復(fù)宏漢霖完成H藥 斯魯利單抗首批海外發(fā)貨

1月25日，運(yùn)載著H藥 斯魯利單抗Zerpidio®（抗PD-1單抗，中國商品名：漢斯?fàn)?#174;）的貨車從復(fù)宏漢霖松江基地（一）緩緩駛出。這批產(chǎn)品將承載著復(fù)宏漢霖“以優(yōu)質(zhì)生物藥，造福全球病患”的使命，抵達(dá)浦東機(jī)場附近的發(fā)貨倉，并最終“遠(yuǎn)航”至印度尼西亞，自此開啟H藥惠及全球患者的新篇章。

復(fù)宏漢霖高級副總裁、首席商務(wù)官
余誠先生

作為全球首個(gè)且目前唯一獲批用于小細(xì)胞肺癌的抗PD-1單抗，H藥越快走出國門、進(jìn)入國際市場，就可以越早惠及全球更多患者。實(shí)現(xiàn)海外獲批上市是H藥出海航跡上的一個(gè)‘刻度’，而我們?nèi)�速完成海外發(fā)貨，確保藥品得以迅捷抵達(dá)當(dāng)?shù)厥袌觯�這正是我們對‘漢霖速度’和‘以患者為中心’的堅(jiān)守與承諾。

2023年12月28日，公司就H藥在東盟十國的商業(yè)合作伙伴PT Kalbe Genexine Biologics（KGbio）附屬公司PT Kalbio Global Medika收到藥品注冊批件，H藥獲得印度尼西亞食品藥品監(jiān)督管理局（BPOM）批準(zhǔn)用于治療廣泛期小細(xì)胞肺癌（ES-SCLC），成為首個(gè)于東南亞獲批上市的國產(chǎn)抗PD-1單抗。自2019年起，復(fù)宏漢霖?cái)y手KGbio陸續(xù)在東南亞、中東和北非地區(qū)（MENA）22個(gè)新興市場國家推進(jìn)H藥的獲批上市，以期令更加先進(jìn)、高效的治療方案能夠真正惠及當(dāng)?shù)鼗颊摺?/p>

肺癌是全球最常見的惡性腫瘤之一。據(jù)GLOBOCAN數(shù)據(jù)顯示，2020年印度尼西亞肺癌新發(fā)病例近3.5萬例，肺癌死亡病例近3.1萬例，位居該國癌癥死亡人數(shù)榜首[1]。小細(xì)胞肺癌（SCLC）約占肺癌總數(shù)的15%[2]，是肺癌中侵襲性最強(qiáng)的亞型，分為局限期小細(xì)胞肺癌（LS-SCLC）和ES-SCLC。其中約30%-40%的患者確診時(shí)處于局限期，多數(shù)患者在確診時(shí)已處于廣泛期[3]，臨床病情惡化快，總體預(yù)后不良。過去20年，依托泊苷聯(lián)合卡鉑或順鉑的化療方案長期作為ES-SCLC患者的標(biāo)準(zhǔn)一線治療，但中位OS（總生存期）不到1年，并且絕大多數(shù)化療患者在一年內(nèi)復(fù)發(fā)[4]。免疫檢查點(diǎn)抑制劑的出現(xiàn)為SCLC領(lǐng)域的治療帶來新希望，H藥為復(fù)宏漢霖自主研發(fā)的重組人源化抗PD-1單抗注射液，也是全球首個(gè)且目前唯一獲批一線治療小細(xì)胞肺癌的抗PD-1單抗。此次H藥發(fā)貨印度尼西亞將為當(dāng)?shù)鼗颊邘�來新希望并提高其長期生存的機(jī)會。

自2022年3月獲批上市以來，H藥已在中國獲批用于治療微衛(wèi)星高度不穩(wěn)定（MSI-H）實(shí)體瘤、鱗狀非小細(xì)胞肺癌、ES-SCLC和食管鱗狀細(xì)胞癌，惠及逾5.1萬名患者。2022年，H藥治療SCLC相繼獲得美國食品和藥品監(jiān)督管理局（FDA）和歐盟委員會（EC）授予的孤兒藥資格認(rèn)定，有助于H藥在美國和歐洲的研發(fā)、注冊及商業(yè)化等方面享受一定的政策支持。H藥一線治療ES-SCLC的歐盟上市許可申請（MAA）已于2023年3月獲得歐洲藥品管理局 (EMA) 受理。此外，公司穩(wěn)步推進(jìn)H藥對比一線標(biāo)準(zhǔn)治療阿替利珠單抗用于治療ES-SCLC的頭對頭美國橋接試驗(yàn)，以進(jìn)一步支持H藥在美國的上市申報(bào)。

圍繞H藥，復(fù)宏漢霖前瞻性地開展了國際商業(yè)化布局，積極開拓海外市場，攜手KGbio等合作伙伴，全面布局美國、歐洲以及眾多新興國家市場，覆蓋全球逾70個(gè)國家和地區(qū)。通過合作與創(chuàng)新，復(fù)宏漢霖將加速在全球范圍內(nèi)推動免疫治療的發(fā)展和應(yīng)用，為患者提供更高效優(yōu)質(zhì)的治療選擇。

【參考文獻(xiàn)】

[1]Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and MortalityWorldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021 May;71(3):209-249.

[2]Eskandar A, Ahmed A, Daughtey M, et al. Racial and sex differences in presentation and outcomes of small cell lung cancer in the United States: 1973 to 2010[J].Chest, 2015,147(4): e164-e165.

[3]Klautke G , Sauer R, Fietkau R .Combined Treatment Modality in Small Cell Lung Cancer[J]. Strahlentherapie Und Onkologie, 2008, 184(2):61-66.

[4]Puglisi M , Dolly S , Faria A , et al. Treatment options for small cell lung cancer – do we have more choice?[J].Br J Cancer, 2010, 102(4):629-638.

關(guān)于H藥 漢斯?fàn)?/strong>®

H藥 漢斯?fàn)?#174;為重組人源化抗PD-1單抗注射液（通用名：斯魯利單抗注射液），是全球首個(gè)獲批一線治療小細(xì)胞肺癌的抗PD-1單抗，已在中國和印度尼西亞獲批上市。截至目前，H藥已有4項(xiàng)適應(yīng)癥獲批上市，2項(xiàng)適應(yīng)癥上市申請分別在中國和歐盟獲受理，10余項(xiàng)臨床試驗(yàn)同步在全球開展。

2022年3月，H藥正式于中國獲批上市，目前可用于治療微衛(wèi)星高度不穩(wěn)定（MSI-H）實(shí)體瘤、鱗狀非小細(xì)胞肺癌（sqNSCLC）、廣泛期小細(xì)胞肺癌（ES-SCLC）及食管鱗狀細(xì)胞癌（ESCC）。H藥聯(lián)合化療一線治療非鱗狀非小細(xì)胞肺癌（nsNSCLC）和一線治療廣泛期小細(xì)胞肺癌（ES-SCLC）的上市申請也分別獲得中國NMPA和歐盟EMA受理。聚焦肺癌和消化道腫瘤，復(fù)宏漢霖積極推進(jìn)H藥與公司其他產(chǎn)品的協(xié)同以及與創(chuàng)新療法的聯(lián)合，在全球同步開展10余項(xiàng)腫瘤免疫聯(lián)合療法臨床試驗(yàn)，于中國、美國、土耳其、波蘭、格魯吉亞等國家和地區(qū)累計(jì)入組超3700人。H藥的4項(xiàng)關(guān)鍵性臨床研究結(jié)果分別發(fā)表于知名期刊《美國醫(yī)學(xué)會雜志》（JAMA）、《自然-醫(yī)學(xué)》（Nature Medicine）、Cancer Cell和British Journal of Cancer。此外，H藥還榮獲《CSCO 小細(xì)胞肺癌診療指南》、《CSCO非小細(xì)胞肺癌診療指南》、《CSCO 食管癌診療指南》、《CSCO結(jié)直腸癌診療指南》、《CSCO免疫檢查點(diǎn)抑制劑臨床應(yīng)用指南》和《中國食管癌放射治療指南》等多部權(quán)威指南推薦，為腫瘤臨床診療提供重要參考。海外方面，H藥治療SCLC也已獲得美國FDA和歐盟EC的孤兒藥資格認(rèn)定，并在美國啟動了一項(xiàng)H藥對比一線標(biāo)準(zhǔn)治療阿替利珠單抗的頭對頭橋接試驗(yàn)。

關(guān)于復(fù)宏漢霖

復(fù)宏漢霖（2696.HK）是一家國際化的創(chuàng)新生物制藥公司，致力于為全球患者提供可負(fù)擔(dān)的高品質(zhì)生物藥，產(chǎn)品覆蓋腫瘤、自身免疫疾病、眼科疾病等領(lǐng)域，已在中國上市5款產(chǎn)品，在國際上市2款產(chǎn)品，19項(xiàng)適應(yīng)癥獲批，3個(gè)上市申請分別獲中國藥監(jiān)局、美國FDA和歐盟EMA受理。自2010年成立以來，復(fù)宏漢霖已建成一體化生物制藥平臺，高效及創(chuàng)新的自主核心能力貫穿研發(fā)、生產(chǎn)及商業(yè)運(yùn)營全產(chǎn)業(yè)鏈。公司已建立完善高效的全球創(chuàng)新中心，按照國際藥品生產(chǎn)質(zhì)量管理規(guī)范（GMP）標(biāo)準(zhǔn)進(jìn)行生產(chǎn)和質(zhì)量管控，不斷夯實(shí)一體化綜合生產(chǎn)平臺，其中，上海徐匯基地和松江基地（一）均已獲得中國和歐盟GMP認(rèn)證。

復(fù)宏漢霖前瞻性布局了一個(gè)多元化、高質(zhì)量的產(chǎn)品管線，涵蓋20多種創(chuàng)新單克隆抗體，并全面推進(jìn)基于自有抗PD-1單抗H藥漢斯?fàn)?#174;的腫瘤免疫聯(lián)合療法。繼國內(nèi)首個(gè)生物類似藥漢利康®（利妥昔單抗）、中國首個(gè)自主研發(fā)的中歐雙批單抗藥物漢曲優(yōu)®（曲妥珠單抗，歐洲商品名：Zercepac®，澳大利亞商品名：Tuzucip®和Trastucip®）、漢達(dá)遠(yuǎn)®（阿達(dá)木單抗）和漢貝泰®（貝伐珠單抗）相繼獲批上市，創(chuàng)新產(chǎn)品漢斯?fàn)?#174;（斯魯利單抗）已獲批用于治療微衛(wèi)星高度不穩(wěn)定（MSI-H）實(shí)體瘤、鱗狀非小細(xì)胞肺癌、廣泛期小細(xì)胞肺癌和食管鱗狀細(xì)胞癌，并成為全球首個(gè)獲批一線治療小細(xì)胞肺癌的抗PD-1單抗。公司亦同步就16個(gè)產(chǎn)品在全球范圍內(nèi)開展30多項(xiàng)臨床試驗(yàn)，對外授權(quán)全面覆蓋歐美主流生物藥市場和眾多新興市場。

First International Shipment of HANSIZHUANG

On January 25, a truck carrying HANSIZHUANG Zerpidio® (anti-PD-1 monoclonal antibody, Chinese trade name: HANSIZHUANG) slowly left Henlius' Songjiang First Plant. These products, bearing Henlius' mission of "benefiting patients worldwide with high-quality biopharmaceuticals", will arrive at the shipping warehouse near Pudong Airport and ultimately set sail for Indonesia. This shipment also opens a new chapter for HANSIZHUANG to benefit patients around the world.

Mr. Kurt Yu, Senior Vice President and Chief Commercial Officer of Henlius, said, "As the world's first and only anti-PD-1 mAb approved for small-cell lung cancer, the sooner HANSIZHUANG ventures beyond China and enters the global market, the earlier it can benefit more patients around the world. The overseas approval of HANSIZHUANG is yet one small step on its international journey. We completed the international shipment at full speed to Indonesia is a further demonstration of our dedication to 'Henlius Speed' and 'Patient-Centricity'."

On December 28, 2023, PT Kalbio Global Medika, the subsidiary of PT Kalbe Genexine Biologics (KGbio), the commercial partner of HANSIZHUANG in 10 ASEAN member countries, received the relevant registration certificates issued by Indonesia’s National Agency for Drug and Food Control (Indonesian: Badan Pengawas Obat and Makanan, the “BPOM”) for the approval of HANSIZHUANG (serplulimab) in Indonesia under the trade name Zerpidio® for the treatment of extensive stage small cell lung cancer (ES-SCLC), making it the first Chinese anti-PD-1 mAb  approved in Southeast Asia. Since 2019, Henlius has been collaborating with KGbio to progressively expand collaboration in 22 emerging market countries across Southeast Asia, Middle East and North African (MENA) countries regarding HANSIZHUANG. The two parties are actively working towards obtaining approvals in more countries, aiming to bring advanced and efficient treatment options to local patients.

Lung cancer (LC) is one of the most common malignancies around the world. According to GLOBOCAN 2020, there were near 35,000 new LC cases and 31,000 new deaths in 2020 worldwide, and LC is still the leading cause of cancer death [1]. SCLC is the most aggressive subtype of lung cancer, accounting for around 15% of all lung cancer cases [2]. The SCLC breaks down into limited stage small cell lung cancer (LS-SCLC) and ES-SCLC. Around 30%–40% patients are in limited stage and most patients are in extensive stage when diagnosed [3]. Their clinical condition deteriorates rapidly, and the overall prognosis is poor. In the past 20 years, chemotherapy such as etoposide combined carboplatin/cisplatin was still the standards of care for ES-SCLC, but almost all patients in extensive stage relapse within one year [4]. The advent of immune checkpoint inhibitors has brought new hope to patients with SCLC. The company's first innovative product, HANSIZHUANG (serplulimab), was approved in China in March 2022 and became the world's first anti-PD-1 mAb for the first-line treatment of SCLC. The shipment of HANSIZHUNAG to Indonesia will bring new hope to local patients and increase their chances of survival.

At present, HANSIZHUANG has been approved for 4 indications in China including MSI-H solid tumour, squamous non-small cell lung cancer (sqNSCLC), ES-SCLC, and esophageal squamous cell carcinoma (ESCC), benefiting over 51,000 Chinese patients. In 2022, HANSIZHUANG was successively granted orphan drug designations by the U.S. Food and Drug Administration (FDA) and the European Commission (EC) for the treatment of SCLC, which will enable HANSIZHUANG to benefit from certain policy support for research and development, registration, and commercialisation in the United States (U.S.) and European Union. The European Medicines Agency (EMA) has validated the application for HANSIZHUANG. The company is also steadily advancing the bridging head-to-head trial in the U.S. to compare HANSIZHUANG to standard-of-care Atezolizumab (anti-PD-L1 mAb) for the first-line treatment of ES-SCLC to propel the product towards U.S. market approval.

Henlius has aggressively pursued international commercialization of HANSIZHUANG, actively collaborating with KGbio and other global partners to bring its therapeutics to patients in the United States, Europe, and other emerging markets, covering over 70 countries and regions. Through collaboration and innovation, Henlius will continue to contribute to the development and clinical application of immuno-oncology globally, providing more efficient and high-quality treatment choices for patients.

About HANSIZHUANG

HANSIZHUANG (recombinant humanized anti-PD-1 monoclonal antibody injection, generic name: serplulimab injection) is the first anti-PD-1 mAb for the first-line treatment of SCLC and has been approved in China and Indonesia. Up to date, 4 indications are approved for marketing, 2 marketing applications are under review in China and the EU, and more than 10 clinical trials are ongoing across the world.

HANSIZHUANG was approved in China in March 2022 and has been approved by the National Medicinal Products Administration (NMPA) for the treatment of MSI-H solid tumours, squamous non-small cell lung cancer (sqNSCLC), extensive-stage small cell lung cancer (ES-SCLC), and esophageal squamous cell carcinoma (ESCC). The marketing applications of the first-line treatment for non-squamous non-small cell lung cancer (nsNSCLC) and ES-SCLC are under review by the NMPA and the European Medicines Agency (EMA), respectively. Focus on lung and gastrointestinal cancer, the synergy of HANSIZHUANG with in-house products of the company and innovative therapies are being actively promoted. The company has initiated more than 10 clinical trials on immuno-oncology combination therapies in a wide variety of indications with  more than 3,700 subjects enrolled in China, the U.S., Turkey, Poland, Georgia and other countries and regions. The results of 4 pivotal trials of HANSIZHUANG were published in the Journal of the American Medical Association (JAMA), Nature Medicine, Cancer Cell, and the British Journal of Cancer, respectively. Furthermore, HANSIZHUANG was respectively recommended by the CSCO Guidelines for Small Cell Lung Cancer, the CSCO Guidelines for Non-Small Cell Lung Cancer, the CSCO Guidelines for Esophageal Cancer, the CSCO Guidelines for Colorectal Cancer, the CSCO Clinical Practice Guidelines on Immune Checkpoint Inhibitor, the China Guidelines for Radiotherapy of Esophageal Cancer, and other definitive guides, providing valuable references for clinical diagnosis and treatment of tumours. On the other hand, serplulimab was granted orphan drug designations by the U.S. FDA and the EC for the treatment of SCLC, and its bridging head-to-head trial in the United States to compare HANSIZHUANG to standard of care atezolizumab (anti-PD-L1 mAb) for the first-line treatment of ES-SCLC is well under way.

About Henlius

Henlius (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, 5 products have been launched in China, 2 has been approved for marketing in overseas markets, 19 indications are approved worldwide, and 3 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 center and Shanghai-based manufacturing facilities in line with global Good Manufacturing Practice (GMP), including Xuhui Facility and Songjiang First Plant, both certificated by China and the EU GMP.

Henlius has pro-actively built a diversified and high-quality product pipeline covering over 20 innovative monoclonal antibodies (mAbs) and has continued to explore immuno-oncology combination therapies with proprietary HANSIZHUANG (anti-PD-1 mAb) as backbone. Apart from the launched products HANLIKANG (rituximab), the first China-developed biosimilar, HANQUYOU (trastuzumab for injection, trade name in Europe: Zercepac®; trade names in Australia: Tuzucip® and Trastucip®), the first China-developed mAb biosimilar approved both in China and Europe, HANDAYUAN (adalimumab) and HANBEITAI (bevacizumab), the innovative product HANSIZHUANG has been approved by the NMPA for the treatment of MSI-H solid tumors, squamous non-small cell lung cancer (sqNSCLC) and extensive-stage small cell lung cancer (ES-SCLC), and esophageal squamous cell carcinoma (ESCC), making it the world's first anti-PD-1 mAb for the first-line treatment of SCLC. What's more, Henlius has conducted over 30 clinical studies for 16 products, expanding its presence in major markets as well as emerging markets.