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从 Biotech 蜕变为 BioPharma 并非易事，真正能成功转型的寥寥无几。 然而，信达生物不仅以丰富的产品线完成了蜕变，还布下一盘大棋局，储备了梯队合理的管线，冲刺「2027 年国内产品收入达到 200 亿元」的目标。 冲刺 200 亿目标 信达生物距离 200 亿目标还有多远？ 凭借「自主研发+战略引进」双轮驱动的策略，如今信达的商业化产品已扩充至 11 款，覆盖了多个疾病领域，其中抗肿瘤产品 9 个、自免产品 1 个、心血管产品 1 个。 2024 年前三季度，信达实现产品总收入超过 61 亿元，较上年同期增长约 51%，主要得益于信迪利单抗和其他产品的出色表现，以及新产品的加速增长及贡献增加。 信迪利单抗是信达的业绩支柱产品，目前已斩获 7 个适应症，今年上半年实现销售额达 2.4 亿美元（约合人民币 16.95 亿元），同比增长 46%，第三季度仍保持强劲增长势头。而且，信迪利单抗的增长尚未触及天花板，信达正在通过开展联合疗法、持续拓展新适应症，延长产品高销售额的生命周期。 今年 4 月，信迪利单抗联合呋喹替尼治疗二线子宫内膜癌的上市申请获国家药监局受理；而且，还有多项 Ⅲ 期研究在进行中，包括针对非小细胞肺癌围手术期、联合 IBI310（CTLA-4）用于结直肠癌新辅助治疗。 信达生物 11 款获批上市的产品 数据来源：Insight 数据库 信达生物能否在业绩层面更胜一筹，是市场最为关注的焦点。 就现有产品而言，抗肿瘤领域的奥雷巴替尼、氟泽雷塞，以及心血管领域的托莱西单抗均颇有市场前景。 奥雷巴替尼是亚盛医药研发的中国首个三代 BCR-ABL 抑制剂，目前已获批 2 项适应症：治疗任何 TKI 耐药、并伴有 T315I 突变的慢性髓细胞白血病（CML）慢性期（-CP）和加速期（-AP）的成年患者，以及治疗对一代和二代 TKI 耐药和/或不耐受的 CML-CP 成年患者。 奥雷巴替尼在中国的商业化推广由亚盛和信达共同负责，自 2021 年 11 月上市以来已累计实现含税销售额近 5 亿元。尤其是今年 6 月，武田制药以总额 13 亿美元拿下了奥雷巴替尼在大中华区以外的全球权益，更加凸显其市场潜力。 氟泽雷塞是劲方医药研发的中国首个 KRAS G12C 抑制剂，已于今年 8 月获批用于治疗至少接受过一种系统性治疗的 KRAS G12C 突变型晚期 NSCLC 成人患者，填补了 40 年中国 KRAS G12C 突变靶向治疗的空白。信达在 2021 年以交易总额 3.12 亿美元获得了氟泽雷塞在中国地区的权益，并拥有全球开发和商业化权益的选择权。 托莱西单抗是信达布局心血管疾病领域的首款产品，也是首个国产 PCSK9 抑制剂，已于去年 8 月获批用于治疗原发性高胆固醇血症（包括杂合子型家族性和非家族性高胆固醇血症）和混合型血脂异常。 除已上市产品外，后续管线的商业化落地也将是信达生物冲刺 200 亿目标的新增长引擎。 抗肿瘤管线全面开花 近两年还有 2 款新产品获批 抗肿瘤产品是信达生物实现收入大幅增长的「功臣」，后续管线组合自然也十分丰富，覆盖了小分子、单抗、多抗、ADC 等多种药物形式，涉及 ROS1、EGFR、ClDN18.2、HER3 和 B7-H3 等众多靶点。其中，进展最快的他雷替尼（IBI344）、利厄替尼，均已提交上市申请。 他雷替尼是信达从葆元医药（已被 Nuvation Bio 收购）引进的新一代潜在最佳 ROS1 抑制剂，拥有大中华区的权益，目前已向 NMPA 提交 2 项适应症的上市申请： 包括用于经 ROS1-TKI 治疗失败的 ROS1 阳性局部晚期或转移性 NSCLC 成人患者，以及一线治疗上述适应症。两个适应症均有望在今年 Q4 获批。 截图来源：Insight 数据库 利厄替尼是奥赛康研发的第三代 EGFR 抑制剂，已提交 2 项适应症的上市申请： 包括既往经 EGFR-TKI 治疗时或治疗后出现疾病进展，并且经检测确认存在 EGFR T790M 突变阳性，或原发性 EGFR T790M 突变阳性的局部晚期或转移性 NSCLC 成人患者的治疗，预计 2026 Q3 获批。 一线治疗具有 EGFR 外显子 19 缺失（19DEL）或外显子 21 置换突变（L858R）的局部晚期或转移性 NSCLC 成人患者，预计 2025 Q1 获批。 今年 10 月，信达与奥赛康达成战略合作，将在中国地区独家推广销售利厄替尼，并向奥赛康支付首付款、注册里程碑和销售里程碑款项。 截图来源：Insight 数据库 信达在肿瘤领域的亮点还有多抗： 拥有全球首创 PD-1/IL-2α 双抗融合蛋白 IBI363 目前正在中国、美国、澳大利亚同时开展Ⅰ/Ⅱ期研究，今年 9 月还获得 FDA 快速通道资格认定，用于治疗黑色素瘤。该药在解决免疫治疗（IO）抵抗和冷肿瘤患者的未满足临床需求方面具有巨大潜力。 全球首个且目前唯一进入临床阶段的 DR5×CEA 双抗 IBI3004。该药正在澳洲和中国内地开展治疗结直肠癌等实体瘤的Ⅰ/Ⅱ期研究； 全球首款靶向 B7-H3/EGFR 的双抗 IBI334，正在开展针对晚期实体瘤的 I/II 期临床研究； 还有一款靶向 GPRC5D/BCMA/CD3 的三抗 IBI3003，正在国内开发用于治疗复发或难治性多发性骨髓瘤的 I 期研究，进度处于全球第一梯队。 为了深度布局「IO+ADC」，目前信达已有 7 款 ADC 药物进入临床阶段，包括 IBI343（CLDN18.2 ADC）、IBI354（HER2 ADC）、IBI130（TROP2 ADC）、IBI129（B7 H3 ADC）、IBI133（HER3 ADC）、IBI3009（DLL-3 ADC）、IBI3001（全球首创 EGFR/B7 H3 双抗 ADC）。 IBI343 进度最快，正在开展国际多中心 Ⅲ 期研究，并已在 I 期试验中展现出积极疗效：6 mg/kg 剂量组针对 CLDN18.2 高表达胃癌患者的 ORR、DCR 分别为 36.7%、93.3%，中位无进展生存期长达 6.8 个月。 IBI354 在 I/II 期试验展示出对乳腺癌、卵巢癌等多个癌种积极的早期疗效信号和优异的安全性； IBI130 正在澳洲开展 I/II 期试验； IBI133 正在国内和澳洲开展 I/II 期试验； IBI3009 正在澳洲开展针对小细胞肺癌和其他神经内分泌癌的Ⅰ期试验。 自免、代谢、眼科， 研发版图再扩张 除肿瘤管线外，信达生物还在自免、眼科、心血管及代谢领域撒下火种。 自免领域，管线的靶点差异化优势显著，包括 IBI112（IL-23p19 抑制剂）、IBI353（Orismilast）、IBI355（CD40L 抗体）、IBI356（OX40L 单抗）、IBI3002（全球首创 IL-4Rα/TSLP 双抗）。 其中，IBI112（匹康奇拜单抗）进度最快，已在中国申报上市用于治疗中重度斑块状银屑病，预计在 2026 年 Q1 获批；针对溃疡性结肠炎的 II 期临床也已达到主要终点。 Orismilast 是治疗炎症性皮肤病的潜在同类最佳 PDE4 抑制剂，已在中度至重度银屑病研究中显示出积极结果，信达在 2021 年以总额 2.67 亿美元从 UNION Therapeutics 引进了大中华区权益。 代谢领域中，信达布局的 GLP-1R/GCGR 双重激动剂玛仕度肽，有望成为下一个爆发点。 目前已提交用于减重和 2 型糖尿病两大适应症的上市申请，预计 2025 年 Q3 可获批，并有多个 III 期研究在进行中。 截图来源：Insight 数据库 同类竞品中，今年前九个月司美格鲁肽、替尔泊肽分别实现销售额高达 203.24 亿美元、110.28 亿美元。根据国联证券研报，相比于司美格鲁肽及替尔泊肽，玛仕度肽使用了更简便的给药方案，可快速到达最大维持剂量，提升用药早期的减重效果，也减少了患者调整药物剂量的次数，提高患者依从性。 此外，信达还在心血管及代谢领域布局了 IBI128（替古索司他片）、IBI-3016（AGT siRNA）。 其中，替古索司他片是一款治疗痛风的全新的黄嘌呤氧化酶抑制剂（XOI），信达在 2022 年以超 9500 万美元从韩国 LG 化学引进了中国的权益，目前 LG 化学正在开展两项 Ⅲ 期研究。 IBI3016 是一款靶向血管紧张素原（AGT）的变革性 siRNA 创新疗法，具备药效持久且安全耐受性良好的优势，用于治疗患者数量庞大的高血压，目前正在开展 I 期研究。 在眼科领域，信达即将迎来首个商业化产品——替妥尤单抗（IBI311）。 替妥尤单抗已提交用于治疗甲状腺眼病（TED）的上市申请，是中国首个申报上市的 IGF-1R 抗体，预计 2025 年 Q2 获批。 目前在研的同类竞品不多、竞争格局良好，而且全球首款且唯一获批的 IGF-1R 单抗 Tepezza，2022 年销售额高达近 20 亿美元，足见该类药物的市场价值。 截图来源：Insight 数据库 除替妥尤单抗外，信达还针对眼科领域的明星靶点 VEGF 进行了深度布局，拥有全球首创抗 VEGF-抗补体双特异性融合蛋白 IBI302（Ⅲ期临床）、IBI324（VEGF/Ang2 双抗）、IBI333（VEGF-A/VEGF-C 双抗）等多个管线。 IBI302 在针对新生血管性年龄相关性黄斑变性（nAMD）的临床 II 期研究中展现出了积极的治疗效果，以及长间隔给药的潜力，有望解决以往 VEGF 药物需频繁注射的问题。 要知道，罗氏治疗 nAMD 的法瑞西单抗（Vabysmo），之所以能在短时间内实现惊人的高速增幅，在今年前三季度实现超 30 亿美元的销售额，就是因为提供了便捷的给药方式。 结语 多个疾病领域全面开花的棋局，可谓相当的有看头。 可如果把目光放得更长远，信达若想继续走出持续高增长轨迹，必然还得做好国际化市场，毕竟这是关乎未来发展的关键战役。 但从现在的情形看，信达的海外管线推进速度还是不够快，大多仍处于早期临床阶段。反观，许多 Biotech 的收入结构都逐渐进阶成了「商业化+源源不断的合作收入」，而信达在 BD 出海、在国际化的布局方面，显然还需要加快速度。 参考资料： 1. 信达生物财报、公告、官微 2.Insight 数据库 3. 国联证券研报 封面来源：企业 Logo 免责声明：本文仅作信息分享，不代表 Insight 立场和观点，也不作治疗方案推荐和介绍。如有需求，请咨询和联系正规医疗机构。 编辑：vvy PR 稿对接：微信 insightxb 投稿：微信 insightxb；邮箱 insight@dxy.cn 多样化功能、可溯源数据…… Insight 数据库网页版等你体验 点击阅读原文，立刻解锁！

The investment in Fortvita, the market is highly concerned about the actions of innovative pharmaceutical companies, which is a supervisory force, which is also increasingly normal for innovative pharmaceutical companies. At the same time, a good company should be able to stand up to and respect multiple opinions. So can a persuadable creature of faith still be trusted? After the emotion, the debate has calmed down, or to return to the main line of investment growth logic. Innovent Biologics is facing three key changes: break-even, the birth of pharmaceutical king, and internationalization, which means value enhancement. After the PD-1 encountered obstacles at sea, Innovent Biologics had a deep sense of crisis, and pursued efficiency and fine management through a low-key bottom-up route, and miraculously supported a huge R&D pipeline with robust R&D expenditure. The product revenue of Innovent Biologics 2024Q3 exceeded 2.3 billion yuan, an increase of 40% year-on-year and 15% quarter-on-quarter. In the last four quarters, product revenue has climbed continuously, which is better than expected, verifying the excellent strength of domestic commercialization capability. Unlike most Biotech companies, Cinda no longer only looks at the situation of a single product, but wins with a diversified product matrix, which is similar to the robustness of traditional pharmaceutical companies Hengrui Pharmaceutical and China Biopharmaceutical. According to IQVIA statistics, in 2024H1, the total patient share of listed PD-(L)1 in China was the first for Xinda Biobasu, with a total share of 56% together with Beigene Beizan, and the market pattern was still relatively concentrated. As a cornerstone drug for cancer treatment, PD-1 market share is crucial, representing the right of pharmaceutical companies to speak in the field of cancer drugs. Innovent Biologics has crossed the death valley of the life cycle of innovative pharmaceutical companies, is sprinting to the break-even line, 2024H1 loss convergence to 393 million yuan, 2025 is expected to achieve adjusted EBITDA breakeven. This is all based on endogenous product revenue, rather than transient external BD licensing revenue. Cinda Bio-Mastal peptide is the world's first GLP-1R/GCGR dual-target agonist in the NDA stage, with NDA applications submitted in January 2024 for weight loss indications and NDA applications submitted in August 2024 for Type II diabetes indications, and both indications are expected to be approved for marketing in the first half of 2025 at the earliest. Compared with competing products (Simeaglutide, Tipotide), Maaldotide has a strong weight loss effect, and the 9mg group achieved a better weight loss benefit of 18.6% at 48 weeks when the average BMI and average body weight were higher at baseline. In addition to weight loss, Masidin is more worthy of expectation in terms of comprehensive metabolic benefits. The improvement of fatty liver was more obvious, activated liver GCGR, promoted fatty acid oxidation and lipopolysis, and the phase III clinical results showed that the liver fat content decreased by 80.2%, which was better than GLP-1R single agonist and other double-target agonists. Cinda has proven its commercialization efficiency, and Masaldopeptide as a super drug is about to explode the market. In the field of cardiovascular metabolism, there are high-potential products such as Symbila (PCSK9), which was approved for market last year, and Tetuzumab for thyroid ophthalmopathy, which is expected to be approved next year. Ophthalmology, free of large products are expected to be approved within 1-2 years. Tetuzumab (IGF-1R) was accepted as the NDA for the treatment of thyroid eye disease in May 2024, which is the first IGF-1R antibody to be declared for market in China, which will be a breakthrough variety exclusive to Cinda in this field; Piconcibezumab (IL-23p19) in the treatment of plaque psoriasis has potential better efficacy and advantages of long interval administration, and has been submitted for application. IBI302 is the world's first VEGF/ complement dual-target molecule in the treatment of stage 3 age-related macular degeneration. In recent years, we have also seen that Innovent Biologics is preparing for internationalization. The first is the layout of a new generation of innovative technology and self-research pipeline, involving ADC, double antibody, multi-antibody, small nucleic acid, in the first half of this year, self-developed varieties IBI343 (CLDN18.2 ADC) and IBI363 (PD-1/IL-2) disclosed preliminary clinical phase I data, showing positive early clinical signals. Secondly, the company invests more resources to simultaneously carry out overseas early clinical research and expand overseas research and development teams. It can be seen that the company attaches great importance and prudence to internationalization. From the appearance of the sea platform Fortvita, the company is still in a very early stage, the risk is extremely high, most of them are pre-clinical research and development projects, there is no pipeline assets to reach overseas POC, the layout is related to antibodies, involving tumor, non-tumor fields, similar to listed companies. It does not yet have production and sales functions. We seem to see that the muscle memory of the last failure is still dull, and Cinda Biology is extremely cautious about the first step of internationalization. Fortvita's current situation and direction are unclear, which precisely shows that internationalization is still in the exploratory stage. It is not ruled out to open other channels or ways to go to sea, License-out, NewCo model, cooperative development are all potential options, everything is full of variables. It is in the midst of uncertainty that management is prepared to demonstrate its commitment to internationalisation with real money, and that the market is too quick to judge the ethics of management. Even if the deal is withdrawn now, Fortvita's independent sea is still a proposition that Xinda and shareholders need to solve jointly. In any case, the internationalization of Innovent Biologics is also like an arrow from the string, there is no turning back, and it will eventually be achieved. China's new drugs are trekking a difficult road, fortunately has run out of a small number of leading companies, the fate is not tied to a clinical trial or business progress. Compared with the broad fundamentals of Xinda, this controversial event is just a small floating cloud, which will not shake the value of Innovent Biologics.