Senhwa Biosciences Aims at Multi-Billion Dollar Global Market with CX-5461 Combined with ADC “Blockbuster” Therapy

Following its recent clinical collaboration with the multinational pharmaceutical company BeOne Medicines to explore combination therapy with its marketed PD-1 inhibitor in the challenging field of cold tumor treatment, Senhwa Biosciences, Inc. (TPEx: 6492, hereafter “Senhwa”), today announced another major milestone. The Company's first-in-class investigational drug Pidnarulex (CX-5461) will be evaluated in combination with the globally recognized antibody-drug conjugate (ADC), Trastuzumab Deruxtecan (Enhertu®), in a Phase 1b clinical trial. The study is designed for HER2-positive solid tumors and breast cancer patients, including those with HER2-low expression and metastatic breast cancer. Supported by the U.S. National Cancer Institute's (NCI) NExT program, which funds multiple CX-5461 studies including combination strategies, Senhwa is positioning itself at the forefront of one of the most promising areas in oncology therapeutics, and this milestone marks CX-5461's entry into the fast-growing ADC market.

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World's First G4 Stabilizer Meets Leading ADC

CX-5461 is the world's first and most advanced G-quadruplex (G4) stabilizer in development. It has shown promising activity in early-phase trials for breast cancer and other solid tumors in study sponsored by SU2C-CCTG in Canada. Its combination with Enhertu® is expected to enhance treatment efficacy in HER2-low patients and offer new therapeutic possibilities.

Enhertu®, co-developed by AstraZeneca and Daiichi Sankyo, is the first HER2-directed ADC approved for HER2-low and HER2-ultralow metastatic breast cancer. This innovative drug uses a monoclonal antibody to precisely target tumor cells and deliver the chemotherapy payload Deruxtecan directly into the tumor, enabling highly effective cancer cell killing while minimizing harm to healthy cells.

Entering a High-Growth Market

The global ADC market is projected to grow at a CAGR of 28.4%, reaching approximately USD 47 billion by 2029. Analysts believe that Senhwa's clinical development strategy combining CX-5461 and Enhertu® positions the company to directly tap into this high-growth and highly competitive oncology market.

Differentiated Advantage and Strategic Collaboration Potential

Although existing HER2-targeted therapies have transformed the treatment landscape for breast and gastric cancers, their efficacy in HER2-low solid tumors remains limited. Experts suggest that if CX-5461's novel mechanism of action, when combined with ADC's precise delivery platform, proves effective, it could break through current treatment barriers, expand indications to additional tumor types, and establish a clear competitive edge.

With global pharmaceutical companies racing into the ADC space, collaborations and licensing agreements have become mainstream. Should Senhwa's combination therapy demonstrate strong clinical efficacy, it could attract strategic partnerships with major international pharma players, bringing in substantial licensing revenues and long-term collaboration opportunities.

Driving Long-Term Value Creation

Analysts further note that the successful advancement of this trial would significantly enhance Senhwa's international visibility in oncology, elevate the company's market valuation, and deliver sustainable long-term returns for investors and shareholders.

HER2 has been validated as a critical oncogenic driver across multiple tumor types. By leveraging the innovative combination of CX-5461 and Enhertu®, Senhwa aims to pioneer breakthrough therapies, capture a substantial share of the rapidly growing ADC market, and build a diverse oncology treatment platform. The company reiterated its commitment to strengthening its R&D pipeline, integrating next-generation ADC technologies with its proprietary drug candidates, and advancing toward its vision of becoming a leading Asia-based oncology innovator with a global footprint.

Senhwa Biosciences – CX-5461 NCI-NExT Program Clinical Trial Overview

No. Study Title Total Subjects Primary Endpoints Global Market Forecast1 Pilot Study of Pidnarulex Pharmacodynamics Up to 40 subjects Evaluation of RAD51 response and DNA damage response 2024: USD 362.2B in Patients with Advanced Solid Tumors HRD / Non-HRD (20 each) CAGR: 20% 2032: USD 1,557.4B2 Phase 1b/2 Trial of Pidnarulex Up to 50 subjects 1. Safety and DLT evaluation on CX-5461 2024: USD 4.9B in MYC Aberrant Lymphoma Phase 1b: 36 2. RP2D for on CX-5461 CAGR: 5.79% Phase 2: 8-14 3. ORR 2035: USD 8.9B 4. CX-5461 PK 5. Effect on MYC-aberrant lymphoma gene expression3 A Phase 1 and Randomized Phase 2 Trial Up to 86 subjects 1. CX-5461 RP2D combined with PD-1 inhibitor 2025: USD 58.0B of Pidnarulex (CX-5461) and Cemiplimab (REGN2810) Phase 1: 18 2. Safety & tolerability for CX-5461 monotherapy & combination CAGR: 15% in Refractory Microsatellite Stable Colorectal Cancer Phase 2: 68 3. PFS in refractory MSS CRC with liver metastases for CX-5461 monotherapy & combination 2035: > USD 250.0B4 Phase 1b study Up to 36 subjects 1. MTD & RP2D determination for combination of CX-5461 and Trastuzumab Deruxtecan 2023: USD 10.8B of Pidnarulex and Trastuzumab Deruxtecan 2. Safety and tolerability in HER2-low and HR+ HER2-ultra-low breast cancer for combination of CX-5461 and Trastuzumab Deruxtecan CAGR: 28.4% in patients with HER2 expressing Solid Tumors 2029: USD 47.0B
Notesâoe½ All above clinical trial costs are funded by the U.S. National Cancer Institute (NCI)âoe½ Global market forecasts reference: Data Bridge, BioSpace, IQVIA, BCC Researchâoe½ Source: Provided by Senhwa Biosciences

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SOURCE Senhwa Biosciences, Inc.

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