A Single-arm, Open-label, Phase II Study to Evaluate Clinical Efficacy, Safety and Pharmacokinetics of HLX10 (Recombinant Humanized Anti-PD-1 Monoclonal Antibody Injection) in Combination With Chemotherapy (Carboplatin-Etoposide) in Previously Untreated Japanese Patients With Extensive Stage Small Cell Lung Cancer (ES-SCLC)

Evaluate Clinical Efficacy, Safety and Pharmacokinetics of HLX10 (Recombinant Humanized Anti-PD-1 Monoclonal Antibody Injection) in Combination with Chemotherapy (Carboplatin-Etoposide) in Previously Untreated Japanese Patients with Extensive Stage Small Cell Lung Cancer (ES-SCLC)

开始日期2025-06-24

申办/合作机构

上海复宏汉霖生物技术股份有限公司

NCT06860529

/ Recruiting临床2期IIT

Serplulimab Combined With Chemotherapy for Early-stage HR+/HER2- Breast Cancer

The neoadjuvant treatment options commonly used for HR+/HER2- breast cancer are mainly anthracycline sequential or combined with paclitaxel chemotherapy regimens. Several clinical studies have confirmed that albumin paclitaxel is more effective than solvent-based paclitaxel, and therefore, albumin paclitaxel in combination with epirubicin has also become a commonly used chemotherapy regimen in clinical practice.
The aim of this study was to explore the efficacy and safety of the Serplulimab combined with nab-paclitaxel and epirubicin in the neoadjuvant treatment of HR+/HER2- breast cancer

开始日期2025-04-15

申办/合作机构

河南省肿瘤医院

NCT06850103

/ Not yet recruiting临床2期IIT

A Phase II Exploratory Multicenter Randomized Controlled Clinical Trial to Evaluate the Effectiveness of Neoadjuvant Short-Course Radiotherapy (SCRT) Followed by CAPEOX Chemotherapy and Serplulimab in Microsatellite Stable (MSS) or Proficient Mismatch Repair (pMMR) Rectal Cancer With Synchronous Oligometastases

Background and Significance:
Colorectal cancer (CRC) ranks as the third most common cancer and the second leading cause of cancer-related deaths globally. Despite improved early screening rates, a significant proportion of newly diagnosed CRC patients present with synchronous metastases, predominantly liver metastases. The concept of oligometastases, introduced by Hellman and Weichselbaum in 1995, describes a transitional state between localized disease and widespread metastases, characterized by limited metastatic lesions (typically 1-5) confined to 1-2 organs.
Current Treatment Landscape:
The management of oligometastatic disease combines local therapeutic approaches (surgery, radiotherapy, radiofrequency ablation) with systemic treatments, aiming to achieve No Evidence of Disease (NED) status. The ESMO guidelines officially categorized metastatic CRC into oligometastatic and widespread metastatic states in 2016, emphasizing the importance of integrated local and systemic treatments for oligometastatic colorectal liver metastases (CRLM).
Treatment Evolution and Challenges:
While the EPOC study established CAPEOX neoadjuvant chemotherapy followed by R0 resection as the standard treatment for initially resectable CRLM, patients with synchronous rectal cancer oligometastases present unique challenges due to complex local anatomy and high local recurrence risks. Although various neoadjuvant approaches, including Total Neoadjuvant Therapy (TNT), have been studied, they have not demonstrated significant long-term survival benefits, primarily because distant metastases impact survival more significantly than local recurrence.
Innovative Approach:
Recent success with Immunotherapy-Based Total Neoadjuvant Therapy (iTNT) in microsatellite stable/proficient mismatch repair (MSS/pMMR) locally advanced rectal cancer has shown promising results. Short-course radiotherapy (SCRT) combined with chemotherapy and immunotherapy has demonstrated superior efficacy trends, attributed to radiation's immune-activating effects on both local and distant tumor microenvironments.
Research Objective:
This project aims to evaluate the effectiveness of iTNT combined with SCRT in MSS/pMMR rectal cancer patients with synchronous oligometastases. The novel approach integrates SCRT with CAPEOX chemotherapy and Serplulimab, potentially improving complete response rates, organ preservation opportunities, and overall treatment efficacy while reducing recurrence risks. This pioneering study represents the first investigation of iTNT in synchronous rectal cancer oligometastases, offering a potentially transformative treatment strategy for this challenging patient population.
Research Innovation:
The study uniquely combines SCRT, CAPEOX chemotherapy, and Serplulimab in a neoadjuvant setting for MSS/pMMR synchronous rectal cancer oligometastases, addressing an unmet clinical need and potentially establishing a new treatment paradigm in this field.

开始日期2025-03-28

申办/合作机构

浙江大学医学院附属第一医院（浙江省第一医院）

100 项与斯鲁利单抗相关的临床结果

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100 项与斯鲁利单抗相关的转化医学

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100 项与斯鲁利单抗相关的专利（医药）

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项与斯鲁利单抗相关的文献（医药）

2025-12-31·ANNALS OF MEDICINE

Cost-effectiveness of PD-1 inhibitors combined with chemotherapy for first-line treatment of oesophageal squamous cell carcinoma in China: a comprehensive analysis

Article

作者: Zhang, Lingli ; Xu, Kai ; Yu, Man ; Lin, Yingtao ; Li, Xin ; Su, Dan ; Shang, Jingjing ; Sun, Qingli ; Gong, Jinhong ; Qian, Xiaodan

BACKGROUND:

Programmed death-1 (PD-1) inhibitors combined with chemotherapy have become a standard first-line treatment for advanced oesophageal squamous cell carcinoma (ESCC). Given the high costs associated with immunotherapy, evaluating the cost-effectiveness of different PD-1 inhibitors in the Chinese healthcare setting is essential for guiding treatment decisions and policy development.

METHODS:

A cost-effectiveness analysis was conducted comparing six PD-1 inhibitors-sintilimab, toripalimab, tislelizumab, camrelizumab, serplulimab, and pembrolizumab-combined with chemotherapy for first-line treatment of advanced ESCC. A partitioned survival model was used to calculate incremental cost-effectiveness ratios (ICERs) from healthcare system perspective, with a willingness-to-pay (WTP) threshold set at $36,598.19 per quality-adjusted life year (QALY). Sensitivity analyses were performed to evaluate the robustness of the results.

RESULTS:

The ICERs for toripalimab, camrelizumab, pembrolizumab, serplulimab, sintilimab, and tislelizumab were $32,356.79/QALY, $48,410.64/QALY, $312,743.54/QALY, $121,200.84/QALY, $29,663.42/QALY, and $35,304.33/QALY, respectively. Sintilimab, toripalimab, and tislelizumab were below the WTP threshold. Among all regimens, the top three in life years (LYs) gained were toripalimab, serplulimab, and tislelizumab. Sensitivity analysis showed that utility values and drug prices were key factors influencing ICERs. Probabilistic analysis indicated that toripalimab, sintilimab, and tislelizumab had the highest probabilities of being cost-effective, at 83.1%, 81.4%, and 70.0%, respectively.

CONCLUSION:

Sintilimab, toripalimab, and tislelizumab are the most cost-effective PD-1 inhibitors when combined with chemotherapy for the first-line treatment of advanced ESCC in China, with ICERs below the WTP threshold. While all six PD-1 inhibitors demonstrated clinical benefits, pembrolizumab and serplulimab were less favourable from a cost-effectiveness standpoint. Sensitivity analysis confirmed that drug prices and utility values are significant determinants of cost-effectiveness.

2025-05-01·Journal of Thoracic Disease

First-line serplulimab-based immunochemotherapy in elderly patients with extensive-stage small cell lung cancer: a multicenter, real-world study

Article

作者: Yang, Wenyue ; Zhou, Yun ; Wang, Jialei ; Zhou, Xinli ; Xia, Xiaodong ; Zhou, Min ; Shi, Meiqi

Background:

While immune checkpoint inhibitors (ICIs) in combination with chemotherapy have improved outcomes for patients with extensive-stage small cell lung cancer (ES-SCLC), elderly patients (≥70 years) are often underrepresented in clinical trials, and real-world evidence on their efficacy and safety remains scarce. We conducted a real-world study to supplement data on using serplulimab [a programmed cell death protein 1 (PD-1) inhibitor] with chemotherapy as first-line treatment for elderly (≥70 years) ES-SCLC patients.

Methods:

We gathered data on ES-SCLC patients aged 70 and above treated with first-line serplulimab, focusing on progression-free survival (PFS) as the primary endpoint. Secondary endpoints included overall survival (OS), objective response rate (ORR), disease control rate (DCR), and adverse events (AEs). Kaplan-Meier survival curves were used for PFS and OS, and Cox proportional hazards models and accelerated failure time (AFT) models were used for the subgroup analyses. The baseline and post-4-cycle neutrophil-to-lymphocyte ratio (NLR) levels were also collected as exploratory endpoints.

Results:

Forty-three ES-SCLC patients with a median age of 73 years were included. Median PFS was 7.0 months [95% confidence interval (CI): 6.1-12.5]. Subgroup analysis indicated a significantly higher risk of disease progression in female patients (P=0.04) and those who had brain radiotherapy (P<0.001). OS rate was 94.7% (95% CI: 87.9-100.0%) at 6 months and 65.8% (95% CI: 50.0-86.5%) at 1 year. The ORR was 65.12% (95% CI: 49.07-78.99%), and the DCR was 97.67% (95% CI: 87.71-99.94%). AEs occurred in 19 patients (44.19%), mostly grade 1-2 (14 patients, 32.56%), with grade ≥3 AEs in 11.63% (5 patients). There was no significant difference in NLR levels before and after patient treatment.

Conclusions:

This study showed that combining serplulimab with chemotherapy improved survival and reduced toxicity in elderly ES-SCLC patients. Additionally, NLR may not be suitable as a biomarker for the elderly ES-SCLC population.

2025-05-01·BMJ Open

Single-arm phase II study of consolidation serplulimab following hypofractionated radiotherapy with concurrent chemotherapy for patients with limited stage small-cell lung cancer: ASTRUM-LC01 study protocol

Article

作者: Bi, Nan ; Cao, Jianzhong ; Deng, Lei ; Wang, Jianyang ; Duan, Jianchun ; Wu, Yuqi ; Zhang, Tao ; Zhou, Xiaohong

Introduction:

With the inspiring results of the PACIFIC trial in non-small-cell lung cancer (NSCLC), and the CAPIAN and IMpower133 trials in extensive-stage small-cell lung cancer (SCLC), immunotherapy has increasingly gained attention. Serplulimab, a PD-1 inhibitor, showed great antitumour activity in the ASTRUM-005 trial and has been recommended as first-line therapy in extensive-stage SCLC. Whether serplulimab following hypofractionation radiotherapy and chemotherapy could bring better outcomes in limited-stage SCLC remains to be answered.

Methods and analysis:

We designed a prospective multicentre single-arm phase II clinical trial to evaluate both the efficacy and safety of chemoradiotherapy and consolidation by serplulimab in limited-stage SCLC. Eligible patients will receive standard chemotherapy for four cycles and concurrent thoracic radiotherapy with a total dose of 45 Gy in 3 weeks and a 3 Gy dose per fraction. Prophylactic cranial irradiation is recommended for responding patients. Serplulimab will be delivered afterwards every 3 weeks for up to 1 year. Based on sample size estimation, 55 patients will be enrolled in total.

Ethics and dissemination:

Ethics approval was obtained from the Independent Ethics Committee of National Cancer Centre/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (22/236-3438).

Trial registration number:

NCT05443646.

737

项与斯鲁利单抗相关的新闻（医药）

2025-07-10

·复星医药

全球研发 | 复星医药子公司复宏汉霖HLX43获多国批准开展NSCLC国际多中心II期临床，引领 PD-L1 ADC全球开发进程

近日，复星医药子公司复宏汉霖创新型程序性死亡-配体1（PD-L1）抗体偶联药物（ADC）注射用HLX43全球开发再度取得重要进展，该产品已获得中国国家药品监督管理局（NMPA）、美国食品药品监督管理局（FDA）、澳大利亚药品管理局（TGA）及日本药品医疗器械综合机构（PMDA）许可，开展针对晚期非小细胞肺癌（NSCLC）的国际多中心II期临床研究，并于此前在中国境内完成首例受试者给药。全球尚无同类靶向PD-L1的ADC产品获批上市，HLX43为全球首个进入临床II期的PD-L1 ADC。据GLOBOCAN最新数据显示，肺癌是全球发病率和死亡率最高的癌症，2022年全球约有超过248万新发肺癌病例，占癌症新发病例的12.4%[1]，其中非小细胞肺癌（NSCLC）是最常见的肺癌类型（约85%）。大部分肺癌患者确诊时已处于疾病晚期阶段[2]，存在巨大的尚未满足的临床需求。根据病理类型，NSCLC又可分为鳞状细胞癌（约30%）、肺腺癌（约50%）等，尽管针对EGFR等驱动基因突变（AGA）的靶向治疗方案已经趋于成熟，但在全部NSCLC患者中，EGFR野生型占比高达70%-85%，涵盖几乎所有的鳞癌患者和50-55%的肺腺癌患者[3]。当前疗效优异的产品仍较少，特别在2L+人等后线人群治疗上，仍主要依赖于多西他赛为基础的化疗方案，后线治疗的效果有限[4,5]。HLX43是一款靶向程序性死亡-配体1（PD-L1）的新型ADC候选药物，由全人源IgG1抗PD-L1抗体与创新连接子-拓扑异构酶抑制剂荷载偶联而成，药物抗体比（drug-to-antibody ratio, DAR）约为8。HLX43兼具毒素精准杀伤和肿瘤免疫作用的复合功能：其毒素不仅能够藉靶点内吞进入肿瘤细胞后进行释放，并在肿瘤微环境中释放后借助旁观者效应进入肿瘤细胞，阻断DNA复制，从而导致肿瘤细胞凋亡；此外，HLX43的PD-L1靶向抗体可激活免疫调节机制，发挥协同抗肿瘤效应。在2025 美国临床肿瘤学会（ASCO）年会上，HLX43的I期临床数据首次发布，展现出令人鼓舞的初步疗效和安全性，对鳞状/非鳞状NSCLC，有无EGFR突变、有无脑/肝转移、PD-L1阳性/阴性的NSCLC患者都展现了优异的治疗潜力。研究显示，2.0 mg/kg每三周输注一次HLX43时，晚期NSCLC患者经研究者评估的ORR为38.1%，对于四线及更后线治疗的难治NSCLC患者，ORR仍可达38.5%。其中鳞状非小细胞肺癌sqNSCLC（n=15）和非鳞状非小细胞肺癌nsqNSCLC（n=6）患者的客观缓解率（ORR）分别为40%和33.3%，并实现了73.3%和100%的疾病控制。值得关注的是，脑转移NSCLC患者全部得到疾病控制（DCR=100%）。除NSCLC外，HLX43在胸腺鳞状细胞癌（TSCC）患者人群中疗效显著，ORR达75%（3/4名）。目前公司正在全力推进HLX43临床开发进程，积极探索其在多种实体瘤中的治疗潜力，包括非小细胞肺癌、胸腺鳞癌、肝细胞癌、食管鳞癌、头颈鳞癌、宫颈癌、鼻咽癌等。单药之外，HLX43联用复宏汉霖自研斯鲁利单抗（H药汉斯状®，抗PD-1单抗）治疗实体瘤的 Ib/II 期临床试验也正在进行中，进一步探索“ADC+IO”的协同抗肿瘤疗效。HLX43不仅可能克服PD-1/L1免疫疗法不响应或耐药问题，并对化疗、TKI治疗失败的患者都具有潜在疗效，有望为更多晚期/转移性实体瘤患者带来新的治疗选择。未来，复宏汉霖将加速推动HLX43在全球范围内的研发进程，不断夯实更多创新分子的差异化布局，为更多肿瘤患者带来高质量、可负担的创新治疗方案。参考文献[1] Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229-263.[2] Robinson CG, et al. Postoperative Radiotherapy for Pathologic N2 Non–Small-Cell Lung Cancer Treated with Adjuvant Chemotherapy: A Review of the National Cancer Data Base. Journal of Clinical Oncology 2015, 33(8): 870-876.[3] Chan BA, Hughes BG. Targeted therapy for non-small cell lung cancer: current standards and the promise of the future. Transl Lung Cancer Res. 2015 Feb;4(1):36-54. [4] 中国临床肿瘤学会中国临床肿瘤学会(CSCO).(2024)非小细胞肺癌诊疗指南[5] NCCN Guidelines Version 3. 2025, Non-Small Cell Lung Cancer.关于复宏汉霖复宏汉霖（2696.HK）是一家国际化的创新生物制药公司，致力于为全球患者提供可负担的高品质生物药，产品覆盖肿瘤、自身免疫疾病、眼科疾病等领域，已有6款产品在中国获批上市，4款产品在国际获批上市，5个上市申请分别获中国药监局、美国FDA和欧盟EMA受理。自2010年成立以来，复宏汉霖已建成一体化生物制药平台，高效及创新的自主核心能力贯穿研发、生产及商业运营全产业链。公司已建立完善高效的全球创新中心，按照国际药品生产质量管理规范（GMP）标准进行生产和质量管控，不断夯实一体化综合生产平台，其中，公司商业化生产基地已相继获得中国、欧盟和美国GMP认证。复宏汉霖前瞻性布局了一个多元化、高质量的产品管线，涵盖约50个分子，并全面推进基于自有抗PD-1单抗H药汉斯状®的肿瘤免疫联合疗法。截至目前，公司已获批上市产品包括国内首个生物类似药汉利康®（利妥昔单抗）、自主研发的中美欧三地获批单抗生物类似药汉曲优®（曲妥珠单抗，美国商品名：HERCESSI™，欧洲商品名：Zercepac®）、汉达远®（阿达木单抗）、汉贝泰®（贝伐珠单抗）、全球首个获批一线治疗小细胞肺癌的抗PD-1单抗汉斯状®（斯鲁利单抗，欧洲商品名：Hetronifly®）以及汉奈佳®（奈拉替尼）。公司亦同步就19个产品在全球范围内开展30多项临床试验，对外授权全面覆盖欧美主流生物药市场和众多新兴市场。Henlius Receives Global Regulatory Approvals for Phase 2 MRCT of Its PD-L1 ADC HLX43 on NSCLC Recently, Henlius has achieved significant advancement in the global development of HLX43, its innovative programmed death-ligand 1 (PD-L1) targeting antibody-drug conjugate (ADC), which has already been approved by the China National Medical Products Administration (NMPA), the U.S. Food and Drug Administration (FDA), Australia Therapeutic Goods Administration (TGA) and Japan's Pharmaceuticals and Medical Devices Agency (PMDA) to initiate phase 2 multi-regional clinical trial in patients with advanced non-small cell lung cancer (NSCLC). Additionally, the first patient dosing has been completed in China. To date, no PD-L1 targeting ADC has been approved for marketing globally. HLX43 is the first PD-L1 ADC progressed to phase 2 clinical trial development globally.Lung cancer is the most common cancer worldwide in terms of incidence and mortality. According to GLOBOCAN 2022, there were over 2.48 million new cases of lung cancer globally in 2022, accounting for 12.4% of all new cancer cases [1]. Non-small cell lung cancer (NSCLC) is the most common type of lung cancer (approximately 85%).The majority of lung cancer patients are are diagnosed at advanced stages [2], indicating a significant unmet clinical need. By histology, NSCLC can be classified into squamous cell carcinoma (approximately 30%), adenocarcinoma (approximately 50%) and other subtypes including large cell carcinoma. While targeted therapies for driver gene mutations, such as EGFR, have become well-established, EGFR wild-type cases account for 70%-85% of all NSCLC patients, including nearly all squamous cell carcinoma cases and 50-55% of adenocarcinoma cases [3]. Currently, the treatment landscape of EGFR wild-type NSCLC remains limited by a scarcity of highly effective options, particularly in second-line and later (2L+) therapy, where docetaxel-based chemotherapy continues to serve as the standard of care despite its suboptimal efficacy [4,5].HLX43 is a novel PD-L1 directed ADC, composed of a fully humanized anti-PD-L1 IgG1 antibody, a novel tripeptide linker and topoisomerase inhibitor payload. The drug-to-antibody ratio (DAR) is around 8. Its mechanisms of action integrate targeted cytotoxic delivery and immune checkpoint activation through PD-L1/PD-1 blockade. Upon binding to tumor cells with PD-L1 expression, the cytotoxic payload of HLX43 will be delivered into tumor cells via dual mechanisms. HLX43 will undergo receptor-mediated endocytosis, releasing the cytotoxic payload intracellularly via linker cleavage, and the payload further diffuses into neighboring tumor cells via bystander effect, thereby blocking DNA replication and triggering tumor cell apoptosis. Meanwhile, the anti-PD-L1 antibody of HLX43 activates immune modulation and blocks immune checkpoints, driving synergistic anti-tumor efficacy.The results from the phase 1 clinical trial of HLX43 has been first released at the 2025 ASCO Annual Meeting, demonstrating manageable safety profile and encouraging efficacy in various solid tumors especially in patients with NSCLC, including squamous and non-squamous NSCLC patients (sqNSCLC and nsqNSCLC), patients with or without EGFR mutation, patients with or without brain/liver metastasis, and PD-L1 positive or negative patients. Investigator-evaluated ORR for the phase 1b 2.0 mg/kg cohort was 38.1%, and ORR reached 38.5% in heavily pre-treated NSCLC patients (≥4L). ORRs in the sqNSCLC (n=15) and nsqNSCLC (n=6) patients reached 40% and 33.3%, with 73.3% and 100% for the DCRs of the two subgroups of patients, respectively. Notably, the DCR in NSCLC patients with brain metastasis reached 100%. In addition, 75% patients with thymic squamous cell carcinoma (TSCC) achieved partial response (ORR=75%, 3/4).The company is currently accelerating the clinical development of HLX43 and actively exploring its therapeutic potential in various solid tumors, including NSCLC, TSCC, hepatocellular carcinoma (HCC), esophageal squamous cell carcinoma (ESCC), head and neck squamous cell carcinoma (HNSCC), cervical cancer (CC) and nasopharyngeal cancer (NPC). Both monotherapy studies and a phase 1b/2 trial combining HLX43 with serplulimab (Henlius' proprietary anti-PD-1 monoclonal antibody) are ongoing simultaneously to further exploit the synergistic effects of ADC-mediated cytotoxicity and immunotherapy-induced immune activation. HLX43 may benefit more patients with advanced or metastatic solid tumors by providing a novel treatment option for those who are unresponsive or have developed resistance to PD-1/PD-L1-targeted therapies, as well as the patients who have failed prior chemotherapy or TKI therapies.Looking forward, Henlius will accelerate the global development of HLX43, continuously strengthening the differentiated layout of more innovative molecules to bring high-quality, affordable innovative treatment options to tumor patients worldwide.About HenliusHenlius (2696.HK) is a global biopharmaceutical company with the vision to offer high-quality, affordable and innovative biologic medicines for patients worldwide with a focus on oncology, autoimmune diseases and ophthalmic diseases. Up to date, 6 products have been launched in China, 4 have been approved for marketing in overseas markets, and 5 marketing applications have been accepted for review in China, the U.S. and the EU, respectively. Since its inception in 2010, Henlius has built an integrated biopharmaceutical platform with core capabilities of high-efficiency and innovation embedded throughout the whole product life cycle including R&D, manufacturing and commercialization. It has established global innovation centre and Shanghai-based commercial manufacturing facilities certificated by China, the EU and U.S. GMP.Henlius has pro-actively built a diversified and high-quality product pipeline covering about 50 molecules and has continued to explore immuno-oncology combination therapies with proprietary HANSIZHUANG (anti-PD-1 mAb) as the backbone. To date, the company's launched products include HANLIKANG (rituximab), the first China-developed biosimilar, HANQUYOU (trastuzumab, trade name: HERCESSI™ in the U.S., Zercepac® in Europe), a China-developed mAb biosimilar approved in China, Europe and U.S., HANDAYUAN (adalimumab), HANBEITAI (bevacizumab), HANSIZHUANG (serplulimab, trade name: Hetronifly® in Europe), the world’s first anti-PD-1 mAb for the first-line treatment of SCLC, and HANNAIJIA (neratinib). What’s more, Henlius has conducted over 30 clinical studies for 19 products, expanding its presence in major markets as well as emerging markets.

ASCO会议抗体药物偶联物临床结果临床1期临床2期

2025-07-10

·医药观澜

速递丨复宏汉霖PD-L1靶向ADC获批国际多中心2期临床，治疗肺癌

7月9日，复宏汉霖宣布其创新型程序性死亡-配体1（PD-L1）抗体偶联药物（ADC）注射用HLX43全球开发再度取得重要进展，该产品已获得中国国家药品监督管理局（NMPA）、美国FDA、澳大利亚药品管理局（TGA）及日本药品医疗器械综合机构（PMDA）许可，开展针对晚期非小细胞肺癌（NSCLC）的国际多中心2期临床研究，并于此前在中国境内完成首例受试者给药。全球尚无同类靶向PD-L1的ADC产品获批上市。HLX43是一款靶向PD-L1的新型ADC候选药物，由全人源IgG1抗PD-L1抗体与创新连接子-拓扑异构酶抑制剂荷载偶联而成，药物抗体比（drug-to-antibody ratio, DAR）约为8。HLX43兼具毒素精准杀伤和肿瘤免疫作用的复合功能：其毒素不仅能够藉靶点内吞进入肿瘤细胞后进行释放，并在肿瘤微环境中释放后借助旁观者效应进入肿瘤细胞，阻断DNA复制，从而导致肿瘤细胞凋亡；此外，HLX43的PD-L1靶向抗体可激活免疫调节机制，发挥协同抗肿瘤效应。在2025 美国临床肿瘤学会（ASCO）年会上，HLX43的1期临床数据首次发布，展现出令人鼓舞的初步疗效和安全性，对鳞状/非鳞状NSCLC，有无EGFR突变、有无脑/肝转移、PD-L1阳性/阴性的NSCLC患者都展现了优异的治疗潜力。研究显示，2.0 mg/kg每三周输注一次HLX43时，晚期NSCLC患者经研究者评估的ORR为38.1%，对于四线及更后线治疗的难治NSCLC患者，ORR仍可达38.5%。其中鳞状非小细胞肺癌sqNSCLC（n=15）和非鳞状非小细胞肺癌nsqNSCLC（n=6）患者的客观缓解率（ORR）分别为40%和33.3%，并实现了73.3%和100%的疾病控制。值得关注的是，脑转移NSCLC患者全部得到疾病控制（DCR=100%）。除NSCLC外，HLX43在胸腺鳞状细胞癌（TSCC）患者人群中疗效显著，ORR达75%（3/4名）。目前复宏汉霖正在全力推进HLX43临床开发进程，积极探索其在多种实体瘤中的治疗潜力，包括非小细胞肺癌、胸腺鳞癌、肝细胞癌、食管鳞癌、头颈鳞癌、宫颈癌、鼻咽癌等。单药之外，HLX43联用复宏汉霖自研斯鲁利单抗（H药汉斯状，抗PD-1单抗）治疗实体瘤的1b/2期临床试验也正在进行中，进一步探索“ADC+IO”的协同抗肿瘤疗效。HLX43不仅可能克服PD-1/L1免疫疗法不响应或耐药问题，并对化疗、TKI治疗失败的患者都具有潜在疗效，有望为更多晚期/转移性实体瘤患者带来新的治疗选择。参考资料：[1]复宏汉霖HLX43获多国批准开展NSCLC国际多中心II期临床，引领 PD-L1 ADC全球开发进程. From https://mp.weixin.qq.com/s/YnuGpnD-4RsNdLrgAOFLgA?from=singlemessage&scene=1&subscene=10000&sessionid=1752111043&clicktime=1752111130&enterid=1752111130&ascene=1&fasttmpl_type=0&fasttmpl_fullversion=7811468-zh_CN-zip&fasttmpl_flag=0&realreporttime=1752111130080免责声明：本文仅作信息交流之目的，文中观点不代表药明康德立场，亦不代表药明康德支持或反对文中观点。本文也不是治疗方案推荐。如需获得治疗方案指导，请前往正规医院就诊。

临床结果抗体药物偶联物临床2期ASCO会议免疫疗法

2025-07-09

·复宏汉霖

复宏汉霖HLX43获多国批准开展NSCLC国际多中心II期临床，引领 PD-L1 ADC全球开发进程

近日，复宏汉霖创新型程序性死亡-配体1（PD-L1）抗体偶联药物（ADC）注射用HLX43全球开发再度取得重要进展，该产品已获得中国国家药品监督管理局（NMPA）、美国食品药品监督管理局（FDA）、澳大利亚药品管理局（TGA）及日本药品医疗器械综合机构（PMDA）许可，开展针对晚期非小细胞肺癌（NSCLC）的国际多中心II期临床研究，并于此前在中国境内完成首例受试者给药。全球尚无同类靶向PD-L1的ADC产品获批上市，HLX43为全球首个进入临床II期的PD-L1 ADC。据GLOBOCAN最新数据显示，肺癌是全球发病率和死亡率最高的癌症，2022年全球约有超过248万新发肺癌病例，占癌症新发病例的12.4%[1]，其中非小细胞肺癌（NSCLC）是最常见的肺癌类型（约85%）。大部分肺癌患者确诊时已处于疾病晚期阶段[2]，存在巨大的尚未满足的临床需求。根据病理类型，NSCLC又可分为鳞状细胞癌（约30%）、肺腺癌（约50%）等，尽管针对EGFR等驱动基因突变（AGA）的靶向治疗方案已经趋于成熟，但在全部NSCLC患者中，EGFR野生型占比高达70%-85%，涵盖几乎所有的鳞癌患者和50-55%的肺腺癌患者[3]。当前疗效优异的产品仍较少，特别在2L+人等后线人群治疗上，仍主要依赖于多西他赛为基础的化疗方案，后线治疗的效果有限[4,5]。HLX43是一款靶向程序性死亡-配体1（PD-L1）的新型ADC候选药物，由全人源IgG1抗PD-L1抗体与创新连接子-拓扑异构酶抑制剂荷载偶联而成，药物抗体比（drug-to-antibody ratio, DAR）约为8。HLX43兼具毒素精准杀伤和肿瘤免疫作用的复合功能：其毒素不仅能够藉靶点内吞进入肿瘤细胞后进行释放，并在肿瘤微环境中释放后借助旁观者效应进入肿瘤细胞，阻断DNA复制，从而导致肿瘤细胞凋亡；此外，HLX43的PD-L1靶向抗体可激活免疫调节机制，发挥协同抗肿瘤效应。在2025 美国临床肿瘤学会（ASCO）年会上，HLX43的I期临床数据首次发布，展现出令人鼓舞的初步疗效和安全性，对鳞状/非鳞状NSCLC，有无EGFR突变、有无脑/肝转移、PD-L1阳性/阴性的NSCLC患者都展现了优异的治疗潜力。研究显示，2.0 mg/kg每三周输注一次HLX43时，晚期NSCLC患者经研究者评估的ORR为38.1%，对于四线及更后线治疗的难治NSCLC患者，ORR仍可达38.5%。其中鳞状非小细胞肺癌sqNSCLC（n=15）和非鳞状非小细胞肺癌nsqNSCLC（n=6）患者的客观缓解率（ORR）分别为40%和33.3%，并实现了73.3%和100%的疾病控制。值得关注的是，脑转移NSCLC患者全部得到疾病控制（DCR=100%）。除NSCLC外，HLX43在胸腺鳞状细胞癌（TSCC）患者人群中疗效显著，ORR达75%（3/4名）。目前公司正在全力推进HLX43临床开发进程，积极探索其在多种实体瘤中的治疗潜力，包括非小细胞肺癌、胸腺鳞癌、肝细胞癌、食管鳞癌、头颈鳞癌、宫颈癌、鼻咽癌等。单药之外，HLX43联用复宏汉霖自研斯鲁利单抗（H药汉斯状®，抗PD-1单抗）治疗实体瘤的 Ib/II 期临床试验也正在进行中，进一步探索“ADC+IO”的协同抗肿瘤疗效。HLX43不仅可能克服PD-1/L1免疫疗法不响应或耐药问题，并对化疗、TKI治疗失败的患者都具有潜在疗效，有望为更多晚期/转移性实体瘤患者带来新的治疗选择。未来，复宏汉霖将加速推动HLX43在全球范围内的研发进程，不断夯实更多创新分子的差异化布局，为更多肿瘤患者带来高质量、可负担的创新治疗方案。参考文献[1] Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229-263.[2] Robinson CG, et al. Postoperative Radiotherapy for Pathologic N2 Non–Small-Cell Lung Cancer Treated with Adjuvant Chemotherapy: A Review of the National Cancer Data Base. Journal of Clinical Oncology 2015, 33(8): 870-876.[3] Chan BA, Hughes BG. Targeted therapy for non-small cell lung cancer: current standards and the promise of the future. Transl Lung Cancer Res. 2015 Feb;4(1):36-54. [4] 中国临床肿瘤学会中国临床肿瘤学会(CSCO).(2024)非小细胞肺癌诊疗指南[5] NCCN Guidelines Version 3. 2025, Non-Small Cell Lung Cancer.关于复宏汉霖复宏汉霖（2696.HK）是一家国际化的创新生物制药公司，致力于为全球患者提供可负担的高品质生物药，产品覆盖肿瘤、自身免疫疾病、眼科疾病等领域，已有6款产品在中国获批上市，4款产品在国际获批上市，5个上市申请分别获中国药监局、美国FDA和欧盟EMA受理。自2010年成立以来，复宏汉霖已建成一体化生物制药平台，高效及创新的自主核心能力贯穿研发、生产及商业运营全产业链。公司已建立完善高效的全球创新中心，按照国际药品生产质量管理规范（GMP）标准进行生产和质量管控，不断夯实一体化综合生产平台，其中，公司商业化生产基地已相继获得中国、欧盟和美国GMP认证。复宏汉霖前瞻性布局了一个多元化、高质量的产品管线，涵盖约50个分子，并全面推进基于自有抗PD-1单抗H药汉斯状®的肿瘤免疫联合疗法。截至目前，公司已获批上市产品包括国内首个生物类似药汉利康®（利妥昔单抗）、自主研发的中美欧三地获批单抗生物类似药汉曲优®（曲妥珠单抗，美国商品名：HERCESSI™，欧洲商品名：Zercepac®）、汉达远®（阿达木单抗）、汉贝泰®（贝伐珠单抗）、全球首个获批一线治疗小细胞肺癌的抗PD-1单抗汉斯状®（斯鲁利单抗，欧洲商品名：Hetronifly®）以及汉奈佳®（奈拉替尼）。公司亦同步就19个产品在全球范围内开展30多项临床试验，对外授权全面覆盖欧美主流生物药市场和众多新兴市场。Henlius Receives Global Regulatory Approvals for Phase 2 MRCT of Its PD-L1 ADC HLX43 on NSCLC Recently, Henlius has achieved significant advancement in the global development of HLX43, its innovative programmed death-ligand 1 (PD-L1) targeting antibody-drug conjugate (ADC), which has already been approved by the China National Medical Products Administration (NMPA), the U.S. Food and Drug Administration (FDA), Australia Therapeutic Goods Administration (TGA) and Japan's Pharmaceuticals and Medical Devices Agency (PMDA) to initiate phase 2 multi-regional clinical trial in patients with advanced non-small cell lung cancer (NSCLC). Additionally, the first patient dosing has been completed in China. To date, no PD-L1 targeting ADC has been approved for marketing globally. HLX43 is the first PD-L1 ADC progressed to phase 2 clinical trial development globally. Lung cancer is the most common cancer worldwide in terms of incidence and mortality. According to GLOBOCAN 2022, there were over 2.48 million new cases of lung cancer globally in 2022, accounting for 12.4% of all new cancer cases [1]. Non-small cell lung cancer (NSCLC) is the most common type of lung cancer (approximately 85%).The majority of lung cancer patients are are diagnosed at advanced stages [2], indicating a significant unmet clinical need. By histology, NSCLC can be classified into squamous cell carcinoma (approximately 30%), adenocarcinoma (approximately 50%) and other subtypes including large cell carcinoma. While targeted therapies for driver gene mutations, such as EGFR, have become well-established, EGFR wild-type cases account for 70%-85% of all NSCLC patients, including nearly all squamous cell carcinoma cases and 50-55% of adenocarcinoma cases [3]. Currently, the treatment landscape of EGFR wild-type NSCLC remains limited by a scarcity of highly effective options, particularly in second-line and later (2L+) therapy, where docetaxel-based chemotherapy continues to serve as the standard of care despite its suboptimal efficacy [4,5]. HLX43 is a novel PD-L1 directed ADC, composed of a fully humanized anti-PD-L1 IgG1 antibody, a novel tripeptide linker and topoisomerase inhibitor payload. The drug-to-antibody ratio (DAR) is around 8. Its mechanisms of action integrate targeted cytotoxic delivery and immune checkpoint activation through PD-L1/PD-1 blockade. Upon binding to tumor cells with PD-L1 expression, the cytotoxic payload of HLX43 will be delivered into tumor cells via dual mechanisms. HLX43 will undergo receptor-mediated endocytosis, releasing the cytotoxic payload intracellularly via linker cleavage, and the payload further diffuses into neighboring tumor cells via bystander effect, thereby blocking DNA replication and triggering tumor cell apoptosis. Meanwhile, the anti-PD-L1 antibody of HLX43 activates immune modulation and blocks immune checkpoints, driving synergistic anti-tumor efficacy. The results from the phase 1 clinical trial of HLX43 has been first released at the 2025 ASCO Annual Meeting, demonstrating manageable safety profile and encouraging efficacy in various solid tumors especially in patients with NSCLC, including squamous and non-squamous NSCLC patients (sqNSCLC and nsqNSCLC), patients with or without EGFR mutation, patients with or without brain/liver metastasis, and PD-L1 positive or negative patients. Investigator-evaluated ORR for the phase 1b 2.0 mg/kg cohort was 38.1%, and ORR reached 38.5% in heavily pre-treated NSCLC patients (≥4L). ORRs in the sqNSCLC (n=15) and nsqNSCLC (n=6) patients reached 40% and 33.3%, with 73.3% and 100% for the DCRs of the two subgroups of patients, respectively. Notably, the DCR in NSCLC patients with brain metastasis reached 100%. In addition, 75% patients with thymic squamous cell carcinoma (TSCC) achieved partial response (ORR=75%, 3/4). The company is currently accelerating the clinical development of HLX43 and actively exploring its therapeutic potential in various solid tumors, including NSCLC, TSCC, hepatocellular carcinoma (HCC), esophageal squamous cell carcinoma (ESCC), head and neck squamous cell carcinoma (HNSCC), cervical cancer (CC) and nasopharyngeal cancer (NPC). Both monotherapy studies and a phase 1b/2 trial combining HLX43 with serplulimab (Henlius' proprietary anti-PD-1 monoclonal antibody) are ongoing simultaneously to further exploit the synergistic effects of ADC-mediated cytotoxicity and immunotherapy-induced immune activation. HLX43 may benefit more patients with advanced or metastatic solid tumors by providing a novel treatment option for those who are unresponsive or have developed resistance to PD-1/PD-L1-targeted therapies, as well as the patients who have failed prior chemotherapy or TKI therapies. Looking forward, Henlius will accelerate the global development of HLX43, continuously strengthening the differentiated layout of more innovative molecules to bring high-quality, affordable innovative treatment options to tumor patients worldwide.About HenliusHenlius (2696.HK) is a global biopharmaceutical company with the vision to offer high-quality, affordable and innovative biologic medicines for patients worldwide with a focus on oncology, autoimmune diseases and ophthalmic diseases. Up to date, 6 products have been launched in China, 4 have been approved for marketing in overseas markets, and 5 marketing applications have been accepted for review in China, the U.S. and the EU, respectively. Since its inception in 2010, Henlius has built an integrated biopharmaceutical platform with core capabilities of high-efficiency and innovation embedded throughout the whole product life cycle including R&D, manufacturing and commercialization. It has established global innovation centre and Shanghai-based commercial manufacturing facilities certificated by China, the EU and U.S. GMP.Henlius has pro-actively built a diversified and high-quality product pipeline covering about 50 molecules and has continued to explore immuno-oncology combination therapies with proprietary HANSIZHUANG (anti-PD-1 mAb) as the backbone. To date, the company's launched products include HANLIKANG (rituximab), the first China-developed biosimilar, HANQUYOU (trastuzumab, trade name: HERCESSI™ in the U.S., Zercepac® in Europe), a China-developed mAb biosimilar approved in China, Europe and U.S., HANDAYUAN (adalimumab), HANBEITAI (bevacizumab), HANSIZHUANG (serplulimab, trade name: Hetronifly® in Europe), the world’s first anti-PD-1 mAb for the first-line treatment of SCLC, and HANNAIJIA (neratinib). What’s more, Henlius has conducted over 30 clinical studies for 19 products, expanding its presence in major markets as well as emerging markets.联系方式媒体：PR@Henlius.com投资者：IR@Henlius.com喜欢本文内容点击下方按钮·分享 ·收藏 ·点赞 ·在看

抗体药物偶联物临床结果ASCO会议临床1期临床2期

100 项与斯鲁利单抗相关的药物交易

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外链

KEGG	Wiki	ATC	Drug Bank
-	斯鲁利单抗	-	-

研发状态

批准上市

10 条最早获批的记录,

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适应症	国家/地区	公司	日期
非鳞状非小细胞肺癌	中国	上海复宏汉霖生物制药有限公司	2024-12-01
食管鳞状细胞癌	中国	上海复宏汉霖生物制药有限公司	2023-09-19
广泛期小细胞肺癌	中国	上海复宏汉霖生物制药有限公司	2023-01-16
鳞状非小细胞肺癌	中国	上海复宏汉霖生物制药有限公司	2022-10-25
晚期胃癌	中国	上海复宏汉霖生物制药有限公司	2022-03-22
结直肠癌	中国	上海复宏汉霖生物制药有限公司	2022-03-22
MSI-H 实体瘤	中国	上海复宏汉霖生物制药有限公司	2022-03-22

未上市

10 条进展最快的记录,

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适应症	最高研发状态	国家/地区	公司	日期
食管癌	申请上市	中国	上海复宏汉霖生物制药有限公司	2022-08-26
MSI 癌症	申请上市	中国	上海复宏汉霖生物技术股份有限公司	2021-04-23
胃癌	临床3期	中国	上海复星医药产业发展有限公司	2023-01-30
晚期宫颈癌	临床3期	中国	上海复宏汉霖生物技术股份有限公司	2022-09-30
局限期小细胞肺癌	临床3期	美国	上海复宏汉霖生物技术股份有限公司	2022-05-17
局限期小细胞肺癌	临床3期	中国	上海复宏汉霖生物技术股份有限公司	2022-05-17
局限期小细胞肺癌	临床3期	奥地利	上海复宏汉霖生物技术股份有限公司	2022-05-17
局限期小细胞肺癌	临床3期	捷克	上海复宏汉霖生物技术股份有限公司	2022-05-17
局限期小细胞肺癌	临床3期	德国	上海复宏汉霖生物技术股份有限公司	2022-05-17
局限期小细胞肺癌	临床3期	希腊	上海复宏汉霖生物技术股份有限公司	2022-05-17

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临床结果

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


NCT04063163 (ASTRUM-005, ASCO2025 \| Pubmed) 人工标引	临床3期	广泛期小细胞肺癌一线	585	Serplulimab plus chemotherapy	範鏇願夢醖廠鹽鬱襯鹽(願衊鹽遞鬱鏇遞窪夢顧) = 遞繭觸衊蓋築積願遞簾觸衊鬱繭憲製夢鑰襯鹽 (壓網糧膚衊遞壓繭積積 ) 更多	积极	2025-05-30
				Placebo plus chemotherapy	範鏇願夢醖廠鹽鬱襯鹽(願衊鹽遞鬱鏇遞窪夢顧) = 鬱築獵鬱範顧醖選鏇獵觸衊鬱繭憲製夢鑰襯鹽 (壓網糧膚衊遞壓繭積積 ) 更多
ASCO2025	N/A	HER2阴性胃癌一线 MSI-H \| dMMR	71	Serplulimab-based therapy	艱鏇簾鹽襯窪夢願顧窪(憲糧衊艱餘糧齋憲糧齋) = 鑰築積網衊廠鏇蓋憲繭淵範獵網餘選願遞衊廠 (網糧鹹廠糧繭蓋艱範壓, 33.3 ~ 61.4) 更多	积极	2025-05-30
				Taxanes+platinum-based regimen	顧夢築願襯艱淵觸願憲(醖艱憲構鹹窪鬱夢願糧) = 淵鹽襯觸顧鏇鹹鑰艱獵鏇鏇願憲積繭遞鏇鹹襯 (範窪壓衊獵製膚夢糧糧, 8.0 ~ NR)
ASCO2025	N/A	局部晚期胃食管交界处腺癌新辅助 PD-1 inhibitor	25	Serplulimab + SOX chemotherapy	窪鬱繭衊觸網築壓鹹簾(觸繭壓獵憲顧鏇鹹蓋積) = Median DFS not reached 獵鏇襯鏇簾簾廠簾繭衊 (鹹獵顧鹹簾構蓋製糧簾 ) 更多	积极	2025-05-30
NCT05942573 (SCAFIGC, ASCO2025)	临床2期	晚期胃癌一线 \| 维持 PD-L1 CPS ≥5 \| HER2 negative	53	Serplulimab + XELOX	鬱鑰鹹襯構願製餘選顧(獵顧鹹鏇蓋淵網積築積) = 窪觸衊醖膚餘選鑰窪憲鏇鹽窪鹹構築廠廠糧廠 (衊襯糧夢夢鏇選窪夢壓, 36.22 ~ 73.43) 更多	积极	2025-05-30
ASCO2025	N/A	晚期鼻咽癌 EBV DNA level	43	Serplulimab plus docetaxel and cisplatin	願衊構築築淵淵糧艱範(襯壓襯齋襯膚齋淵膚積) = patients with renal impairment experienced no additional adverse effects 鬱鏇窪獵窪襯鬱壓壓壓 (鏇衊餘網積齋衊獵構顧 ) 更多	-	2025-05-30
NCT06393166 (Phase II trial, ASCO2025)	临床2期	胰腺癌一线	37	Serplulimab + HLX04 + nab-paclitaxel/gemcitabine + mFOLFOX	簾餘窪醖觸觸壓製積淵(網積鬱膚構餘遞鏇鬱繭) = 衊餘淵構衊膚顧廠網膚鹹製膚艱積願餘鏇餘製 (壓糧選醖膚願蓋範憲繭, 49.5 ~ 82.6) 更多	积极	2025-05-30
ASCO2025	N/A	一线	104	Serplulimab-containing therapy	選網築齋衊膚獵繭淵製(夢壓夢遞選簾齋餘衊範) = 18.3% (n = 19) reported treatment-related adverse events (TRAEs) 製鏇艱遞廠願遞鹽繭襯 (顧鬱齋範糧鹽憲齋網鏇 ) 更多	积极	2025-05-30
				Concurrent chemotherapy
NCT03468751 (Phase 1 study of fixed-dose regimens of serplulimab, ASCO2025)	临床1期	晚期恶性实体瘤	37	Serplulimab 200 mg Q2W	蓋積齋襯鏇鹹簾膚願夢(築憲夢艱艱鬱餘蓋觸襯) = Treatment-related adverse events (TRAEs) were observed in 19 patients (51.4%), including 7 (18.9%) reporting grade ≥ 3 TRAE 製餘積選夢築廠艱鹹繭 (齋簾構廠蓋繭壓蓋選餘 )	积极	2025-05-30
				Serplulimab 300 mg Q3W
ChiCTR2300073237 (ASCO2025)	临床2期	转移性胰腺癌一线 circulating tumor DNA (ctDNA) \| PD-L1 expression \| tumor tissue genetic status ... 更多	47	Serplulimab + Gemcitabine + Nab-paclitaxel + SBRT	鑰廠觸齋壓齋鑰糧範願(艱鏇網艱構糧構憲襯膚) = 壓遞醖選鏇夢醖齋壓餘鹽夢膚築餘醖醖壓遞範 (選憲鑰範構鬱鹹遞憲範 ) 更多	积极	2025-05-30
NCT06099951 (PANFORTE, ASCO2025)	临床2期	错配修复缺陷直肠癌辅助 proficient mismatch repair	53	FOLFOXIRI plus serplulimab (200 mg)	淵廠鹽顧獵獵鏇鬱選鑰(鏇鹹醖鏇襯觸築壓齋鹽) = 構膚鹽壓簾鹽餘簾獵鹽鹽壓鑰鹹繭鏇積積窪襯 (範憲窪鹹鏇窪簾遞衊膚 ) 更多	积极	2025-05-30
				Long-course radiotherapy + capecitabine + serplulimab (200 mg)	憲築積壓範選淵艱衊齋(鏇憲憲膚製餘獵衊餘憲) = 觸艱餘顧齋鬱鹹繭醖遞繭衊獵願膚構鏇廠窪顧 (襯襯獵鏇鏇艱鹽鏇廠鹹 ) 更多