Press Release: CStone Announces 2025 Annual Results: Accelerated Expansion of Global Commercial Footprint and Efficient Advancement of Innovation Pipeline 2.0

Dow Jones03-26 21:32

Rapid Advancement Across Core R&D Pipeline

   -- The global, multicenter Phase I/II clinical trial of CS2009 
      (PD-1/VEGF/CTLA-4 trispecific antibody) is actively enrolling patients in 
      Australia and China, and the Phase II IND application has been approved 
      in the US. CS2009 demonstrates an excellent safety profile with a >=Grade 
      3 TRAE rate of 23%, along with broad-spectrum anti-tumor activity. 
      Notably, monotherapy data in lung cancer are encouraging: in first-line 
      NSCLC patients with PD-L1 TPS >=50%, the ORR reached 90% with a DCR of 
      100%, while the ORR was 25% in IO-pretreated NSCLC (AGA-negative). 
      Furthermore, significant benefits were observed in patients with heavily 
      pre-treated "cold tumors," achieving an ORR of 40% in non-clear cell 
      renal cell carcinoma (nccRCC) and 33.3% in soft tissue sarcoma (STS). 
   -- The global Phase Ib multicenter trial of CS5001 (ROR1 ADC) is being 
      advanced rapidly and efficiently in Australia and China, with its R&D 
      progress ranking among the top two globally. In combination with R-CHOP 
      as a first-line treatment for DLBCL (at doses of 50--90 <MU>g/kg), the CR 
      rate exceeds 90%, and the ORR reaches 100%. Additionally, the combination 
      cohort for later-line DLBCL has also shown favorable safety and a high 
      ORR. 

Continued Expansion of Global Commercialization Footprint

   -- Since 2025, sugemalimab has secured two new strategic partnerships and 
      received approvals for two additional indications. Its global 
      commercialization footprint now spans over 60 countries and regions, with 
      further collaborations and regulatory filings actively underway. 

Breakthroughs in Local Manufacturing and Reimbursement Access

   -- GAVRETO$(R)$ (pralsetinib) successfully obtained approval for local 
      manufacturing in China and was included in the National Reimbursement 
      Drug List (NRDL) for the first time, positioning it for significant sales 
      growth. 
   -- The domestic supply of AYVAKIT(R) (avapritinib) has officially commenced, 
      complementing its successful NRDL renewal at the end of last year. 

Emerging Preclinical Innovation Pipeline

   -- Three internally developed next-generation ADC candidates--CS5007 
      (EGFR/HER3 ADC), CS5008 (SSTR2/DLL3 ADC), and CS5006 (ITGB4 ADC)--will 
      present preclinical research findings at AACR 2026, with IND submissions 
      planned for 2026. 

Solid Financial Position

   -- Revenue was RMB269.6 million for the year ended December 31, 2025. The 
      revenue from sales of pralsetinib decreased substantially, which is 
      primarily due to price adjustments of pralsetinib made in preparation for 
      the NRDL negotiation, along with related one-off channel compensation. 
      Upon pralsetinib's inclusion in NRDL, the anticipated revenue ramp-up in 
      2026 and beyond is expected to outweigh the short-term negative impact on 
      revenue in 2025. License fee income also decreased substantially, 
      primarily due to the recognition of significant one-time upfront fees and 
      milestone payments received in 2024. 
   -- Cash and cash equivalents and time deposits were RMB918.7 million as of 
      December 31, 2025. 

SUZHOU, China, March 26, 2026 /PRNewswire/ -- CStone Pharmaceuticals ("CStone," HKEX: 2616), an innovation-driven biopharmaceutical company focused on the research and development of therapies for oncology, immunology, inflammation, and other key disease areas, today announced its 2025 annual results and recent business highlights.

Dr. Jason Yang, CEO, President of R&D, and Executive Director at CStone, stated, "2025 represents a pivotal strategic inflection point for CStone as we advance our Pipeline 2.0 and accelerate our commercial transformation. Over the past year, we have made highly efficient progress across our innovative pipeline, with our core asset, CS2009, demonstrating compelling efficacy in the latest clinical data. We are on track to initiate multiple global multi-regional Phase III trials by the end of 2026, reinforcing its potential as a next-generation immuno-oncology backbone.

On the commercial front, we continued to expand the global footprint of sugemalimab, while achieving important milestones in China for pralsetinib and avapritinib, including localization and reimbursement access. These efforts have reignited growth momentum in the China market and strengthened the foundation of our commercial platform.

Importantly, while driving business growth, we have maintained a solid financial position, with a cash balance of RMB 918.7 million as of the end of 2025. This financial strength enables us to continue investing in innovation while ensuring disciplined and sustainable operations.

Looking ahead, we remain committed to maximizing the commercial value of our established products while advancing our Pipeline 2.0 with focus and discipline. Through continued innovation and execution, we aim to drive long-term value creation and deliver sustainable returns for our shareholders."

Business Highlights

For the year ended December 31, 2025, and up to the date of this results announcement, we advanced our innovative pipeline and maximized the commercial value of our in-market assets. Our Pipeline 2.0 achieved significant progress, highlighted by the clinical program CS2009 advancing to Phase II and delivering the first global clinical data for a PD-1/VEGF/CTLA-4 trispecific antibody. We also expanded our therapeutic focus into autoimmune and inflammatory diseases. Commercially, we secured two international agreements for the global commercialization of sugemalimab and obtained regulatory approvals in the European Union $(EU)$ and United Kingdom (U.K.) for Stage III NSCLC. In China, AYVAKIT(R) (avapritinib) was successfully renewed on the NDRL, while GAVRETO(R) (pralsetinib) achieved its first-time inclusion. These accomplishments underscore our sustained commitment to developing innovative therapies for patients worldwide.

Clinical Stage Core Assets

CS2009, PD-1/VEGF/CTLA-4 trispecific antibody

   -- Global Phase II trial Ongoing 

Patient enrollment is active in our global, multicenter Phase II trial. The first patient was dosed in Australia in September 2025. The IND application for this trial was approved by the China National Medical Products Administration (NMPA) in November 2025 and by the U.S. Food and Drug Administration (FDA) in February 2026. This multi-cohort, parallel expansion study is designed to evaluate the efficacy, safety, tolerability, and pharmacokinetics $(PK)$/Pharmacodynamics $(PD)$ of CS2009 as monotherapy and in combination regimens in 15 cohorts across 9 solid tumor indications, including NSCLC, colorectal cancer $(CRC)$, extensive-stage small cell lung cancer (ES-SCLC), cervical cancer $(CC)$, gastric or gastroesophageal junction (G/GEJ) adenocarcinoma, esophageal squamous cell carcinoma (ESCC), platinum-resistant ovarian cancer $(PROC)$, triple-negative breast cancer (TNBC), and hepatocellular carcinoma $(HCC)$. Active patient enrollment is ongoing in Australia and China.

   -- First-in-class (FIC)/best-in-class (BIC) potential as next-generation I/O 
      backbone 

More than 100 late-line patients have been enrolled in Phase I trial. CS2009 has demonstrated a favorable safety and tolerability profile, with no dose-limiting toxicity (DLT) reported and maximum tolerated dose $(MTD)$ not reached. As of the data cutoff of March 17, 2026 with a median follow-up of approximately 6 months. The more mature data continue to reinforce its favorable safety profile, with 23% incidence of Grade >=3 Treatment-Related Adverse Events (TRAEs). No excessive toxicities related to CTLA-4 occurred, and the incidence of Grade >=3 VEGF-related AEs was low.

CS2009 monotherapy demonstrates potent antitumor activity in later-line "cold" tumors that are not sensitive to PD-(L)1 mAb. An overall response rate $(ORR)$ of 40% was observed in patients with nccRCC, and an ORR of 33.3% in STS, showcasing its broad-spectrum therapeutic potential across multiple tumor types.

Safety data from multiple cohorts of CS2009 combined with standard chemotherapy showed that the combinations were well-tolerated across tumor types, with CS2009 not increasing the incidence or severity of chemotherapy-related adverse events.

Compelling Efficacy has been observed in Lung Cancer. CS2009 monotherapy demonstrates encouraging Phase I/II efficacy in NSCLC. In first-line NSCLC (PD-L1 tumor proportion score [TPS]>=50%), the ORR reached 90%, with a DCR of 100%. In IO-pretreated, AGA negative second-/later-line NSCLC, ORR reached 25%.

   -- Efficient and Clearly-Defined Global Development Strategy 

Additional Phase I and Phase II clinical data for CS2009 are expected to be presented at the 2026 American Society of Clinical Oncology (ASCO) Annual Meeting and/or the European Society for Medical Oncology (ESMO) Congress.

The company plans to initiate the first wave of Phase III global multi-regional clinical trials (MRCT) for CS2009 by the end of 2026, targeting indications including NSCLC, CRC, and ES-SCLC.

CS5001, ROR1 ADC

   -- Global Phase Ib enrollment ongoing 

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March 26, 2026 09:32 ET (13:32 GMT)

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