PL1. Lazertinib (LECLAZA®) and Beyond: The Future of Clinical Drug Development in Korea
Chair
BG Rhee
Flagship Pioneering
KOREA, REPUBLIC OF
Summary
This session aims to review current oncology drug development paradigms and explore strategic protocol design approaches for navigating increasingly complex global clinical trials and evolving regulatory landscapes.
Lazertinib (LECLAZA®) and Beyond: The Future of Clinical Drug Development in Korea
Byoung Chul Cho
Yonsei Cancer Center / Yonsei University College of Medicine
KOREA, REPUBLIC OF
Bio Essay
Dr. Byoung Chul Cho is a Professor in the Medical Oncology Division at Yonsei University College of Medicine and a globally recognized oncologist. A leading physician-scientist, he bridges translational science and clinical science to accelerate the development of innovative cancer therapies. He has made pivotal contributions to multiple life-saving anti-cancer medicines, including targeted therapies and next-generation immuno-oncology agents. His work has reshaped global treatment paradigms in lung cancer through practice-changing clinical trials and precision medicine strategies. Beyond academia, he is also an entrepreneur, driving the translation of scientific innovation into real-world therapeutic impact.
Abstract
Open +
Over the past decade, South Korea has transformed itself from a fast follower into one of the world's leading hubs for oncology clinical research. World-class healthcare infrastructure, a centralized national health insurance system, and highly efficient clinical trial networks have enabled Korea to become a preferred destination for early-phase oncology drug development, delivering rapid patient enrollment and high-quality clinical data.
However, the global oncology landscape is undergoing a profound transformation. China's unprecedented investment in biotechnology, translational research, and innovative drug development has fundamentally reshaped the competitive environment in Asia and beyond. The traditional strengths that established Korea's global reputationㅡspeed, efficiency, and excellence in clinical trial executionㅡare no longer sufficient to maintain leadership.
To remain globally competitive, Korea must redefine its innovation strategy. The next generation of oncology breakthroughs will be driven not only by excellence in clinical trials but also by first-in-class target discovery, biomarker-driven precision medicine, translational research, artificial intelligence, and globally competitive biotechnology. Building an ecosystem that seamlessly integrates hospitals, academia, industry, government, and investment will be essential to accelerating innovation from scientific discovery to patient benefit.
Korea possesses unique advantages, including nationwide genomic data, deep clinical expertise, rapid implementation of next-generation sequencing, and a highly collaborative research environment. These strengths should now be leveraged not only to conduct global clinical trials but also to generate globally transformative therapies.
The future of Korean oncology depends on shifting from participation to leadership, from execution to invention, and from adopting innovation to creating it. By embracing this transformation, Korea can continue to shape the future of global cancer research and deliver the next generation of life-changing therapies for patients worldwide.
Title
PS1. Talkshow: K-Bio Strategy in a Shifting Global Landscape: Assessing Progress and the Road Ahead
Chair
Joonwoo Bahn
Asan Medical Center (AMC)
KOREA, REPUBLIC OF
Sora Lee
Syneos Health
KOREA, REPUBLIC OF
YoungWook Kim
Eli Lilly and Company (Korea)
KOREA, REPUBLIC OF
Summary
This session aims to discuss national strategic roadmaps for positioning K-Bio as a top-three global clinical trial hub by addressing regulatory challenges and fostering collaboration among government, industry, and academia.
Open +
Policy Directions and Key Tasks for Fostering a Global Leader in Medical AI, Pharmaceuticals, and Biohealth
Changhyun Sung
Ministry of Health and Welfare (MOHW)
KOREA, REPUBLIC OF
Bio Essay
Open +
K-bio Strategy in a Shifting Global Landscape: Assessing Progress and the Road Ahead
Yunhong Noh
Korea Pharmaceutical and Bio-Pharma Manufacturers Association (KPBMA)
KOREA, REPUBLIC OF
Bio Essay
Open +
Mar. 2023 ~ Present: President, Korea Pharmaceutical and Bio-Pharma Manufacturers Association
Apr. 2026 ~ Present: Member of the National Bio Innovation Committee
May. 2024 ~ Present: Chairman of Directors, Global Training Hub for Biomanufacturing Support Foundation
Dec. 2024 ~ Mar. 2026: Member of the National Bio Committee
Apr. 2024 ~ Apr. 2025: Chairperson, Special Presidential Committee on Healthcare Reform
Dec. 2023 ~ Dec. 2025: Member of the Biohealth Innovation Committee
Dec. 2011 ~ Feb. 2013: Senior Presidential Secretary for Employment and Welfare Affairs
Apr. 2010 ~ Dec. 2011: Commissioner, Korea Food and Drug Administration
Feb. 2008 ~ Apr. 2010: Secretary for Health and Welfare Affairs to the President
Abstract
Open +
The global pharmaceutical and biotechnology industry is undergoing rapid transformation, driven by AI- and big data-enabled drug development, the growth of advanced biopharmaceuticals, and the restructuring of global supply chains. The Korean pharmaceutical and biotechnology industry has established a foundation for growth through expanded R&D investment, the development of innovative drugs and biosimilars, global technology licensing, and strengthened manufacturing capabilities. Nevertheless, it continues to face structural challenges in developing global blockbuster drugs and achieving sustainable industrial growth.
This presentation examines changes in the global pharmaceutical and biotechnology landscape and the innovation ecosystems of major countries, while assessing the current status and competitiveness of the Korean industry. Based on this analysis, it proposes policy measures and strategies to drive an industrial leap centered on innovative drug development. These measures include expanding strategic R&D investment, promoting private-sector investment and global market expansion, accelerating innovation in drug development through AI and digital technologies, and reforming clinical trial systems. Furthermore, the presentation explores policy directions for supporting global market expansion and sustainable industrial growth by establishing a virtuous cycle in which drug development achievements lead to reinvestment and by strengthening collaboration among government, industry, academia, and research institutions.
Panel Discussion
Xiaoyuan Chen
Tsinghua University / (Former) National Medical Products Administration (NMPA)
CHINA
Bio Essay
Open +
Dr. Chen Xiaoyuan is a Professor who serves as the Deputy Director of the Institute of Regulatory Science for Medical Products at Tsinghua University, as well as the Director of the Clinical Trial Center for Drug and Device at Beijing Tsinghua Changgung Hospital.
During 2002-2019, she worked for 17 years at the Center for Drug Evaluation of the National Medical Products Administration, where she was responsible for the clinical review of drugs in various therapeutic areas, including anti-infectives, gynecology, radiology, hematology, and oncology. She possesses in-depth knowledge of policies, regulations, and technical guidelines related to clinical research of new drugs both in China and internationally, with particular expertise in key aspects of clinical development for anticancer drugs.
In February 2019, she joined Tsinghua University, where her research focuses on regulatory science and clinical development. In recent years, she has conducted in-depth analyses of the current landscape of anticancer drug development and regulatory approval in China, along with case studies of representative drugs. Her work has been published in leading international journals, including Nature Reviews Drug Discovery, Nature Reviews Clinical Oncology, and The Lancet Oncology.
Panel Discussion
Youngshin Lee
Korean Research-based Pharmaceutical Industry Association (KRPIA)
KOREA, REPUBLIC OF
Bio Essay
Open +
Youngshin Lee, CEO of the Korea Research-based Pharmaceutical Industry Association (KRPIA), holds a Ph.D. in Medical Chemistry from the University of Oregon, USA. Prior to joining KRPIA, she served as CEO of International Scientific Standards (ISS), a spin-off company of Battelle Memorial Institute, and as Senior Vice President and Managing Director for Pan-Asia and India at the Drug Information Association (DIA). With over 30 years of leadership experience in the global biopharmaceutical and healthcare sectors, she is committed to improving patient access to innovative medicines, fostering the growth of Korea's biopharmaceutical industry, and strengthening collaboration with government and external stakeholders.
Panel Discussion
Jeong min Choi
Korea Biomedicine Industry Association (KoBIA)
KOREA, REPUBLIC OF
Bio Essay
Open +
Jeongmin Choi is a Director and Head of Division II at the Korea Biomedicine Industry Association (KoBIA), where her work covers a broad range of policy, regulatory, and research-related activities in the biopharmaceutical sector.
Her responsibilities include supporting policy and regulatory initiatives for the biopharmaceutical industry, facilitating communication and collaboration between industry and relevant stakeholders, and carrying out research projects in cooperation with government agencies and related organizations. She is also involved in domestic and international collaborative activities related to the biopharmaceutical sector.
Prior to joining KoBIA in 2019, she worked in overseas business development and international marketing at pharmaceutical and biotechnology companies in Korea.
She holds a Ph.D. in Pharmaceutical Industry from Sungkyunkwan University and an M.S. in Animal Physiology from the University of Idaho.
Panel Discussion
Juyoung Shin
Seoul National University
KOREA, REPUBLIC OF
Bio Essay
Open +
Juyoung Shin, PhD, is a Professor at the College of Pharmacy, Seoul National University. Science. She received her BS in Pharmacy, MPH in Health Policy and Management, and PhD in Pharmacoepidemiology from Seoul National University.
Her research focuses on pharmacoepidemiology, drug safety, and the use of large-scale healthcare data to evaluate the effectiveness and safety of medications. She has extensive expertise in real-world data analysis, particularly in assessing drug interactions and adverse events across diverse populations.
Dr. Shin has published over 300 peer-reviewed articles in leading international journals, including BMJ, Gut, and JAMA Pediatrics. Her work has contributed to advancing the understanding of medication safety, including studies on cardiovascular risks associated with ADHD treatments and bleeding risks linked to antidepressant use.
She previously worked as a postdoctoral researcher at McGill University and served as the Head of the DUR Information Team at the Korea Institute of Drug Safety and Risk Management. She is actively engaged in academic and policy communities as an associate editor of international journals and a member of professional societies and government advisory committees.
Her contributions have been recognized with several awards, including the Distinguished Pharmaceutical Scientist Award and the Young Epidemiologist Award.
3F SAPPHIRE
Title
S1. Regulatory Science in Clinical Development: Advancing Molecules to Market
Chair
Young Su (Bobby) Noh
Hanmi Pharm. Co., Ltd.
KOREA, REPUBLIC OF
Francesco Pignatti
European Medicines Agency (EMA)
NETHERLANDS
Summary
This session will bring together the FDA, EMA, and NMPA to share regulatory perspectives and insights, and will discuss global alignment and strategies for accelerating clinical development and market access.
Open +
Challenges and Opportunities in Biomarker Bioanalysis in Drug Development: A Case Study of Lipoprotein(a) [Lp(a)]
Chongwoo Yu
U.S. Food and Drug Administration (FDA)
UNITED STATES
Bio Essay
Open +
Chongwoo Yu, PhD is a Master Clinical Pharmacology Reviewer in the Office of Clinical Pharmacology (OCP) at the US Food and Drug Administration (FDA). He received his BS in Chemistry and MS in Physical Organic Chemistry from Hanyang University (Korea) and he earned his PhD in Analytical Chemistry with the focus on Drug Metabolism and Mass Spectrometry from the University of Illinois Chicago (Chicago, IL). Subsequently, he worked in the Department of Pharmacokinetics, Dynamics, and Metabolism (PDM) at Pfizer (Ann Arbor, MI) and the Drug Metabolism and Pharmacokinetics (DMPK) Department at Schering-Plough (currently, Merck; Kenilworth, NJ) for several years. At both organizations, he has been heavily involved in carrying out various types of drug metabolism, pharmacokinetics, and drug-drug interaction (DDI) studies using mass spectrometry.
He joined the FDA in 2007, and his work has been focused on the evaluation of: (1) Diabetes, Lipid Disorders, and Obesity Drug Products; (2) Cardiology and Nephrology Drug Products; (3) Reproductive and Urologic Drug Products; and (4) Bone and General Endocrine Drug Products. He served as a member of various FDA guidance working groups including those for the Bioanalytical Method Validation Guidance and the Clinical Drug Interaction Studies with Combined Oral Contraceptives Guidance. He is also a member of the Antibody–Drug Conjugate (ADC) Working Group of the American Association of Pharmaceutical Scientists (AAPS) Bioanalytical Community and the AAPS Integrated Summary of Immunogenicity (ISI) Harmonization Working Group. He currently serves as the chair of the FDA Bioanalytical Research (BAR) Scientific Interest Group (SIG).
Abstract
Open +
Bioanalytical methods for biomarkers provide data to support the evaluation of safety and effectiveness of drugs and biological products. Therefore, it is important to ensure the reliability of the data generated by these assays. When biomarker data will be used to support regulatory decision making, such as the pivotal determination of safety and/or effectiveness to support approval or to support dosage instructions in product labeling, the assay should be fully validated as described in the Guidance for Industry: M10 Bioanalytical Method Validation and Study Sample Analysis (November 2022). In summary, bioanalytical methods need to robust and reproducible to ensure the reliability of the data.
Challenges and opportunities in biomarker bioanalysis will be presented in a case example of lipoprotein(a) [Lp(a)]. Lp(a) has been investigated as an independent risk factor as it contributes to the development and progression of major adverse cardiovascular events. Based on literature reports, a causal link between Lp(a) concentrations and cardiovascular outcomes has been established, with therapeutic reduction of Lp(a) expected to contribute to cardiovascular risk mitigation. Currently, many Lp(a)-lowering drugs including various modalities such as monoclonal antibodies, small interfering ribonucleic acids, antisense oligonucleotides, and small molecules are currently under different stages of drug development.
As Lp(a) is considered as a pharmacodynamic biomarker that has a potential to be used in regulatory decision making, understanding the mechanism of action, the complex composition of the molecule, and the principles and expectations of the bioanalytical method for Lp(a) measurement is important.
The Evolution of Oncology Drug Development and Evaluation: Scientific Innovation and the Patient Voice
Francesco Pignatti
European Medicines Agency (EMA)
NETHERLANDS
Bio Essay
Open +
Francesco Pignatti graduated in Medicine from the University of Rome. After working as a Research Fellow at the European Organisation for Research and Treatment of Cancer (EORTC) Data Center in Brussels, he obtained a Master of Science in Biostatistics from the University of Limburg, Belgium, in 1997. He joined the European Medicines Agency (EMA) in 1999. From 2009 to 2023 he served as Head of the Office of Oncology and Haematology and is currently Scientific Adviser for Oncology.
His work focuses on regulatory science, particularly oncology drug development and evaluation, benefit–risk assessment, patient-focused drug development, and the use of patient preference studies in regulatory decision-making. He has contributed to several international regulatory initiatives, including the development of ICH guidelines M4E(R2) and E22, and is actively involved in international collaboration on regulatory science and clinical development.
Abstract
Open +
The landscape of oncology drug development has undergone profound transformation over the past decade. Clinical research has become increasingly global, with a growing proportion of trials conducted outside the traditional centres of drug development. At the same time, advances in molecular characterisation, targeted therapies and immuno-oncology have resulted in smaller, more heterogeneous patient populations and increasingly individualised treatment decisions.
These developments require a broader perspective on the generation and evaluation of clinical evidence. Beyond demonstrating the internal validity of clinical trials, regulators and developers must consider whether evidence can be transported across populations and healthcare settings and whether it is applicable to the decision at hand. Multiregional clinical trials (MRCTs) remain an important strategy for generating evidence that is both globally relevant and locally credible, while recognising that no single development programme can answer every question in every population.
The increasing complexity of oncology also highlights the importance of understanding outcomes that matter to patients. Patient-focused drug development, including the systematic elicitation of patient preferences, provides complementary evidence that can inform the interpretation of benefit–risk assessments when treatment decisions involve meaningful trade-offs. The recently published draft ICH E22 guideline establishes an international framework for the design, conduct and reporting of patient preference studies intended to support drug development and regulatory evaluation.
This presentation will discuss how these scientific and methodological developments are reshaping oncology drug development and evaluation, and consider opportunities for future international collaboration to strengthen global evidence generation while ensuring that patient perspectives are appropriately incorporated into regulatory decision-making.
Evolution of China’s Clinical trial ecosystem since 2015
Xiaoyuan Chen
Tsinghua University / (Former) National Medical Products Administration (NMPA)
CHINA
Bio Essay
Open +
Dr. Chen Xiaoyuan is a Professor who serves as the Deputy Director of the Institute of Regulatory Science for Medical Products at Tsinghua University, as well as the Director of the Clinical Trial Center for Drug and Device at Beijing Tsinghua Changgung Hospital.
During 2002-2019, she worked for 17 years at the Center for Drug Evaluation of the National Medical Products Administration, where she was responsible for the clinical review of drugs in various therapeutic areas, including anti-infectives, gynecology, radiology, hematology, and oncology. She possesses in-depth knowledge of policies, regulations, and technical guidelines related to clinical research of new drugs both in China and internationally, with particular expertise in key aspects of clinical development for anticancer drugs.
In February 2019, she joined Tsinghua University, where her research focuses on regulatory science and clinical development. In recent years, she has conducted in-depth analyses of the current landscape of anticancer drug development and regulatory approval in China, along with case studies of representative drugs. Her work has been published in leading international journals, including Nature Reviews Drug Discovery, Nature Reviews Clinical Oncology, and The Lancet Oncology.
Abstract
Open +
My presentation may touch such topic: the evolution and background of China's regulatory system and policies; measures to promote innovative drug development; the results after the implementation of these measures; NMPA's requirements for foreign enterprises; the application scope and procedures of China IIT and IND pathway so on(I may make adjustments after discussion by the organizing committee.)
2F CRYSTAL A
Title
S2. Clinical Trial Design Strategies: Insights from Real-World Development
Chair
Se-Woong (Steve) Oh
Yonsei University
KOREA, REPUBLIC OF
Eun-Jihn Roh
NEX-I / Selecxine
KOREA, REPUBLIC OF
Summary
This session aims to extract critical lessons from past clinical trial failures and translate them into actionable strategies for future drug development, while identifying key risk factors in the clinical design phase and establishing robust mitigation frameworks to enhance trial resilience and predictability. It will further explore advanced clinical trial design strategies to optimize development pathways and maximize the likelihood of technical and regulatory success, as well as examine the implementation of innovative and adaptive trial designs to improve flexibility, efficiency, and patient-centricity in clinical development.
Open +
Bringing Living Medicines Closer to Where Patients Live: Allogene’s New Approaches in Cancer and Autoimmune Disease
Zachary Roberts
Allogene Therapeutics
UNITED STATES
Bio Essay
Open +
Zachary Roberts, M.D., Ph.D., is the President and Chief Executive Officer of Allogene Therapeutics. A trained immunologist, board-certified oncologist, and veteran of cell therapy development, Zachary brings extensive experience in clinical oncology, translational research, and the advancement of innovative cell therapies. He previously served as Allogene’s Executive Vice President of Research & Development and Chief Medical Officer. Before joining Allogene, Zachary was Chief Medical Officer of Instil Bio, where he led development of both clinical and pre-clinical programs. Prior to that, he held various roles of increasing responsibility at Kite Pharma (acquired by Gilead in 2017), where he was instrumental in the development and execution of the ZUMA trials across multiple indications for YESCARTA®, the first autologous CAR T therapy approved for non-Hodgkin lymphoma. Before joining Kite, Zachary led several solid tumor studies at Amgen. He holds an M.D. and Ph.D. in immunology from the University of Maryland, Baltimore and completed clinical and post-graduate training at Massachusetts General Hospital and the Dana-Farber Cancer Institute.
Abstract
Open +
CAR T has reshaped the treatment of certain blood cancers, but its reach remains far too limited. Most patients with cancer will never be offered CAR T, either because they have a solid tumor, where meaningful progress has been difficult, or because access to autologous treatment depends on being in the right place, at the right time, with the right diagnosis, and being treated by the right care team. Allogene is working to change this paradigm by developing off-the-shelf CAR T products designed to overcome many of the logistical and operational barriers associated with individualized therapies, including enabling infusions to patients completely in outpatient setting. ALPHA3, Allogene’s pivotal trial in first-line consolidation for large B-cell lymphoma, is an industry-leading study seeking to bring about a massive shift in lymphoma care, as well as howㅡand whereㅡdoctors use CAR T for patients whose disease is likely to relapse. Allogene is also advancing programs in autoimmune disease and solid tumors, tailoring product design and clinical development strategies to the distinct needs of patients, treatment settings, and disease biology. Across these areas, the ambition is consistent: to expand the reach of CAR T to more patients, across more diseases and more care settings, than is possible today.
Designing Immuno-Oncology Trials for Success: Lessons from the Clinical Development of Tosposertib (TU2218, ALK5/VEGFR2 Dual Inhibitor)
Eunkyung Park
TiumBio
KOREA, REPUBLIC OF
Bio Essay
Open +
Eunkyung Lisa Park, M.D., Ph.D., is the Chief Medical Officer of TiumBio. As a board-certified Hemato-Oncologist with 25 years of combined experience in clinical practice and the pharmaceutical industry, she brings extensive expertise in oncology, rare diseases, translational research, and Medical Affairs leadership. She previously served as Oncology Business Franchise Director at Daiichi Sankyo Koreaㅡwhere she successfully led the commercialization and launch of Enhertu®ㅡand as Country Medical Director at Alexion Korea. Prior to her industry career, Dr. Park served as a Professor of Hemato-Oncology at Chung-Ang University Hospital, serving as principal investigator for numerous clinical trials and publishing papers in peer-reviewed journals. She holds an M.D. and Ph.D. in Hemato-Oncology from Chung-Ang University, completed clinical fellowship training at Seoul National University Hospital, and holds an Executive MBA from Seoul National University as well as an LL.B. from KNOU.
Abstract
Open +
Tosposertib (TU2218) is a highly potent dual inhibitor of the transforming growth factor-β type I receptor (TGFβRI/ALK5) and vascular endothelial growth factor receptor 2 (VEGFR2), designed to simultaneously target immunosuppressive tumor microenvironment signaling and angiogenesis. Open-label, multicenter, non-randomized phase IIa trial evaluated the efficacy and safety of tosposertib in combination with pembrolizumab in patients with R/M HNSCC.
Eligible patients included anti-PD-(L)1-naive patients with PD-L1 combined positive score (CPS) ≥1. Tosposertib (97.5 mg twice daily; 2 weeks on/1 week off) was administered orally in combination with pembrolizumab (200 mg intravenously every 3 weeks).
29 patients had been enrolled, with a median follow-up duration of 6.0 months. Primary tumor sites included the oral cavity (n=11, 37.9%), oropharynx (n=6, 20.7%), larynx (n=3, 10.3%), and nasal/paranasal regions (n=3, 10.3%). HPV positivity was observed in 13.8% (4/29) of patients.
Among 26 efficacy-evaluable patients, responses were assessed by treatment line. In the first-line setting, 9 of 12 patients achieved an objective response (ORR, 75.0%), including 1 confirmed complete response (CR) and 8 partial responses (PRs; 6 confirmed, 2 unconfirmed). Among the 14 patients who had received at least one prior systemic therapy, the ORR was 42.9%, with 1 confirmed CR and 5 confirmed PRs. A numerically higher ORR was observed in patients with PD-L1 CPS ≥20 compared with those with CPS 1-10 (66.7% vs 52.9%).
The most frequent any-grade treatment-emergent adverse events (TEAEs), (≥20%) [and ≥ Gr3 TEAEs], were rash (48.3% [20.7%]), mucosal inflammation (34.5% [13.8%]), pruritus (27.6% [3.4%]), weight loss (27.6% [0%]), and elevations in aspartate aminotransferase (AST; 20.7% [3.4%]) or alanine aminotransferase (ALT; 20.7% [3.4%]).
Tosposertib in combination with pembrolizumab demonstrated a manageable safety profile and encouraging antitumor activity in patients with R/M HNSCC, with particularly robust efficacy observed in the first-line setting and a favorable trend in PD-L1-high tumors.
Alignment of Clinical Development with Drug Differentiation and Positioning
Judith Maria Ertle
Yuhan Corporation
KOREA, REPUBLIC OF
Bio Essay
Open +
Dr. Judith Ertle, MD, MBA, is a global clinical development leader with more than 20 years of medical and drug development experience, including over 10 years in the pharmaceutical industry. She currently serves as Head of the Clinical Science Group at Yuhan Corporation, where she leads clinical development strategy and execution across innovative drug programs. Previously, she held senior global clinical development leadership positions at Boehringer Ingelheim, driving late-stage development, evidence generation, regulatory interactions, and portfolio strategy in liver and metabolic diseases. A board-certified gastroenterologist and hepatologist, Dr. Ertle combines deep scientific expertise with strong strategic and business acumen, a proven track record in cross-functional leadership, and extensive experience engaging physicians, patients, global regulators, and payers.
Abstract
Open +
Clinical development often becomes a race of who will be the fastest on the market for a specific compound class. We have seen multiple compounds of the same class being approved and launched in the same markets in the same indication. However, not all indications or even promises these compounds hold are the exact same.
Differentiation is an important part to position a compound in the market. For these positionings it is important to understand the compound class, the individual compounds’ strengths and weaknesses and then decide which patients might benefit the best from that compound compared to others. Once the patient population is understood and subsequently how to position the compound in the market among its competitors, the clinical development has to be tailored to show these claims.
How this differentiation and positioning can be done well and how it affected the clinical development, will be shown with the example of 3 GLP-1 compounds, semaglutide, the most prominent GLP-1 mono, tirzepatide, the first and as of now strongest GLP-1/GIP dual agonist, and survodutide, a GLP-1/Glucagon dual agonist targeting heavily obesity-related comorbidities.
Why Clinical Trials Fail? Root causes and Real-world Case Studies
Conrado Jr Vidad
Syneos Health
PHILIPPINES
Bio Essay
Open +
Conrado Jr Vidad is a clinical development and operations leader with 25 years of experience across therapeutic strategy, global program and study operations, country business operations, people leadership, project management, and site monitoring in multinational biopharma (Astra Zeneca, Bristol-Myers Squibb and Novo Nordisk) and contract research organizations (Syneos Health and IQVIA/Quintiles).
He is currently based in the Philippines, serving as an Executive Director, Strategy and Delivery with Syneos Health, supporting strategic development advisory of oncology clinical development assets and RFPs for Asia Pacific sponsors. His engagements include leading clinical trial operational strategy, planning, and optimization for early- and late-phase programs, spanning traditional modalities as well as advanced and emerging platforms, across solid tumors and hematologic malignancies.
His prior experience includes AstraZeneca (China), where he provided global and China oncology portfolio operational oversight and led global study managers; IQVIA/Quintiles, where he progressed from line management roles to Country Business Unit Head for the Philippines; and Bristol Myers Squibb and Novo Nordisk, with responsibilities in line management, project management, and monitoring across the Philippines and Southeast Asia. He is also a former President and Board Member of the Philippine Clinical Research Professionals, Inc.
Abstract
Open +
The likelihood of regulatory approval for Phase I development candidates sits below 10%, with drug development attrition highest as it transitions into Phase II. Clinical trial failure is defined as a study that missed its primary or a key endpoint/s, stopped for futility or inferiority, or produced results that are insufficient to support further development, approval or intended practice change. Clinical trial failure is multi-factorial and goes beyond failure to demonstrate efficacy or show unacceptable safety. Unsuccessful trials commonly result from a combination of scientific, clinical, statistical, operational, and organizational factors. While a clinical trial may show a negative or unintended outcome, a well-designed and well-executed trial can still generate valuable evidence about the study population, and why the intervention did not work.
This presentation, through recent real-world cases taken from sponsor disclosures, published US FDA Complete Response Letters (CRL) and other public sources, aims to examine major failure patterns and root causes with focus on results and regulatory decisions from pivotal or registration-enabling trials. It also aims to examine common reasons how some pivotal trial submissions with positive readout still receive a CRL. Lastly, it aims discussed how failures can inform future developmental opportunities.
2F CRYSTAL B
Title
S3. Rethinking Toxicology: New Approaches in Safety Assessment
Chair
Eunsoo Jung
Estend Bio
KOREA, REPUBLIC OF
Sukmo Kang
BTT Group / Keyprime Research
KOREA, REPUBLIC OF
Summary
This session will explore emerging approaches in toxicology and safety assessment, highlighting innovative methodologies that enhance the prediction of drug safety and support more efficient development.
Open +
The Significance of FDA Modernization Act 2.0 and Implications for Korea’s Nonclinical Regulatory Strategy
Sukmo Kang
BTT Group / Keyprime Research
KOREA, REPUBLIC OF
Bio Essay
Open +
Sukmo Kang, D.V.M., Ph.D. is Executive Director at Keyprime Research, where he oversees nonclinical study operations and regulatory-compliant testing capabilities.
Previously, he concurrently held leadership roles at Biotoxtech, overseeing Research Planning and Sales & Marketing, and at Keyfronbio, leading the bioanalysis and pharmacology businesses. Throughout his career, he has provided strategic consulting and scientific advice on nonclinical development programs across diverse therapeutic modalities, integrating product characteristics, mechanism of action, scientific evidence, and regulatory expectations.
Dr. Kang has also contributed to advancing the capabilities and global competitiveness of Korea’s nonclinical CRO industry by strengthening scientific and operational standards, expanding global partnerships, and adopting internationally aligned regulatory practices. His current interests include global nonclinical regulatory strategy, integrated development planning, and science-based approaches to more efficient nonclinical development.
Dr. Kang received D.V.M. and M.S. from the College of Veterinary Medicine, Seoul National University, and earned Ph.D. in KAIST. His doctoral research focused on nanotechnology-based vaccine engineering and delivery systems, as well as theranostic approaches for cancer therapy
Abstract
Open +
The FDA Modernization Act 2.0 and subsequent regulatory initiatives, including the FDA Modernization Act 3.0 and the FDA’s roadmap for New Approach Methodologies (NAMs), represent a major shift in nonclinical drug development. The evolving framework moves away from routine animal testing toward science-based, fit-for-purpose approaches supported by mechanism of action (MoA), context of use (CoU), and weight of evidence (WoE).
This presentation reviews the key regulatory developments and recent FDA guidance relevant to monoclonal antibodies, NAMs, and oncology biologics, with particular focus on streamlined nonclinical approaches. It also discusses key principles for NAM validation, including biological relevance, technical reliability, reproducibility, and clearly defined CoU.
These changes present both opportunities and challenges. NAMs may improve R&D efficiency, reduce animal use, and accelerate development, while simultaneously creating new regulatory barriers for organizations lacking appropriate scientific justification, validation capabilities, and reference data.
For Korea, regulatory readiness should therefore extend beyond adopting individual NAM technologies. Establishing MoA-driven nonclinical strategies, robust WoE and background databases, and CoU-based NAM validation capabilities will be essential. Building such comprehensive “NAM coverage” will be critical for ensuring efficient drug development and maintaining global regulatory competitiveness.
Virtual Control Groups: Concepts, Applications, and Future Perspectives Following the EMA Guideline
Daeui Park
Korea Institute of Toxicology (KIT)
KOREA, REPUBLIC OF
Bio Essay
Open +
Daeui Park, Ph.D. is the Director of the National Toxicology AI and Data Center at the Korea Institute of Toxicology (KIT). He received his Ph.D. in Bioinformatics in 2012 and completed research training at the U.S. National Institutes of Health (NIH) before joining KIT in 2014, where he has since been conducting toxicology research. Trained as both a bioinformatician and computational toxicologist, Dr. Park works at the intersection of next-generation sequencing (NGS), artificial intelligence, and non-animal safety assessment. His research centers on in silico toxicity prediction models and New Approach Methodologies (NAMs), including advanced 3D liver–vascular–immune cell systems used to quantify toxicological risk.
Since the center's launch in January 2026, Dr. Park has led the development of toxicity AI platform designed to unify fragmented safety data and accelerate drug development while reducing cost. A central initiative is the Virtual Control Group (VCG) platform, which trains AI on historical control data to generate virtual control animals. Under his direction, the center is building a regulatory-grade, secure data-sharing infrastructure in partnership with pharmaceutical companies, contract research organizations (CROs), and regulatory agencies, positioning it as Korea's national toxicity data hub for the biopharmaceutical industry.
Dr. Park also serves as a Professor at the University of Science and Technology (UST), where he mentors graduate researchers in bioinformatics and predictive toxicology. His work aligns Korea's efforts with the global regulatory shift toward animal-alternative methods.
Abstract
Open +
The replacement of concurrent control groups (CCGs) with virtual control groups (VCGs) represents one of the most significant methodological shifts in nonclinical toxicology. A VCG is a reference control population reconstructed from standardized historical control data (HCD) using statistical matching and, increasingly, generative AI, allowing background variability to be characterized without the repeated use of live control animals. This aligns directly with the 3Rs principle and the global regulatory transition toward New Approach Methodologies (NAMs), exemplified by the U.S. FDA Modernization Act 2.0.
This presentation reviews the concept of VCGs and their emerging applications in light of the EMA draft Qualification Opinion (2026). Under its agreed Context of Use, VCGs may substitute for CCGs in non-GLP rat dose-range-finding (DRF) studies to inform dose selection for subsequent pivotal GLP repeated-dose studies. Reanalyses of legacy studies showed that VCGs, populated from the SEND-based VICT3R database, reliably support target-organ identification and NOAEL determination without compromising study conclusions establishing a validated, SOP-driven pathway for regulatory acceptance.
Building on this momentum, the Korea Institute of Toxicology (KIT) will launch a national VCG platform program from 2027. Its goals are to (1) build a multi-institutional "safe-share" HCD repository through the Tox-Bridge consortium (10+ pharmaceutical companies and CROs) in partnership with KISTI; (2) develop statistical and generative-AI engines for VCG generation and validation; and (3) achieve GLP field demonstration and international regulatory acceptability (OECD/ICH), progressively expanding coverage from rodents toward primates. Together, these efforts aim to establish VCGs as a practical, globally harmonized standard for replacing control-group animals in nonclinical safety assessment.
Integrating Human-Relevant Transcriptomics and AI/ML to De-Risk Multi-Organ Toxicity from Molecule to Clinic
Paul Walker
Cyprotex (an Evotec company)
Europe
Bio Essay
Open +
Paul Walker is an accomplished scientific leader with over 20 years of experience spanning toxicology, data science, and innovation strategy. As VP, Head of Toxicology and Innovation Efficiency at Cyprotex, he drives the company’s scientific and innovation agenda, integrating in silico, in vitro, and AI enabled approaches to enhance decision making and reduce attrition in drug discovery. He leads a multidisciplinary organisation of more than 60 scientists across Toxicology, Permeability, and Transporter teams, with full accountability for scientific delivery, operational performance, and talent development. Paul is also the architect of the Panomics Tox platform, which combines toxicology, AI, data science, and automation to deliver high impact solutions, and he plays a leading role in shaping Evotec’s Global Safety Assessment and Strategy (GSAS) initiatives.
Abstract
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Background:
Late-stage safety failures remain a major contributor to drug-development attrition, highlighting the need to identify human-relevant toxicological liabilities before candidate selection and clinical investment. Advances in new approach methodologies (NAMs), high-throughput transcriptomics and artificial intelligence/machine learning (AI/ML) provide an opportunity to integrate mechanistic biology with human exposure to translate preclinical observations into more informed development decisions.
Methods:
Curated compound sets were evaluated across human-relevant 2D and 3D liver, cardiac and kidney in vitro models using automated high-throughput RNA sequencing (ScreenSeq™). Transcriptomic concentration-response data were analysed using differential gene expression, pathway enrichment, benchmark-dose modelling and transcriptomic point-of-departure (TxPoD) approaches. AI/ML models were developed to identify toxicity-associated molecular signatures, and predictions were contextualised against human total plasma exposure (Cmax,tot) to derive clinically relevant safety margins.
Results:
For hepatotoxicity, TxPoD-based classification achieved 84% sensitivity, 90% specificity and 88% overall accuracy, while the AI/ML approach achieved 81% sensitivity, 95% specificity and 88% accuracy. For cardiotoxicity, exposure-based classification at 20× Cmax,tot achieved 86% sensitivity, 85% specificity and 85% accuracy. These complementary approaches enabled quantitative separation of compounds with differing toxicity liabilities while providing mechanistic information concerning the biological pathways underlying predicted risk.
Conclusions:
Integration of human-relevant in vitro models, transcriptomic profiling, human exposure and AI/ML creates a scalable framework for identifying multi-organ safety liabilities earlier in drug discovery. Rather than using AI as a stand-alone prediction tool, this approach connects data-driven classification with mechanistic biology and clinically relevant exposure, supporting more informed candidate selection and earlier risk mitigation. Such strategies could help bridge the traditional divide between preclinical safety assessment and clinical development, enabling safer molecules to progress from discovery toward patients.
3F SAPPHIRE
Title
S4. Navigating MFDS Guidelines: Regulatory Interpretation and Practical Application
Chair
Hyunjoo (Amy) Lee
Merck Sharp & Dohme (MSD, Korea)
KOREA, REPUBLIC OF
HyunJoo Rhee
IQVIA (Korea)
KOREA, REPUBLIC OF
Summary
This session aims to enhance participants’ understanding of MFDS guidelines by exploring how regulatory requirements are interpreted in practice and how they are applied throughout the clinical trial lifecycle in Korea. Through practical examples and discussion, the session will highlight key regulatory expectations, common areas of ambiguity, and best practices for effective engagement with the MFDS.
Open +
Patient Selection Considerations in Early-Phase Oncology Trials under Non-Curative Settings (Guidance for Industry)
Minyoung Lim
GlaxoSmithKline (GSK, Korea)
KOREA, REPUBLIC OF
Bio Essay
Open +
Min-young Lim is a Clinical Operations Director at GSK Korea with over 24 years of experience in the pharmaceutical industry. She began her career at GSK Biologicals and later held leadership roles at Novartis Vaccines & Diagnostics, building strong expertise in clinical trial execution, quality, and regulatory compliance.
Since rejoining GSK, she has led Vx clinical operations as Country Clinical Operations Head for Vaccines Korea. Currently, she oversees clinical research delivery across all therapeutic areas in Korea, driving innovation through new technologies and operational excellence.
Min-young also plays an active role in shaping Korea’s clinical research environment. She served as Chair of the Clinical Trial Review Subcommittee under the MFDS CHORUS initiative (2023– 2024), contributing to the improvement of clinical trial review processes and guideline revisions. Additionally, she leads regulatory initiatives within the KRPIA R&D Committee and collaborates closely with regulatory authorities to enhance clinical trial efficiency and competitiveness in Korea.
Abstract
Open +
The landscape of oncology drug development has evolved significantly with the advent of targeted therapies and immunotherapies, leading to increasing interest in enrolling patients earlier in their treatment journey into early-phase clinical trials. Traditionally, first-in-human and other early-phase oncology studies were largely restricted to patients who had exhausted all available standard treatment options. However, in non-curative settings where long-term survival or cure is unlikely, participation in clinical trials may represent a meaningful therapeutic opportunity for patients. The recently issued Korean guidance, “Considerations for Patient Selection in Early-Phase Oncology Trials in Non-Curative Settings,” was developed to address this changing paradigm and to enhance regulatory predictability while maintaining patient protection.
This presentation will review the scientific and regulatory background that led to the development of the guidance, including evolving perspectives from major regulatory authorities on patient enrollment in early-phase oncology trials conducted in non-curative disease settings. The session will highlight key principles for patient selection, such as the role of available standard therapies, disease prognosis, treatment tolerability, and the level of evidence required to support anticipated clinical benefit.
In addition, practical implementation strategies and real-world examples will be discussed to illustrate how the guidance can be applied during protocol design and regulatory review.
Contraception Requirements in Clinical Trials: Alignment with Korean Labeling and Regulatory Guidelines
JinKyoung Kwon
IQVIA (Korea)
KOREA, REPUBLIC OF
Bio Essay
Open +
JinKyoung Kwon is a Manager in Regulatory Affairs at IQVIA Korea with over 10 years of experience in clinical research and regulatory affairs. She specializes in regulatory strategy, IND submissions, and clinical trial approvals in Korea, supporting a wide range of development programs from early-phase studies to multinational clinical trials. In her current role, she leads regulatory activities and site activation for global clinical studies, working closely with pharmaceutical and biotechnology companies. Her expertise includes Korean clinical trial regulations, regulatory submissions, study start-up strategy, and supporting multinational pharmaceutical and biotechnology companies in clinical development.
Abstract
Open +
This presentation provides a review of frequently asked questions related to contraception requirements in clinical trials.
Clinical trial sponsors frequently encounter challenges when implementing contraception requirements in study protocols, particularly when global development strategies need to be aligned with Korean labeling information and local regulatory guidelines. While relevant requirements are described in regulations and guidance documents, questions often arise regarding their practical interpretation and application in real-world clinical trial settings.
This presentation will explore common questions and areas of ambiguity related to contraception requirements from a Korean regulatory perspective. Through practical Q&A cases, the session will discuss considerations encountered during protocol development and clinical trial application reviews, including the interpretation of Korean product labeling, the applicability of contraception requirements based on nonclinical and clinical data, acceptable contraceptive methods, and the duration of contraception measures for study participants.
The presentation will also examine situations where global protocol requirements may not fully align with local regulatory expectations and discuss approaches for providing scientific and regulatory justification. By sharing practical examples and regulatory interpretations, the session aims to help participants better understand how Korean regulatory guidelines can be applied consistently and effectively while facilitating efficient interactions with the Ministry of Food and Drug Safety (MFDS).
Participants will gain practical insights into managing contraception-related requirements and addressing common regulatory questions throughout the clinical trial life cycle in Korea.
Commercial Drugs in Clinical Trials: Collaborative Path to Korea’s Guideline and Industry Application Strategies for IND Approval
SuhIm Bang
Merck Sharp & Dohme (MSD, Korea)
KOREA, REPUBLIC OF
Bio Essay
Open +
SuhIm has built her career across clinical operations and IND, gaining broad experience in the end-to-end conduct of clinical trials in both global and local pharmaceutical settings. She began her career in clinical operations at Celltrion, where she supported and later managed global clinical studies across multiple therapeutic areas, contributing to cross-functional project execution and management. She subsequently joined Roche, where her role expanded into local clinical study project management and local regulatory management, including IND submissions, regulatory strategy, and collaboration with global teams on Korea-specific regulatory aspects.
In her current role at MSD Korea, SuhIm serves as a senior Clinical Operations Manager with responsibilities spanning IND leadership and local regulatory management. She has led internal efforts to build and strengthen in-house CMC capabilities, developed training programs to cultivate regulatory expertise within the organization, and serves as a subject matter expert for regulatory area.
SuhIm has also played an active leadership role in CHORUS, a pharmaceutical industry–MFDS consultative working group, where she has actively participated in discussions and coordinated cross-company perspectives on key regulatory topics. Through these efforts, she has contributed to practical regulatory discussions related to IND review requirements and guideline updates, helping improve the clinical trial environment in Korea. This combination of operational, regulatory, and communication with MFDS experience provides the foundation for her perspective on current regulatory issues in clinical research.
Abstract
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In multinational clinical trials (MRCTs), sponsors must preserve the scientific consistency of a global protocol while satisfying domestic regulatory requirements. Marketed drugs used in a trial — as investigational products, comparators, rescue medication, challenge agents, endpoint-assessment tools, or background therapy — sit at the center of this tension, particularly when protocol-specified conditions differ from Korean approved labeling.
This presentation first establishes the definitional framework. ICH E6(R3) defines an investigational product by its role in the trial rather than by its authorization status, and Korea's GCP standards under the Regulations on the Safety of Pharmaceuticals mirror that structure. The EU CTAG concept of Auxiliary Medicinal Products (AxMPs) — including authorised, modified authorised, and unauthorised categories — provides a management category for drugs that are relevant to trial design. Korea Regulations already accommodates such products, confirming substantive alignment between global and domestic frameworks.
Building on this, the presentation reviews industry–MFDS consultation on protocol design types. Where globally harmonized criteria are scientifically required, global standards may be accepted when supported by current international approvals and guidelines. Where a protocol permits local practice, the original broad multinational wording may stand, provided Korean labeling information and patient guidance are clearly communicated to sites.
These outcomes are reflected in the Case Book for Approval of Pharmaceutical Clinical Trial Plan Amendments (20 May 2026), whose two new Q&As are interpreted here with practical guidance on evidence packages, site communication, ICF use, and sponsor and investigator obligations.
The conclusion: regulatory harmonization accrues through sustained communication and evidence, where flexibility rests on scientific validity and is sustained by practical accountability — improving predictability of Korean IND approval.
From Regulation to Reality: Operationalizing Comprehensive Community Clinic Participation in Korean Clinical Trials
Heewon Lee
Eli Lilly and Company (Korea)
KOREA, REPUBLIC OF
Bio Essay
Open +
Heewon brings ~13 years of bi-cultural clinical research experience spanning local and global environments. At Eli Lilly, she leads clinical trial allocation, site selection, and enrollment strategy for Lilly’s neuroscience pipeline in South Korea, while also contributing to CMH and oncology studies. Much of her work is driven by a single question: who gets left out of clinical studies, and why? Tackling the structural barriers to patient access has become a defining thread of her career, one she continues to pursue through new models of trial design and investigator engagement.
Abstract
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In South Korea, clinical trials can only be conducted at MFDS-designated sites, a structural constraint that has long confined trial access to large tertiary hospitals, leaving community-based clinics, and the patients they serve, outside the system. This talk shares an ongoing effort to work within and around that constraint: designing a Community-Based Research (CBR) model that formally connects a large tertiary hospital with a local private clinic, grounded in the 2024 MFDS guideline. Drawing on lessons learned so far in regulatory engagement and site-level implementation, the session offers a practical look at how regulatory frameworks can be operationalized, not just interpreted, to expand who gets to participate in clinical trials.
2F CRYSTAL A
Title
S5. From Molecule to PoC: Translating Discovery into Clinical Value
Chair
Seoungoh Lee
Yuhan Corporation
KOREA, REPUBLIC OF
Woohyung Wayne Lee
Gradiant Bioconvergence
KOREA, REPUBLIC OF
Summary
This session will explore key strategies and considerations for advancing drug candidates from discovery through IND submission and early clinical development to achieve proof of concept.
Open +
IND Navigation: From Preclinical Development to Clinical Research
Eunjung Lee
Yuhan Corporation
KOREA, REPUBLIC OF
Bio Essay
Open +
She has over 20 years of experience in bio-medical research, including more than 15 years in the pharmaceutical industry. Following five years as a Research Assistant Professor at a College of Medicine, where she developed a strong foundation in clinical and translational medicine, She was joined Yuhan Corporation. She worked in nonclinical research and subsequently served as Head of the Biologics Discovery Team, leading innovative drug discovery and preclinical development programs. Currently, she serves as Head of Clinical Strategy and planning Team overseeing clinical development activities and strategic planning for the advancement of novel therapeutic candidates. Her expertise spans drug discovery, preclinical research, translational science, and clinical development. In particular, she possesses expertise in the fields of oncology and immunology.
Abstract
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Investigational New Drug (IND) submission is not merely the compilation of regulatory documents but the outcome of a well-integrated development strategy established from the earliest stages of drug discovery. Current regulatory guidance emphasizes risk-based and translational development, highlighting the importance of close collaboration between preclinical and clinical teams throughout the development process. Designing preclinical studies with future clinical objectives in mind-including the Target Product Profile (TPP), Clinical Development Plan (CDP), dose selection, PK/PD characterization, biomarker strategy, and target patient population-substantially enhances the translational value of nonclinical data and strengthens regulatory readiness. Such an approach also improves the quality of first-in-human (FIH) study design while reducing development risk.
Another critical principle is fit-for-purpose IND preparation. During early development, generating essential data required for safe clinical initiation is more efficient than conducting unnecessary studies that increase cost and delay timelines. In contrast, late-stage development requires comprehensive, well-organized CMC, nonclinical, and clinical documentation that supports both IND maintenance and future NDA/BLA submissions. Therefore, the scope and depth of IND documentation should be aligned with the project's development strategy and CDP. Integrating preclinical, clinical, CMC, regulatory, and biostatistical functions under a common development strategy improves efficiency, minimizes regulatory risk, and ultimately increases the probability of successful IND approval and subsequent marketing authorization.
From Nonclinical to First-in-Human: Practical Strategies for Clinical Dose Selection in Novel Drug Development
Seunghoon Han
AIMS BioScience Co., Ltd.
KOREA, REPUBLIC OF
Bio Essay
Open +
Seunghoon Han, MD, PhD, is the Chief Executive Officer of AIMS Bioscience Co., Ltd., a clinical pharmacology-driven contract research organization (CRO) headquartered in Seoul, Korea. He concurrently serves as Professor in the Department of Pharmacology at The Catholic University of Korea College of Medicine and Head of the Division of Clinical Pharmacology and Therapeutics at Seoul St. Mary’s Hospital.
Dr. Han completed his MD at The Catholic University of Korea in 2007 and earned his PhD in Clinical Pharmacology in 2014. His expertise spans pharmacokinetics, pharmacodynamics, pharmacometrics, and model-informed drug development (MIDD), with a strong focus on translating nonclinical data into rational clinical dose selection strategies for small molecules, therapeutic proteins, monoclonal antibodies, and advanced therapy medicinal products (ATMPs).
At AIMS Bioscience, Dr. Han leads an integrated consulting practice that supports domestic and international biopharmaceutical clients through the full arc of early-phase drug development ㅡ from regulatory strategy and IND preparation to first-in-human (FIH) study design, PK/PD analysis, and clinical trial management. Under his leadership, AIMS Bioscience has guided numerous IND submissions to the Korean Ministry of Food and Drug Safety (MFDS) and the US FDA, and has built active partnerships with global biotech and pharma companies across North America, Europe, and Asia.
Dr. Han has authored more than 30 peer-reviewed publications in journals including Clinical Pharmacology & Therapeutics and British Journal of Clinical Pharmacology. He is a member of the Korean Society for Clinical Pharmacology and Therapeutics (KSCPT) and the American Society for Clinical Pharmacology and Therapeutics (ASCPT), and is a recognized expert at the intersection of clinical pharmacology, regulatory science, and drug development strategy.
Abstract
Open +
Selecting the right dose for first-in-human (FIH) clinical trials is one of the most consequential decisions in drug development. Errors in dose selection can lead to inadequate efficacy, unexpected toxicity, or costly protocol amendments that derail an entire development program. This presentation examines practical, evidence-based frameworks for translating nonclinical pharmacology and toxicology data into rational starting dose and dose escalation strategies for clinical trials.
Drawing on real-world experience from IND submissions to the Korean MFDS and the US FDA across multiple modalities ㅡ including small molecules, therapeutic proteins, monoclonal antibodies, and ATMPs ㅡ this talk will cover: (1) the minimum anticipated biological effect level (MABEL) and maximum recommended starting dose (MRSD) approaches and their regulatory expectations; (2) allometric scaling and interspecies PK/PD extrapolation; (3) model-informed drug development (MIDD) tools including population PK modeling and exposure-response analysis to support dose rationale; and (4) common pitfalls encountered in early-stage biotechs with limited clinical pharmacology resources, and how to address them proactively.
Special emphasis will be placed on the regulatory-strategic interface: how sponsors can use dose selection rationale not merely as a compliance exercise, but as a scientifically compelling narrative that builds regulator confidence and accelerates IND approval. Case examples from AIMS Bioscience’s practice will illustrate how integrated pharmacometric analysis can inform not only the starting dose, but also the therapeutic dose range and biomarker-driven stopping rules.
Attendees will leave with a structured, modality-agnostic framework applicable to their own programs, regardless of development stage.
From FDA IND Experience to Broader NAM Adoption: Advancing Human-Relevant Preclinical Development
Kyusuk Baek
Qureator, Inc.
UNITED STATES
Bio Essay
Open +
Dr. Kyusuk Baek is a scientist and entrepreneur with over 20 years of industry experience spanning medical diagnostics, instrumentation, and drug discovery. With a background in physics and engineering and extensive experience in the pharmaceutical industry, he has focused his career on translating emerging technologies and biological discoveries into practical tools for biomedical research and drug development.
As CTO of Cubiq Inc., Dr. Baek led the development and commercialization of microfluidics-based diagnostic technologies. He later joined Vertex Pharmaceuticals, where he led multidisciplinary R&D programs and developed innovative tools and technologies supporting drug discovery programs, including cystic fibrosis and non-opioid pain.
Dr. Baek is now the Co-founder and CEO of Qureator, Inc., where he leads the development of human-relevant microphysiological systems designed to better predict patient responses to therapeutics. Under his leadership, Qureator is integrating advanced human disease models, high-dimensional biological data, and AI to bridge the gap between preclinical research and clinical outcomes.
Abstract
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New Approach Methodologies (NAMs) are rapidly reshaping preclinical drug development by enabling more human-relevant evaluation of therapeutic efficacy and safety. A recent successful FDA IND submission by SillaJen, supported by Qureator, demonstrated that human in vitro efficacy data generated using a vascularized tumor immune microenvironment (vTIME) model—a NAM integrating patient-derived tumor organoids, human vasculature, and immune cells—could support regulatory decision-making without relying on conventional animal efficacy testing. This case represents an important milestone, but broader adoption of NAMs will require more than individual regulatory successes.
The next challenge is how to move from successful individual use cases toward broader and more consistent use of NAM-derived data in drug development. This will require greater confidence in when and how these models can be applied, how their results should be interpreted, and how relevant evidence can be generated and communicated across different stakeholders. Building this foundation is not a challenge for any single organization, but an ecosystem effort requiring collaboration among regulators, research organizations, industry, technology developers, and end users.
Qureator is contributing to this transition through vTIME and related human-relevant microphysiological systems. Following an initial regulatory use case, Qureator is participating in collaborative efforts aimed at advancing validation and standardization of NAM-based approaches for defined drug-development applications.
Looking forward, human-relevant NAM platforms can also generate high-quality, multimodal biological datasets that support the development of predictive AI models. By integrating experimentally generated data with computational approaches, NAMs may evolve from tools that measure drug responses into platforms capable of predicting therapeutic outcomes.
Together, these advances illustrate a broader transition toward more human-relevant, collaborative, and increasingly predictive approaches to preclinical drug development.
The Use of PET and MRI to Optimize Drug Development
Eugenii A. (Ilan) Rabiner
Imanova, a Perceptive Discovery company
UNITED KINGDOM
Bio Essay
Open +
Executive VP and Head of Translational Applications, Perceptive Discovery
Studied at the University of the Witwatersrand, Johannesburg, [BSc Hons in Physiology and Medical Biochemistry (1988) and MBBCh (1990)]. Received specialist training in psychiatry at the University of Cape Town (FCPsych SA, 1996). Trained in molecular imaging at the MRC Cyclotron Unit, Hammersmith Hospital, London (1997-2001) and at the MRC Psychopharmacology Unit, University of Oxford (1997-1999).
Joined GlaxoSmithKline Translational Medicine and Technologies group in 2001. From 2006, Head of Clinical Imaging Applications at the GSK Clinical Imaging Centre on the Hammersmith Hospital campus in London.
In 2011 transferred with the GSK Clinical Imaging Centre to form Imanova, Centre for Imaging Sciences, and took on the role of Head of Imaging Applications, and Chief Medical Officer.
From 2012 - 2023 a concurrent appointment as Reader in Molecular Neuroimaging at the Centre for Neuroimaging Sciences, in the Institute of Psychiatry, Kings College, London.
In 2017 - 2024 Executive VP and Global Head of Translational Applications at Invicro.
2024 - present Executive VP and Global Head of Translational Applications at Perceptive Discovery.
Author of > 200 peer-reviewed publications, h-index 65.
Fellow of the American College of Neuropsychopharmacology
Member of:
British Association for Psychopharmacology
Society of Nuclear Medicine and Molecular Imaging
International Society for Cerebral Blood Flow and Metabolism
Research interests focus on the application of molecular imaging to the investigation of neurochemistry and psychopharmacology and in particular to CNS drug development.
Abstract
Open +
The costs of drug development rise disproportionally in later phases (Phase IIb and III). Hence decisions made in the early phases (pre-clinical to Phase IIa) can have disproportionate impact on the overall costs of a development programme. Quantification of parameters informing on; drug distribution to tissues of interest, the relationship between plasma concentration and target occupancy, and pharmacodynamic effects of target engagement can significantly reduce the costs, complexity and failure rate of Phase IIb and Phase II clinical trials. Timely assessment of the appropriate imaging interventions enables efficient planning to insert such studies in the development programme.
This talk provides an overview of imaging methodologies used to generate biologically meaningful outcome measures and discusses different kinds of studies and their role in the drug development pipeline. Both time and resource requirements needed to meaningfully integrate these methods into the development pipeline are explored. This talk will focus on CNS drug development, as the most mature therapeutic area to employ imaging methodologies, but the principles explored are applicable across the therapeutic spectrum
2F CRYSTAL B
Title
S6. From Data to Deals: Clinical Evidence Investors Trust
Chair
Yeojung Moon
IMM Investment
KOREA, REPUBLIC OF
Summary
This session will explore the clinical evidence and data attributes that investors prioritize when evaluating biopharmaceutical assets and investment opportunities.
Open +
Panel Discussion
Bora Chung
STIC Ventures
KOREA, REPUBLIC OF
Bio Essay
Open +
- May 2017 - Present: STIC Ventures ㅡ CEO & CIO/Partner(Bio/healthcare)
- Aug 2007 - May 2017: Korea Investment & Securities, Dongbu Securities, Dongbu Securities, Daishin Securities - Research Center (Pharma/Bio), Senior Research Analyst
- Jan 2003 - Aug 2007: Amorepacific ㅡ Technology Strategy Team (Technology Transfer, Patent Strategy, Venture Investment) ㅡ Assistant Manager
- Total Cumulative Bio/Healthcare Investment: Over 150 Billion KRW Key Portfolio Companies: Curocell, Pine Tree Therapeutics, Oreum Therapeutic, Adel, Protina, Tium Bio, Tau Medical, Cureverse, Tomocube, Illimis Therapeutics, Prazer Therapeutics, etc.
Panel Discussion
Gisoo Kang
BNH Investment
KOREA, REPUBLIC OF
Bio Essay
Open +
Dr. Gisoo Kang is a Vice President and Partner at BNH Investment, LLC, a premier venture capital firm dedicated to driving innovation in the Bio/Healthcare sector. Since joining the firm in 2018, Dr. Kang has established herself as a key investment professional, leading the discovery, rigorous evaluation, and strategic post-investment management of high-potential startups within the bio-healthcare sector. Capitalizing on her extensive global network with multinational pharmaceutical companies and international investors, she specializes in introducing promising Korean biotech companies to the global stage and actively accelerating their international expansion and cross-border partnerships.
Dr. Kang’s strength as a venture capitalist is backed by years of strategic corporate experience. Prior to BNH Investment, she served as a Senior Manager at CJ Corporation. There, she spearheaded corporate development and open innovation initiatives, analyzing global trends in healthcare and bio-based materials to propose strategic investments and global partnership opportunities.
Her investment acumen is further enhanced by a distinguished background in scientific research, allowing her to evaluate biological assets with unique technical precision. Dr. Kang previously conducted research as a Postdoctoral Fellow at the National Institutes of Health (NIH) in the United States, focusing on rare lung diseases and cellular mechanisms.
Dr. Kang holds a Ph.D. in Environmental Health Sciences (Environmental Toxicology) from New York University and a Bachelor of Science from Seoul National University. Blending deep scientific expertise, a robust global network, and extensive venture capital experience, she continues to play a pivotal role in accelerating the next generation of healthcare breakthroughs.
Panel Discussion
Hyunki Kim
Stonebridge Ventures
KOREA, REPUBLIC OF
Bio Essay
Open +
Hyun-Ki Kim is Managing Director at Stonebridge Ventures, where he leads bio and healthcare investments. Since joining in 2018, he has helped build the firm’s life sciences practice, focusing on technically differentiated companies with the potential to compete globally and deliver meaningful impact for patients.
He has been actively investing in and supporting emerging innovators such as Adel, Nex-I, and Ingenia Therapeutics, reflecting his conviction in science-driven companies that can create long-term value. His approach combines scientific expertise, global business development experience, and venture investing insight, shaped by his prior roles as a senior researcher at Dong-A Pharmaceutical, in global BD at Dong-A ST, and as a Boston-based investor at NS Investment.
He holds a B.S. in Biotechnology from Sungkyunkwan University and an M.S. in Biochemical Engineering from Seoul National University.
Abstract
Open +
This session will discuss how investors evaluate clinical evidence when reviewing biotech investment and licensing opportunities. From an investor’s perspective, it will cover the key elements that make clinical data credible and decision-relevant, including trial design, patient selection, endpoints, safety, statistical strength, and competitive differentiation.
The session will also highlight what biotech companies should consider when planning clinical development for fundraising or partnering. Topics will include how to generate data that investors can trust, how to present clinical results clearly, and how to align clinical evidence with regulatory, commercial, and deal-making expectations.
By connecting clinical data with investment decision-making, this session aims to help biotech companies better understand what investors look for before committing capital or supporting a transaction.
Panel Discussion
Yeojung Moon
IMM Investment
KOREA, REPUBLIC OF
Bio Essay
Open +
Dr. Yeojung Moon is a passionate investor at IMM Investment with various early-to-late stage investment experiences in bio and healthcare. As the first MD into the venture capital industry, she has guided various early-stage bio and healthcare startups to establish and grow their business into global scale. Leveraging her clinical and research experience at Yonsei Severance Hospital as an OBGYN doctor, she has been recognized as an early-detector of differentiated technology and hands-on supporter to her portfolio partners. Her track record is accentuated by her distinctive contribution to Lunit (KOSDAQ:A32813) as a multi-time investor and a board member(aka Lunit’s Mom) to realize their mission to “Conquer Cancer through AI”
She holds a board seat of Hanwha Investment & Securities Co., Ltd.(KOSPI: 003530) and is a selected member of Presidential committee of Korea’s 4th industrial revolution.
Prior to joining IMM, Dr. Moon led Bio investment division at InterVest. She was also an assistant professor at Yonsei Severance Hospital. Yeojung holds PhD in Neuroscience and MD from Yonsei University.
2019- Senior managing director, IMM Investment Corp.
2016-2018 Director, Intervest Co.
2004-2016 Clinical Professor, Severance Hospital, OBGYN
2014 Yonsei University, School of Medical Science, Ph.D
2004 Yonsei university, School of Medicine, MD