Key Highlights

• Advarra IRB granted central ethics approval for IBX's Phase 1b/2 MagSense HER2 imaging trial in the United States.

• The approval covers all study materials including the protocol and informed consent forms, enabling active site initiation.

• A single central IRB process is being used to streamline multi-site activation and patient enrolment.

• Combined with existing FDA IND clearance, IBX now holds all key regulatory approvals required to commence the US trial.

Imagion Biosystems Limited (ASX:IBX), a clinical-stage medical imaging company focused on cancer diagnostics, announced on 30 September 2026 that Advarra, Inc. has granted central Institutional Review Board (IRB) ethics approval for its Phase 1b/2 clinical trial of the MagSense HER2 Imaging Agent. The milestone removes a key regulatory barrier and positions the company to move into active site initiation and, subsequently, patient enrolment.

About Imagion Biosystems

Imagion Biosystems is a Melbourne-based clinical-stage company developing MagSense, a proprietary class of MRI imaging agents that use targeted magnetic nanoparticles to detect cancer without ionising radiation or radioactive tracers. The company's lead product targets HER2-positive breast cancer, specifically the detection of nodal metastases, and has successfully completed a Phase 1 study. The MagSense platform also holds potential application in prostate and ovarian cancers.

Central IRB Approval: What It Means

The Advarra IRB's review confirmed that the study protocol, informed consent processes, and participant safeguards all meet United States ethical and regulatory standards for clinical research involving human participants. This central IRB model is designed to allow multiple participating clinical sites to rely on a single ethics review rather than conducting separate institutional reviews, reducing duplication and accelerating site activation timelines.

This approval, when combined with the previously announced FDA Investigational New Drug (IND) clearance, means Imagion now holds the full suite of regulatory and ethics approvals required to begin the trial in the United States.

Trial Design and Stage of Progress

The MagSense Phase 1b/2 trial is evaluating the imaging agent in HER2-positive breast cancer patients. According to the company, site contract execution, investigator training, and patient recruitment planning are now underway. First patient enrolment is expected to commence following first site activation.

Ward Detwiler, President of Imagion's US operations, noted that focus now remains on completing the final stages of site activation before opening the study for patient enrolment. The trial represents a material step in the company's clinical development program, as generating Phase 2 efficacy and safety data is central to advancing MagSense toward commercial potential.

Technology and Market Context

MagSense technology is positioned as a differentiated approach to cancer imaging. Conventional imaging methods cannot reliably distinguish benign tumours from malignant cancer. MagSense agents aim to improve diagnostic precision through molecular specificity, using targeted magnetic nanoparticles visible under MRI — without the use of radioactive tracers, which differentiates it from several existing nuclear medicine-based imaging agents.

The company has developed MagSense applications for three cancer types to date, with HER2-positive breast cancer being the most advanced in clinical development.

Key Takeaways

Imagion Biosystems has reached a meaningful regulatory milestone with the receipt of central IRB ethics approval from Advarra. Combined with FDA IND clearance already in place, the company is now positioned to begin active site initiation and move toward patient enrolment in its Phase 1b/2 MagSense trial. The coming months will be defined by the pace of site contracting and the speed at which the first participants are enrolled, with Phase 2 efficacy and safety data generation representing the next substantive clinical objective.