Sertraline Hydrochloride

精彩内容 华海药业2024上半年业绩再创新高，有券商预计全年营业收入有望突破100亿元。今年一季度在重点省市公立医院终端，公司的磷酸奥司他韦胶囊大涨597%、左乙拉西坦注射用浓溶液大涨394%，公司的医药制剂业务日渐火爆。2024年至今，公司陆续拿下16个新产品，目前有40个高端仿制药报产在审。创新药方面，注射用HB0052和HB0046注射液在今年首次获批临床，目前公司有12款1类新药、3款2类新药正在积极推进临床，未来可期。 神经系统药物领军！5个畅销品种大涨超100% 华海药业2024上半年营业收入为51.28亿元，同比增长19.43%，净利润达7.49亿元，同比增长31.60%。据悉，公司业绩创新高的原因包括了新产品持续导入并逐步上量，积极推进全球销售网络布局，成本控制能力、综合竞争实力及盈利能力进一步增强等。有券商预计，华海药业2024年全年的营业收入有望突破100亿元，净利润可达13亿元。 图1：华海药业2024年Q1的大类格局情况来源：米内网重点省市公立医院药品终端竞争格局 神经系统药物、全身用抗感染药物、心脑血管系统药物、呼吸系统用药已成为华海药业4大拳头领域，2024年Q1在重点省市公立医院终端的合计市场份额超过95%。从增长情况来看，公司的神经系统药物2024年Q1增速为39.17%，全身用抗感染药物增速为30.75%，心脑血管系统药物微跌1.94%，呼吸系统用药暴涨169.76%。 表1：华海药业2024年Q1产品TOP20中销售正增长的产品情况来源：米内网重点省市公立医院药品终端竞争格局 2024年Q1在重点省市公立医院终端，华海药业TOP20产品中有5个增长率超过100%。呼吸系统用药复方甲氧那明胶囊增长了169.76%，全身用抗感染药物磷酸奥司他韦胶囊（2022年获批）大涨596.65%，神经系统药物左乙拉西坦片（2020年获批）和左乙拉西坦注射用浓溶液（2022年获批）分别增长了146.70%、394.08%，心脑血管系统药物缬沙坦氢氯噻嗪片（2022年获批）增长率为189.95%，公司近几年获批的新产品正在持续爆发活力。 3大市场新突破，国采中标产品大放异彩 米内网数据显示，2024年至今华海药业已陆续拿下了16个新产品，涉及6个大类（10个亚类）。3个畅销品类市场迎来了大突破，非布司他片是公司首款获批的抗痛风制剂，枸橼酸托法替布片是公司首款获批的免疫抑制剂，在抗帕金森氏病药市场，华海药业的多巴丝肼片在2024年2月获批，随后在5月份拿下了甲磺酸雷沙吉兰片。 表2：华海药业2024年至今获批的新产品（按批文统计）来源：米内网中国申报进度（MED）数据库 截至2024年9月9日，华海药业及子公司过评（含视同过评）产品达70个。公司在半年报中提到，以一致性评价和集采为契机大力拓展国内市场，华海药业从4+7城市试点至第九批国采（不含第六批胰岛素专项）已中标产品达23个。 表3：华海药业已中标产品2024年Q1的市场情况来源：米内网重点省市公立医院药品终端竞争格局 中标产品持续放量，公司所占的市场份额迅速攀升，领军地位越趋明显。2024年Q1在重点省市公立医院终端，华海药业已成为赖诺普利片、盐酸帕罗西汀片、缬沙坦片、阿立哌唑口崩片的龙头药企，成为氯沙坦钾片、厄贝沙坦氢氯噻嗪片、福辛普利钠片、安立生坦片、盐酸多奈哌齐片、奥氮平口崩片、盐酸舍曲林片的TOP2企业，成为厄贝沙坦片、利培酮片、伏立康唑片的TOP3企业。 第十批国采是2024年医药界的大事件之一，一直备受市场瞩目，目前华海药业已过评且暂未纳入国采的产品中有12个产品的竞争企业（原研+过评）≥5家，包括了拉莫三嗪片、左乙拉西坦缓释片、利格列汀片、磷酸西格列汀片、西格列汀二甲双胍片(Ⅱ)、盐酸艾司洛尔注射液、盐酸美金刚口服溶液、多巴丝肼片、托拉塞米片、甲磺酸雷沙吉兰片、注射用盐酸表柔比星、富马酸卢帕他定片，这些产品均为公司在2020-2024年按新分类获批的新产品，“光脚产品”有望迎来新的爆发期。 40个新品冲刺上市，17款新药在路上 华海药业在2024年半年报中提到，公司在国内的制剂研发战略由“抢集采”向“仿创结合、抢先上市”转变，目前公司报产在审的新产品有40个，均为化药仿制药。 表4：2022年至今华海药业及子公司申报上市并在审的新产品来源：米内网中国申报进度（MED）数据库 公司将在抗炎药和抗风湿药、止血药、脑血管治疗用药、止泻药和肠道抗炎/抗感染药、心脏病治疗用药、胃肠解痉药和抗胆碱药和胃动力药、抗贫血制剂7个亚类市场迎来新突破。 此外，目前国内市场上暂无二甲双胍恩格列净片(Ⅴ)、达格列净二甲双胍缓释片(Ⅰ)、达格列净二甲双胍缓释片(Ⅲ)、达格列净二甲双胍缓释片(Ⅳ)、坎地沙坦酯氢氯噻嗪片的国产仿制药获批（按产品名统计），华海药业将参与上述5个产品的国内首仿争夺。 表5：华海药业部分在研的重磅新药来源：公司半年报、米内网中国临床试验数据库 在创新药研发方面，华海药业以研发国内首创、同类最优的小分子创新药为目标，聚焦中枢神经系统疾病、代谢相关疾病、肿瘤相关疾病等领域。半年报中提到，公司有多个创新药已处于关键临床，有望在未来2-3年内实现商业化，为公司多元化增长提供助力。 2024年4月及7月，生物药1类新药注射用HB0052和HB0046注射液首次获批临床，适应症均为晚期实体肿瘤。注射用HB0052是靶向CD73抗原的第三代抗体偶联药物，有望成为新一代肿瘤治疗药物；HB0046注射液则是一款双特异性抗体，由抗CD39的VHH（重链可变区）片段和抗CD73的单抗连接而成。 HB0017注射液是以白介素-17A（IL-17A）为靶点的单克隆抗体，该新药在中重度斑块状银屑病患者中开展的关键III期临床试验于2024年3月顺利完成了首例受试者入组给药，截至目前已完成全部患者的入组。 HB0025注射液是可同时靶向VEGF与PD-L1的双特异性融合蛋白，在晚期非小细胞肺癌、子宫内膜癌、肾癌、结直肠癌等瘤种都显示了积极的疗效信号，目前该新药的II期临床正在积极推进中。 HB0034注射液是靶向IL-36R（白介素-36受体）的人源化IgG1型单克隆抗体，临床重点开发的适应症是泛发性脓疱型银屑病，该新药关键II期临床在2024年3月完成首例受试者入组给药。 收获近百个ANDA文号，15个产品居TOP1 华海药业作为国内制药企业拓展国际市场的先导企业，在美国市场已形成包括自主销售、大批发商、终端连锁店和商业公司等多渠道的营销体系，销售网络基本覆盖美国大中型药品采购商，在国际医药市场树立了中国制药的品牌形象。今年以来，公司陆续拿下6个产品的ANDA文号，截至目前公司的ANDA文号（含暂时性批准）接近百个。 表6：华海药业今年以来获得的ANDA文号（含暂时获批）来源：公司公告 公司在半年报中提到，新产品持续导入赋能美国制剂业务强劲发展动力，从治疗领域、用药可及度、研发技术等多维度为公司加速美国市场拓展提供了强大的产品梯队。数据显示，公司在美国市场销售的被纳入统计的58个产品中，有32个产品的市场份额占有率位居前三，其中15个产品市场份额占有率位居第一。 资料来源：公司半年报及公告、米内网数据库注：米内网重点省市公立医院化学药终端竞争格局数据库是以20+省市，近700家样本省市公立医院的化学药采购数据为基础，对化学药全品类进行连续监测的样本省市样本医院数据库；上述销售额以产品在终端的平均零售价计算。数据统计截至9月9日，如有疏漏，欢迎指正。 本文为原创稿件，转载请注明来源和作者，否则将追究侵权责任。投稿及报料请发邮件到872470254@qq.com稿件要求详询米内微信首页菜单栏商务及内容合作可联系QQ：412539092 【分享、点赞、在看】点一点不失联哦

- Pharmaceutical industry veteran and former Janssen executive Dr. David Hough appointed senior medical advisor to oversee clinical and regulatory - Lykos to significantly reduce workforce, streamlining organization around clinical development and regulatory engagement - MAPS founder Dr. Rick Doblin to exit from Lykos Board SAN JOSE, Calif., Aug. 15, 2024 /PRNewswire/ -- Lykos Therapeutics ("Lykos"), a company dedicated to transforming mental healthcare, today announced a reorganization to best support the company as it works to address the resubmission of its new drug application ("NDA") for midomafetamine capsules for the treatment of post-traumatic stress disorder ("PTSD") in adults. "Lykos is deeply dedicated to bringing midomafetamine to those suffering from PTSD and remains highly committed to this goal," said Jeff George, Chairman of the Lykos Board. "At the same time, we take to heart the FDA's decision and the additional work we will need to do to bring this pioneering therapy to market." As part of the changes, Dr. David Hough will lead and oversee the clinical development program and FDA engagement regarding the resubmission of midomafetamine. Dr. Hough previously was Vice President of Research and Development at J&J Innovative Medicine (a Johnson & Johnson company). He served in various leadership roles over 17 years, including as the compound development team leader for INVEGA (paliperidone), INVEGA SUSTENNA, INVEGA TRINZA, as well as the compound development team leader for SPRAVATO® (esketamine nasal spray), a position in which he was responsible for all medical, scientific, manufacturing, quality, preclinical, and commercial aspects of the program. "My hope is to build on the strong foundation Lykos has created and leverage my experience in the industry to ensure a productive ongoing dialogue with the FDA and oversee the clinical work that needs to be done to address the Agency's questions which will allow us to serve patients safely and effectively," said Dr. Hough. "Dr. Hough is a consummate industry professional and exactly the right person to lead the crucial work of engaging with the FDA for our resubmission," added Mr. George. "His experience in recent approvals, including SPRAVATO®, is greatly relevant to our organization's mission. We are grateful that he will join our team and we look forward to engaging the FDA in the coming months to work to bring this therapy to the millions of those suffering from post-traumatic stress disorder (PTSD)." In addition, the company will be reducing its workforce by approximately 75%, with the remaining team focused on its ongoing clinical development, medical affairs, and engagement with the FDA. "The team at Lykos has been part of a pioneering effort to bring forward the first clinical trials for midomafetamine and we are sincerely grateful for their efforts," said Amy Emerson, Chief Executive Officer of Lykos. "As we prepare to address the FDA decision, we need to focus on delivering the FDA the robust clinical data necessary to support the approval of this potential new treatment." Lykos' newly formed Independent Advisory Board will also provide overall support and guidance to the management team throughout the resubmission process and ensure continued engagement with top-tier behavioral health facilities, the mental health community, and key patient stakeholder groups such as veterans and survivors of sexual violence. In addition, Dr. Rick Doblin, the Founder and President of MAPS, has left his position on the Lykos board. "After 38 plus years of work, I'm profoundly saddened by the FDA decision around this critically needed therapy, but am heartened that Lykos will still move forward continuing clinical research that addresses the FDA's questions," said Dr. Doblin. "I can speak more freely as a public advocate by resigning from the Lykos Board. The FDA delays make it more important than ever that I work at MAPS toward developing global legal access to MDMA and other psychedelics for public benefit through MAPS' multidisciplinary research, education, and drug policy reform." "Rick Doblin has been a trailblazing pioneer in this field," said Mr. George. "His many decades of leadership, unparalleled dedication, and deep contributions have shaped and guided the revival of psychedelic research and development, spurring transformative innovation in mental health. His legacy will continue through the work of both Lykos and its peers as we all work towards providing new and better treatment options for millions of patients in need." Dr. Hough is a graduate of West Point and served for several years as an Army officer before attending medical school at the Uniformed Services University of the Health Sciences (USUHS) in Bethesda, Maryland. After completing residency training in Psychiatry at Walter Reed Medical Center in Washington DC, he served for 10 years as an Army psychiatrist at two separate community hospitals and on faculty at a psychiatry residency program in Honolulu, Hawaii. He supervised numerous psychiatry residents and allied mental health professionals serving as head of outpatient clinics and behavioral health departments in different military hospitals. He completed a two-year research fellowship in Clinical Pharmacology jointly sponsored by USUHS and Walter Reed Army Institute of Research. He is board certified in both Adult and Geriatric Psychiatry and held an Adjunct Assistant Professor of Psychiatry position at USUHS for several years. He has authored numerous publications in peer reviewed journals, is a reviewer for several journals, and was an examiner for the American Board of Psychiatry and Neurology. He served in various leadership roles over 17 years at J&J Innovative Medicine including as the compound development team leader for INVEGA (paliperidone), INVEGA SUSTENNA, INVEGA TRINZA, as well as the compound development team leader for SPRAVATO® (esketamine nasal spray), a position in which he was responsible for all medical, scientific, manufacturing, quality, preclinical, and commercial aspects of the program. Midomafetamine capsules have not been approved by any regulatory agency. The safety and efficacy of midomafetamine have not been established for the treatment of PTSD. Investigational midomafetamine is also being studied in other indications. About PTSD Prevalence and symptoms PTSD is a serious mental health condition that can develop when a person experiences or witnesses a traumatic event.1 PTSD affects approximately 13 million Americans each year with women and disadvantaged or marginalized groups more likely to be affected.2,3 Military personnel also have a greater prevalence of PTSD than the general population.4 However, it may not be as widely known that the largest cause of PTSD is non-combat-related trauma (e.g., sexual violence, unexpected death of a loved one, life-threatening traumatic event or interpersonal violence).5 PTSD results in debilitating symptoms including nightmares and intrusive thoughts related to the trauma, mental and/or physical distress in response to trauma-related stimuli, avoidant behaviors, negative thoughts and feelings, and hyperarousal.6 These symptoms can impact nearly all aspects of a person's life, including their interpersonal relationships.4 PTSD can also be a chronic condition with a World Health Organization study showing that after ten years post-trauma, nearly a quarter of people had not recovered.7 Co-morbidities and economic impact People with PTSD frequently experience anxiety, depression, substance use disorder and suicidal ideation.8,9 They also may have a greater incidence of medical conditions that impact their physical health, including heart disease, metabolic syndrome and asthma.10,11,12,13 U.S. Army veterans who developed PTSD after military service have been shown to have approximately two times greater risk of mortality than U.S. Army veterans who did not develop PTSD after military service.15 In addition to the significant personal impact, PTSD has an enormous economic impact, resulting in an estimated annual cost of over $232 billion in the United States.13 PTSD treatment Trauma-focused talk therapy, which concentrates on memories of the traumatic event or thoughts and feelings associated with the traumatic event is first-line treatment for PTSD, which can be used alone or in combination with medication. 14 There are two SSRIs approved for the treatment of PTSD (sertraline and paroxetine).15 Studies have shown talk therapy lessens the severity of PTSD symptoms, however, improvements in functioning and quality of life have been modest.16,17 Trauma-focused talk therapy is associated with a high risk of dropout and lingering symptoms which occur in as many as two-thirds of people who complete treatment.18,19 Current treatments for PTSD are "reasonably efficacious" (Bryant, 2019, p.265), however many people don't respond to treatment or stop treatment early, underscoring the urgent need for new evidence-based therapies and approaches to address this important public health issue.2 While there have been advancements in the management of PTSD, there have been no new drug treatments approved by the FDA in over twenty years.20 About Midomafetamine-Assisted Therapy Midomafetamine (MDMA) is commonly known to mental health professionals. In the 1970s and early 1980s, MDMA was used in conjunction with talk therapy by mental health providers to help enhance patients' access, processing and communication of difficult emotions and experiences.21 MDMA is an entactogen— a class of psychoactive compounds that are differentiated from classic psychedelics (i.e., psilocybin, mescaline and LSD) and are defined based on their mechanism and demonstrated effects of increasing self-awareness leading to introspection and personal reflection.22,23 In 1985, the U.S. Drug Enforcement Administration ("DEA") made MDMA a Schedule I drug under the Controlled Substances Act, preventing it from being used for recreational or medical use.24 Since then, research has suggested that MDMA may have potential as a catalyst to support psychotherapy by helping diminish the brain's fear response, allowing people to access and process painful memories without being overwhelmed.25 Lykos, with longstanding roots in advocacy for psychedelic medicine, was the first company to pioneer randomized, double-blind, placebo-controlled clinical trials evaluating the efficacy and safety of MDMA-assisted therapy as an investigational modality using midomafetamine (MDMA) in combination with psychological intervention and submit an NDA to the FDA seeking approval for the treatment of PTSD in adults. Lykos Therapeutics At Lykos Therapeutics, a public benefit corporation ("PBC") founded by the Multidisciplinary Association for Psychedelic Studies ("MAPS"), our mission is to transform mental healthcare. We're applying decades of evidence-based research to develop investigational psychedelics to catalyze therapeutic approaches for mental health conditions. We are relentlessly exploring and reimagining novel approaches to address unmet needs in the mental healthcare space, with an initial focus on PTSD. As a PBC, we are focused on delivering positive impact on our people, communities and society. To learn more visit us at and on LinkedIn, X, Instagram and Facebook. 1 The Mayo Clinic, PTSD, symptoms and causes. Accessed February 14, 2024. 2 VA National Center for PTSD. US Department of Veterans Affairs. Accessed May 13, 2024. 3 Goldstein RB et al. The epidemiology of DSM-5 posttraumatic stress disorder in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions-III. Soc Psychiatry Psychiatr Epidemiol. 2016; 51(8):1137–1148. 4 Lehavot K et al. Post-traumatic stress disorder by gender and veteran status. Am J Prev Med. 2018 Jan;54(1):e1-e9. doi: 10.1016/j.amepre.2017.09.008 5 Kessler RC, Rose S, Koenen KC, et al. How well can post-traumatic stress disorder be predicted from pre-trauma risk factors? An exploratory study in the WHO World Mental Health Surveys. World Psychiatry. 2014 Oct;13(3):265-74. doi: 10.1002/wps.20150 6 Bryant RA. Post-traumatic stress disorder: a state-of-the-art review of evidence and challenges. World Psychiatry. 2019;18(3):259–269. 7 Rosellini AJ et al. Recovery from DSM-IV post-traumatic stress disorder in the WHO World Mental Health surveys. Psychol Med. 2018 Feb;48(3):437-450. doi: 10.1017/S0033291717001817 8 Grinage B.D. Diagnosis and management of post-traumatic stress disorder. Am Fam Physician. (2003);68(12):2401-2409. PMID: 14705759. 9 Rojas SM et al. Understanding PTSD comorbidity and suicidal behavior: associations among histories of alcohol dependence, major depressive disorder, and suicidal ideation and attempts. J Anxiety Disord. 2014 Apr;28(3):318-25. doi: 10.1016/j.janxdis.2014.02.004 10 Edmondson D, von Känel R. Post-traumatic stress disorder and cardiovascular disease. Lancet Psychiatry. 2017 Apr;4(4):320-329. doi: 10.1016/S2215-0366(16)30377-7 11 Krantz DS, Shank LM, Goodie JL. Post-traumatic stress disorder (PTSD) as a systemic disorder: Pathways to cardiovascular disease. Health Psychol. 2022 Oct;41(10):651-662. doi: 10.1037/hea0001127 12 Boscarino JA. Posttraumatic stress disorder and mortality among U.S. Army veterans 30 years after military service. Ann Epidemiol. 2006 Apr;16(4):248-56. doi: 10.1016/j.annepidem.2005.03.009 13 Nichter B, Norman S, Haller M, Pietrzak RH. Physical health burden of PTSD, depression, and their comorbidity in the U.S. veteran population: Morbidity, functioning, and disability. J Psychosom Res. 2019 Sep;124:109744. doi: 10.1016/j.jpsychores.2019.109744 14 Watkins LE, Sprang KR, Rothbaum BO. Treating PTSD: A Review of Evidence-Based Psychotherapy Interventions. Front Behav Neurosci. 2018 Nov 2;12:258. doi: 10.3389/fnbeh.2018.00258. PMID: 30450043; PMCID: PMC6224348. 15 American Psychological Association. Clinical Practice Guidelines for the Treatment of PTSD. Medications (apa.org) Accessed May 17, 2024. 16 Cusack K, et al. Psychological treatments for adults with posttraumatic stress disorder: A systematic review and meta-analysis. Clin Psychol Rev. 2016;43:128-141. 17 Bonfils, KA et al, Functional outcomes from psychotherapy for people with posttraumatic stress disorder: A meta-analysis. J Anxiety Disorders. 2022;89:102576. 18 Lewis, C., Roberts, N. P., Gibson, S., & Bisson, J. I. (2020). Dropout from psychological therapies for post-traumatic stress disorder (PTSD) in adults: systematic review and meta-analysis. European Journal of Psychotraumatology, 11(1). 19 Steenkamp, M. M., Litz, B. T., Hoge, C. W., & Marmar, C. R. (2015). Psychotherapy for Military-Related PTSD. JAMA, 314(5), 489. 20 Stein MB, Rothbaum BO. 175 Years of Progress in PTSD Therapeutics: Learning From the Past. Am J Psychiatry. 2018 Jun 1;175(6):508-516. doi: 10.1176/appi.ajp.2017.17080955 21 Wagner MT, Mithoefer MC, Mithoefer AT, MacAulay RK, Jerome L, Yazar-Klosinski B, Doblin R. Therapeutic effect of increased openness: Investigating mechanism of action in MDMA-assisted psychotherapy. J Psychopharmacol. 2017 Aug;31(8):967-974. doi: 10.1177/0269881117711712 22 Nichols, David E. Entactogens: How the name for a novel class of psychoactive agents originated. Frontiers in Psychiatry. 2022 Mar 25;13:863088. doi:10.3389/fpsyt.2022.863088 23 Vollenweider, Franz X.,Dialogues Clin Neurosci. 2001 Dec; 3(4): 265–279.doi: 10.31887/DCNS.2001.3.4/fxvollenweider 24 National Institute on Drug Abuse (NIDA) (nih.gov) What is the history of MDMA? . Accessed, January 17, 2024. What is the history of MDMA? | National Institute on Drug Abuse (NIDA) (nih.gov) 25 Yazar-Klosinski B, Mithoefer MC. Potential psychiatric uses for MDMA. Clinical Pharmacology & Therapeutics. 2017 Feb;101(2):194-196. doi: 10.1002/cpt.565 SOURCE Lykos Therapeutics