Fifth subcutaneous PD-1 could be Junshi's
Having surprised last November with the revelation that it was developing a subcutaneous version of toripalimab, Shanghai Junshi has moved swiftly to get this to market. The phase 3 study that was at the time toplined positive, testing chemo combos of the SC versus the IV formulation in first-line non-squamous non-small cell lung cancer, has been filed with China’s NMPA, Junshi said on Monday, suggesting that toripalimab could soon become the fifth anti-PD-(L)1 drug to come to market globally in a SC formulation. As with Roche’s Tecentriq Hybreza, Bristol Myers Squibb’s Opdivo Qvantig and Merck & Co’s Keytruda Qlex, which are SC versions of existing IV drugs, the filing for SC toripalimab (JS001sc) seeks approval for all (12) indications for which the IV drug is already greenlit. This of course differs from Alphamab’s envafolimab, a novel drug developed specifically for SC use, and thus approved in China on an indication-by-indication basis. The same will go for Pfizer’s sasanlimab – whenever that’s filed for non-muscle invasive bladder cancer. IV toripalimab is awaiting Chinese approval for a 13th indication, urothelial carcinoma in combination with disitamab vedotin, and if this is approved it’s not clear whether a SC nod would encompass it too.
Regulatory status of IV toripalimab in China
| Indication | Regimen | Supporting trial | Status |
|---|---|---|---|
| 1st-line Her2+ve urothelial carcinoma | Disitamab vedotin combo | RC48-C016 | Awaiting NMPA approval (filing accepted Aug 2025) |
| 1st-line melanoma | Monotherapy | Melatorch | Approved Apr 2025 |
| 1st-line liver cancer | Avastin combo | Hepatorch | Approved Mar 2025 |
| 1st-line PD-L1 +ve (≥1%) triple-negative breast cancer | Abraxane combo | Torchlight | Approved Jun 2024 |
| 1st-line ES-SCLC | Chemo combo | Extentorch | Approved Jun 2024 |
| 1st-line renal cell carcinoma | Inlyta combo | Renotorch | Approved Apr 2024 |
| Neoadjuvant + adjuvant stage III NSCLC | Chemo combo, followed by monotherapy | Neotorch | Approved Jan 2024 |
| 1st-line non-squam NSCLC | Chemo combo | Choice-01 | Approved Sep 2022 |
| 1st-line oesophageal squamous cell carcinoma | Chemo combo | Jupiter-06 | Approved May 2022 |
| 1st-line nasopharyngeal carcinoma | Chemo combo | Jupiter-02 | Approved Nov 2021 |
| 2nd-line urothelial carcinoma | Monotherapy | Polaris-03 | Approved Apr 2021 |
| 2nd-line nasopharyngeal carcinoma | Monotherapy | Polaris-02 | Approved Feb 2021 |
| 2nd-line melanoma | Monotherapy | Unclear | Approved Dec 2018 |
Source: OncologyPipeline.
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