Tenofovir

RAHWAY, N.J.--( BUSINESS WIRE )--Merck (NYSE: MRK), known as MSD outside of the United States and Canada, today announced topline results from two pivotal Phase 3 trials of the investigational, once-daily, oral, two-drug, single-tablet regimen of doravirine/islatravir [DOR/ISL (100 mg/0.25 mg)] in adults with HIV-1 infection that is virologically suppressed on different antiretroviral therapy regimens [baseline antiretroviral therapy (bART)]; MK-8591A-051 or bictegravir/emtricitabine/tenofovir alafenamide i [BIC/FTC/TAF (50 mg/200 mg/25 mg)]; MK-8591A-052 . The success criterion for the primary efficacy hypothesis, as measured by the percentage of participants with HIV-1 RNA levels ≥50 copies/mL at Week 48, was met in both trials. DOR/ISL was demonstrated to be non-inferior to bART in open-label trial MK-8591A-051 and non-inferior to BIC/FTC/TAF in double-blind trial MK-8591A-052. The superiority criteria were not met in trial MK-8591A-052. Primary safety objectives of both trials were also met. The company is planning to present detailed findings from these trials at a future scientific congress and will also plan to file these data with regulatory authorities. In the U.S., doravirine is approved for the treatment of adults with HIV-1 in combination with other antiretrovirals, as a single agent (PIFELTRO) and a component of a single-tablet regimen [DELSTRIGO; doravirine, lamivudine, and tenofovir disoproxil fumarate (DOR/3TC/TDF)]. “ We are encouraged by the results from these Phase 3 trials evaluating a once-daily, oral, two-drug, single-tablet regimen of doravirine and islatravir,” said Dr. Eliav Barr, senior vice president, head of global clinical development and chief medical officer, Merck Research Laboratories. “ We are committed to advancing our clinical programs for islatravir in combination with other antiretrovirals as potential options to help address the needs of people living with HIV.” Islatravir (MK-8591), Merck’s investigational nucleoside reverse transcriptase translocation inhibitor (NRTTI), exhibits both transcriptase and translocation inhibition (which prevents nucleotide binding and incorporation to the DNA chain, resulting in immediate chain termination) and delayed chain termination (which prevents nucleotide incorporation even in the event of translocation). Islatravir is being evaluated in multiple early and late-stage clinical trials in combination with other antiretroviral therapies for the treatment of HIV-1. In addition to the MK-8591A-051 and MK-8591A-052 trials, ongoing Phase 3 trials of DOR/ISL include MK-8591A-053 in people with HIV who had not previously received treatment (treatment-naïve), and MK-8591A-054 evaluating open-label DOR/ISL (100 mg/0.25 mg) in individuals who participated in earlier Phase 3 trials of DOR/ISL (100 mg/0.75 mg). About MK-8591A-051 ( NCT05631093 ) MK-8591A-051 is a Phase 3, randomized, active-controlled, open-label clinical trial evaluating a switch to investigational, oral, once-daily DOR/ISL (100 mg/0.25 mg) in adults with HIV-1 infection that has been virologically suppressed using ART. Participants (n=551) were randomized 2:1 to either switch to investigational DOR/ISL or continue with their current bART regimen through Week 48. After Week 48, all participants receive DOR/ISL through Week 144 of the trial. After Week 144, eligible participants may continue on DOR/ISL and continue trial treatment until Week 240 or when DOR/ISL becomes commercially accessible (whichever comes first). The primary efficacy (percentage of participants with HIV-1 RNA levels ≥50 copies/mL) and safety (number of participants experiencing adverse events (AEs) and discontinuing trial intervention due to AEs) endpoints were assessed at Week 48. About MK-8591A-052 ( NCT05630755 ) MK-8591A-052 is a Phase 3, randomized, active-controlled, double-blind clinical trial evaluating a switch to investigational, oral, once-daily DOR/ISL (100mg /0.25mg) in adults with HIV-1 infection that has been virologically suppressed using BIC/FTC/TAF (50 mg/200 mg/25 mg). Participants (n=513) were randomized 2:1 to either switch to DOR/ISL or continue on BIC/FTC/TAF through Week 144. After Week 144, eligible participants may continue on DOR/ISL and continue trial treatment until Week 240 or when DOR/ISL becomes commercially accessible (whichever comes first). The primary efficacy (percentage of participants with HIV-1 RNA levels ≥50 copies/mL) and safety (number of participants experiencing AEs and discontinuing trial intervention due to AEs) endpoints were assessed at Week 48. Indications and usage for PIFELTRO and DELSTRIGO in the U.S. PIFELTRO is indicated in combination with other antiretroviral (ARV) agents for the treatment of HIV-1 infection in adult patients with no prior ARV treatment history or to replace the current ARV regimen in those who are virologically suppressed (HIV-1 RNA less than 50 copies per mL) on a stable ARV regimen with no history of treatment failure and no known substitutions associated with resistance to doravirine. DELSTRIGO is indicated as a complete regimen for the treatment of HIV-1 infection in adult patients with no prior ARV treatment history or to replace the current ARV regimen in those who are virologically suppressed (HIV-1 RNA less than 50 copies per mL) on a stable ARV regimen with no history of treatment failure and no known substitutions associated with resistance to the individual components of DELSTRIGO. Selected Safety Information Warning: Posttreatment Acute Exacerbation of Hepatitis B (HBV) All patients with HIV-1 should be tested for the presence of HBV before initiating ARV therapy. Severe acute exacerbations of HBV have been reported in people with concomitant HIV-1 and HBV who have discontinued products containing lamivudine or tenofovir disoproxil fumarate (TDF), which are components of DELSTRIGO. Patients coinfected with HIV-1 and HBV who discontinue DELSTRIGO should be monitored with both clinical and laboratory follow-up for at least several months after stopping DELSTRIGO. If appropriate, initiation of anti-HBV therapy may be warranted. Contraindications PIFELTRO and DELSTRIGO are contraindicated when coadministered with drugs that are strong cytochrome P450 (CYP)3A enzyme inducers (including the anticonvulsants carbamazepine, oxcarbazepine, phenobarbital, and phenytoin; the androgen receptor inhibitor enzalutamide; the antimycobacterials rifampin and rifapentine; the cytotoxic agent mitotane; and the herbal product St. John’s wort (Hypericum perforatum)), as significant decreases in doravirine plasma concentrations may occur, which may decrease the effectiveness of DELSTRIGO and PIFELTRO. DELSTRIGO is contraindicated in patients with a previous hypersensitivity reaction to lamivudine. Warnings and Precautions Severe Skin Reactions Severe skin reactions, including Stevens-Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN), have been reported during the postmarketing experience with doravirine-containing regimens. Discontinue PIFELTRO or DELSTRIGO, and other medications known to be associated with severe skin reactions, immediately if a painful rash with mucosal involvement or a progressive severe rash develops. Clinical status should be closely monitored, and appropriate therapy should be initiated. New or Worsening Renal Impairment Renal impairment, including cases of acute renal failure and Fanconi syndrome, have been reported with the use of TDF. DELSTRIGO should be avoided with concurrent or recent use of a nephrotoxic agent (eg, high-dose or multiple NSAIDs). Cases of acute renal failure after initiation of high-dose or multiple NSAIDs have been reported in people living with HIV with risk factors for renal dysfunction who appeared stable on TDF. Prior to or when initiating DELSTRIGO, and during treatment, assess serum creatinine, estimated creatinine clearance, urine glucose, and urine protein in all patients. In patients with chronic kidney disease, also assess serum phosphorus. Discontinue DELSTRIGO in patients who develop clinically significant decreases in renal function or evidence of Fanconi syndrome. Discontinue DELSTRIGO if estimated creatinine clearance declines below 50 mL/min. Bone Loss and Mineralization Defects In clinical trials in adults living with HIV, TDF was associated with slightly greater decreases in bone mineral density (BMD) and increases in biochemical markers of bone metabolism. Serum parathyroid hormone levels and 1,25 Vitamin D levels were also higher. Cases of osteomalacia associated with proximal renal tubulopathy have been reported with the use of TDF. Immune Reconstitution Syndrome Immune reconstitution syndrome can occur, including the occurrence of autoimmune disorders with variable time to onset, which may necessitate further evaluation and treatment. Drug Interactions Because DELSTRIGO is a complete regimen, coadministration with other antiretroviral medications for the treatment of HIV-1 infection is not recommended. Coadministration of PIFELTRO with efavirenz, etravirine, or nevirapine is not recommended. If DELSTRIGO is coadministered with rifabutin, take one tablet of DELSTRIGO once daily, followed by one tablet of doravirine (PIFELTRO) approximately 12 hours after the dose of DELSTRIGO. If PIFELTRO is coadministered with rifabutin, increase PIFELTRO dosage to one tablet twice daily (approximately 12 hours apart). Consult the full Prescribing Information prior to and during treatment for more information on potential drug-drug interactions. Dosage and Administration/Specific Populations Renal Impairment Because DELSTRIGO is a fixed-dose combination tablet and the dosage of lamivudine and TDF cannot be adjusted, DELSTRIGO is not recommended in patients with estimated creatinine clearance less than 50 mL/min. Adverse Reactions The most common adverse reactions with DELSTRIGO (incidence ≥5%, all intensities) were dizziness (7%), nausea (5%), and abnormal dreams (5%). The most common adverse reactions with PIFELTRO (incidence ≥5%, all intensities) were nausea (7%), dizziness (7%), headache (6%), fatigue (6%), diarrhea (6%), abdominal pain (5%), and abnormal dreams (5%). By week 96 in DRIVE-FORWARD, 2% of adult participants in the PIFELTRO group and 3% in the darunavir+ritonavir (DRV+r) group had adverse events leading to discontinuation of study medication. By week 96 in DRIVE-AHEAD, 3% of adult participants in the DELSTRIGO group and 7% in the efavirenz (EFV)/emtricitabine (FTC)/TDF group had adverse events leading to discontinuation of study medication. In DRIVE-FORWARD, mean changes from baseline at week 48 in LDL-cholesterol (LDL-C) and non-HDL-cholesterol (non-HDL-C) were pre-specified. LDL-C: -4.6 mg/dL in the PIFELTRO group vs 9.5 mg/dL in the DRV+r group. Non-HDL-C: -5.4 mg/dL in the PIFELTRO group vs 13.7 mg/dL in the DRV+r group. The clinical benefits of these findings have not been demonstrated. In DRIVE-AHEAD, mean changes from baseline at week 48 in LDL-C and non-HDL-C were pre-specified. LDL-C: -2.1 mg/dL in the DELSTRIGO group vs 8.3 mg/dL in the EFV/FTC/TDF group. Non-HDL-C: -4.1 mg/dL in the DELSTRIGO group vs 12.7 mg/dL in the EFV/FTC/TDF group. The clinical benefits of these findings have not been demonstrated. In DRIVE-SHIFT, mean changes from baseline at week 24 in LDL-C and non-HDL-C were pre-specified. LDL-C: -16.3 mg/dL in the DELSTRIGO group vs -2.6 mg/dL in the PI + ritonavir group. Non-HDL-C: -24.8 mg/dL in the DELSTRIGO group vs -2.1 mg/dL in the PI + ritonavir group. The clinical benefits of these findings have not been demonstrated. In DRIVE-AHEAD, neuropsychiatric adverse events were reported in the three pre-specified categories of sleep disorders and disturbances, dizziness, and altered sensorium. Twelve percent of adult participants in the DELSTRIGO group and 26% in the EFV/FTC/TDF group reported neuropsychiatric adverse events of sleep disorders and disturbances; 9% in the DELSTRIGO group and 37% in the EFV/FTC/TDF group reported dizziness; and 4% in the DELSTRIGO group and 8% in the EFV/FTC/TDF group reported altered sensorium. The safety of DELSTRIGO in virologically-suppressed adults was based on week 48 data from participants in the DRIVE-SHIFT trial. Overall, the safety profile in virologically-suppressed adult participants was similar to that in participants with no ARV treatment history. Serum ALT and AST Elevations: In the DRIVE-SHIFT trial, 22% and 16% of participants in the immediate switch group experienced ALT and AST elevations greater than 1.25 X ULN, respectively, through 48 weeks on DELSTRIGO. For these ALT and AST elevations, no apparent patterns with regard to time to onset relative to switch were observed. One percent of participants had ALT or AST elevations greater than 5 X ULN through 48 weeks on DELSTRIGO. The ALT and AST elevations were generally asymptomatic, and not associated with bilirubin elevations. In comparison, 4% and 4% of participants in the delayed switch group experienced ALT and AST elevations of greater than 1.25 X ULN through 24 weeks on their baseline regimen. Pregnancy/Breastfeeding There is a pregnancy exposure registry that monitors pregnancy outcomes in individuals exposed to PIFELTRO or DELSTRIGO during pregnancy. Healthcare providers are encouraged to register patients by calling the Antiretroviral Pregnancy Registry (APR) at 1-800-258-4263. Inform individuals with HIV-1 infection of the potential risks of breastfeeding, including: (1) HIV-1 transmission (in HIV-1–negative infants), (2) developing viral resistance (in HIV-1–positive infants), and (3) serious adverse reactions in a breastfed infant similar to those seen in adults. About Islatravir (MK-8591) and Merck’s HIV Research Islatravir (MK-8591) is Merck’s investigational nucleoside reverse transcriptase translocation inhibitor (NRTTI) under evaluation in multiple ongoing early and late-stage clinical studies in combination with other antiretrovirals for the treatment of HIV-1. Studies with islatravir are designed to offer different dosing options as potential daily and once-weekly treatments. For an overview of Merck’s HIV treatment and prevention clinical development program, please click here . Merck’s Commitment to HIV For more than 35 years, Merck has been committed to scientific research and discovery in HIV leading to scientific breakthroughs that have helped change HIV treatment. Our work has been pioneering in the development of new options across multiple drug classes to help those impacted by HIV. Today, we are developing a series of antiviral options designed to help people manage HIV and protect people from HIV, with the goal of reducing the growing burden of infection worldwide. We want to ensure people are not defined by HIV and our work focuses on transformational innovations, collaborations with others in the global HIV community, and access initiatives aimed at the goal of helping to end the HIV epidemic for everyone. About Merck At Merck, known as MSD outside of the United States and Canada, we are unified around our purpose: We use the power of leading-edge science to save and improve lives around the world. For more than 130 years, we have brought hope to humanity through the development of important medicines and vaccines. We aspire to be the premier research-intensive biopharmaceutical company in the world – and today, we are at the forefront of research to deliver innovative health solutions that advance the prevention and treatment of diseases in people and animals. We foster a diverse and inclusive global workforce and operate responsibly every day to enable a safe, sustainable and healthy future for all people and communities. For more information, visit www.merck.com and connect with us on X (formerly Twitter) , Facebook , Instagram , YouTube and LinkedIn . Forward-Looking Statement of Merck & Co., Inc., Rahway, N.J., USA This news release of Merck & Co., Inc., Rahway, N.J., USA (the “company”) includes “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. These statements are based upon the current beliefs and expectations of the company’s management and are subject to significant risks and uncertainties. There can be no guarantees with respect to pipeline candidates that the candidates will receive the necessary regulatory approvals or that they will prove to be commercially successful. If underlying assumptions prove inaccurate or risks or uncertainties materialize, actual results may differ materially from those set forth in the forward-looking statements. Risks and uncertainties include but are not limited to, general industry conditions and competition; general economic factors, including interest rate and currency exchange rate fluctuations; the impact of pharmaceutical industry regulation and health care legislation in the United States and internationally; global trends toward health care cost containment; technological advances, new products and patents attained by competitors; challenges inherent in new product development, including obtaining regulatory approval; the company’s ability to accurately predict future market conditions; manufacturing difficulties or delays; financial instability of international economies and sovereign risk; dependence on the effectiveness of the company’s patents and other protections for innovative products; and the exposure to litigation, including patent litigation, and/or regulatory actions. The company undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise. Additional factors that could cause results to differ materially from those described in the forward-looking statements can be found in the company’s Annual Report on Form 10-K for the year ended December 31, 2023, and the company’s other filings with the Securities and Exchange Commission (SEC) available at the SEC’s Internet site ( www.sec.gov ). Please see Prescribing Information for PIFELTRO (doravirine) at: https://www.merck.com/product/usa/pi_circulars/p/pifeltro/pifeltro_pi.pdf and Patient Information for PIFELTRO (doravirine) at: https://www.merck.com/product/usa/pi_circulars/p/pifeltro/pifeltro_ppi.pdf Please see Prescribing Information for DELSTRIGO (doravirine, lamivudine, and tenofovir disoproxil fumarate) at: https://www.merck.com/product/usa/pi_circulars/d/delstrigo/delstrigo_pi.pdf and Patient Information for DELSTRIGO (doravirine, lamivudine, and tenofovir disoproxil fumarate) https://www.merck.com/product/usa/pi_circulars/d/delstrigo/delstrigo_ppi.pdf i bictegravir/emtricitabine/tenofovir alafenamide (BIKTARVY) is a registered trademark of Gilead Sciences, Inc.

乙肝功能治愈新时代，浪潮澎湃。 强家（JNJ）与罗家（Roche）选择退场，冀家（GSK）有望拔得头筹，“中国国家队”强势崛起！临床研究堪称百技之首，更能一锤定音！团队聚是一团火，散是满天星！ 华山张文宏教授和谢青教授在上海疫情封控期间被隔离，吃住在办公室，他们对临床研究的执着和强烈的使命感，使得试验没有因为疫情受影响。我耳旁始终有谢姐这朵铿锵玫瑰说的十二个字，“绝对支持，要人有人，要血有血！” 好友愈哥说，侯哥，你知道吗，无论药物研发是基于怎样的战略思考或者商业考虑，此时又是谁家独占鳌头，最重要的是在这过程中培养的复合型研究型医师人才和不断夯实的临床试验平台！这是生命方舟！这是传承给人类的真正的财富！唯有紧跟时代、创新突破，方能在竞争中屹立。 感恩强家、罗家、冀家对“乙肝功能治愈”概念验证征途中的前赴后继的人力、财力和物力的巨大投入，使得乙肝治愈走出关键一步。下一段，siRNA与免疫调节药物携手以及siRNA序贯ASO的终极对决即将登场，必将在乙肝功能治愈新时代绽放出绚烂夺目的光彩。 2023年6月 南方医院肝病中心治愈研究执行团队 在南方医院某新药研究第一针镜头 在医药研发领域这片广袤无垠又充满挑战的领域，我有幸结识了一位独具慧眼、言辞犀利的愈哥。他对数十年来乙肝药物的研发如数家珍，宛如一部鲜活的乙肝功能治愈研发的宝典。令人称奇的是，他对于其中的许多细节皆能娓娓道来，且点评鲜辣，剖析精准，直击要害，因此我总是与其聊得不舍昼夜。 提及中国临床科研团队于2024年12月5日在《新英格兰医学杂志》上发表的乙肝功能治愈新药平台概念验证文章，他赞不绝口，鼓励中国的药物研发团队，要继续“以终为始”，坚定不移地沿着《新英格兰医学杂志》这篇具有重大概念验证意义的“雄文”所开辟的乙肝治愈光明大道，奋勇前行。正所谓：“披荆斩棘五十载，科学研究改写人类命运”。 2017年2月12日 广州和上海临床研究团队 第一章 强家之无奈 强家（JNJ），曾是乙肝功能治愈管线开发的先锋劲旅，一度风光无限。其在乙肝核苷（酸）类似物如日中天之时，就在功能治愈的漫漫征途中提前布局，全力以赴，恰似一位无畏的开拓者，最终第一个完成二期概念验证研究。 然而，命运却在此处悄然转折，尽管二期结果令人鼓舞，但强家仿佛陷入了重重迷雾笼罩的深谷，在长达两年的时光里，举棋不定。 彼时，外部市场环境波谲云诡，内部决策的权衡也如不见硝烟的战场，错综复杂。而曾经意气风发、踌躇满志的强家，在这混沌不清的局势中逐渐丧失了往昔的锐气与锋芒。 最终，或是出于公司整体战略的角度，考虑到乙肝是亚洲病，又适逢siRNA管线中国研发强势推进，强家在承受巨大压力的同时又无信心在乙肝功能治愈的商战上独占鳌头，做出了令人瞠目结舌的壮士断腕之举——毅然决然地斩断全部感染管线，并将凝聚无数心血、寄予厚望的成果，如弃敝履般转让给冀家（GSK）。 早期抗感染的研发团队的精英们只能无奈地一一作别。在愈哥的眼中，强家此举无疑是头号“愚者”行径，将大好的发展契机拱手相让，徒留壮志未酬的悲怆叹息在医药江湖久久回荡。 第二章 冀家之奋进 冀家（GSK），在乙肝医药研发的历史长河中，犹如一颗恒定闪耀的星辰，有着执着探索的光辉。虽然三十年几经蹉跎，但其在感染和乙肝领域开拓的信念，始终坚如磐石。冀家是乙肝核苷类似物的开山鼻祖，因拉米夫定剂量选择的一时保守而成为二线药物，痛心不已，后相继成功落地两个口服抗病毒药物，阿德福韦酯和替诺福韦酯，引领乙肝治疗市场10余年，之后一批国产仿制药上市，加上集采政策，市场一度萎缩。 但冀家坚韧的品质，继续支撑着他家研发团队砥砺前行。经历了漫长的寒冬后，在小核酸药物崭露微弱曙光之际，拿出了手中的孪生双子剑ASO：836和404，并罕见的开展了堪称“七伤拳”的优化自我比拼。最终404被淘汰，但这也成就了836成为了小核酸治疗领域领域的美玉——BPV。 凭借着这份过人的胆色，冀家势如破竹地率先踏入全球三期乙肝功能治愈全球注册临床阶段。中国临床研究牵头中心南方医院入组病人一骑绝尘，高质量完成入组。而冀家未雨绸缪的战略布局远不止于此，在稍纵即逝的机遇闪现之际，凭借着敏锐的洞察力与果敢的决断力，在世人一片“千金买骨”的议论中，他将强家舍弃的siRNA归于账下，谋划着一套“刀劈剑刺”的绝妙攻势。 这一落子堪称精妙绝伦。在此过程中，冀家研发团队如同精密无误的钟表高速运转，继续全身心投入新的概念验证临床工作：每一次临床研究方案的精心设定，每一回临床试验的严谨开展，皆似激昂嘹亮的冲锋号角，向着乙肝病魔发起一轮又一轮的猛烈强攻。未来十年，冀家希望为全球乙肝患者功能治愈开启一扇充满希望的光明之门。 第三章 罗家之憾事 罗家在制药领域久负盛名，威名远扬，在乙肝治疗领域，其聚乙二醇化技术将人类的天然抗病毒武器——干扰素进行了跨跃式的升级。该药物（派罗欣）虽然受制于不良反应，但依赖其广谱、免疫激活作用，成为了乙肝治疗历史最为悠久的一线药物之一，战功赫赫。 然而，罗家似乎总是痴迷于“一剑封喉”，后续研发中忽略了对该药物的持续探索，甚至转卖、关停了该药物，甚至其威名也日渐式微，自此，罗家策略上的举棋不定，使其在乙肝功能治愈领域的研发一度沉沦。 历史，在冥冥中皆有预兆，既往在丙肝治疗领域，罗家就曾因摇摆，遗憾地错失过千载难逢的重大机遇——抗丙肝之王索非布韦。早在2004年，罗家就与法莫赛特合作研发靶向NS5B聚合酶的丙肝新药PSI-6130。由于该研发路径与罗家的方向背道而驰，且早期疗效因大量异构体的存在而未达预期，PSI-6130被罗家早早放弃。 与此相反，吉家则黄雀在后，认识到了PSI-6130的升级异构体——索非布韦的惊世价值：在错过以2亿美元收购的机会后，在一片质疑中以104亿美金将索非布韦收入囊中，后续以创新的区域性举措，横扫全球丙肝药物市场。最终，罗家只能无奈地眼睁睁看着吉家在丙肝领域登顶封禅，铸就辉煌，自己唯有悔恨叹息，空余遗憾。 如今，历史似乎有再度重演的迹象。在乙肝管线舞台上，罗家似乎要再行那“卖儿卖女”、“自断臂膀”之事，近日获悉，罗家要重蹈强家覆辙，将目前乙肝治愈管线的半壁江山（进度最快的siRNA，打包免疫调节药物TLR7激动剂，独特的肝脏靶向锁核酸PD-L1，以及还在一期研发未公布机制的神秘药物）打包送上货架，停止相关开发。对此，愈爷只能一再的摇头苦笑，深深闷了一口茶水。 2017年上海瞻仰中国乙肝临床研究鼻祖姚光弼教授雕像 第四章 国家之幸事 我爱我家，我爱临床研究，临床研究堪称百技之首！中国乙肝临床研究团队经历国家重大专项的洗礼，打造了世界级的乙肝临床研究的综合平台。乙肝是人类之殇，亚洲之殇，消除病毒性肝炎危害，摘掉乙肝大国的帽子是我辈义不容辞的义务！在过去数十年，由于各种原因，中国乙肝临床研究团队始终未能稳固地站在世界舞台中央。 每每谈论至此，愈哥总是忍不住义愤填膺，喝点小酒后更是热泪盈眶。而进入乙肝治愈时代中国临床研究成果如雨后春笋般群雄并起。特别是疫情期间，整个乙肝临床研究团队，不顾新冠疫情的纷扰，披荆斩棘，张文宏教授和谢青教授甚至在上海封城期间被隔离，吃住在办公室，日理万机，仍保持对临床治愈平台概念验证项目病人的密切追踪，我耳旁始终有谢姐这朵临床研究的铿锵玫瑰说的十二个字，“绝对支持，要人有人，要血有血”！ 他们的奋斗必将是乙肝治愈征途上浓墨重彩的一笔。他们对发表在《新英格兰医学杂志》的具有重大概念验证意义的文章的贡献在于，第一次让世界认识到中国科研团队能肩负重大的责任，即使面对世界级新冠大流行的灾难时，也不忘驾稳这艘乙肝治愈的诺亚方舟。 风雨过去之际，中国的科研力量继续厚积薄发，成果在今年2024年11月美国肝病年会群星闪闪，向世人宣誓我们治愈乙肝的决心：处于研发关键阶段的乙肝新药层出不穷，浩博的ASO——AHB137，凭借其卓越显著的治疗效果引人瞩目，而星曜坤泽的小干扰RNA，也凭借其高效卓越的基因沉默能力及良好的安全性和特宝聚乙二醇干扰素新数据引发了热烈的研讨与深入的交流。 世家变迁，愈哥如数家珍，他感叹药物研发风险之高，参与其中则多多煎熬，但回首这风云变幻却可谓精彩绝伦。说罢，愈哥却话锋一转，目光一定，握拳铿锵有力的说到：“你知道吗，无论药物研发是基于怎样的商业考虑，此时又是谁家独占鳌头，最重要的是在这过程中成长的复合型研究型临床医师人才和不断夯实的临床试验平台！这是留给人类的真正的财富！” 是的，十年树木，百年树人，作为乙肝大国，我们在这数十年奋斗中，无论负责的是药物化学结构、生物机制靶点、统计分析、研究设计、项目管理、政策沟通，还是日常的患者管理，这些奋斗在每一岗位的工作人员，聚是一团火，散作满天星，将成为实现乙肝治愈的核心力量。 愈哥感叹，此次乙肝治愈的研究论文在顶级医学期刊登顶，更像一声集结号，是召唤更多的力量加入其中，是引导中国药物研发试验发起冲锋。聊罢，作为参与其中的人员，我也相信，实现乙肝治愈的时代已经来临，让我们共聚于此，共同见证科技人才造福人类命运共同体，实现乙肝治愈的一天。 同写意媒体矩阵，欢迎关注↓↓↓