OS Therapies Gets EMA Rolling Review for OST-HER2, Forecasts $300M Peak Sales

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EMA has initiated rolling review of OS Therapies’ OST-HER2 CMA to prevent recurrence in resected metastatic osteosarcoma, with ATGA aligning on 3-year overall survival as primary endpoint. The therapy received UK MHRA ATMP designation and forecasts peak European sales above $300 million, with Phase 3 confirmatory trial starting Q3 2026.

1. Rolling Review Initiation

EMA’s Committee for Advanced Therapy has begun a rolling review of the OST-HER2 conditional marketing authorization application for preventing recurrence in resected metastatic osteosarcoma.

2. Efficacy Endpoint Alignments

OS Therapies and regulators have agreed on 3-year overall survival as the primary efficacy endpoint and accepted seroconversion biomarker data as a surrogate to support early CMA decisions.

3. Regulatory Designations

OST-HER2 received Advanced Therapy Medicinal Product designation from the UK MHRA and was selected for EMA’s Raw Data Pilot programme, while Australia’s TGA has agreed to a provisional CMA pathway.

4. Commercial Outlook and Next Steps

OS Therapies forecasts peak European OST-HER2 sales exceeding $300 million, including over $50 million in 2027, and plans to launch its global confirmatory Phase 3 trial in Q3 2026 ahead of FDA and MHRA meetings in Q2.

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