Phase I/II Evaluation of a Cancer Lysate Vaccine and Montanide(R) ISA-51 VG With or Without the IL-15 Super-Agonist N-803 as Adjuvant Therapy for PD-L1 Negative Non-Small Cell Lung Cancer

Background:
Surgery is the primary treatment for non-small cell lung cancer (NSCLC) that is diagnosed in its earlier stages. But the tumors often return. Radiation and chemotherapy can improve survival in some people who have had surgery for NSCLC, but these treatments also cause serious side effects. A new approach, called immunotherapy, may be a better way to stop NSCLC tumors from coming back.
Objective:
To test a new treatment (H1299 lung cancer cell vaccine combined with the drug N-803) in people who received surgery for NSCLC.
Eligibility:
Adults aged 18 years or older with no sign of disease after surgery for NSCLC.
Design:
Participants will be screened. They will have a physical exam with blood tests. They will have tests of their heart and lung function. They will have imaging scans.
Study treatment will be given in 28-day cycles. Participants will visit the clinic on the first day of each cycle. They will receive 2 treatments at each visit:
The study vaccine is given as 2-4 small shots under the skin of the thigh or arm.
N-803 is given as a shot under the skin of the abdomen.
Treatment will continue for 6 cycles. Blood tests and imaging scans will be repeated throughout the study.
Participants will have a blood test 1 month after receiving the 6th vaccine. Some participants may then resume taking N-803; they may also receive 2 more vaccinations at 3 and 6 months after their previous treatment.
Follow-up visits will continue for up to 5 years.

开始日期2024-11-04

申办/合作机构

National Cancer Institute

NCT05840770 / Recruiting临床2期IIT

A Phase II Trial of Cemiplimab Alone for Untreated Brain Metastases From PD-L1 ≥ 50% Non-Small Cell Lung Cancer

This phase II trial tests how well cemiplimab works in treating patients with PD-L1 >= 50% non-small cell lung cancer (NSCLC) that has spread from where it first started (primary site) to the brain (metastases). Approximately 10% of patients diagnosed with metastatic NSCLC present with brain metastases and another 30% develop brain metastases during the illness. Currently, the management of brain metastases relies on stereotactic radiosurgery (SRS), which has high rates of local control, but in combination with systemic therapy, can cause certain toxicities, including central nervous system (CNS) necrosis or potential cognitive changes or memory deficits. Additionally, in patients with numerous brain metastases, whole brain radiation (WBRT) is recommended, leading to significant neurocognitive deficits. Immunotherapy with monoclonal antibodies, such as cemiplimab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. However, there is little data on the effectiveness of newer systemic therapies, such as immunotherapy, in penetrating and treating previously untreated brain metastases. Cemiplimab without upfront SRS or WBRT for asymptomatic brain metastases may help delay the need for radiation in patients with untreated brain metastases from PD-L1 >= 50% NSCLC.

开始日期2024-11-01

申办/合作机构

City of Hope National Medical Center

[+1]

NCT06635824 / Recruiting临床3期

A Prospective, Open-Label, Randomized, Phase 3 Trial of Acasunlimab (GEN1046) in Combination With Pembrolizumab Versus Docetaxel in Subjects With PD-L1 Positive Metastatic Non-Small Cell Lung Cancer After Treatment With a PD-1/PD-L1 Inhibitor and Platinum-Containing Chemotherapy (ABBIL1TY NSCLC-06)

This is a multicenter, randomized, open-label, international, Phase 3 trial to evaluate the efficacy and safety of acasunlimab in combination with pembrolizumab versus docetaxel (standard of care) in participants with programmed death ligand 1 (PD-L1)-positive metastatic non-small cell lung cancer (NSCLC) who have been treated with programmed cell death protein 1 (PD-1)/PD-L1 inhibitor and platinum-containing chemotherapy, administered either in combination or sequentially in the metastatic setting.

开始日期2024-10-31

申办/合作机构

Genmab, Inc.

[+1]

100 项与 PD-L1阳性非小细胞肺癌相关的临床结果

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100 项与 PD-L1阳性非小细胞肺癌相关的转化医学

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0 项与 PD-L1阳性非小细胞肺癌相关的专利（医药）

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项与 PD-L1阳性非小细胞肺癌相关的文献（医药）

2024-03-01·European Journal of Cancer

First-line durvalumab in patients with PD-L1 positive, advanced non-small cell lung cancer (NSCLC) with a performance status of 2 (PS2). Primary analysis of the multicenter, single-arm phase II trial SAKK 19/17

Article

作者: Ackermann, Christoph J ; Joerger, Markus ; Früh, Martin ; Bastian, Sara ; Froesch, Patrizia ; Mark, Michael ; Maranta, Angela Fischer ; Schneider, Martina ; Chiquet, Sabrina ; von Moos, Roger ; Ribi, Karin ; Rothschild, Sacha I ; Gysel, Katrin ; Addeo, Alfredo

INTRODUCTIONThe safety and efficacy of first-line durvalumab in PS2 patients with advanced NSCLC is unknown. Here, we present the primary analysis of first-line durvalumab in PS2 patients, unsuitable for combination chemotherapy.METHODSIn this single-arm, multicenter, phase II trial patients with PD-L1 positive (tumor proportional score ≥25%), advanced NSCLC with PS2, received four-weekly durvalumab 1500 mg. The primary endpoint was overall survival (OS) at 6 months.RESULTSForty-eight patients were included. Median follow-up was 23.3 months (95% CI: 14.3-28.6). OS at 6 months was 60% (95% CI: 45-74%). Median OS was 8.5 months (95%CI: 4.4-16.7). Objective response rate and median progression free survival were 17% (95% CI: 8-30%) and 2.5 months (95% CI: 1.8-7.1), respectively. Thirty-three deaths were observed at the time point of the analysis. Seven early fatal events considered not treatment-related occurred during the first 5 weeks of treatment. Four out of the first 7 early fatal events (4/7; 57%) were respiratory failure in patients with advanced symptomatic primary lung tumors. Three more early fatal events occurred after exclusion of patients with grade ≥ 3 dyspnea. Treatment-related AEs ≥G3 were reported in 9 patients (19%) and included colonic perforation in one patient (grade 5), colitis in 4 patients (8%), increased lipase in 3 patients (6%), and hepatitis in 2 patients (4%).CONCLUSIONSFirst-line durvalumab in PS2 patients with advanced PD-L1 positive NSCLC results in a high number of early fatal events. When patients with grade ≥ 3 dyspnea are excluded a promising 6-month OS with an acceptable toxicity profile can be observed. Durvalumab could be an option instead of single agent chemotherapy for PS2 patients who are not candidates for platinum doublet chemotherapy provided they are well selected.

2023-08-01·Oncology letters

A retrospective study of the efficacy of combined EGFR‑TKI plus VEGF inhibitor/cytotoxic therapy vs. EGFR‑TKI monotherapy for PD‑L1‑positive EGFR‑mutant non‑small cell lung cancer: North Japan Lung Cancer Study Group 2202.

Article

作者: Harada, Toshiyuki ; Sato, Masamichi ; Kawashima, Yosuke ; Jingu, Daisuke ; Yoshimura, Naruo ; Yanagisawa, Satoru ; Suzuki, Yohei ; Morinaga, Daisuke ; Inomata, Minehiko ; Saito, Ryota ; Kikuchi, Takashi ; Nogawa, Hitomi ; Miyauchi, Eisaku

The present multicenter study was performed to compare the efficacy of epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) monotherapy with that of combined EGFR-TKI plus vascular endothelial growth factor receptor (VEGF) inhibitor/cytotoxic therapy in patients with programmed death-ligand 1 (PD-L1)-positive EGFR-mutant non-small cell lung cancer (NSCLC). Data from patients with PD-L1-positive EGFR-mutant NSCLC were collected from 12 institutes. Survival in patients treated with first- and second-generation EGFR-TKIs, osimertinib (third-generation EGFR-TKI), and combined EGFR-TKI plus VEGF inhibitor/cytotoxic therapy was analyzed by multiple regression analysis with adjustments for sex, performance status, EGFR mutation status, PD-L1 expression level, and the presence or absence of brain metastasis using a Cox proportional hazards model. Data from a total of 263 patients were analyzed, including 111 (42.2%) patients who had received monotherapy with a first- or second-generation EGFR-TKI, 132 (50.2%) patients who had received osimertinib monotherapy, and 20 (7.6%) patients who had received combined EGFR-TKI plus VEGF inhibitor/cytotoxic therapy (hereafter referred to as combined therapy). Multiple regression analysis using the Cox proportional hazards model showed that the hazard ratio (95% confidence interval) for progression-free survival was 0.73 (0.54-1.00) in the patients who had received osimertinib monotherapy and 0.47 (0.25-0.90) in patients who had received combined therapy. The hazard ratio for overall survival was 0.98 (0.65-1.48) in the patients who had received osimertinib monotherapy and 0.52 (0.21-1.31) in patients who had received combined therapy. In conclusion, combined therapy was associated with a significant reduction in the risk of progression compared with first- and second-generation EGFR-TKI monotherapy, and therefore, may be promising for the treatment of patients of NSCLC.

2023-08-01·International journal of cancer

KEYNOTE-033: Randomized phase 3 study of pembrolizumab vs docetaxel in previously treated, PD-L1-positive, advanced NSCLC.

Article

作者: Feng, Jifeng ; Vynnychenko, Ihor ; Sriuranpong, Virote ; Zhang, Li ; He, Jianxing ; Wang, Kai ; Wang, Changli ; Chen, HuaJun ; Danchaivijtr, Pongwut ; Huang, Cheng ; Ren, Shengxiang ; Dang, Thao ; Wang, Chin-Chou ; Li, Ben ; Ge, Jun ; Ma, Shenglin ; Orlandi, Francisco ; Zhou, Jianying ; Ma, Zhiyong ; Zhou, Caicun

KEYNOTE-033 (NCT02864394) was a multicountry, open-label, phase 3 study that compared pembrolizumab vs docetaxel in previously treated, programmed death-ligand 1 (PD-L1)-positive, advanced non-small cell lung cancer (NSCLC), with most patients enrolled in mainland China. Eligible patients were randomized (1:1) to pembrolizumab 2 mg/kg or docetaxel 75 mg/m² every 3 weeks. Primary endpoints were overall survival (OS) and progression-free survival and were evaluated sequentially using stratified log-rank tests, first in patients with PD-L1 tumor proportion score (TPS) ≥50% and then in patients with PD-L1 TPS ≥1% (significance threshold: P < .025, one-sided). A total of 425 patients were randomized to pembrolizumab (N = 213) or docetaxel (N = 212) between 8 September 2016 and 17 October 2018. In patients with a PD-L1 TPS ≥50% (n = 227), median OS was 12.3 months with pembrolizumab and 10.9 months with docetaxel; the hazard ratio (HR) was 0.83 (95% confidence interval [CI]: 0.61-1.14; P = .1276). Because the significance threshold was not met, sequential testing of OS and PFS was ceased. In patients with a PD-L1 TPS ≥1%, the HR for OS for pembrolizumab vs docetaxel was 0.75 (95% CI: 0.60-0.95). In patients from mainland China (n = 311) with a PD-L1 TPS ≥1%, HR for OS was 0.68 (95% CI: 0.51-0.89). Incidence of grade 3 to 5 treatment-related AEs was 11.3% with pembrolizumab vs 47.5% with docetaxel. In summary, pembrolizumab improved OS vs docetaxel in previously treated, PD-L1-positive NSCLC without unexpected safety signals; although the statistical significance threshold was not reached, the numerical improvement is consistent with that previously observed for pembrolizumab in previously treated, advanced NSCLC.

141

项与 PD-L1阳性非小细胞肺癌相关的新闻（医药）

2024-10-31

·康方生物Akeso

全球首个CD47单抗实体瘤III期临床首例入组：依沃西联合莱法利一线治疗HNSCC（对比帕博利珠单抗）

Ivonescimab+AK117 近日，康方生物（9926.HK）宣布其自主研发的全球首创的PD-1/VEGF双特异性抗体依沃西联合新一代D47单抗莱法利（AK117）对比帕博利珠单抗一线治疗PD-L1阳性（CPS≥1）复发转移性头颈部鳞癌（R/M HNSCC）随机、对照、多中心、III期临床研究（AK117-302）完成首例患者入组。华中科技大学同济医学院附属协和医院杨坤禹教授和四川大学华西医院刘磊教授是该研究的共同主要研究者。 AK117-302研究是全球首个CD47单抗疗法治疗实体瘤的Ⅲ期临床研究。该研究是依沃西的第5项以PD-1/L1单抗疗法为阳性对照的Ⅲ期临床研究，也是依沃西第3项以帕博利珠单抗疗法为阳性对照III期临床研究。AK117-302研究体现了公司迭代当前肿瘤免疫治疗格局、建立全球更佳肿瘤标准治疗的决心和信心，也展现了康方生物通过科学的临床布局充分挖掘产品组合临床价值和商业价值的能力。流行病学数据显示，2022年头颈部肿瘤全球新发病例为77万，中国新发病例为8.4万，其中HNSCC占头颈部肿瘤的90%以上。R/M HNSCC患者5年生存率仅有3.6%。靶向和免疫治疗的获批推动了HNSCC临床治疗的发展，但中位总生存期（OS）仍不足一年。其中，帕博利珠单抗疗法已成为R/M HNSCC的一线标准治疗，是CSCO和NCCN指南首选推荐疗法。PD-1疗法改善了HNSCC的生存获益，但整体生存获益仍有限，部分患者反应不佳。临床亟待更高效的全新疗法的诞生，助力HNSCC患者获得长期生存获益。 ESMO 2024 此前，康方生物已在2024年欧洲肿瘤内科学会（ESMO）年会上报道了该联合疗法的优异疗效。结果显示，对于快速缩瘤需求特别高的HNSCC，莱法利联合依沃西方案具有优异的缩瘤效果和生存获益，取得了高于已披露PD-1研究的初步疗效数据，该疗法有望为HNSCC患者提供全新高效的免疫治疗方案。关于莱法利（AK117，CD47单抗）莱法利单抗是康方生物自主研发的新一代人源化lgG4 单克隆抗体，可与肿瘤细胞上表达的CD47结合，阻断CD47与其受体SIRPα的相互作用，增强吞噬细胞对肿瘤细胞的吞噬活性，从而抑制肿瘤生长。目前莱法利联合阿扎胞苷治疗血液瘤，莱法利单药或联合依沃西和卡度尼利治疗多种实体瘤的II期临床研究正在高效开展，初步研究疗效数据优异，未观察到剂量限制性毒性事件，表现出优越的安全性。莱法利联合依沃西对比帕博利珠单抗一线治疗PD-L1阳性头颈鳞癌的III期临床研究（AK117-302）完成首例患者入组，联合维奈克拉和阿扎胞苷一线治疗unfit AML的中国II期临床研究、莱法利治疗MDS的国际多中心II期临床研究均在入组中。关于依达方® （PD-1/VEGF双抗，依沃西）依达方®（依沃西单抗注射液）是康方生物自主研发的、全球首创PD-1/VEGF双特异性肿瘤免疫治疗药物。依达方®于2024年5月获得中国国家药品监督管理局批准上市，用于EGFR-TKI治疗进展的局部晚期或转移性nsq-NSCLC，成为全球首个获批上市的“肿瘤免疫+抗血管生成“协同抗肿瘤机制的双特异性抗体新药。目前，依达方®单药对比帕博利珠单抗单药一线治疗PD-L1表达阳性的晚期NSCLC的III期研究在期中分析中达到了无进展生存期的主要研究终点，获得决定性胜出阳性结果。基于此项研究，依达方®单药一线治疗PD-L1表达阳性的晚期NSCLC已提交sNDA，并获优先审评。同时，依达方®联合化疗对比替雷利珠单抗联合化疗一线治疗sq-NSCLC的III期临床研究，由合作伙伴Summit主导开展的依达方®联合化疗联合化疗用于经第三代EGFR-TKI治疗进展的EGFR突变、局晚期或转移性nsq-NSCLC的国际多中心III期临床研究（HARMONi研究）和依达方®联合化疗对比帕博利珠单抗联合化疗一线治疗sq-NSCLC的国际多中心III期研究正在进行中。此外，依沃西新启动3项III期临床研究，包括依沃西联合AK117（CD47）联合方案一线治疗PD-L1阳性头颈鳞癌（vs帕博利珠单抗），依沃西联合方案一线治疗胆道癌（vs度伐利尤单抗联合方案），以及依沃西联合方案一线治疗胰腺癌。总体上，依达方®正通过单药和联合用药在包括肺癌、胰腺癌、乳腺癌、肝细胞癌、结直肠癌等17个适应症领域开展了25+项的临床试验。关于康方生物康方生物（9926.HK）是一家集研究、开发、生产及商业化全球首创或同类最佳创新生物新药于一体的领先企业。自2012年成立以来，公司打造了独有的端对端康方全方位新药研究开发平台（ACE Platform），建立了以Tetrabody双特异性抗体开发技术、抗体偶联（ADC）技术、mRNA技术及细胞治疗技术为核心的研发创新体系，国际化标准的GMP生产体系和运作模式先进的商业化体系，成为了在全球范围内具有竞争力的生物医药创新公司。公司已开发了50个以上用于治疗肿瘤、自身免疫、炎症、代谢疾病等重大疾病的创新候选药物，22个候选药已进入临床（包括11个双抗/多抗/双抗ADC），5个新药已在商业化销售，4个新药5个适应症的上市申请处于审评审批阶段。 2021年8月，公司自主研发的差异化PD-1单抗安尼可®获批上市；2022年6月，公司全球首创的PD-1/CTLA-4双抗开坦尼®获批上市，成为全球首个获批的肿瘤免疫治疗双抗新药，也是中国第一个双特异性抗体新药。2024年上半年，开坦尼®一线治疗晚期宫颈癌的新药上市许可申请（sNDA）已受理，开坦尼®联合方案一线治疗晚期胃癌适应症于同年9月获批上市。2024年5月，公司另一全球首创双抗新药依达方®获得中国国家药品监督管理局批准上市，用于EGFR-TKI治疗进展的局部晚期或转移性nsq-NSCLC，依达方®成为全球首个获批的“肿瘤免疫+抗血管生成”机制双抗新药。同期，依沃西对比帕博利珠单抗一线治疗PD-L1阳性NSCLC获显著阳性结果，同适应症的sNDA获CDE受理，并获优先审评。依沃西成为全球迄今唯一在头对头III期临床研究中证明疗效显著优于“药王”帕博利珠单抗的药物，将有望成为一线肺癌治疗新的标准治疗方案，为患者提供全新更优的“去化疗”选择。此前，2022年12月，公司对外许可了依达方®部分海外权益，并以50亿美金+销售提成的合作方案创下了彼时中国单药对外许可的最高交易金额纪录。2024年9月，公司自主研发的伊喜宁®（伊努西单抗，PCSK9）治疗高胆固醇血症两项适应症获批，成为非肿瘤领域的首个获批产品。康方生物期望通过高效及突破性的研发创新，开发国际首创及同类药物最佳疗法的新药，成为全球领先的生物制药企业。往期推荐产品动态康方生物非肿领域首个新药伊喜宁®（伊努西单抗，PCSK9）治疗高胆固醇血症两项适应症获批上市产品动态一线胃癌全人群获批！康方生物卡度尼利获批第二个适应症数据发布全球首个对比帕博利珠单抗取得显著阳性结果的随机对照大III期研究——依沃西HARMONi-2重磅研究成果在WCLC发表临床进展康方生物卡度尼利联合方案治疗uHCC的III期临床研究完成首例患者入组临床进展康方AK117（CD47）联合方案治疗MDS国际多中心Ⅱ期临床首例患者入组临床进展针对PD-1/L1治疗进展晚期胃癌，卡度尼利+普络西（VEGFR-2）联合疗法Ⅲ期临床完成首例入组产品动态依沃西1L治疗PD-L1阳性NSCLC的sNDA获NMPA受理，肺癌一线将迎“去化疗”新标准方案！数据发布 ASCO Oral & JAMA主刊丨Ⅲ期HARMONi-A研究重磅公布，依沃西疗法有望改变EGFR-TKI进展肺癌全球治疗标准临床进展史无前例！康方依沃西单药对比帕博利珠1L治疗PD-L1阳性NSCLC的III期临床获决定性胜出阳性结果产品动态依达方®首批发货成功！全国晚期肺癌患者迎来全球最新解决方案产品动态康方生物双抗卡度尼利一线治疗晚期宫颈癌全人群的sNDA获CDE受理企业运营康方生物上海全球研发中心启动建设创新全球化战略再提速产品动态首个国产新药IL-12/IL-23单抗报产！康方生物依若奇单抗NDA获NMPA受理临床进展国际多中心注册性III期研究HARMONi-3中国启动：依沃西单抗联合化疗对比帕博利珠单抗联合化疗1L治疗sq-NSCLC 临床进展依沃西联合化疗对比替雷利珠联合化疗一线治疗sq-NSCLC III期临床试验完成首例给药产品动态高达50亿美金！康方生物与Summit就PD-1/VEGF双抗依沃西达成合作和许可协议产品动态全球首个肿瘤免疫治疗双抗——开坦尼®（PD-1/CTLA-4双抗，卡度尼利）获批上市

临床3期免疫疗法CSCO会议临床2期上市后研究

2024-10-30

·药研网

康方生物PD-1/VEGF双抗：海外又有2家初创锚定

10月28日，总部位于英国的Ottimo Pharma走出隐形模式。前Seagen公司的首席执行官David Epstein，在辉瑞以430亿美元收购Seagen后，现已加入一个新的生物技术公司Ottimo Pharma。 Ottimo Pharma还任命了前罗氏高管、现任BioMarin首席商务官James Sabry为副主席，以及勃林格殷格翰的资深人士Mehdi Shahidi为首席医学官。 Ottimo Pharma在过去三年中一直致力于Jankistomig的临床前开发，Jankistomig是一种双功能抗体，靶向PD1和VEGFR2，这两种受体参与帮助肿瘤生长和逃避免疫系统的分子途径。Ottimo Pharma一直在对该分子进行全面的临床前表征，并预计在2025年底提交IND。 10月29日，GlycoMimetics宣布已与Crescent Biopharma 公司达成收购协议。交易完成后，公司计划以Crescent Biopharma的名义运营，推进旨在治疗实体瘤的肿瘤疗法。Crescent Biopharma的主导项目CR-001是一款PD-1 x VEGF双特异性抗体。 Crescent是第五家利用 Paragon Therapeutics 发现和开发的资产上市的公司。Paragon此前孵化了Apogee Therapeutics、SPYRE THERAPEUTICS、ORUKA THERAPEUTICS和JADE BIOSCIENCES多个自免药物开发上市公司。 Crescent Biopharma 管线 Crescent Biopharma注与实体瘤药物的开发，目前管线中装入了三款药物: PD-1/VEGF双抗CR-001，另外两款为拓扑异构酶的ADC药物 CR-002 和 CR-003。 CR-001是一种四价PD-1 x VEGF双特异性抗体，其形式和药理学与康方生物的ivonescimab相匹配。与目前的市场领导者pembrolizumab相比，ivonescimib具有更优的疗效。该公司预计 CR-001 的 IND 将于 2025 年Q4或 2026 年Q1提交，患者的中期 1 期数据预计将于 2026 年下半年获得。除了 CR-001，Crescent还在开发 CR-002 和 CR-003，它们是使用拓扑异构酶抑制剂有效载荷针对未公开靶点的抗体-药物偶联物 (ADC)；与具有替代有效载荷的 ADC 相比，具有拓扑异构酶抑制剂有效载荷的 ADC 显示出更高的疗效和安全性。CR-002 是 Crescent 的首个 ADC 项目，旨在成为同类最佳项目，预计将于 2026 年启动第 1 阶段；Crescent计划在项目进入临床阶段时披露 CR-002 的目标。该交易预计将于 2025 年Q2完成。预计公司交割时的现金余额将为2027年的运营提供资金，包括推进公司的主要项目 CR-001，预计在 2026 年下半年通过对实体瘤患者的初步概念验证临床数据进行推进。 PD-1/VEGF潜力巨大。去年11月，BioNTech超10亿美元引进普米斯PD-L1/VEGF双抗，2024年9月，该双抗产品PM8002注射液的新药研究申请（IND）成功获得CDE的批准。目前，PM8002注射液已在国内针对TNBC、SCLC、非小细胞肺癌（NSCLC）等多个瘤种开展了多项临床试验研究，相关临床研究数据也陆续在重要的国际学术会议上发布，展示了其广阔的应用前景和潜在的巨大临床价值。超10亿美元，BioNTech引进普米斯PD-L1/VEGF双抗今年5月，康方生物宣布，全球首创PD-1/VEGF双抗依沃西单抗头对头对比Keytruda一线治疗PD-L1阳性NSCLC的三期临床HARMOIN-2（HARMONi-2或AK112-303）达到无进展生存期（PFS）的主要研究终点，显示强阳性结果。里程碑! 国产PD-1/VEGF双抗，头对头击败K药！ PD-1/VEGF双抗的大获成功再次引起了人们的关注。今年8月，宜明昂科将旗下PD-L1xVEGF双特异性抗体IMM2510大中华区以外的开发和商业化权利以5000万美元首付+20亿美元里程碑付款授予Instil Bio。由此可见，该领域的竞争激烈程度不言而喻。 End 声明：本公众号所有发文章(包括原创及转载文章)系出于传递更多信息之目的，且注明来源和作者。本公众号欢迎分享朋友圈或大群，谢绝媒体或机构未经授权以任何形式转载至其他平台。转载/商务/投稿 | 联系微信15618157102（sum_Gmi）商务合作稿件征集点击了解详情往期回顾 1 8月 | 高达22家药企裁员 2 国产首款四价HPV疫苗拟纳入优先审评 3 3. 7亿美元!今年规模最大的生物医药融资诞生

抗体药物偶联物临床申请并购免疫疗法临床1期

2024-10-30

·康方生物Akeso

于金明院士：第二代免疫治疗药物诞生！双抗唱响医药创新的“中国之声”

导读 2024年世界肺癌大会（WCLC）的主席研讨会中，HARMONi-2研究结果重磅公布，国产双抗新药成为首个在头对头Ⅲ期临床研究中证实疗效优于帕博利珠单抗的药物。双特异性抗体在肿瘤治疗领域的应用价值和探索前景再度成为饱受关注的热点话题，我国医药创新领域的进展和突破引发了广泛的讨论。基于此，特邀于金明院士参与访谈，针对HARMONi-2研究的价值及中国新药开创新时代的未来前景发表其独到看法。视频及访谈内容精粹如下。于金明院士山东省肿瘤医院院长中共十七大党代表、全国劳动模范全国第十、十二、十三、十四届人大代表山东第一医科大学(省医科院)名誉校(院)长中国临床肿瘤学会理事长中华医学会放射肿瘤治疗学分会名誉主任委员中国抗癌协会肿瘤多学科诊疗(MDT)专业委员会主任委员山东省抗癌协会理事长山东省临床肿瘤学会理事长山东省医院协会名誉会长山东省医学会肿瘤学分会主任委员山东院士专家联合会会长山东省高层次人才促进会会长中华肿瘤防治杂志等多家杂志主编或副主编晚期NSCLC一线治疗迎来革新，双抗开启肺癌免疫治疗2.0时代 Q1：今年世界肺癌大会上，HARMONi－2研究以LBA的形式进行了口头报告，引发热烈反响。请您结合相关数据，谈谈您如何看待HARMONi-2研究对PD-L1阳性晚期非小细胞肺癌（NSCLC）患者的一线治疗的革新？于金明院士山东省肿瘤医院今年WCLC大会的核心环节——全体大会主席论坛中，HARMONi-2研究作为首个公布的最新突破性摘要（LBA）由周彩存教授进行了口头报告，现场响起了非常热烈的掌声，带来了很大的触动。我们中国的研究成了为全球首个单药对比帕博利珠单抗取得阳性结果的Ⅲ期临床研究，我们中国自主研发的PD-1/VEGF双抗成为了第二代免疫治疗药物，是特别值得恭喜和自豪的好消息。这是中国方案在肺癌领域再一次取得的关键性的突破，也在国际舞台上得到了广泛的认可。依沃西单抗一线治疗PD-L1阳性晚期NSCLC，相比帕博利珠单抗显著延长了患者的中位无进展生存期，mPFS分别为11.14个月和5.82个月，取得了显著的阳性结果，肺癌免疫治疗2.0时代已经在中国拉开了序幕。见证我们国家在医药创新领域取得如此成就，我深感自豪，同样我也很期待我们社会各界能够依托各自独特资源优势，持续秉持开拓进取的精神，加强不同机构、学科之间的合作，携手并进，在医药研发的领域再登新的高峰，为全球患者带来更多福音。我国医药创新蓬勃发展，世界舞台唱响“中国之声” Q2：在肿瘤治疗领域，国产创新双抗取得了显著的成功。作为肿瘤治疗领域的领军人物，您对中国自主创新的未来发展有着怎样的期许和展望？于金明院士山东省肿瘤医院从2013年起，WCLC大会设立了“中国专场”，至今已有十余年。这十年也是中国创新飞速发展的十年，我们见证了越来越多由中国学者主导的临床研究在国际舞台上崭露头角。本次WCLC大会中亦有多项中国研究成果入选，尤其在两场主席研讨会中，组委会评选出的10项最重磅研究里，由国内学者参与或主导的研究就有5项，可以说是半壁江山，意味着中国实力得到了国际同行的广泛认可。我国自主研发的双抗新药同时有2项研究入选口头报告，覆盖肺癌一线治疗及围手术期治疗的人群，在世界肺癌大会的舞台上唱响了“中国之声”。这一成就标志着我国生物医药创新实现了从跟随到引领的重大跨越，展现了我国在肺癌研究领域日益增强的影响力，更是对我国科研人员勇于探索、不懈努力精神的肯定与证明。展望未来，随着“健康中国”战略的深入实施和科技创新体系的不断完善，我们有理由相信，中国将在全球医学研究中扮演更加重要的角色，持续贡献中国智慧与中国方案。从基础研究的深耕细作到临床转化的加速推进，从国际合作的深化拓展到创新生态的持续优化，中国科研人将携手并进，共同开创全球健康事业的新篇章，让“中国之声”在世界医学舞台上更加响亮、更加持久。结语创新药物的研发与应用，不仅是我国科技自立自强道路上的坚实步伐，更是推动“健康中国”战略深入实施的关键一环，对提升全民健康水平、促进人类福祉具有深远意义。依沃西单抗作为全球首个PD-1/VEGF双特异性抗体，通过临床数据验证了其独特的优势，使肺癌的治疗迈入了一个全新的时代。不仅为全球医疗界探索疾病治疗新路径提供了宝贵经验，也向国际社会展示了中国在医药健康领域积极贡献、开放合作的态度与决心。展望未来，“健康中国”战略将持续引领我国医药创新向更高水平迈进，推动更多创新药物涌现，为全球医疗事业的发展贡献更多中国智慧与中国方案，共同守护人类健康的美好未来。转载自：肿瘤资讯往期推荐产品动态康方生物非肿领域首个新药伊喜宁®（伊努西单抗，PCSK9）治疗高胆固醇血症两项适应症获批上市产品动态一线胃癌全人群获批！康方生物卡度尼利获批第二个适应症数据发布全球首个对比帕博利珠单抗取得显著阳性结果的随机对照大III期研究——依沃西HARMONi-2重磅研究成果在WCLC发表临床进展康方生物卡度尼利联合方案治疗uHCC的III期临床研究完成首例患者入组临床进展康方AK117（CD47）联合方案治疗MDS国际多中心Ⅱ期临床首例患者入组临床进展针对PD-1/L1治疗进展晚期胃癌，卡度尼利+普络西（VEGFR-2）联合疗法Ⅲ期临床完成首例入组产品动态依沃西1L治疗PD-L1阳性NSCLC的sNDA获NMPA受理，肺癌一线将迎“去化疗”新标准方案！数据发布 ASCO Oral & JAMA主刊丨Ⅲ期HARMONi-A研究重磅公布，依沃西疗法有望改变EGFR-TKI进展肺癌全球治疗标准临床进展史无前例！康方依沃西单药对比帕博利珠1L治疗PD-L1阳性NSCLC的III期临床获决定性胜出阳性结果产品动态依达方®首批发货成功！全国晚期肺癌患者迎来全球最新解决方案产品动态康方生物双抗卡度尼利一线治疗晚期宫颈癌全人群的sNDA获CDE受理企业运营康方生物上海全球研发中心启动建设创新全球化战略再提速产品动态首个国产新药IL-12/IL-23单抗报产！康方生物依若奇单抗NDA获NMPA受理临床进展国际多中心注册性III期研究HARMONi-3中国启动：依沃西单抗联合化疗对比帕博利珠单抗联合化疗1L治疗sq-NSCLC 临床进展依沃西联合化疗对比替雷利珠联合化疗一线治疗sq-NSCLC III期临床试验完成首例给药产品动态高达50亿美金！康方生物与Summit就PD-1/VEGF双抗依沃西达成合作和许可协议产品动态全球首个肿瘤免疫治疗双抗——开坦尼®（PD-1/CTLA-4双抗，卡度尼利）获批上市

免疫疗法临床3期临床结果上市后研究