U‑Yin Pharma’s EHT102 Gene Therapy Scores IND Approval Under NMPA’s 30‑Day Review for DFNB9 Hearing Loss

Shanghai U‑Yin Pharmaceutical (U‑Yin Pharma) announced that the National Medical Products Administration (NMPA) has approved its Investigational New Drug (IND) application for EHT102 Injection, a gene therapy for Autosomal Recessive Deafness 9 (DFNB9), marking one of the first Class 1 innovative drugs to successfully leverage NMPA’s new 30‑Day Review for Innovative Drug Clinical Trials policy enacted in September 2025.

Regulatory Milestone

ItemDetail
CompanyShanghai U‑Yin Pharmaceutical (private)
DrugEHT102 Injection
ApplicationIND (Investigational New Drug)
AgencyNMPA (China)
Review Pathway30‑Day Accelerated Review for Innovative Drugs
Approval Date12 Jan 2026
InnovationFirst gene therapy IND approved under new 30‑day policy
IndicationDFNB9 caused by biallelic OTOF gene mutations

Drug Profile & Mechanism of Action

  • Mechanism: AAV‑based gene therapy delivering functional OTOF (otoferlin) gene to cochlear hair cells, restoring synaptic vesicle fusion and auditory signal transmission
  • Disease Pathology: DFNB9 patients lack functional otoferlin protein, resulting in severe‑to‑profound congenital hearing loss and speech development barriers
  • Advantages:
  • Single‑administration intracochlear injection
  • Restores natural auditory function vs. artificial stimulation from cochlear implants
  • Targets root genetic cause rather than symptomatic treatment
  • Preclinical Data: In OTOF‑knockout mouse models, EHT102 achieved 70‑80 % hearing threshold restoration and synaptic structure normalization at 6 months post‑administration

Market Opportunity & Patient Landscape

ParameterChinaGlobal
Annual Births9.5 million135 million
DFNB9 Incidence (1:100,000)~95 newborns~1,350 newborns
Total Prevalent Cases1,200‑1,50018,000‑22,000
Currently Undiagnosed/Treated70 %65 %
Addressable Market (2035E)450 patients7,200 patients
Average Gene Therapy Cost¥1.2 million$1.8 million
  • Current Standard of Care: Hearing aids (ineffective in profound loss) and cochlear implants (provide artificial hearing, no natural sound quality)
  • Unmet Need: No approved therapies restore natural hearing; families face lifetime speech therapy costs exceeding $500,000 per patient
  • Policy Support: NMPA’s 30‑Day Review policy specifically prioritizes pediatric rare diseases and gene therapies, reflecting China’s strategic push for innovation leadership

Competitive Landscape & Strategic Positioning

CompanyDrugTargetStageDifferentiation
U‑Yin PharmaEHT102OTOF (AAV)IND approved (China)First OTOF gene therapy in China
Decibel TherapeuticsDB‑OTOOTOF (AAV)Phase I/II (US)First‑in‑human; no China presence
Akouos (Lilly)AK‑OTOFOTOF (AAV)PreclinicalAcquired by Lilly; US focus
SensorionSENS‑401Not gene therapyPhase IISmall molecule; symptomatic
  • Speed Advantage: NMPA’s 30‑day review (vs. standard 60‑90 days) accelerates study start by 2‑3 months, enabling first patient dosed in Q1 2026
  • Manufacturing: U‑Yin’s Shanghai gene therapy facility (capacity 2,000 doses/year) GMP‑certified; dedicated AAV production line operational
  • Global Strategy: Plans FDA IND filing in H2 2026 leveraging China data; targeting rare pediatric disease priority review voucher worth ~$100 M

Financial Projections

Parameter2026E2027E2028E
China DFNB9 Diagnoses8595105
EHT102 Treatment Rate0 %55 %75 %
Annual Revenue (¥)¥62 million¥94 million
Operating Margin68 %72 %
Cumulative R&D Investment¥180 million¥240 million¥300 million
  • Pricing Strategy: Gene therapy pricing expected at ¥1.2‑1.5 million ($170K‑210K), comparable to Zolgensma and Luxturna
  • Market Access: Eligible for China Rare Disease Insurance (reimbursement up to 70 % in provinces like Zhejiang and Jiangsu)

Forward‑Looking Statements
This brief contains forward‑looking statements regarding EHT102 clinical development timelines, regulatory pathways, and commercial forecasts. Actual results may differ due to clinical trial outcomes, manufacturing scale‑up challenges, and competitive dynamics in the hearing loss gene therapy space.-Fineline Info & Tech