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NeuroSense Advances Plans for Early Commercialization of Groundbreaking ALS Treatment in Canada, Provides Further Updates

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NeuroSense Therapeutics (Nasdaq: NRSN) has provided an update on its plans to file for early commercialization approval for PrimeC, its ALS treatment, under Health Canada's Notice of Compliance with Conditions (NOC/c) policy. The company plans to submit its dossier in Q2 2025, with an expected regulatory decision by Q1 2026.

The submission is based on promising results from the Phase 2b ALS PARADIGM clinical trial, which showed PrimeC significantly reduced disease progression (p=0.009) and improved survival rates by 43% compared to placebo. NeuroSense estimates a potential peak annual revenue of $100M to $150M in Canada, driven by ALS prevalence and unmet treatment demand.

The company aims to expand approval efforts to additional global markets as part of its strategy to make PrimeC accessible worldwide and drive sustainable growth.

NeuroSense Therapeutics (Nasdaq: NRSN) ha fornito un aggiornamento sui suoi piani per chiedere l'approvazione per la commercializzazione anticipata di PrimeC, il suo trattamento per la SLA, secondo la politica di Notifica di Conformità con Condizioni (NOC/c) di Salute Canada. L'azienda prevede di presentare il suo fascicolo nel secondo trimestre del 2025, con una decisione normativa attesa per il primo trimestre del 2026.

La presentazione si basa su risultati promettenti dello studio clinico di Fase 2b ALS PARADIGM, che ha dimostrato che PrimeC ha significativamente ridotto la progressione della malattia (p=0.009) e ha migliorato i tassi di sopravvivenza del 43% rispetto al placebo. NeuroSense stima un potenziale fatturato annuo massimo di 100 milioni a 150 milioni di dollari in Canada, sostenuto dalla prevalenza della SLA e dalla domanda insoddisfatta di trattamenti.

L'azienda mira ad espandere gli sforzi per ottenere approvazioni in ulteriori mercati globali come parte della sua strategia per rendere PrimeC accessibile in tutto il mondo e promuovere una crescita sostenibile.

NeuroSense Therapeutics (Nasdaq: NRSN) ha proporcionado una actualización sobre sus planes para solicitar la aprobación de comercialización anticipada de PrimeC, su tratamiento para la ELA, según la política de Notificación de Cumplimiento con Condiciones (NOC/c) de Salud Canadá. La empresa planea presentar su expediente en el segundo trimestre de 2025, con una decisión regulatoria esperada para el primer trimestre de 2026.

La presentación se basa en resultados prometedores del ensayo clínico de Fase 2b ALS PARADIGM, que mostró que PrimeC redujo significativamente la progresión de la enfermedad (p=0.009) y mejoró las tasas de supervivencia en un 43% en comparación con el placebo. NeuroSense estima un ingreso anual máximo potencial de 100 millones a 150 millones de dólares en Canadá, impulsado por la prevalencia de la ELA y la demanda no satisfecha de tratamientos.

La empresa busca expandir sus esfuerzos de aprobación a otros mercados globales como parte de su estrategia para hacer que PrimeC sea accesible en todo el mundo y promover un crecimiento sostenible.

NeuroSense Therapeutics (Nasdaq: NRSN)는 캐나다 건강부의 조건부 승인 통지(NOC/c) 정책에 따라 ALS 치료제인 PrimeC의 조기 상용화 승인을 신청할 계획에 대한 업데이트를 제공했습니다. 이 회사는 2025년 2분기에 서류를 제출할 계획이며, 2026년 1분기에 규제 결정이 예상됩니다.

제출은 ALS PARADIGM 2b 임상 시험의 유망한 결과에 기초하고 있으며, PrimeC가 질병의 진행을 유의미하게 감소시켰습니다 (p=0.009) 그리고 위약과 비교해 생존율을 43% 개선했습니다. NeuroSense는 캐나다에서 1억 달러에서 1억 5천만 달러의 잠재적 연간 최고 매출을 추정하고 있으며, 이는 ALS 유병률과 충족되지 않은 치료 수요에 기인합니다.

회사는 PrimeC를 전 세계에서 접근 가능하게 하고 지속 가능한 성장을 촉진하기 위한 전략의 일환으로 추가 글로벌 시장으로의 승인 확대를 목표로 하고 있습니다.

NeuroSense Therapeutics (Nasdaq: NRSN) a fourni une mise à jour sur ses projets de demande d'approbation pour la commercialisation anticipée de PrimeC, son traitement de la SLA, conformément à la politique de Notification de Conformité avec Conditions (NOC/c) de Santé Canada. L'entreprise prévoit de soumettre son dossier au 2e trimestre 2025, avec une décision réglementaire attendue d'ici le 1er trimestre 2026.

La soumission repose sur des résultats prometteurs de l'essai clinique de Phase 2b ALS PARADIGM, qui a montré que PrimeC a significativement réduit la progression de la maladie (p=0.009) et a amélioré les taux de survie de 43% par rapport au placebo. NeuroSense estime un chiffre d'affaires annuel maximal potentiel de 100 millions à 150 millions de dollars au Canada, stimulé par la prévalence de la SLA et une demande de traitement non satisfaite.

L'entreprise vise à élargir ses efforts d'approbation à d'autres marchés mondiaux, dans le cadre de sa stratégie visant à rendre PrimeC accessible dans le monde entier et à favoriser une croissance durable.

NeuroSense Therapeutics (Nasdaq: NRSN) hat ein Update zu seinen Plänen gegeben, einen Antrag auf frühzeitige Marktzulassung für PrimeC, seine ALS-Behandlung, gemäß der Richtlinie über die Mitteilung zur Einhaltung von Bedingungen (NOC/c) von Health Canada einzureichen. Das Unternehmen plant, sein Dossier im 2. Quartal 2025 einzureichen, mit einer erwarteten regulatorischen Entscheidung im 1. Quartal 2026.

Die Einreichung basiert auf vielversprechenden Ergebnissen der Phase-2b-ALS-PARADIGM-Studie, die zeigte, dass PrimeC die Krankheitsprogression signifikant reduzierte (p=0.009) und die Überlebensraten um 43% im Vergleich zu Placebo verbesserte. NeuroSense schätzt ein potenzielles maximales Jahresumsatzvolumen von 100 bis 150 Millionen Dollar in Kanada, angetrieben von der Prävalenz von ALS und der nicht gedeckten Nachfrage nach Behandlungen.

Das Unternehmen strebt an, die Genehmigungsbemühungen auf weitere globale Märkte auszudehnen, um PrimeC weltweit zugänglich zu machen und nachhaltiges Wachstum zu fördern.

Positive
  • PrimeC significantly reduced ALS disease progression (p=0.009) in Phase 2b clinical trial
  • PrimeC improved survival rates by 43% compared to placebo
  • Estimated potential peak annual revenue of $100M to $150M in Canada
  • Plans to expand approval efforts to additional global markets
Negative
  • Regulatory decision for PrimeC in Canada not expected until Q1 2026
  • Revenue projections are estimates and may not materialize

Insights

This news is highly significant for NeuroSense Therapeutics and the ALS treatment landscape. The planned submission for early commercialization of PrimeC in Canada under the NOC/c policy is a major step forward, potentially accelerating market entry for this promising ALS therapy. The Phase 2b results showing significant reduction in disease progression (p=0.009) and a 43% improvement in survival rates are particularly impressive, suggesting PrimeC could be a game-changer in ALS treatment.

The estimated peak annual revenue of $100M to $150M in Canada alone represents a substantial market opportunity for a company of NeuroSense's size (market cap: $22M). This potential revenue stream could dramatically transform the company's financial outlook. Moreover, the strategy to expand into additional global markets indicates a clear path for growth beyond Canada.

However, investors should note that regulatory approval is not guaranteed and the timeline to potential commercialization (Q1 2026) is still relatively distant. The company's ability to execute on its regulatory strategy and successfully commercialize PrimeC will be critical factors to watch in the coming years.

The clinical data for PrimeC is truly remarkable in the context of ALS treatment. A 43% improvement in survival rates is an exceptional outcome for this devastating disease, where treatment options are and often provide minimal benefits. The significant reduction in disease progression (p=0.009) further underscores the potential of PrimeC to meaningfully impact patients' lives.

From a medical perspective, the NOC/c pathway in Canada is designed for promising therapies addressing serious, life-threatening conditions with treatment options - a perfect fit for PrimeC in ALS. This could potentially provide earlier access to a groundbreaking treatment for Canadian ALS patients.

It's important to note that while these results are highly encouraging, they come from a Phase 2b trial. Typically, larger Phase 3 trials are required for full approval. The conditional approval pathway may allow for market entry based on this data, but ongoing studies and post-market surveillance will likely be necessary to confirm the long-term safety and efficacy of PrimeC.

  • Dossier submission planned for Q2 2025; regulatory decision expected by Q1 2026
  • Estimated potential market opportunity: peak of $100M to $150M in annual revenue
  • Company aims to expand approval efforts to additional global markets

CAMBRIDGE, Mass., Oct. 15, 2024 /PRNewswire/ -- NeuroSense Therapeutics Ltd. (Nasdaq: NRSN) ("NeuroSense"), a late-clinical stage biotechnology company developing novel treatments for severe neurodegenerative diseases, provided a further update on its plans to file for early commercialization approval for PrimeC under Health Canada's Notice of Compliance with Conditions (NOC/c) policy. This submission is based on promising results from the Company's Phase 2b ALS PARADIGM clinical trial, supported by additional clinical and preclinical data.

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This decision follows the recommendations of Canadian regulatory experts and recent clinical findings, which demonstrated that PrimeC significantly reduced disease progression (p=0.009) and improved survival rates by 43% compared to placebo, highlighting its potential as a breakthrough therapy for ALS.

NeuroSense estimates a significant market opportunity in Canada, with potential peak annual revenue of $100M to $150M, driven by the prevalence of ALS in Canada, estimated market penetration of PrimeC, estimated price, and the current unmet demand for effective ALS treatments.  Beyond Canada, NeuroSense plans to pursue regulatory approval in additional global markets as part of its broader strategy to make PrimeC accessible to ALS patients worldwide.

Alon Ben-Noon, CEO of NeuroSense, stated, "The Canadian market presents a significant near-term opportunity, with the addressable market for PrimeC valued above $100 million in annual revenue. Securing early commercialization approval in Canada would represent an important milestone, not only to address the unmet need for ALS treatments but also as part of our strategy to drive sustainable growth. With additional markets on our radar, this marks the beginning of what we anticipate will be a long-term revenue-generating opportunity."

About ALS

Amyotrophic lateral sclerosis ("ALS") is an incurable neurodegenerative disease that causes complete paralysis and death within 2-5 years from diagnosis. Every year, more than 5,000 people are diagnosed with ALS in the U.S. alone, with an annual disease burden of $1 billion. The number of people living with ALS is expected to grow by 24% by 2040 in the U.S. and EU.

About ALSFRS-R

Disease progression is measured by the ALS Functional Rating Scale-Revised (ALSFRS-R), which is the most widely used ALS tracking tool accepted by the FDA, utilized by neurologists treating ALS patients, in clinical trials, and by other regulators to determine disease progression. It tracks 12 changes in a person's physical abilities over time including functions such as: speech, walking, climbing stairs, dressing/hygiene, handwriting, turning in bed, cutting food, salivation, swallowing, and breathing.  A single point change on the ALSFRS-R has a significant impact on ALS patients, such as the transition from independent feeding to requiring assistance or independent breathing to needing to use a machine ventilator.

About PARADIGM

PARADIGM is a prospective, multinational, randomized, double-blind, placebo-controlled Phase 2b (NCT05357950) clinical trial of PrimeC in ALS. The trial included 68 participants living with ALS in Canada, Italy, and Israel. 96% of the trial participants who completed the 6-month double-blind portion of the trial chose to receive treatment with PrimeC through a 12-month open label extension. Furthermore, to date (June 2024) all participants that completed the 18-month trial treatment duration, requested to continue PrimeC, which is provided to them in an Investigator Initiated Trial, not limited with time.

As previously reported, in the 6-month double-blind segment of the trial, the data showed clinically meaningful signs of efficacy with a 29% difference in favor of PrimeC vs placebo in analysis of the intent to treat (ITT) population. In the PP top-line analysis from PARADIGM, a statistically significant slowing of disease progression was observed with a 37.4% (p=0.03) difference in ALSFRS-R in favor of PrimeC vs placebo. Most patients enrolled in both the active and placebo arms of the trial were concurrently treated with Riluzole, the ALS standard of care medication, indicating PrimeC slowed disease progression well beyond the level afforded by the FDA approved ALS drug.

About PrimeC

PrimeC, NeuroSense's lead drug candidate, is a novel extended-release oral formulation composed of a unique fixed-dose combination of two FDA-approved drugs: ciprofloxacin and celecoxib. PrimeC is designed to synergistically target several key mechanisms of ALS that contribute to motor neuron degeneration, inflammation, iron accumulation and impaired ribonucleic acid ("RNA") regulation to potentially inhibit the progression of ALS. NeuroSense completed a Phase 2a clinical trial which met its safety and efficacy endpoints including reducing functional and respiratory deterioration and statistically significant changes in ALS-related biological markers indicating PrimeC's biological activity. PrimeC was granted Orphan Drug Designation by the U.S. Food and Drug Administration and the European Medicines Agency.

About NeuroSense

NeuroSense Therapeutics, Ltd. is a clinical-stage biotechnology company focused on discovering and developing treatments for patients suffering from debilitating neurodegenerative diseases. NeuroSense believes that these diseases, which include amyotrophic lateral sclerosis (ALS), Alzheimer's disease and Parkinson's disease, among others, represent one of the most significant unmet medical needs of our time, with limited effective therapeutic options available for patients to date. Due to the complexity of neurodegenerative diseases and based on strong scientific research on a large panel of related biomarkers, NeuroSense's strategy is to develop combined therapies targeting multiple pathways associated with these diseases.

For additional information, we invite you to visit our website and follow us on LinkedIn, YouTube and X. Information that may be important to investors may be routinely posted on our website and these social media channels.

Forward-Looking Statements

This press release contains "forward-looking statements" that are subject to substantial risks and uncertainties. All statements, other than statements of historical fact, contained in this press release are forward-looking statements. Forward-looking statements contained in this press release may be identified by the use of words such as "anticipate," "believe," "contemplate," "could," "estimate," "expect," "intend," "seek," "may," "might," "plan," "potential," "predict," "project," "target," "aim," "should," "will" "would," or the negative of these words or other similar expressions, although not all forward-looking statements contain these words. Forward-looking statements are based on NeuroSense Therapeutics' current expectations and are subject to inherent uncertainties, risks and assumptions that are difficult to predict and include statements regarding the timing of regulatory filings and regulatory decisions, the market opportunity in Canada and securing regulatory approval in global markets. Further, certain forward-looking statements are based on assumptions as to future events that may not prove to be accurate. The future events and trends may not occur and actual results could differ materially and adversely from those anticipated or implied in the forward looking statements. These risks include the risk of a delay in submission by the Company of its regulatory dossier, that regulatory approvals for PrimeC will be delayed or not obtained in Canada or elsewhere; that the market opportunity in Canada will not be as currently estimated; unexpected R&D costs or operating expenses, insufficient capital to complete development of PrimeC, a delay in the reporting of additional results from PARADIGM clinical trial, the timing of expected regulatory and business milestones, risks associated with meeting with the FDA and Health Canada to determine the best path forward following the results from PARADIGM clinical trial, including a delay in any such meeting; the potential for PrimeC to safely and effectively target ALS; preclinical and clinical data for PrimeC; the uncertainty regarding outcomes and the timing of current and future clinical trials; timing for reporting data; the development and commercial potential of any product candidates of Neurosense; the ability of NeuroSense to remain listed on Nasdaq; and other risks and uncertainties set forth in NeuroSense's filings with the Securities and Exchange Commission (SEC). You should not rely on these statements as representing our views in the future. More information about the risks and uncertainties affecting NeuroSense is contained under the heading "Risk Factors" in the Annual Report on Form 20-F filed with the Securities and Exchange Commission on April 4, 2024 and NeuroSense's subsequent filings with the SEC. Forward-looking statements contained in this announcement are made as of this date, and NeuroSense undertakes no duty to update such information except as required under applicable law.

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SOURCE NeuroSense

FAQ

When does NeuroSense plan to submit the dossier for PrimeC to Health Canada?

NeuroSense plans to submit the dossier for PrimeC to Health Canada in Q2 2025.

What were the key results from the Phase 2b ALS PARADIGM clinical trial for PrimeC?

The Phase 2b ALS PARADIGM clinical trial showed that PrimeC significantly reduced disease progression (p=0.009) and improved survival rates by 43% compared to placebo.

What is the estimated market opportunity for PrimeC in Canada according to NRSN?

NeuroSense estimates a potential peak annual revenue of $100M to $150M for PrimeC in Canada.

When does NeuroSense expect a regulatory decision for PrimeC from Health Canada?

NeuroSense expects a regulatory decision for PrimeC from Health Canada by Q1 2026.

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