MegaPro Biomedical held a Type C meeting with the U.S. Food and Drug Administration (FDA) on April 14, 2026, to discuss the manufacturing specifications and Phase III clinical trial design of MPB-1523. The Company received the official meeting minutes on May 15, 2026. A summary of the key points is as follows:
FDA Feedback on CMC and Trial Readiness:
(1) The U.S. FDA acknowledged the appropriateness of the Critical Quality Attributes (CQA), control strategy, and non-compendial analytical methods for both the drug substance and drug product of MPB-1523. The currently manufactured batches are considered adequate to support the initiation of Phase III clinical trials.
(2) The Company has reached preliminary alignment with the FDA on the overall Phase III clinical trial design, including key elements such as efficacy endpoints, sample size, and patient enrollment process. The FDA also provided relevant recommendations, which the Company will incorporate into its subsequent Phase III clinical trial planning and regulatory submission.
MPB-1523 Market Overview:
Currently, the liver MRI diagnostic market is dominated by gadolinium-based contrast agents, among which Primovist is a leading product. According to market research, global sales of Primovist reached approximately USD 130 million in 2023 and continue to grow in the United States and China. However, due to the presence of heavy metals, these products have usage limitations in patients with impaired renal function.
MPB-1523 does not contain heavy metals and is expected to offer improved safety and imaging performance, allowing for a broader patient population. In addition to penetrating the existing market, MPB-1523 also holds potential for expansion into other diagnostic applications.
In terms of demand, the Company estimates that:
The diagnostic demand for primary liver cancer in Asia is approximately 1.75 million cases annually.
The demand for liver metastasis detection in Asia is approximately 6.21 million cases annually.
Combined demand in Europe and the United States exceeds 10 million cases annually.
Overall, the global potential diagnostic demand is estimated to be approximately 8 to 10 million cases per year. Considering that around 20% of patients have impaired renal function, there is increasing demand for alternative contrast agents. The total addressable market is therefore estimated to reach approximately USD 300 million.
For further details, please refer to the official disclosure on the Market Observation Post System (MOPS).