Press Release: MaaT Pharma Publishes Its Half-Year 2026 Results and Provides a Business Update

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   --  MaaT013 (Xervyteg(R)): 
 
          --  In September 2026, following the re-examination procedure, the 
             CHMP maintained its negative opinion on the Conditional Marketing 
             Authorization Application $(MAA)$ for MaaT013 (Xervyteg(R)). 
 
          --  Feedback received through a Type C interaction with the U.S. 
             Food and Drug Administration (FDA) contributes to the preparation 
             of PHOENIX as a proposed registrational Phase 3 trial and provides 
             a framework for finalizing the protocol and progressing U.S. 
             development activities. 
 
 
 
   --  MaaT034: CMC-focused pre-Investigational New Drug (IND) meeting with 
      the U.S. FDA, focused on CMC (Chemistry, Manufacturing and Controls) 
      activities, scheduled for October 2026. 
 
   --  Revenue of EUR1.1 million in H1 2026, compared with EUR2.4 million in 
      H1 2025, mostly driven by the impact of the Clinigen Licensing Agreement 
      as of January 1, 2026, while patient demand in the Early Access Program 
      (EAP) remained globally stable. 
 
   --  Cash and cash equivalents of EUR17.1 million as of June 30, 2026. 
 
   --  Cash runway now estimated to extend to December 2026 based on the 
      Company's current operating plan. 
 
   --  The Company is exploring financing opportunities from investors and 
      strategic partnerships 
LYON, France--(BUSINESS WIRE)--September 29, 2026-- 

Regulatory News:

MaaT Pharma (EURONEXT: MAAT -- the "Company"), a clinical-stage biotechnology company and a leader in the development of Microbiome Ecosystem Therapies(TM) (MET) dedicated to enhancing survival for patients with cancer through immune modulation, today announced its half-year financial results for the six-month period ended June 30, 2026, and provided a business update.

"In the first half of 2026, the Company continued to advance its development pipeline.

Following the negative CHMP opinion on MaaT013 (Xervyteg(R) ), we initiated a comprehensive review of our portfolio and operating priorities. The measures implemented extend, based on our current estimates, our cash runway to December 2026, while we continue to actively explore financing and strategic partnership opportunities to support the Company's priority programs" stated Eric Soyer, CFO of MaaT Pharma.

Pipeline highlights

In Hemato-Oncology

Acute Graft-versus-Host Disease (aGvHD) -- MaaT013 (Xervyteg(R) )

   --  In January 2026, MaaT Pharma transitioned the Early Access Program in 
      Europe to Clinigen. As of June 30, 2026 and since 2019, more than 550 
      authorizations have been given under the Early Access Program in 14 
      different countries. 
 
   --  In March 2026, at the European Society for Blood and Marrow 
      Transplantation $(EBMT)$ 2026 Annual Meeting, MaaT Pharma presented final 
      results from the ARES trial evaluating MaaT013 (Xervyteg(R)) in aGvHD. 
      The Company also presented CHRONOS real-world data, reporting 29% 
      12-month overall survival and 37% Day-28 GI-ORR in third-line patients 
      treated with therapies other than microbiome-based treatments. Clinigen 
      hosted a dedicated symposium on steroid-refractory GI-aGvHD. 
 
   --  In April 2026, the CHRONOS study was published in Bone Marrow 
      Transplantation, a peer-reviewed journal. 
 
   --  MaaT013 (Xervyteg(R)) Regulatory Evaluation: 

In Europe:

   --  In June 2026, MaaT Pharma announced that the CHMP of the European 
      Medicine Agency (EMA) adopted a negative opinion on the conditional MAA 
      for MaaT013(Xervyteg(R)) for the treatment of aGvHD in adult patients 
      with gastrointestinal involvement refractory to prior lines of therapy, 
      confirming the previously announced negative trend opinion disclosed on 
      May 20, 2026. At that time, the Company confirmed its plan to seek 
      re-examination of the opinion. 
 
   --  As a post-period event, in September 2026, the Company announced that 
      the CHMP of the EMA had maintained its negative opinion on the CMA 
      application for MaaT013 following re-examination. During the application 
      process, MaaT Pharma proposed conducting a randomized controlled Phase 3 
      trial versus Best Available Therapy (BAT), named PHOENIX, which is 
      intended to support potential future regulatory submissions in the U.S., 
      Europe and other selected territories, subject to further regulatory 
      feedback, successful execution and positive results. 

In the US and globally:

   --  As a post-period event, in September 2026, MaaT Pharma announced 
      progress in U.S. clinical readiness for PHOENIX, supported by feedback 
      from a Type C interaction with the FDA and the completion of a 
      feasibility assessment across major clinical trial sites. 
 
   --  Subject to appropriate funding and regulatory clearance, PHOENIX is 
      intended to be conducted across the U.S., Europe and other regions as a 
      proposed registrational Phase 3 trial, potentially supporting future 
      registration submissions subject to successful execution and positive 
      results. 

Allogeneic Hematopoietic Stem Cell Transplant (allo-HSCT) - MaaT033

   --  PHOEBUS is a randomized clinical trial vs placebo evaluating MaaT033 in 
      patients receiving allo-HSCT. Under the current development plan, the 
      last patient is expected to be enrolled in the fourth quarter of 2027, 
      with topline results for one-year overall survival anticipated in the 
      fourth quarter of 2028. 
 
   --  In March 2026, the Company presented a poster at the EBMT 2026 Annual 
      Meeting. 

In Immuno-Oncology

MaaT034 - Next-generation drug candidates with co-cultured technology

   --  MaaT034, a microbiome ecosystem therapy, is designed to be a universal 
      Microbiome combination partner for immunotherapies, improving outcomes in 
      patients with ICI-refractory solid tumors, including NSCLC and melanoma. 
 
 
   --  As a post-period event, in September 2026, MaaT Pharma announced that a 
      CMC-focused Pre-IND meeting with the FDA was scheduled for October 2026, 
      representing the next key regulatory milestone for MaaT034. A 
      First-in-Human study in solid tumors, including second-line advanced 
      NSCLC and refractory advanced melanoma, has been designed to determine 
      the optimal dosing and pre-treatment regimen and generate initial 
      clinical proof-of-concept data. The study could be initiated in late 
      2027, subject to appropriate funding and regulatory clearance. 

Investigator-sponsored immuno-oncology studies

   --  In January 2026, MaaT Pharma announced its participation in IMMUNOLIFE, 
      an investigator-sponsored Phase 2 study led by Gustave Roussy and 
      designed to further explore the role of the gut microbiome and 
      antibiotics in responses to immune checkpoint inhibitors in advanced 
      NSCLC. 
   --  The Company has also been informed that topline results from the 
      academic-sponsored PICASSO study may be available in 2026, subject to the 
      sponsor's timelines. The expected PICASSO data are intended to provide 
      complementary insights and are not expected to directly impact MaaT034's 
      development strategy. 

In the context of the CHMP outcome, the Company is conducting a strategic review of its assets, which may result in adjustments to the associated development plans and timelines.

Key Financial Results

Key audited financial results for the first half of 2026 are as follows:

Income Statement

 
                                       2026.06       2025.06 
       In thousands of euros          (6 months)    (6 months) 
                                    ------------  ------------ 
 
 Revenue                                   1 079         2 427 
 Cost of Goods Sold                        (105)         (790) 
 
 Gross Margin                                974         1 637 
 
 Other Income                              2 044         2 494 
 Sales and distribution costs                  -         (491) 
 General and administrative costs        (2 822)       (3 611) 
 Research and development costs         (19 200)      (14 778) 
 
 Operating Income (loss)                (19 004)      (14 749) 
 
 Financial Income                          1 472            87 
 Financial Expense                         (800)         (422) 
----------------------------------  ------------  ------------ 
 Net financial income (expense)              672         (336) 
 
 Income (loss) before income tax        (18 331)      (15 085) 
----------------------------------  ------------  ------------ 
 
 Income tax expense                            -             - 
 
 Net Income (loss) for the period       (18 331)      (15 085) 
----------------------------------  ------------  ------------ 
 

Prepared in accordance with international accounting standards IFRS

Revenues totaled EUR1.1 million as of June 30, 2026, compared with EUR2.4 million on June 30, 2025. The 55% decrease was mostly driven by the evolution of the EAP revenue model, following the implementation as of January 2026 of the Clinigen Licensing Agreement. Revenues now consist of transfer price and royalties, while the number of EAP patient treatments remained globally stable (-4%). Under the licensing agreement, Sales and Distribution costs were also transferred to Clinigen.

Operating loss was EUR18.3 million in the first half of 2026 compared with EUR15.1 million in the first half of 2025. The EUR3.2 million loss increase was mostly attributable to research and development costs, which progressed from EUR14.8 million in the first half of 2025 to EUR19.2 million in the first half of 2026, consistent with the advancement of the Company's late-stage clinical programs, in particular with the data analysis and regulatory activities for MaaT013 (Xervyteg(R) ) and with the ongoing patient recruitment in the PHOEBUS Phase 2b trial in allogeneic-HSCT with MaaT033.

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