On July 23, 2026 AbelZeta Pharma, Inc. ("AbelZeta" or "the Company"), a global clinical-stage biopharmaceutical company focused on the discovery and development of innovative and proprietary cell-based therapeutic products, reported a publication in Nature sharing the results of the first-in-human clinical study evaluating the safety and efficacy of C-CAR031, a novel glypican-3 (GPC3)-targeted CAR-T that AbelZeta and AstraZeneca previously partnered to develop in China, and which is now being developed solely by AstraZeneca as AZD7003. The publication provides an update to the preliminary safety and efficacy data presented at the 2024 American Society of Clinical Oncology (ASCO) (Free ASCO Whitepaper) Annual Meeting. The investigator-initiated trial (IIT) reported in the Nature publication was led by The First Affiliated Hospital, Zhejiang University School of Medicine’s Dr. Tingbo Liang and Dr. Qi Zhang with the support of AbelZeta.
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C-CAR031/AZD7003 is an autologous glypican 3 (GPC3)-targeting CAR-T therapy, designed by AstraZeneca using their dominant-negative transforming growth factor-beta receptor II (dnTGFβRII) armoring. The dnTGFβRII armoring platform is designed to overcome the immunosuppressive tumor microenvironment.
The publication reports clinical findings that indicate a manageable safety profile and encouraging antitumor activity for C-CAR031/AZD7003 in 36 patients with heavily pretreated advanced hepatocellular carcinoma (HCC) [median four lines of prior treatment].
Efficacy
Tumor regression was observed in 32 / 36 patients, with a median best tumour reduction from baseline of 41.6% (range: 3.4–94.4%) in target lesions.
Objective response rate (ORR) was 44.4%, and the median duration of response (DOR) was 4.4 months (95% confidence interval: 2.9–7.4).
Median progression-free survival (PFS) was2 months (95% confidence interval: 2.9–4.8).
Median overall survival (OS) was2 months (95% confidence interval: 10.1 to not evaluable).
Safety
2 patients had cytokine release syndrome of grade 3.
9 patients had non-hematological adverse events of grade 3 or higher.
"We would like to express our deepest appreciation to The First Affiliated Hospital, Zhejiang University School of Medicine’s Dr. Liang and Dr. Zhang, as well as the outstanding clinical team for conducting this landmark study with exceptional scientific rigor," said Tony (Bizuo) Liu, Chairman and Chief Executive Officer of AbelZeta, "We are especially grateful to the patients and their families who participated in this trial, whose courage and trust made this important research possible."
"We are delighted to have collaborated with AstraZeneca on C-CAR031/AZD7003 and are honored to see the clinical data in hepatocellular carcinoma published in Nature. Reaching this milestone is testament to our complementary cell therapy capabilities."
In December 2023, AbelZeta announced an agreement with AstraZeneca to co-develop C-CAR031 in China. In January 2026, AbelZeta announced entering into an agreement where AstraZeneca would acquire AbelZeta’s remaining China development and commercialization rights to C-CAR031, such that AstraZeneca now solely leads the global development and commercialization of the investigational product, now known as AZD7003.
(Press release, AbelZeta, JUL 23, 2026, View Source [SID1234669387])