NSB Details Stem Cell Therapy Hitting 78% Response in Crohn’s Patients With No Options

By Josua Ferreira -

A stem cell solution for patients who’ve run out of options

Approximately 30% of Crohn’s Disease patients eventually stop responding to standard therapies, leaving them with zero recognised treatment options. In its May 2026 investor presentation, Neuroscientific Biopharmaceuticals (ASX: NSB) detailed StemSmart, its proprietary allogeneic MSC platform developed specifically for these treatment-resistant patients. The presentation coincided with the company’s 26 May 2026 announcement of “Remarkable Results from Patients treated with StemSmart under the Special Access Program,” providing timely context for the clinical progress outlined. NSB is targeting a global Crohn’s Disease market valued at US$13B+, covering an estimated 6 to 8 million patients worldwide.

What StemSmart actually is — and why it’s different

Mesenchymal stem cells explained

Mesenchymal Stem Cells (MSCs) are naturally occurring cells found in the body that home to sites of inflammation and modulate the immune response. In Crohn’s Disease, the immune system mounts a chronic, misdirected attack on the digestive tract. Rather than simply suppressing symptoms, MSCs have the potential to “reset” the inflammatory environment at the source, offering a mechanistically distinct approach to treatment.

What makes StemSmart different

NSB’s StemSmart product uses an “activated MSC” format, meaning the cells are processed through a proprietary activation method designed to enhance therapeutic activity beyond what standard MSC therapies can achieve. Manufacturing is conducted under TGA accreditation, and the patented process removes non-human proteins from cell products, which the presentation noted improves both clinical efficacy and safety.

StemSmart is allogeneic, meaning it is produced from donor-derived cells rather than a patient’s own cells. This distinction is commercially significant: allogeneic manufacturing enables scalable production, whereas autologous approaches require a separate manufacturing process for each individual patient.

NSB — Key Product Claim

“NSB’s StemSmart™ product has generated strong clinical evidence in patients with severe refractory Crohn’s, providing a potential therapy where none exists currently.”

The clinical evidence building behind StemSmart

Prior Phase 2 trial results

The foundational evidence base for StemSmart comes from a prior Phase 2 clinical study conducted in refractory Crohn’s Disease patients. Management highlighted four headline data points from that study:

  1. 78% of refractory patients demonstrated clinical response, defined as a reduction in the Crohn’s Disease Activity Index (CDAI) by more than 100 points.
  2. 44% achieved remission, defined as a reduction in CDAI score to below 150 points.
  3. All patients enrolled had previously failed biologic therapies.
  4. No safety events related to treatment with StemSmart were recorded.

Special Access Program — real-world validation

The TGA Special Access Scheme (SAS) is a regulatory pathway that allows patients with limited treatment options to access experimental therapies outside of a formal clinical trial. NSB’s SAS program focused on fistulising Crohn’s Disease, a distinct and severe complication involving abnormal tunnelling between the bowel and the outside skin or other organs — a condition associated with significantly reduced quality of life.

The headline result from the SAS program: 4 out of 5 patients achieved a clinical response, defined as ≥50% fistula closure or discharge reduction. No serious adverse events were reported. The presentation noted that this real-world data is now directly informing the design of the planned Phase 2 clinical trial anticipated in CY2026.

Program Patient Type Key Result Safety Status
Prior Phase 2 Study Refractory Crohn’s (failed biologics) 78% clinical response; 44% remission No safety events Completed
Special Access Program Fistulising Crohn’s 4/5 patients clinical response (≥50% fistula closure) No serious adverse events Completed; informing Phase 2

What’s next — the path to Phase 2 and beyond

Two Phase 2 trials in parallel

The May 2026 presentation outlined two distinct Phase 2 programs in parallel development, each targeting a different patient population and regulatory pathway.

Fistulising Crohn’s Disease:

  • Australia only
  • Australian TGA Clinical Trial Notification pathway
  • Open label, single-arm study
  • Data intended to support Marketing Authorisation in Australia

Refractory Crohn’s Disease:

  • US and Australia
  • US FDA Investigational New Drug program
  • Randomised, double-blinded, 2-arm study
  • Data intended to support partnering for Phase 3 and commercialisation globally

Milestone roadmap

Management presented the following near-to-medium term milestone sequence in the May 2026 investor presentation:

  1. 2026 — TGA licensure at Q-Gen Cell Therapeutics (manufacturing partner)
  2. 2026 — Regulatory submissions to support Phase 2 initiation
  3. 2026 — Phase 2 trial commencement in Australia and the US
  4. 2027 — Strategic partnership and licensing discussions
  5. 2027 — Expansion into additional inflammatory indications
  6. 2028–2029 — Phase 3 preparation
  7. 2029–2031 — Commercialisation pathway activities

On the financial side, NSB reported approximately A$5.68 million in cash as at 31 March 2026. As at 25 May 2026, the company carried a market capitalisation of approximately A$31.26 million at a share price of A$0.09.

NSB is targeting the least-served segment of a US$13B+ market, with a patented platform, early clinical validation across two distinct programs, and a structured Phase 2 pathway now underway.

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Frequently Asked Questions

What is StemSmart and how does it work for Crohn's Disease?

StemSmart is an allogeneic mesenchymal stem cell (MSC) therapy developed by Neuroscientific Biopharmaceuticals that uses proprietary activated MSCs to home to inflammation sites and modulate the immune response in Crohn's Disease patients, offering a mechanistically distinct approach compared to standard immunosuppressive therapies.

What were the StemSmart Special Access Program results for Crohn's Disease?

Under the TGA Special Access Scheme, 4 out of 5 patients with fistulising Crohn's Disease achieved a clinical response, defined as at least 50% fistula closure or discharge reduction, with no serious adverse events reported.

Who is StemSmart designed to treat?

StemSmart targets treatment-resistant Crohn's Disease patients, specifically those who have failed biologic therapies and represent approximately 30% of the Crohn's Disease population who have no remaining recognised treatment options.

When will NSB's StemSmart Phase 2 clinical trials begin?

NSB has outlined plans to commence two Phase 2 trials in 2026 — one in Australia under the TGA Clinical Trial Notification pathway for fistulising Crohn's Disease, and a second randomised, double-blinded trial across Australia and the US under the FDA Investigational New Drug program for refractory Crohn's Disease.

What is the difference between allogeneic and autologous stem cell therapy?

Allogeneic stem cell therapy, like StemSmart, uses donor-derived cells that can be manufactured at scale for multiple patients, whereas autologous therapy requires a separate manufacturing process using each individual patient's own cells, making it significantly more complex and costly to produce commercially.

Josua Ferreira
By Josua Ferreira
Partnership Director
Josua Ferreira holds a Bachelor of Commerce in Marketing and Advertising and brings a background in publication, business development, and ASX market storytelling. He has worked with listed companies across the resource sector and broader market, combining sharp commercial instincts with a genuine commitment to keeping investors informed.
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