2024年10月24日,复宏汉霖(2696.HK)宣布,公司自主研发的PD-1抑制剂H药 汉斯状®(斯鲁利单抗)联合贝伐珠单抗联合化疗用于一线治疗转移性结直肠癌(mCRC)患者的国际多中心III期临床研究(即II/III期国际多中心临床研究ASTRUM-015的III期阶段)完成日本首例患者给药。此前,ASTRUM-015研究已启动III期临床阶段研究并于中国和印度尼西亚完成首例受试者给药。 结直肠癌(CRC)是全球最常见的恶性肿瘤之一。据WHO数据显示,2022年全球约有超过190万新发病例,死亡病例逾90万例[1]。预计到2040年,全球CRC新发病例将增加63%,每年将有320万新发病例并导致每年超过160万患者死亡[2]。根据最新版中国癌症统计报告数据显示,中国的CRC发病率、死亡率在全部恶性肿瘤中分别位居第2和第4位,其中2022年新发病例51.7万,死亡病例24万[2]。而日本的CRC新发和死亡病例在其全部恶性肿瘤中分别位居第1和第2位,其中2022年新发病例14.6万,死亡病例6万[1]。 大部分CRC患者在诊断时已发生转移,mCRC肿瘤按照分子表型可划分为dMMR/MSI-H型和pMMR/MSS型,后者占比约95% [3,4]。目前,mCRC的标准一线治疗方案主要为血管内皮生长因子(VEGF)抑制剂(如贝伐珠单抗)联用化疗[5-7],但持续疗效和预后仍有待进一步改善。研究表明,抗PD-1单抗可为dMMR/MSI-H晚期mCRC患者带来显著生存获益[8,9]。然而,占比更高的pMMR/MSS型mCRC肿瘤对单药免疫治疗反应率很低,被称为免疫治疗“冷肿瘤”。目前,全球尚无覆盖pMMR/MSS型mCRC患者的一线免疫疗法获批,这一患者群体存在巨大的未满足临床需求。 以临床需求为导向,复宏汉霖积极开展mCRC领域的免疫疗法探索,希望为更多mCRC患者提供更有效的治疗方法。ASTRUM-015研究是一项H药 汉斯状®(斯鲁利单抗)联合贝伐珠单抗和化疗一线治疗mCRC的II/III期临床研究,其II期阶段研究结果相继入选2024年美国临床肿瘤学会胃肠道肿瘤研讨会(ASCO GI)和2024 ASCO,并于近期发表于Cell Press细胞出版社旗下的综合性医学旗舰期刊Med,获得了国际学术界的高度认可。研究结果显示,H药联合贝伐珠单抗和化疗可改善未经治疗的mCRC患者(含MSS型mCRC患者)的无进展生存期及其他疗效指标,且安全性可控。这些结果支持斯鲁利单抗联合贝伐珠单抗和化疗作为一种非常有前景的mCRC一线治疗方案。 聚焦肺癌与消化道肿瘤,复宏汉霖积极推进H药与公司其他产品的协同以及与创新疗法的联合,于全球同步开展10余项肿瘤免疫联合疗法临床试验,累计入组逾4400名受试者。未来公司将持续加速推进该研究,H药有望成为全球首个一线治疗mCRC的抗PD-1单抗,填补一线免疫治疗mCRC的临床空白。 关于H药 汉斯状® 关于复宏汉霖 First Patient in Japan Dosed for MRCT Phase 3 Study on First-Line mCRC of Henlius Anti-PD-1 mAb Serplulimab Shanghai, China, October 24, 2024 - Shanghai Henlius Biotech, Inc. (2696.HK) announced that the first patient in Japan has been dosed in the phase 3 stage of the international multi-centre clinical trial (ASTRUM-015) of the company’s self-developed anti-PD-1 mAb HANSIZHUANG (serplulimab) in combination with bevacizumab and chemotherapy in patients with metastatic colorectal cancer (mCRC). Previously, the ASTRUM-015 study had launched its phase 3 stage and completed the first patient dosing in China and Indonesia. Colorectal cancer (CRC) is one of the most common malignant cancers globally. Over 1.9 million newly diagnosed cases and more than 900,000 deaths were estimated in 2022 [1]. It is estimated that, by 2040, the burden of CRC will increase to 3.2 million new cases per year (an increase of 63%) and 1.6 million deaths per year [2]. According to the latest report by National Cancer Center (NCC) of China, the incidence and mortality of CRC in China ranked 2nd and 4th among all cancers with 517,000 new cases and 240,000 deaths in 2022 [2]. In Japan, CRC ranks first in new incidence and second in mortality among all malignant tumors, with 146,000 new cases and 60,000 deaths reported in 2022 [1]. CRC often spreads before the initial tumour is detected. Based on molecular phenotype, mCRC is generally divided into two groups, dMMR/MSI-H and pMMR/MSS, with the latter accounting for around 95% of mCRC [3,4]. The standard of care for mCRC involves the combination of vascular endothelial growth factor (VEGF) inhibitor, such as bevacizumab, and systemic chemotherapy [5-7]. Still, sustained efficacy and prognosis remain to be improved. Several PD-1 inhibitors were shown to confer significant survival benefits for advanced CRC patients with dMMR/MSI-H [8,9]. However, pMMR/MSS mCRC, which accounts for a much higher proportion of mCRC, are considered “immune-cold tumours” characterised by low response rate to immunotherapy. To date, there has been no globally approved immunotherapy for the first-line treatment of pMMR/MSS mCRC, indicating a significant unmet medical need for this patient population. The company is continuing to explore immuno-oncology therapy for mCRC, with the goal of delivering highly effective treatment for a broad population of patients. ASTRUM-015 trial is a phase 2/3 study of HANSIZHUANG (serplulimab) plus bevacizumab and chemotherapy as first-line treatment for patients with mCRC. The results of the phase 2 stage of ASTRUM-015 were presented at the 2024 American Society of Clinical Oncology Gastrointestinal Cancers Symposium (ASCO GI) and 2024 American Society of Clinical Oncology (ASCO) Annual Meeting. Recently, the results were also published online in Med, demonstrating the global recognition of serplulimab by the community. In conclusion, the addition of serplulimab to bevacizumab and chemotherapy conferred a numerically longer median progression-free survival, along with a manageable safety profile for mCRC patients as a whole, and those with MSS mCRC. These results support serplulimab plus bevacizumab and chemotherapy as a promising first-line treatment option for mCRC that warrants further investigation. Focus on lung and gastrointestinal cancer, the synergy of HANSIZHUANG (serplulimab) with in-house products of the company and innovative therapies are being actively promoted. The company has initiated over 10 clinical trials on immuno-oncology combination therapies in a wide variety of indications with more than 4,400 subjects enrolled. Moving forward, Henlius will actively promote the clinical progress of the phase 3 stage of ASTRUM-015. With the accelerated progress, HANSIZHUANG is expected to become the world's first anti-PD-1 mAb for previously untreated mCRC and fill the clinical gap in first-line immunotherapy in these patients. About HANSIZHUANG About Henlius 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







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