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Biotech catalyst, news and analysis PDUFA tracker

Biotech catalyst, news and analysis PDUFA tracker
Alpha Tau Medical: what has already happened, which developments could come next, and how much they could matter for the stock.
Merlintrader editorial research prepared with the assistance of artificial intelligence. Primary sources and editorial assessments are identified in the text.
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Alpha Tau Medical is entering a period in which several paths are beginning to converge: a fully enrolled U.S. pivotal trial, programs in internal organs, preliminary results in combination with immunotherapy, a commercial agreement with Tolmar, and marketing authorization in Japan.
Understanding DRTS requires following each of these paths through to its next step. Treating the first patient demonstrates that a trial has begun. A clinical result can change a program’s probability of success. An approval opens a market. The ability to treat patients, obtain payments, and generate revenue determines how much of that market can become an operating business.
This map reconstructs the evidence already available, the next observable event, the possible consequences, and the risks in each relevant area.
REGAIN, ReSTART, and IMPACT account for several upcoming clinical readouts. These windows come from company guidance and may change.
Starting a trial, releasing data, gaining authorization, and generating revenue resolve different uncertainties. Impact depends on what is new and on market expectations.
Company background and the wider investment context: Alpha Tau Medical ($DRTS) Stock Hub.
A timeline connects scheduled events with clinical and regulatory windows. Each row starts with the date and shows the impact on the right: select an event to read the full analysis.
First clinical activation of the U.S. program.
H2 2026 guidance; achievement of this milestone has not been verified.Completion of recruitment in the glioblastoma feasibility study.
H2 2026 guidance; completion of enrollment is separate from the data readout.Barclays Biotech 1×1 Day on October 6; Investment Generation Conference on October 15.
Greater impact only if substantive new information emerges.Official events for healthcare investors.
Equipment and validation: verify progress on manufacturing capacity.
Annual target communicated in March; completion has not been verified.Reproducibility of the initial signal, durability of benefit, and neurological safety.
Response, durability, and safety in the 88 patients in the recurrent cSCC trial.
The company has not specified an exact readout date.First results of the chemotherapy combination, following enrollment of 48 patients.
Window updated on August 31; results will inform the future pivotal trial.Company scenario for the first half of 2027: January–June.
August roadmap: a conditional target, not a deadline assigned by the FDA.Virtual event included in the official investor calendar.
References: August 10 update, August 31 IMPACT announcement, events calendar, and August company roadmap, slide 4. The manufacturing target is documented in catalyst 14. Windows remain subject to change.
The periods below show when to keep these programs under observation. They are an editorial choice to organize monitoring: they are not company guidance or forecasts for readouts, agreements, or approvals. Q4 2026 means October–December. The dates indicate the start or horizon of monitoring; announcements may arrive earlier or later and are not guaranteed.
A new protocol, possible U.S. clearance, and a subsequent controlled trial. No dated start.
Enrollment, safety, and possible updates on pancreatic cancer consolidation. No readout date.
Feasibility and safety data from the Italian series. No date for publication of results.
Recruitment and subsequent evidence in recurrent cSCC. No verified readout window.
Progress toward contractual milestones and on the bladder option; timing depends on the clinical program.
Centers, patients treated, and initial economic evidence. No firm public revenue deadline.
A dedicated protocol, authorizations, and a possible first patient. No confirmed timetable.
Documented program starts or interpretable clinical series. No verified dataset date.
Binding agreements, territorial rights, and financial terms. No future transaction is guaranteed.
In upcoming reports: cash use, new shares, and investment. Financial transactions are not dated.
Changes in trading and possible index announcements. TA-125 inclusion has not been verified.
All 18 catalysts in the article are represented. REGAIN and events appear in several rows because they have different milestones.
The impact ratings are editorial judgments about the potential significance of new information for the stock:
The impact can be positive or negative. It does not indicate a probability of success or an expected percentage increase in the share price. Even good news can produce a limited reaction if the market has already anticipated it.
Eighteen deep dives into Alpha Tau Medical’s catalysts: what has already happened, next developments, possible consequences, and impact on the stock, with sources and reference dates.
Free access.
The evidence already available, the next step, and what could change for the company and its shares.
Pivotal results
Late 2026 / early 2027
On May 8, 2026, Alpha Tau announced completion of enrollment of 88 patients in the ReSTART trial in recurrent cutaneous squamous cell carcinoma, or cSCC. It is the company’s first U.S. pivotal trial to reach this milestone.
The program concerns patients with limited treatment options. Confirmed objective response and its duration at six months are among the central elements of the assessment: persistence of benefit will therefore be as important as the initial response rate. ReSTART announcement
The next catalyst is the release of topline results, which the company expects in late 2026 or early 2027. This is an indicative window communicated in the August 10 update. Corporate update
A convincing result could increase confidence in the U.S. regulatory path and provide a firmer basis for commercial preparation. Responses with limited durability, safety problems, or difficult-to-interpret data would instead carry considerable weight.
For DRTS, ReSTART matters because it connects a relatively advanced part of clinical development with a possible commercial authorization. Success in earlier small studies remains a starting point; the results from the 88 patients still need to be assessed.
Modules and the complete application
H1 2027: company scenario; no definitive FDA date
On January 5, 2026, Alpha Tau announced submission of the first module of its PMA application, covering nonclinical studies, for the treatment of recurrent cSCC. First PMA module
The modular format allows parts of the documentation to be submitted and reviewed progressively. The complete application also includes clinical evidence, manufacturing, and other elements required by the FDA. FDA: PMA application methods
The next events to watch are progress on the remaining modules, completion of the dossier, and requests from the regulator. No definitive date for an FDA decision was verified in the sources examined.
The company’s August roadmap adds a conditional planning scenario: slide 4 places the data readout and potential submission in late 2026 or early 2027, followed by potential FDA approval in the first half of 2027. This is a company scenario dependent on clinical results, submission, review, and the regulator’s decisions. It is not an FDA deadline or a guaranteed approval date. August investor presentation, slide 4
A routine administrative update would have an intermediate level of significance. An important confirmation concerning the regulatory pathway, a request for additional studies, or a final decision could have a much greater effect, because it would change the timing, costs, and probability of market access.
New data and durability of benefit
Data around the end of 2026
The results announced on May 11, 2026, with data updated through May 3, concerned three patients with recurrent glioblastoma: two complete responses and one case of stable disease, the latter accompanied by a reduction in tumor size.
Local disease control was therefore 100%, while complete responses occurred in two of the three patients. One associated grade 3 serious adverse event was also reported and subsequently resolved. Initial REGAIN results
In June, the company announced FDA clearance to enroll the remaining seven planned patients and add two U.S. centers. Subsequent guidance indicated completion of recruitment in the second half of 2026 and additional data around year-end. Trial progress, August 10 guidance
The decisive question is how reproducible the initial result proves to be: responses in subsequent patients, duration, progression, and neurological safety.
A consistent signal could support further development and increase interest in the technology in deep-seated organs. Early progression or significant toxicity could rapidly temper expectations. Completion of enrollment would have medium impact; a convincing expansion of the evidence would have high impact.
Development of a controlled trial
Start: no verified date
On July 21, 2026, results were announced from the Israeli study in locally advanced or metastatic head and neck cancer: 11 patients enrolled, nine evaluable for response, four complete responses, and five partial responses. Median overall survival of 18.2 months and progression-free survival of 5.4 months were reported.
Two patients had died before response assessment; one before receiving Alpha DaRT. The study was small and had no control group. The comparison with previous pembrolizumab studies is therefore historical and does not isolate the device’s contribution. July 21 results
Possible next steps include a larger protocol, authorization to conduct a trial in the U.S., and the start of recruitment. Scientific presentations also indicate interest in a randomized trial and use before surgery, without a verified timetable. AHNS presentation
Controlled confirmation could strengthen the case for Alpha DaRT as a component of combination treatments. Authorization of a trial alone would carry less weight: it opens the possibility of obtaining a more reliable clinical answer.
Use of Keytruda in a study does not, by itself, constitute a commercial agreement with Merck.
Initial combination data
Early 2027
The pancreatic program builds on earlier experience in Israel and Canada. In the Israeli data presented at DDW, for example, the 19 evaluable patients included four partial responses and fifteen cases of stable disease: the 100% local disease control rate therefore consisted mainly of disease stabilization. DDW data
IMPACT addresses a further step: adding Alpha DaRT to first-line chemotherapy in newly diagnosed patients with inoperable, locally advanced or metastatic pancreatic cancer.
On August 31, the company announced completion of enrollment with 48 patients across ten centers, following three expansions of the program. Regimens include mFOLFIRINOX or gemcitabine with nab-paclitaxel. Safety is the primary objective; other data include survival, progression, pain, and, in the locally advanced cohort, the possibility of resection.
The updated window for initial data is early 2027. The results are intended to help inform the design of a future pivotal trial. IMPACT update
The potential impact is high because a feasible and clinically promising combination could expand the technology’s role in pancreatic cancer. Interpretation will require results separated by disease stage, adequate follow-up over time, and clarity about the treatments received.
Expansion of a trial demonstrates interest and execution; efficacy must emerge from the results. Safety problems with chemotherapy or inconsistent benefits could weigh on the assessment of the entire program.
Safety and outcomes after chemotherapy
Readout: no verified date
The first European treatment in the ACAPELLA program was announced on April 23, 2026. The trial plans to enroll up to 40 patients with inoperable, locally advanced pancreatic cancer, following a response or stable disease achieved with mFOLFIRINOX. The treatment sequence includes Alpha DaRT followed by capecitabine. ACAPELLA announcement
The program explores a different treatment position from IMPACT: intervening after initial systemic treatment to improve control of residual disease.
Catalysts will include progress in enrollment and data on safety, duration of disease control, and the possibility of surgery. No company-announced date for publication of results was verified.
A consistent signal could broaden the platform’s potential uses. Interpretation will need to account for the fact that these patients have already been selected for responding or maintaining stable disease during chemotherapy.
Feasibility and convincing data
Readout: no verified date
The first treatment in the Italian CTP-PANC-03 study was announced on May 7, 2026. Up to 15 patients are planned, with an interim safety analysis after the first five.
The protocol permits both endoscopic ultrasound-guided and percutaneous access, through the skin. This option could broaden the ways in which the tumor can be reached and the specialists involved. The fact that the protocol allows both routes does not mean that the first patient was treated percutaneously. University of Verona study
The next useful event will be an update demonstrating procedural safety and reproducibility. No verified window for the result is available.
The potential value primarily concerns the technology’s practicality: an effective treatment must also be deliverable reliably. A simple recruitment update would have low impact; data that materially broaden access to treatment would be more significant.
Data in immunocompromised patients
Readout: no verified date
On July 15, Alpha Tau announced the first patient treated in the ADMIRE study at Banner MD Anderson Cancer Center. The program plans to enroll up to 28 patients across eight centers and concerns recurrent cSCC in immunocompromised individuals. ADMIRE announcement
In this population, some systemic therapies can face important limitations. A local treatment with a favorable benefit-risk profile could therefore address a specific clinical need.
The next catalysts will be recruitment, initial responses, and their duration. No date for publication of results was verified.
A positive outcome could strengthen Alpha DaRT’s positioning in a distinct segment. The risk is that patient frailty, disease characteristics, or complications make the results less favorable than expected. ADMIRE’s evidence will need to be assessed independently of ReSTART.
First U.S. patient and further development
First patient: H2 2026 guidance
FDA authorization to begin the U.S. pilot study in locally recurrent prostate cancer was announced in December 2025. Trial authorization
In the August 10 update, the company indicated that the first U.S. patient would be treated in the second half of 2026. No subsequent announcement confirming achievement of this milestone was verified in the sources examined. Company guidance
The first treatment would demonstrate the program’s operational start. Subsequent results will need to clarify local control, safety, and functional impact.
The commercial potential makes the indication interesting, but the initial population is specific: local recurrence. Assigning value to the entire prostate cancer market would require further evidence and an appropriate regulatory pathway.
Milestones and urologic development
Tied to contractual milestones
The agreement announced in June brought in $20 million in equity capital and $15 million for manufacturing capacity. It also provides for up to $96.5 million in clinical and regulatory milestones, plus $65 million in commercial milestones, for the first indication.
Alpha Tau retains development and manufacturing responsibilities; Tolmar handles U.S. commercialization. The supply price is linked to 60% of onward net sales, subject to adjustments: that percentage does not represent Alpha Tau’s profit margin.
There is also a bladder cancer option, with additional investment and conditional payments. Agreement terms
The next catalysts will be the achievement of milestones that trigger payments, manufacturing execution, and possible exercise of the option.
For the stock, actual amounts, conditions, and the underlying clinical development will matter. The contract’s theoretical maximum does not equal available cash. A major agreement can reduce funding needs and improve commercial access; clinical delays can defer both.
Use, reimbursement, and revenue
No firm deadline verified
On February 24, 2026, Alpha Tau announced Shonin marketing approval granted by the MHLW following PMDA review for unresectable, locally advanced or locally recurrent head and neck cancer. The indication is specific and does not automatically extend to other cancers. Approval announcement
An additional element emerges from ministry documents: an April 30 notice includes Alpha DaRT System in insurance category A2, effective May 1, 2026. This category concerns devices assessed within certain medical fee schedules. The document does not, by itself, establish a separate per-patient price or demonstrate revenue already earned. MHLW: insurance coverage, page 2
The post-marketing surveillance program plans to include 66 patients. The regulatory documentation describes hospitalization for the first 33 while the sources remain implanted, with the possibility of revisiting that requirement following a safety assessment. Ministry documentation
The catalysts to follow are therefore centers actually operating, patients treated, surveillance progress, economic terms, and revenue.
Credible commercial data could begin to make the platform’s value measurable. Slow adoption, high procedural costs, or safety constraints could reduce expectations. No firm date for an acceleration in commercial activity was verified.
Protocol and documented study initiation
No confirmed timetable
The August corporate presentation includes GBM and brain metastases among the development areas. This documents strategic interest, but does not, by itself, demonstrate that a dedicated U.S. study has already been authorized or started. Corporate presentation, page 26
Steps to watch include a specific protocol, a possible IDE request and clearance, site openings, and the first treatment. No reliable primary-source date was verified for this sequence.
The potential lies in extending use of the technology to other intracranial diseases. However, metastases originating from different cancers have different biological characteristics: results in glioblastoma cannot automatically be transferred to them.
Formalization of the program would reduce uncertainty about the project. Its clinical value would depend on the data it produces.
Liver, lung, and the ALL Protocol
No confirmed timetable
Exploratory areas deserve a place in the map, with attention to their different levels of maturity.
Liver metastases. In May 2024, the first patient treated in the feasibility and safety program at McGill University Health Centre was announced, with a target of up to ten patients. The next useful development would be an interpretable clinical series covering safety, treatment distribution, and effects on tumor tissue. No company-announced publication date was verified. First patient in the liver program
Lung and other international programs. The pipeline includes lung development in Israel and further possibilities in the United Kingdom and Japan. For developments that remain poorly defined, the observable catalyst is publication of a protocol, a documented start, or a dataset, before assigning them a deadline. Clinical pipeline, Corporate overview
ALL Protocol. The first glioblastoma treatment outside the U.S., announced in June at Hadassah, belongs to this broader pathway. Cases can help explore new applications, but remain distinct from the cohorts in dedicated studies. Description of the ALL program
The potential value comes from turning early observations into reproducible programs. Performance of a procedure, by itself, does not demonstrate antitumor benefit.
Validation and manufacturing capacity
2026 targets to verify
The Hudson facility in New Hampshire received its radioactive materials license in October 2025. License announcement
In the annual report published in March 2026, the company still described equipping and validation activities, with the objective of starting production during 2026. That forecast does not confirm that all activities have been completed. Annual report
The catalyst is a concrete update on operations, usable capacity, supply reliability, and costs. Manufacturing availability must keep pace with the increase in centers and patients.
Good execution could reduce the risk of bottlenecks. A significant delay or a supply problem could have high impact if it interfered with trials or commercial launches. Expansions linked to Tolmar should be followed according to their specific program.
Economically material contracts
No future agreement guaranteed
Tolmar demonstrates that Alpha Tau can structure agreements by indication and territory. The annual report also describes preliminary arrangements with Medison for potential activities in Israel and Canada, which must be distinguished from definitive agreements and the start of sales. Annual report: commercialization and agreements
A new partner could contribute capital, trial funding, distribution, or commercial expertise. Its significance for DRTS would primarily depend on upfront payments, costs assumed by the partner, rights granted, and economic terms.
A substantial contract could improve the ability to develop the program and reduce funding needs. An exploratory arrangement would have more limited value.
There is no verified deadline for a new major agreement in the sources examined. Potential interest from a company and a signed contract represent different stages.
Cash use and new transactions
Monitor financial reports and transactions
As of June 30, 2026, Alpha Tau reported $104.8 million in cash and deposits, including a restricted component. The company estimated that its resources were sufficient for at least two years: a management assessment referring to that point in time and the associated plans.
The accounting loss for the half-year does not directly measure cash consumption, partly because of the effect of warrant revaluation. In addition, the at-the-market share sales program with Wainwright, for up to $100 million, represents a financing option; it does not prove that the entire amount has been raised. Half-year financial analysis
At June 30, there were approximately 13.6 million public warrants and 2.14 million private warrants, with an exercise price of $11.50. These are financial-statement figures, not a count updated in real time. Exercise methods, including cashless exercise, affect the relationship between new shares and cash raised. Financial notes
The next financial results will need to clarify clinical spending, manufacturing investment, share count, and the composition of cash receipts. Financing can support development while simultaneously diluting shareholders. Assessing its impact requires the size, price, terms, and use of proceeds.
Trading, investors, and index inclusion
TA-125: confirmation not verified
The CEO’s September 9 letter confirms that Alpha Tau became a dual-listed company, adding Tel Aviv alongside Nasdaq. The Israeli listing is therefore a step that has already occurred. CEO letter
Subsequent developments to watch include greater liquidity, participation by local investors, and possible index inclusion.
No confirmation of DRTS’s inclusion in the TA-125 with a firm date was verified in the primary sources examined. A forecast circulating in the market should not be entered in the calendar as an established event.
Actual inclusion could generate demand from instruments tracking the index and improve trading activity. The reaction would also depend on how much the event had been anticipated and the actual size of the flows. This channel affects the market for the shares, without itself adding clinical evidence or sales.
Presentations and new information
October and December 2026; February 17, 2027, per the official calendar
The official calendar lists the following among the events after this map’s reference date:
The dates are listed by the company and may be updated. Official events calendar
These occasions can broaden visibility, clarify programs, and attract new participants. A participation announcement alone, however, normally carries limited significance.
If new data or substantive changes emerged during a presentation, the impact should be attributed to that information. An analyst’s reassessment can also influence trading, but remains an external evaluation rather than a company result.
| Event | Communicated window or verified status | Impact of the specified event |
|---|---|---|
| Completion of REGAIN enrollment | Second half of 2026, according to August 10 guidance | Medium |
| New REGAIN data | Around the end of 2026 | High |
| ReSTART topline results | Late 2026 / early 2027 | High |
| Initial IMPACT data | Early 2027, per the August 31 update | High |
| First U.S. patient in the prostate program | Second half of 2026, according to August 10 guidance; achievement not verified | Medium |
| Investor presentations | October and December 2026, plus February 17, 2027, according to the official calendar | Low, unless new information is disclosed |
| Complete PMA application and final decision | August roadmap: data readout and potential submission in late 2026 / early 2027; potential FDA approval in H1 2027 is a conditional company scenario, not an FDA deadline | Medium / high depending on the step |
| New U.S. study with Keytruda | No verified start date | Medium; high for any confirmatory data |
| Japan: use and commercial results | No firm public deadline verified | Medium / high depending on the figures |
| Brain metastases, other programs, new agreements, and indices | Developments to monitor, without a confirmed timetable | Event-dependent |
On small screens, scroll the table horizontally.
The clinical windows derive from the corporate updates of August 10 and August 31. The conditional PMA scenario comes from the August investor presentation, slide 4; the February 17, 2027 event is listed in the official events calendar. A forecast for the release of data does not coincide with completion of every clinical observation and does not constitute an approval date.
The risk shared across the map is the distance between potential and execution. Many programs share the same technology, manufacturing capacity, and organization: the opportunities are not completely independent, and their respective markets cannot be added together without accounting for eligible patients, tumor accessibility, competition, reimbursement, and adoption.
Each new announcement will therefore need to be compared with previous expectations: which uncertainties it resolves, which remain open, and how much it changes the path toward reproducible treatments and commercial activity.
Source note: this reconstruction uses company announcements, scientific presentations, SEC documents, and, where available, direct regulatory sources. Results communicated by the company remain company-reported results even when filed with the SEC. Impact categories and market scenarios are editorial assessments; the article makes no buy or sell recommendations.
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Disclaimer. This content is published by Merlintrader for educational and informational purposes only. It is independent journalism and research. It does not constitute investment advice, an investment recommendation, an offer or a solicitation to buy or sell any security, and it is not a research report within the meaning of applicable United States securities regulation. Nothing here should be read as a recommendation to buy, sell or hold $DRTS or any other security.
Figures are taken from public filings with the U.S. Securities and Exchange Commission, company press releases and market-data providers, and are stated with their reference dates. Data can change without notice, and figures published before a results release become outdated the moment that release is issued. Merlintrader makes no representation that the information is complete or current at the time of reading. Readers should verify every figure against the primary source before acting on it.
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