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Tourmaline Bio Presents Data from the Ongoing Phase 2 TRANQUILITY Trial at the 2025 European Society of Cardiology Congress

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Tourmaline Bio (NASDAQ: TRML) presented additional data from its Phase 2 TRANQUILITY trial of pacibekitug at the ESC Congress 2025. The trial demonstrated significant results in treating patients with elevated hs-CRP and chronic kidney disease.

The data showed consistent reductions in high-sensitivity C-reactive protein (hs-CRP) across various patient subgroups. Notably, pacibekitug achieved >85% hs-CRP reductions in the 50mg quarterly dosing arm, becoming the first IL-6 inhibitor to demonstrate such efficacy with quarterly dosing. The drug also showed statistically significant reductions in secondary biomarkers including lipoprotein(a), fibrinogen, and serum amyloid A.

Based on these positive results, Tourmaline plans to initiate a Phase 2 proof-of-concept study in abdominal aortic aneurysm (AAA) and continue preparations for a Phase 3 cardiovascular outcomes trial in ASCVD patients.

Tourmaline Bio (NASDAQ: TRML) ha presentato dati aggiuntivi dal suo studio di Fase 2 TRANQUILITY su pacibekitug al Congresso ESC 2025. Lo studio ha mostrato risultati significativi nel trattamento di pazienti con hs-CRP elevato e malattia renale cronica.

I dati hanno evidenziato riduzioni costanti della proteina C-reattiva ad alta sensibilità (hs-CRP) in diversi sottogruppi di pazienti. In particolare, pacibekitug ha raggiunto >85% di riduzione dell'hs-CRP con il dosaggio di 50 mg somministrato trimestralmente, diventando il primo inibitore dell'IL-6 a dimostrare tale efficacia con somministrazione trimestrale. Il farmaco ha mostrato inoltre riduzioni statisticamente significative in biomarcatori secondari quali lipoproteina(a), fibrinogeno e amiloide sierica A.

Sulla base di questi risultati positivi, Tourmaline prevede di avviare uno studio di proof-of-concept di Fase 2 nell'aneurisma dell'aorta addominale (AAA) e di proseguire i preparativi per uno studio di Fase 3 sugli esiti cardiovascolari nei pazienti con ASCVD.

Tourmaline Bio (NASDAQ: TRML) presentó datos adicionales de su ensayo de Fase 2 TRANQUILITY con pacibekitug en el Congreso ESC 2025. El ensayo demostró resultados significativos en el tratamiento de pacientes con hs-CRP elevado y enfermedad renal crónica.

Los datos mostraron reducciones consistentes de la proteína C reactiva de alta sensibilidad (hs-CRP) en varios subgrupos de pacientes. En concreto, pacibekitug alcanzó >85% de reducción de hs-CRP en el brazo de dosificación trimestral de 50 mg, convirtiéndose en el primer inhibidor de IL-6 en demostrar tal eficacia con dosificación trimestral. El fármaco también mostró reducciones estadísticamente significativas en biomarcadores secundarios como lipoproteína(a), fibrinógeno y amiloide sérica A.

Basándose en estos resultados positivos, Tourmaline planea iniciar un estudio de prueba de concepto de Fase 2 en aneurisma de la aorta abdominal (AAA) y continuar los preparativos para un ensayo de resultados cardiovasculares de Fase 3 en pacientes con ASCVD.

Tourmaline Bio (NASDAQ: TRML)ëŠ� ESC Congress 2025ì—서 pacibekitugì� 2ìƒ� TRANQUILITY 시험 추가 ë°ì´í„°ë¥¼ 발표했습니다. 해당 ì‹œí—˜ì€ ê³ ê°ë� C-ë°˜ì‘성단백질(hs-CRP) ìƒìй ë°� 만성 신질í™� í™˜ìž ì¹˜ë£Œì—서 유ì˜ë¯¸í•œ ê²°ê³¼ë¥� 보였습니ë‹�.

ë°ì´í„°ëŠ” 다양í•� í™˜ìž í•˜ìœ„êµ°ì—ì„� ê³ ê°ë� C-ë°˜ì‘성단백질(hs-CRP)ì� ì¼ê´€ë� ê°ì†Œë¥� 나타냈습니다. 특히 pacibekitugëŠ� 분기ë³� 50mg 투여군ì—ì„� hs-CRPë¥� >85% ê°ì†Œì‹œì¼œ 분기ë³� 투여ë¡� ì´ëŸ¬í•� 효능ì� ìž…ì¦í•� 최초ì� IL-6 억제제가 ë˜ì—ˆìŠµë‹ˆë‹�. ì� ì•½ë¬¼ì€ ë˜í•œ 지질단백질(a), 섬유소ì›, 혈청 아밀로ì´ë“� A ë“� 2ì°� ë°”ì´ì˜¤ë§ˆì»¤ì—ì„œë„ í†µê³„ì ìœ¼ë¡� 유ì˜í•� ê°ì†Œë¥� 보였습니ë‹�.

ì� ê°™ì€ ê¸ì •ì � ê²°ê³¼ë¥� 바탕으로 Tourmalineì€ ë³µë¶€ 대ë™ë§¥ë¥�(AAA)ì—서ì� 2ìƒ� ê°œë… ì¦ëª… 연구ë¥� 시작하고 ASCVD í™˜ìž ëŒ€ìƒì˜ 3ìƒ� 심혈관 ê²°ê³¼ 시험 준비를 계ì†í•� 계íšìž…니ë‹�.

Tourmaline Bio (NASDAQ: TRML) a présenté des données supplémentaires de son essai de phase 2 TRANQUILITY sur pacibekitug au congrès ESC 2025. L'essai a démontré des résultats significatifs dans le traitement de patients présentant une hs-CRP élevée et une maladie rénale chronique.

Les données ont montré des réductions constantes de la protéine C-réactive hautement sensible (hs-CRP) dans différents sous-groupes de patients. Notamment, pacibekitug a obtenu une réduction de la hs-CRP >85% dans le bras à 50 mg administré trimestriellement, devenant ainsi le premier inhibiteur de l'IL�6 à démontrer une telle efficacité avec un schéma trimestriel. Le médicament a également entraîné des réductions statistiquement significatives de biomarqueurs secondaires tels que la lipoprotéine(a), le fibrinogène et l'amyloïde sérique A.

Sur la base de ces résultats positifs, Tourmaline prévoit de lancer une étude de preuve de concept de phase 2 sur l'anévrisme de l'aorte abdominale (AAA) et de poursuivre les préparatifs pour un essai de phase 3 sur les événements cardiovasculaires chez les patients atteints d'ASCVD.

Tourmaline Bio (NASDAQ: TRML) stellte auf dem ESC Congress 2025 weitere Daten aus der Phase-2-TRANQUILITY-Studie zu pacibekitug vor. Die Studie zeigte signifikante Ergebnisse bei der Behandlung von Patienten mit erhöhtem hs-CRP und chronischer Nierenerkrankung.

Die Daten zeigten konsequente Reduktionen des hochsensitiven C-reaktiven Proteins (hs-CRP) in verschiedenen Patientensubgruppen. Bemerkenswert ist, dass pacibekitug im Quartalsdosisarm mit 50 mg eine >85%ige hs-CRP-Reduktion erreichte und damit der erste IL�6-Inhibitor ist, der eine solche Wirksamkeit bei quartalsweiser Dosierung demonstriert. Das Medikament zeigte außerdem statistisch signifikante Reduktionen sekundärer Biomarker wie Lipoprotein(a), Fibrinogen und Serum-Amyloid A.

Auf Basis dieser positiven Ergebnisse plant Tourmaline den Start einer Phaseâ€�2‑Proof‑of‑Concept‑Studie beim abdominellen Aortenaneurysma (AAA) und setzt die Vorbereitungen für eine ±Ê³ó²¹²õ±ðâ€�3‑H±ð°ù³ú-°­°ù±ð¾±²õ±ô²¹³Ü´Ú‑E²Ô»å±è³Ü²Ô°ì³Ù²õ³Ù³Ü»å¾±±ð bei ASCVD‑Patienten fort.

Positive
  • Achieved >85% hs-CRP reductions from baseline in 50mg quarterly dosing arm
  • First IL-6 inhibitor to demonstrate deep hs-CRP reductions with quarterly dosing
  • Statistically significant reductions in multiple cardiovascular risk biomarkers
  • Consistent efficacy across various patient subgroups
  • Advancing to Phase 2 AAA study and Phase 3 cardiovascular outcomes trial
Negative
  • None.

Insights

Tourmaline's pacibekitug shows consistent, significant inflammatory biomarker reductions across patient subgroups, supporting advancement to Phase 3 cardiovascular trials.

Tourmaline Bio's Phase 2 TRANQUILITY trial results demonstrate pacibekitug, their long-acting anti-IL-6 antibody, achieved consistent reductions in high-sensitivity C-reactive protein (hs-CRP) across multiple patient subgroups. The data showed statistically significant reductions (p<0.0001) in this key inflammatory biomarker through Day 90 across all dosing arms.

What's particularly notable is pacibekitug's quarterly dosing potential � the 50mg quarterly dose achieved >85% hs-CRP reduction from baseline, making it the first IL-6 inhibitor to demonstrate such efficacy with infrequent dosing. This could represent a significant competitive advantage in treatment compliance and convenience.

The drug also demonstrated concordant reductions in secondary biomarkers, including lipoprotein(a), fibrinogen, and serum amyloid A � all associated with cardiovascular risk. These reductions were statistically significant across multiple dose arms, providing mechanistic confirmation of pacibekitug's anti-inflammatory effects.

The consistent efficacy across subgroups including sex, BMI, diabetes status, and concomitant GLP-1 therapy use indicates broad applicability. Based on these positive results, Tourmaline plans to advance pacibekitug to a Phase 2 proof-of-concept study in abdominal aortic aneurysm and is preparing for a Phase 3 cardiovascular outcomes trial in atherosclerotic cardiovascular disease patients.

This progress positions Tourmaline to potentially address significant unmet needs in inflammation-driven cardiovascular diseases, representing an important advancement in their clinical pipeline.

� Poster presentation highlights the consistency of reductions in high-sensitivity C-reactive protein with pacibekitug across clinically-meaningful subgroups �

� Pacibekitug demonstrated concordant, statistically significant reductions in secondary pharmacodynamic biomarkers of IL-6 pathway activity including lipoprotein(a), fibrinogen, and serum amyloid A �

NEW YORK, Aug. 31, 2025 (GLOBE NEWSWIRE) -- Tourmaline Bio, Inc. (Tourmaline) (NASDAQ: TRML), a late-stage clinical biotechnology company developing transformative medicines that establish new standards of care for patients with life-altering inflammatory and immune diseases, today presented additional data from its ongoing Phase 2 TRANQUILITY trial of pacibekitug in a poster presentation at the European Society of Cardiology (ESC) Congress 2025 in Madrid, Spain, highlighting the consistency of reduction in high-sensitivity C-reactive protein (hs-CRP) with pacibekitug across a wide range of subgroups as well as concordant reductions in key biomarkers beyond hs-CRP, including lipoprotein(a), fibrinogen, and serum amyloid A.

The poster, presented by Dr. Deepak L. Bhatt, Director of the Mount Sinai Fuster Heart Hospital, the Dr. Valentin Fuster Professor of Cardiovascular Medicine at the Icahn School of Medicine at Mount Sinai in New York, and Chair of Tourmaline’s Cardiovascular Scientific Advisory Board (for which he is compensated), highlights additional data from TRANQUILITY, a randomized, placebo-controlled trial evaluating pacibekitug, a long-acting anti-IL-6 monoclonal antibody, in patients with elevated hs-CRP and chronic kidney disease (CKD). These more complete data are from the same April 23, 2025, data extract as the topline results previously reported by Tourmaline in May 2025. The May 2025 topline results press release can be accessed , and the ESC poster can be accessed .

“Across all monthly and quarterly dosing arms, subcutaneously administered pacibekitug demonstrated rapid, deep, and consistent reductions in hs-CRP, a well-established biomarker of residual inflammatory risk,� said Dr. Bhatt. “Importantly, reductions in hs-CRP were consistently achieved across a wide range of clinically relevant subgroups, including sex, body mass index, presence or absence of diabetes, baseline GLP-1 and GIP/GLP-1 receptor agonist use, and baseline hs-CRP level. Together, these data make a strong case for pacibekitug’s continued evaluation in atherosclerotic cardiovascular disease and other inflammation-driven cardiovascular diseases.�

As previously reported in May 2025, rapid, deep, and durable reductions in hs-CRP through Day 90 were achieved across all pacibekitug arms with a high degree of statistical significance as compared to placebo (p<0.0001 for all arms). As outlined in the , in addition to reducing hs-CRP, pacibekitug also demonstrated reductions in lipoprotein(a), fibrinogen, and serum amyloid A, biomarkers of IL-6 pathway activity also associated with cardiovascular risk. The reductions in fibrinogen and serum amyloid A were statistically significant in all three pacibekitug dose arms and the reductions in lipoprotein(a) were statistically significant in the 50mg quarterly and 15mg monthly arms.

Based on these results, pacibekitug became the first and only IL-6 inhibitor known to demonstrate deep hs-CRP reductions with quarterly dosing in a clinical trial, achieving >85% hs-CRP reductions from baseline in the 50 mg quarterly arm. These results support Tourmaline’s plans to initiate a Phase 2 proof-of-concept study in abdominal aortic aneurysm (AAA) and to continue its preparations for a Phase 3 cardiovascular outcomes trial in patients with atherosclerotic cardiovascular disease (ASCVD).

Poster Presentation Details:
Title:ÌýA Multicenter, Randomized, Double-Blind, Placebo-Controlled Ph2 Trial of Pacibekitug SC Quarterly or Monthly in Patients with Elevated hs-CRP and Chronic Kidney Disease: TRANQUILITY 90-Day Results
Authors: PE. Pergola1, E. Degoma2, F. Hemani2, J. Walsh2, H. Zayed2, PM. Ridker3, M. Szarek4, DL. Bhatt4
Affiliations:
1Renal Associates, P.A., San Antonio, USA
2Tourmaline Bio, Inc., New York, USA
3Brigham and Women's Hospital, Harvard Medical School, USA
4Icahn School of Medicine at Mount Sinai, New York, USA
Date and Time: August 31, 2025, 3:15 � 4:00 pm CEST
Abstract Number: #599

For more information, please visit the ; the poster presentation is also available in the of Tourmaline’s website.

About the TRANQUILITY Trial:
TRANQUILITY is a multicenter, randomized, double-blind, placebo-controlled Phase 2 trial evaluating pacibekitug in patients with elevated hs-CRP, a key inflammatory biomarker associated with elevated cardiovascular risk, and chronic kidney disease. The primary endpoint of the TRANQUILITY trial is median time-averaged percent change in hs-CRP through Day 90. The key secondary endpoint is the percentage of participants achieving time-averaged hs-CRP below 2 mg/L through Day 90. Additional information on the TRANQUILITY trial can be found .

About Pacibekitug:
Pacibekitug is a long-acting, fully-human, anti-IL-6 monoclonal antibody with best-in-class potential and differentiated properties, including a naturally long half-life, low immunogenicity, and high binding affinity to IL-6. Pacibekitug has been previously studied in approximately 450 participants, including patients with autoimmune disorders, across six completed clinical trials. Tourmaline is currently developing pacibekitug in atherosclerotic cardiovascular disease (ASCVD) and thyroid eye disease (TED) as its first two indications, with plans to expand into abdominal aortic aneurysm (AAA) and additional diseases in the future.

About Tourmaline Bio:
Tourmaline is a late-stage clinical biotechnology company driven by its mission to develop transformative medicines that establish new standards of care for patients with life-altering inflammatory and immune diseases. Tourmaline’s lead asset is pacibekitug. For more information about Tourmaline and pacibekitug, please visit or follow us on , or .

Cautionary Note Regarding Forward-Looking Statements:
Any statements contained in this press release that do not describe historical facts may constitute forward-looking statements as that term is defined in the Private Securities Litigation Reform Act of 1995. These statements may be identified by words and phrases such as “believe,� “designed to,� “expect,� “may,� “plan,� “potential,� “will� and similar expressions, and are based on Tourmaline’s current beliefs and expectations. These forward-looking statements include expectations regarding the development and potential therapeutic benefits of pacibekitug; the timing of initiation, progress and results of Tourmaline’s current and future clinical trials for pacibekitug, including reporting of data therefrom; Phase 3 clinical trial readiness; and the potential to expand pacibekitug into additional indications. These statements involve risks and uncertainties that could cause actual results to differ materially from those reflected in such statements. Risks and uncertainties that may cause actual results to differ materially include uncertainties inherent in the development of therapeutic product candidates, such as the risk that any one or more of Tourmaline’s current or future product candidates will not be successfully developed or commercialized; the risk of delay or cessation of any planned clinical trials of Tourmaline’s current or future product candidates; the risk that prior results, such as signals of safety, activity or durability of effect, observed from preclinical trials, will not be replicated or will not continue in ongoing or future studies or clinical trials involving Tourmaline’s current or future product candidates; the risk that Tourmaline’s current or future product candidates or procedures in connection with the administration thereof will not have the safety or efficacy profile that Tourmaline anticipates; risks regarding the accuracy of Tourmaline’s estimates of expenses, capital requirements and needs for additional financing; changes in expected or existing competition; changes in the regulatory environment; the uncertainties and timing of the regulatory approval process; unexpected litigation or other disputes; the impacts of macroeconomic conditions Tourmaline’s business, clinical trials and financial position; and other risks and uncertainties that are described in Tourmaline’s Quarterly Report on Form 10-Q filed with the U.S. Securities and Exchange Commission (“SEC�) on August 13, 2025 and other filings that Tourmaline makes with the SEC from time to time. Any forward-looking statements speak only as of the date of this press release and are based on information available to Tourmaline as of the date hereof, and Tourmaline assumes no obligation to, and does not intend to, update any forward-looking statements, whether as a result of new information, future events or otherwise.

Media Contact:
Scient PR
Sarah Mishek
ÌýÌý

Investor Contact:
Meru Advisors
Lee M. Stern


FAQ

What were the key findings of Tourmaline Bio's (TRML) TRANQUILITY Phase 2 trial?

The trial showed >85% hs-CRP reductions in the 50mg quarterly dosing arm, with statistically significant reductions in biomarkers including lipoprotein(a), fibrinogen, and serum amyloid A. Pacibekitug became the first IL-6 inhibitor to achieve such results with quarterly dosing.

How did pacibekitug perform across different patient subgroups in the TRANQUILITY trial?

Pacibekitug demonstrated consistent reductions in hs-CRP across various subgroups, including differences in sex, body mass index, diabetes status, baseline GLP-1 and GIP/GLP-1 receptor agonist use, and baseline hs-CRP level.

What are Tourmaline Bio's (TRML) next steps following the TRANQUILITY trial results?

Tourmaline Bio plans to initiate a Phase 2 proof-of-concept study in abdominal aortic aneurysm (AAA) and continue preparations for a Phase 3 cardiovascular outcomes trial in patients with atherosclerotic cardiovascular disease (ASCVD).

What biomarkers were reduced in the TRANQUILITY trial of pacibekitug?

The trial showed significant reductions in multiple biomarkers including high-sensitivity C-reactive protein (hs-CRP), lipoprotein(a), fibrinogen, and serum amyloid A, all associated with cardiovascular risk.

When were the TRANQUILITY trial results presented by Tourmaline Bio (TRML)?

The results were presented at the European Society of Cardiology (ESC) Congress 2025 in Madrid, Spain, on August 31, 2025, with the topline results previously reported in May 2025.
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