2025年4月2日,复宏汉霖(2696.HK)宣布,公司与亿胜生物合作开发的重组抗血管内皮生长因子(Vascular endothelial growth factor, VEGF)人源化单克隆抗体注射液HLX04-O用于湿性年龄相关性黄斑变性(wet age-related macular degeneration, wAMD)中国患者中开展的III期临床研究(NCT05003245)已成功达到预设的主要研究终点。基于该研究结果,公司计划携手亿胜生物在中国递交新药上市申请(NDA),HLX04-O有望成为中国首个获批用于眼科相关疾病治疗的贝伐珠单抗。NCT05003245为一项多中心、随机、双盲、阳性对照的非劣效III期临床研究,旨在比较HLX04-O与雷珠单抗玻璃体内注射(IVT)在湿性年龄相关性黄斑变性(wAMD)患者中的有效性和安全性。入组的所有患者按照1:1的比例随机接受HLX04-O(1.25 mg)IVT或雷珠单抗(0.5 mg)IVT给药,每四周一次,在患者未发生死亡、撤回知情同意、失访或申办方终止研究的情况下,持续治疗一年。本次研究的主要研究终点为第48周最佳矫正视力(BCVA)较基线改善的平均字母数变化,次要研究终点为其他有效性、安全性、耐受性及药代动力学指标。研究结果显示,HLX04-O组第48周BCVA较基线改善的平均字母数变化结果非劣于雷珠单抗组,达到主要研究终点。此外,HLX04-O和雷珠单抗对wAMD患者人群整体、眼部、非眼部的安全性特征均相似,且安全性良好。HLX04-O是复宏汉霖利用基因工程技术构建的一款重组抗VEGF人源化单克隆抗体注射液,能够特异性结合VEGF,阻断VEGF与内皮细胞上的受体Flt1(VEGFR-1)和KDR(VEGFR-2)结合,抑制其酪氨酸激酶信号通路的激活,进而抑制内皮细胞增生,减少新生血管生成,从而实现对wAMD等血管增生眼部疾病的治疗。根据眼科用药需求,公司在贝伐珠单抗汉贝泰®的基础上保持活性成分不变,对处方、包装材料、规格和生产工艺等进行优化,开发了新的眼科制剂产品HLX04-O。可比性研究表明生产工艺和制剂处方的变更对药物制剂的质量、安全性和有效性未产生不利影响。除NCT05003245外,公司亦就HLX04-O同步开展了一项国际多中心III期临床研究(NCT04740671),并在中国、澳大利亚、欧盟和美国等国家和地区入组受试者。未来,复宏汉霖也将积极推动创新生物药品的开发,持续高效地为全球患者提供可负担的、高效的治疗方案。关于湿性年龄相关性黄斑变性年龄相关性黄斑变性(AMD)是造成老年人视力损害和不可逆失明的主要原因之一[1],根据世界卫生组织报告,全球约有3000万AMD患者,每年约有50万人因为AMD而致盲[2]。AMD致盲患者中,以脉络膜新生血管(CNV)为特征的湿性年龄相关性黄斑变性(wAMD)比例高达90%。随着老年人口比例的不断上升,wAMD已经成为一个日益严重的社会医学问题,存在着巨大的未满足的临床需求[3]。随着眼底治疗方法的突破与发展,抗VEGF药物已成为wAMD的一线疗法[4],贝伐珠单抗玻璃体注射治疗wAMD的有效性和安全性也已在多项临床研究中得到验证[5-11]。关于复宏汉霖复宏汉霖(2696.HK)是一家国际化的创新生物制药公司,致力于为全球患者提供可负担的高品质生物药,产品覆盖肿瘤、自身免疫疾病、眼科疾病等领域,已有6款产品在中国获批上市,4款产品在国际获批上市,5个上市申请分别获中国药监局、美国FDA和欧盟EMA受理。自2010年成立以来,复宏汉霖已建成一体化生物制药平台,高效及创新的自主核心能力贯穿研发、生产及商业运营全产业链。公司已建立完善高效的全球创新中心,按照国际药品生产质量管理规范(GMP)标准进行生产和质量管控,不断夯实一体化综合生产平台,其中,公司商业化生产基地已相继获得中国、欧盟和美国GMP认证。复宏汉霖前瞻性布局了一个多元化、高质量的产品管线,涵盖约50个分子,并全面推进基于自有抗PD-1单抗H药汉斯状®的肿瘤免疫联合疗法。截至目前,公司已获批上市产品包括国内首个生物类似药汉利康®(利妥昔单抗)、自主研发的中美欧三地获批单抗生物类似药汉曲优®(曲妥珠单抗,美国商品名:HERCESSI™,欧洲商品名:Zercepac®)、汉达远®(阿达木单抗)、汉贝泰®(贝伐珠单抗)、全球首个获批一线治疗小细胞肺癌的抗PD-1单抗汉斯状®(斯鲁利单抗,欧洲商品名:Hetronifly®)以及汉奈佳®(奈拉替尼)。公司亦同步就19个产品在全球范围内开展30多项临床试验,对外授权全面覆盖欧美主流生物药市场和众多新兴市场。Primary Endpoint Met in Phase 3 Clinical Study of Henlius Bevacizumab for Treatment of Ophthalmic DiseasesShanghai, China, April 2, 2025 - Henlius (2696.HK) announced that the phase 3 clinical trial for the HLX04-O, a recombinant anti-VEGF humanised monoclonal antibody injection jointly developed by the company and Essex, for the treatment of Chinese patients with wet age-related macular degeneration (wAMD), met the primary endpoint. The company plans to partner with Essex to submit a New Drug Application (NDA) in China, with HLX04-O expected to become the country's first bevacizumab approved for the treatment of ophthalmic diseases.NCT05003245 is a multi-center, randomized, double-blind, active-controlled, non-inferiority phase 3 clinical trial aimed to compare the efficacy and safety of HLX04-O with ranibizumab administered by intravitreal injection (“IVT”) in wet age-related macular degeneration (wAMD) patients. Patients enrolled were randomized 1:1 to receive either HLX04-O (1.25 mg) IVT or ranibizumab (0.5 mg) IVT, administered every 4 weeks. The treatment continued for 1 year until death, withdrawal of consent, loss to follow-up, or study termination by the Sponsor. The primary endpoint of this study was mean change of letters in best corrected visual acuity (“BCVA”) from baseline at week 48; secondary endpoints included other efficacy, safety, tolerability, and pharmacokinetics. The results showed that the primary endpoint of this study was met, with the mean change in BCVA from baseline at week 48 in the HLX04-O group being non-inferior to that in the ranibizumab group. Additionally, HLX04-O had a good safety profile, with similar overall, ocular and non-ocular safety results compared to ranibizumab in wAMD patients.HLX04-O is a recombinant anti-VEGF humanized monoclonal antibody injection constructed using genetic engineering technology independently developed by Henlius. HLX04-O can inhibit VEGF’s binding to its receptor Flt-1 (VEGFR-1) and KDR (VEGFR-2) on endothelial cells to inhibit the activation of its tyrosine kinase signalling pathway, inhibit endothelial cell proliferation and reduce angiogenesis, thereby treating eye diseases associated with angiogenesis. According to the requirements of ophthalmic drugs, the company has developed HLX04-O which optimizes the prescription, specifications, and production processes of HANBEITAI, assuming that the active ingredients remain unchanged. Through a series of comparability analysis, it is proved that the changes in the production process and prescription of the preparation have no adverse impact on the quality, safety and efficacy of the preparation.In addition to NCT05003245, Henlius has conducted an international multicenter phase 3 clinical trial (NCT04740671) for HLX04-O, enrolling subjects in regions including China, Australia, the European Union, and the United States. Moving forward, Henlius will actively advance the development of innovative biologics and continue to deliver affordable, effective treatment options to patients worldwide with high efficiency.About wAMDAge-related macular degeneration is one of the leading causes of visual impairment and blindness in the elderly worldwide[1]. According to the World Health Organization (WHO), about 30 million people have suffered from AMD globally, and about half a million people become blind due to AMD each year[2]. Wet age-related macular degeneration (wAMD) is characterized by the formation of subretinal choroidal neovascularization (CNV) and is responsible for approximately 90% of cases of AMD-related blindness. Due to an aging population, wAMD has become a serious social medical problem and indicated a huge burden of unmet need[3]. With the development of treatment for fundus diseases, anti-VEGF drugs are becoming the first-line therapy for the management of wAMD[4], and the efficacy and safety of vitreous injection of bevacizumab for wAMD have been verified in multiple clinical studies[5-11].About HenliusHenlius (2696.HK) is a global biopharmaceutical company with the vision to offer high-quality, affordable and innovative biologic medicines for patients worldwide with a focus on oncology, autoimmune diseases and ophthalmic diseases. Up to date, 6 products have been launched in China, 4 have been approved for marketing in overseas markets, and 5 marketing applications have been accepted for review in China, the U.S. and the EU, respectively. Since its inception in 2010, Henlius has built an integrated biopharmaceutical platform with core capabilities of high-efficiency and innovation embedded throughout the whole product life cycle including R&D, manufacturing and commercialization. It has established global innovation centre and Shanghai-based commercial manufacturing facilities certificated by China, the EU and U.S. GMP.Henlius has pro-actively built a diversified and high-quality product pipeline covering about 50 molecules and has continued to explore immuno-oncology combination therapies with proprietary HANSIZHUANG (anti-PD-1 mAb) as the backbone. To date, the company's launched products include HANLIKANG (rituximab), the first China-developed biosimilar, HANQUYOU (trastuzumab, trade name: HERCESSI™ in the U.S., Zercepac® in Europe), a China-developed mAb biosimilar approved in China, Europe and U.S., HANDAYUAN (adalimumab), HANBEITAI (bevacizumab), HANSIZHUANG (serplulimab, trade name: Hetronifly® in Europe), the world’s first anti-PD-1 mAb for the first-line treatment of SCLC, and HANNAIJIA (neratinib). What’s more, Henlius has conducted over 30 clinical studies for 19 products, expanding its presence in major markets as well as emerging markets.References[1] 欧阳灵艺, 邢怡桥. 抗VEGF药物在湿性年龄相关性黄斑变性中的应用进展[J]. 国际眼科杂志, 2020(1).[2] Resnikoff S, Pascolini D, Etya'ale D, Kocur I, Pararajasegaram R, Pokharel GP, Mariotti SP. Global data on visual impairment in the year 2002. Bull World Health Organ. 2004 Nov;82(11):844-51.[3] Wong WL, Su X, Li X, et al. Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: a systematic review and meta-analysis. Lancet Glob Health. 2014;2(2):e106-116.[4] Li X R , Liu J P . Recognition of anti-VEGF therapy base on the mechanism of VEGF in wet age-related macular degeneration[J]. Zhonghua Shiyan Yanke Zazhi/Chinese Journal of Experimental Ophthalmology, 2012, 30(4):289-292.[5] Tufail A, Patel PJ, Egan C, Hykin P, da Cruz L, Gregor Z, Dowler J, Majid MA, Bailey C, Mohamed Q, Johnston R, Bunce C, Xing W; ABC Trial Investigators. Bevacizumab for neovascular age related macular degeneration (ABC Trial): multicentre randomized double masked study. BMJ. 2010 Jun 9;340:c2459.[6] Martin DF, Maguire MG, Ying GS, Grunwald JE, Fine SL, Jaffe GJ. Ranibizumab and bevacizumab for neovascular age-related macular degeneration. N Engl J Med. 2011 May 19;364(20):1897-908.[7] Chakravarthy U, Harding SP, Rogers CA, Downes SM, Lotery AJ, Wordsworth S, Reeves BC. Ranibizumab versus bevacizumab to treat neovascular age-related macular degeneration: one-year findings from the IVAN randomized trial. Ophthalmology. 2012 Jul;119(7):1399-411.[8] Kodjikian L, Souied EH, Mimoun G, Mauget-Faÿsse M, Behar -Cohen F, Decullier E, Huot L, Aulagner G; GEFAL Study Group. Ranibizumab versus Bevacizumab for Neovascular Agerelated Macular Degeneration: Results from the GEFAL Noninferiority Randomized Trial. Ophthalmology. 2013 Nov;120(11):2300-9.[9] Krebs I, Schmetterer L, Boltz A, Told R, Vécsei-Marlovits V, Egger S, Schönherr U, Haas A, Ansari-Shahrezaei S, Binder S; MANTA Research Group. A randomized double-masked trial comparing the visual outcome after treatment with ranibizumab or bevacizumab in patients with neovascular age-related macular degeneration. Br J Ophthalmol. 2013 Mar;97(3):266-71.[10] Berg K, Pedersen TR, Sandvik L, Bragadóttir R. Comparison of ranibizumab and bevacizumab for neovascular age-related macular degeneration according to LUCAS treat-and-extend protocol. Ophthalmology. 2015 Jan;122(1):146-52.[11] Schauwvlieghe AM, Dijkman G, Hooymans JM, Verbraak FD, Hoyng CB, Dijkgraaf MG,Peto T, Vingerling JR, Schlingemann RO. Comparing the Effectiveness of Bevacizumab to Ranibizumab in Patients with Exudative Age-Related Macular Degeneration. The BRAMD Study. PLoS One. 2016 May 20;11(5):e0153052.联系方式媒体:PR@Henlius.com投资者:IR@Henlius.com喜欢本文内容点击下方按钮·分享 ·收藏 ·点赞 ·在看