株探米国株
英語
エドガーで原本を確認する
false 0001979414 0001979414 2025-11-12 2025-11-12 iso4217:USD xbrli:shares iso4217:USD xbrli:shares

 

 

 

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 12, 2025

 

NEONC TECHNOLOGIES HOLDINGS, INC.

(Exact Name of Registrant as Specified in Its Charter)

 

Delaware

(State or Other Jurisdiction of Incorporation)

 

001-42567   92-1954864
(Commission File Number)   (IRS Employer Identification No.)

 

23975 Park Sorrento, Suite 205 Calabasas, CA   91302
(Address of Principal Executive Offices)   (Zip Code)

 

(818) 570-6844

(Registrant’s Telephone Number, Including Area Code)

 

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))

 

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

 

Title of each class   Trading Symbols   Name of each exchange on which registered
Common Stock, par value $0.0001   NTHI   The Nasdaq Stock Market LLC

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (17 CFR §230.405) or Rule 12b-2 of the Securities Exchange Act of 1934 (17 CFR §240.12b-2).

 

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. ☐

 

 

 

 


 

Item 7.01. Regulation FD Disclosure.

 

On November 12, 2025, NeOnc Technologies Holdings, Inc. (the “Company”) issued a press release announcing updated clinical results from its current Phase 1/2a and compassionate care studies involving a cohort of 24 patients with recurrent WHO Grade III/IV isocitrate dehydrogenase 1 (IDH1)–mutant astrocytoma treated with its investigational intranasal agent, NEO100 (the “Results”). A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K.

 

On November 12, 2025, the Company hosted an investor conference call to discuss the Results. Furnished as Exhibit 99.2 and Exhibit 99.3 hereto are the investor presentation that the Company used in connection with its presentation at the investor conference call and a transcript of the investor conference call, respectively.

 

The information in this Item 7.01, Exhibit 99.1, Exhibit 99.2 and Exhibit 99.3 furnished hereto shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such a filing.

 

Item 9.01. Financial Statements and Exhibits.

 

(d) Exhibits

 

Exhibit No.   Description
99.1   Press Release, dated November 12, 2025
99.2   Investor Presentation
99.3   Transcript
104   Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

1


 

SIGNATURES

 

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

 

Dated: November 12, 2025 NeOnc Technologies Holdings, Inc.
     
  By: /s/ Amir Heshmatpour
    Name: Amir Heshmatpour
    Title:

Chief Executive Officer, President and Executive Chairman

 

2

EX-99.1 2 neonctechnologies_ex99-1.htm EXHIBIT 99.1

 

Exhibit 99.1

 

NeOnc Technologies Reports Updated Clinical Results

 

Results of Clinical Trials Provide Evidence Supporting Significant Radiographic Response and Potential Long-Term Survival in

Recurrent Grade III/IV IDH1-Mutant Astrocytoma Treated with Intranasal NEO100

 

CALABASAS, Calif., Nov. 12, 2025 (GLOBE NEWSWIRE) — NeOnc Technologies Holdings, Inc. (NTHI) (“NeOnc” or the “Company”), a multi–Phase 2 clinical-stage biopharmaceutical company developing novel therapies for central nervous system (CNS) cancers today announced updated clinical results from its current Phase 1/2a and compassionate care studies involving a cohort of 24 patients with recurrent WHO Grade III/IV isocitrate dehydrogenase 1 (IDH1)–mutant astrocytoma treated with its investigational intranasal agent, NEO100.

 

Clinical results provided support that treatment with intranasally delivered NEO100 resulted in a significant radiographic response, confirmed by contrast-enhanced and perfusion MRI, in 5 of 24 patients (21%)—a rate that markedly exceeds the <8% response typically observed with salvage therapies for recurrent gliomas. Additionally, results indicated that 44% of patients in this Phase 2a study achieved six-month progression-free survival (PFS-6), surpassing the 21–31% benchmark reported in historical datasets for IDH1-mutant recurrent high-grade gliomas. Furthermore, 8 of 24 patients (33%) remained alive ≥18 months after initiation of NEO100, demonstrating long term survival.

 

In addition, no significant toxicity was reported with intranasal administration of NEO100, even with prolonged, chronic intranasal administration, underscoring its potential utility as a therapeutic option for this patient population.

 

Amir F. Heshmatpour, Executive Chairman, President & CEO of NeOnc Technologies Holdings, Inc., stated: “With these data, we believe NeOnc stands at the threshold of a true game-changer for one of medicine’s greatest unmet needs—recurrent IDH1-mutant hi grade gliomas. For the first time, we’re witnessing evidence of meaningful radiographic responses and support for durable survival in patients who previously had few, if any, options. As we approach full enrollment of the NEO100 trial—and our full data readout six months post-enrollment—we believe this may represent a potential paradigm shift in the treatment of brain cancer. The data will speak for itself—and for the patients whose lives we are determined to transform.”

 

Mr. Heshmatpour added: “We view this trial as a pivotal value inflection point for NeOnc and for the broader neuro-oncology field signaling a potential move beyond palliation toward measurable, durable disease control and a possible new standard of care in malignant gliomas.”

 

Founder, Dr. Thomas Chen, Vice-Chairman and Chief Medical Officer noted that, “The data suggest that intranasal NEO100 may be the first central nervous system (CNS)–penetrant metabolic therapy capable of inducing durable response and multi-year survival in recurrent IDH1 mutant gliomas.”

 

Dr. Henry Friedman of Duke University emphasized the implications of these findings, stating, “The results from NEO100 signify a potential paradigm shift in the treatment of recurrent IDH1-mutant gliomas.”

 

Key Data Highlights:

 

Radiographic Response: 21% (5 of 24 patients) achieved significant radiographic remission confirmed by contrast-enhanced, T2-FLAIR, and perfusion MRI. This response rate exceeds the <8% typically observed with salvage therapies for recurrent gliomas.

 

Progression-Free Survival (PFS-6): 44% of patients achieved 6-month progression-free survival (PFS-6), outperforming historical benchmarks of 21–31% for IDH1-mutant recurrent high-grade gliomas.

 

Long Term Survival: 33% (8 of 24) demonstrated durable survival ≥18 months post-initiation of NEO100.

 

Tolerability: No significant toxicity observed even with prolonged, chronic intranasal administration.

 

 


 

Study Context: All patients in the combined analysis (1 compassionate-use case, 5 from Phase 1, and 18 from Phase 2a) had confirmed WHO recurrent Grade III/IV IDH1-Mutant Astrocytoma and were included in the analysis if they had been enrolled in the study for at least six months prior to data cutoff. Patients received intranasal NEO100, and results were assessed using Response Assessment in Neuro-Oncology (RANO) criteria.

 

Collectively, these findings indicate that NEO100 could represent a first-in-class, CNS-penetrant metabolic therapy potentially inducing significant radiographic response and extending survival in patients with recurrent Grade III/IV IDH1-Mutant Astrocytoma, thereby potentially offering a major advancement over past approaches predominantly limited to palliative care.

 

ABOUT NEONC TECHNOLOGIES HOLDINGS, INC.

 

NeOnc Technologies Holdings, Inc. is a clinical-stage life sciences company focused on the development and commercialization of central nervous system therapeutics that are designed to address the persistent challenges in overcoming the blood-brain barrier. The company’s NEO™ drug development platform has produced a portfolio of novel drug candidates and delivery methods with patent protections extending to 2038. These proprietary chemotherapy agents have demonstrated positive effects in laboratory tests on various types of cancers and in clinical trials treating malignant gliomas. NeOnc’s NEO100™ and NEO212™ therapeutics are in Phase II human clinical trials and are advancing under FDA Fast-Track and Investigational New Drug (IND) status. The company has exclusively licensed an extensive worldwide patent portfolio from the University of Southern California consisting of issued patents and pending applications related to NEO100, NEO212, and other products from the NeOnc patent family for multiple uses, including oncological and neurological conditions.

 

For more about NeOnc and its pioneering technology, visit neonc.com.

 

Important Cautions Regarding Forward Looking Statements

 

This press release contains “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. These forward-looking statements can be identified by terminology such as “may,” “will,” “should,” “intend,” “expect,” “plan,” “budget,” “forecast,” “anticipate,” “believe,” “estimate,” “predict,” “potential,” “continue,” “evaluating,” or similar words. Statements that contain these words should be read carefully, as they discuss our future expectations, projections of future results of operations or financial condition, or other forward-looking information.

 

Examples of forward-looking statements include, among others, statements regarding whether a definitive agreement will be reached with Quazar. These statements reflect our current expectations based on information available at this time, but future events may differ materially from those anticipated.

 

The “Risk Factors” section of our most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission, along with other cautionary language in that report or in our subsequent filings, outlines important risks and uncertainties. These may cause our actual results to differ materially from the forward-looking statements herein, including but not limited to the failure to finalize the agreement with Quazar, modifications to its terms, or alternative uses of proceeds.

 

We assume no obligation to revise or update any forward-looking statements, whether as a result of new information, future developments, or otherwise, except as required by applicable securities laws and regulations.

 

“NEO100” and NEO “212” are registered trademarks of NeOnc Technologies Holdings, Inc.

 

Company Contact:

info@neonc.com

 

Investor Contact:

James Carbonara

Hayden IR

(646)-755-7412

James@haydenir.com

 

 

EX-99.2 3 neonctechnologies_ex99-2.htm EXHIBIT 99.2

 

Exhibit 99.2

 

Significant Radiographic Response and Long - Term Survival in Recurrent WHO Grade 3/4 IDH1 - mutant Astrocytoma Treated with Intranasal NEO100 Amir Heshmatpour , Executive Chairman, President & CEO Dr. Thomas C Chen, Chief Medical Officer Dr. Josh Neman, Chief Clinical Officer Dr. Henry Friedman, Chair of NTHI SAB Dr. Alex Miller, Member of NTHI SAB November 12, 2025 NEO100 is a patented Investigational New Drug (IND) patented to NeOnc Technologies Holdings Inc.

 


(Nasdaq: NTHI) Version of October 5, 2025 Meeting Agenda • Introductions – Amir Heshmatpour • Purpose of Meeting – Dr. Thomas Chen • NEO100 - 1 Phase 2a update – Dr. Josh Neman • NEO100 Radiographic Response - Dr. Thomas Chen • Long Term Survivors – Dr. Josh Neman and Dr. Thomas Chen • Discussion – Drs.

2


Henry Friedman, Alex Miller • Q&A and Closing Remarks - Amir Heshmatpour Phase 2 Development & Clinical Pipeline 3 FDA Authorized Clinical Trials Commercialization Phase III Phase II Phase I IND Enabling * Preclinical Indication Application Drug Candidate Recurrent Grade III & Grade IV Astrocytoma Brain Cancer w/ IDH1 Mutation Intranasal NEO100 - 01 Meningioma Brain Tumors Intranasal NEO100 - 02 All Brain Tumors Oral NEO212 Pediatric Brain Tumors Intranasal NEO100 & Combined with Chemotherapy NEO100 - 03 Pediatric Application * NEO212 Received Phase 2 Approval **IND Enabling: Research to establish whether a compound is reasonably safe for initial use in humans and exhibits pharmacolo gic al activity that justifies commercial development. Phase 1 * Phase 1** Our Clinical Pipeline Continues to Expand to Include Other Applications of NEO100 & NEO212 Important Disclaimer: This development & clinical pipeline is subject to regulatory approval, risk and uncertainties, as well as potential changes to the pipeline and other factors that are beyond our control. Phase 2 Phase 2a 7 of 30 13 of 15 Last Cohort Completed 25 of 25 0 of 6 Maximum Tolerated Dosage not reached NEO100 - 1 Phase 2a Objectives Eligibility Requirements: • Patients with WHO recurrent isocitrate dehydrogenase - 1 (IDH1) – mutant Grade 3/4 Astrocytoma Primary Objective ● Determine Progression - Free Survival at 6 months (PFS - 6).

3


Secondary Objectives ● Assess Objective Response Rate (ORR) by RANO criteria. ● Determine Overall Survival (OS) and median PFS. ● Evaluate potential safety/tolerability of intranasal NEO100 at the MTD (1152 mg/day). ● Confirm systemic exposure via perillic acid levels. ● Collect preliminary Quality - of - Life (EORTC QLQ - C30 and BN - 20) data. ● Conduct subgroup analyses: IDH1 - mutant Grade IV glioma vs Grade III astrocytoma.

4


NEO100 - 01 Phase 2a: 6 - Month Progression Free Survival Historical IDH1 mut recurrent HGG 1,2 NEO100 - 01 Metric 21 - 31% 44% (8/18) 6 months Progression Free Survival References: 1 Fanucci et al., 2023 2 Walbert et al. 2010 ≥6 - month follow - up prior to data cutoff.

5


Significant Radiographic Response and Long Term Survivor Cohort Summary Patients with recurrent isocitrate dehydrogenase - 1 (IDH1) – mutant WHO Grade 3/4 Astrocytoma A total of 24 patients received intranasal NEO100 across Phase 1 (n=5) and Phase 2a (n=18) clinical trials, as well as one compassionate use case (n=1). All patients were enrolled in the study for a minimum of six months prior to data cutoff. MRI - confirmed Radiographic Response (Contrast, Perfusion) No major toxicity reported and chronic intranasal dosing.

6


NEO100 - 1 Radiographic Response Long Term Survival (Y/N) Time on NEO100 (years) Alive Cycles Completed C1D1 Date Primary Diagnosis Date long term survivor, radiographic response, both WHO Diagnosis Age as of 10/4/2025 Sex Study Phase Patient ID Y, 8.38 4.83 Y 58 6/4/18 6/16/2017 Both Astrocytoma, IDH - Mutant (Grade IV) 46 years 6 months 10 days F 1 01 - 301 Cleveland Clinic N, 1.59 0.58 Y 7 4/9/2025 05/08/2024 Radiographic Response Astrocytoma, IDH - Mutant (Grade IV) 34 years 9 months 19 days M 2a 01 - 514 Cleveland Clinic N, 2.46 1.0 Y 12 10/24/2024 5/18/2023 Radiographic Response Astrocytoma, IDH - Mutant (Grade IV) 32 years 5 months 27 days F 2a 10 - 501 Augusta/G A Cancer Center Y, 7.05 0.63 Y 7 3/20/2025 10/18/2018 Radiographic Response Astrocytoma, IDH - Mutant (Grade IV) 30 years 11 months 7 days F 2a 11 - 502 Atlantic Health N,3.75 2.69 Y 34 2/27/23 2/3/2022 Radiographic Response Astrocytoma, IDH - Mutant (Grade IV) 63 years F 1 compassi onate patient APR_SPEI ND • Diagnosis: WHO Grade IV IDH1 - mutant Astrocytoma , MGMT - unmethylated • Presentation: Seizure on 01 Feb 2022 → MRI showed new partially necrotic left parietal mass (5.7 î 3.4 î 4.6 cm) with nodular enhancement and intratumoral hemorrhage involving the splenium of the corpus callosum with mild contralateral extension.

7


• Surgery: Gross total resection (03 Feb 2022) • Adjuvant Therapy: Concurrent radiation + temozolomide , followed by 6 cycles of maintenance temozolomide (final cycle began Oct 2022 ) • Post - treatment MRI (20 Oct 2022): Postsurgical changes with increased nodular enhancement (14.5 mm, previously 8 mm) along the anterior aspect of the resection cavity; no new lesions. • Follow - up: • PET (12 Dec 2022) confirmed metabolic activity consistent with recurrence. • No active therapy after Oct 2022; awaiting insurance approval for lomustine as backup option. • MRI (26 Jan 2023): Interval increase in size and irregularity of left periventricular enhancing mass (4.6 cm) prior to initiating NEO100 . • Other Therapy: No other anti - tumor treatment received while on NEO100 study Long Term Survival (Y/N) Time on NEO100 (years) Alive Cycles Completed C1D1 Date Primary Diagnosis Date long term survivor, radiographic response, both WHO Diagnosis Age as of 10/4/2025 Sex Study Phase Patient ID N,3.75 2.69 Y 34 2/27/23 2/3/2022 Radiographic Response Astrocytoma, IDH - Mutant (Grade IV) 63 years F 1 compassi onate patient APR_SPEI ND Cycle 8 1.1 AP x 1.5 TR cm Cycle 34 .31 AP x .71 TR cm Baseline (Pre - NEO100) ~ 4.7cm Long Term Survival (Y/N) Time on NEO100 (years) Alive Cycles Completed C1D1 Date Primary Diagnosis Date long term survivor, radiographic response, both WHO Diagnosis Age as of 10/4/2025 Sex Study Phase Patient ID N,3.75 2.69 Y 34 2/27/23 2/3/2022 Radiographic Response Astrocytoma, IDH - Mutant (Grade IV) 63 years F 1 compassio nate patient APR_SPEIN D Post contrast Post contrast Perfusion: rCBV Post contrast

8


9


• Diagnosis: WHO Grade IV IDH1 - mutant Astrocytoma, MGMT status unknown • Initial Management: Surgical resection on 16 Jun 2017 • Adjuvant Therapy: – Radiation therapy: 24 Aug 2017 – 05 Oct 2017 – Temozolomide (4 cycles): 24 Nov 2017 – 22 Apr 2018 – Optune device: Used concurrently with temozolomide only • Pre - study MRI: 25 May 2018 — performed post – adjuvant therapy, showing evidence of relapse or progression • Clinical Trial Enrollment: Initiated NEO100 study; first dose administered 04 Jun 2018 • Additional Therapy: No other anti - tumor treatment received while on NEO100 study Long Term Survival (Y/N) Time on NEO100 (years) Alive Cycles Completed C1D1 Date Primary Diagnosis Date long term survivor, radiographic response, both WHO Diagnosis Age as of 10/4/2025 Sex Study Phase Patient ID Y, 8.38 4.83 Y 58 6/4/18 6/16/2017 Both Astrocytoma, IDH - Mutant (Grade IV) 46 years 6 months 10 days F 1 01 - 301 Cleveland Clinic Baseline (Pre - NEO100) 0.63 AP x 1.39 TR cm Cycle 2 0.64 AP x 1.55 TR cm Cycle 57 0 AP x 0 TR cm Long Term Survival (Y/N) Time on NEO100 (years) Alive Cycles Completed C1D1 Date Primary Diagnosis Date long term survivor, radiographic response, both WHO diagnosis Age as of 10/4/2025 Sex Study Phase Patient ID Y, 8.38 4.83 Y 58 6/4/18 6/16/2017 Both Astrocytoma, IDH - Mutant (Grade IV) 46 years 6 months 10 days F 1 01 - 301 Cleveland Clinic Post contrast Post contrast Perfusion: rCBV Post contrast Perfusion: rCBV

10


11


• Diagnosis: WHO Grade IV IDH1 - mutant Astrocytoma, MGMT status unknown • Initial Management: Biopsy on 18 May 2023, followed by resection on 27 Jun 2023 • Adjuvant Therapy: – Radiation therapy: 31 Jul 2023 – 20 Sep 2023 – Temozolomide (1 cycle): 31 Jul 2023 – 07 Aug 2023 • Subsequent Therapy (after progression): Lomustine (2 cycles): 08 Apr 2024 – 18 Jul 2024 • Pre - study MRI: 19 Oct 2024 • Clinical Trial Enrollment: Began NEO100 study; first dose administered 24 Oct 2024 • Additional Therapy: No other anti - tumor treatment received while on NEO100 study Long Term Survival (Y/N) Time on NEO100 (years) Alive Cycles Completed C1D1 Date Primary Diagnosis Date long term survivor, radiographic response, both WHO Diagnosis Age as of 10/4/2025 Sex Study Phase Patient ID N, 2.46 1.0 Y 12 10/24/2024 5/18/2023 Radiographic Response Astrocytoma, IDH - Mutant (Grade IV) 32 years 5 months 27 days F 2a 10 - 501 Augusta/GA Cancer Center Baseline (Pre - NEO100) . 49 AP x .60 TR cm Cycle 2 .52 AP x .52 TR cm Cycle 12 0 AP x 0 TR Long Term Survival (Y/N) Time on NEO100 (years) Alive Cycles Completed C1D1 Date Primary Diagnosis Date long term survivor, radiographic response, both WHO diagnosis Age as of 10/4/2025 Sex Study Phase Patient ID N, 2.46 1.0 Y 12 10/24/2024 5/18/2023 Radiographic Response Astrocytoma, IDH - Mutant (Grade IV) 32 years 5 months 27 days F 2a 10 - 501 Augusta/G A Cancer Center Post contrast Post contrast Post contrast Perfusion: rCBV

12


13


• Diagnosis: WHO Grade IV IDH1 - mutant Astrocytoma , MGMT status unknown • Initial Management: Surgical resection on 12 Oct 2018 → pathologic diagnosis confirmed 18 Oct 2018 • Adjuvant Therapy: Radiation therapy + Temozolomide , 13 Feb 2019 – 16 May 2019 • Screening MRI: 06 Mar 2025 • Clinical Trial Enrollment: Began NEO100 study; first dose administered 20 Mar 2025 • Additional Therapy: No other anti - tumor treatment received while on NEO100 study Long Term Survival (Y/N) Time on NEO100 (years) Alive Cycles Completed C1D1 Date Primary Diagnosis Date long term survivor, radiographic response, both WHO Diagnosis Age as of 10/4/2025 Sex Study Phase Patient ID Y, 7.05 0.63 Y 7 3/20/2025 10/18/2018 Radiographic Response Astrocytoma, IDH - Mutant (Grade IV) 30 years 11 months 7 days F 2a 11 - 502 Atlantic Health Baseline (Pre - NEO100) 1.42 AP x 1.37 TR cm Cycle 2 1.00 AP x 1.23 TR cm Cycle 7 1.67 AP x 1.37 TR cm Long Term Survival (Y/N) Time on NEO100 (years) Alive Cycles Completed C1D1 Date Primary Diagnosis Date long term survivor, radiographic response, both WHO diagnosis Age as of 10/4/2025 Sex Study Phase Patient ID Y, 7.05 0.63 Y 7 3/20/2025 10/18/2018 Radiographic Response Astrocytoma, IDH - Mutant (Grade IV) 30 years 11 months 7 days F 2a 11 - 502 Atlantic Health Post contrast Perfusion: rCBV Post contrast Perfusion: rCBV Post contrast

14


15


• Diagnosis: WHO Grade IV IDH1 - mutant Astrocytoma , MGMT - unmethylated , • Initial Management: Underwent surgical resection on 08 May 2024 • Adjuvant Therapy: • Radiation therapy: 24 Jun 2024 – 05 Aug 2024 • Temozolomide: 02 Sep 2024 – 13 Jan 2025 • Screening MRI: 31 Mar 2025 • Clinical Trial Enrollment: Initiated NEO100 study; first dose administered on 09 Apr 2025 • Other Therapy: No other anti - tumor treatment received while on NEO100 study Long Term Survival (Y/N) Time on NEO100 (years) Alive Cycles Completed C1D1 Date Primary Diagnosis Date long term survivor, radiographic response, both WHO Diagnosis Age as of 10/4/2025 Sex Study Phase Patient ID N, 1.59 0.58 Y 7 4/9/2025 05/08/2024 Radiographic Response Astrocytoma, IDH - Mutant (Grade IV) 34 years 9 months 19 days M 2a 01 - 514 Cleveland Clinic Baseline (Pre - NEO100) . 73 AP x .35 TR cm Cycle 2 .58 AP x .36 TR cm Cycle 6 .58 AP x .75 TR cm Long Term Survival (Y/N) Time on NEO100 (years) Alive Cycles Completed C1D1 Date Primary Diagnosis Date long term survivor, radiographic response, both WHO Diagnosis Age as of 10/4/2025 Sex Study Phase Patient ID N, 1.59 0.58 Y 7 4/9/2025 05/08/2024 Radiographic Response Astrocytoma, IDH - Mutant (Grade IV) 34 years 9 months 19 days M 2a 01 - 514 Cleveland Clinic Post contrast Perfusion: rCBV Post contrast Perfusion: rCBV Post contrast Perfusion: rCBV

16


17


Long - Term Survival: Recurrent WHO Grade 3/4 IDH1 - mutant Astrocytoma • No major toxicity reported across cohort; chronic intranasal dosing well tolerated • Adverse events predominantly low - grade; safety consistent with prolonged exposure + Subject alive 8 of 24 patients are long - term survivors, surviving ≥18 months following initiation of NEO100, with a median overall survival of 88 months Summary: NEO100 - 01 Clinical Outcomes for Recurrent WHO Grade 3/4 IDH1 - mutant Astrocytoma Progression - Free Survival: 44% of patients achieved 6 - month progression - free survival (PFS - 6), outperforming historical benchmarks of 21 – 31% for IDH1 - mutant recurrent high - grade gliomas.

18


Radiographic Response: 21% of patients achieved significant radiographic remission. This response rate exceeds the <8% typically observed with salvage therapies for recurrent gliomas. Long - Term Survival: 33% of patients demonstrated durable survival ≥18 months post - initiation of NEO100 with median overall survival of 88 months.

19


Impact & Significance • First - of - its - kind signal for durable response: MRI - confirmed significant response in setting rarely seen • Potential paradigm shift with multi - year survival: CNS - penetrant metabolic therapy • Differentiation: Minimal toxicity vs. standard salvage therapies • Translational momentum: Supports Phase 2b/3 and global trials (e.g., Cleveland Clinic, UAE, M42/IROS)

20


Significant Radiographic Response and Long - Term Survival in Recurrent WHO Grade 3/4 IDH1 - mutant Astrocytoma Treated with Intranasal NEO100 Discussion – Drs. Henry Friedman, Alex Miller Q&A NEO100 is a patented Investigational New Drug (IND) patented to NeOnc Technologies Holdings Inc. (Nasdaq: NTHI) Version of October 5, 2025

21

EX-99.3 4 neonctechnologies_ex99-3.htm EXHIBIT 99.3

 

Exhibit 99.3

 

Transcript of

NeOnc Technologies Holdings, Inc.

Investor Conference Call to Present Data Updates from Ongoing NEO100-1 Phase

1/2a Clinical Trial and Compassionate Use Program

November 12, 2025

 

Participants

 

Amir F. Heshmatpour - CEO, Executive Chairman, and President, NeOnc Technologies Holdings, Inc.

 

Thomas Chen - Founder, CSO and Board Director, NeOnc Technologies Holdings, Inc.

 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

Alexandra M. Miller - Chief of Neuro-Oncology and Co-Director of the Brain and Spine Tumor Center at NYU Langone

 

Henry S. Friedman - Chair of Scientific Advisory Board, NeOnc Technologies Holdings, Inc.

 

Analysts

 

Presentation

 

Operator

 

Amir F. Heshmatpour - CEO, Executive Chairman, and President, NeOnc Technologies Holdings, Inc.

 

Good morning everyone and thank you for joining us. I am Amir Heshmatpour, Executive Chairman, President, CEO of NeOnc Technologies Holdings, Incorporated. I’m joined today by our leadership team and scientific team members. Dr. Thomas Chen, our Chief Medical Officer; Dr. Josh Neman, our Chief Clinical Officer; Keithly Garnett, our Chief Financial Officer; Dr. Dr. Henry Friedman, Chair of our Scientific Advisory Board, and Dr. Alex Miller, a key member of our Scientific Advisory Board.

 

Together, this team reflects the depth and experience of innovation driving NeOnc forward. Today marks an important milestone for NeOnc. Through the dedication of our investigators, patient and scientific collaborators, we have achieved full enrollment in our lead Phase 2 clinical study, NEO100, our internasal therapeutic designed for recurrent IDH1-mutated high-grade gliomas.

 

Transcript Provided by

 

 


 

This morning, we will be discussing significant radiographic response and long-term survival in recurrent World Health Organization grade III, grade IV, IDH1-mutant high-grade gliomas treated with intranasal NEO100, findings that underscore the promise of our platform and its potential transform outcome in some of the most challenging brain cancers.

 

This program embodies our mission, translating innovation into hope for patients who have long been without effective options. This data we will review today, not only will demonstrate meaningful radiographic response, but also durable survival benefits that are beginning to redefine what is possible in aggressive CNS malignancies.

 

With that, I will turn it over to Dr. Thomas Chen.

 

Thomas Chen - Founder, CSO and Board Director, NeOnc Technologies Holdings, Inc.

 

Thank you, Amir. So today, what we will be doing is presenting our data from the Phase 2a, as Mr. Heshmatpour has stated. And what we will be looking at is initial introduction to the trials that NeOnc has currently in progress. And what we have here is basically our NEO100-01. These are the results that we will be talking about today in patients with recurrent Grade III and grade IV astrocytomas. All these patients have IDH1 mutations. These patients have been treated with standard care therapy and now have recurrence of their disease.

 

This is a phase 2a trial. And as mentioned, we have now completed enrollment of 25 patients. Our NEO100-02 is also given intranasally. It is still in progress. It is given for treatment of meningiomas. Meningiomas are the most common type of benign brain tumors. However, they can also become atypical or malignant. And these are the patients that we will be treating in our Phase 2. It’s currently at 7 out of 30 for enrollment.

 

Our next trial, NEO212, is given orally. It’s a chemical conjugate of Temozolomide with NEO100. We’re currently in Phase 1. We’re treating all brain tumors. We are now in our last cohort. We’ve enrolled 13 out of 15 patients. And this is the maximum tolerant group. Tolerant dosage has not been reached.

 

And our last trial is NEO100-03. It is our pediatric application. We are going to be giving it intranasally as well. We’ll be treating pediatric brain cancer, usually in midline. It is currently in the Phase 1, and it will be starting enrollment.

 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

Thank you, Tom. Now I’ll go over the NEO100-01 Phase 2 objectives, which we are fully enrolled in. Quickly, I’ll go over the eligibility requirements, which are for patients with WHO recurrent IDH1-mutant, Grade III, Grade IV astrocytomas, who have gone from standard of care therapy. This includes radiation and temozolomide. Our primary objectives for this phase 2a trial has been progression-free survival at six months. Our secondary objectives have been to assess objective response rates, overall survival, evaluate safety and tolerability, and confirm every exposure to Perillic acid, and collect quality of life data.

 

Transcript Provided by

 

 

2


 

As you can see from our swimmers chart, these are all patients enrolled within the phase 2a trial. Amongst patients on our Phase 2a cohort who have been on study for at least six months, we have achieved a 44% progression-free survival. These are eight out of 18 evaluable patients. This rate, as you can see, significantly exceeds historical benchmarks of 21% to 31%, indicating a meaningful improvement in disease control compared to prior studies.

 

Now I’d like to go over our significant radiographic response and long-term survivor cohort summary. These were patients with, again, recurrent IDH1 mutant WHO grade III/IV astrocytomas. In this cohort summary, we looked at 24 patients receiving intranasal NEO100 only across our Phase 1, which was five patients, and Phase 2a, which were 18 patients, as well as one compassionate use.

 

Again, all patients were enrolled in study for a minimum of six months prior to data cutoff. MRI confirmed radiographic response via MRI contrast and perfusion. We saw no major toxicity reported and any chronic intranasal dosing.

 

These are a summary of the five patients that we will be going over with respect to our radiographic response. Again, these patients are alive, all are alive, and are on NEO100. I will be going over the patient history, and Dr. Chen will be going over the radiographic response imaging.

 

For patient one, we have a female who’s 63 years old. She was diagnosed with WHO Grade IV IDH1 mutant astrocytoma with unmethylated MGMT status. She presented with, on February 2022, showing a partially necrotic left partial mass. She then went on gross total resection, then adjuvant therapy, which included radiation and temozolomide, followed by six maintenance of temozolomide. On follow-up on December 22, there was confirmed metabolic activity consistent with recurrence. She had no other active therapies after October 22. On her MRI in January of 2023, she showed an irregular left periventricular enhancing mass and started NEO100. She has been on NEO100 for 35 cycles, which corresponds to 35 months. Dr. Chen?

 

Thomas Chen - Founder, CSO and Board Director, NeOnc Technologies Holdings, Inc.

 

This is the radiographic imaging of this patient. What you can see is in her left parietal periventricular area is a post-contrast imaging showing a contrast enhancing mass. This is at baseline. After cycle eight, without any other treatment, you can see that this mass has significantly decreased in size. And then after cycle 34, almost all the mass is gone from the sample contrast enhancement. And on the perfusion scan, which demonstrates that there’s increased blood flow to the tumor, it is negative.

 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

Our second patient is a female, 46 years of age. She was diagnosed again with a WHO grade IV IDH1 mutant astrocytoma with an unknown MGMT status. She went through initial management of surgical resection, followed by adjuvant therapy, which included radiation therapy and four cycles of temozolomide and an Optune device. Prior to study, there was clinical progression of evidence of relapse for this patient. She went on 58 cycles of NEO100 and is currently alive. Dr. Chen? This shows the patient’s MRI scan at the time of enrollment, and you can see the area of contrast enhancement.

 

Transcript Provided by

 

 

3


 

Thomas Chen - Founder, CSO and Board Director, NeOnc Technologies Holdings, Inc.

 

After two cycles, you can still see the mass, but on her perfusion scan, it is cold. And after cycle 57 that mass is pretty much gone and her perfusion scan remains cold.

 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

Our third patient, again, is a 32-year-old female. She was diagnosed with an IDH4 mutant astrocytoma, again, with an unknown MGMT methylation status. Her initial management was biopsy and adjuvant therapy was started with radiation and one cycle of temozolomide. On pre-study MRI, she showed that she had recurrence and her first dose was on October of 2024. And she is currently on 12 cycles of NEO100 and is alive. Dr. Chen.

 

Thomas Chen - Founder, CSO and Board Director, NeOnc Technologies Holdings, Inc.

 

This shows the patient has a small recurrence. This is in her left frontal lobe. And with treatment, at cycle 2, you can still see that the patient has a lesion at that same area. At cycle 12, the contrast enhancing portion is now gone. And with the perfusion scan, you do not see the lesion anymore as well.

 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

Our fourth patient is a female of 30 years old. She was also diagnosed with a Grade IV IDH1 mutant astrocytoma. Her initial management included surgical resection with pathological confirmed diagnosis. She went on adjuvant therapy, which was radiation therapy and temozolomide. Again, she went on screening in March of 2025 and began NEO100 alone. She is currently on 7 cycles of NEO100 and alive. Dr. Chen?

 

Thomas Chen - Founder, CSO and Board Director, NeOnc Technologies Holdings, Inc.

 

This shows that she has a right frontal lesion at the time of recurrence. After 2 cycles, that area enhancement is not seen, and her perfusion scan is full. After cycle 7, you can see that there is still some enhancement. Question was whether this was just pseudo progression. And you can see here that her perfusion scan remains full.

 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

Our last patient is a male, 34 years of age, diagnosed again with a Grade 4 IDH1 mutant astrocytoma with MGMT unmethylated status. He underwent surgical resection, followed by adjuvant therapy of radiation and temozolomide. He was enrolled in NEO100 and has been on cycle 7 or 7 months of NEO100 and is alive, with no other current therapies. Dr. Chen? This shows the patient has a small right frontal lesion.

 

Transcript Provided by

 

 

4


 

Thomas Chen - Founder, CSO and Board Director, NeOnc Technologies Holdings, Inc.

 

And you can see an area of hypermetabolic activity on this MRI perfusion scan. After 2 cycles, you still see the lesion, but now that area of hypermetabolic activity on the perfusion scan is no longer seen. And after 6 cycles, the lesion has stayed about the same size, but the perfusion scan shows that the lesion is not seen with no activity.

 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

So now we’re going to move on to our data for our long-term survivors. These include our World Health Organization Grades III and IV IDH mutant astrocytomas. These subjects are from our Phase 1, Phase 2 and Compassionate Care program. Out of patients who have been on NEO100, as you can see, 8 out of 24 of these patients are termed long-term survivors, meaning that they have been on NEO100 and surviving following initiation of the therapy for a minimum of 18 months.

 

The median survival for these patients is 88 months in total. We do not see any major toxicity reported across the cohorts, and there are no adverse events as well.

 

In summary, our NEO100 clinical outcomes for recurrent WHO Grade III/IV IDH1 mutant astrocytomas are that for progression-free survival at 6 months, we have 44% of patients who’ve achieved this progression-free survival. This outperforms historical benchmarks of 21% to 31% for IDH1 mutant recurrent high-grade gliomas.

 

With respect to our radiographic response, 21% of patients achieved significant radiographic remission. This response rate exceeds the 8% typically observed with salvage therapies for recurrent gliomas. Finally, with our long-term survivors, 33% of patients demonstrated a durable survival of greater than 18 months post-initiation of NEO100 with a median overall survival of 88 months. Dr. Chen?

 

Thomas Chen - Founder, CSO and Board Director, NeOnc Technologies Holdings, Inc.

 

Thank you, Josh. First of all, I want to say that this is the first of its kind signal for a durable response. And with our NEO100 trial, we are seeing MRI-confirmed significant response in a setting that’s rarely seen. This provides a potential paradigm shift with multi-year survival and demonstrates that NEO100 is a CNS-penetrant metabolic therapy that is durable.

 

Our differentiation of our drug from current therapy is that it’s minimal toxicity. It’s a nasal brain delivery system, and it’s much more durable and can be performed at home compared to standard chemotherapy. This provides us with translational momentum to support future phase 2b/3 and global trials.

 

Transcript Provided by

 

 

5


 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

Now I’d like to open it up to discussions and remarks from Drs. Henry Friedman and Alex Miller. Dr. Henry Friedman is our Chair of our Advisory Board and our distinguished Professor of neuro-oncology and leader of the Preston Robert Tisch Brain Tumor Center at Duke University. Dr. Alex Miller is Chief of Neuro-Oncology and Co-Director of the Brain and Spine Tumor at the NYU Langone Health. Thank you.

 

Amir F. Heshmatpour - CEO, Executive Chairman, and President, NeOnc Technologies Holdings, Inc.

 

Alex, you want to go first?

 

Alexandra M. Miller - Chief of Neuro-Oncology and Co-Director of the Brain and Spine Tumor Center at NYU Langone

 

Sure. Thank you. Thank you so much for the exciting presentation and the data and for the kind introduction. Dr. Neman. Honored to be part of this team and very excited about the work that was just presented.

 

As everyone here alluded to, existing treatments for gliomas really inadequate and often our patients are sadly left with few options, most of which are palliative. And our effective treatments currently, for glioma really represent an urgent unmet need for innovative new strategies, especially ones with minimal side effects and easy administration.

 

So NeOnc really represents a unique approach to the treatment of gliomas. And as I mentioned, I think particularly appealing is the ease of administration, the lack of significant side effects associated with the drug. And the fact that because there are so few side effects, it really has the potential to enable it to be layered on top of many of our other treatment strategies as well.

 

So the encouraging preliminary results that were just presented, I believe really provide clear justification for continued research on how NeOnc may be best deployed to become part of our armamentarium as neuro-oncologists that we can use in order to counter the devastating effects of gliomas on our patients and their families. And I’m really looking forward to the next phase and a bigger clinical trial to follow this signal and see how this work unfolds.

 

Transcript Provided by

 

 

6


 

Henry S. Friedman - Chair of Scientific Advisory Board, NeOnc Technologies Holdings, Inc.

 

Well, how am I supposed to follow that? That was quite eloquent and quite spot on. I’ve been doing this a long time and only rarely does an agent come out that gives one the hope that we’re going to see something really meaningful.

 

I remember I was there with the FDA for temozolomide. Our team at Duke led the push for Avastin. This reminds me of Avastin in the sense that we saw a small cohort of patients who had some extremely good responses and that led really quickly to approval for recurrent disease and an allowance to use it in newly diagnosed disease with bulk disease present.

 

Everything I see tells me there’s a strong signal here. Everything tells me for all the reasons Alex elucidated that this is something we really should be pursuing. Duke will participate in these trials, of course. This is something that needs to be pursued, but I am heartened that we’ve got something that’s going to prove to be very meaningful. And I don’t say that very often in this field.

 

Thomas Chen - Founder, CSO and Board Director, NeOnc Technologies Holdings, Inc.

 

Thank you, Dr. Friedman.

 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

Thank you, Dr. Friedman, Dr. Miller. We’re going to go to the web for questions, and I see that we have several already. Dr. Chen, maybe I’m going to point this question towards you. The first question is there any toxicity that is considered on target? Does NEO100 -- does your drugs metabolism suggest any drug that NEO100 can’t be combined with?

 

Thomas Chen - Founder, CSO and Board Director, NeOnc Technologies Holdings, Inc.

 

The answer is that there are no visible toxicity with NEO100. In terms of combination therapy, we have done some compassionate use patients with combination therapy, but we have not had a formal product.

 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

Great. And a second follow-up question, Dr. Chen, is, is the resistance mechanism to NEO100 understood? And any ideas of what might predict the long responses? That’s a great question.

 

Transcript Provided by

 

 

7


 

Thomas Chen - Founder, CSO and Board Director, NeOnc Technologies Holdings, Inc.

 

It still illustrates the fact that we do not understand fully all the mechanisms of NEO100. NEO100, to me, the response that we’re seeing is really the tip of the iceberg in terms of what we can potentially achieve with the stroke. We know for sure that it’s not toxic. We also know for sure that it has activity. How it combines with other therapies, how it combines with either recurrent disease or newly diagnosed disease are topics that we will be exploring.

 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

Great. I’m going to -- Dr. Friedman, there’s another question in the chat that I’m going to ask you. Given the durable responses and favorable safety profile, could NEO100 qualify for breakthrough therapy, fast track, or even orphan drug designation expansion?

 

Henry S. Friedman - Chair of Scientific Advisory Board, NeOnc Technologies Holdings, Inc.

 

Yes. I think that those are things that we need to pursue. They’re all different pathways, but all of them need to be explored. The problem, of course, is the FDA a year ago is not the FDA of today. So I’m not sure where we are, but one very heartening step was that Rick Pazdur was just made head of CDER. And that’s usually important. He was Head of the Oncology Center. Now he’s Head of CDER and he brings to bear a predictable way of responding to the kinds of issues that we’re talking about now. So I think that orphan disease, well, that’s easy. It’s orphan disease. That’s a no brainer. Breakthrough or other ways that one can expedite the review, again, depends on their perception of the data.

 

But I think that the thing that’s most striking to me, frankly, is less the responses than the duration of time that patients who were progressing go on the drug and stay on the drug. That is the single most important thing as far as I’m concerned. Responses are nice to show people and I’m not pooh-poohing them in any way. But when I see a curve or a slide that shows me you’ve got patients on there for years on the drug and they were actively progressing at the time they entered that therapy, that’s a signal that needs to be pursued. I think the FDA will probably feel the same way.

 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

Thank you, Dr. Friedman. Dr. Miller, there’s one question that I’m going to -- in the chat, that may be pointed to you. Again, based on its safety profile, could NEO100 be explored in combination with temozolomide, CCNU/Lomustine, or other inhibitors, including immunotherapy? Absolutely.

 

Transcript Provided by

 

 

8


 

Alexandra M. Miller - Chief of Neuro-Oncology and Co-Director of the Brain and Spine Tumor Center at NYU Langone

 

And I was just, thinking as I was going through trial designs in my head during the presentation that I think that’s a clear place to go, is to layer it on top of standard of care, especially for the IDH median population where we often see better responses to chemotherapy. But even though we see better responses, we know that those responses are inadequate and not durable. And so anything we can do to lengthen that amount of time for our patients, I think we should pursue.

 

Josh Neman - Chief Clinical Officer, NeOnc Technologies Holdings, Inc.

 

Okay, great. Thank you. We have several other questions, but I know we’re running out of time. So I’m going to now turn it over to Mr. Heshmatpour for closing remarks.

 

Amir F. Heshmatpour - CEO, Executive Chairman, and President, NeOnc Technologies Holdings, Inc.

 

Thank you. Thank you, Josh. Thank you, everyone. It looks like Dr. David Ashley has joined us, as well as Axel. So with the closing remarks, as of today, NEO100 is fully enrolled, a pivotal achievement that positions us to deliver the full FDA six-month readout by May 12 of 2026. We are deeply encouraged by the safety, durability and clinically meaningful benefits we’ve seen to date, and even more inspired by what lies ahead.

 

On behalf of our entire NeOnc team, I want to extend my heartfelt thanks to our investigators, collaborators and above all, our patients. Your commitment and courage continues to push our mission forward. Together, we are not just advancing our therapy. We are advancing hope for those fighting brain cancer. And thank you, and God bless.

 

Transcript Provided by

 

 

9