Caspofungin Acetate

编者按：本文来自米内网，作者玲珑；赛柏蓝授权转载，编辑yuki日前，国家医保局发布通知，2024年集采提质扩面将再上一个台阶，全国联采时代来临，第十批集采即将开展。全身用抗感染药是国采的重点对象，数据显示，目前已有20个抗感染化药满足5家及以上的充分竞争条件（完整品种及厂家名单见文末），包括15个抗细菌药、3个抗病毒药、2个抗真菌药。20个品种2023年在中国公立医疗机构终端的销售额合计超过178亿元，其中超10亿大品种有8个；科伦、倍特、齐鲁、鲁抗、石药等为主力，分别有7个、6个、6个、5个、5个品种在列。01抗细菌药千亿市场洗牌两款30亿大品种或承压受集采执行影响，近两年来中国公立医疗机构终端全身用抗细菌化药市场持续承压，2023年接近1100亿元。2023年全身用抗细菌化药TOP20产品中，有13个产品已被纳入国采。未被纳入的产品中，排位第3、第18的注射用头孢唑肟钠、注射用硫酸多黏菌素B暂无企业过评；排位第15的注射用苯唑西林钠仅1家企业过评；排位第7、第8、第11、第14的注射用亚胺培南西司他丁钠、注射用拉氧头孢钠、注射用盐酸万古霉素、注射用哌拉西林钠已满足国采入围条件。2023年中国公立医疗机构终端全身用抗细菌化药TOP10产品15个符合国采入围条件的全身用抗细菌化药涉及7个治疗小类——5个为头孢类，4个为β-内酰胺类/青霉素类抗菌药，其它抗菌药有2个，氨基糖苷类抗菌药、大环内酯类/林可酰胺类/链阳霉素类、喹诺酮类抗菌药、碳青霉烯类各有1个。亚胺培南西司他丁注射剂为碳青霉烯类抗菌药，是15个产品中销售额最高的，2023年在中国公立医疗机构终端的销售额超过31亿元，原研厂家默沙东主导市场，市场份额超过70%；联邦制药（已过评）、瀚辉制药（已过评）位居第二、第三。目前该产品有5家企业过评，竞争格局尚好。近年来中国公立医疗机构终端亚胺培南西司他丁注射剂销售情况（单位：万元）5个头孢类产品中，拉氧头孢注射剂、头孢他啶阿维巴坦注射剂均为超10亿大品种。近年来，拉氧头孢注射剂在中国公立医疗机构终端的销售额逐年上涨，2023年接近30亿元，同比增长23%，海南海灵化学制药（已过评）独占市场超6成。该产品目前已有8家企业过评，此外还有江苏江丰医药、山东晶辉生物、齐鲁安替制药等企业的产品以新分类报产在审。近年来中国公立医疗机构终端拉氧头孢注射剂销售情况（单位：万元）4个β-内酰胺类/青霉素类抗菌药中，哌拉西林注射剂、氨苄西林注射剂、青霉素注射剂均为超10亿大品种。其中，哌拉西林注射剂近年来在中国公立医疗机构终端放量迅速，2023年突破20亿元，同比增长约44%。目前国内有20余家企业布局注射用哌拉西林钠一致性评价，鲁抗医药、瑞阳制药、科伦制药、苏州二叶制药、倍特药业、华北制药等14家企业的产品已过评/视同过评。近年来中国公立医疗机构终端哌拉西林注射剂销售情况（单位：万元）02抗病毒新药“霸榜”10亿注射剂竞争激烈在疫情及创新药快速放量拉动下，近两年中国公立医疗机构终端全身用抗病毒化药市场规模均以两位数的增速增长，2023年已逼近集采前（2018年）约190亿的水平。2023年全身用抗病毒化药TOP20产品中，多个独家创新药上榜，包括辉瑞的奈玛特韦片/利托那韦片组合包装、河南真实生物的阿兹夫定片、吉利德的比克恩丙诺片及索磷布韦维帕他韦片、豪森的艾米替诺福韦片、先声药业的先诺特韦片/利托那韦片组合包装、默沙东的莫诺拉韦胶囊、ViiV的拉米夫定多替拉韦片等。剩余品种中，6个已被纳入国采。目前符合国采入围条件的3个全身用抗病毒化药中，帕拉米韦注射剂为超10亿大品种，已满足14+1的竞争格局，是20个全身用抗感染化药中，竞争最为激烈的一个品种。2023年中国公立医疗机构终端全身用抗病毒化药TOP10产品数据显示，近两年来帕拉米韦注射剂在中国公立医疗机构终端的销售额均以两位数的增速增长，2023年突破10亿元，广州南新制药主导市场。近年来中国公立医疗机构终端帕拉米韦注射剂销售情况（单位：万元）03抗真菌药90亿市场大品种已国采近年来，全身用抗真菌化药在中国公立医疗机构终端的销售额有所波动，但均维持在80亿元以上，2023年接近90亿元，同比增长6.7%。2023年全身用抗真菌化药TOP20产品中，已纳入国采的品种约占“半壁江山”，包括位列前三的注射用醋酸卡泊芬净、注射用伏立康唑及伏立康唑片，这3个均为超10亿大品种。此外，位列第四、第七的氟康唑氯化钠注射液、注射用米卡芬净钠也已纳入国采。2023年中国公立医疗机构终端全身用抗真菌化药TOP10产品符合国采入围条件的泊沙康唑肠溶片、泊沙康唑注射液均为第二代三唑类抗真菌药物，其中泊沙康唑肠溶片2023年跻身全身用抗真菌化药TOP10产品，该产品近年来在中国公立医疗机构终端的销售额持续快速增长，2023年突破2亿元，同比增长约163%。从厂家格局看，原研厂家默沙东主导市场，但随着仿制药的获批，其市场份额逐渐被蚕食。泊沙康唑肠溶片目前已满足10+1的竞争格局，包括科伦、扬子江、齐鲁、正大天晴药业、倍特药业等10家过评企业，竞争较为激烈。近年来中国公立医疗机构终端泊沙康唑肠溶片销售情况（单位：万元）注：上述销售额以产品在终端的平均零售价计算。数据统计截至5月21日，如有疏漏，欢迎指正。附：暂未纳入国采且符合5家及以上的全身用抗感染化药（部分药品因专利期、产品属性等可能不会被纳入集采，一切信息以官方为准）END内容沟通：13810174402医药代表交流群扫描下方二维码加入银发经济市场机遇交流群扫描下方二维码加入左下角「关注账号」，右下角「在看」，防止失联

Publication reaffirms the efficacy of rezafungin for treatment of candidemia and invasive candidiasis (IC) in adult patients across Candida species PARSIPPANY, N.J.--(BUSINESS WIRE)-- Melinta Therapeutics, LLC today announced the peer-reviewed publication of data from the completed ReSTORE phase 3 global clinical trial evaluating REZZAYO® (rezafungin for injection) for the treatment of candidemia and invasive candidiasis (IC) in adults. The data analyses in the article, “Outcomes by Candida spp. in the ReSTORE Phase 3 trial of rezafungin versus caspofungin for candidemia and/or invasive candidiasis,” published in the American Society for Microbiology Antimicrobial Agents and Chemotherapy, demonstrates the efficacy of rezafungin in adult patients across a variety of Candida species. Rates of global cure and mycological eradication at day 14 and all-cause mortality at day 30 were generally comparable between the two treatment groups. The article additionally highlights the approval of the Clinical and Laboratory Standards Institute (CLSI) susceptibility breakpoints for rezafungin against several Candida species including Candida glabrata, a species increasingly associated with reduced susceptibility to treatment with echinocandins, and Candida auris, a highly resistant pathogen that is associated with life-threating infections. Rezafungin is the only antifungal, based on in vitro data, that has a defined susceptibility breakpoint for C. auris approved by CLSI; the efficacy of rezafungin in treating candidemia or invasive candidiasis caused by this pathogen has not been established in adequate and well-controlled clinical trials. Christine Ann Miller, president and chief executive officer of Melinta Therapeutics, said, "We are delighted with the release of this analysis of data from the ReSTORE Phase 3 trial, which supports the effectiveness and safety of REZZAYO in comparison to caspofungin and are also pleased to see that CLSI approved the REZZAYO susceptibility breakpoints for Candida pathogens, including C. auris, which has been identified as a potential global threat by the CDC and WHO.” She added, "Melinta has been leveraging our expertise in hospital and acute care environments to commercialize REZZAYO, making it available to healthcare providers and their patients affected by candidemia and invasive candidiasis. This effort supports our mission to provide innovative therapies to people impacted by acute and life-threatening illnesses." Melinta holds the exclusive rights to commercialize rezafungin in the U.S. from Mundipharma. About REZZAYO® (rezafungin for injection) REZZAYO (rezafungin for injection) is a novel once weekly echinocandin approved in the United States for the treatment of candidemia and invasive candidiasis in adults. REZZAYO is currently being studied for the prevention of invasive fungal diseases in adults undergoing allogeneic blood and marrow transplantation. INDICATIONS AND USE REZZAYO is an echinocandin antifungal indicated in patients 18 years of age or older who have limited or no alternative options for the treatment of candidemia and invasive candidiasis. Approval of this indication is based on limited clinical safety and efficacy data. REZZAYO has not been studied in patients with endocarditis, osteomyelitis, and meningitis due to Candida. IMPORTANT SAFETY INFORMATION Contraindications REZZAYO is contraindicated in patients with known hypersensitivity to rezafungin or other echinocandins. Warnings and Precautions Infusion-related Reactions: REZZAYO may cause infusion-related reactions, including flushing, sensation of warmth, urticaria, nausea, or chest tightness. If these reactions occur, slow or pause the infusion. Photosensitivity: REZZAYO may cause photosensitivity. Advise patients to use protection from sun exposure and other sources of UV radiation. Hepatic Adverse Reactions: Abnormalities in liver tests have been seen in clinical trial patients treated with REZZAYO. Monitor patients who develop abnormal liver tests and evaluate patients for their risk/benefit of continuing REZZAYO therapy. Adverse Reactions Most common adverse reactions (incidence ≥ 5%) are hypokalemia, pyrexia, diarrhea, anemia, vomiting, nausea, hypomagnesemia, abdominal pain, constipation, and hypophosphatemia. Please see the full Prescribing Information for REZZAYO (rezafungin for injection), available at . About Melinta Therapeutics, LLC Melinta Therapeutics is a biopharmaceutical company dedicated to providing innovative therapies to people impacted by acute and life-threatening illnesses. We focus our expanding portfolio on serving patients with an unmet need because that’s how we make the most meaningful impact. At Melinta, we’re visionaries dedicated to innovation while staying grounded in what matters most: patients. Our portfolio currently includes seven commercial-stage products: BAXDELA® (delafloxacin), KIMYRSA® (oritavancin), MINOCIN® (minocycline) for Injection, ORBACTIV® (oritavancin), REZZAYO® (rezafungin for injection), TOPROL-XL® (metoprolol succinate) and VABOMERE® (meropenem and vaborbactam). For more information about Melinta Therapeutics, our commitment to patients, and to learn about our portfolio of therapies, visit .