2026年6月16日,复宏汉霖(2696.HK)宣布,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)的III期国际多中心临床研究(NCT04740671)已成功达到预设的主要研究终点。该研究结果将与中国III期临床研究(NCT05003245)共同构成关键数据,支持合作伙伴亿胜生物推进包括美国在内的海外市场的上市申请。此前,HLX04-O用于治疗wAMD的上市注册申请(NDA)已获中国国家药品监督管理局(NMPA)药品审评中心受理。
HLX04-O是复宏汉霖根据眼科用药需求,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,开发的新的眼科制剂产品。HLX04-O通过基因工程技术构建,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。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。截至目前,中国境内上市的贝伐珠单抗产品暂无wAMD适应症获批。
NCT04740671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。该研究同步在中国、澳大利亚、欧盟和美国等国家和地区入组受试者。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。
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
关于复宏汉霖
Henlius Successfully Completes International Phase 3 Trial of HLX04-O for Ophthalmic Indication
June 16, 2026 — Henlius (HKEX: 2696) today announced that the international multicentre phase 3 clinical trial of HLX04-O (NCT04740671), a recombinant anti-vascular endothelial growth factor (VEGF) humanised monoclonal antibody injection, for the treatment of wet age-related macular degeneration (wAMD), has successfully met its pre-specified primary endpoint. Together with the Phase 3 clinical study conducted in China (NCT05003245), these results will constitute a pivotal data package to support the Company’s partner in advancing marketing authorisation applications in overseas markets, including the United States. Previously, the new drug application (NDA) for HLX04-O in wAMD has been accepted for review by the Center for Drug Evaluation (CDE) of the National Medical Products Administration (NMPA).
HLX04-O is a novel ophthalmic formulation developed by Henlius to address specific clinical needs in ophthalmology. 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. Developed using genetic engineering technology, HLX04-O specifically binds to VEGF and blocks its interaction with endothelial cell receptors Flt-1 (VEGFR-1) and KDR (VEGFR-2), thereby inhibiting downstream tyrosine kinase signalling pathways. This mechanism inhibits endothelial cell proliferation and pathological neovascularisation, enabling the treatment of eye diseases associated with angiogenesis such as wAMD. 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. As of now, none of the bevacizumab products marketed in Chinese mainland has been approved for the treatment of wAMD.
NCT04740671 is a global, multi-centre, 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) 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 from baseline in best corrected visual acuity (“BCVA”) at Week 36. The key secondary endpoint was mean change from baseline in BCVA at Week 48; secondary endpoints included other efficacy, safety, tolerability, and pharmacokinetics. The results showed that the primary and key secondary endpoints of this study were met, with the mean change in BCVA from baseline at Week 36 and 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.
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.
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