# CStone 2026 Interim Results: Accelerating Pipeline 2.0 Execution and Sustained Global Commercial Momentum

- Link: https://www.thailand-business-news.com/pr-news/cstone-2026-interim-results-accelerating-pipeline-2-0-execution-and-sustained-global-commercial-momentum
- Published: 2026-08-27T21:15:00+07:00
- Author: PR Newswire

**CS2009 Achieved Key Clinical Validations for Efficacy and Safety**

As of August 2026, updated data further confirmed the favorable safety profile of
CS2009 and demonstrated strengthened efficacy across multiple key cohorts compared
with the data presented at ASCO in May 2026. With expanded patient enrollment and
longer follow-up, improvements were observed in both the objective response rate(
ORR) and duration of response (DOR):

Compelling monotherapy efficacy in first-line non-small cell lung cancer (NSCLC)

 ◦ At the 30 mg/kg dose level, CS2009 achieved an **ORR of 100% **and a disease 
   control rate** (DCR) of 100%** in patients with PD-L1 TPS ≥50%. In the broader
   PD‑L1 TPS ≥1% population, the **ORR was 70.8% and DCR was 91.7%**.

Monotherapy efficacy in Immunotherapy (IO)-pretreated NSCLC and IO-nonresponsive"
cold tumors" further validates CTLA-4 activity and efficacy

 ◦ In **second-line NSCLC patients (all previously treated with IO plus chemotherapy),**
   CS2009 monotherapy (30 mg/kg dose level) yielded an **ORR of 38.5% **and a** 
   DCR of 84.6%; **
 ◦ In patients with **heavily pretreated** metastatic colorectal cancer (mCRC), 
   CS2009 monotherapy (30 mg/kg dose level) achieved an **ORR of 20% **and a **DCR
   of 93.3%; **
 ◦ In patients with **heavily pretreated** soft tissue sarcoma (STS) and non-clear
   cell renal cell carcinoma (nccRCC), CS2009 monotherapy delivered **ORR of 38.5%
   and 42.9%**, respectively.

CStone will present additional more mature Phase I/II clinical data for CS2009 in
patients with advanced NSCLC and mCRC via two rapid oral presentations at ESMO 2026
in October. The Company also expects to reach consensus with global regulatory authorities
including the U.S. Food and Drug Administration (FDA) and the Center for Drug Evaluation(
CDE) of China National Medical Products Administration (NMPA), on the global** Phase
III registrational trial protocol** in the fourth quarter of 2026.

**Pralsetinib Delivers Strong Sales Growth**

Following its effective inclusion in the National Reimbursement Drug List (NRDL)
on January 1, 2026, pralsetinib’s in-market sales volume increased by almost 500%
year-over-year in the seven‑month period ending July 2026.

**Solid Cash Position**

As of June 30, 2026, cash and cash equivalents and time deposits totaled RMB1,560.2
million.

SUZHOU, China, Aug. 27, 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 2026 interim results and recent business highlights.

**Dr. Jason Yang, CEO, President of R&D, and Executive Director at CStone, commented**,"
In the first half of 2026, CStone entered a pivotal stage of transition from innovation-
driven accumulation to global value realization.

Our lead asset, CS2009, continues to advance rapidly through global clinical development.
To date, we have accumulated clinical data from more than 300 patients, consistently
demonstrating three key clinical validations: first, proof of safety; second, multidimensional
confirmation of CTLA‑4 target activity and efficacy, evidenced by pharmacodynamic
biomarkers and clinical activity in "cold tumors" and IO‑pretreated NSCLC; and third,
broad‑spectrum and highly competitive antitumor efficacy across multiple tumor types.
The most recent data show that CS2009’s antitumor activity continues to deepen and
strengthen with longer follow-up, exhibiting particularly competitive efficacy and
a well-tolerated safety profile in key patient populations, including NSCLC and 
mCRC. These robust data provide strong support for the upcoming global Phase III
registrational trials. We look forward to presenting additional more mature clinical
data on CS2009 in oral presentations at the ESMO Congress this October.

Beyond CS2009, other Pipeline 2.0 candidates are also progressing steadily toward
clinical stage. CS5007, built on our proprietary ADC platform, has initiated a global
Phase I clinical trial in both China and Australia. In addition, more than ten early-
stage programs spanning next-generation ADCs, immunology & inflammation and other
areas are advancing smoothly. The successive entry of these differentiated innovative
assets into clinical development will serve as a critical driver for the Company’s
sustained growth and global expansion.

On the commercial front, our three key products, sugemalimab, pralsetinib, and avapritinib,
continued to achieve breakthroughs across domestic and international markets, contributing
significant momentum to revenue growth. Notably, following pralsetinib’s first-time
inclusion in the NRDL earlier this year, its in-market sales volume increased by
almost 500% year-over-year during the first seven months of 2026, making it the 
primary driver of the Company’s revenue growth in the first half of 2026.

Looking ahead, CStone will focus on advancing the clinical value of its Pipeline
2.0 assets and actively pursue global partnerships to accelerate their development.
Concurrently, the Company will continue to maximize the commercial potential of 
its marketed products through strategic partnerships and resource integration. Our
goal is to foster a sustainable growth model where R&D and commercialization reinforce
each other, creating a virtuous cycle between innovation and business operations."

**Business Highlights**

For the six months ended June 30, 2026 and up to the date of this results announcement,
CStone made significant progress across both its proprietary Pipeline 2.0 portfolio
and its commercial franchise, advancing the Company’s strategy to build a fully 
integrated, globally competitive biopharmaceutical company.

**Clinical Stage Core Asset**

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

 ◦ **Accelerating global clinical development toward Phase III registrational trials
   by year end**

The ongoing global Phase I/II trial has enrolled more than 300 patients across China
and Australia, with U.S. Investigational New Drug (IND) clearance obtained in February
2026.

CStone plans to initiate the first wave of global Phase III multi-regional clinical
trials (MRCTs) for CS2009 by the end of 2026. Planned registrational studies include
first-line non-small cell lung cancer (NSCLC) in combination with chemotherapy (
versus pembrolizumab plus chemotherapy), and first-line mCRC in combination with
chemotherapy (versus bevacizumab plus chemotherapy), with additional registrational
studies planned for 2027 and following years.

 ◦ **CS2009 validates its potential as a next-generation I/O backbone**

At the 2026 American Society of Clinical Oncology (ASCO) Annual Meeting, CStone 
presented comprehensive Phase I/II data from the ongoing global multicenter trial.
As of the data cutoff date of August 2026, updated monotherapy efficacy data from
the ongoing global Phase I/II trial of CS2009, reflecting a longer follow-up and
larger sample size than the ASCO 2026 presentation continued to demonstrate robust
and deepening antitumor activity across multiple tumor types. Three important key
clinical validations are achieved from over 300 patient data:

 ◦ Proof of safety

Across all dose levels, no dose-limiting toxicities (DLTs) were observed, and the
maximum tolerated dose (MTD) was not reached. In the ASCO 2026, the incidence of
Grade ­3 treatment-related adverse events (TRAEs) and immune-related adverse events(
irAEs) were 24.6% and 12.7%, respectively. Notably, the incidence of Grade ­3 VEGF-
related TRAEs was only 5.1%. No excessive toxicities typically associated with CTLA-
4/PD-(L)1 combinations were observed. As of August 2026, the safety profile of CS2009
remained consistent with that presented at the 2026 ASCO Annual Meeting, with no
new safety signals identified.

 ◦ Proof of CTLA-4 activities and efficacy

Dose-dependent upregulation of ICOS on CD4+ T cells was observed as a pharmacodynamic
biomarker of CTLA-4 blockade. Activity was also seen in "cold tumor" not sensitive
to PD-(L)1 mAb:

    ◦ Later-line monotherapy for mCRC (30 mg/kg): the objective response rate (ORR)
      was 20.0% (3/15) and the disease control rate (DCR) was 93.3% (14/15).
    ◦ Later-line monotherapy for soft-tissue sarcoma (STS): the ORR was 38.5% (5/
      13) and the DCR was 69.2% (9/13). Later-line monotherapy for non-clear cell
      renal cell carcinoma (nccRCC): the ORR was 42.9% (3/7) and the DCR was 100.0%(
      7/7).
    ◦ Promising anti-tumor activity in later-line post immuno-oncology (IO) NSCLC
      monotherapy: ORR was 23.8% (5/21), DCR was 61.9% (13/21). Among patients who
      had previously received immunotherapy plus platinum-based chemotherapy (n=
      13), ORR was 38.5% (5/13) and DCR was 84.6% (11/13).

 ◦ Proof of broad efficacy

Monotherapy and chemo-combination activity in first-line and later-line NSCLC:

    ◦ First-line NSCLC monotherapy (PD-L1 tumor proportion score [TPS]­ ≥1%; enrollment
      completed): ORR of 61.7% (29/47) and DCR of 93.6% (44/47), including ORR of
      70.8% (17/24), DCR 91.7% (22/24) in patients treated at 30 mg/kg; in the PD-
      L1 TPS ≥­50% group (n=24), ORR was 83.3% (20/24) and DCR was 95.8% (23/24)(
      versus ORR of 81.3% [13/16] at the 2026 ASCO cutoff), including ORR of 100.0%(
      11/11) and DCR of 100.0% (11/11) in patients treated at 30 mg/kg. After median
      follow up of 6 months, median progression-free survival (PFS) and DOR have
      not been reached.
    ◦ Second-line or later NSCLC monotherapy (30 mg/kg): ORR of 28.0% (7/25) and
      DCR of 60.0% (15/25), with a 6-month DOR rate of 83.3% (versus ORR of 24.0%
      and a 6-month DOR rate of 80.0% at the 2026 ASCO cutoff). Across all evaluated
      dose levels (n=54), ORR was 16.7% (9/54) and DCR was 68.5% (37/54), with a
      6-month DOR rate of 87.5% (versus 85.7% at the 2026 ASCO cutoff).
    ◦ Later-line NSCLC (second/third-line combination therapy, n=6): ORR of 66.7%(
      4/6), DCR of 100.0% (6/6). Data are as of the 2026 ASCO data cutoff and will
      be updated at ESMO 2026.
    ◦ First-line squamous NSCLC combination therapy (PD-L1-low/negative, TPS ≤5%,
      n=8): ORR of 75.0% (6/8), DCR of 100.0% (8/8); notably, the ORR reached 100.0%(
      4/4) in the PD-L1-negative subgroup. Data are as of the ASCO 2026 data cutoff
      and will be updated at ESMO 2026.

Robust Chemo-combo efficacy in the first-line mCRC, mostly proficient mismatch repair
or microsatellite stable (pMMR/MSS):

    ◦ First-line mCRC (with XELOX, n=6): ORR of 66.7% (4/6), DCR of 100.0% (6/6).
      Data as of 2026 ASCO cutoff, will be updated at ESMO 2026.

Promising monotherapy activity observed in metastatic castration-resistant prostate
cancer (mCRPC), ovarian cancer, triple-negative breast cancer, gastric cancer, esophageal
cancer, as well as STS and nccRCC.

 ◦ **Upcoming two oral presentations of CS2009 at ESMO 2026**

The clinical research results of CS2009 have been accepted for two Rapid Oral presentations
at the 2026 European Society for Medical Oncology (ESMO) Congress. The presentations
will feature Phase I/II clinical data of CS2009 in patients with advanced NSCLC 
and mCRC.

**Other Clinical Stage Asset**

**CS5007, EGFR/HER3 ADC**

 ◦ Global Phase I trial initiated in China and Australia

The Company initiated the Phase I first-in-human study in June 2026. This trial 
consists of dose-escalation and dose-expansion cohorts evaluating CS5007 as a monotherapy
in patients with advanced solid tumors, and will be conducted concurrently in Australia
and China. CStone presented preclinical data for CS5007 at the 2026 American Association
for Cancer Research (AACR) Annual Meeting, further supporting its broad-spectrum
anti-tumor potential.

**Commercial Products**

**CEJEMLY****^(®)**** (sugemalimab), anti-PD-L1 antibody**

 ◦ Global regulatory and scientific recognition

Following the initial marketing authorizations of sugemalimab in the European Union(
EU) and the United Kingdom (U.K.) for Stage IV NSCLC, sugemalimab received additional
approvals in the EU in November 2025 and subsequently in the U.K. in February 2026
as monotherapy for adults with unresectable Stage III NSCLC whose disease has not
progressed following platinum-based chemoradiotherapy (CRT). Meanwhile, marketing
authorization applications for sugemalimab have either been approved or are under
active review in nearly 30 countries worldwide.

In March 2026, CEJEMLY^(®) (sugemalimab) was included in the ESMO Early and Locally
Advanced NSCLC Living Guideline. Sugemalimab received a Level [I, A] recommendation
for consolidation therapy in patients with unresectable Stage III NSCLC who have
not progressed after concurrent or sequential chemoradiotherapy.

 ◦ Secured fifth international commercial partnership

In June 2026, CStone entered into an exclusive commercialization agreement with 
Arrotex Pharmaceuticals Pty Ltd (Arrotex), Australia’s largest privately owned pharmaceutical
company with established oncology commercialization capabilities and distribution
infrastructure across Australia and New Zealand. This milestone expands sugemalimab’s
global commercialization network to five strategic partnerships, covering more than
60 countries and regions across Europe, the Middle East and Africa, Latin America,
and Oceania.

**Pralsetinib capsules, RET inhibitor**

 ◦ NRDL inclusion and accelerated commercial growth

Following the inclusion of pralsetinib capsules (100 mg) in China’s NRDL in late
2025, effective January 1, 2026, patient access has improved significantly. In the
seven‑month period ending July  2026, pralsetinib’s in-market sales volume increased
by almost 500% year-over-year.

 ◦ Localized manufacturing approval supporting commercial scalability

Following the approval by China’s NMPA of the manufacturing localization application
for pralsetinib capsules (100 mg), the first batch of locally-manufactured pralsetinib
was released in China in 2026.

**Preclinical/IND-enabling Stage Programs**

**A balanced, differentiated early-stage portfolio spanning oncology and immunology/
inflammation**

CStone’s preclinical Pipeline 2.0 comprises innovative candidates across multispecific
antibodies, ADCs and other next-generation modalities, with potential first-in-class(
FIC) or best-in-class (BIC) opportunities spanning oncology, immunology, inflammation
and other high-value therapeutic areas.

The Company’s proprietary ADC platform incorporates optimized linker technologies
designed to enable tumor-selective payload release and supports multiple Pipeline
2.0 ADC candidates, including CS5007 (EGFR and HER3 bispecific ADC), CS5006 (ITGB4
ADC), CS5008 (DLL3 and SSTR2 bispecific ADC), etc. The Company is also exploring
next-generation ADC technologies, including dual-payload ADCs (e.g., CS5009, a B7H3/
PD-L1 bispecific dual-payload ADC, and CS5010, a HER2-targeting dual-payload ADC)
and novel-payload ADCs (e.g., CS5012, a HER2-targeting novel-payload ADC). In April
2026, CStone presented preclinical data for CS5007, CS5006 and CS5008 at the 2026
AACR Annual Meeting, highlighting the breadth and differentiation of its next-generation
ADC pipeline.

Beyond oncology, CStone has expanded Pipeline 2.0 into immunology and inflammation
by leveraging its proprietary multispecific antibody platform. The Company has developed
CS2015 (OX40L/TSLP bispecific antibody) targeting Type 2 inflammatory diseases, 
CS2013 (BAFF/APRIL bispecific antibody) targeting B cell-mediated autoimmune diseases,
CS2016 (TL1A/α4β7 bispecific antibody), and CS1016 (PD-1 agonist antibody).

**Future and Outlook**

Our mission is to deliver transformative therapies through scientific excellence
and technological innovation, making high-quality treatments accessible worldwide
to benefit patients and their families.

We reaffirm our commitment to advancing a robust and differentiated pipeline by 
prioritizing internal discovery capabilities and sustained R&D investments, while
executing strategic partnerships to unlock the global value of our in-market products.
Key catalysts for the second half of 2026 include:

**Clinical milestones**

 ◦ Accelerate global development of CS2009 by advancing interactions with global
   regulatory authorities, including the U.S. FDA and the CDE of NMPA, on Phase 
   III registrational trial design, with the first wave of global Phase III MRCTs
   planned to be initiated by the end of 2026, while continuing to pursue global
   partnerships.
 ◦ Advance clinical development of CS5007 (EGFR/HER3 bispecific ADC), CS5006 (ITGB4
   ADC), CS5008 (SSTR2/DLL3 ADC) and other early-stage candidates.

**Innovation and technology**

 ◦ Further strengthen proprietary technology platforms, including multi-specific
   antibody and next-generation ADC technologies, to support sustained expansion
   of the preclinical pipeline.
 ◦ Present key clinical data, including updated CS2009 data, at major international
   scientific conferences, including two Rapid Oral presentations of CS2009 Phase
   I/II data at the 2026 ESMO Congress.

**Financial Highlights**

International Financial Reporting Standards (IFRS) Measures:

**Revenue** was RMB205.1 million for the six months ended June 30, 2026. The revenue
is composed of RMB183.2 million from sales of pharmaceutical products (avapritinib,
pralsetinib and sugemalimab), RMB6.9 million from license fee income and RMB15.0
million from royalty income of sugemalimab. The substantial revenue growth was primarily
driven by a significant increase in sales of pharmaceutical products, particularly
pralsetinib, following its successful inclusion in the NRDL effective from January
2026, which led to a marked sales ramp-up.

**Cost of revenue** was RMB110.9 million for the six months ended June 30, 2026.

**Research and development expenses **were RMB205.5 million for the six months ended
June 30, 2026, primarily due to increased costs for clinical trials.

**Administrative expenses **were RMB51.3 million for the six months ended June 30,
2026.

**Selling and marketing expenses **were RMB73.1 million for the six months ended
June 30,2026.

**Loss for the period** was RMB252.3 million for the six months ended June 30, 2026.

**Cash and cash equivalents and time deposits** were RMB1,560.2 million as of June
30, 2026.

**Non-International Financial Reporting Standards (Non-IFRS) Measures:**

**Research and development expenses** excluding the share-based payment expenses
were RMB193.4 million for the six months ended June 30, 2026, primarily due to increased
costs for clinical trials.

**Administrative and selling and marketing expenses** excluding the share-based 
payment expenses were RMB115.2 million for the six months ended June 30, 2026.

**Loss for the period** excluding the share-based payment expenses was RMB230.9 
million for the six months ended June 30, 2026.

**2026 Interim Results Conference Call**

The Company will host its 2026 Interim results earnings call at **9:00 a.m. (Beijing
Time) on Friday August 28, 2026**. Please register for the conference in advance
through the link:  [https://s.comein.cn/nv9vt1dz](https://s.comein.cn/nv9vt1dz) .

**About CStone**

CStone (HKEX: 2616), established in late 2015, is an innovation-driven biopharmaceutical
company focused on the research and development of therapies for oncology, immunology,
inflammation, and other key disease areas. Dedicated to addressing patients’ unmet
medical needs in China and globally, the Company has made significant strides since
its inception. To date, the Company has successfully launched 4 innovative drugs
and secured approvals for 21 new drug applications covering 9 indications. The company’s
pipeline is balanced by 13 promising innovative candidates, featuring antibody-drug
conjugates (ADCs), mono-/multi-specific antibodies, immunotherapies and precision
medicines. CStone also prides itself on a management team with comprehensive experiences
and capabilities that span the entire drug development spectrum, from preclinical
and translational research to clinical development, drug manufacturing, business
development, and commercialization.

For more information about CStone, please visit: [www.cstonepharma.com](https://www.cstonepharma.com/).

**Forward-looking statements**

The forward-looking statements made in this article only relate to events or information
as of the date when the statements are made in this article. Except as required 
by law, we undertake no obligation to update or publicly revise any forward-looking
statements, whether as a result of new information, future events or otherwise, 
after the date on which the statements are made or to reflect the occurrence of 
unanticipated events. You should read this article completely and with the understanding
that our actual future results or performance may be materially different from what
we expect. All statements in this article are made on the date of publication of
this article and may change due to future developments.

_Disclaimer: only for communication and scientific use by medical and health professionals,
it_ _is not intended for promotional purposes._

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