CSPC Pharmaceutical Wins NMPA Approval for Phase II Study of SYS6023 HER3 ADC in Metastatic Breast Cancer

CSPC Pharmaceutical Group Ltd (HKG: 1093) announced that China’s National Medical Products Administration (NMPA) has granted approval to initiate a Phase II clinical study for SYS6023, a Category 1 biologic HER3‑targeting antibody‑drug conjugate (ADC). The study will evaluate SYS6023 in combination therapy for patients with unresectable locally advanced or metastatic breast cancer.

Regulatory Milestone

ItemDetail
CompanyCSPC Pharmaceutical Group Ltd (HKG: 1093)
ProductSYS6023 (HER3‑targeting ADC)
Regulatory ActionNMPA approval for Phase II clinical study
Drug ClassCategory 1 innovative biologic
Study DesignPhase II combination therapy
IndicationUnresectable locally advanced or metastatic breast cancer
PayloadIn‑house developed topoisomerase I inhibitor

Drug Profile – SYS6023

  • Target: HER3 (human epidermal growth factor receptor 3) – emerging target in breast cancer and other solid tumors
  • Class: Antibody‑drug conjugate (ADC)
  • Payload: Topoisomerase I inhibitor – developed in‑house by CSPC
  • Mechanism of Action:
  1. Binds to HER3 receptors on tumor cell surface
  2. Internalization via endocytosis
  3. Intracellular toxin release to induce cancer cell death
  • Differentiation: Payload is not a substrate for efflux pumps, potentially avoiding efflux‑mediated resistance associated with DXd‑class ADCs

Strategic Rationale

  • HER3 Target Validation: HER3 is frequently overexpressed in breast cancer and associated with resistance to HER2‑targeted therapies, making it an attractive target for next‑generation ADCs.
  • Resistance Advantage: The non‑substrate payload design may confer superior activity in tumors with acquired resistance mechanisms, differentiating SYS6023 from competitors using DXd‑based payloads.
  • Pipeline Expansion: This approval advances CSPC’s oncology biologics portfolio, complementing existing small‑molecule and biologic assets in the company’s diversified pipeline.
  • Combination Strategy: Phase II evaluation in combination therapy aligns with current treatment paradigms for metastatic breast cancer, where multi‑agent regimens are standard of care.

Market Context

  • Breast Cancer Burden: Metastatic breast cancer remains a leading cause of cancer mortality globally, with significant unmet need for novel therapies in the post‑CDK4/6 inhibitor and post‑HER2‑targeted settings.
  • ADC Competitive Landscape: The HER3‑ADC space includes Daiichi Sankyo/AstraZeneca’s patritumab deruxtecan, setting a high efficacy benchmark. CSPC’s efflux‑resistant payload may offer a mechanistic edge in resistant populations.
  • China Regulatory Momentum: NMPA’s rapid approval for Phase II initiation reflects China’s supportive environment for Category 1 innovative biologics and ADC development.

Forward‑Looking Statements
This brief contains forward‑looking statements regarding clinical development timelines, efficacy expectations, and commercial potential for SYS6023. Actual results may differ due to risks including clinical trial outcomes, competitive dynamics, and manufacturing challenges.-Fineline Info & Tech