Hengrui Pharma’s Trastuzumab Rezetecan Filing Accepted for HER2+ Colorectal Cancer Indication

Jiangsu Hengrui Pharmaceuticals Co., Ltd. (SHA: 600276, HKG: 1276) announced that the National Medical Products Administration (NMPA) has accepted for review a new indication filing for trastuzumab rezetecan, its in-house developed HER2-targeted antibody-drug conjugate (ADC). The submission seeks approval for HER2-positive colorectal cancer in patients who have failed prior oxaliplatin, fluorouracil, and irinotecan therapy, based on positive Phase III data demonstrating significant progression-free survival (PFS) improvement and disease progression risk reduction.

Regulatory Milestone

ItemDetail
CompanyJiangsu Hengrui Pharmaceuticals (SHA: 600276, HKG: 1276)
AgencyNMPA (China)
AssetTrastuzumab rezetecan – HER2-targeted ADC
New IndicationHER2-positive colorectal cancer (post-oxaliplatin/fluorouracil/irinotecan failure)
Filing BasisPhase III clinical trial results
Prior ApprovalHER2-mutant NSCLC (May 2025) – first approved indication
Pending DecisionHER2-positive breast cancer (post-anti-HER2 therapy)

Clinical Evidence Summary

EndpointTrastuzumab Rezetecan vs. Standard TherapyClinical Significance
Progression-Free Survival (PFS)Significantly prolongedPrimary endpoint met; tumor growth delay
Disease Progression or Death RiskSignificantly reducedMeaningful clinical benefit in refractory population
Overall Survival (OS)Trend toward benefit observedMature data anticipated to confirm survival advantage
  • Patient Population: HER2-positive advanced colorectal cancer with prior failure on standard chemotherapy backbone (oxaliplatin, fluoropyrimidine, irinotecan) – high-unmet-need, heavily pretreated setting

Approved & Pending Indications

IndicationStatusApproval Date/Expected
HER2-mutant NSCLC (unresectable locally advanced/metastatic; ≥1 prior systemic therapy)ApprovedMay 2025
HER2-positive colorectal cancer (post-chemotherapy failure)Under NMPA review2026-2027
HER2-positive breast cancer (post-anti-HER2 therapy)Awaiting regulatory decision2026

Strategic Positioning & Market Context

FactorStrategic Analysis
HER2+ Colorectal Cancer Prevalence~3-5% of metastatic colorectal cancers HER2-amplified; no approved HER2-targeted therapies in China for this indication – first-mover opportunity
ADC Competitive LandscapeTrastuzumab deruxtecan (Enhertu, AstraZeneca/Daiichi) approved for HER2+ colorectal cancer in US/Japan; Hengrui’s domestic manufacturing and pricing advantage for China market
Hengrui Oncology PortfolioTrastuzumab rezetecan anchors HER2 ADC franchise; complements SHR-A1811 (HER2 ADC) and pyrotinib (HER2 TKI) in breast cancer
NRDL PathwaySequential indication approvals build reimbursement negotiation leverage; colorectal cancer expands addressable market beyond NSCLC
Global PotentialNMPA approval supports ex-China partnership discussions; HER2+ colorectal cancer represents orphan indication with premium pricing in US/EU

Forward‑Looking Statements
This brief contains forward‑looking statements regarding trastuzumab rezetecan NMPA approval timelines for HER2+ colorectal cancer, commercial market penetration, and competitive positioning vs. trastuzumab deruxtecan. Actual results may differ due to regulatory review delays, pricing pressure from national procurement programs, and biomarker testing adoption in Chinese oncology practice.-Fineline Info & Tech