Country for PR: China
Contributor: PR Newswire Asia (China)
Friday, May 28 2021 - 10:39
AsiaNet
CStone Announces the First-in-Class Registrational Clinical Trial of Sugemalimab Met its Primary Endpoint in Stage III NSCLC and Plans to Submit a New Drug Application
SUZHOU, China, May 28, 2021 /PRNewswire-AsiaNet/ --

-Sugemalimab becomes the world's first anti-PD-1/PD-L1 monoclonal antibody to 
successfully improve progression-free survival (PFS) in patients with stage III 
non-small-cell lung cancer (NSCLC) without disease progression after concurrent 
or sequential chemoradiotherapy 
-Sugemalimab is also the world's first anti-PD-1/PD-L1 monoclonal antibody 
covering both locally advanced/unresectable (stage III) and metastatic (stage 
IV) NSCLC patients 
-CStone plans to submit a New Drug Application (NDA) to the National Medical 
Products Administration (NMPA) of China for sugemalimab in stage III NSCLC and 
will work closely with EQRx on regulatory discussions for new drug applications 
for the two indications of stage III and stage IV NSCLC in multiple countries 
including the U.S.

CStone Pharmaceuticals ("CStone", HKEX: 2616), a leading biopharmaceutical 
company focused on researching, developing, and commercializing innovative 
immuno-oncology therapies and precision medicines, today announced that a 
registrational clinical trial (GEMSTONE-301 study) of the anti-PD-L1 monoclonal 
antibody sugemalimab in patients with stage III NSCLC met its primary endpoint 
at a planned interim analysis reviewed by the independent Data Monitoring 
Committee (iDMC). The findings showed that sugemalimab as a consolidation 
therapy brought statistically significant and clinically meaningful improvement 
in the Blinded Independent Central Review (BICR) assessed PFS in patients with 
locally advanced/unresectable NSCLC without disease progression after 
concurrent or sequential chemoradiotherapy. Investigator assessed PFS showed 
consistent results as those of the primary endpoint. Sugemalimab was 
well-tolerated with no new safety signals. Subgroup analyses demonstrated that 
sugemalimab was associated with clinical benefit regardless of whether patients 
received concurrent or sequential chemoradiotherapy prior to sugemalimab.

"Lung cancer is the leading cause of cancer-related mortality globally. There 
are currently few effective therapies for patients with stage III NSCLC whose 
disease did not progress after sequential chemoradiotherapy," said Professor 
Yi-long Wu of Guangdong Provincial People's Hospital, the Leading Principal 
Investigator on the GEMSTONE-301 study," The successful results from the study 
indicate that sugemalimab will meet the urgent treatment needs of these 
patients."

"We are excited that sugemalimab becomes the first anti-PD-1/PD-L1 monoclonal 
antibody in the world to cover both stage III and stage IV NSCLC patients," 
said Dr. Frank Jiang, Chairman and CEO of CStone, "The continued success of 
sugemalimab in lung cancer demonstrates CStone's leading research and 
development capabilities in the field of immuno-oncology. We are working 
closely with Pfizer and EQRx, our commercial partners for sugemalimab, on the 
next steps in our joint efforts to deliver this best-in-class drug to patients 
worldwide."

"Currently, there has not been an approved PD-1 or PD-L1 monoclonal antibody 
for treating patients in stage III NSCLC who have not developed disease 
progression after sequential chemoradiotherapy," said Dr. Jason Yang, Chief 
Medical Officer of CStone, "The GEMSTONE-301 is the first-in-class clinical 
study design that enrolled patients with either concurrent or sequential 
chemoradiotherapy to better reflect real-world clinical practice and cover a 
broader population. CStone is committed to providing treatment options to 
address the unmet medical needs. The GEMSTONE-301 study will advance the use of 
multidisciplinary treatment approaches in China to improve the quality of the 
diagnosis and treatment of stage III NSCLC. We will continue to explore the 
potential of sugemalimab in registrational clinical trials for patients with 
hematologic malignancies and advanced gastric and esophageal cancers."

CStone plans to submit an NDA to the NMPA for sugemalimab in stage III NSCLC, 
and will work with EQRx to hold regulatory discussions on the indications of 
stage III and stage IV NSCLC with regulators in multiple countries, including 
the U.S. Food and Drug Administration (FDA). Specific study data will be 
presented at an upcoming academic conference.

CStone formed a strategic collaboration agreement with Pfizer that includes the 
development and commercialization of sugemalimab in mainland China, and a 
framework to bring additional oncology assets to the Greater China market. 
CStone subsequently formed a strategic collaboration agreement with EQRx, under 
which EQRx licensed the exclusive rights to two key late-stage immuno-oncology 
assets, sugemalimab and CS1003 (anti-PD-1 antibody), for global development and 
commercialization outside of Greater China. 

About NSCLC

In recent years, China has had rising lung cancer incidence. According to the 
latest estimates on the global burden of cancer released by International 
Agency for Research on Cancer (IARC), in 2020, an estimated 0.82 million new 
lung cancer cases and 0.71 million new lung cancer deaths occurred in China. 
Among all Chinese cancer patients, lung cancer is the leading cause of 
cancer-related deaths. NSCLC is the most common type of lung cancer.

There are currently limited treatment options for patients with locally 
advanced/unresectable (stage III) NSCLC. In China, sequential chemoradiotherapy 
is widely used , while concurrent chemoradiotherapy is with limited use. But 
both are with unsatisfactory efficacy.

About Sugemalimab (anti-PD-L1 antibody)

Sugemalimab is an investigational anti-PD-L1 monoclonal antibody discovered by 
CStone. Authorized by the U.S.-based Ligand Corporation, sugemalimab is 
developed by the OmniRat® transgenic animal platform, which can generate fully 
human antibodies in one stop. As a fully human, full-length anti-PD-L1 
monoclonal antibody, sugemalimab mirrors the natural G-type immunoglobulin 4 
(IgG4) human antibody, which reduces the risk of immunogenicity and potential 
toxicities in patients, a unique advantage over similar drugs.

Currently, sugemalimab is being investigated in a number of ongoing clinical 
trials, including one Phase II registration studies for lymphoma (CS1001-201) 
and four Phase III registrational studies on stage III NSCLC, stage IV NSCLC, 
gastric cancer, and esophageal cancer, respectively. 

CS1001-201 is a single-arm, multicenter, Phase II pivotal study designed to 
evaluate the efficacy and safety of sugemalimab as monotherapy for the 
treatment of adult patients with relapsed or refractory extranodal natural 
killer/T-cell lymphoma (R/R ENKTL). Based on the encouraging preliminary 
efficacy results, sugemalimab was granted Orphan Drug Designation for the 
treatment of T-cell lymphoma and Breakthrough Therapy Designation for the 
treatment of R/R ENKTL by the U.S. Food and Drug Administration. It has also 
been granted Breakthrough Therapy Designation by the National Medical Products 
Administration of China. The proposed indication is R/R ENKTL.

GEMSTONE-301 Study

GEMSTONE-301 study (clinicaltrials.gov registration number: NCT03728556; drug 
clinical trial registration number: CTR20181429) is a multicenter, randomized, 
double-blind Phase III clinical trial, designed to evaluate the efficacy and 
safety of sugemalimab as consolidation therapy in patients with locally 
advanced/unresectable stage III NSCLC without disease progression after 
concurrent or sequential chemoradiotherapy. The trial's primary endpoint was 
PFS as assessed by BICR according to RECIST v1.1; the secondary endpoints 
included overall survival, PFS as assessed by investigators and safety profile.

GEMSTONE-302 Study

GEMSTONE-302 (clinicaltrials.gov registration number: NCT03789604; drug 
clinical trial registration number: CTR20181452) is a randomized, double-blind 
Phase III study, designed to evaluate the efficacy and safety of anti-PD-L1 
monoclonal antibody sugemalimab combined with chemotherapy as the first-line 
treatment in naive patients with stage IV non-small cell lung cancer (NSCLC) it 
vs. placebo combined with chemotherapy. The primary endpoint of the study was 
investigator-assessed PFS. Secondary endpoints included overall survival, 
BICR-assessed PFS and safety.

In August 2020, GEMSTONE-302 study met its primary endpoint of significantly 
prolonging progression-free survival (PFS) and reducing the risk of disease 
progression or death by 50% with sugemalimab combined with chemotherapy 
compared to placebo combined with chemotherapy, as assessed by iDMC at the 
planned interim analysis. 

Subgroup analysis showed clinical benefit in patients with squamous versus 
non-squamous NSCLC, and in patients with PD-L1 expression >=1% versus PD-L1 
expression <1%. 

Sugemalimab in combination with chemotherapy was well tolerated, no new safety 
signals were identified. Specific study data were presented in a Proffered 
Paper Oral Presentation (Late-Breaking Abstract) at ESMO Asia 2020. In November 
2020, the National Medical Product Administration of China accepted the New 
Drug Application for sugemalimab combined with chemotherapy for the first-line 
treatment of advanced squamous and non-squamous non-small cell lung cancer 
patients.

About CStone

CStone Pharmaceuticals (HKEX: 2616) is a biopharmaceutical company focused on 
researching, developing, and commercializing innovative immuno-oncology and 
precision medicines to address the unmet medical needs of cancer patients in 
China and worldwide. Established in 2015, CStone has assembled a world-class 
management team with extensive experience in innovative drug development, 
clinical research, and commercialization. The company has built an 
oncology-focused pipeline of 14 drug candidates with a strategic emphasis on 
immuno-oncology combination therapies. Currently, CStone has received three 
drug approvals in Greater China, including two in Mainland China and one in 
Taiwan. CStone's vision is to become globally recognized as a world-renowned 
biopharmaceutical company by bringing innovative oncology therapies to cancer 
patients worldwide.

For more information about CStone, please visit: www.cstonepharma.com 

About Pfizer

At Pfizer, we apply science and our global resources to bring therapies to 
people that extend and significantly improve their lives. We strive to set the 
standard for quality, safety and value in the discovery, development and 
manufacture of health care products, including innovative medicines and 
vaccines. Every day, Pfizer colleagues work across developed and emerging 
markets to advance wellness, prevention, treatments and cures that challenge 
the most feared diseases of our time. Consistent with our responsibility as one 
of the world's premier innovative biopharmaceutical companies, we collaborate 
with health care providers, governments and local communities to support and 
expand access to reliable, affordable health care around the world. For more 
than 170 years, we have worked to make a difference for all who rely on us. We 
routinely post information that may be important to investors on our website at 
www.Pfizer.com.

ABOUT EQRx

EQRx is committed to catalyzing a market-based solution to one of society's 
biggest healthcare challenges by developing important new medicines and 
offering them at lower prices. Through strategic partnerships with stakeholders 
from across the healthcare system and cutting-edge science and technology, the 
Company aims to provide high-quality, patent-protected medicines more 
efficiently and cost-effectively than ever before. EQRx is a purpose-built 
disruptor at scale, remaking medicine to bend the cost curve in drug pricing. 
To learn more, visit www.eqrx.com.

Forward-looking Statement

The forward-looking statements made in this article relate only to the events 
or information as of the date on which the statements are made in this article. 
Except as required by law, we undertake no obligation to update or revise 
publicly any forward-looking statements, whether as a result of new 
information, future events or otherwise, after the date on which the statements 
are made or to reflect the occurrence of unanticipated events. You should read 
this article completely and with the understanding that our actual future 
results or performance may be materially different from what we expect. In this 
article, statements of, or references to, our intentions or those of any of our 
Directors or our Company are made as of the date of this article. Any of these 
intentions may alter in light of future development.

Source:CStone Pharmaceuticals
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