百濟(jì)神州(納斯達(dá)克代碼:BGNE;香港聯(lián)交所代碼:06160;上交所代碼:688235)是一家全球性生物技術(shù)公司。公司1月19日宣布,英國藥品與健康產(chǎn)品管理局(MHRA)已授予百悅澤®(澤布替尼)用于治療慢性淋巴細(xì)胞白血?。–LL)成人患者和用于治療既往接受過至少一種抗CD20療法的邊緣區(qū)淋巴瘤(MZL)成人患者在大不列顛的上市許可。
英國伯恩茅斯多塞特大學(xué)醫(yī)院血液科Renata Walewska博士表示:"百悅澤®是一種高選擇性BTK抑制劑。與第一代BTK抑制劑相比,百悅澤®在用于復(fù)發(fā)性CLL治療時(shí)呈現(xiàn)出具有臨床意義的改善。本次百悅澤®在大不列顛獲得治療MZL 和CLL的上市許可,對于符合治療標(biāo)準(zhǔn)的患者和他們的醫(yī)生而言意義重大。MZL患者此前除免疫化療外并無已獲批的靶向治療藥物;而對于CLL患者而言,百悅澤® 是可替代現(xiàn)有BTK抑制劑的新治療選擇。"
本次百悅澤®用于CLL治療的MHRA批準(zhǔn),是基于兩項(xiàng)全球3期臨床試驗(yàn):SEQUOIA(NCT03336333)研究[1],即在既往未經(jīng)治療的CLL患者中對比百悅澤®和苯達(dá)莫司汀聯(lián)合利妥昔單抗(BR)的治療;ALPINE(NCT03734016)研究[2],即在復(fù)發(fā)/難治性(R/R)CLL患者中對比百悅澤®和億珂®(伊布替尼)的治療。
本次百悅澤®用于 MZL治療的MHRA批準(zhǔn),是基于一項(xiàng)全球多中心、單臂、開放性的2期試驗(yàn) MAGNOLIA研究[3],該試驗(yàn)在既往接受過至少一種抗CD20療法的R/R MZL患者中開展。
百濟(jì)神州血液學(xué)首席醫(yī)學(xué)官M(fèi)ehrdad Mobasher醫(yī)學(xué)博士及公共衛(wèi)生碩士表示:"百悅澤®經(jīng)特殊設(shè)計(jì),是一款旨在最大化BTK占有率、最小化脫靶效應(yīng)的BTK抑制劑。我們相信百悅澤®將為符合治療標(biāo)準(zhǔn)的MZL和CLL患者帶來一項(xiàng)極具潛力的治療選擇。"
百濟(jì)神州英國及愛爾蘭總經(jīng)理Robert Mulrooney博士表示:"百濟(jì)神州致力于以更快的速度為全球更多患者帶來抗腫瘤藥物。對于本次重要的批準(zhǔn)以及我們已取得的進(jìn)展,我們感到非常欣喜,并且有信心讓百悅澤®惠及更多大不列顛符合治療標(biāo)準(zhǔn)的血液腫瘤患者。"
今年早些時(shí)候,英國國家衛(wèi)生與臨床優(yōu)化研究所 (NICE) 推薦百悅澤®用于治療既往接受過至少一種治療,且適用于苯達(dá)莫司汀聯(lián)合利妥昔單抗的華氏巨球蛋白血癥(WM)成人患者。蘇格蘭藥品聯(lián)盟也已推薦百悅澤®用于治療既往接受過至少一種治療的WM成人患者,或用于不適合免疫化療患者的一線治療。
百悅澤®目前已在歐盟及北愛爾蘭(依據(jù)《北愛爾蘭協(xié)定書》相關(guān)條款)獲批用于治療既往接受過至少一種治療的WM成人患者,或作為不適合接受免疫化療的WM患者的一線治療;用于治療CLL成人患者,以及既往接受過至少一種抗CD20療法的MZL成人患者。
References
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[2] A study of zanubrutinib (BGB-3111) versus ibrutinib in participants with relapsed/refractory chronic lymphocytic leukemia. ClinicalTrials.gov. Accessed September 25, 2022. https://clinicaltrials.gov/ct2/show/NCT03734016
[3] Opat S, Tedeschi A, Linton K, et al. The MAGNOLIA Trial: Zanubrutinib, a next-generation bruton tyrosine kinase inhibitor, demonstrates safety and efficacy in relapsed/refractory marginal zone lymphoma. Clin Cancer Res. Published online September 15, 2021. doi: 10.1158/1078-0432. CCR-21-1704
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[8] Sant, M., et al., Incidence of hematologic malignancies in Europe by morphologic subtype: results of the HAEMACARE project. Blood, 2010. 116(19): p. 3724-34.
[9] Annals of Oncology, Marginal Zone Lymphomas: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up, January 6, 2020.
[10] Cerhan, J.R. and T.M. Habermann, Epidemiology of Marginal Zone Lymphoma. Ann Lymphoma, 2021.
[11] Smith, A., et al., Lymphoma incidence, survival and prevalence 2004-2014: sub-type analyses from the UK's Haematological Malignancy Research Network. Br J Cancer, 2015. 112(9): p. 1575-84.
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[13] Leukemia & Lymphoma Society, Marginal Zone Lymphoma. Available at: https://www.lls.org/research/marginal-zone-lymphoma-mzl.
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