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October 9, 2026
Press release

Oncopeptides confirms blood-brain-barrier penetration based on data from first patients in glioblastoma Window-of-Opportunity study

Regulatory

STOCKHOLM — October 9, 2026 — Oncopeptides AB (publ) (Nasdaq Stockholm: ONCO), a biotech company specializing in difficult-to-treat cancers, today announces data from the first patients in its ongoing clinical Window-of-Opportunity (WoO) study, OP-701 (INSULA), evaluating its proprietary Peptide Drug Conjugate (PDC) platform in glioblastoma. Data from the first three treated patients demonstrate successful penetration of the human blood-brain barrier (BBB) with intra-tumoral drug concentrations in line with preclinical models, alongside good tolerability where the first patient has received five monthly doses to date without any major drug-related toxicity.

The blood-brain barrier represents one of the greatest hurdles in neuro-oncology, causing more than 90 percent of conventional systemic cancer drugs to fail because they cannot reach the brain. By confirming meaningful, BBB penetration and delivery of a cytotoxic payload into brain tumor cells in the first patients, the findings provide a strong indication of a clinical proof-of-concept for the PDC platform’s mechanism in solid brain tumors.

“Reaching our primary objective to confirm that our PDC technology successfully crosses the human blood-brain barrier is a major breakthrough for Oncopeptides,” says Sofia Heigis, CEO of Oncopeptides. “For decades, the blood-brain barrier has locked out effective treatments for glioblastoma patients. Demonstrating meaningful drug penetration in resected brain tumors in patients after a single dose validates the fundamental strength and versatility of our platform, transforming our brain cancer program from an ambitious basic scientific premise into a true, clinically justified, opportunity.”

The open-label INSULA study, conducted at Oslo University Hospital in Norway, utilizes the EMA approved drug melflufen from Oncopeptides’ PDC platform in patients scheduled for surgery due to recurrent glioblastoma. By administering the drug prior to surgery, researchers can directly measure drug uptake and cytotoxic activity in resected tumor tissue.

Key highlights:

  • Confirmed blood-brain barrier penetration: Analysis of resected tumor tissue from three evaluated patients showed clear and consistent presence of active compound (the primary endpoint in this part of the study), indicating efficient penetration across the human blood-brain barrier.
  • Safety and tolerability: The treatment has so far been well tolerated across evaluated patients with no major drug-related toxicity observed to date. The first treated patient has continued into the study’s open-label extension and received a total of five monthly doses to date, with no new tumor-related neurological symptoms observed. Postoperative paresis related to the surgical procedure was observed and is improving under ongoing treatment.
  • Drug concentrations within the tumor tissue: Intra-tumoral drug concentrations in the brains of the three patients, as measured by pharmacokinetic analysis, were in line with data from our preclinical studies.
  • Surgical complications: No unexpected surgical complications were observed.

“Crossing the blood-brain barrier in patients diagnosed with Glioblastoma is an important step for any systemic brain cancer therapy,” says Prof. Petter Brandal, MD, PhD, Oslo University Hospital, and primary investigator in the WoO study. “These initial tissue findings demonstrate that Oncopeptides’ lipophilic PDC molecules behave in human tumors just as anticipated, delivering significant concentrations in tumor cells where standard treatments historically fall short.”

Patient recruitment in the INSULA study continues, to reach the target of approximately 10 patients to further characterize pharmacokinetics and pharmacodynamics. The positive data from the first three patients will serve as the biological and clinical foundation to guide further clinical progression and the future development of next-generation PDC assets.

Glioblastoma is the most aggressive and common form of primary brain cancer, with a median overall survival of only 12–15 months and virtually no effective treatment options. The global glioblastoma market is characterized by severe unmet medical needs.

Webcast for investors
Oncopeptides will host a webcast for investors, tentatively on Monday, October 12 at 08.00 CET, to provide further details regarding this scientific breakthrough. An invitation will be sent out separately.

For more information, including questions and answers for investors, please visit www.oncopeptides.com

Questions and answers

These data demonstrate for the first time in humans that the company’s proprietary PDC technology successfully crosses the blood-brain barrier and achieves target-level drug concentrations directly in brain tumor tissue. The blood-brain barrier is the primary reason why more than 90 percent of conventional systemic oncology therapies fail in brain cancer; confirming human penetration provides a strong clinical proof-of-concept for the platform’s mechanism in solid tumors.
The core objective of a Window-of-Opportunity design is biological and mechanistic: answering whether the molecule reaches human tumor tissue. Confirming robust and consistent barrier penetration in the initial surgical cohort represents a significant scientific and operational milestone, requiring immediate market disclosure under the EU Market Abuse Regulation (MAR).
An Open-Label Extension (OLE) is a study phase where patients who have completed the initial protocol (in this case, the pre-surgical Window-of-Opportunity window) are offered continued treatment with the active drug over time, with both the investigator and patient aware of the administered therapy.In a standard Window-of-Opportunity trial, the drug is typically administered only as a single dose prior to surgery to confirm tumor penetration. The fact that the first patient has transitioned into the open-label extension and received repeated treatment (a total of five monthly doses to date) provides two vital clinical takeaways:
  • Longer-term safety and tolerability: It provides initial evidence that the compound is well tolerated over multiple dosing cycles in glioblastoma patients, with no new tumor-related neurological symptoms or major drug-related toxicities observed.
  • Clinical continuity: It allows investigators to observe patient stability and clinical trajectory under continued post-surgical therapy, offering valuable insights that help de-risk and inform the design of future therapeutic trials in neuro-oncology.
The INSULA study is specifically designed to evaluate drug uptake, tissue distribution, and cytotoxic mechanism directly within resected tissue prior to surgery, rather than long-term clinical endpoints like progression-free or overall survival. Demonstrating that the drug reaches therapeutic concentrations within the tumor is the indispensable prerequisite for advancing into formal therapeutic trials.
The trial utilizes melflufen as an approved PDC clinical probe, allowing Oncopeptides to safely, rapidly, and cost-efficiently test platform delivery across the barrier. The findings validate the delivery platform in brain tissue and provide critical human data that will de-risk and accelerate the development of next-generation candidates.
Enrolment will continue until approximately 10 patients are evaluated at Oslo University Hospital to conclude pharmacokinetic, biomarker, and safety profiles. The resulting dataset will form the scientific and regulatory baseline to guide the design and execution of upcoming clinical studies in neuro-oncology.

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