An Open Label Study to Investigate the Long-term Safety and Efficacy of Belimumab Administered Subcutaneously in Adults With Systemic Sclerosis Associated Interstitial Lung Disease (SSc-ILD)

This is an open label extension (OLE) study of an ongoing randomized controlled clinical study 218224 (Parent Study). The OLE study will describe how well tolerated belimumab will be long term, and whether it might continue to slow progression of lung function decline, slow overall disease progression and improve quality of life.

开始日期2024-12-12

申办/合作机构

GSK Plc

[+1]

NCT06381453

/ Recruiting临床2期IIT

Belimumab in the Management of Autoimmune Hepatitis: a Multi-centre, Open-label Trial of Add-on Belimumab Therapy to Standard of Care

Background: Autoimmune hepatitis (AIH) is a rare chronic and lifelong liver disease. Untreated, disease progresses to end-stage cirrhosis and the focus of therapy is with immunosuppression. Current therapies are limited, not targeted, and associated with side effects that patients report reduce quality of life. AIH is believed to arise as a consequence of genetic & environmental risks. Disease is characterised by impaired immunoregulation, that favours a chronic and relapsing hepatitis. As well as recognising an important role for cytotoxic T cells and regulatory T cells, it has become apparent that in AIH, as well as other related autoimmune conditions, that B-cells are important. AIH is characterised by a plasma cell rich interface hepatitis and elevated IgG concentrations. Furthermore B-cell lineages interact with regulatory T-cells. Off-label use of Rituximab, an anti-CD20 agent, has been described for patients with AIH. A number of other ways of effectively targeting B-cells in the treatment of related autoimmune diseases have also been developed, but there have been limited studies in people living with autoimmune hepatitis. Belimumab is a human monoclonal antibody that inhibits B-cell activating factor (BAFF), also known as B-lymphocyte stimulator. It is approved in the Canada to treat systemic lupus erythematosus and lupus nephritis. It has not been studied before in AIH, but off-label reports are published. In an open-label clinical trial of people living with autoimmune hepatitis, the investigator will now formally study the effect of adding Belimumab to existing standard of care, with the goal being to evaluate treatment efficacy, the ability to reduce the burden of existing therapies whilst still controlling AIH disease, and to describe the tolerability & safety of Belimumab in people with AIH. Study Design: Open label, multi-centre, Canadian clinical trial. Patient population: Patients with autoimmune hepatitis, excluding patients with decompensated liver disease, who either have active disease despite standard of care (Group A), or who are maintained with disease remission using standard of care therapy (Group B). 48 patients will be recruited. Intervention: Weekly sub-cutaneous Belimumab. Duration: 72 weeks with interim analysis after 24 patients have been treated for 24 weeks; target recruitment 48 patients. Evaluation: Safety, Serum liver tests, quality of life, exploratory immunologic biomarkers, optional liver biopsy or fine needle liver aspirate. Primary end-point: Group A: 50% or more of subjects have an ALT<2x ULN & corticosteroids at a dose of

开始日期2024-12-11

申办/合作机构

University Health Network

[+1]

100 项与贝利尤单抗相关的临床结果

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100 项与贝利尤单抗相关的转化医学

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100 项与贝利尤单抗相关的专利（医药）

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1,300

项与贝利尤单抗相关的文献（医药）

2025-07-01·JOINT BONE SPINE

Comparative efficacy and safety of anifrolumab for belimumab-experienced and biologic-naïve patients with systemic lupus erythematosus: Results from the Kyushu Collagen Disease Network for Systemic Lupus Erythematosus (KCDN-SLE) registry

Letter

作者: Maekawa, Makiko ; Ueda, Naoyasu ; Tanaka, Atsushi ; Ayano, Masahiro ; Kushimoto, Kazuo ; Mishima, Koji ; Tsuru, Tomomi ; Doi, Goro ; Akashi, Koichi ; Akahoshi, Mitsuteru ; Ota, Shun-Ichiro ; Nakayama, Tsuyoshi ; Niiro, Hiroaki ; Horiuchi, Takahiko

2025-06-01·PEDIATRIC NEPHROLOGY

The beneficial effect of adding belimumab in severe and refractory IgA nephropathy: a case report

Article

作者: Mao, Youying ; Liu, Chong ; Yin, Lei ; Zhang, Chenxing ; Xu, Jing ; Zheng, Song Guo

IgA nephropathy (IgAN) is one of the most common primary glomerular diseases worldwide and is the most common cause of chronic kidney disease (CKD) in China. It lacks recommended treatment in refractory IgAN after conventional therapy. Belimumab, a recombinant human IgG-1λ monoclonal antibody that inhibits the B lymphocyte stimulator, is recommended to treat active lupus nephritis. This report presents a case of a child with severe and refractory IgAN who showed kidney response after belimumab addition combined with conventional therapy. The therapy result was accompanied by decreased plasma cells in peripheral blood. It is the first case showing the benefits of adding belimumab to other immunosuppressive regimens.

2025-05-01·Lancet Rheumatology

Evolution and trajectory of B-cell targeted therapies in rheumatic diseases

Review

作者: Ehrenstein, Michael R ; Vital, Edward M ; Carter, Lucy Marie

Aberrant B-cell function, which could arise from various underlying causes, is central to the pathogenesis of diverse autoimmune rheumatic diseases. B cells remain the only cell type to be specifically therapeutically targeted through depletion and have the only therapy with a routinely available flow cytometric biomarker of treatment. Since first use and subsequent licensing for rheumatoid arthritis, rituximab has had a transformative impact on patients globally and across the rheumatic diseases. Further insights from B-cell-activating factor (BAFF) blockade with belimumab in systemic lupus erythematosus have followed. Examination of B-cell depletion, clinical outcomes, and re-emergent disease after treatment have deepened our understanding of the identity, detailed phenotype, biology, and kinetics of the B-cell subsets that are central to disease. This Review reflects on 20 years of clinical and translational insights drawn from B-cell targeted therapies for adult autoimmune rheumatic diseases, and highlights how these therapies have informed an exciting new era of future therapeutic developments.

196

项与贝利尤单抗相关的新闻（医药）

2025-05-08

·PRNewswire

LUPKYNIS Strengthens Market Position as Demand for Lupus Nephritis Treatment Grows | DelveInsight

As a novel calcineurin inhibitor with proven efficacy in improving renal outcomes, LUPKYNIS addresses a high unmet medical need. With increasing awareness, supportive guidelines, and potential global expansion, it is well-positioned for steady market growth. LAS VEGAS, May 8, 2025 /PRNewswire/ -- DelveInsight's " LUPKYNIS Market Size, Forecast, and Market Insight Report" highlights the details around LUPKYNIS, the first oral lupus nephritis-specific treatment, which has expanded the therapeutic arsenal. The report provides product descriptions, patent details, and competitor products (marketed and emerging therapies) of LUPKYNIS. The report also highlights the historical and forecasted sales from 2020 to 2034, segmented into 7MM [the United States, the EU4 (Germany, France, Italy, and Spain), the United Kingdom, and Japan]. Aurinia Pharmaceuticals/Otsuka Pharmaceutical's LUPKYNIS (voclosporin) Overview LUPKYNIS (voclosporin) is an oral immunosuppressant classified as a calcineurin inhibitor (CNI), shown to improve both short- and long-term outcomes in adult patients with active lupus nephritis when used alongside standard immunosuppressive therapies. By targeting calcineurin, LUPKYNIS helps suppress cytokine activity, inhibits interleukin-2 (IL-2) production, and reduces T-cell driven immune responses. Although the exact mechanism by which voclosporin inhibits calcineurin is not fully understood, it is known that lymphocyte activation increases intracellular calcium, which binds to calcineurin's regulatory site. This activates the calmodulin-binding catalytic subunit, leading to dephosphorylation and activation of the transcription factor NFATc (nuclear factor of activated T-cells, cytoplasmic). The drug's immunosuppressive effect results in decreased lymphocyte proliferation, reduced cytokine production, and lower expression of T-cell activation markers. The recommended initial dose of LUPKYNIS is 23.7 mg twice daily. It should be used in conjunction with mycophenolate mofetil (MMF) and corticosteroids. Learn more about LUPKYNIS projected market size for lupus nephritis @ LUPKYNIS Market Potential Lupus nephritis is a serious and potentially life-threatening complication of systemic lupus erythematosus (SLE), affecting 40–60% of those diagnosed with the disease. It is typically characterized by symptoms such as hematuria (blood in the urine) and proteinuria (protein in the urine). This condition is more prevalent in women, particularly between the ages of 20 and 40. In 2023, the United States recorded the highest number of lupus nephritis cases among the 7MM, with approximately 211K cases, a figure projected to grow by 2034. Treatment strategies for lupus nephritis depend on the kidney biopsy classification of the disease. Standard therapy often includes corticosteroids in combination with immunosuppressive drugs like cyclophosphamide, mycophenolate mofetil, azathioprine, and calcineurin inhibitors. Rituximab, a monoclonal antibody, is widely used, especially for patients with relapsing or treatment-resistant LN, due to its ability to reduce reliance on steroids. Currently, there are only two FDA-approved medications for lupus nephritis: BENLYSTA (belimumab), available as an intravenous or subcutaneous formulation, and LUPKYNIS (voclosporin), a novel oral calcineurin inhibitor. Leading pharmaceutical companies such as Novartis, AstraZeneca, Roche, and Kezar Life Sciences, among others, are actively developing innovative therapies that could redefine the treatment paradigm for lupus nephritis. The treatment landscape is rapidly evolving, shifting away from broad immunosuppression toward more precise, targeted approaches. Recent drug approvals and a strong pipeline of candidates highlight both advancements and the ongoing challenges in creating treatments that are effective, safe, and long-lasting. Emerging therapies ranging from anti-CD20 antibodies and complement inhibitors to interferon-blocking agents and CAR-T cell therapies hold promise but must address key issues such as safety, sustained efficacy, and accessibility. As our understanding of the disease's underlying mechanisms continues to grow, the future of lupus nephritis treatment is expected to become increasingly personalized, offering renewed hope to patients battling this complex disorder. Discover more about the lupus nephritis market in detail @ Lupus Nephritis Market Report Emerging Competitors of LUPKYNIS The developing pipeline for lupus nephritis treatments shows a growing variety of approaches. Multiple candidates, both in early and late stages of development, are underway, including ianalumab (VAY736) (Novartis), GAZYVA (obinutuzumab) (Roche), SAPHNELO (anifrolumab) (AstraZeneca), FABHALTA (iptacopan) (Novartis), ULTOMIRIS (ravulizumab) (AstraZeneca), as well as advanced cellular therapies like CABA-201 (Cabaletta Bio) and YTB323 (Novartis). In March 2025, the FDA accepted a supplemental Biologics License Application based on data from the Phase III REGENCY trial, where obinutuzumab demonstrated a 46.4% Complete Renal Response (CRR), compared to 33.1% for placebo. Unlike previous anti-CD20 therapies such as rituximab, it provides enhanced B-cell depletion and is the first in its class to show efficacy in a randomized Phase III lupus nephritis trial. If approved, it will become the first CD20-targeted treatment specifically indicated for lupus nephritis, with anticipated sales of USD 400 million by 2034. To know more about the number of competing drugs in development, visit @ LUPKYNIS Market Positioning Compared to Other Drugs Key Milestones of LUPKYNIS In September 2024, Japan's Ministry of Health approved it for Lupus Nephritis treatment alongside mycophenolate mofetil. In September 2022, the European Commission approved LUPKYNIS for active Class III, IV, or V Lupus Nephritis. In January 2021, Aurinia Pharmaceuticals received US FDA approval for LUPKYNIS to treat adult lupus nephritis patients in combination with immunosuppressive therapy. Discover how LUPKYNIS is shaping the lupus nephritis treatment landscape @ LUPKYNIS Lupus LUPKYNIS Market Dynamics LUPKYNIS, developed by Aurinia Pharmaceuticals, is the first FDA-approved oral therapy specifically indicated for active lupus nephritis, a serious manifestation of systemic lupus erythematosus. Approved in January 2021 in the US, LUPKYNIS entered a previously underserved market where treatment was largely dependent on off-label use of immunosuppressants like mycophenolate mofetil and corticosteroids. The drug represents a significant advancement in lupus nephritis care, offering both improved efficacy and a better safety profile compared to existing options, especially in reducing proteinuria and preserving kidney function. The market dynamics for LUPKYNIS are shaped by several key factors. On the positive side, there is a strong unmet medical need, a growing prevalence of lupus nephritis, and increasing physician awareness about early diagnosis and intervention. Moreover, LUPKYNIS benefits from a relatively high pricing strategy, supported by its novel mechanism and disease-modifying potential. Aurinia has also built a dedicated commercial infrastructure and patient support programs to drive uptake and adherence. However, LUPKYNIS faces competitive and reimbursement challenges. One of the main competitors is BENLYSTA (belimumab) from GSK, which gained FDA approval for lupus nephritis in December 2020, just a month before LUPKYNIS. Benlysta has the advantage of brand recognition and a longer track record in treating systemic lupus. Additionally, payers have shown some hesitancy in approving LUPKYNIS due to its cost, requiring extensive prior authorizations and documentation of clinical need. Patient compliance also remains an issue, given the need for frequent monitoring of kidney function and drug levels. Looking ahead, the market potential for LUPKYNIS will depend on its ability to expand its label, demonstrate long-term real-world effectiveness, and potentially enter international markets. Aurinia is also exploring lifecycle management strategies, including combination therapies and expanded indications. Partnerships or acquisitions could further boost market access and penetration. Overall, while LUPKYNIS is a pioneering therapy with strong clinical value, its commercial success will be defined by navigating payer landscapes, physician adoption, and sustained differentiation from competing therapies. Dive deeper to get more insight into LUPKYNIS's strengths & weaknesses relative to competitors @ LUPKYNIS Market Drug Report Table of Contents Related Reports Lupus Nephritis Market Lupus Nephritis Market Insights, Epidemiology, and Market Forecast – 2034 report delivers an in-depth understanding of the disease, historical and forecasted epidemiology, as well as the market trends, market drivers, market barriers, and key lupus nephritis companies, including Hoffmann-La Roche, Chugai Pharmaceutical, Novartis Pharmaceuticals, among others. Lupus Nephritis Pipeline Lupus Nephritis Pipeline Insight – 2025 report provides comprehensive insights about the pipeline landscape, pipeline drug profiles, including clinical and non-clinical stage products, and the key lupus nephritis companies, including Hoffmann-La Roche, Qilu Pharmaceutical, Vera Therapeutics, Kyverna Therapeutics, Cabaletta Bio, Takeda, Nkarta Therapeutics, Annexon, Century Therapeutics, Lepton Pharmaceuticals, Transcenta Holding, Inflection Biosciences, among others. Systemic Lupus Erythematosus Market Systemic Lupus Erythematosus Market Insights, Epidemiology, and Market Forecast – 2034 report delivers an in-depth understanding of the disease, historical and forecasted epidemiology, as well as the market trends, market drivers, market barriers, and key SLE companies, including Biogen, Novartis, MorphoSys, Idorsia Pharmaceuticals, Viatris, RemeGen, UCB Pharma, Genentech, Bristol Myers Squibb, AbbVie, among others. Systemic Lupus Erythematosus Pipeline Systemic Lupus Erythematosus Pipeline Insight – 2025 report provides comprehensive insights about the pipeline landscape, pipeline drug profiles, including clinical and non-clinical stage products, and the key myasthenia gravis companies, including Yake Biotechnology, UCB, Sorrento Therapeutics, SinoMab Bioscience Ltd, Shanghai Junshi Biosciences, Sareum, Sanofi, Roche, Rheos Medicine, Resolve, Provention Bio, Pfizer, Novartis, Neovacs, Merck, Medsenic, Landos Biopharma, Kezar Life Sciences, Kangpu Biopharmaceuticals, Janssen Research & Development, Janssen, InnoCare, ImmuPharma, I-MAB Biopharma, ILTOO, Idorsia Pharmaceuticals, Horizon Therapeutics, Genovax, Exinda Thearapeutics, Equillium, Eli Lilly and Company, Eisai, Daiichi Sankyo Company, Corestem, Corbus Pharmaceuticals, Citryll BV, Chipscreen Biosciences, Carna Bioscience, Bristol-Myers Squibb, Brickell Biotech, Boston Pharmaceuticals, Biogen, Athos Therapeutics, Asahi Kasei Pharma, Aria Pharmaceuticals, Antengene Therapeutics, Amgen, Alpine Immune Sciences, Akeso Biopharma, AbbVie, among others. About DelveInsight DelveInsight is a leading Business Consultant and Market Research firm focused exclusively on life sciences. It supports pharma companies by providing comprehensive end-to-end solutions to improve their performance. Get hassle-free access to all the healthcare and pharma market research reports through our subscription-based platform PharmDelve . Contact Us Shruti Thakur [email protected] +14699457679 Logo: SOURCE DelveInsight Business Research, LLP WANT YOUR COMPANY'S NEWS FEATURED ON PRNEWSWIRE.COM? 440k+ Newsrooms & Influencers 9k+ Digital Media Outlets 270k+ Journalists Opted In GET STARTED

上市批准临床3期临床结果免疫疗法

2025-04-30

·药时空

GSK Q1：全年营收超 95 亿美元，肿瘤收入大涨 53%

4 月 30 日，葛兰素史克（GSK）发布 2025 年 Q1 财报，全年营收 75.16 亿英镑（95.04 亿美元），同比增长 4%（按固定汇率计算，下同）。研发投入 14.62 亿英镑（18.49 亿美元），同比增长 3%。来源：GSK 官网（下同）GSK 的业务主要分为特药（Specialty Medicines）、疫苗（Vaccines）以及普药（General Medicines）三个版块，2025 年 Q1 分别贡献了 29.33 亿英镑（37.10 亿美元，+17%）、20.95 亿英镑（26.48 亿美元，-6%）、24.88 亿英镑（31.46 亿美元，稳定）的业绩收入。具体来说，特药方面，GSK 在HIV、呼吸/免疫和肿瘤疾病领域分别斩获了 17 亿英镑（+7%）、8 亿英镑（+28%）、4 亿英镑（+53%），增长迅猛，尤其是肿瘤产品，已经成为 GSK 业绩新的增长点。GSK 肿瘤板块增长主要得益于骨髓纤维化贫血患者药物 Ojjaara/Omjjara（莫洛昔尼，2023 年 9 月上市）的推出，以及 PD-1 单抗 Jemperli（Dostarlimab，2021 年 4 月上市）新适应症的拓展和市场渗透程度的增加，两款产品 2025 年 Q1 销售额分别为 1.12 亿英镑和 1.74 亿英镑，2 款产品的同比增长率均大于 100%。呼吸/免疫领域，Nucala （美泊利珠单抗）和 Benlysta（贝利尤单抗）分别为 GSK 贡献了 4.44 亿英镑（+21%）和 3.59 亿英镑（+39%）的销售额。HIV 领域，GSK 手握长效产品，市场表现不俗，销售额持续增长。其中 Cabenuva（卡替拉韦+利匹韦林）、Apretude （卡替拉韦）和 Dovato （多替拉韦+拉米夫定）分别获得了 2.94 亿英镑（+38%）、0.89 亿英镑（+63%）和 5.7 亿英镑（+19%）的收入。疫苗方面，GSK 产品销售陷入疲软期，收入 20.95 亿英镑，仅脑膜炎疫苗实现了两位数增长，被寄予厚望的 RSV 疫苗 Arexvy 遭受腰斩。Arexvy 在 2023 年 5 月首次获 FDA 批准，随后又相继在欧盟、日本获批上市。作为全球首款 RSV 疫苗，Arexvy 在上市第一年便成功斩获了 15.43 亿美元的销售额。但 2024 年，由于需求下降，该产品全球销售额下滑 51%，仅有 5.90 亿英镑的收入。2025 年 Q1 销售额达 0.78 亿英镑，同比下滑 57%。Shingrix 是一款重组带状疱疹疫苗，2024 年以 33.64 亿英镑（+1%）的收入继续稳坐全球疫苗大品种的宝座。2025 Q1 该产品的销售额为 8.67 亿英镑，同比下滑 7%。脑膜炎疫苗 Meningitis（包括 Bexsero 和 Menveo ）增长强劲，为 GSK 疫苗板块注入了新的动力，2025 年 Q1 斩获了 3.5 亿英镑的销售额，同比增长 20%。GSK 在财报中披露，预计 2025 年 FDA 将批准 5 项主要新产品：2025 年第一季度批准：Penmenvy，脑膜炎疫苗；Blujepa，用于治疗尿路感染的首创抗生素预计进一步获批的药物包括：Nucala（慢性阻塞性肺病）；Blenrep（多发性骨髓瘤）；以及 Depemokimab（严重哮喘和鼻息肉）识别微信二维码，可添加药时空小编请注明：姓名+研究方向！

财报疫苗上市批准

2025-04-18

·CPHI制药在线

2025-2029年关键生物制剂药物专利到期盘点

关注并星标CPHI制药在线从2025年起至2029年，多款生物制剂将陆续面临专利保护终止的节点，涵盖肿瘤、自身免疫、代谢紊乱及罕见病等多个高价值治疗领域（图1）。这些面临专利悬崖的重要药物不仅在全球药品销售榜上长期占据前列，也在各大跨国药企的收入结构中扮演核心角色。随着专利期的结束，生物类似药的进入将加速重塑市场竞争格局，为仿制药企打开数十亿美元级别的商业机会，同时也迫使原研药企加快布局生命周期管理、差异化竞争与市场准入策略的调整。专利悬崖不仅意味着法律地位的转变，更预示着一个新的竞争周期的开启。　　图1. 2025-2029年部分生物制剂专利到期时间轴。2025年：HER2靶向格局或生变，自免仿制潜力渐显2025年将成为HER2阳性乳腺癌治疗领域的一个转折点。基因泰克的Perjeta（Pertuzumab，帕妥珠单抗，中国商品名：帕捷特）专利即将到期，这款与Herceptin联用的疗法是乳腺癌靶向治疗的重要基石。尽管生物类似药的开发在结构与疗效比对上仍有一定技术门槛，但已有多家公司布局相关管线，预示着HER2靶向治疗未来将走向价格优化与市场细分并行的格局。同样在2025年面临专利悬崖的GSK的Benlysta（belimumab，贝利尤单抗，中国商品名：倍力腾）是系统性红斑狼疮领域的首个生物制剂。其结构相对传统，开发难度较低，因此生物类似药的进入预计将更加迅速，有望打破目前该领域的高价垄断，扩大治疗的可及性。Blincyto（Blinatumomab，贝林妥欧单抗，中文商品名：贝利妥）为Amgen开发的双特异性抗体，用于治疗急性淋巴细胞白血病，其构建机制复杂、剂型特殊，对生物类似药开发提出更高挑战，仿制企业需具备扎实的双抗工艺平台。Elelyso（taliglucerase alfa）则针对戈谢病这一罕见病种，尽管市场规模有限，但在专利到期后，价格的适度下降可能带来治疗的边际人群扩大。2026年：自身免疫与软组织肿瘤治疗面临洗牌2026年，基因泰克的另一款 HER2阳性乳腺癌药物Kadcyla（ado-trastuzumab emtansin）专利即将到期。虽Kadcyla专利保护期将尽，但其作为 ADC模态的药物具有复杂的生产工艺和药代动力学特性，使得仿制门槛依然很高。其潜在生物类似药需在连接子稳定性、毒素释放效率等多个维度实现一致性，预计市场进入将较为谨慎。礼来的Lartruvo（Olaratumab，奥拉鲁单抗）尽管曾获FDA加速批准用于软组织肉瘤，但由于后期研究未达预期已退出市场，其专利到期更多具象征意义。而礼来另一款单抗药物Taltz（Ixekizumab，依奇珠单抗，中文商品名：拓咨）则是礼来在银屑病和银屑病关节炎领域的重要布局产品之一，其结构较为常规。随着IL-17通路药物竞争日趋激烈，Taltz的专利到期可能刺激同类产品价格联动式下调，也为生物类似药打开切入口。2027年：代谢病与罕见病治疗双线释放机会2027年，代谢性疾病治疗将成为焦点。礼来的Trulicity（Dulaglutide，度拉糖肽，中文商品名：度易达）为GLP-1受体激动剂类生物药，其在全球2型糖尿病管理中占据重要地位。尽管目前GLP-1药物以多肽新药（如semaglutide和tirzepatide）为主导，但生物类似药仍可能凭借医保放量和价格优势切入市场，特别是在发展中国家。需要指出的是，虽然度拉糖肽的名称似乎显示其分子模态为多肽，但根据FDA的标准，该药物属于蛋白质（氨基酸残基数量远大于40）。Repatha（Evolocumab，依洛尤单抗，中文商品名：瑞百安）则是降脂治疗领域的明星产品，靶向PCSK9，技术结构相对清晰，安进的原研市场或将迎来仿制挑战者。另一方面，罕见病药物如Myalept（metreleptin，中文商品名：美曲普汀）与Sylvant（siltuximab，司妥昔单抗，中文商品名：萨温珂）分别用于脂肪营养不良与Castleman病，尽管患者基数较小，但在定价上长期维持高位，仿制药若成功推出，将显著影响药企盈利结构。2028年：免疫肿瘤黄金时代走向价格重估2028年将是免疫肿瘤药物市场重新洗牌的关键时刻。默沙东的Keytruda（Pembrolizumab，帕博利珠单抗，中文商品名：可瑞达）与BMS的Opdivo（Nivolumab，纳武利尤单抗，中文商品名：欧狄沃）这两大令人高山仰止的肿瘤学产品均将步入专利到期周期，这两款超巨重磅炸弹PD-1免疫检查点抑制剂几乎主导了全球多个癌种的一线免疫治疗格局。尽管其结构相对标准，技术仿制障碍较低，但监管机构对生物类似药在免疫肿瘤领域的临床一致性要求极高，加之其适应症广泛，将使得生物类似药的开发必须精细划分适应症并分阶段获批，逐步蚕食市场份额。专利到期将加速PD-1药物在中低收入市场的普及，也可能促使原研药大幅调整定价策略，以留存市场份额。2029年：自身免疫与血液瘤市场再迎竞逐到2029年，更多大体量产品将面对专利悬崖。强生的Darzalex（Daratumumab，达雷妥尤单抗，中文商品名：兆珂）作为CD38靶点的多发性骨髓瘤生物制剂，在全球范围内维持了稳定的市场扩张，是多发性骨髓瘤治疗的主力产品，随着其全球销售额突破百亿美元，专利到期后的市场争夺战料将激烈。其复杂糖基化模式以及Fc改造机制为仿制企业带来技术挑战，但在高价格驱动下，已有多家企业提前展开布局。Ocrevus（ocrelizumab，奥瑞珠单抗）则是罗氏在多发性硬化治疗中的核心资产，兼具高效与安全性，其结构仿制可行，但治疗窗要求精细，后续药物可能更注重使用便捷性与长期随访数据。诺华的Cosentyx（Secukinumab，司库奇尤单抗，中文名称：可善挺）与安进的Enbrel（Etanercept，依那西普）则均为成熟的自身免疫治疗药物，市场格局已经相对开放，生物类似药的渗透速度预计将更快，并可能引导IL通路及TNF通路药物价格进一步下探。而Enbrel在美国延长专利的多年争议也提醒市场，专利并非铁板一块，法律诉讼、授权模式与市场准入政策同样决定产品生命周期的真正终点。结语：从专利到市场，生物制剂的新周期已然开启随着2025–2029年间一系列重磅生物制剂的专利相继到期，原研药企需要重新审视生命周期管理策略，从新适应症拓展、给药方式创新，到自有生物类似药的内部布局，争取在失去专利保护后依然保有市场份额。而对于仿制药企业而言，技术平台成熟度、质量一致性、监管路径优化以及成本控制将是能否在新一轮“生物仿制潮”中脱颖而出的关键。更值得注意的是，随着医保体系对高值药物价格的持续挤压，以及新兴市场国家生物药仿制能力的提升，这一轮专利悬崖或许将不仅仅是一个商业接力的过程，更可能成为全球药物可及性提升与创新转化效率再平衡的重要契机。附表 2025-2029年面临专利悬崖的部分生物制剂END2025金笔奖征文即将截止，速来投稿！领取CPHI & PMEC China 2025展会门票来源：CPHI制药在线声明：本文仅代表作者观点，并不代表制药在线立场。本网站内容仅出于传递更多信息之目的。如需转载，请务必注明文章来源和作者。投稿邮箱：Kelly.Xiao@imsinoexpo.com▼更多制药资讯，请关注CPHI制药在线▼点击阅读原文，进入智药研习社~

专利到期生物类似药抗体药物偶联物

100 项与贝利尤单抗相关的药物交易

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外链

KEGG	Wiki	ATC	Drug Bank
D03068	贝利尤单抗	L04AA26	DB08879

研发状态

批准上市

10 条最早获批的记录,

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适应症	国家/地区	公司	日期
狼疮性肾炎	欧盟	GlaxoSmithKline (Ireland) Ltd.	2011-07-13
狼疮性肾炎	冰岛	GlaxoSmithKline (Ireland) Ltd.	2011-07-13
狼疮性肾炎	列支敦士登	GlaxoSmithKline (Ireland) Ltd.	2011-07-13
狼疮性肾炎	挪威	GlaxoSmithKline (Ireland) Ltd.	2011-07-13
系统性红斑狼疮	美国	GlaxoSmithKline LLC	2011-03-09

未上市

10 条进展最快的记录,

后查看更多信息

适应症	最高研发状态	国家/地区	公司	日期
支气管疾病	临床3期	美国	GSK Plc	2024-12-12
支气管疾病	临床3期	阿根廷	GSK Plc	2024-12-12
结缔组织病	临床3期	美国	GSK Plc	2024-09-11
结缔组织病	临床3期	中国	GSK Plc	2024-09-11
结缔组织病	临床3期	日本	GSK Plc	2024-09-11
结缔组织病	临床3期	阿根廷	GSK Plc	2024-09-11
结缔组织病	临床3期	澳大利亚	GSK Plc	2024-09-11
结缔组织病	临床3期	比利时	GSK Plc	2024-09-11
结缔组织病	临床3期	加拿大	GSK Plc	2024-09-11
结缔组织病	临床3期	法国	GSK Plc	2024-09-11

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临床结果

适应症

分期

评价

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


EULAR2024	N/A	系统性红斑狼疮 BAFF cytokine	1,137	Belimumab	獵淵構遞壓齋膚壓糧淵(網製構醖鏇簾繭艱製夢) = 築鏇選糧襯獵壓選繭鑰範選獵顧襯鏇願鑰鬱蓋 (蓋鏇構衊鑰繭鑰膚齋齋 ) 更多	积极	2024-06-05
				Belimumab (Standard of Care)	獵淵構遞壓齋膚壓糧淵(網製構醖鏇簾繭艱製夢) = 廠遞構願鏇選顧選鏇顧範選獵顧襯鏇願鑰鬱蓋 (蓋鏇構衊鑰繭鑰膚齋齋 ) 更多
EULAR2024	N/A	-	54	Belimumab	夢繭膚範壓憲鹹艱淵廠(淵膚糧鏇構膚醖選繭獵) = 餘膚衊鹹製壓憲鬱選構觸膚膚憲願醖築鑰憲醖 (觸壓構齋蓋築鬱積憲選 ) 更多	积极	2024-06-05
EULAR2024	N/A	狼疮性肾炎 \| 系统性红斑狼疮	106	Subcutaneous Belimumab	願齋簾製壓齋構願觸窪(範築繭構窪構觸簾遞齋) = PSL reduction ≥5 mg was achievable in active disease and positive C1q-binding immune complex 糧選窪餘鹹淵齋鹽鏇餘 (夢壓鬱壓繭衊鹽築鑰遞 ) 更多	积极	2024-06-05
EULAR2024	N/A	红斑狼疮	-	Belimumab	憲齋壓廠艱夢憲廠鑰築(獵觸觸憲鬱糧鏇夢鏇顧) = 齋製壓憲膚繭鹹構積構憲製遞遞鏇壓壓繭鏇艱 (繭繭糧築築築窪鬱憲廠 )	积极	2024-06-05
EULAR2024	N/A	红斑狼疮	-	Belimumab	繭壓蓋簾獵獵壓廠膚艱(鹹製夢選獵鏇簾顧糧遞) = 範鬱醖願淵糧鹽蓋艱鬱淵構簾簾衊鹽鹽窪壓築 (憲齋襯衊夢艱簾廠鏇鹹, 6.3)	-	2024-06-05
				Control (no belimumab exposure)	繭壓蓋簾獵獵壓廠膚艱(鹹製夢選獵鏇簾顧糧遞) = 製糧網顧餘夢壓積鑰構淵構簾簾衊鹽鹽窪壓築 (憲齋襯衊夢艱簾廠鏇鹹, 6.5)
EULAR2024	临床3期	系统性红斑狼疮 baseline SLE disease duration \| baseline Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SDI) score \| baseline immunosuppressant (IS) use	3,086	Belimumab	鹽鬱顧蓋簾糧簾鏇鬱蓋(網壓觸襯壓範壓鏇艱範): OR = 1.7 (95% CI, 1.46 ~ 1.98), P-Value = <0.0001	积极	2024-06-05
				Placebo
EULAR2024	N/A	系统性红斑狼疮	-	Belimumab	範鑰餘窪膚夢願繭膚範(選鬱艱願淵窪窪艱鏇願): HR = 0.72 (95% CI, 0.62 ~ 0.83), P-Value = <0.0001 更多	-	2024-06-05
				Placebo
EULAR2024	N/A	怀孕	17	Belimumab	獵鏇積選壓壓積膚範繭(構襯餘壓鬱鑰選艱築廠) = 製淵憲衊網襯鹹願窪遞鹽鹽膚願壓夢築鬱鹹憲 (艱構範範艱顧獵觸夢衊 ) 更多	积极	2024-06-05
				Non-Belimumab	淵齋窪鏇鑰願製選膚鏇(積蓋窪鹽夢膚齋觸齋構) = 壓衊製壓觸鏇蓋鬱選鹹鏇鏇襯壓築膚築襯鏇願 (蓋獵構範鏇願衊醖遞膚 ) 更多
EULAR2024	N/A	系统性红斑狼疮维持 anti-ds DNA \| RNP \| Sm ... 更多	69	Belimumab (BE)	積壓淵鑰齋鹽範憲構襯(顧鑰膚選獵壓顧觸襯獵) = 觸積衊廠觸膚鑰繭鹽鹽遞憲鏇壓積壓鹹餘廠觸 (淵廠膚衊糧顧鑰範觸獵 ) 更多	积极	2024-06-05
NCT04179032 (CTgov)	临床2期	系统性红斑狼疮	25	Belimumab	糧壓範鹽鹽觸積壓襯鬱(範簾夢顧簾窪淵鑰鹹構) = 鑰餘範簾醖鬱顧鹹醖鑰鏇繭膚齋膚糧窪衊構鑰 (艱築鏇膚繭膚襯窪糧積, 餘鹹蓋鹽鏇顧觸鹽鏇衊 ~ 鹽鹹襯鬱遞願窪觸構餘) 更多	-	2024-03-26