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GSK (NYSE: GSK) secures Japan approval for Exdensur asthma and CRSwNP biologic

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Rhea-AI Filing Summary

GSK reports that Japan's Ministry of Health, Labour and Welfare has approved Exdensur (depemokimab) for severe or refractory bronchial asthma and for chronic rhinosinusitis with nasal polyps (CRSwNP) in patients inadequately controlled on standard treatment.

Exdensur is described as the first ultra-long-acting biologic in Japan for these conditions, given as just two injections a year. In the SWIFT-1 and SWIFT-2 phase III trials, adding depemokimab to standard care cut annualised severe asthma exacerbation rates by 58% and 48% versus placebo over 52 weeks. In the ANCHOR-1 and ANCHOR-2 trials for CRSwNP, patients showed meaningful reductions in nasal polyp size and nasal obstruction scores compared with placebo.

Across these late-stage studies, depemokimab had a tolerability profile similar to placebo. This Japan approval is the third regulatory clearance for depemokimab, following prior approvals in the US and UK, and the drug is also under review in other major markets.

Positive

  • Japan approval of Exdensur (depemokimab) for severe asthma and CRSwNP, backed by phase III data showing up to a 58% reduction in annualised exacerbations versus placebo.

Negative

  • None.

Insights

Japan’s approval of Exdensur strengthens GSK’s respiratory biologics franchise with a differentiated, twice-yearly therapy.

The approval of Exdensur (depemokimab) in Japan for severe asthma and CRSwNP adds a major market to an asset already cleared in the US and UK. The product’s ultra-long-acting profile — dosing twice per year — differentiates it from existing biologics that typically require more frequent administration, which can be attractive for patients and physicians managing chronic, severe disease.

The clinical data supporting approval are robust: SWIFT-1 and SWIFT-2 showed 58% and 48% reductions in annualised asthma exacerbations versus placebo over 52 weeks, and ANCHOR-1/2 demonstrated statistically significant improvements in nasal polyp scores and nasal obstruction. The filing also notes a tolerability profile similar to placebo, an important factor for long-term biologic use.

From a portfolio perspective, this expands GSK’s respiratory leadership and creates a platform for depemokimab across multiple type 2 inflammation diseases, with phase III programmes ongoing in EGPA, hypereosinophilic syndrome and COPD with type 2 inflammation. Actual commercial impact will depend on uptake versus other biologics in Japan and future decisions in markets still under review, including the EU and China.

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
Form 6-K
 
REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16
UNDER THE SECURITIES EXCHANGE ACT OF 1934
 
 
 
For the month of January 2026
 
Commission File Number 001-15170
 
 
GSK plc
(Translation of registrant's name into English)
 
 
79 New Oxford Street, London, WC1A 1DG
(Address of principal executive office)
 
 
 
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
 
Form 20-F . . . .X. . . . Form 40-F . . . . . . . .
 
 
Issued: 6 January 2026, London, UK
 
Exdensur (depemokimab) approved in Japan for severe asthma and chronic rhinosinusitis with nasal polyps
 
●  Exdensur is the first and only ultra-long-acting biologic in Japan for the treatment of severe asthma and chronic rhinosinusitis with nasal polyps (CRSwNP) 
●  Approval based on data from the SWIFT and ANCHOR phase III trials showing sustained efficacy in two doses a year versus placebo
●  Patients with severe asthma face frequent exacerbations, hospitalisations and disease progression, requiring an urgent need for novel solutions
  
GSK plc (LSE/NYSE: GSK) today announced the approval of Exdensur (depemokimab) by Japan's Ministry of Health, Labour and Welfare (MHLW) as a treatment for bronchial asthma (limited to severe or refractory patients whose asthma symptoms cannot be controlled with existing treatments) and CRSwNP (limited to patients inadequately controlled with standard treatment).
 
The MHLW approval was based on data from the SWIFT and ANCHOR phase III trials, which demonstrated the sustained efficacy of a twice-yearly dose of depemokimab versus placebo, both plus standard of care. In SWIFT-1 and SWIFT-2, treatment with depemokimab resulted in significant reductions in asthma exacerbations. Additionally, ANCHOR-1 and ANCHOR-2 showed significant improvements in nasal polyp size and nasal obstruction, two key measures of disease severity.1,2
 
Kaivan Khavandi, SVP and Global Head, Respiratory, Immunology & Inflammation R&D, GSK said: "Building on other recent regulatory milestones, the approval of Exdensur in Japan could set a new standard of care for patients with severe asthma or CRSwNP. By delivering sustained suppression of type 2 inflammation in just two doses a year, physicians can now provide an ultra-long-acting option to help protect against asthma exacerbations and the debilitating symptoms of CRSwNP."
 
Patients in Japan living with severe asthma can experience frequent exacerbations and progression of their disease, leading to hospitalisations and increased overall healthcare costs.3-6 In addition, patients with CRSwNP face debilitating daily symptoms and almost half remain uncontrolled.3,7 Depemokimab is a novel therapy that has been developed with an extended half-life, enabling the sustained suppression of disease-driving type 2 inflammation with twice-yearly dosing.1 These distinct properties could potentially improve patient outcomes while reducing health system burden.
 
Results from the SWIFT trials showed treatment with depemokimab resulted in a significant 58% and 48% reduction in the rate of annualised asthma exacerbations (asthma attacks) over 52 weeks from SWIFT-1 and SWIFT-2, respectively [rate ratio (95% confidence interval) p-value: SWIFT-1 0.42 (0.30, 0.59) p<0.001 and SWIFT-2 0.52 (0.36, 0.73) p<0.001] (AER depemokimab versus placebo: SWIFT-1 0.46 vs. 1.11 and SWIFT-2 0.56 vs. 1.08 exacerbations per year).1
 
In addition, results from the ANCHOR trials showed an improvement (reduction) from baseline in nasal polyp score (scale: 0-8) at 52 weeks [treatment difference (95% confidence interval) p-value: ANCHOR-1 -0.7 (-1.1, -0.3) p<0.001 and ANCHOR-2 -0.6 (-1.0, -0.2) p=0.004] and in nasal obstruction verbal response scale (scale: 0-3) over weeks 49-52 [treatment difference (95% confidence interval) p-value: ANCHOR-1 -0.23 (-0.46, <0.00) p=0.047 and ANCHOR-2 -0.25 (-0.46, -0.03) p=0.025].2
 
Across these trials, depemokimab was well-tolerated, with patients experiencing a similar rate and severity of side effects as those receiving placebo.1,2
 
Approval in Japan marks the third regulatory approval for depemokimab, following marketing authorisation from the US Food and Drug Administration (FDA) and UK's Medicines and Healthcare products Regulatory Agency (MHRA).8,9 Depemokimab recently received a positive CHMP opinion in the EU and it is currently under regulatory review in other countries, including in China.10
 
About asthma
Asthma affects more than 260 million people globally, many of whom continue to experience symptoms and exacerbations despite treatment.11,12 Severe asthma is defined as asthma that requires treatment with medium- to high-dose inhaled corticosteroids plus a second therapy (i.e., systemic corticosteroid or biologic) to prevent it from becoming uncontrolled, or which remains uncontrolled despite therapy.13 Type 2 inflammation is the underlying cause of pathology in more than 80% of patients with severe asthma, in which patients exhibit elevated levels of eosinophils (a type of white blood cell).13
 
About CRSwNP
CRSwNP is caused by inflammation of the nasal lining that can lead to soft tissue growths, known as nasal polyps.14,15 People with CRSwNP experience symptoms such as nasal obstruction, loss of smell, facial pain, sleep disturbance, infections and nasal discharge that can significantly affect their emotional and physical well-being.14,15  Similar to asthma, the majority of cases of CRSwNP (85%) are driven by chronic type 2 inflammation, which is strongly associated with comorbidities, more severe disease, recurring symptoms and tissue remodelling.14-19
 
About Exdensur (depemokimab)
Exdensur is the first ultra-long-acting biologic being evaluated for certain respiratory diseases with underlying type 2 inflammation, such as severe asthma. It combines high interleukin-5 (IL-5) binding affinity and high potency with an extended half-life to enable twice-yearly dosing. 1,2 IL-5 is a key cytokine in type 2 inflammation.
 
Please refer to the updated Product Information (PI) for precautions concerning indications, dosage and administration, and safety information in Japan which will shortly be updated at this link: Japan Pharmaceuticals and Medical Devices Agency.
 
About the SWIFT phase III trials
Results from the SWIFT trials were presented at the 2024 European Respiratory Society International Conference and published in the New England Journal of Medicine.1,20
 
The SWIFT-1 and SWIFT-2 clinical trials assessed the efficacy and safety of depemokimab adjunctive therapy in 382 and 380 participants with severe asthma who were randomised to receive depemokimab or a placebo respectively, in addition to their standard of care (SOC) treatment with medium to high-dose inhaled corticosteroids plus at least one additional controller. The full analysis set in SWIFT-1 included 250 patients in the depemokimab plus SOC arm and 132 in the placebo plus SOC arm; in SWIFT-2, 252 patients were included in the depemokimab plus SOC arm and 128 in the placebo plus SOC arm.1
 
About the ANCHOR phase III trials
Results from the ANCHOR trials were presented at the 2025 American Academy of Allergy, Asthma and Immunology (AAAAI) and World Allergy Organization (WAO) Joint Congress and published in The Lancet.2,21
 
ANCHOR-1 included 143 patients in the depemokimab plus SOC arm and 128 in the placebo plus SOC arm; in ANCHOR-2, 129 patients were included in the depemokimab plus SOC arm and 128 in the placebo plus SOC arm. All 528 patients had inadequately controlled CRSwNP, including nasal polyps in both nasal cavities (an endoscopic bilateral NPS ≥5), and had either undergone previous surgery for CRSwNP, had received previous treatment with SCS or were intolerant to SCS. Patients received depemokimab or placebo at six-monthly intervals (26 weeks) in addition to SOC (maintenance intranasal corticosteroids).2
 
About the depemokimab development programme
Depemokimab is currently being evaluated in phase III trials for the treatment of other diseases with underlying type 2 inflammation, including OCEAN for eosinophilic granulomatosis with polyangiitis (EGPA) and DESTINY for hyper eosinophilic syndrome (HES).22,23 GSK has also initiated the ENDURA-1, ENDURA-2 and VIGILANT phase III trials assessing the efficacy and safety of depemokimab as an add-on therapy in patients with uncontrolled moderate to severe COPD with type 2 inflammation.24-26
 
About GSK in respiratory
GSK continues to build on decades of pioneering work to deliver more ambitious treatment goals, develop the next generation standard of care and redefine the future of respiratory medicine for hundreds of millions of people with respiratory diseases. With an industry-leading respiratory portfolio and pipeline of vaccines, targeted biologics and inhaled medicines, GSK is focused on improving outcomes and the lives of people living with all types of asthma and COPD, along with less understood refractory chronic cough or rarer conditions like systemic sclerosis with interstitial lung disease. GSK is harnessing the latest science and technology with the aim of modifying the underlying disease dysfunction and preventing progression.
 
About GSK
GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together. Find out more at gsk.com.
 
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Cautionary statement regarding forward-looking statements
GSK cautions investors that any forward-looking statements or projections made by GSK, including those made in this announcement, are subject to risks and uncertainties that may cause actual results to differ materially from those projected. Such factors include, but are not limited to, those described in the "Risk Factors" section in GSK's Annual Report on Form 20-F for 2024, and GSK's Q3 Results for 2025.
 
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References
1.     Jackson, D, et al. "Twice-yearly Depemokimab in severe asthma with an eosinophilic phenotype." New England Journal of Medicine, vol. 391, no. 24, 19 Dec. 2024, pp. 2337-2349, https://doi.org/10.1056/nejmoa2406673.
2.     Gevaert, P, et al. "Efficacy and safety of twice per year depemokimab in chronic rhinosinusitis with nasal polyps (ANCHOR-1 and ANCHOR-2): Phase 3, randomised, double-blind, Parallel Trials." The Lancet, vol. 405, no. 10482, Mar. 2025, pp. 911-926, https://doi.org/10.1016/s0140-6736(25)00197-7.
3.     Maspero, J, et al. "Type 2 inflammation in asthma and other airway diseases." ERJ Open Research, vol. 8, no. 3, July 2022, pp. 00576-02021, https://doi.org/10.1183/23120541.00576-2021
4.     Ding, B, et al. "Burden of uncontrolled severe asthma with and without elevated type-2 inflammatory biomarkers." The Journal of Allergy and Clinical Immunology: In Practice, vol. 12, no. 4, Apr. 2024, pp. 970-982, https://doi.org/10.1016/j.jaip.2023.12.021.
5.     To, Y, et al. "Real-world treatment and health care resource use among severe asthma patients in Japan." Respiratory Investigation, vol. 59, no. 4, July 2021, pp. 464-477, https://doi.org/10.1016/j.resinv.2021.02.010
6.     Menzies-Gow, A., et al. "A renewed charter: Key principles to improve patient care in severe asthma." Advances in Therapy, vol. 39, no. 12, 17 Oct. 2022, pp. 5307-5326, https://doi.org/10.1007/s12325-022-02340-w.
7.     Seys, S, et al. "Reallife assessment of chronic rhinosinusitis patients using mobile technology: The mysinusitiscoach project by Euforea." Allergy, vol. 75, no. 11, 19 June 2020, pp. 2867-2878, https://doi.org/10.1111/all.14408
8.     "Exdensur (Depemokimab) Approved by US FDA for the Treatment of Severe Asthma." GSK, 16 Dec. 2025, www.gsk.com/en-gb/media/press-releases/exdensur-depemokimab-approved-by-us-fda-for-the-treatment-of-severe-asthma/.
9.     "Exdensur (Depemokimab) Approved in the UK for Treatment of Asthma with Type 2 Inflammation and Chronic Rhinosinusitis with Nasal Polyps." GSK, 15 Dec. 2025, www.gsk.com/en-gb/media/press-releases/exdensur-depemokimab-approved-in-the-uk-for-treatment-of-asthma-with-type-2-inflammation-and-chronic-rhinosinusitis-with-nasal-polyps/.
10.    "Depemokimab Receives Positive CHMP Opinion for Severe Asthma with Type 2 Inflammation and Chronic Rhinosinusitis with Nasal Polyps." GSK, 12 Dec. 2025, www.gsk.com/en-gb/media/press-releases/depemokimab-receives-positive-chmp-opinion-for-severe-asthma-with-type-2-inflammation/.
11.    World Health Organisation. Asthma Key Facts. Available at: https://www.who.int/news-room/fact-sheets/detail/asthma. Accessed February 2025.
12.    Wang E, et al. Characterization of Severe Asthma Worldwide: Data From the International Severe Asthma Registry. CHEST, Volume 157, Issue 4, 790 - 804. https://doi.org/10.1016/j.chest.2019.10.053.
13.    Heaney, L, et al. "Eosinophilic and noneosinophilic asthma." CHEST, vol. 160, no. 3, Sept. 2021, pp. 814-830, https://doi.org/10.1016/j.chest.2021.04.013
14.    Bachert, C, et al. "Burden of disease in chronic rhinosinusitis with nasal polyps." Journal of Asthma and Allergy, Volume 14, Feb. 2021, pp. 127-134, https://doi.org/10.2147/jaa.s290424.
15.    Bachert, C, et al. "EUFOREA expert board meeting on uncontrolled severe chronic rhinosinusitis with nasal polyps (CRSwNP) and Biologics: Definitions and management." Journal of Allergy and Clinical Immunology, vol. 147, no. 1, Jan. 2021, pp. 29-36, https://doi.org/10.1016/j.jaci.2020.11.013
16.    Bernstein, J. "Use of patient-reported outcome measures and inflammatory biomarkers to differentiate chronic rhinosinusitis with nasal polyp endotypes: Is it feasible?" Annals of Allergy, Asthma & Immunology, vol. 130, no. 4, Apr. 2023, pp. 409-410, https://doi.org/10.1016/j.anai.2023.01.004
17.    Laidlaw, T, et al. "Chronic rhinosinusitis with nasal polyps and asthma." The Journal of Allergy and Clinical Immunology: In Practice, vol. 9, no. 3, Mar. 2021, pp. 1133-1141, https://doi.org/10.1016/j.jaip.2020.09.063.
18.    De Corso, E, et al. "How to manage recurrences after surgery in CRSWNP patients in the biologic era: A narrative review." Acta Otorhinolaryngologica Italica, vol. 43, no. 2 (Suppl. 1), Apr. 2023, https://doi.org/10.14639/0392-100x-suppl.1-43-2023-01             
19.    Chen, S, et al. "Systematic literature review of the epidemiology and clinical burden of chronic rhinosinusitis with nasal polyposis." Current Medical Research and Opinion, vol. 36, no. 11, 25 Sept. 2020, pp. 1897-1911, https://doi.org/10.1080/03007995.2020.1815682.
20.    Jackson, D, et al. "Late breaking abstract - depemokimab efficacy/safety in patients with asthma on medium/high-dose ICS: The phase IIIA randomised SWIFT-1/2 studies." European Respiratory Journal 2024, vol. 64, no. 68, 14 Sept. 2024, https://doi.org/10.1183/13993003.congress-2024.rct3718
21.    Han, J, et al. Efficacy and Safety of Twice-Yearly Depemokimab in Patients With Chronic Rhinosinusitis With Nasal Polyps (CRSwNP): The Phase III Randomized, Double-Blind, Placebo-Controlled Replicate ANCHOR-1/2 Trials. Journal of Allergy and Clinical Immunology, Volume 155, Issue 2, AB443. www.jacionline.org
22.    "Efficacy and Safety of Depemokimab Compared With Mepolizumab in Adults With Relapsing or Refractory Eosinophilic Granulomatosis With Polyangiitis (EGPA) (OCEAN)." Clinicaltrials.Gov, GlaxoSmithKline, www.clinicaltrials.gov/study/NCT05263934. Accessed 8 Dec. 2025.
23.    "Depemokimab in Participants With Hypereosinophilic Syndrome, Efficacy, and Safety Trial (DESTINY)." Clinicaltrials.Gov, GlaxoSmithKline, www.clinicaltrials.gov/study/NCT05334368. Accessed 8 Dec. 2025.
24.    "Depemokimab as an Extended treatmeNt Duration Biologic in Adults With Chronic Obstructive Pulmonary Disease (COPD) and Type 2 Inflammation (ENDURA -1) (ENDURA -1)." ClinicalTrials.Gov, GlaxoSmithKline, www.clinicaltrials.gov/study/NCT06959095. Accessed 8 Dec. 2025.
25.    "Depemokimab as an Extended treatmeNt Duration Biologic in Adults With Chronic Obstructive Pulmonary Disease (COPD) and Type 2 Inflammation (ENDURA-2) (ENDURA-2)." Clinicaltrials.Gov, www.clinicaltrials.gov/study/NCT06961214. Accessed 17 Dec. 2025.
26.    "eValuating the Efficacy and Safety of InitiatinG depemokImab earLy therApy iN Chronic Obstructive Pulmonary Disorder (COPD) With Type 2 Inflammation (VIGILANT)." Clinicaltrials.Gov, www.clinicaltrials.gov/study/NCT07177339. Accessed 17 Dec. 2025.
 
 
 
 
SIGNATURES
 
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorised.
 
GSK plc
 
(Registrant)
 
 
Date: January 06, 2026
 
 
 
 
By:/s/ VICTORIA WHYTE
--------------------------
 
 
 
Victoria Whyte
 
Authorised Signatory for and on
 
behalf of GSK plc

FAQ

What did GSK (GSK) disclose in this Form 6-K about Exdensur?

GSK disclosed that Japan's Ministry of Health, Labour and Welfare has approved Exdensur (depemokimab) for the treatment of severe or refractory bronchial asthma and for chronic rhinosinusitis with nasal polyps (CRSwNP) in patients not adequately controlled on existing or standard treatments.

For which patients in Japan is Exdensur now approved?

Exdensur is approved for bronchial asthma limited to severe or refractory patients whose symptoms cannot be controlled with existing treatments, and for CRSwNP patients who are inadequately controlled with standard treatment, including maintenance intranasal corticosteroids.

What key efficacy results supported Exdensur’s approval in Japan?

In the SWIFT-1 and SWIFT-2 phase III trials in severe asthma, depemokimab plus standard of care reduced annualised exacerbation rates by 58% and 48% versus placebo over 52 weeks. In the ANCHOR-1 and ANCHOR-2 CRSwNP trials, depemokimab produced statistically significant improvements in nasal polyp scores and nasal obstruction compared with placebo.

How often is Exdensur (depemokimab) dosed and what makes it different?

Exdensur is described as an ultra-long-acting biologic designed for twice-yearly dosing. It combines high interleukin-5 binding affinity and potency with an extended half-life to maintain suppression of type 2 inflammation, which underlies many cases of severe asthma and CRSwNP.

What safety profile did depemokimab show in the phase III trials?

Across the SWIFT and ANCHOR phase III trials, depemokimab was reported as well-tolerated, with patients experiencing a similar rate and severity of side effects as those receiving placebo, when both were added to standard of care.

In how many regions has depemokimab been approved so far?

Depemokimab has received three regulatory approvals to date: in the United States, the United Kingdom, and now Japan. It has also received a positive CHMP opinion in the EU and is under review in other countries, including China.

What other diseases is GSK studying depemokimab for?

GSK is evaluating depemokimab in phase III trials for other type 2 inflammation-driven conditions, including eosinophilic granulomatosis with polyangiitis (EGPA), hypereosinophilic syndrome (HES), and moderate to severe COPD with type 2 inflammation in several ENDURA and VIGILANT studies.

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