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        2021-02-03

        復宏漢霖貝伐珠單抗新應用,眼科適應癥獲澳大利亞臨床批準

        2021年1月29日,復宏漢霖(2696.HK)宣布公司與億勝生物合作開發的重組抗VEGF人源化單克隆抗體眼用注射液HLX04-O通過了澳大利亞藥品管理局(Therapeutic Goods Administration,TGA)的臨床試驗備案,被批準于澳大利亞開展3期臨床研究,擬用于濕性年齡相關性黃斑變性(wAMD)的治療。該項目在澳大利亞的3期臨床研究將于近期啟動。

        年齡相關性黃斑變性(AMD)是導致老年人不可逆失明的主要原因之一[1],根據世界衛生組織報告,全球約有3000萬AMD患者,每年約有50萬人因為AMD而致盲[2]。AMD致盲患者中,以脈絡膜新生血管(CNV)為特征的濕性年齡相關性黃斑變性(wAMD)比例高達90%。隨著老年人口比例的不斷上升,wAMD已經成為一個日益嚴重的社會醫學問題,存在著巨大的未滿足的臨床需求[3]。隨著眼底治療方法的突破與發展,抗VEGF藥物已成為wAMD的一線療法[4],貝伐珠單抗玻璃體注射治療wAMD的有效性和安全性也已在多項臨床研究中得到驗證-6。


        HLX04-O是復宏漢霖利用基因工程技術構建的一款重組抗VEGF人源化單克隆抗體眼用注射液,能夠特異性結合血管內皮生長因子(vascular endothelial growth factor, VEGF),阻斷VEGF與內皮細胞上的受體Flt1(VEGFR-1)和KDR(VEGFR-2)結合,抑制其酪氨酸激酶信號通路的激活,進而抑制內皮細胞增生,減少新生血管生成,從而實現對wAMD等血管增生眼部疾病的治療。根據眼科用藥需求,公司在貝伐珠單抗HLX04的基礎上保持活性成分不變,對處方、包裝材料、規格和生產工藝等進行優化,開發了新的眼科制劑產品HLX04-O??杀刃匝芯勘砻魃a工藝和制劑處方的變更對藥物制劑的質量、安全性和有效性未產生不利影響。

        目前,復宏漢霖已開展HLX04-O玻璃體注射治療wAMD的非臨床藥效學、安全藥理學、重復給藥毒性、藥代動力學、毒代動力學、免疫毒性、免疫原性、局部刺激性試驗等相關研究,在臨床前試驗中初步證明了HLX04玻璃體注射有效和安全。接下來,一項兩部分開展的3期、全球、多中心研究將在澳大利亞啟動,以進一步評估HLX04-O治療wAMD的有效性及安全性。

        相信通過復宏漢霖與億勝生物的合作,HLX04-O在中國、澳大利亞、歐盟、美國等國家和地區的國際多中心臨床試驗有望加速啟動,并憑借相關研究結果在全球多個國家和地區實現上市,成為首批獲得批準用于眼科相關疾病治療的貝伐珠單抗,惠及全球眾多眼科疾病患者。未來,復宏漢霖也將持續引領創新生物藥品的開發,憑借已經建立起的完善的創新研發平臺,持續高效地為全球患者提供可負擔的、療效更好的治療方案。

        關于復宏漢霖
        復宏漢霖(2696.HK)是一家國際化的創新生物制藥公司,致力于為全球患者提供質高價優的創新生物藥,產品覆蓋腫瘤、自身免疫疾病、眼科疾病等領域。自2010年成立以來,復宏漢霖已建成一體化生物制藥平臺,高效及創新的自主核心能力貫穿研發、生產及商業運營全產業鏈。公司在全球已建立完善的研發中心,按照國際GMP標準進行生產和質量管控,位于上海徐匯的生產基地已獲得中國和歐盟GMP認證。

        復宏漢霖前瞻性布局了一個多元化、高質量的產品管線,涵蓋20多種創新單克隆抗體,并全面推進基于自有抗PD-1單抗HLX10的腫瘤免疫聯合療法。截至目前,公司已成功上市3個單抗生物藥,包括國內首個生物類似藥漢利康®(利妥昔單抗)、首個中歐雙批的國產生物類似藥漢曲優®(曲妥珠單抗,歐盟商品名:Zercepac®)以及公司首個自身免疫疾病治療產品漢達遠®(阿達木單抗)。此外,HLX04貝伐珠單抗及HLX01利妥昔單抗類風濕關節炎新適應癥的上市注冊申請正在審評中,公司亦同步就10個產品、8個聯合治療方案于全球范圍內開展20多項臨床試驗,產品對外授權全面覆蓋歐美主流生物藥市場和眾多新興國家市場。

        Henlius Bevacizumab Has Received Clinical Trial Approval in Australia

        Shanghai, China, Jan, 29th, 2021 - Shanghai Henlius Biotech, Inc. (2696.HK) announced that the filing of clinical trial for HLX04-O, a recombinant anti-VEGF humanized monoclonal antibody ophthalmic injection, for the treatment of wet age-related macular degeneration (wAMD) has been approved by the Therapeutic Goods Administration, Australia. The Phase 3 clinical study of the project in Australia is intended to be initiated in the near future.

        Age-related macular degeneration is one of the leading causes of blindness in the elderly worldwide[1]. According to the World Health Organization (WHO), about 30 million people have suffered from AMD globally, and about half a million people become blind due to AMD each year[2]. Wet age-related macular degeneration (wAMD) is characterized by the formation of subretinal choroidal neovascularization (CNV) and is responsible for approximately 90% of cases of AMD-related blindness. Due to an aging population, wAMD has become a serious social medical problem and indicated a huge burden of unmet need[3]. With the development of treatment for fundus diseases, anti-VEGF drugs are becoming the first-line therapy for the management of wAMD[4], and the efficacy and safety of vitreous injection of bevacizumab for wAMD have been verified in multiple clinical studies-6.

        HLX04-O is a recombinant anti-VEGF humanized monoclonal antibody ophthalmic injection constructed using genetic engineering technology independently developed by Henlius. HLX04-O can inhibit VEGF’s binding to its receptor Flt-1(VEGFR-1) and KDR(VEGFR-2) on endothelial cells to inhibit the activation of its tyrosine kinase signaling pathway, inhibit endothelial cell proliferation and reduce angiogenesis, thereby treating eye diseases associated with angiogenesis. According to the requirements of ophthalmic drugs, the Company has developed HLX04-O which optimizes the prescription, specifications and production processes of HLX04, assuming that the active ingredients remain unchanged. Through a series of comparability analysis, it is proved that the changes in the production process and prescription of the preparation have no adverse impact on the quality, safety and efficacy of the preparation.?

        As of now, a series of studies including non-clinical pharmacodynamics, safety pharmacology, repeat-dose toxicity, pharmacokinetics, toxicokinetics, immunotoxicity, immunogenicity and local irritation of HLX04-O vitreous injection in the treatment of wAMD have been carried out, initially proving the efficacy and safety of HLX04-O. In the near future, a two-part, Phase 3, global, multicentre study of HLX04-O will be initiated in Australia to further evaluate the efficacy and safety in treatment of wAMD.

        It is believed that Henlius and Essex will speed up the global multicentre clinical trials of HLX04-O in China, Australia, the European Union and the United States and apply marketing authorization in different countries and regions around the globe based on the research results. HLX04-O has the potential to be one of the first bevacizumabs approved for ophthalmic diseases, benefiting more patients with eye diseases worldwide. Looking forward, Henlius will continue advancing the development of innovative biologics on the basis of its established and integrated innovation platform, underscoring its long-term commitment to providing affordable and effective therapies for patients worldwide.

        About Henlius
        Henlius (2696.HK) is a global biopharmaceutical company with the vision to offer high-quality, affordable and innovative biologic medicines for patients worldwide with a focus on oncology, autoimmune diseases and ophthalmic diseases. Since its inception in 2010, Henlius has built an integrated biopharmaceutical platform with core capabilities of high-efficiency and innovation embedded throughout the whole product life cycle including R&D, manufacturing and commercialisation. It has established global R&D centers and a Shanghai-based manufacturing facility certificated by China and the European Union (EU) Good Manufacturing Practice (GMP).

        Henlius has pro-actively built a diversified and high-quality product pipeline covering over 20 innovative monoclonal antibodies (mAbs) and has continued to explore immuno-oncology combination therapies with proprietary HLX10 (anti-PD-1 mAb) as backbone. Up to date, Henlius has launched three mAbs developed independently: 漢利康® (HLX01, rituximab), the first China-developed biosimilar, 漢曲優® (HLX02, trastuzumab, Zercepac® in the EU), the first China-developed mAb biosimilar approved both in China and in the EU and 漢達遠® (HLX03, adalimumab), the Company's first product indicated for autoimmune diseases. In addition, the New Drug Applications of HLX04 (bevacizumab) and HLX01 (rituximab) for the treatment of rheumatoid arthritis are under review, and Henlius has conducted over 20 clinical studies for 10 products and 8 combination therapies worldwide, expanding its presence in major market as well as emerging market.


        參考文獻

        [1] 歐陽靈藝, 邢怡橋. 抗VEGF藥物在濕性年齡相關性黃斑變性中的應用進展[J]. 國際眼科雜志, 2020(1).
        [2] Resnikoff S, Pascolini D, Etya'ale D, Kocur I, Pararajasegaram R, Pokharel GP, Mariotti SP. Global data on visual impairment in the year 2002. Bull World Health Organ. 2004 Nov;82(11):844-51.
        [3] Wong WL, Su X, Li X, et al. Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: a systematic review and meta-analysis. Lancet Glob Health. 2014;2(2):e106-116.
        [4] Li X R , Liu J P . Recognition of anti-VEGF therapy base on the mechanism of VEGF in wet age-related macular degeneration[J]. Zhonghua Shiyan Yanke Zazhi/Chinese Journal of Experimental Ophthalmology, 2012, 30(4):289-292.
        [5] Tufail A, Patel PJ, Egan C, Hykin P, da Cruz L, Gregor Z, Dowler J, Majid MA, Bailey C, Mohamed Q, Johnston R, Bunce C, Xing W; ABC Trial Investigators. Bevacizumab for neovascular age related macular degeneration (ABC Trial): multicentre randomized double masked study. BMJ. 2010 Jun 9;340:c2459.
        [6] Martin DF, Maguire MG, Ying GS, Grunwald JE, Fine SL, Jaffe GJ. Ranibizumab and bevacizumab for neovascular age-related macular degeneration. N Engl J Med. 2011 May 19;364(20):1897-908.?
        [7] Chakravarthy U, Harding SP, Rogers CA, Downes SM, Lotery AJ, Wordsworth S, Reeves BC. Ranibizumab versus bevacizumab to treat neovascular age-related macular degeneration: one-year findings from the IVAN randomized trial. Ophthalmology. 2012 Jul;119(7):1399-411.
        [8] Kodjikian L, Souied EH, Mimoun G, Mauget-Fa?sse M, Behar -Cohen F, Decullier E, Huot L, Aulagner G; GEFAL Study Group. Ranibizumab versus Bevacizumab for Neovascular Agerelated Macular Degeneration: Results from the GEFAL Noninferiority Randomized Trial. Ophthalmology. 2013 Nov;120(11):2300-9.
        [9] Krebs I, Schmetterer L, Boltz A, Told R, Vécsei-Marlovits V, Egger S, Sch?nherr U, Haas A, Ansari-Shahrezaei S, Binder S; MANTA Research Group. A randomized double-masked trial comparing the visual outcome after treatment with ranibizumab or bevacizumab in patients with neovascular age-related macular degeneration. Br J Ophthalmol. 2013 Mar;97(3):266-71.
        [10] Berg K, Pedersen TR, Sandvik L, Bragadóttir R. Comparison of ranibizumab and bevacizumab for neovascular age-related macular degeneration according to LUCAS treat-and-extend protocol. Ophthalmology. 2015 Jan;122(1):146-52.
        [11] Schauwvlieghe AM, Dijkman G, Hooymans JM, Verbraak FD, Hoyng CB, Dijkgraaf MG,Peto T, Vingerling JR, Schlingemann RO. Comparing the Effectiveness of Bevacizumab to Ranibizumab in Patients with Exudative Age-Related Macular Degeneration. The BRAMD Study. PLoS One. 2016 May 20;11(5):e0153052.

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