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Ascentage Pharma Presents Its First Dataset on MDM2-p53 Inhibitor Alrizomadlin (APG-115) in Pediatric Solid Tumors at ASCO 2026

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Ascentage Pharma (NASDAQ:AAPG) reported first clinical data for MDM2‑p53 inhibitor alrizomadlin (APG-115) in pediatric solid tumors at ASCO 2026, as monotherapy and with Bcl‑2 inhibitor lisaftoclax.

The combination showed an ORR of 23.5% and DCR of 70.6% in 17 patients, with no DLTs and a manageable safety profile. Alrizomadlin is included in China’s pediatric “SPARK Plan” and remains investigational, not FDA approved.

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AI-generated analysis. Not financial advice.

Positive

  • Combination arm ORR of 23.5% and DCR of 70.6% in 17 pediatric patients
  • Complete responses observed in refractory RMS (monotherapy) and Ewing sarcoma (combination)
  • No dose-limiting toxicities or treatment-related deaths in either study arm
  • Manageable safety profile with mainly gastrointestinal and hematologic adverse events
  • Alrizomadlin included in China CDE’s pediatric anti-tumor “SPARK Plan”
  • First pediatric solid tumor dataset supports further clinical investigation of alrizomadlin

Negative

  • Efficacy results currently based on a small cohort of 17 response-evaluable patients
  • Data described as preliminary, with further studies required to confirm benefit
  • Alrizomadlin remains investigational and is not approved by the US FDA

News Market Reaction – AAPG

-4.65%
1 alert
-4.65% News Effect
-$86M Valuation Impact
$1.75B Market Cap
0.7x Rel. Volume

On the day this news was published, AAPG declined 4.65%, reflecting a moderate negative market reaction. This price movement removed approximately $86M from the company's valuation, bringing the market cap to $1.75B at that time.

Data tracked by StockTitan Argus on the day of publication.

Key Figures

Objective Response Rate: 23.5% Response-evaluable patients: 17 patients Disease Control Rate: 70.6% +5 more
8 metrics
Objective Response Rate 23.5% Combination arm; 17 response-evaluable pediatric patients
Response-evaluable patients 17 patients Pediatric relapsed/refractory solid tumors in combination arm
Disease Control Rate 70.6% Combination arm; pediatric relapsed/refractory solid tumors
Complete responses 1 CR (monotherapy), 1 CR (combination) RMS (mono) and Ewing sarcoma (combo) pediatric patients
Partial responses 3 PRs 2 RMS and 1 neuroblastoma in combination arm
Dose-limiting toxicities 0 DLTs observed Both monotherapy and combination arms
2025 Net loss RMB1,243.0 million (US$177.7 million) Full year 2025, per Form 20-F
2025 Revenue RMB574.1 million (US$82.1 million) Product sales and collaborations in 2025

Market Reality Check

Price: $19.29 Vol: Volume 15289 is 1.84x the...
high vol
$19.29 Last Close
Volume Volume 15289 is 1.84x the 20-day average, indicating elevated interest ahead of/around ASCO data. high
Technical Shares at $20 trade below the 200-day MA of $30.17 and about 58.72% under the 52-week high of $48.45, despite recent clinical catalysts.

Peers on Argus

AAPG gained 0.65% with elevated volume, while close biotech peers showed mixed m...

AAPG gained 0.65% with elevated volume, while close biotech peers showed mixed moves: MIRM +1.78%, ACAD and ACLX were roughly flat, and ZLAB and ARWR fell -1.99% and -1.09%. This pattern points to a stock-specific reaction rather than a sector-wide biotech move.

Historical Context

5 past events · Latest: May 21 (Positive)
Pattern 5 events
Date Event Sentiment Move Catalyst
May 21 ASCO 2026 data Positive +1.7% Multiple clinical datasets at ASCO 2026, including rapid oral presentations.
May 12 EHA 2026 previews Positive +1.0% Announcement of 17 clinical advances to be presented at EHA 2026.
May 12 Investor conferences Neutral -2.3% Planned participation in three investor conferences with webcasts.
Apr 21 ASCO plans Positive -0.2% Advance notice of six ASCO 2026 abstracts including rapid orals.
Apr 19 AACR preclinical data Positive -3.8% Four preclinical posters on combination strategies at AACR 2026.
Pattern Detected

Scientific and conference news has produced mixed reactions: some ASCO/EHA updates saw modest gains, while other positive data announcements coincided with small selloffs.

Recent Company History

Over the last few months, Ascentage Pharma has repeatedly highlighted progress across its oncology pipeline, including ASCO 2026 data on olverembatinib, lisaftoclax, and alrizomadlin, preclinical combinations at AACR 2026, and upcoming presentations at EHA 2026. Price reactions to these scientific and visibility events ranged from gains of about 1–2% to declines of up to 3.8%, suggesting that similar conference-driven updates have not produced consistently strong upside, even when the underlying news was positive.

Market Pulse Summary

This announcement highlights early but encouraging pediatric data for alrizomadlin, including an ORR...
Analysis

This announcement highlights early but encouraging pediatric data for alrizomadlin, including an ORR of 23.5%, a DCR of 70.6%, and no observed DLTs in heavily pretreated solid tumors. It builds on a series of ASCO and EHA presentations that showcase Ascentage’s expanding pipeline. At the same time, the company reported a 2025 net loss of RMB1,243.0 million, so continued trial progress, regulatory milestones, and funding capacity remain key metrics to monitor.

Key Terms

mdm2-p53 inhibitor, complete response (cr), objective response rate (orr), partial responses (prs), +4 more
8 terms
mdm2-p53 inhibitor medical
"alrizomadlin (APG-115), an MDM2-p53 inhibitor from the Company’s apoptosis-"
An MDM2–p53 inhibitor is a drug that blocks the interaction between the MDM2 protein and the p53 protein, allowing p53 to resume its role in detecting DNA damage and triggering damaged cells to stop dividing or die. For investors, these drugs matter because they represent a targeted approach to treating certain cancers: successful clinical results or regulatory approval can sharply increase a developer’s value, while trial setbacks, safety issues, or limited effectiveness can quickly reduce it.
complete response (cr) medical
"with one pediatric patient achieving a complete response (CR). In combination"
A complete response (CR) is when a company or individual fully satisfies a specific requirement or condition, indicating that the issue or task has been resolved completely. For investors, it signals that a problem has been fully addressed, which can influence decisions about trust, future actions, or the company's overall status. Think of it as a full "checkmark" showing everything has been successfully handled.
objective response rate (orr) medical
"encouraging antitumor activity was observed, with an objective response rate (ORR)"
The objective response rate (ORR) is the percentage of patients in a clinical trial whose tumors shrink by a pre-set amount for a minimum time, counting both complete disappearance and meaningful partial shrinkage. Investors watch ORR because it gives an early, quantitative signal that a treatment is having a direct effect on disease—like the percent of people whose fever drops after taking a medicine—which can influence expectations for later trial success, regulatory approval, and market potential.
partial responses (prs) medical
"including one complete response in a patient with Ewing sarcoma and three partial responses (PRs)."
Partial responses (PRs) are clinical trial results showing that a therapy has meaningfully reduced disease burden in some patients without eliminating it entirely. For investors, PRs signal that a treatment is having a real effect — like a visible shrinkage in a tumor — which can de-risk a program, support future trials or approvals, and influence a company's valuation even though the outcome falls short of a complete cure.
disease control rate (dcr) medical
"The disease control rate (DCR) was 70.6%.Safety Data: No dose-limiting"
The disease control rate (DCR) is the share of patients in a clinical trial whose cancer either shrinks, disappears, or does not get worse for a predefined period after treatment. For investors, DCR is a practical measure of a drug’s ability to halt disease progression — akin to counting how many cars in a fleet are kept running or fixed after a repair — and can influence a therapy’s regulatory prospects, market potential, and perceived risk.
dose-limiting toxicities (dlts) medical
"Safety Data: No dose-limiting toxicities (DLTs) were observed in either the"
Dose-limiting toxicities (DLTs) are the harmful side effects that become severe enough during a clinical trial to prevent giving a higher dose of an experimental drug. They matter to investors because DLTs determine the maximum safe dose, shape whether a drug can move forward in development, affect required study size and cost, and ultimately influence the drug’s market potential—think of them as the speed bumps that set how fast a candidate can go to market.
bcl-2 inhibitor medical
"In combination with investigational selective Bcl-2 inhibitor lisaftoclax, encouraging"
A Bcl-2 inhibitor is a drug that blocks the Bcl-2 protein, which acts like a survival switch inside cells and helps certain cancer cells avoid natural self-destruction. For investors, these drugs matter because successful inhibitors can shrink tumors and become valuable treatments, but they also carry binary risks—trial results, safety issues, and regulatory approval determine commercial value and competitive positioning much like a single safety test deciding whether a new product reaches market.
apoptosis medical
"restores the tumor suppressor activity of p53 and induces apoptosis in tumor cells."
Apoptosis is a controlled, built‑in process where cells deliberately shut down and are safely removed, like a person retiring and clearing out their belongings so the house stays orderly. Investors care because many drugs and diagnostics target or measure this process: how well a therapy triggers or avoids apoptosis can determine clinical trial success, safety profiles, regulatory approval, and ultimately a company’s valuation.

AI-generated analysis. Not financial advice.

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ROCKVILLE, Md. and SUZHOU, China, May 31, 2026 (GLOBE NEWSWIRE) -- Ascentage Pharma Group International (NASDAQ: AAPG; HKEX: 6855), a global, commercial-stage, integrated biopharmaceutical company engaged in the discovery, development and commercialization of novel therapies to address unmet medical needs in cancer, today announced that the Company presented its first dataset of alrizomadlin (APG-115), an MDM2-p53 inhibitor from the Company’s apoptosis-targeted pipeline, as monotherapy or in combination with lisaftoclax (APG-2575) in pediatric patients with relapsed/metastatic rhabdomyosarcoma (RMS) or other soft-tissue sarcomas (STSs), in a rapid oral presentation at the 62nd American Society of Clinical Oncology (ASCO) Annual Meeting.

The ASCO Annual Meeting showcases cutting-edge research in clinical oncology and advanced cancer therapies and is the world’s largest gathering of the clinical oncology community. This year marks Ascentage Pharma’s ninth consecutive appearance at ASCO. A total of six studies involving three of the Company’s key assets were selected for presentation, including three rapid oral presentations.

The data presented demonstrated preliminary antitumor activity and a manageable tolerability profile of alrizomadlin in pediatric solid tumors. Results showed that alrizomadlin monotherapy demonstrated initial clinical benefit in pediatric rhabdomyosarcoma (RMS), with one pediatric patient achieving a complete response (CR). In combination with investigational selective Bcl-2 inhibitor lisaftoclax, encouraging antitumor activity was observed, with an objective response rate (ORR) of 23.5% among 17 response-evaluable patients, including one complete response in a patient with Ewing sarcoma and three partial responses (PRs). In terms of safety, alrizomadlin, either as monotherapy or in combination with lisaftoclax, demonstrated a manageable safety profile in pediatric patients with solid tumors.

Alrizomadlin is an orally administered, highly selective MDM2-p53 inhibitor independently developed by Ascentage Pharma. It is the first investigational agent of its class to enter clinical development in China and has global first-in-class potential. By blocking the MDM2-p53 protein-protein interaction, alrizomadlin restores the tumor suppressor activity of p53 and induces apoptosis in tumor cells. Recently, alrizomadlin was officially included by the Center for Drug Evaluation (CDE) of China’s National Medical Products Administration (NMPA) in the Pilot Program for the Support of Anti-tumor Drugs R&D for Kids, also known as the “SPARK Plan,” for development in pediatric solid tumors including neuroblastoma, rhabdomyosarcoma, and Ewing sarcoma.

Professor Yizhuo Zhang, principal investigator of the study from the Department of Pediatric Oncology at Sun Yat-sen University Cancer Center, said: “Relapsed/refractory pediatric sarcomas are associated with extremely poor prognosis and substantial unmet medical needs. The data presented at the ASCO meeting demonstrated a favorable tolerability profile and promising anti-tumor effect for alrizomadlin both as monotherapy and in combination with lisaftoclax, with the complete response (CR) cases being particularly encouraging. As a key candidate included in the SPARK Plan, alrizomadlin has the potential to become a first-in-class therapy, address unmet medical needs, and bring new hope for long-term survival to pediatric patients.”

Professor Yi Zhang, investigator of the study from the Department of Pediatrics at Beijing Tongren Hospital, Capital Medical University, said: “Treatment options for pediatric solid tumors, especially advanced soft-tissue sarcomas, remain very limited. The clinical data generated by the alrizomadlin combination regimen are therefore particularly meaningful. This apoptosis pathway-targeting therapy demonstrated favorable tolerability and encouraging objective response rates, further supporting the therapeutic potential of dual-target combination approaches in refractory pediatric tumors and providing valuable direction for future precision drug development in pediatric oncology.”

Yifan Zhai, MD, Chief Medical Officer of Ascentage Pharma, said: “Pediatric solid tumors continue to represent an area of significant unmet medical need. The data presented at ASCO mark our first presentation of alrizomadlin clinical data in pediatric solid tumor patients and demonstrated encouraging preliminary clinical benefit and tolerability. Importantly, alrizomadlin has already been included by the CDE in the SPARK Plan for potential development in multiple pediatric solid tumors. The data presented provide initial clinical evidence supporting this development strategy. We will continue to advance the related clinical studies with the goal of bringing new treatment options to pediatric patients in urgent need.”

Key highlights from the study presented at the 2026 ASCO Annual Meeting are as follows:

Alrizomadlin (APG-115) alone or in combination with Lisaftoclax (APG-2575) for the treatment of pediatric patients with relapsed/metastatic rhabdomyosarcoma (RMS) or other soft-tissue sarcomas (STSs)
Abstract #: 10012
Presentation Type: Rapid Oral Presentation
Session Title: Pediatric Oncology II
First Author: Yizhuo Zhang, MD, Department of Pediatric Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine
Key Highlights:

  • Research Background: This multicenter clinical trial conducted in China evaluated the safety and preliminary efficacy of alrizomadlin (APG-115) as monotherapy or in combination with lisaftoclax in heavily pretreated pediatric patients with relapsed/metastatic RMS, Ewing sarcoma (EWS), neuroblastoma (NB), and other solid tumors.
  • Efficacy Data: In the monotherapy arm, 1 patient with refractory RMS achieved CR. In the combination arm, among 17 response-evaluable pediatric patients with relapsed/refractory solid tumors, the ORR was 23.5%, including 1 CR in a patient with EWS, as well as PRs in 2 patients with RMS and 1 patient with NB. The disease control rate (DCR) was 70.6%.
  • Safety Data: No dose-limiting toxicities (DLTs) were observed in either the monotherapy or combination arm. Adverse events were primarily gastrointestinal and hematologic, with few serious adverse events and no treatment-related deaths or discontinuations.
  • Conclusion: The regimen demonstrated a manageable safety profile and preliminary antitumor activity in pediatric solid tumors, supporting further investigation.

* Alrizomadlin is currently under investigation and has not yet been approved by the US FDA.

About Ascentage Pharma

Ascentage Pharma Group International (NASDAQ: AAPG; HKEX: 6855) (“Ascentage Pharma” or the “Company”) is a global, commercial stage, integrated biopharmaceutical company engaged in the discovery, development and commercialization of novel, differentiated therapies to address unmet medical needs in cancer. The Company has built a rich pipeline of innovative drug products and candidates that include inhibitors targeting key proteins in the apoptotic pathway, such as Bcl-2 and MDM2-p53, next-generation kinase inhibitors, and protein degraders.

The Company’s first approved product, olverembatinib, is the first novel third-generation BCR-ABL1 inhibitor approved in China for the treatment of patients with CML in chronic phase (CML-CP) with T315I mutations, CML in accelerated phase (CML-AP) with T315I mutations, and CML-CP that is resistant or intolerant to first and second-generation TKIs. It is covered by the China National Reimbursement Drug List (NRDL). Ascentage Pharma is currently conducting an FDA- and EMA-cleared registrational Phase III trial, called POLARIS-2, of olverembatinib for CML, as well as an FDA- and EMA-cleared registrational Phase III trials for patients with newly diagnosed Ph+ ALL, called POLARIS-1, and SDH-deficient GIST patients, called POLARIS-3.

The Company’s second approved product, lisaftoclax, is a novel Bcl-2 inhibitor for the treatment of various hematologic malignancies. Lisaftoclax has been approved by China’s National Medical Products Administration (NMPA) for the treatment of adult patients with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) who have previously received at least one systemic therapy including Bruton’s tyrosine kinase (BTK) inhibitors. The Company is currently conducting four global registrational Phase III trials: the FDA- and EMA- cleared GLORA study of lisaftoclax in combination with BTK inhibitors in patients with CLL/SLL previously treated with BTK inhibitors for more than 12 months with suboptimal response; the GLORA-2 study in patients with newly diagnosed CLL/SLL; the GLORA-3 study in newly diagnosed, elderly and unfit patients with AML; and the FDA- and EMA-cleared GLORA-4 study in patients with newly diagnosed higher risk MDS.

Leveraging its robust R&D capabilities, Ascentage Pharma has built a portfolio of global intellectual property rights and entered into global partnerships and other relationships with numerous leading biotechnology and pharmaceutical companies, such as Takeda, AstraZeneca, Merck, Pfizer, and Innovent, in addition to research and development relationships with leading research institutions, such as Dana-Farber Cancer Institute, Mayo Clinic, National Cancer Institute and the University of Michigan. For more information, visit https://ascentage.com/

Cautionary Note Regarding Forward-Looking Statements

This press release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 and Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. All statements, other than statements of historical facts, contained in this press release may be forward-looking statements, including statements that express Ascentage Pharma’s opinions, expectations, beliefs, plans, objectives, assumptions or projections regarding future events or future results of operations or financial condition. These forward-looking statements are subject to a number of risks and uncertainties as discussed in Ascentage Pharma’s filings with the SEC, including those set forth in the sections titled “Risk factors” and “Cautionary note regarding forward-looking statements” in its Annual Report on Form 20-F for the year ended December 31, 2025, filed with the SEC on April 29, 2026, the sections headed “Forward-looking Statements” and “Risks Factors” in the prospectus of the Company for its Hong Kong initial public offering dated October 16, 2019, and other filings with the SEC and/or The Stock Exchange of Hong Kong Limited where the Company’s ordinary shares are listed it has made or it makes from time to time that may cause actual results, levels of activity, performance or achievements to be materially different from the information expressed or implied by these forward-looking statements. The forward-looking statements contained in this presentation do not constitute profit forecast by the Company’s management.

As a result of these factors, you should not rely on these forward-looking statements as predictions of future events. The forward-looking statements contained in this press release are based on Ascentage Pharma’s current expectations and beliefs concerning future developments and their potential effects and speak only as of the date of such statements. Ascentage Pharma does not undertake any obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.

Contact Information
Investor Relations:
Stella Yang
Ascentage Pharma
IR@ascentage.com 
+1 (301) 792-6286

Stephanie Carrington
ICR Healthcare
AscentageIR@icrhealthcare.com
+1 (646) 277-1282

Media Relations:
Sean Leous
ICR Healthcare
AscentagePR@icrhealthcare.com
+1 (646) 866-4012


FAQ

What did Ascentage Pharma (NASDAQ:AAPG) announce about alrizomadlin at ASCO 2026?

Ascentage Pharma announced first clinical data for alrizomadlin in pediatric solid tumors at ASCO 2026. According to Ascentage Pharma, monotherapy and combination regimens showed preliminary antitumor activity, including complete responses and disease control in heavily pretreated children with rhabdomyosarcoma, Ewing sarcoma, neuroblastoma, and other solid tumors.

What were the efficacy results for alrizomadlin plus lisaftoclax in pediatric sarcomas (AAPG)?

The alrizomadlin and lisaftoclax combination showed an objective response rate of 23.5% in 17 evaluable patients. According to Ascentage Pharma, this included one complete response in Ewing sarcoma, partial responses in rhabdomyosarcoma and neuroblastoma, and a disease control rate of 70.6% in relapsed or refractory tumors.

What safety profile was observed for alrizomadlin in the pediatric trial reported by AAPG?

Alrizomadlin showed a manageable safety profile in pediatric patients as monotherapy and in combination. According to Ascentage Pharma, no dose-limiting toxicities occurred, adverse events were mainly gastrointestinal and hematologic, serious events were few, and there were no treatment-related deaths or treatment discontinuations reported.

What does inclusion of alrizomadlin in China’s SPARK Plan mean for Ascentage Pharma (AAPG)?

Inclusion in the SPARK Plan supports pediatric development of alrizomadlin in China. According to Ascentage Pharma, the CDE’s program backs R&D for anti-tumor drugs in children, covering neuroblastoma, rhabdomyosarcoma, Ewing sarcoma, and other solid tumors, aligning with the company’s pediatric clinical strategy.

Is alrizomadlin (APG-115) approved by the US FDA and how might this impact AAPG investors?

Alrizomadlin is not approved by the US FDA and remains under investigation. According to Ascentage Pharma, current pediatric data are preliminary and support further trials, meaning any potential commercial impact for AAPG will depend on future clinical results and regulatory decisions.

Which pediatric cancers were included in Ascentage Pharma’s alrizomadlin study (NASDAQ:AAPG)?

The study enrolled children with relapsed or metastatic rhabdomyosarcoma, Ewing sarcoma, neuroblastoma, and other solid tumors. According to Ascentage Pharma, these patients were heavily pretreated, and the trial evaluated both alrizomadlin monotherapy and its combination with lisaftoclax for safety and preliminary efficacy.