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Policy
MOHW to institutionalize a fast-track listing system
by
Jung, Heung-Jun
Oct 23, 2025 06:10am
The Ministry of Health and Welfare (MOHW) has announced plans to institutionalize a fast-track reimbursement system based on the outcomes of the ongoing “approval–evaluation–negotiation” pilot program, aimed at accelerating patient access to innovative new drugs. It also stated its intention to expedite the reimbursement decision process for drugs for severe diseases that have submitted applications. The ministry responded so to Rep Mi-hwa Seo’s inquiry on strengthening access to new drugs during the National Assembly audit on the 21st. “We are currently conducting a pilot program that concurrently operates the regulatory approval (MFDS), reimbursement evaluation (HIRA), and price negotiation (NHIS) processes to support faster access. We will analyze the program’s performance and collect feedback from the field to review options for institutionalizing the system.” Furthermore, to provide optimal drug coverage within limited finances, the MOHW plans to include rational improvements to cost-effectiveness evaluations and implement a periodic drug price adjustment system, and strengthen compensation for R&D investments. The Ministry of Health and Welfare stated, “We aim to enhance coverage for severe and rare diseases by making cost-effectiveness evaluations more rational. We also plan to establish a periodic drug price adjustment system to proactively prepare for future increases in drug costs and strengthen appropriate compensation for R&D investment to foster an innovation ecosystem that promotes new drug development." The ministry expressed plans to expedite reimbursement decisions for specific drugs for severe diseases, such as third-line treatments for metastatic colorectal cancer. The MOHW responded, “‘Fruzaqla Cap (Takeda Pharmaceuticals Korea)’ is being reviewed for reimbursement as a third-line treatment for metastatic colorectal cancer. We will expedite its review procedures and make a prompt decision.” The ministry acknowledged the need for improvement regarding third-generation thrombolytic agents that are reimbursed overseas but not yet introduced in Korea. The Ministry stated, “We agree on the necessity of introducing third-generation thrombolytic agents, which reduce the burden of existing thrombolytic therapy. Currently, the second-generation agent Actilyse is listed, and the third-generation agent Metalyse was approved in October, but we confirm that no reimbursement application has been submitted. Once submitted, we will ensure the review proceeds smoothly.”
Company
Boehringer withdraws 1 lawsuit over unlisted Trajenta patent
by
Kim, Jin-Gu
Oct 22, 2025 06:11am
Product photo of Trajenta Boehringer Ingelheim has voluntarily withdrawn one of its ongoing patent disputes involving unlisted Trajenta (linagliptin) patents. Attention is focused on whether this withdrawal will lead to the conclusion of other ongoing disputes, as Boehringer Ingelheim has been pursuing unlisted patent challenges even after the launch of Trajenta generics. According to the pharmaceutical industry, on October 21 Boehringer Ingelheim voluntarily withdrew a lawsuit seeking to cancel a patent invalidation ruling against 16 companies, including Genuone Sciences, on October 20. The patent was registered under the name "Treatment of Diabetes in Patients with Insufficient Glycemic Control Despite Therapy with Oral or Non-oral Agents for Diabetes." It involves the combination of linagliptin and sulfonylurea (SU). This patent was one of the unlisted Trajenta-related patents. Boehringer Ingelheim filed this patent in January 2020, and it was registered with the Korean Intellectual Property Office in April 2022. However, it was not listed in the Ministry of Food and Drug Safety (MFDS) patent registry. Generic companies, anticipating the launch of Trajenta generics in June 2023, challenged this unlisted patent to alleviate patent risk. Companies that filed the invalidation trial included Genuone Sciences, Kukje Pharm, Kyungbo Pharmaceutical, KyungDong Pharm, DongKoo Bio & Pharma, Dongwha Pharm, Daewon Pharm, Boryung, Shinil Pharm, Aju Holdings, Alvogen Korea, Ildong Pharmaceutical, Jeil Pharmaceutical, Korea Prime Pharm, Korea Huons, and Hanlim Pharm. The substance patent for Trajenta expired while the dispute was ongoing. Twenty-nine companies launched their generics when substance patent expired in May of last year. However, Trajenta's unlisted patents continue to pose a risk to generic companies. If generic companies lose unlisted patent disputes, their generic sales could be deemed patent infringement. In such a scenario, Boehringer Ingelheim could file for preliminary injunctions to halt sales and pursue damages through lawsuits. In May of this year, the Intellectual Property Trial and Appeal Board ruled in favor of the generic companies. Boehringer Ingelheim subsequently appealed to the Patent Court. However, it voluntarily withdrew the lawsuit approximately five months later. This concluded one of the multiple lawsuits surrounding Trajenta's unlisted patents. The pharmaceutical industry's attention is now focused on whether the remaining disputes over Trajenta's unlisted patents will also be resolved. Boehringer Ingelheim has registered over 10 unlisted Trajenta patents, in addition to the linagliptin-sulfonylurea combination patent. Generic companies have filed circumvention and invalidation trials against each of these patents, and the disputes are ongoing. If Boehringer Ingelheim voluntarily withdraws the remaining unlisted patent lawsuits, the patent risks surrounding Trajenta generics are mostly expected to be resolved.
Company
Targeting EZH1·2…Hanmi unveils next-gen anticancer agent
by
Hwang, byoung woo
Oct 22, 2025 06:10am
Hanmi Pharmaceutical has unveiled another pillar of its new anticancer pipeline at the ESMO Congress 2025 (European Society for Medical Oncology). The company presented Phase 1 clinical trial results of 'EZH1/2 dual inhibitor (HM97662),' suggesting possibilities for a new anticancer mechanism that could overcome drug resistance. DailyPharm met with Young Su Noh, Director of Hanmi's Oncology Clinical Team, and heard about the clincal significance of HM97662 and the company's future development strategy. Young Su Noh, Director of Hanmi "Evidence confirmed for resistance inhibition and maintained response… proving the value of EZH1 co-inhibition" According to the poster presentation, HM97662 secured safety and tolerability and confirmed initial anti-tumor responses in a Phase 1 clinical trial involving patients with advanced or metastatic solid tumors. A total of 28 patients received treatment across seven dose cohorts (50 to 350mg QD). Partial response (PR) and long-term stable disease (SD) were observed in some patients. Director Noh said, "HM97662 was developed based on a mechanism that simultaneously inhibits both EZH1 and EZH2, showing superiority over single inhibition in terms of resistance suppression and response durability." He explained, "Since EZH1 is compensatorily activated, leading to resistance when EZH2 is inhibited alone, the approach of targeting both is favorable." Noh also stated, "Long-term SD was also confirmed in the clinical trial, which shows the possibility that EZH1 co-inhibition contributes to maintaining the response," and added, "Although we are still in the early stages, we plan to continue establishing clinical evidence." The presentation highlighted a PR observed in a patient with SMARCA4 deficiency. Noh said, "The observation of PR in a patient with a SMARCA4 mutation is highly significant," and explained, "This patient group is high-risk with typically low response rates to existing treatments, and the results suggest that the EZH1/2 dual inhibition strategy has the potential to show therapeutic activity even in patients with molecular mutations." He added, "In solid tumors, PRC2 (Polycomb Repressive Complex 2) complex abnormalities are often involved, while EZH2 mutations are directly implicated in blood cancers. HM97662 is a candidate that reflects these molecular characteristics and can expand treatment possibilities even in solid tumors." Hanmi Pharmaceutical is currently conducting the Phase 1 trial of HM97662 in Korea and Australia and is considering expanding to the U.S. Noh said, "Hanmi Pharmaceutical is focusing on small cell carcinoma, ovarian cancer, and prostate cancer as cancer types where EZH1/2 dual inhibition may be particularly effective. Although we started with a broad scope of metastatic solid tumors, we will gradually narrow down to cancer types with clearer responses." "Combining global collaboration and in-house development… building the Hanmi oncology portfolio" Although Hanmi Pharmaceutical's presentation at ESMO Congress 2025 focused on HM97662, the company is building a diverse portfolio of other anti-cancer pipelines. Young Su Noh, Director of HanmiNoh said, "Out-licensing (L/O) is an important process, but it is not the only goal." He added, "We are also considering a strategy of simultaneously pursuing in-house development and commercialization to target areas where patient access is limited in Korea and Asia." Noh stated, "Global pharmaceutical companies are showing interest, and we are preparing for combination clinical trials," and added, "We have confirmed the possibility of synergy in preclinical studies when combining with immunotherapies, targeted therapies, or chemotherapy, and we plan to expand this into clinical trials." Hanmi plans to strengthen the clinical evidence for the EZH1/2 mechanism based on these results while also entering combination clinical trials with immunotherapies. Noh said, "We plan to secure dose and tolerability with monotherapy first, and then expand to combination strategies." He explained, "We are securing preclinical data that suggests the possibility of synergy when used in combination with chemotherapy and immunotherapy." Noh particularly mentioned Hanmi Pharmaceutical's ongoing oncology research efforts, noting that the company is pursuing a long-term, sustainable commercialization strategy. "Hanmi Pharmaceutical is known for obesity and metabolic diseases, but we also have long-standing research experience and accumulated capabilities in the oncology field," he said. "Our past clinical and research experience is driving our current anti-cancer pipeline." Noh also expressed confidence, stating, "Hanmi has already had multiple global technology transfer experiences, and we are developing returned projects in-house. We are building the foundation to complete new drugs with proprietary capacity, such as the EZH1/2 dual inhibitor." Following this trend, Hanmi is also accelerating its expansion into next-generation research areas. Noh commented, "In addition to immunotherapy combinations, we are also conducting research on next-generation platforms like mRNA and TPD (Targeted Protein Degradation)," and added, "Even after ESMO, we will continue to make subsequent presentations at major conferences like SITC to bring our oncology portfolio into public view.
Company
‘Age-specific vaccination needed to address unmet needs'
by
Son, Hyung Min
Oct 22, 2025 06:09am
Professor Jung-Hyun Choi, Division of Infectious Diseases, Eunpyeong St. Mary A new vaccine targeting the largest number of serotypes in the pneumococcal market has been introduced in Korea. MSD Korea plans to address unmet needs in pneumococcal disease through age-specific prevention strategies, following the release of its adult vaccine, which follows pediatric vaccines. On the 21st, MSD Korea held a press conference at the JW Marriott Hotel Seoul to mark the domestic approval of the pneumococcal vaccine Capvaxive and introduced the vaccine's clinical evidence and preventive efficacy. Capvaxive, which was approved in Korea in August, is indicated for adults aged 18 and older to prevent invasive disease and pneumonia caused by 21 pneumococcal serotypes (3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 15A, 15C, 16F, 17F, 19A, 20A, 22F, 23A, 23B, 24F, 31, 33F, 35B). Notably, it covers 8 unique serotypes (15A, 15C, 16F, 23A, 23B, 24F, 31, 35B) not included in Pfizer’s Prevnar 20, which recently entered the Korean market. These serotypes are clinically significant for preventing pneumococcal disease in adults, as they are detected in over 30% of infected adults aged 65 and older. Pneumococcal disease is an infection caused by Streptococcus pneumoniae, which has approximately 100 different serotypes. In the United States, over 150,000 adults are hospitalized annually for pneumococcal pneumonia. As a result, pharmaceutical companies have continued competition to develop vaccines that cover more serotypes, and the emergence of the 21-valent vaccine Capvaxive represents an evolution in this serotype coverage competition. Capvaxive demonstrated non-inferiority compared to the existing 20-valent protein-conjugated vaccine (PCV20) in the Phase III STRIDE-3 trial. In this study involving 2,662 adults with no prior pneumococcal vaccination history, Capvaxive showed non-inferior immune responses to the 20-valent vaccine for shared serotypes and even higher antibody responses for unique serotypes. Furthermore, enhanced immune responses were observed in certain serotypes when administered as a booster to individuals previously vaccinated with 13-valent, 15-valent protein-conjugated vaccines, or the 23-valent polysaccharide vaccine. Professor Jung-Hyun Choi of the Division of Infectious Diseases at Eunpyeong St. Mary's Hospital emphasized, “Herd immunity formed solely through the National Immunization Program (NIP) for children is insufficient to prevent adult infections completely. The need for adult-specific vaccines is growing as serotypes with high antibiotic resistance and those not included in existing vaccines are increasing.” He further noted, “The 21-valent vaccine has a completely different coverage spectrum compared to existing vaccines. This is expected to provide approximately 20-30% higher preventive efficacy in adults.” Serotype replacement phenomenon causes prevention gaps…Need for separate pediatric/adult strategies highlighted Jaeyong Cho, Executive Director of MSD Korea’s Vaccine Business Unit MSD Korea has clearly differentiated its vaccine strategy by age group. It has obtained approval for the pediatric ‘Vaxneuvance (15-valent)’ and the adult ‘Capvaxive (21-valent)’ separately to establish a tailored prevention system considering age-specific immune characteristics and infection risks. This strategy pursues an age-optimized approach, differing from Pfizer's Prevnar series, which uses the same vaccine across all age groups. MSD Korea emphasizes that Capvaxive is specifically tailored for adults. While the overall pneumococcal infection rate has decreased due to the availability of various vaccines, a prevention gap still exists due to serotype replacement. Analysis indicates that infections caused by serotypes not included in vaccines developed since 2014 are increasing, necessitating a new response focused on the adult population. Reflecting this global trend, the U.S. Centers for Disease Control and Prevention (CDC) recently updated its pneumococcal vaccination guidelines, recommending vaccination for adults aged 50 and older, expanding the age range from the previously recommended 65 and older. The CDC specifically emphasized the need for broader serotype coverage, stating that even individuals who previously received the 13-valent vaccine should consider additional vaccination with the 20-, 21-, or 23-valent vaccines. Professor Choi stated, "Compared to PCV20, the preventive efficacy of Capvaxive against invasive pneumococcal disease caused by unique serotypes is expected to be 21-30%. The preventive effect against PCV20-specific serotypes when using Capvaxive appears to decrease by about 8%.“ He further emphasized, ”While the preventive effect is similar for some common serotypes, additional protection can be secured through Capvaxive’s unique serotypes. Ultimately, an age-specific customized vaccine strategy is the most realistic and efficient approach." Jaeyong Cho, Executive Director of MSD Korea’s Vaccine Business Unit, said, “By providing age-specific vaccines, we will reduce the risk of hospitalization and death from adult pneumococcal disease, alleviate healthcare costs, and ease the socioeconomic burden of an aging society. Capvaxive will become the new standard for adult pneumococcal prevention.” He added, “We plan to launch Capvaxive in the first or second quarter of next year and pursue collaboration with domestic pharmaceutical companies for its rollout at an appropriate time.”
Policy
'Distrust in MFDS rises after Leqembi safety issue'
by
Jung, Heung-Jun
Oct 22, 2025 06:09am
The Ministry of Food and Drug Safety (MFDS) has been criticized for losing public trust due to inadequate safety verification of the dementia drug Leqembi (Lecanemab) and poor post-marketing adverse event management measures. On the 18th, during the National Assembly audit of the MFDS, Representative Jin-sook Jeon of the Democratic Party of Korea criticized, “The MFDS has caused a crisis of trust at every stage of the approval and post-marketing management of dementia drugs. It must take responsibility and apologize before the public’s life.” Although Minister Yu-Kyoung Oh explained during last year's audit that ‘Aduhelm was not being used in Korea,’ the Korea Orphan Drug Center confirmed that a total of 5,847 vials were supplied for self-treatment at patients' request from 2021 to 2024. Jeon said this could constitute false reporting or perjury before the National Assembly. Rep. Jeon criticized, “Similarly, 448 vials of Leqembi were supplied for self-treatment before its official domestic launch. Despite knowing this, the MFDS answered ‘it was not in use.. MFDS’s safety management system failed to function during the pre-approval phase for Leqembi.” He further stated that the MFDS, which promised thorough post-marketing surveillance, is relying solely on reports from the pharmaceutical company. Jeon explained that surveillance is being conducted based on how much of the ‘post-marketing surveillance’ management plan submitted by the pharmaceutical company during the approval process has been quantitatively achieved. This is criticized as a dereliction of duty, entrusting patient safety to the pharmaceutical company. Rep. Jeon stated, “The U.S. FDA identified 6 deaths (4 unique cases after deduplicating) during the initial administration phase in its 2024 routine drug surveillance process and took safety measures, increasing MRI follow-up scans from three to four times. However, no separate follow-up measures have been made by our MFDS to date.” Domestically, 135 adverse events were reported within a year of its approval, with 12 (9%) classified as serious adverse events. Major adverse events included ▲ cerebral edema ▲ microbleeds ▲ hemosiderin deposition, identified as ‘amyloid-related imaging abnormalities (ARIA)’, posing risks of long-term brain damage and atrophy. Rep. Jeon stated, “The Yoon Suk-yeol administration appointed Director Yu-Kyoung Oh under the pretense of ensuring science and trust. However, the MFDS's science has vanished, and its trust collapsed. Minister Oh must apologize to the public for undermining the public’s trust.” She further proposed alternatives, stating, “New mechanism drugs, high-risk biological products, and conditionally approved drugs must be legislated to mandate external expert consultations.. The lack of post-marketing surveillance obligations for self-administered drugs requested by patients must be addressed to strengthen safety monitoring. Guidelines for regular inspections of adverse effects from self-administered drugs must also be established.”
Company
FutureChem to apply for cond approval of Ludotadipep in KOR
by
Hwang, byoung woo
Oct 22, 2025 06:08am
Results for FutureChem's next-generation radioligand therapy (RLT) ‘Ludotadipep (FC705)’, presented at the European Society for Medical Oncology (ESMO 2025), are drawing significant attention. In a multiple-dose clinical trial for patients with metastatic castration-resistant prostate cancer (mCRPC), the cumulative radiation dose to major organs was found to be below international safety standards, and tolerability was maintained even with repeated administration. DailyPharm met with Chansoo Park, Executive Director of Development at FutureChem, in Berlin to discuss the significance of these results and the company's future development strategy. ESMO2025 Poster Presentation by Chan-soo Park, Executive Director of Development, FutureChem " “Albumin-binding structure extends …alleviates safety concerns" Director Park stated, “This data proves that the albumin-binding structure extends the substance’s half-life in the body while enhancing tumor accumulation without increasing exposure to normal organs.” The study, a Phase II clinical trial that was conducted in Korea, analyzed a total of 68 treatment cycles in 20 mCRPC patients. At the first dose, the highest absorbed doses were observed in the salivary glands (1.22±0.53 Gy/GBq) and kidneys (0.674±0.33 Gy/GBq), while the lowest dose was in the bone marrow (0.053±0.011 Gy/GBq). After repeated administration, the salivary gland dose decreased significantly (p
Company
'Will accelerate innovation through AI and clinical focus'
by
Hwang, byoung woo
Oct 21, 2025 06:20am
“AI is now at the heart of drug development. We must make our clinical support system more flexible and manage budgets more efficiently.” At the 2025 European Society for Medical Oncology (ESMO)—one of the world’s largest cancer conferences—Dr. Yeong-Min Park, Director of the Korea Drug Development Foundation (KDDF), stressed the importance of practical support measures to keep pace with global drug development trends. “Trends rapidly shifting around AI and oncology... an unavoidable trend for Korea as well” Director Park cited ‘AI (Artificial Intelligence)’ as the most notable keyword at this year's ESMO 2025. “Understanding global R&D trends is essential to identifying competitive fields. As KDDF prepares its next 5-year plan, this conference has provided valuable insights for discussion.” Indeed, many global pharmaceutical companies showcased AI-based drug candidate discovery, virtual clinical data utilization, and combination therapy optimization at this year’s meeting. Notably, ESMO also released official guidance titled “ESMO Guidance on the Use of Large Language Models in Clinical Practice (ELCAP)”, outlining the use of large language models (LLMs) in clinical practice. Director Park remarked, "The number of AI-related sessions was remarkably high, and the presentation quality was exceptionally strong. The government is also shifting its focus to AI starting next year, and the use of AI in the field of oncology will become an unavoidable trend. We also need to connect AI with our clinical and data businesses to accelerate innovation." At the ESMO2025 conference Hall in Berlin, booths from Korean companies like Lunit and Prestige Biopharma were set up throughout the conference halls. Additionally, the Korea National Enterprise for Clinical Trials (KoNECT) set up a booth to support domestic companies in securing investors and global partnerships. The Korea Drug Development Fund (KDDF) also participated in this support effort. Director Park said, “We have seen domestic companies actively engaging on-site. At this ESMO, which has grown to rival ASCO in scale, the presence of Korean companies was distinctly felt.” “KDDF plans to focus on clinical strengthening measures in its next five-year plan” For KDDF, participation in ESMO 2025 served not merely as observation but as a key step in policy planning. Director Park noted that the organization is currently meeting with industry leaders on-site to refine its future support framework. KDDF’s upcoming five-year plan is expected to include “enhanced clinical support” and “establishing an AI-driven drug development foundation” as its core initiatives. Director Park stressed execution and flexibility as critical elements for success, identifying three key factors in drug development: clinical support systems, budget management, and responsiveness to emerging trends. To this end, he stated that discussions are underway to allow clinical support funding to be flexibly adjusted within the scope of the preliminary feasibility study (PFS), rather than being constrained by a fixed budget. To enable this, KDDF is considering expanding the authority of evaluation committees and adjusting weightings based on clinical stage. Director Park mentioned, "Even if the total budget remains unchanged, we can adjust its allocation per project. We should allocate more to projects that require more funding and reduce allocations to those that require less. This approach will lead to tangible results.“ Finally, he added, ”Ultimately, new drug development hinges on the flexibility of the clinical support system and budget management. KDDF must chart a course that keeps pace with current trends while ensuring our companies gain competitiveness on the global stage."
Company
Pluvicto demonstrates first-line efficacy in prostate cancer
by
Hwang, byoung woo
Oct 21, 2025 06:19am
Novartis’ radioligand therapy Pluvicto (lutetium vipivotide tetraxetan; [¹⁷⁷Lu]Lu-PSMA-617) has demonstrated a clinically meaningful benefit as first-line treatment in patients with metastatic hormone-sensitive prostate cancer (mHSPC). This is considered the first Phase III evidence confirming Pluvicto's potential to extend beyond existing castration-resistant prostate cancer (mCRPC) into the first-line (mHSPC) setting. Results of the Phase III PSMAddition trial are being presented at ESMO 2025 The findings from the Phase III PSMAddition trial, presented on October 19 at the ESMO 2025 Congress by Professor Scott T. Tagawa of Weill Cornell Medicine (U.S.), confirm the potential for Pluvicto to move earlier in the prostate cancer treatment paradigm. This study enrolled 1,144 patients with PSMA-positive mHSPC who were either treatment-naive (≤45 days) or had received minimal prior therapy. Patients were randomized 1:1 to either the combination group (572 patients) receiving Pluvicto + androgen deprivation therapy (ADT) + ARPI, or the ADT + ARPI monotherapy group (572 patients). Pluvicto was administered at 7.4 GBq every 6 weeks for up to six cycles, with stratification by disease volume (high vs low), age (≥ 70 years), and prior local treatment history of the primary tumor. The primary endpoint was radiographic progression-free survival (rPFS), with secondary endpoints including overall survival (OS), objective response rate (ORR), safety, and quality of life (QoL). At a median follow-up of 23.6 months, neither group had reached median rPFS, but the Pluvicto combination group showed a 28% lower risk of disease progression or death. Overall survival (OS) also had not reached its median, but showed an improvement trend in the Pluvicto group. The objective response rate (ORR) was 85.3% vs 80.8%, and rPFS improvement was consistent across all predefined subgroups. Safety profile consistent with existing data… No impact on quality of life Treatment-emergent adverse events (TEAEs) were reported in 98.4% vs 96.6% of patients, with grade ≥ 3 events occurring in 50.7% vs 43.0%, respectively. The most common AEs were dry mouth (46.5%), fatigue, and nausea, which were mostly mild (Grade 1–2). Hematologic toxicities (anemia, neutropenia, thrombocytopenia) were more frequent in the combination group but were generally manageable. There were no significant differences between groups in quality of life measures (Fact-P, BPI-SF, etc.). Scott T. Tagawa, Weill Cornell Medicine, USA Professor Tagawa stated, “Combination therapy with Pluvicto plus ADT and ARPI significantly improved radiographic progression-free survival (rPFS) in PSMA-positive mHSPC patients. The effect was consistent across subgroups, safety was consistent with the existing profile, and no deterioration in patient quality of life was observed.” He further emphasized, “These results provide evidence that an early combination strategy with Pluvicto may offer clinical benefit.” Professor Ana C. Garrido-Castro (Dana-Farber Cancer Institute/Harvard Medical School), who served as a discussant in the same session, noted, “PSMAddition is the first large-scale Phase III trial demonstrating that PSMA-targeted radiotherapeutics achieve meaningful efficacy even in the hormone-sensitive stage.” PSMAddition demonstrated that Pluvicto has emerged as a candidate for a new standard of care as a combination therapy in the early stages of prostate cancer using radioligand therapy (RLT). These findings are expected to serve as key evidence supporting future label expansion into the hormone-sensitive setting.
Company
Eliquis 13%, Xarelto 49% of DOAC Generics mkt
by
Kim, Jin-Gu
Oct 21, 2025 06:19am
In Korea’s direct oral anticoagulant (DOAC) market, Eliquis (apixaban) generics have regained a 13% market share within a year of re-entering the market. However, that figure remains roughly half the level prior to their withdrawal. By contrast, Xarelto (rivaroxaban) generics have continued to expand their presence, reaching a 49% market share, has raised its market share to around 49%, poised to overtake the original. Analysis suggests that when Eliquis generics withdrew from the market, the focus shifted to Xarelto generics, making market penetration difficult for the Eliquis generics. 1 year after the re-entry of Eliquis generics... Market share around 13% According to the market research institution UBIST on the 20th, Eliquis generics recorded combined prescription sales of KRW 1.9 billion in Q3. Its market share in the apixaban-based DOAC treatment market stands at around 13%. Eliquis generics re-entered the DOAC market in Q4 last year. Eliquis generics initially entered the market in June 2019, when several companies launched products following first- and second-instance patent rulings in their favor. However, the situation reversed in April 2021 when the Supreme Court overturned the lower court rulings and sided with the originator, BMS. As a result, generic manufacturers immediately withdrew their products. This led to a three-and-a-half-year gap before their re-entry in September 2023, just ahead of the patent expiration on the apixaban compound. Quarterly prescriptions of Eliquis and Eliquis generics Since re-entering, Eliquis generics have struggled to regain momentum. Before withdrawal (in Q1 2021), total prescriptions had reached KRW 3.7 billion, representing a 24% share of the apixaban DOAC market. Compared to just before withdrawal, prescription sales are at half the level, and market share shows a difference exceeding 10% points. Although prescription sales have gradually increased since its market re-entry, evaluations indicate this growth falls short of expectations. Share of Xarelto generics' surged after Eliquis generics withdrawn from the market Analysis suggests that the market momentum shifted decisively toward Xarelto generics during Eliquis generics’ three-year absence, The first Xarelto generics were launched in Q2 2021, coinciding with the Supreme Court’s reversal in the Eliquis case. Although Xarelto’s substance patent did not expire until October 2021, five companies entered the market early. After patent expiry in Q4 2021, Xarelto generics rapidly expanded both prescription volume and market share. By Q1 2023, total prescriptions had reached KRW 3.7 billion, capturing over 30% of the rivaroxaban DOAC market. In Q3 this year, prescription sales further increased to KRW 7.2 billion. Its market share in the rivaroxaban market rose to around 49%. The pharmaceutical industry anticipates that it will soon surpass the original drug's market share. Quarterly prescriptions of major DOAC drugs in Korea Consequently, the positions of Eliquis generics and Xarelto generics have reversed. After Eliquis generics withdrew from the market due to the Supreme Court's reversal ruling, generic companies shifted their marketing focus to Xarelto generics, leading to increased prescription volume and market share, according to analysis. Reversed fortunes…Eliquis generic sales halted·focus on Xarelto generic sales intensifies In fact, some companies have not launched generics even after Eliquis' substance patent expired. Yuhan Corporation sold its Eliquis generic ‘Yuhan Apixaban’ before the Supreme Court ruling, achieving cumulative prescriptions worth over KRW 2.5 billion. However, it has stopped selling the product since the patent gap emerged. Instead, Yuhan has focused on selling its Xarelto generic ‘Yuhan Rivaroxaban’, achieving cumulative prescriptions worth KRW 3.3 billion. Hanmi Pharmaceutical made a similar shift, halting sales of its Eliquis generic ‘Apixban’ and focusing on its Xarelto generic, Riroxaban, which recorded KRW 2.2 billion in Q3 — the highest among all Xarelto generics. Chong Kun Dang and Samjin Pharmaceutical continue to market both Eliquis and Xarelto generics, though the latter’s performance is nearly twice as strong. Chong Kun Dang’s Eliquis generic Liquisia recorded KRW 600 million in Q3 prescriptions, compared to the KRW 1.2 billion made with its Xarelto generic Riroxia. Similarly, Samjin’s Eliquis generic Elxaban posted KRW 700 million, while its Xarelto generic Rivoxaban reached KRW 1.2 billion.
Policy
Parliamentary inspection of the MFDS to highlight
by
Lee, Jeong-Hwan
Oct 21, 2025 06:19am
President Lee Jae Myung During the upcoming parliamentary inspection of the Ministry of Food and Drug Safety (MFDS), the National Assembly is expected to highlight the need to increase the number of reviewers and support the formation of dedicated teams to provide customized approval services, all aimed at shortening the review period for domestically developed new drugs. This move follows President Lee Jae Myung's directive to increase the number of drug reviewers by 300 to foster the K-Bio industry. On October 20, both ruling and opposition members of the National Assembly's Health and Welfare Committee are focusing on the issue of increasing and expanding the new drug approval review staff, which is deemed necessary for developing the domestic pharmaceutical and bio-industry, during the MFDS parliamentary inspection scheduled for October 21. President Lee Jae Myung ordered the expansion of the new drug review workforce, including biopharmaceuticals, during the 2nd Core Regulation Rationalization Strategy Meeting held at the Presidential Office in Yongsan, Seoul, on October 16. President Lee specifically emphasized the increase in MFDS review staff, stating, "The Ministry of the Interior and Safety may object, asking why we are increasing the number of public officials, but let's disregard that and proceed." This was a response to MFDS Minister Yu-Kyoung Oh's previous announcement to significantly expand the review workforce and strengthen existing review services, including prior consultation, face-to-face consultation, and supplementary meetings, to transform the MFDS into a regulatory service agency centered on demand, focusing on the pharmaceutical companies seeking new drug approvals. Minister Oh requested an increase of 300 MFDS reviewers to accelerate the review process (targeting 240 days), a request which President Lee accepted. Members from the Democratic Party of Korea and the People Power Party on the Health and Welfare Committee agree on the need to improve the review environment for rapid domestic new drug marketing authorization. They are expected to pursue related questioning during the parliamentary inspection. Rep. Nam In-soon (Democratic Party) plans to highlight the necessity of increasing the hiring of not only pharmacists but also physicians for dedicated review roles, following President Lee and Minister Oh's push for expanded review staff. The increase of 300 MFDS reviewers requires an annual labor cost of KRW 15 billion, and the plan is to cover this cost by increasing review service fees. Members on the Health and Welfare Committee are expected to specifically question MFDS on its plan to secure the necessary funding by raising the review fees for both synthetic drugs and biopharmaceuticals. A Health and Welfare Committee official said, "The MFDS review staff, at about 300 people, is much smaller compared to the U.S. FDA's approximately 9,000 staff and the European EMA's approximately 4,000 staff," and added, "Given the future blueprint of creating domestic global new drugs and fostering global pharmaceutical companies, we plan to question the need to foster new drug approval review team and the specific policy direction."
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