2024年12月4日,,,,,,,復宏漢霖(2696.HK)宣布,,,,,,,公司創新型抗HER2單抗HLX22單抗注射液聯合曲妥珠單抗和化療或聯合德曲妥珠單抗的II期臨床試驗申請已獲得中國國家藥品監督治理局(NMPA)批准,,,,,,,擬用於治療HER2表達實體瘤。。。HLX22作為新型抗HER2單抗,,,,,,,與曲妥珠單抗具有協同抗腫瘤機制,,,,,,,兩者聯合化療的新型HER2雙靶療法已經在胃癌一線治療的研究中起源驗證了其抗腫瘤療效及清静性[1,2]。。。在此基礎上,,,,,,,公司擬進一步探索以HLX22為基石的抗HER2療法在更多腫瘤類型中的療效和清静性,,,,,,,以期為更廣泛的實體瘤患者群體帶來臨床獲益。。。
表皮生長因子受體(EGFR)家族包括EGFR(HER1)、表皮生長因子受體2(HER2)、HER3及HER4,,,,,,,在腫瘤發生、轉移及化療耐藥性等信號傳導中發揮主要作用[3]。。。其中,,,,,,,HER2的基因突變、擴增和卵白過表達已被證實廣泛保存於乳腺癌、胃癌、膽道癌、胰腺癌、尿路上皮癌、肺癌等多項實體瘤中,,,,,,,成為腫瘤治療中的經典靶點[4]。。????笻ER2靶向藥物的出現,,,,,,,很洪流平上改善了HER2陽性乳腺癌及胃癌等患者群體的生涯獲益[5,6]。。。且隨着新型抗HER2藥物如HER2雙靶療法、抗體-藥物偶聯物(ADCs)等的發展,,,,,,,抗HER2靶向治療正逐步從乳腺癌及胃癌擴展到多種其他實體瘤,,,,,,,為這些患者提供了新的治療選擇[7]。。。
HLX22為復宏漢霖自AbClon, Inc.許可引進、並後續自主研發的靶向HER2的創新型單克隆抗體。。。HLX22可結合在HER2的胞外亞結構域IV,,,,,,,但結合表位與曲妥珠單抗有所差别,,,,,,,使得HLX22和曲妥珠單抗能夠同時與HER2結合,,,,,,,促進HER2二聚體(HER2同源二聚體及HER2/EGFR異源二聚體)的內吞和降解,,,,,,,從而產生更強的受體阻斷效果。。。臨床前研究批注,,,,,,,HLX22與曲妥珠單抗聯合治療能夠協同抑制腫瘤細胞增殖和誘導細胞凋亡,,,,,,,在體內和體外均表現出增強的抗腫瘤活性。。。同時,,,,,,,HLX22的I期臨床試驗驗證了產品清静性[8],,,,,,,HLX22聯合曲妥珠單抗及化療一線治療HER2陽性胃/胃食管接壤部(G/GEJ)癌的II期臨床研究結果也顯示,,,,,,,在曲妥珠單抗聯用化療的基礎上加入HLX22可明顯改善HER2陽性G/GEJ癌患者一線治療的效果,,,,,,,且清静性可控[1,2]。。。现在,,,,,,,HLX22聯合曲妥珠單抗和化療一線治療HER2陽性晚期G/GEJ的國際多中心III期臨床試驗相繼獲中國、美國、日本、澳大利亞臨床試驗許可,,,,,,,並於中國完成首例患者給藥。。。
未來,,,,,,,復宏漢霖將持續加碼創新,,,,,,,以臨床需求為先導,,,,,,,持續探索新型抗HER2靶向療法在腫瘤中的治療潛力,,,,,,,高效推進HLX22的全球臨床開發進展,,,,,,,為全球患者提供更多可負擔、療效更好的治療计划。。。
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