Glenmark's Trastuzumab Rezetecan Phase 3 Trial for Ovarian Cancer Gets DCGI Nod
Glenmark Specialty S.A., a wholly owned subsidiary of Glenmark Pharmaceuticals, has secured DCGI approval to initiate patient enrollment in India for a Phase 3 trial of Trastuzumab rezetecan (SHR-A1811) for platinum-resistant ovarian cancer, making India the first among its licensed markets to begin enrollment. The HER2-targeted antibody-drug conjugate, developed by Jiangsu Hengrui Pharmaceuticals, has achieved multiple regulatory milestones including conditional approval in China for NSCLC and approval for HER2-positive second-line breast cancer, and has been granted NMPA Breakthrough Therapy Designation for nine indications.

*this image is generated using AI for illustrative purposes only.
Glenmark Pharmaceuticals ' wholly owned subsidiary, Glenmark Specialty S.A., has advanced its multi-country Phase 3 clinical trial for Trastuzumab rezetecan (SHR-A1811) targeting patients with platinum-resistant ovarian cancer (PROC). India has become the first country in Glenmark's licensed markets to initiate patient enrollment, following approval from the Drugs Controller General of India (DCGI). The company also plans to enroll patients in Australia and South Korea, subject to regulatory approvals in those markets.
Trial Design and Collaboration
The randomized, controlled, multi-centre Phase 3 trial is designed to evaluate the efficacy, safety, and pharmacokinetics of the HER2-targeted antibody drug conjugate (ADC). The study is aligned with Jiangsu Hengrui Pharmaceuticals Co. Ltd.'s ongoing parent Phase 3 trial in China. This collaboration aims to generate clinically relevant data across diverse patient populations to support the development of the therapy across Glenmark's licensed markets.
In September 2025, Glenmark entered into an exclusive collaboration and license agreement with Jiangsu Hengrui Pharmaceuticals Co., Ltd. for Trastuzumab rezetecan. Under the agreement, Glenmark holds exclusive rights to develop and commercialize the asset worldwide, excluding Mainland China, the Hong Kong SAR, the Macao SAR, Taiwan Region, USA, Canada, Europe, Japan, Russia, Armenia, Azerbaijan, Belarus, Kazakhstan, Kyrgyzstan, Moldova, Tajikistan, Turkmenistan, and Uzbekistan.
Clinical Development of Trastuzumab Rezetecan
Trastuzumab rezetecan (SHR-A1811) is a HER2-targeted first-in-class antibody-drug conjugate developed by Hengrui Pharma. The drug addresses challenges posed by HER2-overexpressing tumors found in various cancer types, including breast, gastric, and colorectal cancers. The following table outlines the key regulatory and developmental milestones achieved by the asset:
| Milestone | Date | Detail |
|---|---|---|
| Conditional Approval in China | May 2025 | For unresectable locally advanced or metastatic non-small cell lung cancer (NSCLC) with HER2 activating mutations. |
| Priority Review Designation | September 2025 | Marketing authorization application for breast cancer indication accepted by China's NMPA. |
| BLA Filing | February 2026 | Biologics license application filed for HER2-positive advanced colorectal cancer. |
| Breast Cancer Approval | March 2026 | Approved for HER2-positive second-line (2L) breast cancer. |
To date, Trastuzumab rezetecan has been included in the NMPA's Breakthrough Therapy Designation list for nine indications, covering NSCLC, breast cancer, gastric or gastroesophageal junction adenocarcinoma, colorectal cancer, biliary tract cancer, and gynecologic malignancies.
Addressing Unmet Medical Need
Platinum-resistant ovarian cancer remains a difficult-to-treat disease with limited treatment options and poor outcomes. Ovarian cancer is the eighth most common cancer among women worldwide, with India ranking among the countries with the highest number of cases and deaths globally. Many patients treated with available platinum-based therapies develop recurrence and subsequent platinum resistance, underscoring the need for novel targeted therapies such as Trastuzumab rezetecan.
Historical Stock Returns for Glenmark Pharmaceuticals
| 1 Day | 5 Days | 1 Month | 6 Months | 1 Year | 5 Years |
|---|---|---|---|---|---|
| +1.85% | +0.98% | +0.04% | +8.68% | +25.52% | +237.14% |
What are the projected timelines for regulatory approval and patient enrollment in Australia and South Korea?
How will the efficacy data from the China parent trial integrate with Glenmark's multi-country study to support global regulatory submissions?
What is the potential market size and commercial opportunity for Trastuzumab rezetecan in Glenmark's licensed territories if approved for ovarian cancer?































