近日,人福医药自主研发的IL-31RA人源化单克隆抗体注射用HWS113 Ⅰ期临床试验顺利完成首例受试者入组,标志着该产品正式进入人体试验阶段。
这项“在健康研究参与者中评价注射用HWS113单次给药的安全性、耐受性、免疫原性及药代动力学特征的I期、随机、双盲、单中心、剂量递增、安慰剂对照临床研究”,由山东第一医科大学第一附属医院赵维主任牵头,目的是在健康研究参与者中评价注射用HWS113单次皮下给药的安全性、耐受性、药代动力学特征和免疫原性。
关于IL-31RA单抗
白细胞介素-31(IL-31)归属于IL-6细胞因子家族,亦被称作“致痒细胞因子”。该因子主要由活化Th2细胞与角质形成细胞分泌,是结节性痒疹、特应性皮炎等Th2型炎症皮肤病发病过程中调控瘙痒的核心介质。IL-31可与感觉神经元表面异源二聚体受体IL-31RA/OSMRβ相结合,启动下游JAK/STAT、PI3K/AKT及MAPK信号通路,向中枢传导痒觉信号,诱发剧烈瘙痒[1]。与此同时,IL-31可促进感觉神经纤维增生与轴突延伸,降低皮肤痒觉阈值,造成外周神经敏化,使瘙痒迁延为慢性病程。
IL-31除主导痒觉传导外,还深度参与Th2型炎症进程。该因子可刺激角质形成细胞、巨噬细胞释放各类促炎细胞因子与趋化因子,募集并活化免疫细胞,放大局部炎症反应;还可抑制角质形成细胞正常分化,破坏皮肤屏障稳态,进一步促使表皮细胞大量释放炎症介质与致痒物质,形成瘙痒-炎症恶性循环。此外,IL-31可作用于真皮成纤维细胞,诱导胶原合成与炎症因子分泌,启动皮肤组织纤维化重塑进程[2]。
临床标本检测显示,IL-31在特应性皮炎、结节性痒疹等多种瘙痒性皮肤病皮损中表达显著升高,其中结节性痒疹病灶内IL-31 mRNA表达水平可上调至正常组织的50倍以上[3]。特异性阻断 IL-31RA,既可直接切断痒觉信号传导,又能下调下游Th2、Th17介导的炎症应答,抑制神经生长因子(NGF)引发的神经元功能异常,并逆转角质形成细胞过度增殖与促纤维化通路异常激活[4]。
慢性瘙痒是指瘙痒症状持续时间大于6周,涵盖各类病因引发的顽固性瘙痒病症。该病人群患病率较高,可显著损害患者躯体健康与心理健康,现阶段仍缺少疗效确切的干预方案。以IL-31RA为作用靶点的单克隆抗体具备高度靶向特异性,可精准阻断痒觉信号通路的传导,在提升临床疗效、降低全身性不良反应方面具备突出优势。截至目前,国内暂未有针对IL-31RA靶点的治疗药物获批上市。
关于HWS113
HWS113是由人福医药自主研发、靶向IL-31RA的全新人源化单克隆抗体。本品对IL-31RA具备高结合亲和力,可强效阻断IL-31信号通路。
动物药效试验结果显示,该药物可明显改善瘙痒与炎症症状,药效优于境外已上市同靶点同类产品。本品不干扰IL-31家族其他细胞因子(IL-6、抑瘤素M)介导的信号通路,同时常规毒性试验、局部刺激性试验与免疫毒性试验结果均提示药物毒性水平低,整体安全性良好。
注射用HWS113系国内首个进入临床试验阶段的IL-31RA靶向单克隆抗体药物。随着研发进程稳步推进,该药物有望早日落地临床,为慢性瘙痒患者开辟精准治疗新路径,弥补当前临床有效治疗药物不足的现状。
关于人福医药研究院
人福医药研究院是人福医药集团的中央研发机构,是集团创新发展的核心引擎,承载着集团战略转型使命,为构建全球研发体系、冲刺世界一流生命科技企业提供核心支撑。研究院聚焦创新药研发,以满足未被满足的临床需求为导向,在集团的优势治疗领域持续深耕,凭借强劲的自主研发与转化能力确立和巩固集团在核心细分赛道的研发优势。研究院将以患者需求为初心、科技创新为引擎,深耕生命健康领域,用优质创新药物赋能人类健康事业,助力集团打造全球竞争力。如需了解更多研发动态,欢迎关注“人福医药研究院”微信公众号。
First Subject Enrolled in Phase Ⅰ Trial of Humanwell Healthcare’s HWS113 for Pruritus
Humanwell Healthcare has successfully dosed the first subject in the Phase Ⅰ clinical trial of HWS113, an investigational humanized monoclonal antibody against IL-31RA.
The Phase Ⅰ, randomized, double-blind, single-center, dose-escalation, placebo-controlled study of HWS113 has been initiated under the leadership of Principal Investigator Dr. Wei Zhao at the First Hospital Affiliated with Shandong First Medical University. The trial is designed to evaluate the safety, tolerability, pharmacokinetics, and immunogenicity of a single subcutaneous dose of HWS113 in healthy volunteers.
About Anti-IL-31 Receptor Antibody
Interleukin-31 (IL-31), a member of the IL-6 cytokine family, has been characterized as a pruritogenic cytokine. It is primarily secreted by activated Th2 cells and keratinocytes and acts as a key itch mediator in Th2-type inflammatory skin diseases such as prurigo nodularis and atopic dermatitis. IL-31 binds to the heterodimeric receptor IL-31RA/OSMRβ on sensory neurons, activating downstream JAK/STAT, PI3K/AKT, and MAPK signaling pathways. This relays itch signals to the central nervous system and elicits intense pruritus[1]. Moreover, IL-31 promotes sensory nerve fiber sprouting and axonal elongation, lowers the cutaneous itch threshold, and induces peripheral sensitization, thereby driving the chronification of pruritus.
Beyond its central role in itch signaling, IL-31 is critically involved in Th2-type inflammatory processes. It stimulates keratinocytes and macrophages to release various pro-inflammatory cytokines and chemokines, which recruit and activate immune cells, amplifying local inflammatory responses. IL-31 also inhibits normal keratinocyte differentiation and disrupts skin barrier homeostasis, further promoting the excessive release of inflammatory mediators and pruritogens from epidermal cells, thereby perpetuating an itch-inflammation vicious cycle. Furthermore, IL-31 acts on dermal fibroblasts to induce collagen synthesis and the secretion of pro-inflammatory cytokines, initiating cutaneous fibrosis and tissue remodeling[2].
Analysis of clinical specimens has shown that IL-31 expression is significantly elevated in skin lesions of various pruritic dermatoses, including atopic dermatitis and prurigo nodularis. Notably, IL-31 mRNA levels in prurigo nodularis lesions can be upregulated by more than 50-fold relative to normal tissue[3]. Specific blockade of IL-31RA not only directly interrupts itch signaling, but also downregulates Th2- and Th17-mediated inflammatory responses, inhibits neuronal dysfunction induced by nerve growth factor (NGF), and suppresses keratinocyte hyperproliferation and aberrant activation of pro-fibrotic pathways[4].
Chronic pruritus is defined as itch lasting more than six weeks, encompassing a range of refractory pruritic disorders arising from various etiologies. The condition is highly prevalent in the general population and can significantly impair patients' physical and mental health. At present, effective treatment options remain limited. Anti-IL-31 Receptor Antibody are highly target-specific, allowing precise blockade of itch signaling pathway, and offer distinct advantages in both clinical efficacy and the reduction of systemic adverse effects. To date, no anti-IL-31 receptor antibody has been approved for marketing in China.
About HWS113
HWS113 is a novel, humanized anti-IL-31 receptor monoclonal antibody, independently developed by Humanwell Healthcare. The antibody exhibits high binding affinity for IL-31RA and potently blocks the IL-31 signaling pathway.
In vivo pharmacodynamic studies have shown that HWS113 significantly relieves pruritus and inflammation, demonstrating superior efficacy compared to anti-IL-31RA therapies currently marketed outside China. Importantly, HWS113 does not interfere with the signaling pathways mediated by other members of the IL-6 cytokine family, such as IL-6 and Oncostatin M. Furthermore, results from general toxicology, local irritation, and immunotoxicity studies have collectively demonstrated a favorable overall safety and low-toxicity profile.
HWS113 is the first anti-IL-31RA monoclonal antibody to enter clinical trials in China. As its clinical development steadily advances, HWS113 is poised to offer a novel precision treatment option for patients suffering from chronic pruritus, addressing a significant unmet medical need.
About Humanwell R&D Institute
Humanwell Pharmaceutical Research and Development Institute is the central R&D organization of Humanwell Healthcare and the core engine driving Humanwell's innovation-led development. It undertakes Humanwell's strategic transformation mission and provides essential support for building a global R&D system and advancing toward a world-class life sciences enterprise. Focused on innovative drug development and guided by unmet clinical needs, the Institute continues to deepen its expertise in Humanwell's key therapeutic areas, leveraging strong in-house R&D and translational capabilities to establish and reinforce Humanwell's research advantages in core niche segments. With patient needs as its founding mission and technological innovation as its driving force, the Institute is committed to advancing the field of life and health sciences, empowering human health through high-quality innovative medicines, and helping Humanwell build global competitiveness. For more updates on our R&D progress, follow the official WeChat account "Humanwell Pharmaceutical Research Institute".
参考文献:
[1]Datsi A, Steinhoff M, Ahmad F, et al. Interleukin-31: The "itchy" cytokine in inflammation and therapy. Allergy. 2021 Oct;76(10):2982-2997.
[2]Nemmer JM, Kuchner M, Datsi A, et al. Interleukin-31 Signaling Bridges the Gap Between Immune Cells, the Nervous System and Epithelial Tissues. Front Med (Lausanne). 2021 Feb 10;8:639097.
[3]Sonkoly E, Muller A, Lauerma AI, et al. IL-31: a new link between T cells and pruritus in atopic skin inflammation. J Allergy Clin Immunol. 2006 Feb;117(2):411-7.
[4]Tsoi LC, Hacini-Rachinel F, Fogel P, et al.. Transcriptomic characterization of prurigo nodularis and the therapeutic response to nemolizumab. J Allergy Clin Immunol. 2022 Apr;149(4):1329-1339.
声明:
1. 本资讯旨在分享医药领域的科研进展与前沿信息,仅供医疗卫生专业人士进行学术交流与参考,不构成任何广告或产品推荐。
2. 本资讯中涉及的信息不能替代专业医疗指导,所有医疗决策请遵从医疗卫生专业人士的意见或指导。
3. 本资讯任何前瞻性陈述均基于当前预测,实际结果可能存在不确定性。
4. 对于依赖本文信息作出的任何决定或行动,本公司不承担相关责任。