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2026年6月4日,陕西麦科奥特医药科技股份有限公司(以下简称“麦科奥特”)自主研发的全球首创(first-in-class)双靶点多肽创新药 MT1002,继ACS-PCI、急性缺血性卒中之后,第三个适应症--血液透析抗凝,II期临床试验(MT1002-II-C05)正式获得组长单位复旦大学附属中山医院伦理委员会批准,标志着这项评估MT1002有效性和安全性的两阶段II期临床研究获得正式准入,即将全面启动受试者入组工作。MT1002的应用场景正从心血管介入、脑血管急救向慢性肾脏病管理的广阔领域继续拓展。
维持性血液透析患者长期面临着出血与缺血风险难以平衡的治疗困境。一方面,透析过程中体外循环管路的高剪切应力及凝血系统激活,易导致透析器凝血和回路微血栓形成,严重影响透析效率与患者生活质量;另一方面,患者自身凝血功能障碍及抗凝剂的使用又显著增加了出血风险,而动静脉瘘血栓等血管通路事件的发生率也居高不下。
然而,现有血液透析最常用的抗凝剂普通肝素存在剂量缺乏标准化、个体差异大、出血风险、肝素诱导的血小板减少症等问题。抗血小板药物(阿司匹林/氯吡格雷)在透析患者中存在明显的疗效减退和出血风险升高的问题。
MT1012 作用机制图
作为具有创新机制的双特异性多肽药物,MT1002采用独特的双靶点协同抑制设计,同时具备直接凝血酶抑制剂与血小板糖蛋白IIb/IIIa受体拮抗剂的双重作用。这种“一药双靶、抗凝+抗板协同”的设计,旨在更全面地阻断血栓形成通路,在透析这一特殊场景下,有望通过“抗凝+抗板”协同作用,突破传统单靶点治疗的局限,在有效预防血栓事件的同时不额外增加出血风险,从而突破当前透析抗凝治疗的瓶颈,为患者带来差异化的临床获益- 改善透析过程中的微血栓负荷、延长滤器寿命、降低动静脉血栓的发生率等。
为此,麦科奥特全力推进MT1002的开发,旨在突破这一治疗瓶颈。非临床药效学研究及已完成的中、美I期临床研究及针对其他适应症的II期临床研究数据,为拓展适应症的临床试验提供了坚实的理论基础及数据支撑。
组长单位伦理批件的获得是MT1002临床开发进程中的重要里程碑,为后续受试者招募、临床数据收集及多中心协作奠定了坚实基础。麦科奥特表示,将秉持科学严谨的态度,统筹各参研中心管理,与组长单位复旦大学附属中山医院及各分中心密切协作,加快推进临床研究进程,力争早日为全球终末期肾病患者带来这一创新的抗凝抗栓治疗选择。
MT1002的研发进展体现了中国创新药企在肾病抗凝治疗领域的研发实力。面对终末期肾病血液透析患者高血栓、高出血、高通路失功的治疗困境,麦科奥特从未停止探索的脚步。未来,麦科奥特将继续秉持“创新赋能健康”的理念,力争早日将 MT1002推向市场,为全球血液透析患者提供一种全新的、更安全的抗凝抗栓治疗选择,填补该领域未被满足的临床需求。
MICOT
On Jun 4, 2026, the global first-in-class dual-target polypeptide innovative drug MT1002, independently developed by Shaanxi Micot Biomedical Technology Co., Ltd. (hereinafter referred to as “Micot”), received formal approval from the Ethics Committee of the lead site, Zhongshan Hospital Affiliated to Fudan University, for its third indication—anticoagulation in hemodialysis—in a Phase II clinical trial (Project No. MT1002-II-C05), following the indications of ACS-PCI and acute ischemic stroke.
This approval marks the official clearance of this two-stage Phase II clinical study evaluating the efficacy and safety of MT1002, and patient enrollment is about to be fully initiated. The application scenarios of MT1002 are thus continuing to expand from cardiovascular intervention and cerebrovascular emergency into the broad field of chronic kidney disease management.
Patients on maintenance hemodialysis have long faced the therapeutic dilemma of balancing bleeding and ischemic risks. On one hand, high shear stress in the extracorporeal circuit during dialysis and activation of the coagulation system can easily lead to dialyzer clotting and microthrombus formation in the circuit, severely affecting dialysis efficiency and patients’ quality of life. On the other hand, the patients’ own coagulation dysfunction, together with the use of anticoagulants, significantly increases bleeding risk, while the incidence of vascular access events such as arteriovenous fistula (AVF) thrombosis remains high.
However, unfractionated heparin, the most commonly used anticoagulant in hemodialysis, has multiple issues including lack of standardized dosing, high inter-individual variability, bleeding risk, and heparin-induced thrombocytopenia (HIT). Antiplatelet agents (aspirin/clopidogrel) show markedly reduced efficacy and an increased bleeding risk in dialysis patients.
Mechanism of Action Diagram of MT1012
As an innovative bispecific peptide drug, MT1002 adopts a unique dual-target synergistic inhibition design, possessing both direct thrombin inhibitor and glycoprotein IIb/IIIa receptor antagonist activities. This “one drug, dual targets, synergistic anticoagulant and antiplatelet” design aims to more comprehensively block thrombotic pathways. In the specific setting of dialysis, it is expected to overcome the limitations of traditional single-target therapies through synergistic anticoagulant and antiplatelet effects, effectively preventing thrombotic events without adding extra bleeding risk. This would break through the current bottleneck in anticoagulation for dialysis and bring differentiated clinical benefits to patients – improving microthrombus burden during dialysis, prolonging filter life, and reducing the incidence of arteriovenous thrombosis, among others.
To this end, Micot is fully advancing the development of MT1002, aiming to break through this therapeutic bottleneck. Non-clinical pharmacodynamic studies, completed Phase I clinical studies in China and the United States, and Phase II clinical data for other indications have provided a solid theoretical foundation and data support for expanding the clinical trial of this new indication.
The receipt of the ethics approval from the lead site represents an important milestone in the clinical development of MT1002, laying a solid foundation for subsequent patient enrollment, clinical data collection, and multi‑center collaboration. Micot stated that it will adhere to a rigorous and scientific approach, coordinate the management of all participating study sites, and work closely with the lead site (Zhongshan Hospital Affiliated to Fudan University) and each affiliated center to accelerate the clinical research process. The Company strives to bring this innovative anticoagulation antithrombotic treatment option to patients with end‑stage renal disease worldwide as soon as possible.
The development progress of MT1002 reflects the research and development capabilities of Chinese innovative pharmaceutical companies in the field of anticoagulation therapy for kidney disease. Facing the therapeutic challenges of high thrombotic risk, high bleeding risk, and high vascular access failure in hemodialysis patients with end-stage renal disease, Micot has never ceased its pursuit of solutions.
Moving forward, Micot will continue to uphold the philosophy of “Empowering Health through Innovation,” striving to bring MT1002 to market as soon as possible, so as to provide a new and safer anticoagulant and antithrombotic treatment option for hemodialysis patients worldwide, and to fill the unmet clinical needs in this field.
MICOT