Nintedanib esylate

近日，恒瑞医药子公司广东恒瑞医药有限公司收到国家药品监督管理局核准签发的《药物临床试验批准通知书》，批准1类新药HRS-9813胶囊开展用于进展性肺纤维化（progressive pulmonary fibrosis，PPF）的临床试验。经查询，目前国内外尚无同类药物获批上市。间质性肺疾病（interstitial lung disease，ILD）是一组弥漫性肺部病变，部分纤维化性ILD患者尽管经过规范治疗，其肺纤维化病程仍呈进行性进展，称为进展性肺纤维化（progressive pulmonary fibrosis，PPF）。根据定义，PPF是除特发性肺纤维化（Idiopathic Pulmonary Fibrosis，IPF）以外的慢性、进展性、致纤维化性ILD[1]，其不仅病理生理特点与IPF相似，而且在疾病的不可逆进展、肺功能恶化和死亡风险等方面均与IPF的临床行为相似。PPF在我国属于罕见病，据报道约30%-40%的ILD患者可能会发展成为PPF[2]。PPF预后差，通常导致呼吸衰竭甚至死亡。有数据显示其诊断后3年死亡率约为25%~58.8%，中位生存期为3~5年[3]。目前国内外获批用于PPF治疗的药物可以减缓疾病进展，但不能逆转或停止疾病进展，并且会产生可能导致治疗延迟或停止的副作用[3]。PPF目前的治疗在安全性和患者依从性方面还存在不足，仍存在巨大的未满足的临床需求[4]。HRS-9813是由恒瑞医药自主研发的1类创新药。HRS-9813能够阻碍纤维细胞被招募至肺损伤部位，最终抑制纤维细胞分化为肌成纤维细胞，降低肺纤维化进程。此前HRS-9813缓释胶囊已获批开展用于IPF适应症的临床试验。参考文献：[1]Raghu G, Remy-Jardin M, Richeldi L, et al. Idiopathic Pulmonary Fibrosis (an Update) and Progressive Pulmonary Fibrosis in Adults: An Official ATS/ERS/JRS/ALAT Clinical Practice Guideline. Am J Respir Crit Care Med. 2022;205(9):e18-e47[2]Maher TM. Interstitial Lung Disease: A Review. JAMA. 2024 May 21;331(19):1655-1665..[3]Flaherty, Kevin R et al. Nintedanib in Progressive Fibrosing Interstitial Lung Diseases.The New England journal of medicine vol. 381,18 (2019): 1718-1727.[4]黄慧，徐作军.国际特发性肺纤维化指南及进展性肺纤维化临床诊疗指南摘译[J]. 中华结核和呼吸杂志,2022,45(7):721-724声明：1. 本新闻旨在分享研发前沿资讯，仅供医疗卫生专业人士参阅，非广告用途。2. 恒瑞医药不推荐任何未被批准的药品、适应症的使用。排版：程梦真责编：王玲往期精选|  研发创新  |恒瑞创新药、中国首个自主研发JAK1抑制剂硫酸艾玛昔替尼片获批上市全球首个超长效PCSK9单抗！恒瑞降脂创新药瑞卡西单抗获批上市|  国际化  |恒瑞医药再次与德国默克集团达成合作，推进辅助生殖领域口服GnRH拮抗剂商业化落地恒瑞医药与默沙东就Lp(a)抑制剂HRS-5346签订独家许可协议|  重磅奖项  |喜报！恒瑞医药荣获2023年度国家科技进步奖恒瑞医药连续六年入选全球制药企业50强榜单！|  社会公益  |“健康中国行·重走长征路”项目启动仪式圆满举行！恒瑞提供公益支持，助力健康中国恒瑞医药集团向中国扶贫基金会捐赠3000万设立“健康帮扶基金”

iStock, Mininyx Doodle At the heart of the licensing deal is CUE-501, a bispecific molecule that can selectively deplete B cells to address autoimmune and inflammatory conditions. Boehringer Ingelheim is fronting $12 million to license Cue Biopharma’s investigational B cell depletion therapy for autoimmune diseases, the German biopharma announced on Monday. The star of this back-heavy, multi-year deal is Cue’s CUE-501, a preclinical bispecific molecule that works by binding to a specific protein found on the surface of B cells. At the same time, CUE-501 also engages and activates a specific subset of killer T cells, selectively depleting B cells to suppress autoimmunity and inflammation. According to the biotech’s website , CUE-501 sidesteps the systemic activation of all T cells, which “may offer significant advantages over current cell therapy-based strategies.” For the right to develop and commercialize CUE-501, Boehringer Ingelheim is pledging up to $345 million in research, development and commercial milestones, on top of the $12 million upfront payment. Cue will also be entitled to royalties on net sales of CUE-501. In exchange for this investment, Cue will leverage its platform technologies to further develop CUE-501. Both parties may also expand the partnership to include other anti-B cell bispecifics for autoimmune indications, according to Monday’s release. Carine Boustany, Boehringer Ingelheim’s global head of Immunology and Respiratory Disease Research, said in a statement that Monday’s licensing deal is a “strategic expansion” of the company’s portfolio in the autoimmune and inflammatory space, allowing it to “deliver a more effective treatment option to patients earlier in their disease journey.” Boehringer’s immunology and inflammatory portfolio is anchored by the oral kinase inhibitor Ofev, indicated for idiopathic pulmonary fibrosis (IPF). In 2024, sales of Ofev jumped 7% to rake in approximately $4.26 billion. Meanwhile, the pharma’s asthma drug Spiriva remained one of its top sellers, with more than $1.8 billion in sales last year, despite dipping roughly 17% from the previous year. Additionally, in September 2024, Boehringer Ingelheim reported that its drug candidate nerandomilast aced the Phase III FIBRONEER-IPF study, showing significant lung function benefits in patients with IPF. At the time, the pharma revealed plans to approval application for the drug in this indication, though a specific timeline was not provided. Beyond I&I, Boehringer Ingelheim has also signed several deals in the past year. In January, the pharma entered two antibody-focused partnerships —one with Lonza’s Synaffix and another with Oxford BioTherapeutics—in oncology. In July 2024, Boehringer Ingelheim dropped $1.3 billion to acquire Nerio Therapeutics and its small molecule assets that can “reshape” the immune system to target tumors.