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Aprea Therapeutics Highlights Positive Emerging Clinical Activity for WEE1 Inhibitor, APR-1051, with a Confirmed Partial Response in the Ongoing Phase 1 ACESOT-1051 Trial

MWN-AI** Summary

Aprea Therapeutics, Inc. (Nasdaq: APRE), a clinical-stage precision medicine oncology company, has reported promising clinical activity for its WEE1 kinase inhibitor, APR-1051, in the ongoing Phase 1 ACESOT-1051 trial. The trial has confirmed a partial response (PR) in a patient suffering from PPP2R1A-mutated endometrial cancer, who is undergoing treatment at a daily dose of 220 mg. This patient's target lesion exhibited a 50% reduction upon the first imaging assessment, further verified by a second assessment showing an additional 9.5% decrease in size and a substantial reduction in CA-125 levels.

The ACESOT-1051 trial is focused on patients with advanced solid tumors possessing cancer-associated genetic alterations and has treated 24 patients so far. Notably, the study led to a confirmed PR in two patients with endometrial cancers that harbor PPP2R1A mutations. The emerging data indicates that APR-1051 is well tolerated, with most adverse events reported being Grade 1 or 2, primarily nausea and fatigue.

Aprea's Chief Medical Advisor, Dr. Eugene Kennedy, highlighted the significance of these findings, suggesting that APR-1051 showcases sustained anti-tumor activity without the class-limiting toxicity often observed in cancer treatments. The company believes this positions APR-1051 as a potential best-in-class WEE1 inhibitor with an improved therapeutic index.

The dose escalation will progress to a 300 mg daily level in the second quarter of 2026, as Aprea plans to enroll more patients with identified tumor types or mutations that have a higher probability of responding to this class of therapies. This includes patients with various cancers, reinforcing Aprea’s commitment to differentiating its approach in targeting WEE1 kinase among biomarker-defined cancers. An update on the trial’s findings is anticipated in mid-2026.

MWN-AI** Analysis

Aprea Therapeutics (Nasdaq: APRE) recently reported promising clinical trial results for its WEE1 inhibitor, APR-1051, demonstrating potential as a best-in-class therapy for biomarker-defined cancers. The data from the ongoing Phase 1 ACESOT-1051 trial confirmed a partial response (PR) in a patient with PPP2R1A-mutated endometrial cancer, an encouraging indication of APR-1051’s anti-tumor efficacy, validated by a significant reduction in tumor size and biomarker levels.

Key highlights include confirmation of sustained anti-tumor activity in the 220 mg dose group, supporting Aprea's strategy of developing a differentiated therapy with an improved safety profile. The absence of class-limiting toxicity to date reinforces investor confidence in APR-1051’s clinical promise, particularly for those with specific genetic tumor profiles.

Market insights suggest this development places Aprea in a favorable position within an oncology landscape that increasingly values precision medicine. The company's approach to targeting genetic alterations aligns well with current trends in cancer treatment, emphasizing the need for tailored therapies. With an ongoing dose escalation plan set to reach 300 mg in the second quarter of 2026, investors can anticipate further data that could help solidify APR-1051’s role in treating advanced solid tumors.

Furthermore, with five patients achieving stable disease and the ongoing enrollment of patients bearing relevant genomic alterations, Aprea is building a comprehensive clinical narrative that supports its innovation in cancer therapeutics.

Investors should monitor upcoming trial updates closely, as positive outcomes could catalyze a significant uptick in share performance. Given the evidence of a promising therapeutic index and growing interest in biomarker-driven therapies, Aprea may represent an attractive opportunity within the biotech sector for investors looking to capitalize on advancements in personalized medicine.

**MWN-AI Summary and Analysis is based on asking OpenAI to summarize and analyze this news release.

Source: GlobeNewswire
  • Confirmed partial response at 220 mg indicates anti-tumor activity of APR-1051 in biomarker-defined cancers
  • Early clinical data suggest the potential of APR-1051 as a best-in-class WEE1 inhibitor
  • Emerging clinical proof of concept responses without class-limiting toxicity to date support Aprea’s development strategy of differentiated WEE1 inhibition with an improved therapeutic index
  • A further update from the trial is expected in the second quarter of 2026

DOYLESTOWN, Pa., March 30, 2026 (GLOBE NEWSWIRE) -- Aprea Therapeutics, Inc. (Nasdaq: APRE) (“Aprea”, or the “Company”), a clinical-stage precision medicine oncology company focused on the discovery and development of targeted therapies for patients with biomarker-defined cancers, today announced the confirmation of a partial response (PR) in its ongoing ACESOT-1051 trial evaluating APR-1051, a potent and selective WEE1 kinase inhibitor.

The confirmed PR was observed in a patient with PPP2R1A-mutated endometrial cancer who is currently being treated at the 220 mg once daily dose level. Aprea announced on February 18, 2026 that, at their first imaging assessment, this patient achieved a 50% reduction in target lesion size (meeting RECIST criteria for partial response) as well as a reduction in CA-125 levels. This response was subsequently confirmed at the second image assessment, with an additional 9.5% reduction in target lesion size, and a reduction in CA-125 to 40.2U/ml (from 362 U/mL at baseline).

ACESOT-1051 is a biomarker focused Phase 1 trial designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary anti-tumor activity of APR-1051 in patients with advanced solid tumors harboring cancer-associated genetic alterations. A total of 24 patients have been treated to date, at doses ranging from 10 mg to 220 mg once daily. Two patients have achieved partial responses, both with endometrial cancers harboring PPP2R1A mutations. One of these responses has been confirmed, as described above. Both patients remain on treatment.

Five other patients in ACESOT-1051 have achieved a best overall response of stable disease, including patients with HPV+ head and neck squamous cell carcinoma (HNSCC), colorectal and endometrial cancers with relevant genomic alternations. APR-1051 has been generally safe and well tolerated with the most common adverse events reported as Grade 1 or 2, primarily consisting of nausea and fatigue.

“The data emerging from the ACESOT-1051 trial continue to support the clinical potential of APR-1051, with confirmation of a partial response in the 220 mg cohort indicating evidence of sustained anti-tumor activity,” said Eugene Kennedy, MD, Chief Medical Advisor at Aprea. “APR-1051 appears to be generally well-tolerated with an encouraging therapeutic window and overall, these findings strengthen our confidence in the ability of this candidate to successfully target WEE1 in genetically defined cancers, where patients face significant unmet need.”

Dose escalation is ongoing, with plans to advance to Dose Level 9 (300 mg once daily) in the second quarter of 2026. In parallel, the company plans to enroll additional patients as specified in the protocol based on the understanding that their tumor types or specific mutations gives them an increased probability of responding to this class of potential therapeutics. This includes patients with uterine serous carcinoma (a subset of endometrial), colorectal and HPV+ tumors. For more information on ACESOT-1051, refer to ClinicalTrials.gov NCT06260514.

About Aprea

Aprea is a clinical-stage precision medicine oncology company focused on the discovery and development of targeted therapies for patients with biomarker-defined cancers. The Company is pioneering a new approach to treat cancer by exploiting vulnerabilities associated with cancer cell mutations. This approach was developed to kill tumors while minimizing the effect on normal, healthy cells. Aprea’s technology has potential applications across multiple cancer types, enabling it to target a range of tumors, including ovarian, endometrial, colorectal and head and neck squamous cell carcinoma. The company’s lead programs are APR-1051, an oral, small-molecule inhibitor of WEE1 kinase, and ATRN-119, a small molecule ATR inhibitor, both in clinical development for solid tumor indications. For more information, please visit the company website at www.aprea.com.

The Company may use, and intends to use, its investor relations website at https://ir.aprea.com/ as a means of disclosing material nonpublic information and for complying with its disclosure obligations under Regulation FD.

Forward-Looking Statement

Certain information contained in this press release includes “forward-looking statements”, within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended related to our study analyses, clinical trials, regulatory submissions, and projected cash position. We may, in some cases use terms such as “future,” “predicts,” “believes,” “potential,” “continue,” “anticipates,” “estimates,” “expects,” “plans,” “intends,” “targeting,” “confidence,” “may,” “could,” “might,” “likely,” “will,” “should” or other words that convey uncertainty of the future events or outcomes to identify these forward-looking statements. Our forward-looking statements are based on current beliefs and expectations of our management team and on information currently available to management that involve risks, potential changes in circumstances, assumptions, and uncertainties. All statements contained in this press release other than statements of historical fact are forward-looking statements, including statements regarding our ability to develop, commercialize, and achieve market acceptance of our current and planned products and services, our research and development efforts, including timing considerations and other matters regarding our business strategies, use of capital, results of operations and financial position, and plans and objectives for future operations. Any or all of the forward-looking statements may turn out to be wrong or be affected by inaccurate assumptions we might make or by known or unknown risks and uncertainties. These forward-looking statements are subject to risks and uncertainties including, without limitation, risks related to the success, timing, and cost of our ongoing clinical trials and anticipated clinical trials for our current product candidates, including statements regarding the timing of initiation, pace of enrollment and completion of the trials (including our ability to fully fund our disclosed clinical trials, which assumes no material changes to our currently projected expenses), futility analyses, presentations at conferences and data reported in an abstract, and receipt of interim or preliminary results (including, without limitation, any preclinical results or data), which are not necessarily indicative of the final results of our ongoing clinical trials, our understanding of product candidates mechanisms of action and interpretation of preclinical and early clinical results from its clinical development programs, and our ability to predict clinical outcomes based on such preclinical and early clinical results, our ability to continue as a going concern, and the other risks, uncertainties, and other factors described under “Risk Factors,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and elsewhere in the documents we file with the U.S. Securities and Exchange Commission. For all these reasons, actual results and developments could be materially different from those expressed in or implied by our forward-looking statements. You are cautioned not to place undue reliance on these forward-looking statements, which are made only as of the date of this press release. We undertake no obligation to update such forward-looking statements for any reason, except as required by law.

Investor Contact:

Mike Moyer
LifeSci Advisors
mmoyer@lifesciadvisors.com


FAQ**

How does the confirmed partial response in the ACESOT-1051 trial for APR-1051 reflect on Aprea Therapeutics Inc. APRE’s potential to become a leader in targeted therapies for biomarker-defined cancers, particularly with PPP2Rmutations?
The confirmed partial response in the ACESOT-1051 trial for APR-1051 highlights Aprea Therapeutics Inc.'s potential to lead in targeted therapies for biomarker-defined cancers, particularly for patients with PPP2R1A mutations, thus positioning it favorably in an emerging market.
Given the emerging clinical proof of concept responses for APR-1051, what strategies does Aprea Therapeutics Inc. APRE have in place to further optimize patient selection based on genetic alterations for enhanced efficacy?
Aprea Therapeutics Inc. (APRE) is focused on refining patient selection strategies by leveraging genetic profiling and biomarker analyses to identify specific alterations that predict better responses to APR-1051, thereby enhancing treatment efficacy in targeted populations.
What are the anticipated timelines for further updates from the ACESOT-1051 trial, and how might these updates impact investor confidence in Aprea Therapeutics Inc. APRE's overall development strategy for WEE1 inhibitors?
Anticipated updates from the ACESOT-1051 trial may be released in late 2023 or early 2024, and positive results could significantly bolster investor confidence in Aprea Therapeutics' overall development strategy for WEE1 inhibitors, while negativity might dampen enthusiasm.
How does the reported safety profile of APR-1051 in the trial inform Aprea Therapeutics Inc. APRE’s plans for further dose escalation to 300 mg, and what measures are in place to monitor potential toxicity in future patients?
The reported safety profile of APR-1051 in the trial supports Aprea Therapeutics Inc.'s plans for further dose escalation to 300 mg, with continuous monitoring through regular safety assessments and adverse event reporting protocols to ensure patient well-being.

**MWN-AI FAQ is based on asking OpenAI questions about Aprea Therapeutics Inc. (NASDAQ: APRE).

Aprea Therapeutics Inc.

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