FDA record · Cancer

Penpulimab-kcqx

What FDA's own documents say about Penpulimab-kcqx: what it is approved for, the trials FDA reviewed, the results it reported and the risks on the label.

Sponsor
Akeso Biopharma
Application
BLA 761258
First approved
April 23, 2025
Status
Approved
Read from
14 FDA documents, 762 pages

What it is approved for

“Penpulimab-kcqx is a programmed death receptor-1 (PD-1)-blocking antibody indicated:”

Prescribing information, supplement 002 · PDF p. 1 · fda.gov ↗

Trials FDA reviewed

TrialClinicalTrials.govPhaseMentionsDocuments
JUPITER-02not given81 of 14
POLARIS-02not given71 of 14

Mentions: how many sentences across the FDA documents name the trial. NCT ids are read from the documents or, where they give none, matched on ClinicalTrials.gov by the trial's name or protocol code.

Results FDA reported

Sentences from FDA's reviews that give an endpoint's p-value, effect or confidence interval, those reporting a treatment effect first.

PFS

“At an interim analysis of PFS based on 189 events (85% information fraction [IF]), the trial demonstrated a statistically significant and clinically meaningful improvement in BICR-assessed PFS favoring the penpulimab arm, with a hazard ratio (HR) of 0.45 (95% CI 0.33, 0.62, p-value <0.0001), corresp”

Multi-disciplinary Review · PDF p. 17 · fda.gov ↗

85%95%p-value <0.0001

PFS

“As of DCO date for this interim analysis, compared with placebo group, a significant benefit in terms of PFS was demonstrated in AK105 group (P<0.0001), which reduced the risk of PD or death by 55% (HR=0.45, 95% CI: 0.33, 0.62), which is numerically better than the other PD-1 inhibitors (with the ca”

Multi-disciplinary Review · PDF p. 108 · fda.gov ↗

P<0.000195%55%

overall survival

“A statistically significant OS improvement was also observed with median OS not reached (95% CI: 38.7 months, not estimable) for the toripalimab-tpzi-containing regimen and 33.7 months (95% CI: 27.0, 44.2) for the placebo-containing regimen (HR 0.63 [95% CI: 0.45, 0.89], p-value=0.0083).”

Multi-disciplinary Review · PDF p. 32 · fda.gov ↗

95%p-value=0.0083

overall survival

“OS not reached (95% CI: 38.7 months, not estimable) for the toripalimab-tpzi-containing regimen and 33.7 months (95% CI: 27.0, 44.2) for the placebo-containing regimen (HR 0.63 [95% CI: 0.45, 0.89], p-value=0.0083).”

Multi-disciplinary Review · PDF p. 297 · fda.gov ↗

95%p-value=0.0083

ORR

“Penpulimab Cavg,ss and ORR (p <0.05).”

Multi-disciplinary Review · PDF p. 230 · fda.gov ↗

p <0.05

Safety

Most common adverse reactions

“Penpulimab-kcqx in combination with either cisplatin or carboplatin and gemcitabine: The most common adverse reactions (>=20%) were nausea, vomiting, hypothyroidism, constipation, decreased appetite, decreased weight, cough, COVID-19 infection, fatigue, rash, and pyrexia.”

Prescribing information, supplement 002 · PDF p. 1 · fda.gov ↗

Adverse events the documents discuss most

Dosing on the label

“Penpulimab-kcqx exposure increased dose proportionally over the dose range of 1 to 10 mg/kg (0.35 to 3.5 times the approved recommended dosage in a 70 kg patient) after the first dose.”

Prescribing information, supplement 002 · PDF p. 17 · fda.gov ↗

FDA documents read

DocumentDatePagesCopysha256
Prescribing information, original approval (corrected)761258Orig1s000correctedlbl.pdfApril 24, 20252903a642f64b83
Approval letter (corrected)761258Orig1s000correctedltr.pdfMay 1, 20258886387d7f214
Administrative Correspondence761258Orig1s000AdminCorres.pdfMay 21, 202542b106fc078aa0
Approval Letter761258Orig1s000Approv.pdfMay 21, 2025115ebfc7000b54
Chemistry Review761258Orig1s000ChemR.pdfMay 21, 2025574bcdabda1266
Prescribing Information (Label)761258Orig1s000Lbl.pdfMay 21, 202530a4c42df48cd7
Multi-disciplinary Review761258Orig1s000MultidisciplineR.pdfMay 21, 202544940fb0745f7c4
Proprietary Name Review761258Orig1s000NameR.pdfMay 21, 202511fecb56bddfc7
Officer/Employee List761258Orig1s000OEList.pdfMay 21, 20252e3081cad3ed5
Other Action Letters761258Orig1s000OtherActionLtrs.pdfMay 21, 20259cb86f790ba26
Other Reviews761258Orig1s000OtherR.pdfMay 21, 2025728846aa1895cc
Risk Assessment / REMS Review761258Orig1s000RiskR.pdfMay 21, 202515a696c9bde573
Prescribing information, supplement 002761258s002lbl.pdfSeptember 1, 202623739293a92b28
Approval letter, supplement 002761258Orig1s002ltr.pdfSeptember 2, 2026497cd50cd6c96

Checked against FDA's copies on September 30, 2026. The sha256 is the fingerprint of the file that was read: download it from fda.gov and compare. Quotes come from the text of each file as read; pages FDA stored as images were read by OCR and are marked.

Generated automatically (auto): the trials, names and dates are drafted from the documents by rules, with no language model; see the method.

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