On September 29, 2025 Accendatech Co., Ltd, a clinical-stage biotech company developing natural compound-based small molecule drugs with unique pharmacological properties reported the enrollment of first small cell lung cancer patient with brain metastasis this month for the pivotal phase 3 study in China (CTR20253399) (Press release, Accendatech, SEP 29, 2025, View Source [SID1234656336]). The initiation of phase 3 trial is based on encouraging intracranial tumor response and overall survival signal from a phase 2b ACT001-CN-051 study which were released during 2025 SNO/ASCO conference held in Baltimore, MD in August, 2025. The topline data is expected to be published in a peer-reviewed journal.
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ACT001 is the first study drug with the potential to enhance both chemoradiotherapy and immune therapy simultaneously that enters a phase 3 stage. It is also the first pivotal-stage study drug targeting NF-κB and STAT3 pathways since the cloning of gene involved in these two pathways approximately 39 and 33 years ago respectively. There have been numerous pre-clinical publications that proposed the pathways as therapeutic targets.
The kick-off of phase 3 ACT001 study is another evidence to reflect the increasingly dynamic nature of drug study in SCLC space since the approval of immune checkpoint inhibitors in 2019 and more recent approval of tarlatamab in 2024 as the first T cell engager ever approved in any solid tumor. The phase 3 ACT001 trial further diversify the drug development landscape in SCLC space that has now become a hot battle ground due to interesting efficacy data from studies on multiple novel modalities such as ADC and bi-specific antibodies.