TNX-103 Phase 3 trial misses primary endpoint in PH-HFpEF (Tenax Therapeutics)

Nasdaq: TENX−89.29% 24h move
Price before$13.44Aug 7, 2026, 4:00 PM ET
First trade after$2.27Aug 10, 2026, 7:20 AM ET
24h later$1.44Aug 11, 2026, 7:18 AM ET

Complete Announced during: Premarket · announced Mon 7:19a ET (premarket); before = Fri close; first trade Mon 7:20a ET; time = SEC 8-K acceptance

Tenax Therapeutics (Nasdaq: TENX) reported topline results from a Phase 3 trial of TNX-103 in PH-HFpEF on August 10, 2026. The company said the trial did not meet its primary endpoint. ClinicalTrials.gov lists 230 planned participants (NCT05983250).

Trial details

Drug
TNX-103Type Drug Route oral
Treats
Studied as a treatment for PH-HFpEF (registry condition: Pulmonary Hypertension).Condition Pulmonary Hypertension
Patients
230 patients (anticipated enrollment)2 arms · 42 sites in 2 countries
Phase
Phase 3
Design
Randomized, quadruple-blind, placebo-controlled, parallel-group
Primary endpoint
Change in Six-minute walk distance (12 weeks)
Key secondary endpoints
  • KCCQ
  • Clinical Worsening Events
  • Change in NT-proBNP
Result
Missed endpointLEVEL did not meet its primary endpoint of improvement in the 6-minute walk distance versus placebo, or the key secondary endpoint of improvement in Kansas City Cardiomyopathy Questionnaire total symptom score.
Safety
TNX-103 was generally safe and well tolerated, with serious adverse events and adjudicated clinical worsening events balanced across treatment arms.
Sponsor
Tenax Therapeutics Nasdaq: TENXCollaborators Medpace, Inc., Northwestern University
Dates
Study start Jan 10, 2024Primary completion Jun 30, 2026Announced Aug 10, 2026, 7:19 AM ET (SEC 8-K filing time)
Trial ID
NCT05983250 ClinicalTrials.gov

About this trial

This randomized, quadruple-blind, placebo-controlled, parallel-group Phase 3 trial (NCT05983250) tested TNX-103 in Pulmonary Hypertension. Studied as a treatment for PH-HFpEF (registry condition: Pulmonary Hypertension). It planned to enroll 230 patients across 2 arms at 42 sites in 2 countries. The primary endpoint was Change in Six-minute walk distance (12 weeks). Tenax Therapeutics reported that the trial did not meet its primary endpoint. The study started on Jan 10, 2024 and reached primary completion on Jun 30, 2026. The lead sponsor is Tenax Therapeutics, with Medpace, Inc. and Northwestern University as collaborators.

Sources

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