IND Application for a Phase Ⅲ Clinical Study of KN026 Combined with Albumin-bound Docetaxel as Neoadjuvant Treatment for Breast Cancer was Approved

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SUZHOU, China, Oct. 17, 2024 /PRNewswire/ -- Alphamab Oncology (stock code: 9966 HK) and CSPC Pharmaceutical Group Co., Ltd. ("CSPC") (stock code: 1093.HK) jointly announced that an application for a phase III clinical study (Study ID: KN026-004) of the anti-HER2 bispecific antibody KN026 combined with albumin-bound Docetaxel HB1801 has been approved by the Center for Drug Evaluation (CDE) of the National Medical Products Administration (NMPA) as neoadjuvant treatment for HER2-positive early or locally advanced breast cancer.

Breast cancer is one of the most common malignant tumors in women. According to the latest data released by the International Agency for Research on Cancer (IARC) in 2024, there were 2.31 million new cases of breast cancer worldwide in 2022, with 357,000 new cases in China. Approximately 15%-20% of breast cancer patients are HER2-positive, a subtype characterized by high malignancy, rapid disease progression, prone to lymph node metastasis, and poorer prognosis. In recent years, both domestic and international breast cancer treatment guidelines have recommended anti-HER2 neoadjuvant therapy to further optimize treatment outcomes.

KN026 is an anti-HER2 bispecific antibody independently developed by Alphamab Oncology. Results from a phase II clinical study of KN026 combined with docetaxel as first-line treatment for HER2-positive recurrent or metastatic breast cancer (KN026-201, NCT04165993) demonstrated promising efficacy and tolerability. In terms of neoadjuvant therapy, data from a phase II clinical study of KN026 combined with docetaxel as neoadjuvant treatment for HER2-positive early or locally advanced breast cancer (KN026-208, NCT04881929) presented at the 2023 ESMO Congress showed promising clinical benefit and good tolerability: the total pathological complete response (tpCR) rate was 56.7%, the breast pathological complete response (bpCR) rate was 60%, the confirmed objective response rate (ORR) was 86.7%, and the posterior probability for tpCR rate >40% was 96.7%, suggesting that the neoadjuvant regimen of KN026 combined with docetaxel within the same treatment cycles may be superior to existing standard neoadjuvant therapy regimens.

The approved study is a randomized, controlled, open-label, multicenter phase III clinical study aimed at comparing the efficacy and safety of KN026 combined with HB1801 versus trastuzumab combined with pertuzumab and docetaxel as neoadjuvant therapy in patients with HER2-positive early or locally advanced breast cancer. The primary endpoint is the tpCR rate as evaluated by a blinded independent review committee (BIRC). This study is anticipated to offer a treatment option with improved efficacy and safety for patients with HER2-positive breast cancer.