Oncology Drug Approval News Flash: Penpulimab-kcqx (Akeso) Approved by FDA for Non-Keratinizing Nasopharyngeal Carcinoma

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【FDA Approval Alert】Akeso’s penpulimab-kcqx Approved for Non-Keratinizing Nasopharyngeal Carcinoma (April 23, 2025)

On April 23, 2025, the U.S. FDA approved penpulimab-kcqx (Akeso) for adult patients with recurrent or metastatic non-keratinizing nasopharyngeal carcinoma (NPC). Approval includes both first-line use with platinum (cisplatin or carboplatin) plus gemcitabine and single-agent use after platinum-based chemotherapy and at least one additional prior line of therapy. The approval is based on the AK105-304 (NCT04974398) and AK105-202 (NCT03866967) trials.

Disease Overview: Non-Keratinizing Nasopharyngeal Carcinoma (NPC)

NPC is a malignancy prevalent in East Asia, particularly associated with Epstein-Barr virus infection in non-keratinizing subtypes. Immunotherapy has expanded treatment options for advanced stages.

Treatment Summary

  • Drug Name: penpulimab-kcqx (Akeso)
  • Company: Akeso Biopharma Co., Ltd.
  • Approval Date: April 23, 2025
  • Indications:
    • First-line: with cisplatin or carboplatin plus gemcitabine
    • Previously treated: monotherapy after platinum and one prior systemic therapy
  • Mechanism of Action: Anti-PD-1 antibody (immune checkpoint inhibitor)
  • Pivotal Trials:
    • First-line: AK105-304 (NCT04974398)
    • Previously treated: AK105-202 (NCT03866967)
  • Key Efficacy:
    • First-line: Median PFS 9.6 vs 7.0 months (HR 0.45; p<0.0001)
    • Previously treated: ORR 28% (95% CI: 20–37), Median DOR not reached (≥9.2 months)

Patient-Friendly Summary

Penpulimab enhances immune function to suppress cancer progression and provides a new treatment option for both first-line and previously treated nasopharyngeal cancer patients.

M&A Information

  • Subsidiary: Not applicable (Akeso in-house development)
  • Acquisition Date: Not applicable
  • Development Stage at Acquisition: Not applicable
  • Investor Information: Public Investors (HKEX: 9926)

Source

This approval information is based on data from Drugs@FDA (U.S. FDA) and AACR releases.

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Author of this article

After completing graduate school, I studied at a Top tier research hospital in the U.S., where I was involved in the creation of treatments and therapeutics in earnest. I have worked for several major pharmaceutical companies, focusing on research, business, venture creation, and investment in the U.S. During this time, I also serve as a faculty member of graduate program at the university.

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