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Company
Korea’s new drug reimb rate is below OECD average
by
Eo, Yun-Ho
Jun 09, 2023 05:35am
A survey found that Korea’s new drug reimbursement rate does not amount to the OECD average. The Korean Research-based Pharmaceutical Industry Association (KRPIA, Chairman: Dong-Wook Oh) recently announced Korea’s new drug release status based on its ‘Global Access to New Medicines Report’ According to the report, it takes longer than the Organisation for Economic Co-operation and Development (OECD) country average for new drugs to be introduced to Korea after its global launch, and Korea’s release rate and reimbursement rate were also below the OECD country average. The report was based on the ‘Pharmaceutical Research and Manufacturers of America’ report that was published in April. PhRMA’s report subdivided 72 countries including Korea by G20, OECD, and region, and investigated the current status of new drug launches and health insurance coverage in each country. The report was prepared based on an investigation of a total of 460 new drugs that have received marketing authorization in the United States, Europe, and Japan over the past 10 years from 2012 to 2021. When taking a closer look, the report showed that the ratio of new drugs introduced to Korea within 1 year after the initial global launch was found to be less than half of the OECD average. While the average new drug introduction rate (non-reimbursement release rate) in OECD countries is 18%, Korea's level was only 5%, about a quarter of the OECD average. The countries with the highest new drug introduction rates were the United States (78%), Germany (44%), then the United Kingdom (38%). Also, Japan’s new drug introduction rate was nearly twice that of Korea, at 32%. By disease, it took about 27 to 30 months for anticancer drugs and new rare disease drugs to be released in Korea without reimbursement after their global launch. Compared to the average of 12 to 15 months it took in other advanced countries such as the UK and Germany and 18 to 21 months in Japan, it takes twice as long for new drugs to be launched in Korea. Moreover, it took a total of 46 months from the initial global launch of a new drug to reimbursement in Korea. The average time taken in other OECD countries was similar at 45 months, but compared to Japan (17 months) and France (34 months), it took from 10 months to more than twice longer for drugs to be reimbursed in Korea. Meanwhile, the share of new drugs covered by health insurance in Korea was 22%, which was below the OECD average (29%). This is only half that of Japan (48%) and the UK (48%). KRPIA said, “The report holds significance for allowing us to identify the rate and period of new drugs introduced and reimbursed in Korea after their global launch. Improvements should be made to Korea’s system and environment in advance to enable prompt reimbursement of global new drugs for patients in Korea.
Company
Non-covalent BTKi pirtobrutinib receives orphan drug desig
by
Eo, Yun-Ho
Jun 09, 2023 05:35am
The BTK inhibitor ‘pirtobrutinib‘ received an orphan drug designation in Korea. The Ministry of Food and Drug Safety recently announced that it had designated Lilly’s Bruton's Tyrosine Kinase (BTK) inhibitor Jaypirca (pirtobrutinib) as an orphan drug. The subject indication is as monotherapy for adult patients with relapsed or refractory mantle cell lymphoma who have been previously treated with a BTK inhibitor. The US FDA granted accelerated approval for Jaypirca in January. The drug received attention as the first non-covalent BTK inhibitor and as an alternative to patients who failed treatment with covalent BTK inhibitors like ‘Imbruvica (ibrutinib),’ ‘Brukinsa (zanubrutinib),’ etc. Jaypirca’s efficacy was evaluated through the BRUIN trial. Results showed that the overall response rate of patients that received 200mg of Jaypirca once a day was 50% (60 patients) among the 120 mantle cell lymphoma patients, with a complete response rate of 13% (15 patients) and a partial response rate of 38% (45 patients). The estimated median duration of response was 8.3 months, and the estimated duration of response rate at 6 months was 65.3%. The pooled safety analysis of the full BRUIN study population evaluated 583 patients with hematologic malignancies administered Jaypirca 200 mg daily as a single agent. In this pooled safety population, the most common adverse reactions (ARs) to Jaypirca therapy, occurring in 20% of patients or more, were decreased neutrophil count, decreased hemoglobin, decreased platelet count, fatigue, musculoskeletal pain, decreased lymphocyte count, bruising, and diarrhea. Meanwhile, the MFDS has been operating the orphan drug designation system to support the development of treatments for rare and intractable diseases. Among the drugs used to diagnose or treat rare diseases, drugs that are irreplaceable or those that significantly improved outcomes compared to their alternatives are designated as orphan drugs. Drugs designated as orphan drugs can receive benefits such as being eligible for accelerated review for marketing authorizations, etc.
Company
Humira with sales of 100 billion won
by
Chon, Seung-Hyun
Jun 09, 2023 05:35am
In the autoimmune disease treatment drug ‘Humira’ market, biosimilar products are not showing remarkable activity in the early stages. Although it has been two years since domestic companies penetrated the market, the market share of ‘Humira’ biosimilar has passed two years, but the market share was only 12%. It is analyzed that the price of original drugs and biosimilars did not show an explosive rise because the insurance price was similar. According to IQVIA, a pharmaceutical research institute on the 7th, the market for adalimumab ingredients in the first quarter was 24.5 billion won, up 9.8% from 22.3 billion won in the same period last year. Adalimumab is a TNF-alpha inhibitor that treats autoimmune diseases such as rheumatoid arthritis and psoriasis. AbbVie's Humira is the original drug. Humira posted sales of 104 billion won in 2019, 91.2 billion won in 2021 and 85.8 billion won last year, respectively. Samsung Bioepis and Celltrion released Humira biosimilars in 2021 and last year, respectively. The adalimumab market showed a moderate upward trend after falling 24.9% from 27.5 billion won in the first quarter of 2021 to 20.7 billion won in the second quarter. The sharp decline in sales in the second quarter of 2020 was due to a reduction in drug prices following the entry of biosimilars, which reduced the size of the market. When Samsung Bioepis listed Humira biosimilar Adaloche as a benefit in May 2021, Humira's upper limit also fell a month later. As of June 7, 2021, Humira's insurance cap has been reduced by 30%. The price of three drugs, Humira Pen 40mg/0.4mL, Humira Prefilled Syringe 40mg/0.4mL, and Humira 40mg vial, fell 30% from 411,558 won to 288,091 won, and Humira Prefilled Syringe 20mg/0.2 mL went down from 224,002 won to 156,801 won. Humira has maintained sales at a similar level after drug price cuts following biosimilar registration. Sales of Humira in the first quarter of last year were 21.5 billion won, up 1.5% from the same period last year. It increased by 4.0% from 20.7 billion won in the second quarter of 2021, right after the drug price cut. This means that sales volume has decreased due to drug price cuts, but sales since then have maintained the previous year's level. Analysts say that the pace of market penetration of biosimilar products is slow. In the first quarter of last year, Adalloce of Samsung Bioepis and Yuflyma of Celltrion posted a total of KRW 3 billion in sales. Adalloce and Yuflyma posted sales of 2.6 billion won and 400 million won, respectively. Adalloce posted its first sales of 400 million won in the third quarter of 2021 and exceeded 1 billion won in the first quarter of last year. Adalloce's sales in the first quarter of this year increased by 134.7% compared to the same period last year, but its share in the adalimumab market was only 10.6%. Adalloce's domestic sales will be handled by Yuhan Corporation. Yuflyma posted sales of 200 million won in the third quarter of last year, and sales in the fourth quarter of last year and the first quarter of this year were only around 300 million won. Celltrion Pharmaceuticals is in charge of the domestic sales of Yuflyma. The sales share of Adalloce and Yuflyma in the adalimumab market in the first quarter was 12.2%. It exceeded 10% for the first time in the fourth quarter of last year and recorded 12.5%, but this year it has decreased somewhat. The market share recorded two years after biosimilar penetration is analyzed as a disappointing report card. The upper price of Adalloce PFS 40mg/0.4ml and Yuflyma 40mg/0.4ml is KRW 244,877 each, and the gap between the drug price of Humira PFS 40mg/0.4ml and Humira Pen 40mg/0.4ml of KRW 288,091 is only 15.0%. In principle, under the domestic drug price system, biosimilars can receive up to 70% of the original drug price before the patent expires. From October 2016, up to 80% of products are guaranteed for 'items developed by a company that has entered into a joint contract between an innovative pharmaceutical company, an equivalent company, a domestic pharmaceutical company and a foreign company, or items for which Korea is the first licensed country or items produced in Korea. When biosimilars are released for original drugs whose patents have expired, insurance prices are automatically reduced to 70-80% of the previous level. Even if biosimilars are listed at a price that is 30% cheaper than the price of the original drug before the patent expires, it is not easy to secure price competitiveness as the drug price of the original drug is also reduced. There is also an analysis that medical staff and patients have no choice but to prefer new drugs from multinational pharmaceutical companies that have accumulated reliability for a long time in a situation where drug prices do not differ greatly due to the nature of autoimmune disease drugs used for severe diseases.
Company
Daewoong,"promoting to change Fexuprazan's partner"
by
Kim, Jin-Gu
Jun 08, 2023 07:47pm
Daewoong Pharmaceutical is going to change partners in charge of the development and commercialization of Fexuprazan in the North American market. Daewoong Pharmaceutical announced on the 5th that it has terminated the exclusive license agreement with Neurogastrx of the United States for the clinical development and commercialization of Fexuprazan in the US and Canada markets under an agreement between the two companies. The two companies signed a contract in June 2021. Daewoong Pharmaceutical explained that it decided to terminate the contract under the judgment that it needed a strategic partner that can quickly develop Fexuprazan for various indications in the North American market. Neurogastrx is said to have agreed to terminate the contract after determining that the development of Fexuprazan no longer aligns with its strategic business plan through pipeline re-evaluation. Upon termination of the contract, Daewoong Pharmaceutical has withdrawn all rights to clinical development and commercialization of Fexuprazan in the US and Canada. However, the 5% stake in Neurogastrix acquired by Daewoong Pharmaceutical at the time of the contract in 2021 is not returned. Daewoong Pharmaceutical started looking for a new partner. In particular, it has entered into negotiations with multiple multinational pharmaceutical companies that can simultaneously conduct clinical development not only in North America but also in global big markets such as Europe and Japan. Jeon Seung-ho, CEO of Daewoong Pharmaceutical, said, “With P-CAB receiving new attention from medical professionals around the world, we are communicating with multiple multinational pharmaceutical companies that can quickly settle Fexuprazan in the global market.” CEO Jeon Seung-ho emphasized, "We will secure additional indications for Fexuprazan in the global big market and accelerate the development of formulations to achieve 1 trillion won in sales by 2030 and develop it into a Best-In-Class within the family." In July of last year, Daewoong Pharmaceutical launched Fexuclue, a gastroesophageal reflux disease treatment in the P-CAB (Potassium Competitive Gastric Acid Blocker) class, as the 34th domestic new drug. Fexuprazan improves the disadvantages of existing PPI drugs and quickly and stably suppresses gastric acid secretion without activation by gastric acid.
Company
Competition for interleukin inhibitors heats up in Stelara
by
Kim, Jin-Gu
Jun 08, 2023 05:34am
Stelara, Cosentyx, Skyrizi, and Tremfya (clockwise from top left) The interleukin inhibitor market also grew rapidly in the first quarter. Compared to the first quarter of last year, the market size increased by 26% in one year. While Stelara, the market leader, posted sales of KRW 11.1 billion, up 9.8% YoY, generics are rapidly catching up. Skyrizi saw a 69.7% year-over-year increase in sales and Tremfya's 43.4%. In particular, as generics are scrambling to add new content and expand the scope of reimbursement, competition in this market is expected to intensify in the future. The interleukin inhibitor market increased by 26% in 1 year, and Stelara remains No. 1 in the market for 12 years According to IQVIA, a pharmaceutical market research institute on the 5th, the size of the interleukin inhibitor market in the first quarter was 36.4 billion won. Compared to 28.8 billion won in the first quarter of last year, it increased by 26.4% in one year. Interleukin inhibitors are primarily used to treat psoriasis. It is divided into the IL-17 family and the IL-23 family according to the pathway that inhibits interleukin (IL). Janssen Stellara, which is classified as a first-generation product, is a mechanism that inhibits IL-12/23. Second-generation products, Novartis Cosentyx and Lilly Taltz inhibit IL-17, while Janssen's Tremfya and AbbVie Skyrizi, two successors, inhibit IL-23. This market was formed in 2012 when Stelara was added to the health insurance coverage list. Since 2015, successor products have been added one after another, and it is growing very rapidly. The actual interleukin inhibitor market size was only 10.4 billion won in the first quarter of 2019, but it expanded 3.5 times in 4 years to 36.4 billion won in the first quarter of this year. Analysts say that while Stelara, the market leader, is in good health, generics contributed to the expansion of the market by rapidly increasing sales. Stelara recorded sales of 11.1 billion won in the first quarter of last year. It increased by 9.8% from 10.1 billion won in the first quarter of last year. However, it decreased compared to 12.4 billion won in the fourth quarter of last year, which is interpreted as a result of drug price cuts according to PVA at the end of last year. Since last November, the government has lowered the price of Stelara by 0.2-4.4% by content. 2nd-generation drugs such as Cosentyx, Tremfya, and Skyrizi, heating up competition to expand coverage. The second-generation products released following Stelara are fiercely competing as their sales have increased significantly. Tremfya, which Janssen launched as a successor to Stellara, saw a 43.4% increase in sales within a year. Sales increased from 5.8 billion won in the first quarter of last year to 8.4 billion won. Novartis Cosentyx increased by 13.3% from 7.5 billion won in the first quarter of last year to 8.5 billion won in the first quarter of this year. In particular, with the rapid growth of the competing product Tremfya, the gap between the two products narrowed from 1.7 billion won to 100 million won in one year. AbbVie's Skyrizi, which was the latest to enter the market, is seeing the steepest growth in sales. Skyrizi's sales in the first quarter of last year were 5.9 billion won, up 69.7% from 3.5 billion won in the first quarter of last year. AbbVie launched this product in the second quarter of 2020. Cosentyx, Trempier, and Skyrizi are scrambling to expand their ranges, foreseeing even fiercer competition in the future. For Cosentyx, the high-dose product, which was newly approved in November last year, was additionally applied as a benefit from last month. In addition to the existing 150mg dose, up to 300mg dose is applied as compensation, aiming to expand sales. Tremfya has been covered for palmar and plantar pustulosis since this month. Skyrizi's benefit was expanded in March. Previously, benefits were recognized only for psoriasis, but from March, benefits were applied to active and progressive psoriatic arthritis. Lilly Taltz saw a modest increase in sales from 1.8 billion won in the first quarter of last year to 2.4 billion won in the first quarter of this year.
Company
K-Bio appealed for its competitiveness in Bio USA
by
Hwang, Jin-joon
Jun 08, 2023 05:33am
Major domestic pharmaceutical bio companies participated in the '2023 Bio International Convention (Bio USA)', a global partnering event, and introduced their competitiveness. Samsung Biologics disclosed an advanced target operation time for Plant 5 and a plan to build an ADC-only production plant. Lotte Biologics has sought to win biopharmaceutical CMO contracts with major pharmaceutical bio companies at home and abroad. Celltrion's goal to participate in the event was to increase its brand value through strengthening partnering. We discovered partners and held discussions related to new drug development. Bridge Biotherapeutics, Onconic Therapeutics, Inventage Lab, Abion, Vigencell, and Genome & Company announced the competitiveness of their new drug development pipelines. According to the industry on the 7th, major domestic pharmaceutical bio companies participate in Bio USA and introduce their competitiveness. Bio USA was held in Boston, USA on the 5th (local time). It will be open until the 8th. BioUSA is a global event in the biofield held every year by the American Bio Association. About 15,000 biopharmaceutical companies will attend, display new technologies and biotechnology products, and hold business meetings. According to the American Bio Association, 289 major domestic pharmaceutical bio companies participated in Bio USA this year. Of these, 41 opened publicity booths. Samsung Biologics CEO John Rim announced that BioUSA would shorten the target operating period for Plant 5 from September 2025 to April of the same year. It is expected to advance construction by about a year compared to the 180,000-liter third plant of the same size. According to Samsung Biologics, the early operation of Plant 5 is a strategy to preemptively respond to growing CDMO demand. In addition, the fact that new contracts with customers and the volume of existing agreements are increasing also influenced the decision to operate early. Starting with the 5th factory's construction, the 2nd Bio Campus will begin in earnest. Additional production facilities and an open innovation center will be built on the 2nd Bio Campus. The total investment is 7.5 trillion won. CEO John Rim also announced that he would build a production facility exclusively for ADC biopharmaceuticals to participate in the ADC market, which has recently attracted attention. Considering the market growth potential, it plans to start production of ADC commercial products within 2024. Lotte Biologics promoted the Syracuse plant's manufacturing technology, process development service, and quality system. It also revealed plans to build a large-scale factory in Korea by 2030 by spending 3 trillion won. Lotte Biologics prepared a meeting table and a private meeting room inside the booth. We discuss partnering for biopharmaceutical CMOs with about 30 major domestic and foreign pharmaceutical companies and bio companies that have been coordinated in advance. Celltrion participated in Bio USA and set up a promotional booth. (Photo by Celltrion) Celltrion and other bio companies engaged in the development of new drugs have also started to discover partners and introduce pipelines. Celltrion promoted its technological competitiveness and brand to leap forward as a new drug development company. An open meeting space and a private meeting room were set up inside the booth to discuss business. Potential partners were also explored to discover new modalities and new drug candidates. In the future, discussions for joint development are also planned. An official from Bridge Biotherapeutics introduces their new drug pipeline. (Photo by Bridge Bio) Bridge Biotherapeutics presented its corporate competitiveness and pipeline to industry officials. Business Development Director Pavel Princeev introduced major clinical challenges in the field of lung cancer and fibrosis, which the company is strategically focusing on. The fourth-generation lung cancer drug candidate 'BBT-176' phase 1 clinical trial data and self-discovered BBT-207 were shared. Innovative diagnosis technology recently acquired was also disclosed. Onconic Therapeutics sought additional technology transfer for its major pipeline P-CAB-type gastroesophageal reflux disease drug candidate 'Zastaprazan'. In addition, it introduced follow-up pipelines such as 'OCN-201', a dual inhibitor target anti-cancer drug. We plan to discuss building partnerships with domestic and foreign pharmaceutical bio companies. Inventage Lab introduced pipelines 'IVL3001' and 'IVL3002' using the long-acting injectable platform technology 'IVL-Drug Fluidics'. Data on the Alzheimer's treatment candidate 'IVL3003', drug/alcohol addiction candidate 'IVL3004', and prostate cancer treatment candidates 'IVL3008' and 'IVL3016' were also announced. It also presented a blueprint to enter the lipid nanoparticle (LNP) CDMO business based on the gene therapy development platform technology 'IVL-Genefluidic'. Abion promoted the technology transfer of 'ABN401', a c-MET treatment for non-small cell lung cancer, which is undergoing global phase 2 clinical trials, and 'ABN501', a candidate material in the non-clinical stage. Participating in K-Bio Showcase, a side event of Bio USA, introduces the representative pipeline to global investors and industry officials. Genome & Company will unveil its microbiome immuno-oncology treatment pipeline. Through more than 20 meetings, it has started strengthening business partnerships with domestic and foreign pharmaceutical companies. We introduce the development status of GEN-001', a major pipeline, and new target immuno-anticancer drug candidates GENA-104 and GENA-111. In addition to technology transfer, meetings related to joint development will be held.
Company
Commercialization of 3rd new P-CAB drug near
by
Kim, Jin-Gu
Jun 08, 2023 05:33am
The launch of the third product is imminent in the P-CAB (potassium competitive acid blocker) class gastroesophageal reflux disease treatment market that has grown to post sales of KRW 140 billion a year. With Onconic Therapeutics, a new drug development subsidiary of Jeil Pharmaceutical, filing an application for the marketing authorization approval of Zastaprazan, competition between this drug and the existing K-Cab (tegoprazan) and Fexclue (fexuprazan) is expected to intensify from next year at the earliest, triggering a 3-way race. The industry predicts that competition for indications between the three drugs will intensify along with the approval of Zastaprazan. P-CAB market nears sales of KRW 150 billion a year... 3rd drug applies for approval According to the pharmaceutical industry on the 7th, Onconic Therapeutics submitted a new drug application (NDA) for Zastaprazan to the Ministry of Food and Drug Safety. The company predicts the product will be approved next year. Therefore, the competition between drugs in this class could develop into a three-way race with HK Inno.n’s K-Cab and Daewoong Pharmaceutical’s Fexclue from next year at the earliest, P-CAB drugs have been showing explosive growth n the gastroesophageal reflux disease treatment market. According to UBIST, a pharmaceutical market research institute, outpatient prescriptions of P-CAB drugs in Korea last year recorded KRW 144.9 billion. This market was formed when HK Inno.N released K-Cab in Q1 2019. K-Cab, which posed KRW 30.4 billion in prescriptions that year, surpassed the KRW 100 billion mark in 2021, just 2 years later. Last year, the market expanded further with the addition of Daewoong Pharmaceutical’s Fexclue. Daewoong Pharmaceutical released the product in Q3 last year and recorded KRW 12.9 billion in prescriptions in the half year. In Q1 this year, K-Cab recorded KRW 35.7 billion and Fexclue recorded KRW 10.8 billion, respectively. If this trend continues, the market will expand to exceed KRW 150 billion by the end of the year. Quarterly sales of K-Cab and Fexclue (Unit: KRW 100 million, Data: UBIST) The industry predicts the P-CAB- market to continue its growth for a while even after Onconic's new product is added to the market. The expectations are that Zastaprazan’s sales will grow not by stealing the market share of K-Cab or Fexclue, but by replacing existing PPI (Proton Pump Inhibitor) drugs. K-Cab showed a 15% increase in prescriptions compared to the previous year, despite the rapid growth of Fexclue in Q1 this year. On the other hand, most of the PPI drugs show slower sales performance. Hanmi Pharmaceutical’s Esomezol (S-omeprazole), a representative PPI-type drug, recorded KRW 15.4 in prescriptions, up 5% from the previous year, and Nexium (esomeprazole) recorded KRW 8.7 billion, up 4% from the previous year. This is in contrast to the double-digit growth the drugs had made every year until the introduction of P-CAB drugs. The analysis is that P-CAB drugs replace existing PPI drugs with advantages such as faster drug expression and intake independent of meals. Competition to expand indications intensify… Zastaprazan plans to add gastric ulcer indication after erosive esophagitis The pharmaceutical industry predicts that the 3 drugs, including Zastaprazan, to compete more fiercely to expand their indications. Onconic plans to first receive approval as a treatment for erosive gastroesophageal reflux disease and then add indications for gastric ulcers. Onconic started a Phase III trial for gastric ulcer patients in May last year. An official from Onconic Therapeutics explained, “Clinical trials are underway to add indications to Zastaprazan.” Major indication extensions plans of P-CAB class drugs Currently, K-Cab has 5 indications: ▲erosive gastroesophageal reflux disease ▲non-erosive gastroesophageal reflux disease ▲gastric ulcer ▲antibiotic combination therapy for eradication of Helicobacter pylori ▲maintenance therapy after treatment of erosive gastroesophageal reflux disease (25mg). In addition, Phase III trials are underway as a preventive treatment for non-steroidal anti-inflammatory drug-induced gastric and duodenal ulcers. After first receiving approval as a ‘treatment for erosive gastroesophageal reflux disease', Fexuclue added an indication for 'improvement of gastric mucosal lesions in acute/chronic gastritis (10mg)'. Daewoong plans to secure 3 more indications for Fexuclu in the future. Phase III trials are already underway for the drug’s use as a 'maintenance treatment after treatment of erosive gastroesophageal reflux disease' and 'prevention of non-steroidal anti-inflammatory drug-induced gastric ulcer.’ In addition, the company plans to enter into clinical trials related to the eradication of Helicobacter pylori.
Company
Yuhan presents 4 studies at ASCO...builds reliability
by
Jung, Sae-Im
Jun 08, 2023 05:33am
Yuhan Corp’s EGFR-targeting anticancer drug ‘Leclaza’ has started to accumulate data for the international stage. At the ‘2023 ASCO Annual Meeting (ASCO 2023)’ that was held on the 2nd (local time), Yuhan Corp made 4 poster presentations on studies related to its Leclaza, including one long-term follow-up study. With the results of Janssen’s main MARIPOSA study expected to be released in the second half of this year, initial research results that give a glimpse of the MARIPOSA study have also been updated. Leclaza is a treatment for non-small-cell lung cancer that was approved as the 31st homegrown novel drug in January 2021. It is a 3rd generation EGFR TKI that inhibits the proliferation and growth of lung cancer cells. It is currently approved as a treatment for patients with locally advanced or metastatic NSCLC who developed resistance after being previously treated with 1st generation or 2nd generation EGFR-TKIs. The drug had raised KRW 25 billion in sales in only 2 years of release. The company is also awaiting to add a first-line indication to the drug. Supported by such domestic growth, the company seeks to further its presence with Leclaza in the global market. Janssen, which introduced Leclaza’s technology, is developing it as a combination therapy with Rybrevant, its EGFR bispecific antibody treatment. The results of the MARIPOSA Phase III study, which looks at the drug’s effect of combination therapy in the first line, are expected to be announced soon. Research data that provide a glimpse into the brain metastasis effect of Leclaza and the efficacy of Leclaza as a combination therapy were presented at this year’s ASCO. First, the long-term follow-up results of the Phase I CHRYSALIS trial, which used EGFR exon 20 mutation treatment Rybrevant with Leclaza in EGFR-mutated NSCLC, were presented as a poster. The CHRYSALIS trial was the first study to evaluate the efficacy of Rybrevant + Leclaza as a first-line treatment. Long-term follow-up of Leclaza+Rybrevan combo (Data: ASCO) After following 20 patients for 33.6 months, results showed that half of the patients were able to achieve progression-free survival. At that time point, key indicators such as overall survival, progression-free survival, and duration of response had not yet reached median values. Following the poster presentation, an oral presentation on the Cohort D data of the CHRYSALIS-2 study, which evaluated the safety of Leclaza + Rybrevant therapy or Leclaza monotherapy after treatment with Tagrisso, was made at the meeting. The presented data were the results of the additional analysis conducted on biomarkers from the data that had been announced in 2021. Subanalysis of Leclaza+Rybrevant combo according to presence of MET mutations (Data: ASCO) The effect of combination therapy was significantly higher in the MET expression group. The objective response rate (ORR) of the combination therapy in patients with MET mutations and amplification (28 patients) was 61%, which was higher than 14% in the MET-negative patient group (49 patients). The median duration of response and median progression-free survival were 10.8 months and 12.2 months in the MET-positive group, respectively, compared to 6.8 months and 4.2 months in the MET-negative patient group. A domestic phase 2 study that measured the effect of Leclaza in patients with brain metastasis after failure with existing first- and second-generation targeted anticancer drugs in EGFR-positive non-small cell lung cancer was also presented as a poster. 40 EGFR-positive patients with brain metastases after using first- and second-generation treatments were enrolled in the study to evaluate the intracranial activity of Leclaza in patients with asymptomatic or mild brain metastasis. Patients who failed with conventional treatment were divided according to the presence or absence of the T790M mutation. The primary evaluation index was intracranial objective response rate (iORR), and the secondary evaluation index was intracranial progression-free survival (iPFS). The intracranial objective response rate of 38 evaluable patients was 55.3%. 3 patients showed a complete response and 18 patients showed a partial response. There were only 5 T790M-positive patients, but 4 showed partial response, recording an intracranial response rate of 80%. Of the 33 T790M-negative patients, 3 showed complete responses and 14 partial responses, recording an objective response rate of 51.5%. The median overall progression-free survival and the progression-free survival in the T790M positive and negative groups were 15.2 months, 9.9 months, and 15.4 months, respectively. Intracranial progression-free survival was similar for T790M positive and negative patients, 15.2 months and 15.8 months, respectively. The research team said, “Leclaza showed significant intracranial activity regardless of the presence or absence of T790M mutation, and satisfied the primary evaluation index with an intracranial objective response rate of 55.3%." This indicates that patients that showed brain metastasis after treatment with targeted therapies may use lazertinib instead of topical treatment." In addition to this, studies that studied predictable biomarkers for the use of Rybrevant + Leclaza after Tagrisso were also announced at ASCO 2023.
Company
Novartis counterattacks against Celltrion / a patent lawsuit
by
Kim, Jin-Gu
Jun 07, 2023 09:47pm
Novartis is investigating Celltrion for patent infringement of its biosimilar Xolair, asthma, and urticaria treatment. According to the pharmaceutical industry on the 2nd, Novartis filed two claims against Celltrion on the 1st. A proactive trial to confirm the scope of rights is to ask the Intellectual Property Trial and Appeals Board to accurately determine the scope of patent validity to see if the patent holder has been infringed. This case is interpreted as a situation in which Novartis is claiming Celltrion's patent infringement. In other words, Celltrion is claiming that the Xolair biosimilar, which is being developed, has infringed on two pharmaceutical patents it owns. Xolaire's material patent has already expired, and only the formulation patent remains. In Korea, the formulation patent expires in March 2024. Celltrion is developing 'CT-P39' as a Xolair biosimilar. It is evaluated that it is close to commercialization, such as announcing the interim results of the global phase 3 clinical trial in April. It has already applied for product approval in Europe and plans to apply for approval within the year in Korea. Analysts say that if the Intellectual Property Trial and Appeals Board upholds Novartis, the original company, in an active trial to confirm the scope of rights, setbacks in Celltrion's plan to release the Xolair biosimilar in Korea are inevitable. Xolair is a biopharmaceutical developed by Genentech and Novartis. It is used to treat allergic asthma, chronic urticaria, and chronic rhinosinusitis. According to IQVIA, a pharmaceutical market research institute, Xolair's domestic sales in the first quarter were 4.6 billion won. It increased by 34% from 3.4 billion won in the first quarter of last year. Last year, it posted sales of 15.7 billion won in Korea.
Company
Kwangdong wins patent lawsuit against Ibrance in reverse
by
Kim, Jin-Gu
Jun 07, 2023 05:38am
Ibrance As Kwangdong Pharmaceutical succeeded in reversing the second trial of the patent lawsuit against Ibrance, it boarded the last train for generic exclusivity. As a result, Ibrance's generic for exclusivity is owned by three companies, including Daewoong Pharmaceutical and Shinpoong Pharmaceutical, which won in the first trial, and Kwangdong Pharmaceutical. According to the pharmaceutical industry on the 3rd, the Patent Court ruled in favor of the plaintiff on the 2nd in the patent trial cancellation lawsuit filed by Kwangdong Pharmaceutical against Pfizer. Kwangdong Pharmaceutical, which was defeated in the first trial, succeeded in reversing in the second trial. A total of five companies have challenged the Ibrance patent. These are Kwangdong Pharmaceutical, Shinpoong Pharmaceutical, Daewoong Pharmaceutical, Boryung, and Samyang Holdings. They requested a passive trial to confirm the scope of rights to the Ibrance crystalline patent, which expires in February 2034. Their plan was to avoid crystalline patents and release generics early in time for substance patents to expire in 2027. In the first trial, the decision was mixed. The Intellectual Property Trial and Appeal Board rendered a victory decision for Daewoong Pharmaceutical and Shinpoong Pharmaceutical, and a defeat decision for Kwangdong Pharmaceutical, Boryung, and Samyang Holdings. With the first trial victory, Daewoong Pharmaceutical and Shinpoong Pharmaceutical acquired Ibrance generic for exclusivity. Kwangdong Pharmaceutical, Boryung, and Samyang Holdings, which lost in the first trial, appealed to the Patent Court. Among the three companies, the ruling of Kwangdong Pharmaceutical came out first. Kwangdong Pharmaceutical barely succeeded in obtaining generic exclusivity through a second trial victory. This is because the period for acquiring generic for exclusivity was about to expire. According to the current regulations, there are three requirements to receive generic for exclusivity. A patent trial must be requested for the first time, this trial or subsequent litigation must be won, and a generic license must be applied for the first time. At this time, one proviso clause is attached to the requirement that the judgment and lawsuit be won. The point is that a generic company must apply for generic exclusivity to the Ministry of Food and Drug Safety and obtain a winning trial decision or ruling within nine months from the date the original company is notified of this fact. Kwangdong Pharmaceutical applied for a generic for the exclusivity of Ibrance on August 29 last year. In early September, it is expected that this fact will be notified to Pfizer. In other words, if Kwangdong Pharmaceutical did not win the case by early this month, even generic for exclusivity would be useless. As Kwangdong Pharmaceutical's second trial proceeded quickly, it succeeded in winning the case in early June, and generic exclusivity was eventually made possible. Kwangdong Pharmaceutical is the only company that has even obtained product approval among patent challengers. Kwangdong Pharmaceutical received approval for Alency as a generic version of Ibrance in March of this year. On the other hand, it is analyzed that Boryung and Samyang Holdings, which appealed in the second trial along with Kwangdong Pharm, are highly unlikely to receive generic for exclusivity. The hearing date for Boryung and Samyang Holdings was set for July. Ibrance is a hormone receptor (HR) positive or human epidermal growth factor receptor 2 (HER2) negative treatment for advanced and metastatic breast cancer. According to IQVIA, a pharmaceutical market research institute, Ibrance posted sales of 56.2 billion won in Korea last year. In the first quarter of this year, it was 12.6 billion won, down 13% from the same period last year.
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