Axitinib

Enrollment for SOL-R, the largest retinal TKI trial to date, supports randomization of at least 555 subjects SOL-1, Ocular’s first registrational trial in wet AMD, completed randomization in December 2024 and retention remains exceptional as the trial continues on track for top-line readout in 1Q 2026 These two complementary trials are intended to form the basis of an NDA submission of AXPAXLI in wet AMD BEDFORD, Mass., May 28, 2025 (GLOBE NEWSWIRE) -- Ocular Therapeutix, Inc. (NASDAQ: OCUL, “Ocular”), a fully-integrated biopharmaceutical company committed to redefining the retina experience, today announced that enrollment in the SOL-R registrational trial of its product candidate AXPAXLI™ in wet age-related macular degeneration (wet AMD) will close this week. “Completing enrollment in SOL-R – the largest retinal TKI trial to date – one year after the study was conceptualized reflects an extraordinary pace of execution and underscores our commitment to advancing innovation for patients with wet AMD,” said Pravin U. Dugel, MD, Executive Chairman, President and Chief Executive Officer. “Together with SOL-1, these two complementary, FDA-aligned registrational trials have the potential to form a robust clinical foundation to support an AXPAXLI label with a distinct superiority claim and unprecedented 6- to 12-month dosing. With recruitment ending, we are focused on disciplined trial execution, and we are encouraged by the remarkable retention and adherence to protocol we’ve observed to date in both SOL-1 and SOL-R. We’re immensely grateful to the patients, investigators, and study sites whose partnership brings us one step closer to introducing a potential new standard of care in retinal disease.” Based on current and projected screening, loading, and randomization failure rates observed in SOL-R to date, Ocular believes it has enrolled enough subjects to ensure the Company’s target randomization of at least 555 subjects in SOL-R. Subjects for SOL-R are enrolled across approximately 100 sites in the U.S., Argentina, India, and Australia. SOL-R is Ocular’s second registrational study for AXPAXLI in wet AMD. The trial is evaluating the safety and efficacy of AXPAXLI dosed every 6 months versus aflibercept (2 mg) every 8 weeks. Subjects who have been screened and enrolled will now be treated with standard of care anti-VEGF treatment and evaluated during a loading phase with the goal of randomizing at least 555 subjects. The primary endpoint of SOL-R is to demonstrate non-inferiority in mean change in best corrected visual acuity (BCVA) from baseline between the AXPAXLI and on-label aflibercept (2 mg) arms at Week 56. The trial is 90% powered to detect a non-inferiority margin of -4.5 letters of mean BCVA when compared to aflibercept (2 mg) dosed every 8 weeks. “Wet AMD continues to be a leading cause of blindness in the U.S., underscoring the need for more durable and sustainable treatments that offer improved long-term outcomes,” said Arshad M. Khanani, MD, MA, FASRS, Director of Clinical Research at Sierra Eye Associates in Reno, Nevada. “The rapid enrollment in the SOL trials highlights the retina community’s strong enthusiasm for AXPAXLI and its potential to fulfill this unmet need. The complementary SOL-1 and SOL-R trials are designed to answer key questions about AXPAXLI’s durability, flexibility, and repeatability, and build on existing monotherapy data to provide further insights into the drug’s activity. If approved, AXPAXLI could significantly reduce the treatment burden for patients with wet AMD and potentially improve long-term vision outcomes.” The FDA has agreed that together, SOL-1 and SOL-R could constitute two adequate and well-controlled trials to support a potential New Drug Application (NDA) and label for AXPAXLI in wet AMD. These complementary trials were designed in alignment with FDA guidance and validated through a Special Protocol Assessment (SPA) agreement for SOL-1, and written responses for SOL-R received in 2024. Pending positive results from SOL-1 and SOL-R, Ocular plans to submit an NDA for FDA review following 56-week data from SOL-R. “SOL-1 and SOL-R were intentionally designed as complementary trials to provide a comprehensive evaluation of AXPAXLI, while strictly adhering to FDA guidance,” said Peter K. Kaiser, MD, Chief Development Officer of Ocular Therapeutix. “Consistent with FDA recommendations for adequately masked and controlled trials, neither trial uses sham injections, and this mitigates the potential for bias from inadequate masking. Through thoughtful and innovative patient selection criteria and complementary trial designs, we aimed to de-risk each study population. Given the rigorous enrollment criteria, we’re especially pleased with the rapid pace of enrollment across both trials. We are confident that this strategic approach not only positions us strongly for potential regulatory approval but also sets the stage for AXPAXLI to become a differentiated treatment in retinal disease.” About AXPAXLI AXPAXLI™ (also known as OTX-TKI) is an investigational, bioresorbable, intravitreal hydrogel incorporating axitinib, a small molecule, multi-target, tyrosine kinase inhibitor (TKI) with anti-angiogenic properties, being evaluated for the treatment of wet AMD, diabetic retinopathy, diabetic macular edema, and other retinal diseases. About the SOL-R Study The registrational Phase 3 SOL-R trial (NCT06495918) is designed to evaluate the safety and efficacy of AXPAXLI in a multi-center, double-masked, randomized (2:2:1), three-arm study that involves approximately 100 sites located in the U.S., Argentina, India, and Australia. The trial is intended to randomize approximately 555 subjects who are treatment-naïve or were newly diagnosed with wet AMD in the study eye within about four months prior to enrollment. This non-inferiority trial reflects a patient enrichment strategy over the six months prior to randomization that includes three screening doses of any anti-VEGF therapy, excluding brolucizumab-dbll, and monitoring to exclude those subjects with significant retinal fluid fluctuations. Subjects that continue to meet eligibility criteria will enter a run-in period and receive two loading doses of aflibercept (2 mg) prior to Day 1. Subjects in the first arm receive a single dose of AXPAXLI at Day 1 and are re-dosed at Weeks 24, 48, and 72. Subjects in the second arm receive aflibercept (2 mg) on-label every eight weeks. Subjects in the third arm receive a single dose of aflibercept (8 mg) at Day 1 and are re-dosed at Weeks 24, 48, and 72, aligned with the AXPAXLI treatment arm for adequate masking. Subjects will be followed for safety until the end of Year 2. Throughout the study, subjects are assessed monthly. Trial subjects and designated study personnel will remain masked through the end of Year 2. Subjects in any arm that meet pre-specified rescue criteria will receive a supplemental dose of aflibercept (2 mg). The pre-specified rescue criteria include loss of ≥ 10 Early Treatment Diabetic Retinopathy Study (ETDRS) letters of BCVA from baseline or a combination of worsening anatomical measures and BCVA loss. The primary endpoint of SOL-R is to demonstrate non-inferiority in mean BCVA change from baseline between the AXPAXLI and on-label aflibercept (2 mg) arms at Week 56. As per the protocol agreed to by the FDA, the non-inferiority margin for the lower bound is -4.5 letters of mean BCVA when compared to aflibercept (2 mg) dosed every eight weeks. In a written Type C response received in August 2024, and a subsequent written response received in December 2024, the FDA agreed that the SOL-R repeat dosing wet AMD study, with a primary endpoint at Week 56, should be appropriate as an adequate and well-controlled study in support of a potential New Drug Application and product label for wet AMD. About the SOL-1 Study The registrational Phase 3 SOL-1 trial (NCT06223958) is designed to evaluate the safety and efficacy of AXPAXLI in a multi-center, double-masked, randomized (1:1), parallel group study that involves more than 100 clinical trial sites located in the U.S. and Argentina. In December 2024, the trial completed randomization of 344 evaluable treatment-naïve subjects with a diagnosis of wet AMD in the study eye. The superiority study has an eight-week loading segment prior to randomization. During the loading segment, subjects who have 20/80 vision or better and who satisfy other enrollment criteria receive two doses of aflibercept (2 mg) at Week -8 and Week -4. Eligible subjects who achieve best corrected visual acuity (BCVA) of 20/20 at Day 1 or gain at least 10 ETDRS letters at Day 1 are then randomized to receive a single dose of AXPAXLI or a single dose of aflibercept (2 mg). At Week 52 and at Week 76, all subjects are re-dosed with their respective initial treatment of AXPAXLI or aflibercept (2 mg). Subjects will be followed for safety until the end of Year 2. Throughout the study, subjects are assessed monthly. Trial subjects and designated study personnel will remain masked through the end of Year 2. The clinical trial protocol requires that, during the study, subjects in either arm meeting pre-specified rescue criteria will receive a supplemental dose of aflibercept (2 mg). The primary endpoint of SOL-1 is the proportion of subjects who maintain visual acuity, defined as a loss of <15 ETDRS letters of BCVA, at Week 36. Subjects will continue to be evaluated for durability up to Week 52. The study is being conducted under a Special Protocol Assessment (SPA) agreement with the FDA. About Wet AMD Wet age-related macular degeneration (wet AMD) is a leading cause of severe, irreversible vision loss affecting approximately 14.5 million individuals globally and 1.7 million in the United States alone (2024 Market Scope® Retinal Pharmaceuticals Market Report). Wet AMD causes vision loss due to abnormal new blood vessel growth and hyperpermeability and associated retinal vascularity in the macula, which is primarily stimulated by local upregulation of vascular endothelial growth factor (VEGF). Without prompt and continuous treatment to control this exudative activity, patients develop irreversible vision loss. With proper treatment, patients may maintain visual function for a period of time and may temporarily regain lost vision. Challenges with current therapies include pulsatile, repeated intraocular injections, treatment-related adverse events and up to 40% patient discontinuation within one year of initiating treatment with continued disease progression. Taken together, these factors lead to undertreatment and a lack of long-term vision improvement for patients. About Ocular Therapeutix, Inc. Ocular Therapeutix, Inc. is a fully-integrated biopharmaceutical company committed to redefining the retina experience. AXPAXLI™ (also known as OTX-TKI), Ocular’s investigational product candidate for retinal disease, is an axitinib intravitreal hydrogel based on its ELUTYX™ proprietary bioresorbable hydrogel-based formulation technology. AXPAXLI is currently in Phase 3 clinical trials for wet age-related macular degeneration (wet AMD). Ocular’s pipeline also leverages the ELUTYX technology in its commercial product DEXTENZA®, an FDA-approved corticosteroid for the treatment of ocular inflammation and pain following ophthalmic surgery in adults and pediatric patients and ocular itching associated with allergic conjunctivitis in adults and pediatric patients aged two years or older, and in its investigational product candidate PAXTRAVA™ (also known as OTX-TIC), which is a travoprost intracameral hydrogel that is currently in a Phase 2 clinical trial for the treatment of open-angle glaucoma or ocular hypertension. Follow the Company on its website, LinkedIn, or X. The Ocular Therapeutix logo and DEXTENZA® are registered trademarks of Ocular Therapeutix, Inc. AXPAXLI™, PAXTRAVA™, ELUTYX™, and Ocular Therapeutix™ are trademarks of Ocular Therapeutix, Inc. Forward-Looking Statements Any statements in this press release about future expectations, plans, and prospects for the Company; the development, regulatory status of and regulatory submissions regarding the Company’s product candidates; the design of, and the timing of the screening, enrollment and randomization of patients in and the availability of data from the Company’s SOL-1 and SOL-R Phase 3 clinical trials of AXPAXLI (also known as OTX-TKI) for the treatment of wet AMD; the Company’s plans to advance the development of AXPAXLI; the potential utility or adoption, if approved, of any of the Company’s product candidates; and other statements containing the words “anticipate”, “believe”, “estimate”, “expect”, “intend”, “designed”, “goal”, “may”, “might”, “plan”, “predict”, “project”, “target”, “potential”, “will”, “would”, “could”, “should”, “continue”, and similar expressions, constitute forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors. Such forward-looking statements involve substantial risks and uncertainties that could cause the Company’s development programs, future results, performance, or achievements to differ significantly from those expressed or implied by the forward-looking statements. Such risks and uncertainties include, among others, the timing and costs involved in commercializing any product or product candidate that receives regulatory approval; the ability to retain regulatory approval of any product or product candidate that receives regulatory approval; the initiation, design, timing, conduct and outcomes of ongoing and planned clinical trials; the risk that fewer enrolled patients than expected will ultimately be randomized into the SOL-R clinical trial; the risk that the FDA will not agree with the Company’s interpretation of the written agreement under the Special Protocol Assessment for the SOL-1 trial; the risk that the FDA may not agree that the protocol and statistical analysis plan of SOL-R or that the data generated by the SOL-1 and SOL-R trials support marketing approval, even if the trials are successful; the risk that the Company and the FDA may not agree on the registrational pathway for any of its product candidates; uncertainty as to whether the data from earlier clinical trials will be predictive of the data of later clinical trials, particularly later clinical trials that have a different design or utilize a different formulation than the earlier trials, whether preliminary or interim data from a clinical trial (including masked safety or masked rescue data from the Company’s SOL-1 trial) will be predictive of final data from such trial, or whether data from a clinical trial assessing a product candidate for one indication will be predictive of results in other indications; availability of data from clinical trials and expectations for regulatory submissions and approvals; the Company’s scientific approach and general development progress; and other factors discussed in the “Risk Factors” section contained in the Company’s quarterly and annual reports on file with the Securities and Exchange Commission. In addition, the forward-looking statements included in this press release represent the Company’s views as of the date of this press release. The Company anticipates that subsequent events and developments may cause the Company’s views to change. However, while the Company may elect to update these forward-looking statements at some point in the future, the Company specifically disclaims any obligation to do so, whether as a result of new information, future events or otherwise, except as required by law. These forward-looking statements should not be relied upon as representing the Company’s views as of any date subsequent to the date of this press release. Investors & Media Ocular Therapeutix, Inc. Bill Slattery Vice President, Investor Relations bslattery@ocutx.com

据公开资料显示，2025年4月，国家药品监督管理局（NMPA）及美国食品药品监督管理局（FDA）批准了多个重要药物的新适应症，涵盖了非小细胞肺癌、乳腺癌、结直肠癌、肝细胞癌、鼻咽癌等多种恶性肿瘤，其中FDA批准新适应症4条，NMPA批准新适应症7条。详细4月获批上市药物及药物新获批适应症见下文。1Part.1新药速递（概括版）2Part.2新药速递（详细版）1.  纳武利尤单抗+伊匹木单抗/商品名：欧狄沃+逸沃通用名：纳武利尤单抗+伊匹木单抗适应症：不可切除或转移性MSI-H或dMMR CRC成人和≥12 岁儿童患者临床试验：CheckMate 8HW研发公司：百时美施贵宝获批日期：2025.04.08批准机构：FDA2025年4月8日，FDA批准纳武利尤单抗+伊匹木单抗用于治疗患有不可切除或转移性MSI-H或dMMR CRC成人和 ≥12岁儿童患者。同时，FDA还将纳武利尤单抗单药针对接受过氟尿嘧啶、奥沙利铂和伊立替康治疗后进展的MSI-H/dMMR转移性CRC成人和≥12岁儿童患者的加速批准转为常规批准。该适应症获批是基于CheckMate 8HW研究（NCT04008030）。这是一项随机、三臂、开放标签研究，入组了既往未接受免疫治疗的MSI-H/dMMR不可切除或转移性CRC患者。患者以 2:2:1的比例随机接受以下方案之一：①每三周接受 240mg纳武利尤单抗和1mg/kg伊匹木单抗治疗，最多4次，然后每四周接受480mg纳武利尤单抗维持治疗；②每两周接受240mg纳武利尤单抗，共6 次，然后每四周接受480mg纳武利尤单抗维持治疗；③研究者选择的化疗方案。主要疗效结果指标是盲法独立中央审查（BICR）确认的无进展生存期（PFS），根据RECIST v1.1标准通过对以下预先指定的集中确认MSI-H/dMMR状态的患者进行评估：①一线治疗：纳武利尤单抗+伊匹木单抗 vs. 化疗；②全线治疗：纳武利尤单抗+伊匹木单抗 vs. 纳武利尤单抗单药。CheckMate 8HW研究一线疗效数据一线治疗研究结果显示，双免组的中位PFS尚未达到（NR），而化疗组仅为5.8个月，双免方案将疾病进展或死亡风险显著降低79%（风险比（HR）：0.21；95%CI：0.14-0.32；p< 0.0001）。这是首次在III期研究中证实双免疫联合疗法对比标准化疗在MSI-H/dMMR mCRC一线治疗中可为患者带来显著临床获益，展现了双免方案巨大的临床应用潜力。CheckMate 8HW研究全线疗效数据双免方案和纳武利尤单抗单药的全线治疗对比结果显示，中位PFS分别是NR vs. 39.3 个月，双免方案将疾病进展或死亡风险降低 38%（HR：0.62，95%CI：0.48-0.81，p= 0.0003）。双免组的客观缓解率（ORR）也得到显著提升，两组分别为 71% vs. 58%（p = 0.0011）。2. 拉罗替尼/商品名：维泰凯、Vitrakvi通用名：拉罗替尼、Larotrectinib适应症：NTRK融合实体瘤临床试验：LOXO-TRK-14001/SCOUT/NAVIGATE原研公司：拜耳获批日期：2025.04.09（完全批准）批准机构：FDA2025年4月9日，FDA完全批准拉罗替尼用于治疗患有以下实体瘤的成人和儿童患者：肿瘤具有神经营养性受体酪氨酸激酶（NTRK）基因融合，且无已知的获得性耐药突变；肿瘤为转移性或手术切除可能导致严重发病；且无令人满意的替代治疗方案，或在治疗后疾病进展。本次批准基于三项多中心、开放标签、单臂临床试验的数据：LOXO-TRK-14001（NCT02122913）、SCOUT（NCT02637687）和NAVIGATE（NCT02576431）。该分析纳入了339名患有不可切除或转移性实体瘤并伴有NTRK基因融合的儿童和成人患者。所有患者都要求在全身治疗后疾病进展（如果适用），或者对于局部晚期疾病需要进行可能导致严重发病的手术治疗。主要疗效指标是由独立盲法审查委员会（BIRC）根据RECIST v1.1确定的总缓解率和缓解持续时间（DoR）。在这三项试验中，共评估了444名患者的安全性。拉罗替尼3项研究疗效汇总数据汇总的疗效结果显示，总缓解率为60%（95%CI: 55%-65%），完全缓解率（CR）为24%，部分缓解率（PR）为36%，中位DoR为43.3个月（95%CI: 32.5-NE（不可评估））。拉罗替尼治疗不同肿瘤类型的疗效数据3. 纳武利尤单抗+伊匹木单抗/商品名：欧狄沃+逸沃通用名：纳武利尤单抗+伊匹木单抗适应症：不可切除或晚期HCC成人患者的一线治疗临床试验：CheckMate-9DW研发公司：百时美施贵宝获批日期：2025.04.11批准机构：FDA2025年4月11日，FDA批准纳武利尤单抗联合伊匹木单抗用于不可切除或转移性肝细胞癌（HCC）成人患者的一线治疗。本次批准主要基于CHECKMATE-9DW（NCT04039607）试验。CHECKMATE-9DW试验是一项随机、开放标签的多中心试验，共纳入668例不可切除或转移性HCC成人患者。患者需经组织学确诊为HCC、Child-Pugh A级、ECOG体能状态评分0或1分，且未接受过针对晚期疾病的系统性治疗。患者被随机（1:1）分配接受以下两种方案之一：纳武利尤单抗1mg/kg联合伊匹木单抗3mg/kg静脉输注（ivgtt，q3w，最多4次），随后单用纳武利尤单抗480mg（ivgtt，q4w）；或研究者选择的仑伐替尼或索拉非尼治疗。研究的主要疗效终点为所有随机患者的总生存期（OS），次要终点为BICR基于RECIST v1.1标准评估的总缓解率。CHECKMATE-9DW研究疗效数据结果显示，联合治疗组的中位OS为23.7个月，而仑伐替尼或索拉非尼组为20.6个月（HR：0.79，95%CI：0.65-0.96；p=0.018）。联合治疗组的总缓解率为36.1%（95%CI：31.0%-41.5%），显著高于对照组的13.2%（95%CI：9.8%-17.3%；p<0.0001）。CHECKMATE-9DW研究总生存期数据安全性分析显示，最常见（>20%）的不良反应包括皮疹、瘙痒、乏力和腹泻。4. 卡匹色替/商品名：荃科得、Truqap通用名：卡匹色替、Capivasertib适应症：HR+/HER2-并携带PIK3CA/AKT1/PTEN变异的乳腺癌临床试验：CAPItello-291原研公司：阿斯利康获批日期：2025.04.15获批机构：NMPA2025年04月15日，NMPA批准卡匹色替联合氟维司群用于转移性阶段至少接受过一种内分泌治疗后疾病进展，或在辅助治疗期间或完成辅助治疗后12个月内复发的HR+、HER2-且伴有一种或多种PIK3CA/AKT1/PTEN改变的局部晚期或转移性乳腺癌成人患者。该药品上市为患者提供了新的治疗选择。本次获批主要是基于CAPItello-291研究全球队列的研究结果，及其在2023欧洲肿瘤内科学会亚洲年会（ESMO Asia）上公布的中国队列的积极结果。CAPItello-291研究是一项全球多中心、双盲、随机的III期临床试验，该研究旨在评估卡匹色替联合氟维司群对比安慰剂联合氟维司群治疗局部晚期（不可手术）或转移性HR+/HER2低表达或阴性乳腺癌的安全性和有效性。研究招募了708例经组织学证实为HR+/HER2低表达或阴性乳腺癌的患者，试验的主要终点为总体人群和携带PIK3CA/AKT1/PTEN突变患者亚组的PFS。在研究中，约40%的患者有PI3K/AKT/PTEN突变。结果表明，与安慰剂联合氟维司群相比，卡匹色替联合氟维司群的PFS具有统计学意义和临床意义的改善。在总体人群中，卡匹色替组和安慰剂组的中位PFS分别为7.2个月 vs. 3.6个月，与安慰剂组相比，卡匹色替组疾病进展或死亡风险降低40%。在PI3K/AKT/PTEN突变的亚组中，中位PFS分别为7.3个月 vs. 3.1个月，同时与安慰剂组相比，卡匹色替组疾病进展或死亡风险降低50%。在是否存在肝转移或既往是否接受过CDK4/6抑制剂治疗亚组中，卡匹色替组的HR均具有优势。在次要终点方面，在总体人群中，ORR为22.9% vs. 12.2%；在PI3K/AKT/PTEN突变的人群中，ORR为26% vs. 8%。CAPItello-291研究疗效数据CAPItello-291研究中国队列研究结果显示，在中国患者总人群中，与安慰剂相比，卡匹色替联合氟维司群取得了具有统计学显著性和临床意义的PFS改善（6.9 个月 vs. 2.8 个月，HR：0.51）；PIK3CA/AKT1/PTEN变异的中国患者中，卡匹色替联合氟维司群组的PFS也具有临床意义的显著改善（5.7 个月 vs. 1.9 个月，HR：0.41）。卡匹色替联合氟维司群在中国人群中的安全性与全球人群基本一致。CAPItello-291研究亚洲人群疗效数据5. 纳武利尤单抗/商品名：欧狄沃通用名：纳武利尤单抗适应症：联合化疗作为新辅助治疗，术后作为单药辅助治疗，用于治疗可手术切除且无已知EGFR突变或ALK重排的NSCLC临床试验：CheckMate-77T研发公司：百时美施贵宝获批日期：2025.04.22批准机构：NMPA2025年4月22日，NMPA批准纳武利尤单抗联合含铂化疗作为新辅助治疗，术后继续以纳武利尤单抗作为单药辅助治疗，用于治疗可手术切除的II、IIIA和IIIB期且无已知EGFR突变或ALK重排的成人NSCLC患者。该获批是基于一项全球III期随机对照研究（CheckMate-77T，NCT04025879），旨在评估纳武利尤单抗联合含铂双药化疗作为新辅助治疗、序贯手术和纳武利尤单抗单药辅助治疗，对比新辅助化疗联合安慰剂，序贯手术和安慰剂辅助治疗，用于可切除NSCLC患者的疗效。CheckMate-77T研究疗效数据研究主要终点结果显示，对比围术期化疗及安慰剂组，纳武利尤单抗组可显著降低42%疾病复发、进展或死亡风险（无事件生存期（EFS）HR：0.58，p=0.00025）。次要终点方面，纳武利尤单抗方案组25.3%的患者实现了病理完全缓解（pCR，即手术切除的原发灶和淋巴结标本中均未发现存活肿瘤细胞），而化疗组仅为4.7%。研究中，纳武利尤单抗方案的安全性可控，未发现新的不良反应信号。CheckMate-77T研究中国患者亚组疗效数据此外，针对中国患者的亚组分析显示，纳武利尤单抗方案在中国患者中具有一致的获益和安全性，可降低60%疾病复发、进展或死亡风险（EFS HR：0.40），pCR率为35.1%（化疗组为3.2%）。此次获批后，纳武利尤单抗已在中国获批4项早期肿瘤适应症，包括围术期、新辅助和辅助治疗，覆盖肺癌、食管癌、尿路上皮癌，位居所有PD-1抑制剂首位。纳武利尤单抗也是目前唯一在中国获批两项可切除NSCLC适应症的免疫治疗药物，覆盖围术期与单纯新辅助治疗。6. 派安普利单抗/商品名：安尼可通用名：派安普利单抗、Penpulimab适应症：联合化疗用于NPC一线治疗；单药用于NPC后线治疗临床试验：AK105-304（一线）/AK105-202（后线）原研公司：康方生物/正大天晴获批日期：2025.04.24获批机构：FDA2025年4月24日，FDA宣布批准派安普利单抗两项适应症，分别为：联合顺铂或卡铂和吉西他滨用于复发或转移性非角化性鼻咽癌（NPC）成人患者的一线治疗；单药治疗成人转移性非角化性NPC，这些患者在铂基化疗和至少一种其他先前治疗期间或之后出现疾病进展。AK105-304（NCT04974398）研究评估了派安普利单抗联合顺铂或卡铂和吉西他滨的疗效，这是一项随机、双盲、多中心III期临床试验，在291例复发或转移性鼻咽癌患者中进行，这些患者之前没有接受过复发或转移性疾病的全身化疗。主要疗效指标是PFS，由盲法独立审查委员会根据RECIST v1.1进行评估。派安普利单抗组的中位PFS为9.6个月，安慰剂组的中位PFS为7.0个月。OS结果尚未成熟。AK105-304研究疗效数据AK105-202研究评估了单药派安普利单抗的疗效，这是一项开放标签、多中心、单组试验。该试验共纳入125例不可切除或转移性非角化性鼻咽癌患者，这些患者在铂类化疗和至少一种其他治疗后出现疾病进展。主要疗效指标是ORR和DoR，根据独立放射学审查委员会评估的RECIST v1.1。ORR为28%，中位DoR未达到。AK105-202研究疗效数据此前，派安普利单抗已在中国获批4项适应症，分别为联合化疗一线治疗局部晚期或转移鳞状NSCLC，至少经过二线系统化疗复发或难治性经典型霍奇金淋巴瘤，以及接受过二线及以上系统治疗失败的复发/转移性NPC、联合化疗一线治疗复发或转移NPC。7. 利厄替尼/商品名：奥壹新通用名：利厄替尼、Limertinib适应症：一线治疗EGFR 19del或L858R突变的NSCLC临床试验：ASK-LC-120067-F-III原研公司：信达生物、奥赛康药业获批日期：2025.04.22获批机构：NMPA2025年04月22日，NMPA批准利厄替尼片用于具有EGFR 19del或L858R的局部晚期或转移性NSCLC成人患者的一线治疗。利厄替尼（limertinib，ASK120067）是一款具有全新分子实体、活性显著的口服的第三代EGFR-TKI。利厄替尼于 2025年1月首次在国内获批上市，用于既往经EGFR-TKI 治疗时或治疗后出现疾病进展，并且经检测确认存在 EGFR T790M突变阳性的局部晚期或转移性NSCLC成人患者的治疗。根据信达生物官微显示，此次新适应症获批是基于一项随机、双盲、阳性对照III期临床研究（NCT04143607，ASK-LC-120067-F-III）的积极结果。该研究共纳入337例未经系统性治疗的EGFR敏感突变阳性局部晚期或转移性NSCLC患者，按1:1比例随机接受利厄替尼或吉非替尼治疗。主要研究终点是独立审评委员会（IRC）评估的PFS。结果显示，与吉非替尼相比，利厄替尼显著延长了初治EGFR敏感突变阳性局部晚期或转移性NSCLC患者的中位PFS（20.7个月vs. 9.7个月），疾病进展或死亡风险显著降低56%（HR：0.44；95%CI: 0.34-0.58；p＜0.0001）。在中枢神经系统（CNS）存在可测量病灶患者中，与吉非替尼相比，利厄替尼显著延长了中位CNS PFS（20.7个月vs. 7.1个月），疾病进展或死亡风险降低高达72%(HR：0.28；95%CI：0.10-0.82；p=0.0136)，显示对于脑转移患者具有突出的疗效。利厄替尼主要不良反应为EGFR靶点常见不良反应，患者耐受性较好，试验未观察到新的安全性信号。8. 依沃西单抗/商品名：依达方通用名：依沃西单抗、Ivonescimab适应症：一线治疗PD-L1表达阳性的EGFR基因突变阴性和ALK阴性NSCLC临床试验：HARMONi-2原研公司：康方生物获批日期：2025.04.22获批机构：NMPA2025年04月22日，NMPA批准依沃西单抗单药用于PD-L1 表达阳性（PD-L1 TPS≥1%）的EGFR基因突变阴性和ALK阴性的局部晚期或转移性NSCLC的一线治疗。这是继其EGFR-TKI耐药适应症获批后，依沃西单抗在中国斩获的第二个重要适应症。依沃西单抗是一款PD-1/VEGF双特异性抗体。2024年5 月，依沃西单抗首次在国内获批上市，适应症为联合培美曲塞和卡铂用于经EGFR-TKI治疗后进展的EGFR基因突变阳性的局部晚期或转移性非鳞状NSCLC患者的二线治疗。本次批准主要基于HARMONi-2研究（NCT05499390）。HARMONi-2研究是一项随机、双盲、对照III期临床试验，对比了依沃西单抗与帕博利珠单抗在PD-L1 TPS ≥1%（E1L3N抗体）的驱动基因阴性NSCLC患者中的疗效和安全性。HARMONi-2研究疗效数据研究数据显示，与帕博利珠单抗单药治疗相比，依沃西单抗显著延长了患者的无进展生存期（mPFS: 11.1个月 vs. 5.8个月；HR：0.51；95%CI: 0.38-0.69；p<0.0001），降低了49%疾病进展或死亡风险，提高了患者的客观缓解率（ORR：50.0% vs. 39%）和疾病控制率（DCR：90% vs. 71%）。HARMONi-2研究PFS数据亚组分析进一步显示，无论患者的PD-L1表达高（≥50%）或低（1%-49%），依沃西单抗在鳞状和非鳞状肺癌患者中均表现出较优的疗效，HR分别为0.48和0.54。此外，依沃西单抗分别在鳞癌、非鳞癌患者中，以及存在肝转移、脑转移的患者中均展现了较优的疗效。在安全性方面，依沃西单抗组的总体安全性良好，未出现新的安全性信号。9. 特瑞普利单抗/商品名：拓益、Loqtorzi通用名：特瑞普利单抗、Toripalimab适应症：一线治疗不可切除或转移性黑色素瘤临床试验：MELATORCH原研公司：君实生物获批日期：2025.04.22获批机构：NMPA2025年04月22日，NMPA批准特瑞普利单抗用于不可切除或转移性黑色素瘤一线治疗。本次适应症获批使其成为首个覆盖晚期黑色素瘤一线免疫治疗的国产PD-1单抗。本次新适应证获批主要基于2024年CSCO大会上首发的MELATORCH研究（NCT03430297）数据。结果显示，相较于达卡巴嗪组（N=128），特瑞普利单抗组（N=127）基于盲态独立中心阅片（BICR）评估的PFS显著延长，两组中位PFS分别为2.3个月和2.1个月，疾病进展或死亡风险降低29.2%（HR：0.708，95%CI: 0.526-0.954；p=0.0209）；研究者评估的PFS也显示出一致的获益，中位PFS分别为2.4 vs. 2.1个月，HR：0.673（95%CI：0.508-0.891）。无论基于BICR还是研究者的评估结果，特瑞普利单抗组的ORR均高于达卡巴嗪组，且DoR较达卡巴嗪组显示出明显的延长趋势。与达卡巴嗪相比，特瑞普利单抗治疗组显示出明显的生存获益趋势。61.2%的达卡巴嗪组患者接受了特瑞普利单抗交叉治疗，两阶段法矫正交叉治疗后结果显示特瑞普利单抗组的OS较达卡巴嗪组明显获益，中位OS分别为15.1 vs. 9.4个月（HR：0.680；95%CI：0.486-0.951）。特瑞普利单抗的安全性良好，与既往研究一致，未发现新的安全信号。MELATORCH研究PFS数据特瑞普利单抗作为我国批准上市的首个国产PD-1单抗，已在国内获批12项适应症，包括黑色素瘤、鼻咽癌、尿路上皮癌/膀胱癌、食管鳞癌、非鳞状NSCLC、NSCLC、肾细胞癌、小细胞肺癌、三阴性乳腺癌、肝癌等适应症。10. 阿昔替尼+特瑞普利单抗/商品名：英立达+拓益通用名：阿昔替尼+特瑞普利单抗适应症：一线治疗中高危的不可切除或转移性RCC临床试验：RENOTORCH原研公司：辉瑞制药/君实生物获批日期：2025.04.22获批机构：NMPA2025年04月22日，NMPA批准阿昔替尼联合特瑞普利单抗用于中高危的不可切除或转移性肾细胞癌（RCC）患者的一线治疗。本次获批是基于一项多中心、随机、开放、阳性药对照的III期临床研究RENOTORCH（NCT04394975）。该研究共纳入421例中高危、不可切除或转移性RCC患者，按照1：1比例随机分配至特瑞普利单抗联合阿昔替尼组（n=210）或舒尼替尼组（n=211）接受治疗。主要研究终点为IRC评估的PFS。IRC评估的研究结果显示，与舒尼替尼单药治疗相比，接受特瑞普利单抗联合阿昔替尼治疗可显著延长患者的PFS（IRC评估：18.0个月 vs. 9.8个月），疾病进展或死亡风险降低35%（HR=0.65）。此外，特瑞普利单抗联合组的ORR更优（56.7% vs. 30.8%），DoR更长（未达到 vs. 16.7个月），具有明显的OS获益趋势（未达到 vs.  26.8个月）。安全性方面，特瑞普利单抗联合阿昔替尼的安全性和耐受性良好，未发现新的安全性信号。RENOTORCH研究经IRC评估的PFS数据RENOTORCH研究经IRC评估的疗效数据11.埃万妥单抗/商品名：锐珂、RYBREVANT通用名：埃万妥单抗、Amivantamab适应症：联合化疗用于EGFR 19del/L858R突变且经EGFR-TKI治疗进展的非鳞状NSCLC临床试验：MARIPOSA-2原研公司：强生获批日期：2025.04.22获批机构：NMPA2025年04月22日，NMPA批准埃万妥单抗与卡铂和培美曲塞联合用于治疗携带EGFR19del/L858R突变且在EGFR-TKI治疗期间或之后疾病进展的局部晚期或转移性非鳞状NSCLC成人患者。埃万妥单抗是一款全人源双特异性抗体，同时针对EGFR和MET两个靶点。这是埃万妥单抗今年在中国获批的第二个肺癌适应症，此前，埃万妥单抗已于今年2月获批用于治疗携带EGFR 20号外显子插入突变的局部晚期或转移性NSCLC成人患者的一线治疗。本次获批是基于MARIPOSA-2研究。MARIPOSA-2研究是一项随机、开放标签、多中心试验，旨在评估埃万妥单抗联合策略治疗奥希替尼耐药后NSCLC的疗效及安全性。结果显示，与单独化疗组相比，埃万妥单抗联合化疗可将疾病进展或死亡风险降低52%，中位PFS为6.3个月，而单独化疗组为4.2个月（HR：0.48；95%CI：0.36-0.64；p<0.001）。MARIPOSA-2研究PFS数据针对亚洲亚组人群的分析结果显示，中位随访9.5个月时，埃万妥单抗联合化疗组患者的疾病进展或死亡风险降低了46%（HR：0.54；95%CI：0.37-0.81；p=0.002），埃万妥单抗联合化疗组和化疗组的中位PFS为6.8 vs. 4.2个月，与总体人群相当。埃万妥单抗联合化疗组的ORR为66%（95%CI：53-78），化疗组为32%（95%CI：24-41）（比值比，4.04；95%CI：2.13-7.67；p<0.001）。埃万妥单抗联合化疗组的中位颅内PFS为12.45个月，化疗组为8.5个月（HR：0.58；95%CI：0.34-1.00；p=0.049）。MARIPOSA-2研究亚洲人群疗效数据在安全性方面，亚洲患者的AE发生率与MARIPOSA-2总体人群的相似。埃万妥单抗联合化疗组中最常见的TEAE是中性粒细胞减少和血小板减少，但持续时间短暂、严重程度较轻，主要发生在第1周期，与中性粒细胞减少性发热和出血并发症的发生率有关。声明：发表/转载本文仅仅是出于传播信息的需要，并不意味着代表本公众号观点或证实其内容的真实性。据此内容作出的任何判断，后果自负。若有侵权，告知必删！长按关注本公众号   粉丝群/投稿/授权/广告等请联系公众号助手 觉得本文好看，请点这里↓