landmark and a favorable safety and tolerability profile for zolucatetide in desmoid tumors
Reached alignment with the U.S. FDA on dose, regimen and trial design for upcoming PEDESTAL Phase 3 registrational trial in desmoid tumors
Initiated a dose-ranging clinical study of zolucatetide in familial adenomatous polyposis (FAP)
Entered into a clinical collaboration with Revolution Medicines to evaluate zolucatetide in combination with zoldonrasib and cetuximab in patients with previously treated RAS G12D mutant microsatellite stable metastatic colorectal cancer (MSS CRC)
Ended the third quarter with $1.1 billion in cash, cash equivalents and marketable securities, expected to fund operations into 2030
CAMBRIDGE, Mass., Nov. 12, 2026 (GLOBE NEWSWIRE) -- Parabilis Medicines (Nasdaq: PBLS), a clinical-stage biopharmaceutical company dedicated to creating extraordinary medicines for patients with serious diseases by unlocking historically undruggable targets, today reported financial results and business updates for the third quarter ended September 30, 2026.
“With each successive clinical update, we are building a stronger foundation for zolucatetide as a unique medicine with the potential to make a meaningful difference for patients across multiple diseases,” said Mathai Mammen, M.D., Ph.D., Chairman, Chief Executive Officer and President of Parabilis Medicines. “The updated results presented at ESMO further reinforce our confidence in the depth and consistency of desmoid tumor responses, alongside a favorable safety and tolerability profile. With our Phase 3 dosing, regimen and trial design aligned with the FDA, we are well positioned to initiate PEDESTAL in the first half of 2027, bringing us closer to delivering a potentially transformative treatment for patients with desmoid tumors.”
Dr. Mammen continued, “We are also continuing to deliver on zolucatetide’s potential to become a pipeline in a product, advancing development in FAP, adamantinomatous craniopharyngioma (ACP), hepatocellular carcinoma (HCC) and other Wnt-driven diseases, while pursuing a scientifically grounded combination approach in MSS CRC through our collaboration with Revolution Medicines. In parallel, we are selectively advancing a broader pipeline of programs against other historically undruggable targets. The progress across our portfolio continues to strengthen our conviction in the ability of our HeliconTM platform to repeatedly translate breakthrough science into medicines that can meaningfully improve patients’ lives.”

Recent Business Highlights and Anticipated Milestones

Continued Advancement of Zolucatetide

Desmoid tumors

• Presented compelling clinical data from a June 22, 2026, data cut of the ongoing Phase 1/2 trial of zolucatetide at the European Society for Medical Oncology (ESMO) Congress 2026, demonstrating:
• An objective response rate (ORR) of 72.2% (13/18) among patients evaluable at the 32-week landmark who received a starting dose of ≥450 mg
• A disease control rate (DCR) of 100%, with no disease progression, across all 46 response-evaluable patients receiving a starting dose of ≥450 mg
• A favorable safety and tolerability profile now shown in 76 patients, with no treatment discontinuations due to treatment-related adverse events (TRAEs)
• Reached alignment with the U.S. Food and Drug Administration (FDA) on a global Phase 3 trial design; plan to initiate the randomized, double-blind PEDESTAL Phase 3 registrational trial in the first half of 2027 with topline results anticipated in 2029
• Selected for an oral presentation at the Connective Tissue Oncology Society (CTOS) Annual Meeting in November 2026, featuring data from the June 22, 2026, data cut
• Initiated a Phase 1/2 clinical trial of zolucatetide in patients with desmoid tumors in China to support the planned inclusion of patients in China in the global PEDESTAL Phase 3 registrational trial

Familial adenomatous polyposis

• Initiated a dose-ranging clinical cohort as part of the ongoing Phase 1/2 trial to evaluate zolucatetide in patients with FAP and identify the optimal dose and regimen
• Anticipate disclosing translational data demonstrating on-target activity at a medical meeting in the first quarter of 2027
• Anticipate disclosing clinical data from additional patients with FAP in the first quarter of 2027, building on compelling early observations of duodenal polyp reductions in two patients

Adamantinomatous craniopharyngioma

• Anticipate disclosing updated clinical data from additional patients with ACP in the first half of 2027, building on encouraging early antitumor activity in three patients

Hepatocellular carcinoma and additional Wnt/β-catenin-driven tumors

• Anticipate disclosing additional clinical data in HCC at a medical meeting in the first quarter of 2027, building on evidence of early activity in a heavily pretreated patient
• Continue evaluating zolucatetide across additional Wnt/β-catenin-driven tumor types as part of the ongoing Phase 1/2 clinical trial

Clinical collaboration with Revolution Medicines in RAS G12D mutant MSS CRC

• Entered into a clinical collaboration with Revolution Medicines (RevMed) to evaluate zolucatetide in combination with RevMed’s zoldonrasib, an investigational, oral RAS(ON) G12D-selective covalent tri-complex inhibitor, and cetuximab, an EGFR inhibitor, in patients with previously treated RAS G12D mutant MSS CRC; Parabilis will sponsor and conduct the study, with RevMed supplying zoldonrasib and equally sharing the costs of the trial
• Supported by clinical translational data from the Phase 1/2 trial showing reciprocal upregulation of mitogen-activated protein kinase (MAPK) and downregulation of the Wnt pathway in patients with MSS CRC treated with zolucatetide, alongside a manageable safety and tolerability profile
• Also supported by preclinical data showing enhanced tumor growth inhibition when zolucatetide was combined with zoldonrasib in a CRC patient-derived xenograft model

Advancement of the Helicon Platform and Discovery Pipeline

• Continued advancing wholly owned preclinical programs, including ERG and allosteric ARON degraders in prostate cancer and a β-catenin degrader program, alongside ongoing research under the strategic collaboration with Regeneron to develop Antibody-Helicon Conjugates (AHCs) targeting intracellular proteins

Corporate Updates

• Appointed Craig L. Tendler, M.D., to the Board of Directors in August 2026, bringing extensive oncology drug development and regulatory experience

Upcoming Investor Conferences

• Announced that Mathai Mammen, M.D., Ph.D., Chairman, CEO and President, will deliver a company presentation at the Jefferies Global Healthcare Conference in London, UK, on Monday, November 16, 2026, at 12:30 p.m. GMT / 7:30 a.m. EST, and participate in a fireside chat at the Evercore ISI 9th Annual Healthcare Conference on Monday, November 30, 2026, at 3:50 p.m. EST; webcasts will be available at https://investors.parabilismed.com/

Third Quarter 2026 Financial Results

Cash position and runway: Cash, cash equivalents and marketable securities were $1.1 billion as of September 30, 2026, compared to $27.7 million as of December 31, 2025. The Company's cash, cash equivalents and marketable securities as of September 30, 2026, are expected to fund operations into 2030.
Revenue: Revenues for the quarter ended September 30, 2026, were $2.1 million from collaboration agreements, compared to no revenue for the comparable prior-year period.
R&D expenses: Research and development expenses were $45.6 million for the quarter ended September 30, 2026, compared to $28.2 million for the comparable prior-year period. The increase of $17.4 million was primarily driven by ongoing investment in the clinical development of zolucatetide across a number of indications and increased employee-related costs (including stock-based compensation) associated with increased hiring to support the advancing clinical pipeline.
G&A expenses: General and administrative expenses were $11.3 million for the quarter ended September 30, 2026, compared to $6.6 million for the comparable prior-year period. The increase of $4.7 million was primarily attributable to higher employee-related costs (including stock-based compensation) related to increased hiring to support the Company's growth as it advances its clinical programs and expenses associated with operating as a public company.
Net loss: Net loss was $44.5 million for the quarter ended September 30, 2026, compared to $33.5 million for the comparable prior-year period. The increase in net loss of $11.0 million was primarily driven by increased operating costs.
About Parabilis Medicines Parabilis Medicines (Nasdaq: PBLS) is a clinical-stage biopharmaceutical company dedicated to creating extraordinary medicines for patients with serious diseases by unlocking biologically important targets long considered undruggable. The Company has pioneered a new class of alpha-helical peptides – Helicons™ – capable of modulating intracellular proteins that have historically been beyond the reach of conventional medicines. The Company's lead investigational medicine, zolucatetide, is the first and only direct inhibitor of the β-catenin:TCF interaction, a central node in the Wnt/β-catenin pathway that has eluded drug developers for decades. Zolucatetide is being evaluated in the clinic across multiple Wnt/β-catenin-driven diseases, including desmoid tumors, familial adenomatous polyposis (FAP), adamantinomatous craniopharyngioma (ACP), hepatocellular carcinoma (HCC) and a range of other rare and common solid tumor indications. Beyond zolucatetide, Parabilis is pursuing a follow-on β-catenin degrader program and advancing additional Helicon-based programs focused on other challenging targets, including ERG and allosteric ARON in prostate cancer, where we believe our medicines could have life-altering impact. For more information, visit www.parabilismed.com or follow us on LinkedIn.
Forward-Looking Statements This press release contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, each as amended. The words “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “target,” “would” and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. These forward-looking statements include, but are not limited to, express or implied statements regarding: the clinical development of zolucatetide for the treatment of desmoid tumors, FAP, ACP, HCC, CRC and other rare, Wnt-driven tumors, including the initiation, timing, progress, results and future data releases of our ongoing and planned clinical trials; the expected initiation and timing of the Company’s planned Phase 3 registrational trial in desmoid tumors; the expected timing and results of the ongoing Phase 1/2 study in desmoid tumors; the expected enrollment and timing of certain clinical studies and patient cohorts in FAP, CRC and other Wnt-driven tumors; the expected timing and results of the Company’s preclinical development of its ERG degrader, ARON degrader and β-catenin degrader development candidates; the potential of the Company’s Helicon™ technology platform; expectations regarding the development of any future product candidates using the Company’s Helicon™ technology platform; expectations regarding the efficacy, tolerability and commercial potential of zolucatetide; and expectations for the Company’s uses of capital, expenses and financial results, including its cash runway into 2030.
Any forward-looking statements in this press release are based on management’s current expectations and beliefs and are subject to a number of risks and uncertainties that could negatively affect the Company’s business, operating results, financial condition and stock value. Factors that could cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this press release include, without limitation: risks relating to the Company’s research and development activities; the Company’s ability to execute on its strategy including obtaining the requisite regulatory approvals on the expected timeline, if at all; uncertainties relating to preclinical and clinical development activities; the Company’s dependence on third parties to conduct clinical trials, manufacture its product candidates and develop and commercialize its product candidates, if approved; the Company’s ability to attract, integrate and retain key personnel; risks related to the Company’s financial condition and need for substantial additional funds in order to complete development activities and commercialize a product candidate, if approved; risks related to regulatory developments and approval processes of the U.S. Food and Drug Administration and comparable foreign regulatory authorities; risks related to establishing and maintaining the Company’s intellectual property protections; and risks related to the competitive landscape for the Company’s product candidates; as well as other risks and uncertainties described in greater detail in “Risk Factors,” in the Company’s most recent Quarterly Report on Form 10-Q, as well as discussions of potential risks, uncertainties, and other important factors in the Company’s subsequent filings with the Securities and Exchange Commission. Any forward-looking statements represent the Company’s views only as of today and should not be relied upon as representing its views as of any subsequent date. 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 its expectations or any changes in events, conditions or circumstances on which any such statement is based, except as required by law, and claims the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995.

Media Contact Jessica Freifeld media@parabilismed.com

Investor Contact Tom Kotarakos investors@parabilismed.com

Parabilis Medicines, Inc
Condensed Consolidated Balance Sheets (in thousands) (unaudited)
September 30, December 31,
2026 2025
Assets
Current assets:
Cash and cash equivalents $ 521,198 $ 27,711
Accounts receivable - related party 443 —
Marketable securities 350,425 —
Prepaid expenses and other current assets 6,953 1,647
Total current assets 879,019 29,358
Property and equipment, net 9,506 6,715
Restricted cash 2,855 2,855
Operating lease right-of-use assets 34,291 39,360
Marketable securities, non-current 201,309 —
Other assets 4,262 2,532
Total assets $ 1,131,242 $ 80,820
Liabilities, convertible preferred stock and stockholders’ equity (deficit)
Current liabilities:
Accounts payable $ 20,209 $ 17,272
Accrued expenses and other current liabilities 24,012 18,630
Operating lease liabilities, current portion 7,810 7,174
Deferred revenue, current portion 13,544 —
Finance lease liabilities, current portion 684 638
Term loan, net of discount 2,000 13,077
Total current liabilities 68,259 56,791
Operating lease liabilities, net of current portion 30,381 36,341
Finance lease liabilities, net of current portion 951 1,470
Deferred revenue, net of current portion 27,304 —
Other liabilities — 2,742
Total liabilities 126,895 97,344
Commitments and contingencies
Convertible preferred stock — 509,971
Stockholders’ equity (deficit):
Preferred stock — —
Common stock 12 —
Non-voting common stock — —
Additional paid-in capital 1,690,022 15,009
Accumulated other comprehensive loss (1,913 ) —
Accumulated deficit (683,774 ) (541,504 )
Total stockholders’ equity (deficit) 1,004,347 (526,495 )
Total liabilities, convertible preferred stock and stockholders’ equity (deficit) $ 1,131,242 $ 80,820
Parabilis Medicines, Inc. Condensed Consolidated Statements of Operations and Comprehensive Loss (in thousands, except share and per share amounts) (unaudited)
Three Months Ended Nine Months Ended
September 30, September 30,
2026 2025 2026 2025
Revenue:
Collaboration revenue $ 671 $ — $ 819 $ —
Collaboration revenue - related party 1,443 — 1,443 —
Total revenue 2,114 — 2,262 —
Operating expenses:
Research and development 45,597 28,199 122,727 92,230
General and administrative 11,253 6,646 32,610 19,376
Total operating expenses 56,850 34,845 155,337 111,606
Loss from operations (54,736 ) (34,845 ) (153,075 ) (111,606 )
Other income (expense):
Interest income 10,369 711 16,987 3,017
Interest expense (124 ) (398 ) (626 ) (1,193 )
Sublease income - related party — 1,057 — 3,171
Change in fair value of simple agreement for future equity — — (5,556 ) —
Total other income, net 10,245 1,370 10,805 4,995
Net loss $ (44,491 ) $ (33,475 ) $ (142,270 ) $ (106,611 )
Cumulative dividends on convertible preferred stock — (10,395 ) (32,181 ) (30,360 )
Deemed dividend upon down-round of convertible preferred stock — — (7,875 ) —
Net loss allocable to common stockholders $ (44,491 ) $ (43,870 ) $ (182,326 ) $ (136,971 )
Net loss per share allocable to common stockholders, basic and diluted $ (0.36 ) $ (21.66 ) $ (3.51 ) $ (67.78 )
Weighted average common shares outstanding, basic and diluted 123,593,149 2,025,284 51,962,288 2,020,689
Comprehensive loss:
Net loss $ (44,491 ) $ (33,475 ) $ (142,270 ) $ (106,611 )
Unrealized gains (losses) on marketable securities (1,895 ) — (1,913 ) (21 )
Comprehensive loss $ (46,386 ) $ (33,475 ) $ (144,183 ) $ (106,632 )

Frequently Asked Questions

What were the key results for zolucatetide?

Zolucatetide showed a 72.2% objective response rate in desmoid tumors.

When will the Phase 3 trial for zolucatetide start?

The Phase 3 PEDESTAL trial is set to begin in the first half of 2027.

What is the cash position of Parabilis Medicines?

Parabilis ended Q3 2026 with $1.1 billion in cash and equivalents.

What collaboration did Parabilis enter recently?

Parabilis partnered with Revolution Medicines for a colorectal cancer study.

Last updated: Nov 12, 2026