CaicaiApril 13, 2018
Tag: monoclonal antibody , PD-1 , PD-L1
The anti-PD-1 monoclonal antibody JS001 of Junshi has been completed the first patient administration of Phase I clinical trial in the U.S. several days ago, which has aroused wide attention from the insiders. What are currently the hottest star drugs in the pharmaceutical industry? Anti-PD-1/PD-L1 drugs are definitely one among them, with any news able to shake the industry. Today, I’d like to make the most comprehensive summary ever and talk about anti-PD-1/PD-L1 drugs.
Anti-PD-1/PD-L1 drugs will occupy two positions among the Top 5 in global drug sales in the future
According to EvaluatePharma’s forecast of rankings of global drug sales in 2022 not long ago, the monoclonal antibody drug Opdivo and Keytruda that target PD-1 enter the Top 5 upon good therapeutic effect and multiple indications, with annual sales to separately approach USD 10 billion.
EvaluatePharma’s Forecast of Top 5 in Global Drug Sales in 2022
Ranking |
Trade name
|
Generic name |
Company |
Type |
2016 sales (USD 100 million) |
2022 forecast sales (USD 100 million) |
CAGR |
1 |
Humira |
Adalimumab
|
AbbVie |
Monoclonal antibody |
165.15 |
159.01 |
-1% |
2 |
Revlimid |
Lenalidomide
|
Celgene |
Small molecule drug |
69.74 |
141.97 |
13% |
3 |
Opdivo |
Nivolumab
|
BMS |
Monoclonal antibody |
47.35 |
99.12 |
13% |
4 |
Keytruda |
Pembrolizumab
|
MSD |
Monoclonal antibody |
14.02 |
95.09 |
38% |
5 |
Eliquis
|
Apixaban
|
BMS |
Small molecule drug |
33.42 |
84.86 |
17% |
(Source: Website of EvaluatePharma)
There are 5 anti-PD-1/L1 drugs approved for marketing in the world
There are 5 anti-PD-1/L1 drugs approved for marketing in the world, wherein, BMS’ Opdivo and MSD’s Keytruda were marketed early both in 2014, while the other 3 drugs were marketed after 2016. All those 5 drugs have not been marketed in China, however, Opdivo and Keytruda have been filed the marketing application in China.
From the perspective of the indications approved, anti-PD-1/PD-L1 drugs have shown good clinical response, wherein, MSD’s Keytruda and BMS’ Opdivo both showed broad-spectrum oncology, and have separately been approved 8 and 7 indications; from the perspective of therapeutic regimen, they are mainly second-line and third-line regimens, with clinical trials on first-line treatment of non-small cell lung cancer (NSCLC) and melanoma still underway.
Marketed Anti-PD-1/PD-L1 Drugs in the World
Pharmaceutical product name |
Generic name |
Type |
Company |
Indication |
FDA approval time |
2017 sales
|
Opdivo |
Nivolumab |
PD-1 |
BMS/Ono |
Melanoma, NSCLC, renal cell carcinoma, classical Hodgkin's lymphoma, squamous cell carcinoma of the head and neck, urothelial carcinoma, microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) metastatic colorectal cancer (mCRC), and hepatocellular carcinoma |
December 22, 2014 |
USD 4.948 billion |
Keytruda |
Pembrolizumab |
PD-1 |
MSD |
Melanoma, NSCLC, squamous cell carcinoma of the head and neck, classical Hodgkin's lymphoma, urothelial carcinoma, microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) metastatic colorectal cancer (mCRC), and gastric or gastroesophageal junction (GEJ) adenocarcinoma |
September 4, 2014 |
USD 3.809 billion |
Tecentriq |
Atezolizumab |
PD-L1 |
Roche |
NSCLC and urothelial carcinoma |
May 18, 2016 |
CHF 487 million |
Bavencio |
Avelumab |
PD-L1 |
Pfizer/MSD |
Metastatic Merkel cell carcinoma (mMCC) and urothelial carcinoma |
March 23, 2017 |
/ |
Imfinzi |
Durvalumab |
PD-L1 |
AstraZeneca |
Urothelial carcinoma |
May 1, 2017 |
/ |
(Source: FDA, by March 26, 2018)
4 pharmaceutical enterprises have filed the marketing applications for anti-PD-1/PD-L1 drugs in China
4 pharmaceutical enterprises have filed the marketing applications for anti-PD-1/PD-L1 drugs in China, with imported and Chinese-produced drugs separately accounting for half, separately being BMS’ Opdivo, Innovent Biologics’ Xindi monoclonal antibody (code: IBI308), MSD’s Keytruda, and Junshi Biosciences’ Teruipuli monoclonal antibody (code: JS001).
Pharmaceutical product name |
Generic name |
Type |
Company |
Indication applied for |
Time of applying to CFDA |
Opdivo |
Nivolumab |
PD-1 |
BMS/Ono |
NSCLC |
November 2, 2017 |
Xindi monoclonal antibody |
Code: IBI308 |
PD-1 |
Innovent Biologics |
Hodgkin's lymphoma |
December 13, 2017 |
Keytruda |
Pembrolizumab |
PD-1 |
MSD |
Melanoma |
February 11, 2018 |
Teruipuli monoclonal antibody |
Code: JS001 |
PD-1 |
Junshi Biosciences |
Melanoma |
March 9, 2018 |
(Source: CFDA, by March 26, 2018)
R&D layout of anti-PD-1/PD-L1 monoclonal antibody drugs in China
There are many Chinese pharmaceutical enterprises researching anti-PD-1/PD-L1 drugs in full swing. From the perspective of indication selection, indications of clinical trials of Chinese enterprises are mainly NSCLC and esophageal cancer, etc., and cancers with low incidence among the Chinese people like melanoma have low proportions.
R&D layout of anti-PD-1/PD-L1 monoclonal antibody drugs in China
Pharmaceutical product name/code |
Type |
Company |
Indication/R&D progress |
SHR-1210 |
PD-1 |
Hengrui Medicine |
NSCLC/Phase III; advanced esophageal cancer/Phase III Classical Hodgkin's lymphoma/Phase II; relapsed or metastatic nasopharyngeal carcinoma/Phase I Advanced gastric cancer and hepatocellular carcinoma/Phase I; locally advanced esophageal squamous cancer/Phase I |
IBI308 |
PD-1 |
Innovent Biologics |
Relapsed/refractory classical Hodgkin's lymphoma/marketing application Advanced or metastatic squamous NSCLC/Phase III; esophageal cancer/Phase II Relapsed/refractory extranodal NK/T-cell lymphoma/Phase II |
JS001 |
PD-1 |
Junshi Biosciences |
Melanoma/marketing application; bladder urothelial carcinoma/Phase II Advanced kidney cancer/Phase Ib; advanced neuroendocrine tumor/Phase Ib Advanced triple-negative breast cancer/Phase I; malignant lymphoma/Phase I NSCLC/Phase I |
BGB-A317 |
PD-1 |
BeiGene |
Classical Hodgkin's lymphoma/Phase II; bladder urothelial carcinoma/Phase II Esophageal cancer, gastric or gastroesophageal junction (GEJ) adenocarcinoma/Phase II; kidney cancer/Phase II Advanced solid tumor/Phase I/II |
GLS-010 |
PD-1 |
Gloria Pharmaceuticals/Wuxi AppTec |
Gastric cancer, esophageal cancer/Phase I; triple-negative breast cancer, liver cancer/Phase I |
KN035 |
PD-L1 |
Alphamab/3D Medicines |
Advanced solid tumor/Phase I |
(Source: CFDA, China Drug Trials, and company websites, by March 26, 2018)
Besides, the anti-PD-1 drugs of Taizhou Hanzhong, Bio-Thera, Livzon Pharmaceutical Group, Henlius, and Hisun Pharmaceutical have received clinical approvals, and so have the anti-PD-L1 drugs of Hengrui Medicine, Zhaoke Oncology, CStone Pharmaceuticals, and Kelun Industry Group.
Besides the single drugs, the drug combinations are also a new trend in the world, and Hengrui Medicine, Innovent Biologics and Junshi Biosciences have conducted relevant research in drug combination, wherein, Hengrui Medicine is researching the drug combination of anti-PD-1 drug and apatinib tumor-targeted small molecule drug.
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