Mabworks’ Obexelimab β Wins NMPA Approval as First Domestic NMOSD Therapy

Mabworks’ Obexelimab β Wins NMPA Approval as First Domestic NMOSD Therapy

Beijing Mabworks Biotech Co., Ltd. announced that the National Medical Products Administration (NMPA) has approved Obexelimab β injection (MIL62), its independently developed third-generation CD20 antibody, for Neuromyelitis Optica Spectrum Disorder (NMOSD). The first domestically-produced drug approved for NMOSD in China marks a breakthrough for Mabworks’ Fc-engineered antibody platform, with Primary Membranous Nephropathy (PMN)—where Obexelimab β could become the world’s first specialized therapyunder Priority Review and final NMPA review stage.

Regulatory Milestone

ItemDetail
CompanyBeijing Mabworks Biotech Co., Ltd.
AgencyNMPA (China)
AssetObexelimab β (MIL62) – Third-generation CD20 antibody
Approved IndicationNeuromyelitis Optica Spectrum Disorder (NMOSD)
SignificanceFirst domestically-produced NMOSD drug in China
Pending IndicationPrimary Membranous Nephropathy (PMN) – NDA accepted Sept 2025, Priority Review, final review stage
Global PotentialWorld’s first specialized PMN therapeutic if approved

Product Profile & Technology Platform

FeatureObexelimab β SpecificationDifferentiation
ClassThird-generation CD20 monoclonal antibodyFc-engineered for enhanced antibody-dependent cellular cytotoxicity (ADCC)
MechanismCD20+ B-cell depletionTargeted immunomodulation; reduced autoantibody production
NMOSD RationaleAquaporin-4 antibody-driven disease; B-cell central to pathogenesisFirst-line biologic alternative to eculizumab (Soliris) and inebilizumab (UPLIZNA)
PMN RationalePLA2R antibody-driven kidney disease; B-cell depletion reduces autoantibody burdenNo approved specialized therapy globally; potential disease-modifying standard-of-care

Clinical & Regulatory Progress

IndicationStatusTimelineStrategic Value
NMOSDNMPA approved (Jan 24, 2026)Launched Q1 2026First domestic entrant; orphan disease premium pricing; neurology specialist relationships
PMNNDA accepted; Priority Review; final stageApproval anticipated H1 2026World’s first specialized PMN drug; nephrology blockbuster potential; global partnership attractiveness

Strategic Positioning & Market Context

FactorStrategic Analysis
NMOSD Market~50,000-100,000 patients in China; high disability burden; eculizumab/inebilizumab expensive and imported; Obexelimab β domestic manufacturing cost advantage
PMN Unmet Need~1 million global patients; rituximab off-label use with variable response; no approved targeted therapy; Obexelimab β first-in-class opportunity
Third-Gen CD20 DifferentiationFc-engineering enhances B-cell depletion vs. rituximab (first-gen) and ocrelizumab/ofatumumab (second-gen); potentially superior efficacy and durability
Mabworks Platform ValidationNMOSD approval validates Fc-engineering technology; PMN approval would establish nephrology franchise; additional autoimmune indications pipeline
China Biotech InnovationDomestic antibody drug development; reduced import dependence; policy support for Category 1 innovative biologics

Commercial & Global Outlook

PriorityExecution PlanTimeline
NMOSD LaunchHospital neurology access; patient advocacy engagement; reimbursement negotiationQ1-Q2 2026
PMN ApprovalFinal NMPA review; nephrology KOL preparation; global regulatory strategyH1 2026
NRDL InclusionNational Reimbursement Drug List negotiation for both indications2026-2027
Global ExpansionUS/EU IND submissions; Big Pharma partnership discussions2026-2027
Pipeline ExpansionAdditional autoimmune indications (SLE, MS, ITP)2026+

Forward‑Looking Statements
This brief contains forward‑looking statements regarding Obexelimab β PMN approval timelines, commercial performance in NMOSD and PMN, and Mabworks Biotech’s global expansion strategy. Actual results may differ due to final NMPA review outcomes, competitive dynamics with Roche’s CD20 franchise, and pricing negotiations with national reimbursement programs.-Fineline Info & Tech