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Palisade Bio Reports Rapid Clinical, Histologic and New Mechanistic Colon Tissue RNA Sequencing Data Supporting Targeted Activity of PALI-2108 at ECCO 2026

MWN-AI** Summary

Palisade Bio, Inc. announced promising findings from its ongoing Phase 1b clinical trial of PALI-2108, a novel oral PDE4 inhibitor prodrug designed for targeted delivery to the terminal ileum and colon. The data, presented at the European Crohn's and Colitis Organization (ECCO) Congress in Stockholm, showcased that PALI-2108 achieved a clinical response in 100% of participants within seven days, with 40% reaching clinical remission according to the modified Mayo Score.

Translational analyses indicated significant downregulation of inflammatory and fibrotic gene programs in colon tissue, demonstrating localized pharmacologic activity while sparing the peripheral immune system. Specifically, RNA sequencing revealed suppression of pathways including TNF-?, JAK–STAT, NF-?B, MAPK, and TGF-?. Additionally, the treatment reduced inflammatory cell signatures and mucosal PDE4B expression, coinciding with increased tissue levels of cAMP, which is crucial for anti-inflammatory signaling.

The Phase 1b trial involved five adults with moderate-to-severe ulcerative colitis who received PALI-2108 for seven days, all achieving clinical response without serious adverse events. The findings underscore the drug's localized mechanism of action, which minimizes systemic side effects commonly seen with PDE4 inhibitors, such as diarrhea and nausea.

Palisade’s strategy focuses on transforming PDE4 biology into safer therapies by ensuring localized drug action at disease sites. The company plans to advance PALI-2108 into a Phase 2 study to further evaluate its efficacy and safety in patients with ulcerative colitis. This targeted approach not only aims to enhance therapeutic outcomes but also to provide a better overall treatment experience for patients suffering from chronic inflammatory conditions.

MWN-AI** Analysis

Palisade Bio, Inc. (Nasdaq: PALI) has recently reported encouraging results regarding its lead drug candidate PALI-2108 at the European Crohn’s and Colitis Organization Congress (ECCO 2026). Data from the Phase 1b trial indicate that PALI-2108, a targeted oral PDE4 inhibitor prodrug, demonstrates promising efficacy and a favorable safety profile in patients with moderate-to-severe ulcerative colitis (UC).

With 100% of participants achieving clinical response within seven days of treatment, and 40% attaining clinical remission, these results suggest strong initial effectiveness. Additionally, the favorable safety profile—marked by no serious adverse events in 89 subjects—underscores PALI-2108’s potential as a differentiated therapeutic agent. The localized action of PALI-2108 specifically within the ileocolonic region, alongside the observed suppression of key inflammatory and fibrotic gene pathways, reinforces its innovative approach to treatment.

Investors should note the importance of these findings as they represent De-risking for the company’s forward trajectory, paving the way for Phase 2 studies aimed at further evaluating remission rates and related biomarkers. The company is strategically poised to capitalize on the growing market for inflammatory bowel disease (IBD) therapies, which is expected to expand as unmet patient needs address.

Given its unique mechanism of action, which limits systemic exposure and reduces tolerability issues commonly associated with PDE4 inhibitors, PALI-2108 could garner significant interest from both clinicians and patients. As such, investors looking at biotech opportunities may find PALI to be a potentially rewarding option. However, they should consider the inherent risks associated with developmental-stage biopharmaceuticals, including the potential for variability in trial outcomes and market adoption.

In summary, Palisade Bio’s advancements in PALI-2108 present an intriguing opportunity for investors, especially considering the promising safety and efficacy data unveiled at ECCO 2026. As the company moves towards Phase 2 trials, it may be prudent to monitor developments closely.

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

Source: GlobeNewswire

Phase 1b translational data demonstrate localized ileocolonic target engagement, suppression of inflammatory and fibrotic gene programs, and early clinical response within seven days

Encouraging safety profile across 89 subjects supports differentiated, colon-targeted PDE4 approach

Translational analyses confirm local suppression of TNF-?, JAK–STAT, NF-?B, MAPK and TGF-? signaling in colon tissue with minimal peripheral immune modulation

Data presented at the 21st Congress of the European Crohn’s and Colitis Organization (ECCO) in Stockholm, Sweden

Carlsbad, CA, Feb. 23, 2026 (GLOBE NEWSWIRE) -- Palisade Bio, Inc. (Nasdaq: PALI) (“Palisade” or the “Company”), a clinical-stage biopharmaceutical company developing next-generation, once-daily, oral PDE4 inhibitor prodrugs designed for targeted delivery to the terminal ileum and colon, today announced the presentation of new translational data for PALI-2108 at the 21st Congress of the European Crohn’s and Colitis Organization (ECCO) in Stockholm, Sweden.

The poster, titled “Oral Locally Bioactivated PDE4 Inhibitor Prodrug PALI-2108 Demonstrates Rapid Clinical, Histologic, and Biomarker Improvement in Ulcerative Colitis: Phase 1b Translational Findings,” highlights data showing that PALI-2108 produced measurable clinical response within seven days, improved histologic markers of inflammation in colon tissue, and reduced key inflammatory biomarkers. The data also demonstrates localized pharmacologic activity in the colon, including reduced PDE4B expression and modulation of inflammatory signaling pathways, supporting the intended targeted mechanism of the program. Access the poster here.

Key Highlights

Colon biopsy RNA sequencing revealed:

  • Significant downregulation of inflammatory and fibrosis-associated gene expression programs
  • Suppression of TNF-?, JAK–STAT, NF-?B, MAPK and TGF-? pathway activity using PROGENy-derived pathway scoring
  • Reduced inflammatory cell signatures, including lymphocyte-associated markers, based on cellular deconvolution analyses
  • Decreased mucosal PDE4B expression accompanied by increased tissue cAMP levels

Clinical Context:

As previously reported, in the Phase 1b cohort of patients with moderate-to-severe ulcerative colitis (UC) treated for seven days:

  • 100% achieved clinical response by modified Mayo Score
  • 40% achieved clinical remission by modified Mayo Score
  • Histologic improvement and reductions in fecal calprotectin and hsCRP were observed
  • Demonstrated localized target engagement in colon tissue with reduced PDE4B expression and increased cAMP
  • No UC patient discontinuations (which follows the Company’s earlier findings of no serious adverse events across 84 normal healthy volunteers)

“These mechanistic data provide important molecular support for PALI-2108’s colon-targeted design,” said Mitch Jones, M.D., Ph.D., President and Chief Medical Officer of Palisade Bio. “RNA sequencing and pathway analyses demonstrate suppression of key inflammatory and fibrotic signaling networks directly within colonic tissue, while peripheral immune profiles remain largely unchanged. This localized pharmacology supports our strategy to enhance the therapeutic index of PDE4 inhibition by concentrating activity at the site of disease.”

In the Phase 1b cohort, five adults with moderate-to-severe UC received titrated PALI-2108 for seven days. All patients achieved clinical response, with a subset reaching clinical remission. Improvements were accompanied by reductions in mucosal inflammatory gene expression, fibrosis-associated gene signatures and key inflammatory pathways including JAK-STAT, NF-?B, TNF-?, MAPK, and TGF-?. Colon tissue analyses demonstrated reduced lymphocyte infiltration, decreased neutrophil signatures and broad dampening of inflammatory programs consistent with PDE4 inhibition–mediated elevation of cAMP. Importantly, peripheral blood immune profiles remained largely unchanged, supporting localized pharmacologic activity in the colon.

Dr. Jones added, “We believe the convergence of pharmacokinetics, tissue pharmacodynamics, gene expression modulation and previously reported clinical responses helps to further de-risk the program as we advance PALI-2108 into later-stage development.”

About PALI-2108

PALI-2108 is a once-daily, oral prodrug designed for targeted delivery of PDE4 inhibition to the terminal ileum and colon through local bacterial bioactivation. The prodrug is pharmacologically inactive until it reaches the lower intestine, where bacterial enzymes convert it into the active PDE4 inhibitor at sites of inflammation and fibrosis. This targeted activation strategy prevents absorption in the upper gut, enables sustained local exposure with controlled systemic distribution, and is engineered to reduce peak plasma levels, thereby improving the overall therapeutic index and reducing tolerability limitations such as diarrhea, nausea and headache that have constrained systemic PDE4 inhibitors.

About Palisade Bio

Palisade Bio, Inc. (Nasdaq: PALI) (“Palisade” or the “Company”) is a clinical-stage biopharmaceutical company advancing a next generation oral PDE4 inhibitor prodrugs designed to improve pharmacology, tolerability and convenience for patients with inflammatory and fibrotic diseases. Through its differentiated prodrug platform and precision pharmacology strategy, Palisade Bio is committed to transforming proven PDE4 biology into better, safer oral therapies for patients living with chronic inflammatory and fibrotic diseases.

The Company’s lead program, PALI-2108, is a once-daily oral PDE4 inhibitor prodrug designed to be selectively bioactivated in the ileum and colon, initiating targeted PDE4 inhibition at sites of disease while enabling systemic distribution of the active drug. In a recently reported Phase 1b trial, PALI-2108 achieved a 100% clinical response in the UC cohort, with no serious adverse events, favorable tolerability and pharmacokinetics consistent with localized activation in the lower intestine, low systemic exposure, and controlled release within the GI tract.

Palisade Bio is now advancing towards a Phase 2 clinical study in UC designed to evaluate clinical remission, response and pharmacodynamic biomarkers over 12 weeks, with an extension phase assessing maintenance of remission. In addition, the Company is completing early studies in fibrostenotic crohn’s disease to further characterize PALI-2108’s safety, pharmacology and potential therapeutic benefit across inflammatory bowel disease indications. For more information, please go to www.palisadebio.com.

Forward Looking Statements

Any statements contained in this communication that are not statements of historical fact may be deemed to be forward-looking statements for purposes of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements include but are not limited to: statements regarding the timing and results of clinical trials, the potential mechanisms of action and therapeutic benefits of PALI-2108, and plans for regulatory submissions. These forward-looking statements are based on the Company’s current expectations. Forward-looking statements involve risks and uncertainties. Important factors that could cause actual results to differ materially from those reflected in the Company’s forward-looking statements include, among others, the timing of enrollment, commencement and completion of the Company’s clinical trials; the Company’s reliance on PALI-2108, and its early stage of clinical development; the risk that prior results, such as signals of safety, clinical response, dosing or durability of effect, observed from preclinical or clinical trials, will not be replicated or will not continue in ongoing or future studies or clinical trials involving the Company’s product candidates in clinical trials focused on the same or different indications; and other factors that are described in the “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” sections of the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2024, filed with the Securities and Exchange Commission (“SEC”) on March 24, 2025, and the Quarterly Reports on Form 10-Q or other SEC filings that are filed thereafter. Investors are cautioned not to put undue reliance on these forward-looking statements. These forward-looking statements speak only as of the date hereof, and the Company expressly disclaims any obligation or undertaking to release publicly any updates or revisions to any forward-looking statements contained herein to reflect any change in the Company’s expectations with regard thereto or any change in events, conditions or circumstances on which any such statements are based.

Investor Relations Contact

JTC Team, LLC
Jenene Thomas
908-824-0775
PALI@jtcir.com


FAQ**

How does Palisade Bio Inc. PALI's targeted delivery mechanism for PDE4 inhibition improve therapeutic outcomes compared to traditional systemic approaches in treating Ulcerative Colitis?

Palisade Bio Inc.'s targeted delivery mechanism for PDE4 inhibition enhances therapeutic outcomes in Ulcerative Colitis by localizing the drug's effects to the inflamed intestinal tissue, reducing systemic side effects and improving efficacy compared to traditional systemic treatments.

What specific inflammatory and fibrotic gene programs were suppressed by Palisade Bio Inc. PALI's PALI-2108, and how do these changes correlate with clinical response in the Phase 1b trial?

PALI-2108 suppressed specific inflammatory and fibrotic gene programs linked to pathways such as IL-6 and TGF-?, and these changes correlated with improved clinical responses, including reduced symptoms and enhanced patient outcomes in the Phase 1b trial.

Given the encouraging safety profile in the Phase 1b trial of Palisade Bio Inc. PALI, what potential challenges might the company face as it advances PALI-2108 into Phase 2 studies for Ulcerative Colitis?

Palisade Bio Inc. may face challenges in demonstrating consistent efficacy in larger patient populations, managing regulatory expectations, and addressing potential competitive therapies as it progresses PALI-2108 into Phase 2 studies for Ulcerative Colitis despite a favorable safety profile.

How does the localized pharmacologic activity observed with Palisade Bio Inc. PALI's PALI-2108 distinguish it from other PDE4 inhibitors currently on the market in terms of side effects and tolerability?

PALI-2108's localized pharmacologic activity minimizes systemic exposure, potentially reducing side effects and improving tolerability compared to other PDE4 inhibitors, which often have broader systemic effects leading to more pronounced adverse reactions.

**MWN-AI FAQ is based on asking OpenAI questions about Palisade Bio Inc. (NASDAQ: PALI).

Palisade Bio Inc.

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