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Tenax Therapeutics Inc

Tenax Therapeutics, Inc. is a development-stage pharmaceutical company that develops novel cardiopulmonary therapies in the United States. Its pipeline includes TNX-101, TNX-102, and TNX-103 (levosimendan), which have completed phase II clinical trials for pulmonary hypertension in heart failure with preserved ejection fraction and associated pulmonary hypertension, as well as TNX-201 (imatinib), a tyrosine kinase inhibitor for chronic myeloid leukemia. The company was formerly known as Oxygen Biotherapeutics, Inc. and changed its name to Tenax Therapeutics, Inc. in September 2014. Founded in 1967, it is headquartered in Chapel Hill, North Carolina.

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United States
Biotech & Genomic Medicine

Tenax finds benefit in sicker patient subgroup after Phase 3 trial miss

Tenax Therapeutics reported that additional analyses from its Phase 3 LEVEL trial suggest its oral levosimendan treatment, TNX-103, may benefit pulmonary hypertension patients with more limited exercise capacity, even though the trial failed its primary endpoint in the overall population. The company presented the findings at the European Society of Cardiology Congress in Munich, where it also revealed that the trial missed a key secondary endpoint measuring heart failure symptoms. In the full population of 241 patients with PH-HFpEF, TNX-103 did not significantly improve six-minute walking distance or Kansas City Cardiomyopathy Questionnaire scores. However, a prespecified analysis of 119 patients who could walk less than the trial median of 333 meters at baseline showed a statistically significant 26.3-meter improvement in walking distance and a 5.7-point improvement in symptom scores, exceeding the clinically meaningful threshold. Tenax plans to target this higher-risk subgroup in a follow-up trial called LEVEL-2, but the strategy carries substantial clinical and regulatory risk because the encouraging results came from a subset of the original study population.
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Biotech & Genomic Medicine › Cardiovascular & Heart-Failure Therapeutics Competition
TENX · Technology · Neutral Phase 3 trial missed primary endpoint but subgroup analysis shows potential benefit, leading to uncertain regulatory path.
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United States
Biotech & Genomic Medicine▼

Tenax, Sionna plunge; MarineMax jumps premarket on reported buyout

Tenax Therapeutics and Sionna Therapeutics shares plunged in premarket trading after their respective clinical trials failed, while MarineMax jumped on a reported buyout by Blackstone-owned Safe Harbor Marinas. Tenax stock fell 84.2% after its Phase 3 LEVEL trial of TNX-103 missed its primary endpoint, showing no statistically significant improvement in six-minute walk distance versus placebo with a p-value of 0.63. Sionna shares dropped 92.1% after its Phase 2a trial of SION-719 failed to demonstrate meaningful CFTR function improvement, with a placebo-adjusted sweat chloride change of just -1.0 mmol/L and a p-value of 0.7. MarineMax surged more than 34% after Reuters reported Safe Harbor is close to acquiring the boat retailer for $1.5 billion including debt, or about $53 per share in cash, a substantial premium to Friday's close of $35.68. AAON gained over 10.6% after its second-quarter results apparently beat expectations, while Silence Therapeutics rose 16.2% ahead of a conference call on its Phase 2 SANRECO trial. Dole fell 4.2% after missing second-quarter earnings and revenue estimates, and AirSculpt Technologies dropped 18.4% on weaker quarterly results with revenue down 3% year-over-year.
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Biotech & Genomic Medicine › Oncology Therapeutics ▼Competition
HZO · Capital · Positive Reported buyout by Safe Harbor at $53/share cash
SION · Technology · Negative Phase 2a trial failed to show meaningful CFTR improvement
TENX · Technology · Negative Phase 3 trial of TNX-103 failed to meet primary endpoint.
AAON · Capital · Positive Q2 results beat expectations
AIRS · Capital · Negative Weaker quarterly results with revenue down 3% YoY
DOLE · Capital · Negative Missed Q2 earnings and revenue estimates
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United States
Biotech & Genomic Medicine▼

Orion partner Tenax Therapeutics' Phase 3 LEVEL trial of oral levosimendan misses primary endpoint

Orion Corporation's license partner Tenax Therapeutics announced that the Phase 3 LEVEL trial of oral levosimendan in patients with pulmonary hypertension due to heart failure with preserved ejection fraction did not meet its primary endpoint of improvement in the 6-minute walk distance versus placebo. The key secondary endpoint of improvement in the Kansas City Cardiomyopathy Questionnaire total symptom score was also not met. Prespecified subgroup analyses identified a substantial beneficial treatment effect in patients with greater disease burden, supported by clinically meaningful changes in predefined cardiac biomarker and pulmonary hemodynamic measures across the overall trial population. Oral levosimendan was generally safe and well tolerated, with serious adverse events and adjudicated clinical worsening events balanced across treatment arms. Based on the results, Tenax intends to request a Type C Meeting with the U.S. Food and Drug Administration to discuss revisions to the ongoing registrational development of levosimendan for PH-HFpEF, and to seek parallel scientific consultation from the European Medicines Agency.
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Biotech & Genomic Medicine › Cardiovascular & Heart-Failure Therapeutics ▼Competition
TENX · Technology · Negative Phase 3 trial misses primary endpoint, a setback for oral levosimendan development.
0M2N.LSE · Technology · Negative Orion's license partner's trial failure negatively impacts Orion's partnered asset.
0M2O.LSE · Technology · Negative Orion's license partner's trial failure negatively impacts Orion's partnered asset.
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Tenax Therapeutics Posts 64% Wider Q2 Loss, Phase 3 Heart Drug Data Due in August

Tenax Therapeutics reported a wider net loss for its fiscal second quarter ended June 30, 2026, with the loss increasing 64% to $17.80 million from $10.85 million a year earlier. Diluted loss per share rose to $0.35 from $0.27 in the prior-year quarter. Cash and cash equivalents stood at $118 million as of June 30, 2026, and following $13.4 million in gross proceeds from warrant exercises during the quarter, the company expects its cash runway to extend through the second quarter of 2028. Tenax anticipates topline data in August 2026 from the Phase 3 LEVEL trial of TNX-103 for pulmonary hypertension associated with heart failure with preserved ejection fraction.
TENX · Capital · Negative Wider Q2 loss and increased loss per share reported.
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Tenax Therapeutics Announces Inducement Option Awards for Three New Hires

Tenax Therapeutics awarded non-qualified stock options to purchase an aggregate of 160,000 shares of common stock to three newly hired non-executive employees in accounting, clinical operations, and CMC/product development roles. The options have an exercise price equal to the closing price on the grant date, with 25% vesting after one year and the remainder vesting monthly over 36 months. The awards were approved by the Board's Compensation Committee as material inducements to employment under Nasdaq Listing Rule 5635(c)(4) and were granted outside the company's stockholder-approved equity incentive plan.
TENX · Capital · Neutral Inducement option awards for new hires, no direct business impact
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Tenax Therapeutics to present Phase 3 LEVEL trial data at ESC Congress 2026

Tenax Therapeutics announced that results from its Phase 3 LEVEL clinical trial will be presented in a Late-Breaking Clinical Science session at the European Society of Cardiology Congress 2026 in Munich. The company expects to report topline data in August 2026, with an abstract recently submitted in anticipation of the initial analysis. The LEVEL trial is evaluating TNX-103, an oral formulation of levosimendan, in patients with pulmonary hypertension due to heart failure with preserved ejection fraction, and completed enrollment of over 230 patients in March 2026. A prespecified Blinded Sample Size Re-estimation in December 2025 showed the trial is powered at well over 90% to detect a 25-meter change in the six-minute walk distance primary endpoint. The presentation, titled “Levosimendan in patients with pulmonary hypertension due to heart failure with preserved ejection fraction: results of the LEVEL trial,” will be delivered by Professor Sanjiv Shah of Northwestern University on August 29, 2026.
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Biotech & Genomic Medicine › Cardiovascular & Heart-Failure Therapeutics ▲Demand
TENX · Technology · Positive Positive Phase 3 trial data presentation at major cardiology congress, with strong statistical power and completed enrollment.
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