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潜在同类最优PD-L1 ADC全球开发再提速,复宏汉霖HLX43完成澳大利亚首例患者给药


  • 目前,HLX43已累计在全球入组400+例患者,其中NSCLC患者超过170例

  • 继中、美之后,HLX43于澳大利亚完成NSCLC国际多中心II期临床的首例患者给药,持续推进该产品全球开发进程

  • HLX43于 2025 WCLC上发布I期更新临床试验数据,在扩大的NSCLC患者样本中延续了优异的疗效和安全性,在特定亚组如EGFR野生型非鳞状NSCLC中疗效更为凸显,并在PD-L1阴性(TPS<1%)患者群体中展现了差异化的治疗潜力,疗效不受PD-L1表达限制

2025年9月18日,复宏汉霖(2696.HK)宣布,公司创新型程序性死亡-配体1(PD-L1)抗体偶联药物(ADC)注射用HLX43在晚期非小细胞肺癌(NSCLC)患者中开展的国际多中心II期临床研究(HLX43-NSCLC201)于澳大利亚完成首例受试者给药。复宏汉霖全力推进这一创新分子在全球的临床开发进程,国际多中心II期研究在中美日澳等地陆续启动,此前,公司已完成该研究在中、美两地的首例患者入组。目前,全球尚无同类靶向PD-L1的ADC产品获批上市。  

据GLOBOCAN最新数据显示,肺癌是全球发病率和死亡率最高的癌症,2022年全球约有超过248万新发肺癌病例,占癌症新发病例的12.4%[1]。大部分肺癌患者确诊时已处于疾病晚期阶段[2],存在巨大的尚未满足的临床需求。非小细胞肺癌(NSCLC)是最常见的肺癌类型(约85%),根据病理类型,可分为鳞状细胞癌(约30%)、肺腺癌(约50%)等。在全部NSCLC患者中,EGFR野生型占比高达70%-85%,涵盖几乎所有的鳞癌患者和50-55%的肺腺癌患者[3]。当前疗效优异的产品仍较少,特别在2线或以上等后线人群治疗上,仍主要依赖于多西他赛为基础的化疗方案,后线治疗的效果有限[4,5]


HLX43是一款潜在BIC的广谱抗肿瘤ADC,兼具免疫检查点阻断与载荷细胞毒性的双重作用机制。临床前研究显示,HLX43在PD-1/PD-L1单抗耐药的非小细胞肺癌、宫颈癌、食管鳞癌等多个瘤种中展现出治疗潜力,且耐受性良好。其I期临床数据在2025 美国临床肿瘤学会(ASCO)年会上首次发布,结果显示,HLX43在NSCLC、TSCC等实体瘤中展现出“高效、低毒”的显著疗效,且对于鳞状/非鳞状NSCLC,有无EGFR突变、有无脑/肝转移、PD-L1阳性/阴性的NSCLC患者人群都具有疗效,不依赖生物标志物筛选。


根据2025 WCLC上公布的最新临床研究数据,HLX43在扩大的患者样本中持续验证了其在晚期非小细胞肺癌(NSCLC)等实体瘤中的优异疗效,尤其在EGFR野生型等特定亚组人群中疗效更为凸显,EGFR野生型非鳞状NSCLC患者的经确认的客观缓解率为46.7%,其中2.5mg/kg剂量组疗效更为显著,ORR达60.0%,且安全性良好。值得关注的是,HLX43在PD-L1阴性(TPS<1%)患者群体中展现了差异化的治疗潜力,客观缓解率(ORR)和疾病缓解率(DCR)分别达到38.1%和85.7%,提示HLX43疗效不受PD-L1表达限制,有望覆盖更广泛的患者群体。


复宏汉霖正全力推进HLX43临床开发进程,目前已累计在全球范围内入组超过400例患者,其中NSCLC患者超过170例。随着这一适应症的后线疗效逐步得到验证,公司计划开展一项HLX43头对头对比多西他赛的二线临床研究;此外,基于HLX43展现出的低毒及IO功能,公司将积极探索推进HLX43的一线治疗方案,开展一项包括单药、联合其他免疫治疗药物以及对比现有标准治疗的三臂试验。


除NSCLC外,复宏汉霖持续挖掘HLX43在多种实体瘤中的治疗潜力,已开设10项针对HLX43的临床研究,广泛覆盖胸腺癌、宫颈癌、肝细胞癌、食管鳞癌、头颈鳞癌、鼻咽癌、结直肠癌、胃癌/胃食管交界部癌等。单药之外,HLX43联用其他产品的临床试验也正在进行中,进一步探索ADC与其他疗法的协同抗肿瘤疗效。HLX43不仅展现出克服PD-1/L1免疫疗法不响应或耐药问题的临床潜力,并对化疗、TKI治疗失败的患者都具有潜在疗效,有望为更多晚期/转移性实体瘤患者带来新的治疗选择。


未来,聚焦肺癌等实体瘤治疗领域,复宏汉霖将继续秉持“以患者为中心”的理念,不断挖掘未满足的临床需求,持续夯实更多创新分子的差异化布局,为更多肿瘤患者带来高质量、可负担的新型治疗方案。

【参考文献】

[1] Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229-263.

[2] Robinson CG, et al. Postoperative Radiotherapy for Pathologic N2 Non–Small-Cell Lung Cancer Treated with Adjuvant Chemotherapy: A Review of the National Cancer Data Base. Journal of Clinical Oncology 2015, 33(8): 870-876.

[3] Chan BA, Hughes BG. Targeted therapy for non-small cell lung cancer: current standards and the promise of the future. Transl Lung Cancer Res. 2015 Feb;4(1):36-54.

[4] 中国临床肿瘤学会 中国临床肿瘤学会(CSCO).(2024)非小细胞肺癌诊疗指南

[5] NCCN Guidelines Version 3. 2025, Non-Small Cell Lung Cancer.

关于HLX43-NSCLC201


本研究为一项评估HLX43在晚期非小细胞肺癌(NSCLC)患者的开放、国际多中心II期临床试验,旨在评估HLX43在晚期非小细胞肺癌(NSCLC)患者中的有效性和安全性。研究分为两个阶段:第一阶段将进行剂量探索,以选择合适的HLX43剂量进行第二阶段研究;第二阶段为单臂、多中心II期临床研究。本研究的主要研究目的为评估HLX43在晚期非小细胞肺癌(NSCLC)中的临床疗效;主要研究终点为由盲态独立中心审查委员会根据RECIST v1.1标准评估的客观缓解率。

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,已在全球获批上市9款产品,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®)、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®)、国内首个生物类似药汉利康®(利妥昔单抗)、以及地舒单抗生物类似药Bildyos®和Bilprevda®。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。



First Patient Dosed in Australia for a Phase 2 International Clinical Trial of Henlius' PD-L1 ADC HLX43 for NSCLC


  • To date, over 400 patients enrolled globally for HLX43, including more than 170 patients with NSCLC

  • Following China and the U.S, HLX43 completed the first patient dosing in Australia for the phase 2 MRCT in NSCLC, further advancing its global development

  • According to updated results at 2025 WCLC, HLX43 sustained superior efficacy with a favorable safety profile in expanded NSCLC cohorts, notably in the EGFR wild-type NSCLC subgroup, further underscoring its biomarker-independent therapeutic potential with exhibiting robust efficacy in PD-L1 negative patients


Shanghai, China, September 18, 2025 — Shanghai Henlius Biotech, Inc. (2696.HK) announced that the first subject has been dosed in Australia for HLX43-NSCLC201, a phase 2 international muti-center clinical trial of HLX43, its innovative programmed death-ligand 1 (PD-L1) targeting antibody-drug conjugate (ADC), for the treatment of patients with advanced non-small cell lung cancer (NSCLC). Henlius is vigorously advancing the global development of HLX43, with an international multi-region phase 2 clinical trial initiated in China, the US, Australia, and Japan, and finished first patients dosing of the phase 2 clinical trial in China, the US and Australia. At present, no PD-L1 targeting ADC has been approved for marketing globally. 


Lung cancer is the most common cancer worldwide in terms of incidence and mortality. According to GLOBOCAN 2022, there were over 2.48 million new cases of lung cancer globally in 2022, accounting for 12.4% of all new cancer cases [1]. Non-small cell lung cancer (NSCLC) is the most common type of lung cancer (approximately 85%). The majority of lung cancer patients are diagnosed at advanced stages with a poor five-year survival prognosis [2], highlighting a significant unmet clinical need. By histology, NSCLC can be classified into squamous cell carcinoma (approximately 30%), adenocarcinoma (approximately 50%) and other subtypes including large cell carcinoma. EGFR wild-type cases account for 70%-85% of all NSCLC patients, including nearly all squamous cell carcinoma cases and 50-55% of adenocarcinoma cases [3]. Currently, the treatment landscape of EGFR wild-type NSCLC remains limited by a scarcity of highly effective options, particularly in second-line and later (2L+) therapy, where docetaxel-based chemotherapy continues to serve as the standard of care despite its suboptimal efficacy [4,5].


HLX43 is a broad-spectrum anti-tumor ADC candidate targeting PD-L1, which exhibits dual mechanisms integrating immune checkpoint blockade and payload-mediated cytotoxicity. Preclinical data have shown that, HLX43 has good anti-tumor effects and a favorable tolerability profile in NSCLC, cervical cancer (CC), esophageal squamous cell carcinoma (ESCC), and other tumor types that were PD-1/L1 mAb-resistant. The results from the phase 1 clinical trial of HLX43 has been first released at the 2025 ASCO Annual Meeting, demonstrating manageable safety profile and encouraging efficacy in various solid tumors especially in patients with NSCLC, including squamous and non-squamous NSCLC patients (sqNSCLC and nsqNSCLC), patients with or without EGFR mutation, patients with or without brain/liver metastasis, and PD-L1 positive or negative patients.


According to updated data released at the 2025 WCLC, HLX43 continues to demonstrate superior efficacy in an expanded cohort of NSCLC patients, and highlights its therapeutic potential in specific subgroups such as EGFR wild-type NSCLC patients. Confirmed objective response rate (cORR) was 46.7% for patients with an EGFR wild-type non-squamous NSCLC. Among these patients, cORR was 60.0% for those receiving HLX43 at 2.5 mg/kg, along with a favorable safety profile. Notably, HLX43 exhibits robust efficacy in PD-L1 negative (TPS <1%) patients, with an ORR of 38.1% and disease control rate (DCR) of 85.7%, indicating its differentiated therapeutic potential to cover a broader patient population regardless of PD-L1 expression.


The company is currently accelerating the clinical development of HLX43. To date, over 400 patients enrolled globally for HLX43, including more than 170 patients with NSCLC. As HLX43's efficacy validated in later-line treatment of NSCLC, Henlius plans to initiate a second-line clinical trial featuring a head-to-head comparison between HLX43 and docetaxel. Furthermore, based on the low toxicity and immuno-oncology (IO) activity demonstrated by HLX43, the company will actively explore and promote the first-line treatment regimens for HLX43, by conducting a three-arm clinical trial that includes monotherapy, combination therapy with a immunotherapeutic agent, and existing standard of care. 


In addition to NSCLC, Henlius is actively exploring HLX43's therapeutic potential in various solid tumors. The company has initiated 10 clinical studies for HLX43, covering thymic carcinoma (TC), cervical cancer (CC), hepatocellular carcinoma (HCC), esophageal squamous cell carcinoma (ESCC), head and neck squamous cell carcinoma (HNSCC), nasopharyngeal cancer (NPC), colorectal cancer (CRC), and gastric or gastroesophageal junction (G/GEJ) adenocarcinoma.  Both monotherapy and combination therapies of HLX43 are ongoing simultaneously to further exploit the synergistic effects of ADC-mediated cytotoxicity and other agents. HLX43 may benefit more patients with advanced or metastatic solid tumors by providing a novel treatment option for those who are unresponsive or have developed resistance to PD-1/PD-L1-targeted therapies, as well as the patients who have failed prior chemotherapy or TKI therapies.


By strategically prioritizing lung cancer as a core therapeutic area, Henlius continues to uphold its patient-centric mission, accelerating differentiated innovation to address unmet medical needs and delivering high-quality, affordable therapies to tumor patients worldwide.


About HLX43-NSCLC201

This is an open-label, multi-center, international phase 2 clinical study to evaluate HLX43 in patients with advanced non-small cell lung cancer (NSCLC). This study aims to evaluate the efficacy and safety of HLX43 in advanced non-small cell lung cancer (NSCLC) patients. It consists of two parts: Part 1, which focuses on dose exploration to identify the optimal HLX43 dosage for Part 2; and Part 2, which is a single-arm, multi-center phase 2 clinical trial. The primary objective of this study is to evaluate the clinical efficacy of HLX43 in advanced non-small cell lung cancer (NSCLC) patients. The primary endpoint of the study is objective response rate evaluated by the Blinded Independent Central Review (BICR) according to RECIST v1.1.

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, 9 products have been approved for marketing worldwide, 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 HANSIZHUANG (serplulimab, trade name: Hetronifly® in Europe), the world’s first anti-PD-1 mAb for the first-line treatment of SCLC, HANQUYOU (trastuzumab, trade name: HERCESSI in the U.S., Zercepac® in Europe), a China-developed mAb biosimilar approved in China, Europe and U.S., HANLIKANG (rituximab), the first China-developed biosimilar, and denosumab Bildyos® and Bilprevda®. What’s more, Henlius has conducted over 30 clinical studies for 19 products, expanding its presence in major markets as well as emerging markets.


联系方式

媒体:PR@Henlius.com

投资者:IR@Henlius.com

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