Menarini Group and Nippon Shinyaku Enter into an Exclusive License Agreement to Develop and Commercialize ELZONRIS® (Tagraxofusp) in Japan

On March 29, 2021 The Menarini Group reported that it has entered into an exclusive license agreement for the development and commercialization of ELZONRIS (tagraxofusp) in the territory of Japan with Nippon Shinyaku Co., Ltd. ELZONRIS is approved for the treatment of patients with blastic plasmacytoid dendritic cell neoplasm (BPDCN) by the U.S. Food and Drug Administration and the European Medicines Agency (Press release, Menarini, MAR 29, 2021, View Source [SID1234577303]).

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BPDCN is a rare, aggressive hematologic malignancy with historically poor outcomes. ELZONRIS (tagraxofusp) is the first approved treatment for patients with BPDCN, and the first approved CD123-targeted therapy, in both the United States and Europe. Elzonris was originally developed by Stemline Therapeutics, now part of the Menarini Group.

"Partnering with Nippon Shinyaku marks another important step forward in our effort to meet the needs of patients with difficult-to-treat diseases and underscores our commitment to delivering innovative medicines for people around the globe," commented Elcin Barker Ergun, CEO of the Menarini Group. "Patients with BPDCN have limited treatment options and we are excited to be collaborating closely with Nippon Shinyaku to make ELZONRIS (tagraxofusp) available to patients in Japan."

"Nippon Shinyaku’s focus and expertise in hematologic malignancies makes the company an excellent partner for ELZONRIS (tagraxofusp)," commented Ivan Bergstein, M.D., President and CEO of Stemline Therapeutics, now part of the Menarini Group. "Through this development and commercial partnership, we look forward to advancing ELZONRIS as a potential new treatment option for patients suffering from BPDCN."

About ELZONRIS in the European Union

ELZONRIS (tagraxofusp) is indicated as monotherapy for the first-line treatment of adult patients with blastic plasmacytoid dendritic cell neoplasm (BPDCN). ELZONRIS should be administered under the supervision of a physician experienced in the use of anti-cancer agents.

About ELZONRIS in the USA

ELZONRIS (tagraxofusp), a targeted therapy directed to CD123, is approved by the U.S. Food and Drug Administration (FDA) and commercially available in the U.S. for the treatment of adult and pediatric patients, two years or older, with BPDCN. For full prescribing information in the U.S., visit www.ELZONRIS.com.

ELZONRIS is also being evaluated in additional clinical trials in other indications, including chronic myelomonocytic leukemia (CMML), myelofibrosis (MF), acute myeloid leukemia (AML), and others are planned.

About BPDCN

BPDCN, formerly blastic NK-cell lymphoma, is an aggressive hematologic malignancy, often with cutaneous manifestations, with historically poor outcomes. BPDCN typically presents in the bone marrow and/or skin and may also involve lymph nodes and viscera. The BPDCN cell of origin is the plasmacytoid dendritic cell (pDC) precursor. The diagnosis of BPDCN is based on the immunophenotypic diagnostic triad of CD123, CD4, and CD56, as well as other markers. The World Health Organization (WHO) termed this disease "BPDCN" in 2008; previous names included blastic NK cell lymphoma and agranular CD4+/CD56+ hematodermic neoplasm. For more information, please visit the BPDCN disease awareness website at www.bpdcninfo.com.

About CD123

CD123 is a cell surface target expressed on a wide range of malignancies including blastic plasmacytoid dendritic cell neoplasm (BPDCN), certain myeloproliferative neoplasms (MPNs) including chronic myelomonocytic leukemia (CMML) and myelofibrosis (MF), acute myeloid leukemia (AML) (and potentially enriched in certain AML subsets), myelodysplastic syndrome (MDS), and chronic myeloid leukemia (CML). CD123 has also been reported on multiple myeloma (MM), acute lymphoid leukemia (ALL), hairy cell leukemia (HCL), Hodgkin’s lymphoma (HL), and certain Non-Hodgkin’s lymphomas (NHL). In addition, CD123+ cells have been detected in the tumor microenvironment of several solid tumors as well as in certain autoimmune disorders including cutaneous lupus and scleroderma.

Important Safety Information from EU SmPC

Warnings and precautions

Capillary leak syndrome (CLS), including life-threatening and fatal cases have been reported with most events occurred during the first five days of the first cycle of treatment. Before initiating therapy, it should be ensured that patients have adequate cardiac function and serum albumin ≥ 3.2 g/dL. During treatment, serum albumin levels should be monitored prior to the initiation of each dose, or more often as clinically indicated. Additionally, patients should be assessed for other signs/symptoms of CLS. Patients should be made aware of identifying CLS symptoms and when to seek immediate medical attention. Intravenous albumin supplementation and dosing interruptions may be required.
Severe hypersensitivity reactions have been reported with ELZONRIS.
Thrombocytopenia and neutropenia have been reported in patients treated with ELZONRIS monotherapy. The majority of events were reported in cycle 1 and cycle 2 of treatment, were not dose-limiting and did not recur in subsequent cycles.
ELZONRIS can cause tumour lysis syndrome (TLS).
Treatment with ELZONRIS has been associated with elevations in liver enzymes. Acute hepatic failure and liver encephalopathy has been reported in a patient treated with ELZONRIS at a higher dose (16 mcg/kg).
Summary of the Safety Profile

The most serious adverse reaction that may occur during ELZONRIS treatment is CLS which was reported in 18% of patients with a median time to onset of CLS of 6 days.
Adverse reactions occurring in ≥ 20% of patients treated with ELZONRIS were hypoalbuminemia, increased transaminases, thrombocytopenia, nausea, fatigue and pyrexia.
Adverse reactions grade 3 and above according to the Common Terminology Criteria for Adverse events (CTCAE) and occurring in > 5% of patients were increased transaminases, thrombocytopenia and anaemia.

GT Biopharma’s TriKE™ Interim Clinical Trial Results Presented At Innate Killer Summit 2021

On March 29, 2021 GT Biopharma, Inc. (NASDAQ: GTBP), a clinical stage immuno-oncology company focused on developing innovative therapeutics based on the Company’s proprietary NK cell engager (TriKE) protein biologic technology platform reported that Dr. Jeffrey S. Miller, M.D., Deputy Director of the Masonic Cancer Center at the University of Minnesota and GT Biopharma’s Consulting Chief Medical Officer, presented updated interim Phase I/II clinical trial results for the Company’s lead therapeutic candidate, GTB-3550 TriKE, being evaluated for the treatment of high-risk myelodysplastic syndromes (MDS) and refractory/relapsed acute myeloid leukemia (AML) at the Innate Killer Summit 2021, held March 23-25 (Press release, GT Biopharma, MAR 29, 2021, View Source [SID1234577302]). Dr. Miller’s presentation "NK Cell Therapeutics: Off-the-shelf Strategies to Increase Activity and Specificity" highlighted the clinical power of immune engagement with Interleukin-15 (IL-15) containing TriKEs.

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Highlights of GT Biopharma’s updated interim GTB-3550 TriKE Phase I/II clinical trial results included:

Up to 63.7% Reduction in Bone Marrow Blast Levels
Restores Patient’s Endogenous NK Cell Function, Proliferation and Immune Surveillance
No Progenitor-derived or Autologous/Allogenic Cell Therapy Required
No Cytokine Release Syndrome Observed
3 out of the Last 5 Patients Treated (25mcg/kg/day to 100mcg/kg/day) Respond
Reduction in Bone Marrow Blast Levels Achieved

To date, 9 patients have been enrolled in the Phase I/II Expansion clinical trial. Patients enrolled early in the Study (patients 1-4) were treated with doses of GTB-3550 below the anticipated therapeutic dose (RP2D) and maximum tolerated dose (MTD) to address possible safety concerns. All patients treated at the lower doses exhibited no signs of toxicity, and did not experience any Grade of Cytokine Release Syndrome (CRS).

Patients 5-9 were treated with increasing doses of GTB-3550 (25mcg/kg/day, 50mcg/kg/day and 100mcg/kg/day, respectively). Three of the five patients (60%) experienced reduction in bone marrow blasts with two patients (one patient treated at the 50mcg/kg/day dose level and one patient treated at the 100mcg/kg/day dose level) experiencing significant reductions in bone marrow blast levels. As previously reported, Patient 7 treated at the 50mcg/kg/day dose level achieved a 61.7% reduction in bone marrow blast levels from 12% before therapy to 4.6% after GTB-3550 therapy. Patient 9 treated at the 100mcg/kg/day dose level achieved a 63.7% reduction in bone marrow blast levels from 22% before therapy to 8% after therapy. All patients treated at these higher doses of GTB-3550 did not experience any Grade of Cytokine Release Syndrome (CRS).

No Cytokine Release Syndrome (CRS) Observed

All patients treated to date with GTB-3550 TriKE displayed no signs of any Grade of cytokine release syndrome (CRS). Of particular note, GTB-3550 is currently being administered to patients at doses significantly higher than the reported MTD (Maximum Tolerated Dose) for continuous infusion of recombinant human IL-15 (Interleukin-15) (Waldmann, TA et al, Clin Cancer Res. (2019) 25:4945–54). GTB-3550 is a single-chain, tri-specific scFv recombinant fusion protein conjugate composed of the variable regions of the heavy and light chains of anti-CD16 and anti-CD33 antibodies, and a modified form of IL-15.

Improved NK Cell Function, Proliferation & Persistence

Correlative studies have shown reproducible endogenous ("native") NK cell activity in all patients. NK cell activation increases early during treatment. This finding correlated with an increase proportion and absolute number of NK cells during treatment. Targeted delivery of IL-15 to NK cells via GTB-3550 TriKE showed preferential proliferation of NK cells and significantly less effect on CD8+ and CD4+ T-cells. We also observed no CD16 shedding by patients’ NK cells, and saw enhanced HL-60 AML target cell killing. This data indicates GTB-3550 TriKE rescues the patient’s exhausted/inhibited endogenous NK cells resulting in their activation, proliferation and persistence.

Mr. Anthony Cataldo, the Chairman and Chief Executive Officer of GT Biopharma commented: "We are pleased with the continued clinical performance of our lead GTB-3550 TriKE product candidate as we continue dose escalation." Mr. Cataldo further stated "this data indicates GTB-3550 therapy demonstrates significant bone marrow blast level reductions in AML and MDS patients without the need for expensive progenitor-derived or autologous/allogenic cell therapies. Further, we have yet to see toxicity (CRS -Cytokine Release Storm) or any significant side effects, as is customary with Cell Therapies and other NK Engagers. We believe as we continue to dose escalate GTB-3550 TriKE, more patients will experience greater clinical efficacy. TriKE’s ability to work in the patient without outside supplemental engineered NK cells or the need for any combination drugs, sets TriKE apart from other cancer therapies. This is also the reason why TriKE therapy will be significantly less expensive than other treatments, opening the door to an off-the-shelf therapeutic."

About High-Risk Myelodysplastic Syndromes (MDS)

MDS is a rare form of bone marrow-related cancer caused by irregular blood cell production within the bone marrow. As a result of this irregular production, MDS patients do not have sufficient normal red blood cells, white blood cells and/or platelets in circulation. High-risk MDS is associated with poor prognosis, diminished quality of life, and a higher chance of transformation to acute myeloid leukemia. Approximately 40% of patients with High-Risk MDS transform to AML, another aggressive cancer with poor outcomes.

About Acute Myeloid Leukemia (AML)

Acute myeloid leukemia (AML) is a type of cancer in which the bone marrow makes abnormal myeloblasts (a type of white blood cell), red blood cells, or platelets. According to the National Cancer Institute (NCI), the five-year survival rate is about 35% in people under 60 years old, and 10% in people over 60 years old. Older people whose health is too poor for intensive chemotherapy have a typical survival of five to ten months. AML accounts for roughly 1.8% of cancer deaths in the United States.

About GTB-3550 TriKE

GTB-3550 is the Company’s first TriKE product candidate being initially developed for the treatment AML. GTB-3550 is a single-chain, tri-specific scFv recombinant fusion protein conjugate composed of the variable regions of the heavy and light chains of anti-CD16 and anti-CD33 antibodies and a modified form of IL-15. The natural killer (NK) cell stimulating cytokine human IL-15 portion of the molecule provides a self-sustaining signal that activates NK cells and enhances their ability to kill. We intend to study GTB-3550 in CD33 positive leukemias such as acute myeloid leukemia (AML), myelodysplastic syndrome (MDS), and other CD33+ hematopoietic malignancies.

About GTB-3550 TriKE Clinical Trial

Patients with CD33+ malignancies (primary induction failure or relapsed AML with failure of one reinduction attempt or high-risk MDS progressed on two lines of therapy) age 18 and older are eligible (NCT03214666). The primary endpoint is to identify the maximum tolerated dose (MTD) of GTB-3550 TriKE. Correlative objectives include the number, phenotype, activation status and function of NK cells and T cells.

BioEclipse Therapeutics™ to Present at the Spring 2021 Virtual Oncology Investor Conference

On March 20, 2021 BioEclipse Therapeutics (BioEclipse), a private clinical-stage biopharmaceutical company with a proprietary platform for developing next-generation cancer immunotherapies, reported that Pam Contag, Ph.D., President and Chief Executive Officer of BioEclipse, will present at the Spring 2021 virtual meeting of the Oncology Investor Conference, sponsored by the National Foundation for Cancer Research, taking place March 29, 2021 to April 1, 2021 (Press release, BioEclipse Therapeutics, MAR 29, 2021, View Source [SID1234577301]). The virtual presentation will be available for all registered attendees.

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During the presentation, Dr. Contag will provide an overview of BioEclipse’s business and recent achievements, as well as the company’s clinical program for its lead drug candidate, CRX100. BioEclipse has initiated an open-label, Phase 1, dose-escalation study to evaluate the safety, tolerability, and pharmacokinetic (PK) properties of CRX100 in advanced solid tumors that do not respond to standard of care, including triple-negative breast cancer, colorectal cancer, hepatocellular carcinoma, osteosarcoma, epithelial ovarian cancer, and gastric cancer.

Members of the BioEclipse management team will also be available to participate in virtual one-on-one meetings with investors and who are registered to attend the conference. Following the conclusion of the event, a recording of Dr. Contag’s presentation will be available under "Recent Presentations" in the Investors section of the Company’s website at www.cytocom.com.

Therapeutic Solutions International Demonstrates Potent and Selective Destruction of Tumor Blood Vessels by Leveraging Pre-Existing Natural Anti-Xenogeneic Antibodies

On March 29, 2021 Therapeutic Solutions International, Inc., (OTC Markets: TSOI), reported new data and a new patent filing demonstrating this new immunotherapy derived from inducible pluripotent stem cells (iPSC) induces potent and selective killing of cancer associated blood vessels (Press release, Therapeutics Solutions International, MAR 29, 2021, View Source [SID1234577300]).

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In contrast to other approaches, the current immunotherapy involves transfection of the enzyme alpha1,3-galactosyltransferase into the iPSC, following that iPSC cells are transformed into tumor endothelial-like cells and used for immunization. The introduction of the alpha1,3-galactosyltransferase gene causes the cells to express to Gal alpha 1-3Gal beta-4-GlcNAc (alpha Gal). Alpha Gal is one of the most potent immune stimulating molecules in nature, evoking one of the most potent immune responses known to man.

"Previous immunotherapies activate and recruit approximately 1 out of 1,000,000 immune cells to attack cancer whereas the current approach activates as much as 1 out of 100 immune cells," said Dr. James Veltmeyer, Chief Medical Officer of the Company. "It is well known in the field of xenotransplantation that humans possess 1 to 5% of their antibodies directed towards the alpha Gal epitope which is found in all animals with the exception of monkeys and humans. This is God’s way of stopping inter-species transplantation. By directing this potent antibody response against tumor blood vessels our preliminary data supports feasibility of this novel approach in attacking the Achilles heel of cancer, which is angiogenesis."

Side by side comparison between the currently described approach and approaches, such as placental derived cancer endothelial vaccines like ValloVax by Batu Biologics, suggest significantly higher level of immunity towards cancer angiogenesis can be obtained with the currently described approach.

"The advantage of using iPSC technology is that we are generating consistent and reproducible cell therapy products, which are two features essential for partnership with Big Pharma as well as progression through the regulatory process," said Famela Ramos, Vice President of Business Development. "What we are talking about here is the production of a Third Generation Cellular Immunotherapy for cancer."

"Our Company’s philosophy has always been to leverage existing propensities of the body as opposed to fighting the body," stated Timothy Dixon, President and CEO of the Company and co-inventor. "I commend our collaborating scientists for the completely novel concept of leveraging existing premade antibodies as a new way of shutting down the formation of new blood vessels by the cancer."

GenScript Biotech Reports Full Year 2020 Financial Results and Business Results

On March 29, 2021 GenScript Biotech Corporation (HKEX: 1548.HK), a leading global biotechnology group, reported its 2020 Annual Results Conference (Press release, GenScript, MAR 29, 2021, View Source [SID1234577299]). Its management team announced the business updates and financial performance of the Group’s four business segments, sharing the achievements that bolster its confidence in future prospects.

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According to the full-year 2020 financial report, the Group earned a USD 390 million revenue, representing a 42.9% YoY growth, and a USD 260 million gross profit, for an increase of 41.9% YoY. The Group’s total R&D expenses reached USD 260 million, a 41.6% YoY increase, while R&D expenses of non-cell therapy business segments remained at about 10% of revenue.

Benefitting from strong global momentum in the life science services & products segment and biologics CDMO segment, revenue of the Group’s non-cell therapy businesses increased by 45.9% to USD 315 million, reporting its fastest growth within the past five years, and a gross profit of USD 180 million, growing 46.6% year-on-year. The non-cell therapy business segments’ net profit was USD 22.1 million, a 42.6% YoY increase, and adjusted net profit approximately USD 44.4 million, a 105.6% YoY growth. This was also largely built on the success of answering global demands for COVID-19 related services, including the launch of cPass sVNT Kit – the world’s first reagent kit able to detect functional neutralizing antibodies quickly and effectively. Key highlights include:

The life science services and products business generated USD 250 million in revenue, a 44.4% YoY increase, maintaining its leading position as the world’s No. 1 gene synthesis supplier.
Revenue from GenScript Probio, the biologics CDMO business, reached USD 40.4 million, a 78% YoY growth. Among its business lines, revenue from CDMO services for gene and cell therapy increased by 148% YoY and from CDMO services for antibody drugs by 78.2%. And as a result of the Group’s long-standing commitment to high-quality standards and global business development, revenue increased by over 50% from Chinese customers, and over 150% from overseas customers.
Bestzyme, its industrial synthetic biology products business, boosted its revenue by 24%, maintaining a growth rate that exceeded the industry average and major competitors, and earning recognition as one of the top three industrial enzyme suppliers in China.
Legend Biotech, a Group subsidiary, continued to drive progress in its cell therapy business. It achieved a series of key milestones, including a successful Nasdaq IPO and the submission of Biologics License Application (BLA) to the US FDA for cilta-cel, an Anti-BCMA CAR T-Cell Therapy for treating Relapsed or Refractory Multiple Myeloma. Legend Biotech reached a USD 75.7 million gross profit, primarily attributable to its Janssen collaboration’s revenue recognition of upfront payment and milestone payment for developing and commercializing cilta-cel. Legend Biotech also spent USD 230 million in R&D, including USD 160 million on cilta-cel clinical trials in the United States and China and USD 68.2 million for other pipelines.

The Group’s capital expenditure amounted to USD 130 million to strengthen its competitiveness and profitability. The investments covered the construction of GMP facilities for the cell therapy business to support current clinical trials and future commercial needs; GMP facilities in Nanjing and Zhenjiang that will support the long-term development of the CDMO business; and its life science segment’s product upgrade and facility automation.

"Last year’s outbreak of a global pandemic presented both challenges and opportunities to the life science community. At GenScript Biotech, our people remained dedicated and strong, supporting the group to maintain the growth it has earned since listing, with all four business segments reporting outstanding performance," said Patrick Liu, Rotating CEO of GenScript Biotech. "To prove our unwavering commitment to the field, we will continue to invest in talents, innovation, R&D, infrastructure and other core competencies. As we hone our competitive edge for the future, we will also create more value for both our customers and shareholders. Guided by our mission to make people and nature healthier through biotechnology, we strive to advance the biotech community so that we can better serve society."

2020 Business Highlights

The Group’s high throughput gene synthesis production line achieved automation, adding 60% to production capacity, lowering costs and boosting efficiency while ensuring quality. Its protein, oligo and peptide services also established automated production lines, gaining a leading position in the market.
The company not only launched the only easily affordable EasyEdit sgRNA platform in China, but also formulated the first basic GMP quality management system for sgRNA service, contributing to promoting IND application and clinical trials for the gene and cell therapy community.
In May, GenScript partnered with Duke-NUS to launch the cPass sVNT Kit, the world’s first test that allows rapid and effective detection of neutralizing antibodies (Nabs), and obtained an exclusive agreement for its global commercialization. cPass is also the only serology test that received an Emergency Use Authorization by the US FDA. It has also acquired the CE (Conformite Europeenne) mark in Europe, HSA authorization in Singapore, ANVISA authorization in Brazil, ANMAT authorization in Argentina, and MOHAP authorization in the UAE as a medical device.
The bio-pharmaceutical CDMO business launched the GenScript ProBio brand. Its antibody GMP production center in Nanjing, China, went into production in November, increasing GMP production capacity to 2600L, able to meet the GMP production needs of Phase I/II clinical trials.
The GenScript Life Science Building, the integrated platform for innovative biologics R&D and production services, broke ground in Zhenjiang, Jiangsu Province, in June. Upon commission, it will cover over 30,000 m2 and serve as GenScript’s production and R&D platform for customized peptide services, and an oligo production platform with R&D and GMP production capability, helping GenScript maintain its competitive edge in the field.
Legend Biotech, cell therapy subsidiary, was successfully listed on Nasdaq in June and received USD 650 million in gross proceeds during Pre-IPO and IPO process, earning recognition from the international industry and capital market. Its product cilta-cel obtained the first "Breakthrough Therapy Designation" in China in August, and initiated rolling submission of BLA to the US FDA in December.
Legend Biotech further expanded its innovative product pipelines, and received IND approval from FDA for an investigational CAR-T therapy for the treatment of adults with relapsed or refractory T-cell lymphoma (RR TCL) in December, marking the company’s second successful IND application in the US.
Bestzyme launched the most heat-resistant glucose oxidase in China, becoming the main enzyme solution for antibiotic replacement and reduction, helping customers replace and reduce the use of the antibiotics in animal breeding. Furthermore, it obtained certifications for its products from the US FDA and Southeast Asian countries, and is actively exploring the overseas food enzyme market.
2021 Prospects

The cPass sVNT Kit is currently seeking regulatory approval in China, and has already signed a cooperation agreement to promote its commercial application in the market. With expanding commercial channels and approvals in more countries, the product is expected to achieve considerable sales.
GenScript ProBio’s second GMP plasmid plant is under construction in Zhenjiang, China, which is expected to go into production in the second half of 2021 and double its current plasmid and virus production capacity. Its third GMP facility for clinical study and commercialization of GCT projects is also in the planning stages.
Legend Biotech is expected to submit a Marketing Authorization Application (MAA) for cilta-cel to the EMA in the first half of 2021, and submit a BLA to the National Medical Products Administration (NMPA) of China and receive BLA approval from the US FDA in the second half of 2021.
Legend Biotech is also promoting several investigator-initiated clinical studies, including studies on allogenic therapies for diffuse large B cell lymphoma (DLBCL), acute myelogenous leukemia (AML), gastric cancer, pancreatic cancer, and non-Hodgkin’s lymphoma (NHL).