Clinical Trial FAQs
General Clinical Trial FAQs
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What information can I find on this page?

This page provides information on J-Pharma's key clinical trials, including their objectives, target disease areas, development stages, current status, and registration details in public clinical trial databases.

For more information on individual trials, please visit the relevant clinical trial pages or refer to public databases such as ClinicalTrials.gov and jRCT.

What do “trial registration and public disclosure,” “first participant dosed,” and “randomization” mean?

“Trial registration and public disclosure” means that information about the clinical trial, including its study plan, has been registered in a public clinical trial database and is available to the public.

“First participant dosed” indicates that the trial has progressed to the stage of enrolling participants and administering treatment.

“Randomization” refers to the process of randomly assigning participants to different treatment groups according to the study protocol.

These are important clinical trial milestones, but they do not, on their own, demonstrate efficacy or indicate the likelihood of regulatory approval.

If a public clinical trial database shows a study as “Recruiting,” can I contact J-Pharma about participating in the trial?

“Recruiting” is a study status indicating that participating study sites are accepting participants for enrollment.

J-Pharma’s website is intended to provide information to investors and the general public. We do not determine individual eligibility for clinical trial participation or refer individuals to participating medical institutions.

If you are interested in participating in a clinical trial, please consult your treating physician or a study site participating in the trial.

Does the “estimated completion date” shown in a public clinical trial database indicate when the study results will be announced?

Not necessarily.

Start dates, estimated completion dates, planned enrollment, and other information listed on ClinicalTrials.gov or jRCT are based on the study plan and may change as the trial progresses.

Even after a clinical trial is completed, the data must still be reviewed, finalized, and analyzed. The estimated completion date shown in a public database therefore does not necessarily indicate when J-Pharma will announce the study results.

When and how will clinical trial results and future progress be announced?

Study results will be announced as appropriate once the necessary data have been collected, reviewed, and analyzed and are ready to be disclosed.

We will communicate important developments in our clinical programs through timely disclosures, news releases, financial results presentation materials, and other appropriate channels.

We do not comment on undisclosed study results or analyses, or on the timing of future disclosures.

Beacon-BTC FAQs
Q A
What is the Beacon-BTC study, and what stage has it reached?

Beacon-BTC is a global Phase III clinical trial evaluating the efficacy and safety of nanvuranlat as a second-line treatment for advanced biliary tract cancer.

In Part A, the dose and dosing regimen to be used in the subsequent stage of development will be selected. In Part B, the selected nanvuranlat dose and regimen will be compared with Physician’s Best Choice (PBC).

In June 2026, J-Pharma announced the enrollment and randomization of the first patient, and the study is currently underway.

Why is nanvuranlat being developed as a second-line treatment for biliary tract cancer?

Treatment options remain limited for patients with biliary tract cancer whose disease progresses following first-line treatment.

Based on clinical study results and other findings to date, J-Pharma is continuing the development of nanvuranlat as a second-line treatment.

What does the enrollment and randomization of the first patient mean?

It means that the trial has moved beyond the planning and registration stage and into actual patient enrollment and assignment to treatment groups.

However, no conclusions about the trial outcome, efficacy, safety, or the likelihood of regulatory approval can be drawn from this milestone alone.

What is the difference between Part A and Part B?

In Part A, four treatment groups will be compared: three nanvuranlat groups using different doses and dosing regimens, and one Physician's Best Choice (PBC) group. The results will be used to select the nanvuranlat dose and regimen for Part B.

In Part B, the selected nanvuranlat dose and regimen will be compared with PBC to evaluate efficacy and safety.

Selection for an AMED Program
Q A
What is the AMED program for which Beacon-BTC was selected? Part A of Beacon-BTC, J-Pharma's global Phase III clinical trial of nanvuranlat, has been selected for support under the Global Research and Development Support Project for the Treatment of Intractable and Rare Diseases (GRiT), administered by the Japan Agency for Medical Research and Development (AMED).

GRiT is part of AMED's program to promote innovative medical technology research and development through industry, government, and academia.
Which drug candidate and clinical trial have been selected for support? The selection covers Part A of Beacon-BTC, the global Phase III clinical trial evaluating J-Pharma’s LAT1 inhibitor nanvuranlat as a second-line treatment for advanced biliary tract cancer.

Beacon-BTC consists of two parts: Part A and Part B. Part A compares three nanvuranlat treatment groups using different doses and dosing regimens with a Physician’s Best Choice (PBC) group, in which physicians select the appropriate treatment for each patient. The results will be used to select the dose and dosing regimen of nanvuranlat for Part B.
How does J-Pharma plan to use AMED’s support? AMED’s support will be used to cover a portion of the eligible costs for Part A of Beacon-BTC.

J-Pharma will use this support to conduct Beacon-BTC across multiple countries and regions, collect clinical trial data, and select the appropriate dose and dosing regimen of nanvuranlat.

The specific scope of support, project period, and other terms will be finalized through the grant award process.
Does this selection change the Beacon-BTC trial plan or development timeline? This selection will support Part A of Beacon-BTC, which J-Pharma is already conducting.

Part A was originally planned to be conducted in the United States.

However, following its selection for AMED support, J-Pharma has decided to expand the trial to Japan and South Korea and conduct it as a multinational clinical trial.
Does this selection mean that nanvuranlat’s efficacy, safety, or likelihood of regulatory approval has been recognized? No. This selection means that Beacon-BTC has been selected for support under AMED's GRiT program.

It does not guarantee the efficacy or safety of nanvuranlat, nor does it mean that the likelihood of obtaining marketing approval in Japan, the United States, or any other country or region has increased.

The efficacy and safety of nanvuranlat will continue to be evaluated through Beacon-BTC.
How does this support differ from AMED’s support for JPH034, a drug candidate for multiple sclerosis? Both involve support from AMED, but they cover different drug candidates, target diseases, and funding programs.

JPH034 is a LAT1 inhibitor being developed for multiple sclerosis and was supported through AMED’s Strengthening Program for Pharmaceutical Startup Ecosystem. This support ended following J-Pharma’s initial public offering (IPO).

In contrast, the current selection under the GRiT program is for Part A of Beacon-BTC, J-Pharma’s global Phase III trial of nanvuranlat in advanced biliary tract cancer.
Biliary Tract Cancer Investigator-Initiated Clinical Trial FAQs
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What is an investigator-initiated clinical trial, and how is J-Pharma involved?

An investigator-initiated clinical trial is a clinical trial planned and conducted primarily by physicians or medical institutions rather than by a pharmaceutical company.

This study (JON-2404-B) is being conducted primarily by the Cancer Institute Hospital of JFCR. Under an agreement with the hospital, J-Pharma provides support for the smooth conduct of the trial.

What stage has the trial currently reached?

In July 2026, J-Pharma announced that the first patient had been dosed.

The study is registered on jRCT as an investigator-initiated clinical trial with a status of “Recruiting,” and has now moved into the patient enrollment and dosing stage.

How does this investigator-initiated trial differ from Beacon-BTC?

Beacon-BTC is a global Phase III clinical trial comparing nanvuranlat monotherapy with Physician’s Best Choice (PBC) as a second-line treatment for biliary tract cancer.

In contrast, this investigator-initiated trial evaluates nanvuranlat in combination with durvalumab in patients with biliary tract cancer who are transitioning to maintenance therapy with an immune checkpoint inhibitor following first-line treatment. The trial primarily assesses the safety and tolerability of this combination therapy.

The two trials differ in their treatment settings, clinical development phases, and objectives.

What is being evaluated in this investigator-initiated trial?

According to publicly available information on jRCT, Part A evaluates the safety and tolerability of nanvuranlat monotherapy, while Part B evaluates the safety and tolerability of nanvuranlat in combination with durvalumab.

The primary endpoints include the types and incidence of dose-limiting toxicities (DLTs). Efficacy-related measures, including progression-free survival (PFS), response rate, and overall survival (OS), are also evaluated as secondary endpoints.

Why is nanvuranlat being evaluated in combination with an immune checkpoint inhibitor?

Treatment regimens that include immune checkpoint inhibitors are now standard in the first-line treatment of biliary tract cancer.

LAT1 inhibition by nanvuranlat may affect the tumor immune microenvironment, and nonclinical studies have suggested enhanced antitumor effects when nanvuranlat is combined with an immune checkpoint inhibitor.

Based on these findings, the study evaluates the safety, tolerability, and other parameters of adding nanvuranlat to maintenance therapy with an immune checkpoint inhibitor.

However, results from nonclinical studies alone cannot be used to determine whether the combination will be clinically effective.

What is the significance of this trial within J-Pharma’s development strategy?

This trial explores the potential to develop nanvuranlat for biliary tract cancer beyond the second-line treatment setting. The findings may help inform future development strategies.

JPH034 Phase I FAQs
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What is JPH034?

JPH034 is a LAT1 inhibitor being developed by J-Pharma for central nervous system disorders. Nonclinical studies in monkeys have demonstrated high brain penetration, and J-Pharma is pursuing its development for central nervous system disorders, including multiple sclerosis.

Is the current Phase I trial evaluating the efficacy of JPH034 in patients with multiple sclerosis?

No. The ongoing Phase I trial in the United States is an early-stage clinical trial involving healthy volunteers. It is designed to collect data on safety, tolerability, pharmacokinetics, and other parameters, rather than evaluate the efficacy of JPH034 in treating multiple sclerosis.

What is being evaluated in the Phase I study?

The study primarily evaluates safety, tolerability, pharmacokinetics, and related parameters. These data will help inform dose selection and the design of subsequent clinical trials.

Why is the Phase 1 trial being conducted in the United States?

Like nanvuranlat, JPH034 is being developed for the global market.

J-Pharma has announced plans to collect safety, tolerability, and pharmacokinetic data through its Phase I clinical trial in the United States, with oversight from the U.S. Food and Drug Administration (FDA). These data will support the planning of Phase II and subsequent clinical trials in the United States and Europe.

What is the difference between JPH034 and nanvuranlat?

Both JPH034 and nanvuranlat are LAT1 inhibitors, but they differ in the diseases they target and how they are distributed in the body.
Nanvuranlat reaches high concentrations in bile and is being developed primarily for cancer.
JPH034, in contrast, has high brain penetration and is being developed for central nervous system disorders.

How will the data from the Phase I trial be used?

J-Pharma plans to use the safety, tolerability, pharmacokinetic, and other data obtained from the Phase I trial to guide its plans for Phase II and subsequent clinical development in the United States and Europe.

As part of its efforts toward global development and commercialization, J-Pharma signed a non-binding licensing term sheet with a European biotechnology company in September 2026. The Company will continue discussions with the aim of entering into a definitive agreement.

What factors does J-Pharma prioritize when selecting a partner for JPH034?

When considering potential partners for the future development and commercialization of JPH034, J-Pharma believes it is important to evaluate several factors, including financial terms, alignment of development strategies, expertise in the target therapeutic area, development and commercialization capabilities, and the priority a potential partner would place on JPH034.

As part of its efforts toward global development and commercialization, J-Pharma signed a non-binding licensing term sheet with a European biotechnology company in September 2026. J-Pharma will continue discussions with the aim of entering into a definitive agreement.

Could you provide details on the terms of the licensing agreement for JPH034, including upfront payments and milestone payments?

J-Pharma will disclose information regarding the agreement terms as appropriate, to the extent permitted under contractual confidentiality obligations and agreements with the counterparty.

Any matters that may materially affect investment decisions will be disclosed in a timely and appropriate manner in accordance with the Financial Instruments and Exchange Act and the Tokyo Stock Exchange's timely disclosure rules and other applicable regulations.

Is there a possibility that J-Pharma will raise additional funds, including through the issuance of new shares, to support the future development of JPH034?

J-Pharma will consider appropriate financing options based on several factors, including the development progress of its pipeline products, including JPH034, anticipated research and development funding requirements, available cash reserves, and opportunities to secure external funding.

Any financing decisions will also take into careful consideration their potential impact on shareholder value. If J-Pharma decides to undertake a specific financing transaction that requires disclosure, it will make an announcement in a timely and appropriate manner.

Glossary of Clinical Trial Terms
Term Description Mainly Related Section
Phase I Clinical Trial An early-stage clinical trial conducted primarily to evaluate safety, tolerability, pharmacokinetics, and other parameters. General / Investigator-Initiated Trial / JPH034
Phase III Clinical Trial A clinical trial designed to evaluate efficacy and safety in a larger patient population to support a potential regulatory application. General / Beacon-BTC
Recruiting A status used in public clinical trial databases such as ClinicalTrials.gov indicating that study sites are accepting participants for enrollment. General
ClinicalTrials.gov A database of clinical study information maintained by the U.S. National Library of Medicine (NLM). General / Beacon-BTC / JPH034
jRCT Japan Registry of Clinical Trials. A public database where information on clinical trials and clinical research conducted in Japan is registered and made publicly available. General / Investigator-Initiated Trial
OS Overall Survival. An endpoint that measures how long patients remain alive. Beacon-BTC / Investigator-Initiated Trial
PBC Physician’s Best Choice. A treatment selected by the physician from among the options specified in the study protocol, taking into account the patient’s condition and other relevant factors. Beacon-BTC
BSC Best Supportive Care. Supportive treatment intended to relieve symptoms and maintain quality of life. Beacon-BTC
Randomization The process of randomly assigning participants to different treatment groups to help ensure fair comparisons between the groups. General / Beacon-BTC / JPH034
Enrichment An approach to selecting a patient population for a clinical trial based on predefined medical and study design criteria, allowing treatment effects to be evaluated more appropriately. Beacon-BTC
TBP Treatment Beyond Progression. A study-design approach that allows study treatment to continue after disease progression under specified conditions. Beacon-BTC
Investigator-Initiated Clinical Trial A clinical trial that is planned and conducted primarily by physicians or medical institutions rather than by a pharmaceutical company. General / Investigator-Initiated Trial
ICI Immune Checkpoint Inhibitor. A type of cancer immunotherapy that targets immune checkpoint pathways. Investigator-Initiated Trial
Maintenance Therapy Treatment continued after initial therapy with the aim of maintaining disease control or the clinical condition achieved with the initial treatment. Investigator-Initiated Trial
DLT Dose-Limiting Toxicity. An adverse event that is important in determining the appropriate dose levels and evaluating the safety of a treatment. Investigator-Initiated Trial
PFS Progression-Free Survival. A measure of the time until a patient's disease progresses or the patient dies. Beacon-BTC / Investigator-Initiated Trial
LAT1 L-type amino acid transporter 1. An amino acid transporter targeted by JPH034 and nanvuranlat. Beacon-BTC / Investigator-Initiated Trial / JPH034
Tolerability A measure of how well patients can tolerate a treatment, including its side effects, and whether they can continue receiving it. General / Beacon-BTC / Investigator-Initiated Trial / JPH034
Pharmacokinetics (PK) The study of how a drug is absorbed, distributed, metabolized, and eliminated from the body. General / Beacon-BTC / Investigator-Initiated Trial / JPH034
Brain Penetration The ability or extent to which a drug moves from the bloodstream into the brain. JPH034