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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549


FORM 8-K


CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934

Date of Report (Date of earliest event reported):  November 10, 2025



GALECTIN THERAPEUTICS INC.
 (Exact name of registrant as specified in its charter)



Nevada
001-31791
04-3562325
(State or Other Jurisdiction of Incorporation)
(Commission File Number)
(IRS Employer Identification No.)

4960 PEACHTREE INDUSTRIAL BOULEVARD, STE 240
NORCROSS, GA 30071
(Address of principal executive office) (zip code)

Registrant’s telephone number, including area code: (678) 620-3186

N/A
(Former name or former address, if changed since last report)



Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)


Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)


Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))


Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
 
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
 
Emerging growth company ☐
 
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 Securities registered pursuant to Section 12(b) of the Act:

Title of each class
Trading
Symbol
Name of each exchange on which
registered
Common Stock $0.001par value per share
GALT
The Nasdaq Stock Market



Item 7.01
Regulation FD Disclosure.

On November 10, 2025, Galectin Therapeutics Inc. (the “Company”) issued a press release announcing that it presented its NAVIGATE trial results at the American Association for the Study of Liver Diseases (AASLD) 2025 Annual Meeting and posted to its website an updated Corporate Presentation, furnished hereto as Exhibit 99.1 and Exhibit 99.2, respectively. and incorporated herein by reference.

In accordance with General Instruction B.2 of Form 8-K, the information furnished under this Item 7.01 of this Current Report on Form 8-K and the exhibits furnished hereto are deemed to be “furnished” and shall not be deemed “filed” for the purpose of Section 18 of the Exchange Act, or otherwise subject to the liabilities of that section, nor shall such information and exhibits be deemed incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended.

This Current Report on Form 8-K and Exhibits 99.1 and 99.2 hereto contain forward-looking statements within the meaning of the federal securities laws. These forward-looking statements are based on current expectations and are not guarantees of future performance. Further, the forward-looking statements are subject to the limitations listed in Exhibits 99.1 and 99.2 and in the other reports of the Company filed with the Securities and Exchange Commission, including that actual events or results may differ materially from those in the forward-looking statements.
 
Item 9.01
Financial Statements and Exhibits.

(d) Exhibits.

Exhibit No.
 
Exhibit Description
 
Press release dated November 10, 2025
 
Galectin Therapeutic Inc. Corporate Presentation, updated November 10, 2025
104
 
Cover Page Interactive Data File (embedded within the Inline XBRL document)

- 2 -
SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, Galectin Therapeutics Inc. has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 
Galectin Therapeutics Inc.
     
Date: November 10, 2025
By:
 /s/ Jack W. Callicutt
 
   
Jack W. Callicutt
   
Chief Financial Officer


- 3 -

EX-99.1 2 ny20058530x1_ex99-1.htm EXHIBIT 99.1
Exhibit 99.1

 
Galectin Therapeutics Presented NAVIGATE Trial Results at the American Association for the Study of Liver Diseases (AASLD) 2025 Annual Meeting


New biomarker analyses from the NAVIGATE trial demonstrated consistent antifibrotic effects of belapectin 2 mg/kg


Using established criteria for clinically meaningful worsening, a lower proportion of patients treated with belapectin 2 mg/kg experienced ≥30% or ≥5 kPa increases in liver stiffness (LSM) by FibroScan® compared with placebo, indicating slowing of fibrosis progression and stabilization of liver function


Across all ELF fibrosis risk categories, belapectin 2 mg/kg showed a lower incidence of new varices compared with placebo, with the largest benefit in patients with ELF > 11.3 (22.7% vs 42.9%), representing those at highest risk for liver complications


Pro-C3 biomarker analysis demonstrated a >50% reduction from baseline at 18 months with belapectin 2 mg/kg versus placebo, supporting the therapy’s antifibrotic and disease-modifying potential in compensated MASH cirrhosis with portal hypertension.


Analysis of YKL-40, a biomarker associated with Galectin-3 upregulation in fibrotic liver disease, demonstrated a ≥20% reduction in a higher proportion of patients treated with belapectin 2 mg/kg compared with placebo, providing additional mechanistic evidence of belapectin’s antifibrotic activity.


Analysis of PRO-C4, a key biomarker of liver injury and fibrogenesis, showed a ≥20% increase in a higher proportion of placebo-treated patients compared with those receiving belapectin 2 mg/kg, consistent with ongoing fibrotic progression and further supporting belapectin’s disease-modifying potential



For available patients who completed 36 months of therapy, belapectin maintained the sustained reduction in new variceal development seen at 18 months

NORCROSS, Ga., Nov 10, 2025 (GLOBE NEWSWIRE) -- Galectin Therapeutics Inc. (NASDAQ:GALT), the leading developer of galectin-3-targeted therapeutics for patients with MASH cirrhosis and portal hypertension, presented a poster and will deliver an oral presentation of the NAVIGATE study analysis at the AASLD 2025 Annual Meeting. The Phase 2 NAVIGATE trial evaluated belapectin, a proprietary galectin-3 inhibitor, in patients with compensated MASH cirrhosis and portal hypertension.

The global Phase 2b NAVIGATE trial (NCT04365868) was a randomized, double-blind, placebo-controlled study evaluating the galectin-3 inhibitor belapectin in 355 patients with compensated MASH cirrhosis and portal hypertension confirmed by non-invasive markers and baseline endoscopy. Patients were randomized 1:1:1 to receive intravenous belapectin at 2 mg/kg or 4 mg/kg of lean body mass or placebo every other week for 18 months (78 weeks).

When patients were stratified using FDA-approved Enhanced Liver Fibrosis (ELF) score cutoffs, belapectin 2 mg/kg demonstrated a consistently lower incidence of new varices across all fibrosis categories, with the largest reduction observed among patients with ELF >11.3, representing those at highest risk for liver complications (22.7% vs 42.9% for placebo). Incidences across ELF strata were as follows:

 
Subjects with New Esophageal Varices by Baseline ELF Categories at 18 Months %, n=245
 
placebo
2 mg/kg
belapectin
4mg/kg
belapectin
 
ELF score < 9.8
 
17.6% (3/17)
4.8% (1/21)
15.8% (3/19)
           
 
ELF score between < 9.8 and <11.3
 
18% (9/50)
9.4% (5/53)
11.3% (6/53)
           
 
ELF score > 11.3
 
42.9% (9/21)
22.7% (5/22)
17.4% (4/23)
Note: ELF: Risk of disease progression. < 9.8 Low risk, ≥11.3 mid risk, highest risk ≥13


Additionally, analysis of the Pro-C3 fibrosis biomarker showed that baseline levels were comparable across all groups (placebo: 50.2 ng/mL; 2 mg/kg: 45.9 ng/mL; 4 mg/kg: 43.4 ng/mL). At 78 weeks, patients receiving 2 mg/kg belapectin achieved a mean –6.4 ng/mL reduction in Pro-C3, representing >50% improvement from baseline compared with placebo (–4.5 ng/mL), while the 4 mg/kg dose showed a –1.7 ng/mL change. These biomarker findings were consistent with the clinical outcome of reduction in development of new varices, further supporting the antifibrotic and disease-modifying potential of belapectin in patients with compensated MASH cirrhosis and portal hypertension.

Baseline YKL-40 levels were comparable across treatment groups (placebo: 5.11 ng/mL; 2 mg/kg: 4.95 ng/mL; 4 mg/kg: 4.92 ng/mL). At 18 months, a greater proportion of patients receiving belapectin 2 mg/kg achieved a ≥ 20% reduction in YKL-40 compared with placebo (33.8% vs 23.1%), while fewer belapectin-treated patients experienced increases from baseline. These findings provide additional mechanistic evidence of galectin-3 pathway modulation and support belapectin’s antifibrotic biological activity in patients with MASH cirrhosis and portal hypertension.

Analysis of PRO-C4, a key biomarker associated with liver injury and fibrogenesis, showed that a ≥ 20% increase from baseline occurred at a higher rate in placebo-treated subjects compared with those receiving belapectin 2 mg/kg (13% vs 3%). This pattern, consistent across both the full analysis and per-protocol populations, indicates ongoing fibrotic progression in the placebo arm and further reinforces belapectin’s potential to modify disease progression in compensated MASH cirrhosis with portal hypertension.

Separately, a poster presentation at AASLD over the weekend showed that reduction in the development of esophageal varices observed at 18 months was sustained through 36 months in patients with MASH cirrhosis and portal hypertension. A total of 57 subjects completed 36 months of therapy in NAVIAGTE. At 36 months, the cumulative incidence of new varices in the study was 23.4%, 12.4% and 16.7% respectively, in placebo, 2 mg/kg, and 4 mg/kg cohorts.

As in prior trials, the safety profile of belapectin remains highly encouraging with incidence of adverse events and serious adverse events comparable across the three cohorts. Rates of discontinuation, adverse events (AEs), and serious adverse events (SAEs) were comparable to placebo, with no drug-related SAEs reported in the NAVIGATE trial.

Raj Vuppalanchi, M.D., serves as Professor of Medicine and Director of Hepatology at Indiana University School of Medicine, stated “The long-term NAVIGATE data presented at AASLD provide important insights into the potential of Galectin-3 inhibition in advanced fibrosis. The sustained improvements in liver stiffness and multiple serum biomarkers, including ELF, PRO-C3, and YKL-40, are particularly noteworthy, as they collectively suggest a consistent antifibrotic effect and stabilization of disease. These results are encouraging for patients with MASH cirrhosis and portal hypertension, a population with few effective therapeutic options.”


Dr. Khurram Jamil, Chief Medical Officer at Galectin Therapeutics, stated, “The consistency we observed across both clinical and biomarker endpoints reinforces belapectin’s potential as a disease-modifying therapy for patients with compensated MASH cirrhosis and portal hypertension. The 2 mg/kg dose demonstrated a clear and clinically meaningful reduction in the incidence of new varices across all ELF risk categories, with the strongest effect seen in patients at highest risk for liver complications. In addition, the more than 50% greater reduction in Pro-C3 levels versus placebo further supports belapectin’s antifibrotic activity and alignment between biomarker and clinical outcomes.”

Joel Lewis, Chief Executive Officer at Galectin Therapeutics, added, “We are very encouraged to see the robust effects of belapectin maintained over 36 months of therapy.  These results represent an important milestone for the belapectin program and for patients living with MASH cirrhosis, a population with no approved therapeutic options today. With a solid foundation of clinical and biomarker evidence, we are focused on advancing regulatory discussions and exploring strategic partnerships to accelerate the next phase of development. We are deeply encouraged by the potential of belapectin to make a meaningful difference for patients and families affected by this serious disease.”

About Galectin Therapeutics
Galectin Therapeutics is dedicated to developing novel therapies to improve the lives of patients with chronic liver disease and cancer. Galectin’s lead drug belapectin is a carbohydrate-based drug that inhibits the galectin-3 protein, which is directly involved in multiple inflammatory, fibrotic, and malignant diseases, for which it has Fast Track designation by the U.S. Food and Drug Administration. The lead development program is in metabolic dysfunction-associated steatohepatitis (MASH, formerly known as nonalcoholic steatohepatitis, or NASH) with cirrhosis, the most advanced form of MASH-related fibrosis. Liver cirrhosis is one of the most pressing medical need and a significant drug development opportunity. Additional development programs are in treatment of combination immunotherapy for advanced head and neck cancers and other malignancies. Advancement of these additional clinical programs is largely dependent on finding a suitable partner. Galectin seeks to leverage extensive scientific and development expertise as well as established relationships with external sources to achieve cost-effective and efficient development. Additional information is available at www.galectintherapeutics.com.


Forward Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These statements relate to future events or future financial performance, and use words such as “may,” “estimate,” “could,” “expect”, “look forward”, “believe”, “hope” and others. They are based on management’s current expectations and are subject to factors and uncertainties that could cause actual results to differ materially from those described in the statements. These statements include those regarding the hope that Galectin’s development program for belapectin will lead to the first therapy for the treatment of MASH, formerly known as NASH, with cirrhosis and those regarding the hope that our lead compounds will be successful in cancer immunotherapy and in other therapeutic indications. Factors that could cause actual performance to differ materially from those discussed in the forward-looking statements include, among others, full analysis of the NAVIGATE trial data may not produce positive data; Galectin may not be successful in developing effective treatments and/or obtaining the requisite approvals for the use of belapectin or any of its other drugs in development; the Company may not be successful in scaling up manufacturing and meeting requirements related to chemistry, manufacturing and control matters; the Company’s current clinical trial and any future clinical studies may not produce positive results in a timely fashion, if at all, and could require larger and longer trials, which would be time consuming and costly; plans regarding development, approval and marketing of any of Galectin’s drugs are subject to change at any time based on the changing needs of the Company as determined by management and regulatory agencies; regardless of the results of any of its development programs, Galectin may be unsuccessful in developing partnerships with other companies or raising additional capital that would allow it to further develop and/or fund any studies or trials. Galectin has incurred operating losses since inception, and its ability to successfully develop and market drugs may be impacted by its ability to manage costs and finance continuing operations. For a discussion of additional factors impacting Galectin’s business, see the Company’s Annual Report on Form 10-K for the year ended December 31, 2024, and subsequent filings with the SEC. You should not place undue reliance on forward-looking statements. Although subsequent events may cause its views to change, management disclaims any obligation to update forward-looking statements.

Company Contact:

Jack Callicutt, Chief Financial Officer
(678) 620-3186
ir@galectintherapeutics.com


Investors Relations Contacts:

Kevin Gardner
kgardner@lifesciadvisors.com

Galectin Therapeutics and its associated logo is a registered trademark of Galectin Therapeutics Inc. Belapectin is the USAN assigned name for Galectin Therapeutics’ galectin-3 inhibitor belapectin.



EX-99.2 3 ny20058530x1_ex99-2.htm EXHIBIT 99.2
Exhibit 99.2

 Galectin TherapeuticsCorporate OverviewNovember 2025 
 

 Forward-Looking Statements  This presentation contains, in addition to historical information, forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These statements relate to future events or future financial performance and use words such as “may,” “estimate,” “could,” “expect” and others. They are based on our current expectations and are subject to factors and uncertainties that could cause actual results to differ materially from those described in the statements.These statements include those regarding potential therapeutic benefits of our drugs, expectations, plans and timelines related to our clinical trials, supporting activities, potential partnering opportunities and estimated spending for 2025 and beyond. Factors that could cause our actual performance to differ materially from those discussed in the forward-looking statements include, among others, full analysis of the NAVIGATE trial data may not product positive data.Future phases or future clinical studies may not begin or produce positive results in a timely fashion, if at all, and could prove time consuming and costly. Plans regarding development, approval and marketing of any of our drugs are subject to change at any time based on the changing needs of our company as determined by management and regulatory agencies. Strategies and spending projections may change. We may be unsuccessful in developing partnerships with other companies or obtaining capital that would allow us to complete our clinical trials or further develop and/or fund any future studies or trials.To date, we have incurred operating losses since our inception, and our future success may be impacted by our ability to manage costs and finance our continuing operations. For a discussion of additional factors impacting our business, see our Annual Report on Form 10-K for the year ended December 31, 2024, and our subsequent filings with the SEC. You should not place undue reliance on forward-looking statements. Although subsequent events may cause our views to change, we disclaim any obligation to update forward-looking statements.  2 
 

 Belapectin is a novel, potent, galectin-3 inhibitor with Fast Track Designation  Low toxicity as a carbohydrate-based molecule which is degraded by natural processes   Patent protection through 2032  Only company to exclusively focus on treatment for MASH cirrhosis and portal hypertension  Significant efficacy observed in cirrhotic patients without varices  Promising NAVIGATE results at 18 month read out, ≥40% reduction in new varices vs placebo in ITT; significantly lower incidence of new varices in per protocol population  Encouraging clinical response in difficult-to-treat cancers in combination with checkpoint inhibitor  IND filed and approval to proceed received from FDA (Head & Neck cancer)  Developing galectin-based therapeutics to improve the lives of patients with chronic liver diseases and cancer  Focused Pipeline  MASH Cirrhosis  Oncology (Combination Therapy)  3  Investment Highlights 
 

 4  Highly Experienced Leadership Team  Over 32 years of public and private company experience including more than a decade of audit, tax and SEC registrant experience with a major accounting firm.  JACK W. CALLICUTT   Chief Financial Officer  SETH ZUCKERMANSenior Director, Biostatistics  JESSICA KOPACZEWSKI   Senior Director, Clinical Operations  Financial executive with over 25 years of management experience in a taxation, restructuring, acquisition, and private equity ventures.  JOEL LEWIS  Chief Executive Officer & President  Have two decades of expereince leading drug development across various stages of clinical trials in the pharmaceutical industry. Led multiple new drug application filings and secured approvals from several regulatory agencies.  KHURRAM JAMIL, M.D.Chief Medical Officer  Over 25 years diverse experience in the pharmaceutical research industry supporting global study operations from site to personnel management.   Over 28 years of experience working in the pharmaceutical industry in clinical data and trial management with 23 years as statistician.  Over 20 years of experience in clinical pharmacology, DMPK, and bioanalysis across multiple therapeutic areas.   ANDREW VOLOSOV, PH.D.  Senior Director, Clinical Pharmacology and Preclinical Research & Development  JIM WILKINS, PH.D.Head of CMC and Pharmaceutical Development  Over 30 years of experience in CMC and biopharmaceutical development. Previously served as Chief Technology Officer at Sensorin and Director of Technology Assessment at Genentech. 
 

 Clinical Program  Development Stage  Drug  Indication  Discovery  Preclinical  Phase 1  Phase 2  Phase 3  Fibrosis  Belapectin  MASH Cirrhosis and Portal Hypertension  Cancer Immunotherapy (Combination therapy)  Belapectin + Keytruda  Melanoma + Head / Neck Cancer  Oral Galectin-3 Inhibitors  Discovery program to identify subcutaneous forms of carbohydrates and oral small molecules  5  Laser-Focused Pipeline  
 

 Galectin 3 is part of the galectin family of sugar-binding proteins that act as a “molecular glue”, it is:  Predominantly produced by activated macrophages   Involved in a wide number of biological and pathological processes  Galectin-3 recruits macrophages to injury sites and promotes chronic inflammation by activating proinflammatory pathways  1. Marino KV, et al. Nat Rev Drug Discov. 2023;22(4):295-316. 2. Henderson NC, et al. Proc Natl Acad Sci U S A. 2006;103(13):5060-5.   6  Galectin-3 is a Promising Therapeutic Target in Inflammatory and Fibrotic Diseases1,2   Proliferation  Inflammation  Fibrosis  Apoptosis  Adhesion  Angiogenesis  Metastasis  Tumor Growth  Differentiation  Migration  Galectin-3  Galectin-3 drives many pathophysiological process in fibrotic diseases and cancer 
 

 Belapectin is a polysaccharide polymer comprising galacturonic acid, galactose, arabinose, rhamnose and smaller amounts of other sugars  Belapectin Preclinical Data:  In animal models of MASH (streptozotocin High-Fat Diet mice1) and cirrhosis (thioacetamide treated rats2) belapectin was associated with decreased:  Galectin-3 staining and galectin-3 expression in macrophages  NAFLD Activity Scores  Collagen-1 expression  Hepatic collagen deposition  Hepatic fibrosis   Portal pressure  In toxicology studies, including monkeys, belapectin:  Was well-tolerated even at high doses  Accumulated in macrophages with a residence time longer than in plasma  1. Traber PG, et al. PLoS One. 2013;8(12):e83481. 2. Traber PG, et al. PLoS One. 2013; ;8(10):e75361.  7  Belapectin: a Proprietary Galectin-3 Inhibitor with Low Toxicity and Anti-fibrotic Activity  
 

 MASH Cirrhosis  8 
 

 Metabolic dysfunction-associated steatohepatitis (MASH), previously known as non-alcoholic steatohepatitis (NASH), is characterized by fat accumulation, inflammation and fibrosis of the liver1  3%-5% of the global population is estimated to be affected by MASH, though the disease is considered to be underdiagnosed2  There are genetic predisposition to MASH, yet certain health conditions put patients at increased risk:3   1. Fatty Liver Foundation. https://www.fattyliverfoundation.org/#gsc.tab=0. .2. Sherif ZA, et al. Dig Dis Sci. 2016;61(5):1214-25. 3. NIDDK. NAFLD and MASH. https://www.niddk.nih.gov/health-information/liver-disease/nafld-nash/symptoms-causes. 4. Datamonitor Healthcare. MASH Disease Analysis. 5. Scientific Registry of Transplant Recipients. OPTN/SRTR 2021 Annual Data Report: Liver. https://srtr.transplant.hrsa.gov/annual_reports/2021/Liver.aspx. 6. Stepanova M, et al. Hepatol Commun. 2022;6(7):1506-1515. 7. Zobair M. Younossi, et al, Prevalence and predictors of cirrhosis and portal hypertension in the United States, American Association for the Study of Liver Disease, DOI: 10.1097/HEP.0000000000001243.  Being overweight or obese  Having hypertension, high cholesterol or high triglyceride levels  Having type 2 diabetes, insulin resistance or prediabetes  9  MASH Cirrhosis Represents a Significant Market Opportunity in the U.S. with No FDA-Approved Treatment  30% of those listed for liver transplant will die waiting1  MASH cirrhosis is expected to become the most frequent reason for a liver transplant6  Prevalence increased >2x in the past decade 4  Addressable market in the U.S.  ~8.7K  Liver transplantations in the U.S.5   100M   Americans have fatty liver disease (most don’t know it)1  20M   Develop liver fibrosis1  5M   Progress to MASH cirrhosis1  3.3M  MASH cirrhosis and portal hypertension7  Only curative treatment is liver transplant1  ~8.7K  Liver transplantations in the U.S.5  
 

 10  Belapectin is a Novel Therapy with First- and Best-in-Class Potential in MASH Cirrhosis  3rd Party Market Opportunity Assessment Suggests1  Potential 35-100% Adoption Rate  Limited current treatment options:  Cirrhotic management focuses on stabilization and delaying progression  Management directed towards comorbidities  Highly favorable perception of belapectin indication, MoA and safety by HCPs   Payers believe in the high unmet need in MASH cirrhosis  1. LifeSci Consulting Belapectin Commercial Opportunity Assessment contracted by the Company.   United States Estimates1  A significant unmet need exists for MASH compensated cirrhosis patients with portal hypertension due to disease severity and risk of decompensation  $18B  5M  1.7M  Patients with compensated MASH cirrhosis in 2024   Peak belapectin sales in U.S.   Patients with compensated cirrhosis and portal hypertension with no varices in 2024  
 

 HPVG=hepatic venous pressure gradient.   There are no approved therapies to reverse portal hypertension once it develops in MASH Cirrhosis  11  When to Intervene in Cirrhosis- before its too late!  Compensated   cirrhosis  Decompensated cirrhosis  No Portal Hypertension   Portal Hypertension  Stage 2  Stage 3 and 4  No varices  No varices  Varices, small to large  Varices Bleeding, ascites, encephalopathy  HVPG1 mm Hg   One year mortality 1-3%  One year mortality ~50%  ≥6  >10 
 

 12  Phase 2b Study of Belapectin in Patients with MASH Cirrhosis: GT-026 Trial   Main inclusion criteria  MASH cirrhosis (biopsy)  Portal Hypertension: HVPG ≥ 6 mmHg  No cirrhosis complications  No varices/varices (50:50)  Primary endpoint  Portal pressure (HPVG) change from baseline to Week 54  Secondary endpoints at Week 54  Liver biopsy  Varices (esophago-gastric endoscopy)  Cirrhosis decompensation  Placebo (n=54)  Screen  Belapectin 8 mg/kg/LBM Q2W (n=54)  52 Weeks   Belapectin 2 mg/kg/LBM Q2W (n=53)  Randomize  (N=162 1:1:1)  HVPG = Hepatic Venous Pressure Gradient; LBM=lean body mass. 1. Chalasani N, et al. Gastroentrol. 2020;158:1334-45.  
 

 13  Belapectin Impact on HPVG at One Year1,*  HVPG = Hepatic Venous Pressure Gradient; LBM=lean body mass, N.S.=non significant.  *ITT with LOCF, ANCOVA with baseline as covariate and treatment as factors, Bonferroni-Holm.1. Chalasani N, et al. Gastroentrol. 2020;158:1334-45.  N.S.  N.S.  Baseline  1 year  p=0.02  p=0.44  ITT Population  Subjects with no varices at baseline  Baseline  Baseline  1 year  1 year  Baseline  Baseline  Baseline  1 year  1 year  1 year 
 

 14  Belapectin Reduces Emergence of Varices in Patients with MASH Cirrhosis1,*   Significantly fewer new varices on belapectin vs placebo  No patients on 2 mg/kg/LBM developed new varices  Belapectin demonstrated efficacy on a clinically-meaningful endpoint where no current therapies exist  LBM=lean body mass.  *Chi square  1. Chalasani N, et al. Gastroentrol. 2020;158:1334-45.  p=0.02  p=0.12  6/33  1/23 
 

 15  NAVIGATE Trial Design  Placebo   n=119  Screen  Belapectin 2 mg/kg/LBM Q2W  n=119  78 Weeks   Belapectin 4 mg/kg/LBM Q2W  n=119  Randomize  (N=357 1:1:1)  Trial Design  Patient Population  MASH cirrhosis based on Liver Forum Recommended Criteria for Clinical Trials1  Diagnosis of Portal Hypertension as per Baveno VI criteria (via non-invasive markers)  No gastroesophageal varices by endoscopy at baseline  Assessment of Varices thru central adjudication of endoscopy videos by multiple blinded reviewers based on standardized protocol. 
 

 MASH cirrhosis  No varices on EGD  CTP Scores <7  Evidence of Portal hypertension:  Platelet count <150,000/mm3  Or at least two of the following  AST/ALT > 1  Spleen ≥ 14 cm   Collaterals by imaging   Stiffness ≥ 20 kPa  Development of new varices (composite strategy) in ITT population  Incidence of Varices in per protocol population (Completers)  Hepatic decompensation events  All-cause mortality  Proportion of patients with large varices or red wale sign  Varices requiring treatment  MELD ≥ 15   Liver transplant  Non-invasive biomarkers  ALT=alanine aminotransferase ; AST=aspartate transaminase; CTP=Child-Turcotte-Pugh; EGD=Esophagogastroduodenoscopy; MELD=model for end-stage liver disease.  *Intercurrent events include; Liver related clinical events, any AE leading to discontinuation, TIPS Trans-jugular intrahepatic portosystemic shunt; ≥12-month use of GLP-1 or NSBB  ITT- Intent to Treat  Secondary endpoint  NAVIGATE Study: Patient Population and Efficacy Endpoints  16  Key inclusion criteria  Primary endpoint  Secondary endpoint 
 

 17  Key Populations for Assessment of Varices Outcome  ITT population- All randomized subjects minus two subjects who had varices at baseline;  Per-Protocol or completer population- All subjects who completed 18 month of therapy and had an EGD at baseline and 18 months  Subject were required to complete the study even after development of varices unless subject dropped out for other reasons  Composite Primary end point: Any subject who developed esophageal varices or had an intercurrent event or dropouts without an EGD/intercurrent event  Intercurrent events included;   Liver related clinical events,   AE leading to discontinuation  TIPS-Trans-jugular intrahepatic portosystemic shunt   ≥12-month use of GLP-1 or NSBB    
 

 18  NAVIGATE Trial: Baseline Demographics   Baseline Demographics and Clinical Characteristics (N=355)     Placebo (N = 118)  Belapectin 2 mg (N = 119)  Belapectin 4 mg (N = 118)     Mean (Standard Deviation)  Mean (Standard Deviation)  Mean (Standard Deviation)  Age (years)  60.4 (8.50)  60.6 (8.82)  59.0 (9.14)  Gender (female), n  72 (61.0)  75 (63.0)  83 (70.3)  Ethnicity (Hispanic), n  34 (28.8)  39 (32.8)  33 (28.0)  Race (white), n  104 (88.1)  107 (89.9)  111 (94.1)  Weight (kg)  94.2 (21.68)  98.1 (24.30)  94.6 (20.95)  BMI (Kg/m2)  33.82 (6.46)  34.88 (6.68)  34.53 (6.22)  Hypertension  89 (75.4)  89 (74.8)  82 (69.5)  Type 2 Diabetes  80 (67.8)  79 (66.4)  79 (66.9)  HbA1C %  6.4 (1.27)  6.3 (1.13)  6.4 (1.09)  Alanine Aminotransferase (ALT), U/L  46.3 (29.92)  38.9 (26.88)  39.7 (20.22)  Aspartate Aminotransferase (AST), U/L  46.7 (23.52)  41.8 (24.40)  43.6 (21.90)  Platelets (per µL)  130.1 (39.66)  127.6 (48.39)  136.4 (53.62)  Liver Stiffness Measurement (kPa)  24.22 (12.17)  24.63 (13.54)  25.67 (13.19)  Spleen (cm)  13.79 (2.7)  13.97 (2.6)  13.87 (2.4)  MELD Score  7.6 (1.65)  7.9 (2.46)  7.5 (1.55)  Child Pugh Score   5.1 (0.29)  5.1 (0.31)    5.0 (0.18)  Statins (n)  49 (41.5)  55 (46.2)  47 (39.8)  GLP-1 agonist (n)  24 (20.3)  26 (21.8)  27 (22.9) 
 

 NAVIGATE 18-Month Primary Analyses Result – ITT Population  Intent to Treat (ITT) -All randomized subjects  Primary end point composite strategy i.e. new varices and/or intercurrent events or drop out  Intercurrent events (ICEs) include; Liver related clinical events, AE leading to discontinuation, TIPS; ≥12-month use of GLP-1 or NSBB   Overall Target Significance level– 2-sided p value of 0.05; using CMH test, stratified by Type 2 diabetes status at randomization.  p 0.139  p 0.552  n = 118   n = 119   n = 118   ITT Population  Number of subjects with new varices  Composite Primary Endpoint, ITT (All Randomized)  Key points  19 
 

 Key points  20  NAVIGATE: Intercurrent Events breakdown by category  n = 118   Subject %  Intercurrent Event Category  No subject met intercurrent event category for Trans-jugular intrahepatic portosystemic shunt(TIPS) or ≥12-month use of non-selective beta-blocker NSBB  ITT Population  6.3% subjects received concomitant NSBB, none for ≥ 12 months 
 

 Key points  NAVIGATE: Significantly Lower Incidence of Varices in Completers at 18 months  N = 97  N = 98  N = 95  n = 94   n =97   n = 96   p=0.04  p=0.13  Number of subjects  Subjects with new varices  NAVIGATE 18-month Primary Analyses Result; Per protocol population n= 287  Completer/Per Protocol: All ITT subjects who completed 18 months of treatment with an end of treatment (EOT) EDG  Overall Target Significance level – 2-sided p value of 0.05; using CMH test, stratified by Type 2 diabetes status at randomization.  21 
 

 Key points  NAVIGATE: Incidence of Varices by Size at 18-months  Number of subjects with new varices  Subjects with new varices  New varices at 18 months in Per Protocol Population   Placebo Treatment Group: N = 94  2mg/kg Belapectin Treatment Group: N = 97  4mg/kg Belapectin Treatment Group: N = 96  Varices grade definition  Large > 5 mm in diameter, occupying more than 1/3 of esophageal lumen  Medium >5 mm in diameter, occupying less than 1/3 of esophageal lumen  Small <5 mm in diameter, minimally elevated above esophageal mucosa.  p=0.04  22 
 

 Incidence of New Varices was Significantly Lower in Patients in the U.S.   n=13/62  n=4/60  n=8/64  n=8/32  n=7/37  n=5/ 32  p=0.02  p=0.54  p=0.35  NAVIGATE 18-month; Per protocol population (n=287)  p=0.2  23 
 

 24  Use of GLP-1 and Statin was Higher in Patients in the U.S.  24     Treatment Group        Placebo  Belapectin 2mg/kg LBM  Belapectin 4mg/kg LBM  Total  U.S.     (N=62)  (N=60)  (N=64)  (N=186)  Concomitant Use of GLP-1 n (%)  28 (45.2%)  22 (36.7%)  18 (28.1%)  68 (36.6%)  Concomitant Use of NSBBs n (%)  5 (7.9%)  3 (5.0%)  3 (4.6%)  11 (5.9%)  Concomitant Use of Statins n (%)  34 (54.8%)  31 (51.7%)  26 (40.6%)  93 (48.9%)  Concomitant Use of ACE Inhibitors n (%)  15 (23.8%)  17 (28.3%)  18 (27.7%)  50 (26.6%)  EX-U.S.     (N=32)  (N=37)  (N=32)  (N=101)  Concomitant Use of GLP-1 n (%)  5 (15.6%)  8 (21.6%)  12 (37.5%)  25 (24.5%)  Concomitant Use of NSBBs n (%)  2 (6.3%)  2 (5.4%)  3 (9.4%)  7 (6.9%)  Concomitant Use of Statins n (%)  8 (25.0%)  14 (37.8%)  16 (50%)  38 (37.6%)  Concomitant Use of ACE Inhibitors n (%)  4 (12.5%)  12 (32.4%)  11 (34.4%)  28 (27.5%)  Concomitant medication Use U.S. vs Ex- U.S.- Per Protocol 
 

 25  Impact of Concomitant Use of GLP-1 and Statins  Per-Protocol (n = 287)  New Varices at 18 months  ≥ 0.5pt ELF Increase  YES  (n=57)  NO  (n=229)  ≥ 5 kPa LSM Increase  Placebo  2mg/kg LBM  4mg/kg LBM  Total  Yes   18  19  20  57  No  75  78  76  229 
 

 26  Liver Related Outcomes/MACE at 18 months        Belapectin  Placebo  (N = 95)  n (%)  2mg/kg LBM  (N = 97)  n (%)  4mg/kg LBM  (N = 98)  n (%)  Subjects with Composite Clinical Outcomes, n (%)  4 (4.2)  3 ( 3.1)  7 (7.1)  Varices (Esophageal or Gastric) Requiring Treatment  3 (3.2)  3 ( 3.1)  3 (3.1)  Variceal Bleed Requiring Hospitalization  0  0  0  Clinically Significant Ascites Requiring Hospitalization  0  0  0  Spontaneous Bacterial Peritonitis  0  0  0  Overt Hepatic Encephalopathy (West Haven Score ≥2 and Requiring Hospitalization)  0  0  1 (1.0)  Liver Transplant  0  0  0  Model End Stage Liver Disease (MELD) Score ≥ 15  0  0  1 (1.0)  MI or Hospitalization for Unstable Angina  0  0  1 (1.0)  Stroke or Transient Ischemic Attack   1 (1.1)  0  1 (1.0)  MACE- major adverse cardiovascular events  Per Protocol population 
 

 Lack of Dose Response at Higher Doses of Belapectin in GT-026 were also observed in NAVIGATE trial  Based on findings from preclinical and clinical trials to date, Belapectin likely demonstrates target-mediated drug disposition (TMDD)  Once Galectin-3 binding sites within macrophages are saturated, additional drug molecules do not enhance efficacy  Higher doses may exceed the macrophage-specific uptake mechanisms, resulting in altered drug distribution and clearance  Higher drug concentrations have been associated with reduced efficacy, as observed in the GT-026 cohort, where subjects receiving 8 mg/kg (with higher AUC) exhibited lower pharmacodynamic (PD) effects.  Similar PK profile shown by monoclonal antibodies and interferon among other agents.  2 mg/kg dose demonstrated consistent and most optimum efficacy response  Similar PK-PD effects were observed across the GT-026 trial and the NAVIGATE 18-month results  Chalasani et al. Gastroenterology 2020; 158: 1334-1345  Pharmacokinetic-Pharmacodynamic (PK-PD)   27 
 

 28  Reference Guide: Biomarkers and Non-Invasive Scores in MASH Cirrhosis  Biomarker  Target  Biological Process  LSM by VCTE  Measures fibrosis via transient elastography (ultrasound-based)  Non-invasive quantification of liver stiffness reflecting fibrosis severity; used for diagnosis, prognosis, and treatment monitoring  ELF Test  Composite score of three extracellular matrix markers (HA, PIIINP, TIMP-1)  Reflects active fibrogenesis and matrix turnover; prognostic for fibrosis progression and clinical outcomes  PRO-C3  Formation of type III collagen  Marker of active fibrogenesis reflecting stellate cell collagen synthesis and matrix deposition  PRO-C4  Formation of type IV collagen  Reflects basement membrane remodeling and endothelial-matrix interface turnover in fibrosis  YKL-40  Chitinase-like glycoprotein secreted by macrophages and stellate cells  Marker of inflammation, macrophage activation, and extracellular matrix remodeling  AGILE-4  Integrates LSM, Age, Sex, AST/ALT, Platelet, Diabetes status   Diagnostic and prognostic tool in MASH and MASH cirrhosis  Baveno Criteria  Expert consensus criteria to define portal hypertension using LSM and Platelet Count  Risk stratification, treatment decision support 
 

 29  NAVIGATE: Improvement in LSM - Baseline to 18 monthsFull Analysis Set-FAS  ITT Population (n: 315)  N=97  N=96  Liver Stiffness kPa mean change %   Belapectin  Placebo  2mg/kg LBM  4mg/kg LBM  (N=102)  (N=107)  (N=106)  Baseline LSM Value (kPA)           Mean (SD)  23.6 (11.44)  25.1 (15.04)  25.8 (12.91)  Median  22.5  21.8  23.6  18-month LSM Value (kPa)           Mean (SD)  22.7 (13.71)  21.1 (12.88)  22.9 (13.40)  Change from Baseline in LSM Value (kPa) @ 18 months           Mean (SD)  -0.6 (11.38)  -2.9 (11.61)  -2.2 (10.54)  % Change from Baseline @ 18 months LSM Value (kPa) *           Mean %  1.8 (47.26)  -6.3 (39.13)  -4.5 (37.30)  * Calculated percentage change for each subject 
 

 NAVIGATE: Improvement in LSM - Baseline to 18 monthsPer-Protocol– Subjects with all available valid LSM  Per-Protocol (Completers n: 234)  N=97  N=96  Liver Stiffness kPa mean change %   Belapectin  Placebo  2mg/kg LBM  4mg/kg LBM  (N=76)  (N=81)  (N=77)  Baseline LSM Value (kPA)           Mean (SD)  22.6 (10.31)  24.6 (13.71)  25.7 (12.26)  Median  22.4  21.8  23.4  18-month LSM Value (kPa)           Mean (SD)  21.9 (12.54)  21.4 (13.32)  23.4 (13.85)  Change from Baseline in LSM Value (kPa) @ 18 months           Mean (SD)  -0.7 (10.71)  -3.2 (12.05)  -2.4 (10.90)  % Change from Baseline @ 18 months LSM Value (kPa) *           Mean %  1.7 (46.78)  -8.4 (38.33)  -5.0 (38.05)  * Calculated percentage change for each subject  30 
 

 Gawrieh S. et al. JHep 2024:81.600-608  Belapectin  N  Placebo  2mg/kg LBM  4mg/kg LBM  Total  77  84  79  240  31  Fewer Subjects Showed Worsening in Liver Stiffness Measure - LSM (kPa)   FAS with all available data (n = 240) 
 

 32  Fewer Subjects Showed Worsening in Liver Stiffness Measure - LSM (kPa)   Per-Protocol with all LSM (n = 234)  Gawrieh S. et al. JHep 2024:81.600-608  p 0.09  p 0.03  Belapectin  Placebo  2mg/kg LBM  4mg/kg LBM  Total  N  76  81  77  234 
 

 33  Belapectin Led to Improvement in Portal Hypertension Risk Category  Full Analysis Set- FAS (n :240)  Probable CSPH LSM ≥20 & platelet <150 or LSM 15-20 & platelet <110; no/low CSPH LSM≤ 15 and platelet≥ 150; Baveno VII Guidelines de Franchis 2022 Jhep  FAS with all available data   Belapectin 2mg/kg LBM  (N:84)  Placebo  (N:77)  Belapectin 4mg/kg LBM  (N:79) 
 

 34  Belapectin Led to Improvement in Portal Hypertension Risk Category in Completer Population  Placebo  (N:76)  Belapectin 2mg/kg LBM  (N:81)  Belapectin 4mg/kg LBM  (N:77)  Per Protocol Population (n :234)  Probable CSPH LSM ≥20 & platelet <150 or LSM 15-20 & platelet <110; no/low CSPH LSM≤ 15 and platelet≥ 150; Baveno VII Guidelines de Franchis 2022 Jhep  PP with all available data  
 

 35  Increase in AGILE-4 score ≥ 20%  Per protocol population n= 287  N = 95  n = 12  n = 9  n = 9  N = 94  N = 97  N = 96  n = 9 
 

 Incidence of Varices at 18 Months by Baseline ELF Categories  Per protocol population (n = 279)   N = 30  N = 25  N = 25  n = 3/18  n   = 3/19  n = 3/17  n = 1/21  n = 3/19  n = 9/50  n = 5/53  n = 6/53  n = 9/21  n = 5/22  n = 4/23     36 
 

 Key points  37  Fewer Subjects Progressed to High-Risk ELF Category (ELF ≥13)  ELF Enhanced Liver Fibrosis Score- combined for HA, PIIINP and TIMP-1  ELF: Risk of disease progression. < 9.8 Low risk, ≥11.3 mid risk, highest risk ≥13   Baseline to 18 months Per-Protocol (n=280)  Belapectin  Baseline ELF Value  Placebo  2mg/kg LBM  4mg/kg LBM           N  89  96  95  Mean  10.67  10.54  10.59  SD  1.16  0.96  1.04  Number of subjects  ELF score Category @ 18 month  Enhanced liver fibrosis (ELF) score predicts hepatic decompensation and mortality. Pearson M, et al JHEP Rep. 2024 Mar 11;6(6):101062.   Per-Protocol (n=280) 
 

 38  NAVIGATE- Pro-C3 change from Baseline at 78 Weeks  Per Protocol Population (n: 243)  Belapectin  Placebo  2mg/kg LBM  4mg/kg LBM  (N=79)  (N=81)  (N=83)  Baseline  Mean  50.19  45.91  43.39  Standard Deviation  38.45  31.58  17.42  Per protocol population with all available Pro-C3 data 
 

 39  NAVIGATE- Pro-C4 change at 18 month  Per Protocol Set (n: 201)  Percentage Change in Pro-C4  (Baseline to Week 78)  n= 61    n= 73   Belapectin  Placebo  2mg/kg LBM  4mg/kg LBM  (N=61)  (N=73)  (N=67)  Baseline  Mean  8.6  8.6  8.6  Standard Deviation  0.21  0.20  0.23  n= 67 
 

 40  NAVIGATE: Change in Pro-C4 at 18 Month  Full Analysis Population (n :204) | Per Protocol Population (n :201)  n=8  n=2  n=5  n=8  n=2  n=5  Belapectin  Placebo  2mg/kg LBM  4mg/kg LBM  Total  N, FAS  63  73  68  204  N, PPP  61  73  67  201 
 

 Percentage Change from Baseline in YKL-40  Full Analysis Set (n = 187)  n=13  n=23  n=23  n=23  n=23  n=19  Belapectin  Placebo  2mg/kg LBM  4mg/kg LBM  YKL-40 at Baseline  56.0  68.0  63.0  Mean  5.14  5.02  5.00  Standard Deviation  0.92  0.82  0.78  41 
 

 Percentage Change from Baseline in YKL-40  Per Protocol Set (n = 179)  n=21  n=22  n=19  n=12  n=22  n=22  Belapectin  Placebo  2mg/kg LBM  4mg/kg LBM  YKL-40 at Baseline  52.0  65.0  62.0  Mean  5.11  4.95  4.92  Standard Deviation  0.95  0.94  0.74  42 
 

 Belapectin consistently reduced Pro-Inflammatory Markers at 18 months   FAS population N: 143  N = 38  SD = 19.95  N = 58  SD = 10.65  N = 47  SD = 12.61  N = 38  SD = 95.52  N = 58  SD = 84.55  N = 47  SD = 95.80  N = 38  SD = 49.83  N = 58  SD = 39.60  N = 47  SD = 11.79  N = 38  SD = 1.96  N = 58  SD = 1.64  N = 47  SD = 7.78  N = 38  SD = 12.57  N = 58  SD = 5.60  N = 47  SD = 4.48  43  Pro-inflammatory  Anti-inflammatory 
 

 44  Inflammatory Biomarkers: Role and Function   Biomarker   Primary Cellular Source(s)  Pathophysiologic Role in MASH / Cirrhosis  Fibrosis Association  Expected Modulation with Gal-3 Inhibition  IL-1β (Pro-inflammatory)  Kupffer cells, macrophages, stellate cells  Activates inflammasome, promotes hepatocyte death and HSC activation; initiates inflammatory cascade  ↑ Strongly correlated with necroinflammation and fibrosis  ↓ Decrease — reduced macrophage activation and inflammasome signaling  IL-6 (Pro-inflammatory / regenerative)  Kupffer cells, hepatocytes  Induces acute-phase response and insulin resistance; sustains chronic inflammation  ↑ Elevated in progressive MASH and cirrhosis  ↓ Decrease — attenuation of inflammatory drive and acute-phase signaling  MCP-1 / CCL2 (Pro-inflammatory chemokine)  Kupffer cells, stellate cells, endothelial cells  Recruits monocytes and macrophages; key mediator of macrophage accumulation in fibrotic liver  ↑ Strong correlation with fibrosis stage  ↓ Decrease — reduced monocyte infiltration under Gal-3 blockade  MIP-1α / CCL3 (Pro-inflammatory chemokine)  Macrophages, stellate cells, endothelial cells  Amplifies local cytokine cascade and immune cell recruitment  ↑ Elevated in fibrogenic and portal inflammatory zones  ↓ Decrease — dampened chemokine amplification loop  TNF-α (Pro-inflammatory)  Kupffer cells, infiltrating macrophages, adipocytes  Drives hepatocyte apoptosis, metabolic dysfunction, and stellate cell activation  ↑ Strongly associated with inflammation grade and fibrosis severity  ↓ Decrease — suppression of TNF-α cascade via macrophage deactivation  IL-10 (Anti-inflammatory)  Kupffer cells, regulatory T cells, monocytes  Suppresses TNF-α, IL-1β, IL-6; limits inflammation and fibrosis progression  ↓ Often reduced in active MASH; compensatory rise in cirrhosis  ↑ Increase — restoration of anti-inflammatory signaling balance 
 

 Subjects Clinical Outcomes or MACE at 18 months  Per Protocol population        Belapectin  Placebo  (N = 95)  n (%)  2mg/kg LBM  (N = 97)  n (%)  4mg/kg LBM  (N = 98)  n (%)  Subjects with Composite Clinical Outcomes, n (%)  4 (4.2)  3 ( 3.1)  7 (7.1)  Varices (Esophageal or Gastric) Requiring Treatment  3 (3.2)  3 ( 3.1)  3 (3.1)  Variceal Bleed Requiring Hospitalization  0  0  0  Clinically Significant Ascites Requiring Hospitalization  0  0  0  Spontaneous Bacterial Peritonitis  0  0  0  Overt Hepatic Encephalopathy (West Haven Score ≥2 and Requiring Hospitalization)  0  0  1 (1.0)  Liver Transplant  0  0  0  Model End Stage Liver Disease (MELD) Score ≥ 15  0  0  1 (1.0)  MI or Hospitalization for Unstable Angina  0  0  1 (1.0)  Stroke or Transient Ischemic Attack   1 (1.1)  0  1 (1.0)  MACE- major adverse cardiovascular events  45 
 

 Safety Summary  Discontinuation of the study due to Adverse Events was similar across 3 cohorts:  7 (5.9%) in the Pbo  5 (4.2%) in 2 mg/kg Belapectin  8 (6.7%) in 4 mg/kg Belapectin  One subject in each of the three cohorts discontinued the study due to death  No drug related SAE reported in the entire trial  No Adjudicated Drug-Induced Liver Injury (DILI) Events.  Similar proportion of subjects reported Treatment-Emergent Adverse Events TEAEs across 3 cohorts:  112 (94.9%) in Pbo  116 (97.5%) in 2 mg/kg Belapectin   116 (96.7%) in 4 mg/kg Belapectin  Similar proportion of subjects reported Treatment-Emergent Serious Adverse Events (TESAEs) across 3 cohorts:  23 (19.5%) in Pbo  27 (22.7%) in 2 mg/kg Belapectin   25 (20.8%) in 4 mg/kg Belapectin  Adverse Events  Treatment-Emergent Adverse Events (TEAEs)  Treatment-Emergent Serious Adverse Events (TESAEs)  46 
 

 Assessment of Results  Belapectin 2 mg reduced varices incidence by 43.2% compared to placebo in the overall population(ITT); results were not statistically significant.  In the per-protocol population/completer (18-month treatment + end-of-treatment EGD), the reduction was 48.9%.  Initial sample size assumed 52.5% lower varices incidence with Belapectin vs. placebo.  Per-protocol population definition (18-month treatment + EGD) parallels completer biopsy definition in MASH trials.  U.S. enrolled patient results suggest synergistic benefit with GLP-1 therapy, highlighting Belapectin’s potential as both monotherapy and in combination regimens.  Less worsening in key markers of liver fibrosis marker provide further confidence in reduction in varices endpoint  Belapectin maintained a clean safety profile with low discontinuation rates and no drug-related serious adverse events.  Likely reasons for not achieving statistical significance in ITT;  Fewer recorded varices than expected; mid-study sample size re-estimation based on composite endpoint, not varices.  Shorter treatment duration; primary analysis at 18 months instead of 36 months.  Higher dropout rate (18.3% observed vs. 10% expected), mostly during COVID and first 4 months.  47 
 

 Key Takeaways and Next Steps   NAVIGATE enrolled the most advanced patients of recent MASH trials, requiring both MASH cirrhosis and portal hypertension.  A robust reduction in new varices was observed in both ITT and completer populations after 18 months of treatment.  Non-invasive biomarkers results, including LSM and ELF, aligned with clinical outcomes and provide pharmacodynamic proof of effect.  The 2 mg dose of Belapectin has demonstrated consistent, clinically meaningful effects across multiple trials*.  The unique mechanism of Galectin-3 inhibition positions Belapectin as a differentiated and complementary candidate for MASH cirrhosis therapy.  FDA feedback on NAVIGATE results planned by the year-end.  Partnership opportunities are being actively pursued.  *Chalasani N, et al. Gastroentrol. 2020;158:1334-45  48 
 

 Cancer Immunotherapy Program (Belapectin + checkpoint inhibitor) 
 

 50  Higher Galectin-3 Tumor Levels are Associated with Metastatic Melanoma Progression  **p<0.01, ***p<0.001.  CR=complete response; HNSCC=head and neck squamous cell carcinoma; MM=metastatic melanoma; PD=progressive disease; PR=partial response; SD=stable disease.  1. Greisen SR, et al. J Immunother Cancer. 2024;12(10):e009952.  Number of patients with or without progressive disease in hi/lo Galectin-3 expression in metastatic melanoma  number of patients  p=0.3  progression free  Time to progression 
 

 Increased progression-free survival in patients with higher trough level of pembrolizum1,*  51  Reduced PD-1 Clearance Correlates with Better Survival in Patients with MM and HNSCC  Serum trough levels of pembrolizumab in patients with disease control or progressive disease1  Increased trough levels of belapectin and pembrolizumab correlated with better clinical outcome including progression free survival in patients with MM and HNSCC  *Patients were grouped based on the trough levels of pembrolizumab at day 43: Q1Q2 (below population mean) and Q3Q4 (above population mean).  **p<0.01, ***p<0.001.  CR=complete response; HNSCC=head and neck squamous cell carcinoma; MM=metastatic melanoma; PD=progressive disease; PR=partial response; SD=stable disease.  1. Curti B. J Immunother Cancer. 2021;9:e002371. 
 

 Phase 1 (Investigator-Initiated) of belapectin + pembrolizumab (Keytruda®)  52  Belapectin in Combination with Pembrolizumab Showed Clinical Efficacy and Safety in Phase 11  Objective response observed in 50% of MM (7/14) and 33% of HNSCC (2/6) patients   Extension in more advanced patients showed stable disease in 56% MM (5/9) and 40% in HNSCC (2/5)  Combination treatment was well tolerated with no dose-limiting toxicity observed  Fewer immune adverse events than expected  Increased baseline expression of Gal3+ tumor cells, periphery PD-1+CD8+ T cells and reduced clearance of pembrolizumab correlated with clinical response  IND filed and approval to proceed received from FDA (Head and Neck cancer)  HNSCC=head and neck squamous cell carcinoma; MM=metastatic melanoma.  1. Curti B. J Immunother Cancer. 2021;9:e002371.  Objective response to belapectin+pembrolizumab therapy at Day 85 
 

 Belapectin is a novel, potent, galectin-3 inhibitor with Fast Track Designation  Low toxicity as a carbohydrate-based molecule which is degraded by natural processes   Patent protection through 2032  Only company to exclusively focus on treatment for MASH cirrhosis and portal hypertension  Significant efficacy observed in cirrhotic patients without varices  Promising NAVIGATE results at 18 month read out, ≥40% reduction in new varices vs placebo in ITT; significantly lower incidence of new varices in per protocol population  Encouraging clinical response in difficult-to-treat cancers in combination with checkpoint inhibitor  IND filed and approval to proceed received from FDA (Head & Neck cancer)  Developing galectin-based therapeutics to improve the lives of patients with chronic liver diseases and cancer  Focused Pipeline  MASH Cirrhosis  Oncology (Combination Therapy)  53  Investment Highlights 
 

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