Research & Development

Revolutionizing autoimmune and oncology treatment

Targeting the root cause: a paradigm shift in immune modulation. Unlike traditional biologics that suppress the immune system, Tregalizumab is the first and only monoclonal antibody designed to selectively activate regulatory T cells (Tregs), restoring immune balance and addressing high-unmet-need diseases more effectively.

First-in-class

Why Tregalizumab? A first-in-class breakthrough

Restores immune tolerance

Activates Tregs to reduce harmful inflammation without broad immunosuppression.

Addresses core pathophysiology

Modulates immunity at its source rather than just managing symptoms.

Proven clinical activity

Proof-of-concept in RA & psoriasis, paving the way for broader autoimmune applications.

Biomarker-driven development

Targeted patient selection, reducing trial risk.

Mechanism of action

How it works: a differentiated mechanism

Tregalizumab binds domain 2 of the CD4 receptor. On regulatory T cells this triggers selective activation. On effector T cells the same binding event does not.

Tregalizumab targets CD4 on T cells and binds to a distinct CD4 epitope. Regulatory T cells are selectively activated; effector T cells are not.

Schematic illustration of the mechanism of action. Not to scale; not structurally representative.

Mechanism of action of Tregalizumab on regulatory and effector T cells Tregalizumab binds domain 2 of the CD4 receptor. In regulatory T cells this triggers selective activation with increased cAMP and TGF-beta signalling. In effector T cells the same binding event does not lead to activation. Treg CD4 D2 Tregalizumab TCR cAMP TGF-β CD137 Selective Treg activation Teff CD4 D2 Tregalizumab TCR STOP No Teff activation
Step 01

Treg activation

Enhances immune regulation in inflammatory diseases. cAMP and TGF-β signalling are increased.

Step 02

Reduces effector T cell activity

Controls harmful immune responses without activating effector T cells.

Step 03

Balances immune modulation

Avoids the immunosuppression seen in existing biologics.

What the data shows

  • Binds a unique epitope on CD4 domain 2, activating a distinct signaling cascade that strengthens Tregs without triggering inflammation.
  • Induces FOXP3⁺ Treg activation and a CD137⁺ CD154⁻ signature, a hallmark of stable suppressive function.
  • Excellent safety: no cytokine release, no lymphocyte depletion.
  • Mechanism validated in vitro, ex vivo and in vivo.
Competitive advantage. Unlike current therapies that block inflammatory cytokines (e.g. TNF, IL-6, IL-23), Tregalizumab rebalances the immune system, creating a first-in-class solution with high commercial defensibility.
Laboratory work: pipetting samples into a multi-well plate

Target indications

Our target indications: high-value, high-impact

01 · Immune-Dermatology

Oral Lichen Planus (oLP)

A game-changer with curative intent

3M+ patients suffer from chronic, pre-malignant inflammation
60,000+ progress to oral cancer annually
€5B+ market potential
  • No approved therapies. Existing treatments fail to control inflammation, therefore do not prevent malignancy potential.

Why Tregalizumab?

Tregalizumab targets and controls chronic inflammation, offering the first curative therapy for oLP.

02 · Oncology

Acute Graft-versus-Host Disease (aGvHD)

A life-saving breakthrough

60% of patients develop aGvHD post stem cell transplant
>50% failure rate with first-line steroids
€3B+ market potential
  • Severe complications, long hospitalizations, high costs.
  • U.S. Orphan Drug Designation granted for aGvHD.

Why Tregalizumab?

Unlike existing treatments, Tregalizumab prevents aGvHD at its source by activating Tregs, while preserving the graft-versus-leukemia (GvL) effect.

„Tregalizumab directly addresses the core pathophysiology of aGvHD, setting it apart from current treatments."

Prof. Dr. Robert Zeiser, GvHD Expert

Market opportunity

A multi-billion-euro potential

  • €10B+ combined market opportunity in oLP & aGvHD
  • No competing Treg-targeting therapies in these high-unmet-need areas
  • Expansion into additional autoimmune indications

Investor value proposition

A de-risked, high-impact opportunity

  • Clinically validated & de-risked — PoC achieved, accelerating development
  • First-in-class science — no direct competition in Treg activation
  • Multi-billion-euro market potential — addressing severe, underserved diseases
  • Strong leadership — proven biotech entrepreneurs with successful regulatory approvals and exits
  • Strategic expansion — beyond oLP & aGvHD, unlocking new high-value indications