The Top Line

China’s biotech moment goes global, Zai Lab exec says (Sponsored)

8 snips
Jan 12, 2026
Josh Smiley, the president and COO of Zai Lab, shares insights from his extensive biopharma career. He highlights China's transformation from a follower to a leader in biotech innovation, focusing on oncology and immunology. Smiley discusses Zai Lab's unique approach that merges rapid local execution with global standards, propelling their novel therapies into advanced trials. He emphasizes the strategic advantage for companies integrating China into their global plans early, anticipating a significant impact on the future of drug development and innovation.
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INSIGHT

China Evolved Into Global Biotech Source

  • China has moved from fast-follower biotech to globally competitive innovation over the last decade.
  • Regulatory harmonization, national insurance, and deeper R&D drove this shift according to Josh Smiley.
ANECDOTE

Boots-On-The-Ground China Strategy

  • Zai built in-country clinical teams and avoids CROs, developing global-phase experience by contributing Chinese patients to global trials.
  • This allowed them to move ZOSI from preclinical to phase three in under four years by blending China and U.S. enrollment.
ADVICE

Start Global Development Day One

  • Do design development programs as global from day one rather than only in China to avoid repeating work later.
  • Leverage China's speed and patient access but balance it with U.S./EU standards for registrational relevance.
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