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Enlonstobart

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Enlonstobart

Supplied with complete CDSCO-approved import and customs documentation, including Form 12A & 12B, CDEC, GST Bill of Entry, Commercial Invoice, and Packing List.

Medicine Name: Enlonstobart
Generic Name (API): Enlonstobart
Dosage Form & Strength: 100 mg/10 mL
Route: Intravenous (IV) infusion
Drug Class: Anti-PD-1 monoclonal antibody (IgG4), immune checkpoint inhibitor

Manufacturer / Innovator:

China

Regulatory Approval:

  • NMPA (China)
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    Temperature-controlled logistics ensuring safe, reliable, and timely medicine delivery.

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What Is Enlonstobart Used For?

Enlonstobart is an immunotherapy medicine for cervical cancer that has come back or spread after chemotherapy. It is made in China by CSPC Megalith Biopharmaceutical, part of CSPC Pharmaceutical Group, and is sold there as 恩舒幸® (Enshuxing). It was first discovered by Hangzhou Sumgen Biotech under the code SG001, and is given on its own as a drip.

China's National Medical Products Administration (NMPA) granted it conditional approval in June 2024 for:

  • Recurrent or metastatic cervical cancer that tests PD-L1 positive (CPS ≥1)
  • In patients whose earlier platinum-based chemotherapy has failed

"Conditional" means it was approved early on the strength of a phase 2 study, while a larger phase 3 trial continues. It is a prescription cancer medicine and should only be used under a medical oncologist or gynaecological oncologist.

How It Works

Immune cells called T cells carry a switch named PD-1. Cancer cells can flip that switch off, which stops T cells from attacking them. Enlonstobart is a fully human antibody that covers PD-1 and blocks this signal, so the immune system can recognise and fight the tumour again.

What the Trial Showed

The approval is based on a single-arm phase 2 study (NCT04886700), published in Gynecologic Oncology in 2024. It enrolled 107 women with PD-L1-positive cervical cancer that had progressed on, or could not tolerate, first-line platinum chemotherapy. The tumour shrank in 29.0% of patients, including two complete responses, and the disease was brought under control in 54.2%.

When it worked, it tended to last: the median duration of response was 16.6 months. Median time before the cancer grew again was 3.1 months, and median overall survival had not yet been reached at about 14 months of follow-up.

Recommended Dosage

  • Approved dose (Chinese label): 240 mg as an intravenous drip, once every 2 weeks, the same dose used in the main study
  • Continued until the cancer grows or side effects become too much (in the study, treatment lasted up to 24 months)
  • A PD-L1 test (CPS ≥1) on the tumour sample is needed before treatment

The dose is a fixed amount rather than one based on body weight. It comes as a 100 mg in 10 mL vial of solution, so each 240 mg dose (24 mL) is drawn from three vials. Your oncologist sets the exact plan from the full Chinese prescribing information.

This information is not a treatment plan. For personalized medical advice, consult your doctor and refer to the full prescribing information.

Warnings and Precautions

Immune-related side effects: by switching the immune system back on, this medicine can sometimes cause inflammation in healthy organs. In the phase 2 study, an underactive thyroid occurred in 15.0% of patients and an overactive thyroid in 11.2%. Thyroid tests are usually checked before and during treatment.

  • Blood counts: low white cells (19.6%), anaemia (17.8%) and low neutrophils (15.0%) were among the most common treatment-related effects, so regular blood tests are needed.
  • Liver: raised liver enzymes were common (AST 18.7%, ALT 15.9%). Report yellowing of the skin or eyes, dark urine or pain under the right ribs.
  • Lungs, bowel and skin: as with other PD-1 blockers, tell your doctor straight away about a new cough or breathlessness, diarrhoea, or a spreading rash.
  • Autoimmune disease or transplant: mention any such history to your oncologist before starting, as immunotherapy can make these conditions flare.

Overall: 97.2% of patients had at least one side effect of any cause during the study, and 35.5% had a severe (grade 3 or higher) one. The Chinese label reports side effects linked to the medicine in 85.0% of the 107 patients, and severe ones in 28.0%. The study authors described the safety as acceptable. Safety in pregnancy and breastfeeding has not been established in the published data, so discuss contraception with your oncologist.

How to Access Enlonstobart in India: A 6-Step Process

Step 1 – Search & request your medicine: The patient or treating doctor submits a request with basic details to initiate the access process.

Step 2 – Verification & eligibility review: The team verifies availability and reviews eligibility against regulatory and clinical requirements to ensure a compliant pathway.

Step 3 – Receive quote & delivery timeline: A transparent quotation is shared, covering medicine cost, logistics, and a clear delivery timeline.

Step 4 – Regulatory approval process: Assistance is provided to secure the approvals and documentation required for legal cross-border access.

Step 5 – Temperature-controlled import & handling: The medicine is sourced and transported under strict GDP-compliant, cold-chain conditions to maintain product integrity.

Step 6 – Secure delivery: The medicine is delivered to the patient or treating hospital, with updates provided at each stage.

Note: From request to delivery, every step is designed to ensure your treatment reaches you safely, compliantly, and without unnecessary delays.

Documentation & Availability

What documents are required to import Enlonstobart to India?

The injection can be imported only in the patient's name, by the patient or a government hospital, in line with India's import regulations for unapproved medicines. You will need:

  • A valid prescription from a qualified medical or gynaecological oncologist
  • Biopsy reports confirming cervical cancer, a PD-L1 (CPS) test result, and details of the earlier platinum chemotherapy
  • Patient ID proof (issued by the Government of India)

How is the order confirmed?

Once we have received and checked a valid prescription and, where needed, an import permit.

Is Enlonstobart available in India?

No. It is approved only in China. It does not appear in CDSCO's lists of approved biological (rDNA) medicines, it is not sold in Indian pharmacies, and the US FDA and European Medicines Agency have not approved it either.

Patients can still get it legally through the Named Patient Program (NPP), which allows a medicine not registered in India to be imported for one specific patient on a prescription. For another import option in advanced cervical cancer after chemotherapy, see our page on Tivdak.

It can be made available to patients, doctors, and hospitals across major cities in India, including Gurgaon, Delhi, Bangalore, Mumbai, Navi Mumbai, Thane, Hyderabad, Mysore, Kerala, Chennai, Coimbatore, Madurai, Kolkata, Ahmedabad, Surat, Vadodara, Pune, Nagpur, Nashik, Jaipur, Udaipur, Lucknow, Kanpur, Gorakhpur, Chandigarh, Mohali, Faridabad, Noida, Ghaziabad, Kochi, Trivandrum, Kozhikode, Thrissur, Kannur, Mangalore, Bhubaneswar, Patna, Ranchi, Raipur, Guwahati, Visakhapatnam, Vijayawada, Goa, Jammu, Srinagar, Dehradun, Bhopal, Indore, Ludhiana, Amritsar, and others — and can facilitate delivery to the patient's treating hospital. Orders are confirmed only after receipt of a valid doctor's prescription and an import permit, where applicable.

Sourcing & Delivery

NamedPatientProgram.com (NPP) sources this medicine through the manufacturer's authorised supply channels in China and arranges supply to patients, doctors, and hospitals under applicable legal provisions. The vials are stored and transported exactly as directed on the pack, using temperature-controlled shipping to the treating hospital. As doses are given every two weeks, we can plan supply a few doses at a time. All prescriptions are dispensed and checked by registered pharmacists and dispatched from New Delhi, India, after legal requirements are fulfilled.

For the current cost in India and availability, contact NPP via WhatsApp at +91 98104 69557 | Toll-Free: 1800-1200-365 or email info@namedpatientprogram.com.

Availability Across Major Cities in India

Patients across India can access this medicine through regulated import pathways, with delivery arranged to the treating hospital on a valid specialist's prescription.

Delhi

Delhi's cancer hospitals treat many women with advanced cervical cancer, and supply leaves from our New Delhi dispatch point.

Mumbai

We deliver to the hospital pharmacy so each two-weekly infusion can go ahead on schedule.

Bangalore

Gynaecological oncologists in Bangalore can send the PD-L1 report and prescription to start the request.

Chennai

Hospitals here regularly manage imported immunotherapy, and supply is arranged directly to the treating centre.

Hyderabad

Deliveries are timed around the infusion calendar the oncologist sets.

Kolkata

We arrange temperature-controlled delivery to cancer hospitals in Kolkata and eastern India.

Pune

Patients in Pune follow the same documented import process, with a written quote first.

Ahmedabad

Treating doctors in Ahmedabad can share the biopsy, PD-L1 and treatment history with us to begin the import.

Vellore

Supply can be sent straight to the hospital pharmacy in Vellore for each treatment block.

Chandigarh

Covers patients from Punjab, Haryana, Himachal Pradesh and Jammu, with delivery to the treating hospital.

Lucknow

We coordinate supply to government and private oncology centres across Uttar Pradesh.

Kochi

Patients in Kerala can receive the medicine at their treating hospital in Kochi or nearby.

Access can also be coordinated for patients in other Indian cities, subject to a valid prescription and regulatory requirements.

Author Details

Nitin Goswami

Written By

Nitin Goswami

Deputy Manager – Content & Social Media, Ikris Pharma Network

Sources: NMPA • CDSCO

Dr. Chirag C Shah

Medically Reviewed By

Dr. Chirag C Shah

MBBS

Last Updated: 19 October 2026

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