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ASCO: CSPC's HER2 BsAb achieves 62.4% CR in Phase III breast cancer trial

ASCO: CSPC's HER2 BsAb achieves 62.4% CR in Phase III breast cancer trial

CSPC Pharmaceutical Group (HKEX: 1093) reported Phase III data showing that anbenitamab (Ennituo), its HER2 bispecific antibody co-developed with Jiangsu Alphamab Biopharmaceuticals, produced a pathological complete response rate of 62.4% in HER2-positive breast cancer patients receiving neoadjuvant therapy. Given the significance of the performance at 11 percentage points above the standard dual-blockade regimen, the data were selected for a late-breaking oral presentation at the 2026 ASCO Annual Meeting.

The Neo-Healer trial (KN026–004) is a randomized, open-label, multicentre Phase III study that enrolled 521 patients with early and locally advanced HER2-positive breast cancer and assigned them 1:1 to either anbenitamab plus HB1801 (albumin-bound docetaxel) ± carboplatin, or the standard THP regimen — Roche's Herceptin (trastuzumab) plus Roche's Perjeta (pertuzumab) plus docetaxel ± carboplatin — for six cycles. The primary endpoint was total pathological complete response (tpCR) assessed by a blinded independent review committee.

The experimental arm achieved a BIRC-assessed tpCR of 62.4% (95% CI: 56.2–68.2) versus 51.2% (95% CI: 44.9–57.4) in the control arm (one-sided p=0.0036). Investigator-assessed tpCR tracked closely at 63.9% versus 51.2% (p=0.0011), and breast pathological complete response by BIRC reached 64.6% versus 55.0% (p=0.0099). The tpCR advantage was consistent across carboplatin and non-carboplatin subgroups, as well as across hormone receptor status and clinical stage strata. On safety, Grade ≥3 treatment-emergent adverse events occurred in 29.3% of the experimental group and 28.3% of the control group, with no new safety signals identified and no apparent additive toxicity. The dominant toxicities were haematological and gastrointestinal, consistent with the known profiles of each individual agent.

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Competitive context

Anbenitamab is a bispecific antibody that simultaneously engages two non-overlapping HER2 epitopes, enhancing receptor downregulation and immune-mediated killing beyond what single-agent trastuzumab or the trastuzumab-pertuzumab combination achieves through separate mechanisms. The Neo-Healer tpCR of 62.4% compares favorably with the roughly 45%–50% pCR rates historically observed with pertuzumab-trastuzumab-taxane regimens in pivotal neoadjuvant trials, though cross-trial comparisons are limited by differences in patient selection, carboplatin use, and endpoint definitions.

The more immediate competitive reference point is Daiichi Sankyo and AstraZeneca's Enhertu (fam-trastuzumab deruxtecan), the HER2-directed antibody-drug conjugate that received FDA approval for neoadjuvant HER2-positive early breast cancer in May 2026 on the basis of a 67.3% pCR rate in the DESTINY-Breast11 trial — a figure numerically higher than Neo-Healer's readout, though again direct comparison is not possible given distinct trial designs, patient populations, and chemotherapy backbones. Anbenitamab received marketing approval in China in May 2026 for HER2-positive gastric and gastroesophageal junction cancer in the second-line setting; the neoadjuvant breast cancer data, if they support a regulatory filing, would substantially expand its addressable indication. CSPC has not disclosed a timeline for an NDA submission to China's NMPA for the breast cancer indication, and no regulatory filing has been announced outside China.


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