December 16, 2025 December 2025 Letter to

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December 16, 2025
December 2025 Letter to Shareholders
VANCOUVER, Washington, Dec. 16, 2025 (GLOBE NEWSWIRE) --
Dear Shareholders,
As we close out the year and step with confidence and purpose into 2026, I want to extend
my sincere appreciation for your support, patience, and continued belief in CytoDyn’s (the
“Company”) mission. I will remember 2025 as the year in which we first presented our
astonishing survival observations and compelling data on the emerging role of leronlimab in
solid tumor oncology. This past year has been one of disciplined execution, operational
rebuilding, and meaningful scientific progress. Today, we are a far stronger, more focused,
and more capable company than we were twelve months ago.
In February, we announced increased survival rates in patients with metastatic TripleNegative Breast Cancer (“mTNBC”) who were treated with leronlimab in prior studies. In
May, after further evaluation of the underlying data and treatment profiles on the group of
long-term survivors, we shared our exciting new proposed mechanism of action (“MOA”) for
leronlimab. Among the long-term survivors with sustained remission, we observed three
common factors: (i) treatment with leronlimab, (ii) subsequent expression of PD-L1 levels on
circulating tumor cells above a common threshold, and (iii) treatment with an immune
checkpoint inhibitor (“ICI”). All five patients who were treated in this manner are alive today,
five years later, and three of these individuals currently show no evidence of disease. The
patient profiles and underlying data, albeit retrospective, suggest that leronlimab can convert
“cold” (PD-L1–negative) tumors into “hot” (PD-L1–positive) tumors by blocking CCR5,
thereby enabling a potential “prime and pair” regimen in which leronlimab primes the tumor
microenvironment which then allows ICIs to unleash an immune response.
Once prospectively confirmed, leronlimab’s ability to induce a “hot” tumor microenvironment
should be a game changer in solid tumor oncology. This is our top clinical priority, and data
supporting this concept are being collected in our active Phase 2 colorectal cancer (“CRC”)
trial and will be collected in our Phase 2 mTNBC trial set to commence in 2026.
Calendar 2025 in Review
Throughout 2025, our team delivered on several critical priorities designed to restore
momentum and position CytoDyn for long-term success:
Operational Strengthening. We advanced essential regulatory preparations, refined
our clinical strategy, and improved internal processes. This included strengthening
data integrity standards, enhancing trial oversight, and engaging more consistently and
constructively with regulators and investigators.
Clinical Program Advancement. Our scientific team made significant progress
across our therapeutic focus areas. While early-stage milestones rarely generate
headlines, this foundational work ultimately determines a biotech company’s trajectory.
By improving study design, aligning with clinical experts, and prioritizing areas of
unmet need, we have created a roadmap that is realistic, executable, and valuecreating. A detailed Clinical Update supplement is attached at the end of this letter.
Financial Discipline. 2025 was marked by prudent financial stewardship. We
remained focused on extending our runway, improving our cost structure, and ensuring
that resources are directed toward programs with the highest probability of success
and the greatest potential benefit for patients.
The progress we made this year is tangible. As we continue towards prospectively
confirming our MOA theories, the progress above is not theoretical and our team has
positioned the company to move confidently into its next phase. We have tightened
operations, clarified our approach, strategically resolved legal issues, and established the
infrastructure needed to deliver meaningful results. Our optimism for 2026 is grounded firmly
in the work completed in 2025.
Looking Ahead to Calendar 2026
As we enter 2026, CytoDyn stands on the cusp of several important clinical and regulatory
inflection points. I am optimistic about the near-term milestones ahead, including:
Advancements in our ongoing clinical studies
Near-term data readouts towards prospectively confirming our MOA theories
Continued progress in regulatory interactions that may unlock new clinical pathways
Strengthening relationships with key clinicians, investigators, and potential partners
With the fundamentals in place and our programs advancing, 2026 is poised to be the year
CytoDyn re-enters the industry conversation with force and credibility. We believe the
coming year will showcase:
Strong clinical execution
Clear scientific validation
Data-driven milestones
Pathways that may enable new opportunities with clinicians, researchers, and industry
partners
Biotech requires rigor, patience, and adherence to the regulatory process, but we have
every reason to believe that the groundwork laid in 2025 will begin to show tangible results
in 2026.
Closing Thoughts
Thank you for standing with us. Thank you for believing in our mission to develop therapies
with the potential to improve lives. And thank you for your continued commitment to CytoDyn
as we enter what I believe will be the most important and transformative year in our
company’s history. We are ready. We are focused. And in 2026, we intend to make waves.
Wishing everyone a safe and joyful holiday season,
Jacob Lalezari, MD
CEO
Note Regarding Forward-Looking Statements
This news release contains forward-looking statements relating to, among other things, the
mechanism of action of leronlimab, clinical trial results, product development, market
position, future operating and financial performance, and business strategy. The reader is
cautioned not to rely on these statements, which are based on current expectations of future
events. For important information about these statements and our Company, including the
risks, uncertainties and other factors that could cause actual results to vary materially from
the assumptions, expectations and projections expressed in any forward-looking statements,
the reader should review our Annual Report on Form 10-K for the fiscal year ended May 31,
2025, including the section captioned “Forward-Looking Statements” and in Item 1A, and in
subsequent reports filed with the Securities and Exchange Commission. CytoDyn Inc. does
not undertake to update any forward-looking statement as a result of new information or
future events or developments other than as required by law.
Corporate Contact
CytoDyn Inc.
ir@cytodyn.com
Media Contacts
David Schull or Ignacio Guerrero-Ros, Ph.D.
Russo Partners, LLC
CytoDyn@russopartnersllc.com
Clinical Update
– December 2025 –
Our Phase II study of patients with mCRC was launched in July 2025, to evaluate the safety
and efficacy of leronlimab (350 mg versus 700 mg) added to a backbone of Bevacizumab
and Tipiracil. As of this writing, the study has enrolled 16 patients with another 23 patients in
screening. Based upon current projections, we anticipate 20 patients to be enrolled by the
end of the year, and to have the trial fully enrolled in or around May 2026.
Early results from the mCRC trial have been very encouraging, and we have already
submitted abstracts for at least two presentations on the CRC study in 2026– one
presentation on biomarker results, and a second focused on clinical outcomes. In addition,
the study design is being amended so that patients who have a clinical progression will have
the option of adding an ICI to their treatment regimen. As a result, the final CRC study
design will allow us to evaluate leronlimab both as a “stand-alone” agent on its own (added
to the background regimen) and as a “prime and pair” agent used in conjunction with ICIs.
We recently received feedback from FDA on two proposed protocols for patients with
mTNBC, including a Phase II study combining leronlimab with ICIs as well as an Expanded
Access Program (EAP). We are incorporating FDA’s helpful comments and will be
submitting revised protocols for both initiatives in the near future.
The Phase 2 trial in patients with mTNBC will enroll individuals onto a dosing regimen of
weekly leronlimab along with chemotherapy for several cycles after which time they will be
randomized to immediate versus deferred treatment with an ICI. The primary endpoint of the
study will be clinical evaluation of Overall Response Rate (ORR) with secondary endpoints
including both Progression-Free Survival (PFS) and Overall Survival (OS). Two exploratory
endpoints will include evaluation of changes in PD-L1 on circulating tumor cells as well as
changes in circulating tumor DNA (ctDNA). This study is intentional and dynamic, meant to
provide prospective confirmation of the “prime and pair” paradigm that we believe will be of
particular interest to potential industry partners, as well as evaluate leronlimab’s potential for
monotherapy benefit.
With Every Patient (WEP Clinical) has been engaged to serve as our clinical research
organization (CRO) for the EAP, and we expect to open the program for patient referral in or
around February 2026, assuming FDA’s allowance of our revised protocol submission. In
addition to providing compassionate access to patients who have exhausted other treatment
options and are otherwise unable to participate in our upcoming Phase 2 trial, the EAP
program will serve as another potential avenue to observe PD-L1 induction following
treatment with leronlimab, and thereby – in theory – opening a treatment pathway towards
sustained remission when combined with an ICI. As previously shared, we are grateful to a
high-net worth individual who has agreed to cover the cost of the first 20 patients enrolled in
this two-year program.
In 2025 there was a marked increase in incoming requests for CytoDyn to collaborate with
investigators from a variety of academic centers. I am pleased to announce that we are
proceeding with four such initiatives, and that all four are being funded in part or entirely by
outside third parties. First, an investigator at City of Hope has received institutional approval
for a study of subcutaneous leronlimab given in combination with a regimen of
chemotherapy administered through the hepatic artery in treatment-naïve patients with
mCRC who have metastatic disease confined to the liver. This study seeks to leverage
CytoDyn’s previously announced data demonstrating leronlimab’s ability to mitigate liver
toxicity in prior preclinical studies, as well as certain preliminary results from the phase II
CRC study. This study is intended to provide CytoDyn with important tumor tissue from
patients treated with leronlimab. This tissue will enable us to correlate tumor levels of PD-L1
with levels concurrently measured in blood on circulating tumor cells. This tissue will also
provide CytoDyn the opportunity to further clarify and understand the leronlimab-induced
changes in the tumor microenvironment (TME) that lie at the heart of the “Prime and Pair”
paradigm.
Second, in keeping with our focus on solid tumor oncology, CytoDyn is collaborating with
several academic centers on a pilot study of patients with recurrent Glioblastoma. This study
proposes to treat patients with leronlimab in advance of their scheduled surgery for recurrent
disease. After surgery, patients will begin treatment with an ICI in the hope that a leronlimabdisrupted TME can then be treated with an ICI and provide clinical benefit to patients.
In addition to the above, CytoDyn has been working with several investigators on two
exciting projects outside oncology. Our collaborator at Cornell has finalized a 12-week pilot
study of leronlimab in patients with mild to moderate Alzheimer’s Disease. All the necessary
approvals have been received, and the study is scheduled to begin screening after requisite
equipment is installed at Cornell in April 2026.
Lastly, we continue work with Dr. Jonah Sacha, and others at Oregon Health Sciences
University and the University of Washington, on an HIV cure project involving stem cell
transplantation. The final protocol is now complete and submission to both institutional IRBs
and FDA will commence shortly.

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