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DRUG:

Hetronifly (serplulimab)

i
Other names: HLX10, HLX 10, HLX-10
Company:
Fosun Pharma, Intas, PT Kalbe Farma
Drug class:
PD1 inhibitor
Related drugs:
3d
Combined treatment of small cell lung cancer using radiotherapy and immunotherapy: Challenges and updates. (PubMed, Biomed Pharmacother)
Atirizumab, duvalizumab, atezolizumab, and serplulimab can significantly improve the clinical outcomes of SCLC. Finally, we clarified that the emerging trend of low-dose radiotherapy help overcome the inhibitory signals that limit T-cell infiltration in the tumor matrix. In summary, considering the rapid development of this field, these combined therapy strategies may have unlimited potential to further improve the efficacy of radiotherapy combined with immunotherapy for patients.
Review • Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
|
PD-L1 (Programmed death ligand 1) • TMB (Tumor Mutational Burden)
|
Tecentriq (atezolizumab) • Imfinzi (durvalumab) • Hetronifly (serplulimab)
8d
Serplulimab With Chemoradiotherapy for Postoperative Cervical Cancer With Risk Factors (clinicaltrials.gov)
P2, N=134, Recruiting, Tianjin Medical University Cancer Institute and Hospital
New P2 trial
|
cisplatin • albumin-bound paclitaxel • Hetronifly (serplulimab)
10d
Serplulimab Combined with CAPEOX + Celecoxib As Neoadjuvant Treatment for Locally Advanced Rectal Cancer (clinicaltrials.gov)
P2, N=50, Recruiting, Zhejiang University | Trial completion date: Feb 2025 --> Dec 2025 | Trial primary completion date: Feb 2024 --> Dec 2025
Trial completion date • Trial primary completion date • Metastases
|
capecitabine • oxaliplatin • Hetronifly (serplulimab) • celecoxib oral
15d
New P1 trial • Metastases
|
Hetronifly (serplulimab)
29d
ASTRIDE: To Evaluate Efficacy and Safety of Serplulimab + Chemotherapy (Carboplatin- Etoposide) in US Patients With ES-SCLC (clinicaltrials.gov)
P3, N=200, Recruiting, Shanghai Henlius Biotech | Trial primary completion date: Oct 2024 --> Apr 2025
Trial primary completion date
|
Tecentriq (atezolizumab) • carboplatin • etoposide IV • Hetronifly (serplulimab)
1m
New P2 trial
|
Keytruda (pembrolizumab) • Opdivo (nivolumab) • cisplatin • Tagrisso (osimertinib) • Tecentriq (atezolizumab) • Ibrance (palbociclib) • Zelboraf (vemurafenib) • Imfinzi (durvalumab) • gemcitabine • Rozlytrek (entrectinib) • imatinib • 5-fluorouracil • Tyvyt (sintilimab) • Alecensa (alectinib) • Nerlynx (neratinib) • Loqtorzi (toripalimab-tpzi) • AiRuiKa (camrelizumab) • Tevimbra (tislelizumab-jsgr) • Irene (pyrotinib) • Balversa (erdafitinib) • albumin-bound paclitaxel • irinotecan • Orpathys (savolitinib) • epirubicin • vinorelbine tartrate • Partruvix (pamiparib) • Epkinly (epcoritamab-bysp) • Hetronifly (serplulimab) • Enweida (envafolimab) • Vumon (teniposide) • Ariely (adebrelimab)
1m
Serplulimab Combined with Chemotherapy in Patients with Resectable Esophageal Squamous Cell Carcinoma (clinicaltrials.gov)
P2, N=48, Active, not recruiting, Second Affiliated Hospital, School of Medicine, Zhejiang University | Recruiting --> Active, not recruiting
Enrollment closed
|
carboplatin • albumin-bound paclitaxel • Hetronifly (serplulimab)
1m
SUPER BRAIN: Study to Evaluate the Safety and Efficacy of Serplulimab Plus Bevacizumab and Chemotherapy in NSCLC Patients With Brain Metastases (clinicaltrials.gov)
P2/3, N=40, Completed, Sun Yat-sen University | Not yet recruiting --> Completed | N=30 --> 40 | Trial completion date: Mar 2025 --> May 2024 | Trial primary completion date: Mar 2025 --> Mar 2024
Trial completion • Enrollment change • Trial completion date • Trial primary completion date • Combination therapy
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Avastin (bevacizumab) • Hetronifly (serplulimab)
1m
Enrollment open • Metastases
|
PD-L1 (Programmed death ligand 1)
|
Hetronifly (serplulimab)
1m
Insights into the mechanisms of serplulimab: a distinctive anti-PD-1 monoclonal antibody, in combination with a TIGIT or LAG3 inhibitor in preclinical tumor immunotherapy studies. (PubMed, MAbs)
We characterized the differences between serplulimab with approved PD-1/PD-L1 inhibitors (pembrolizumab and nivolumab) in terms of their binding features and functions in vitro and anti-tumor activity in vivo. Mechanistically, the serplulimab combination effectively reduces tumor microenvironment Treg cell populations, augments effector and memory T cell populations, and more potently modulates genes associated with diverse facets of the immune system, surpassing the effects of the pembrolizumab combination. In summary, our data underscore serplulimab as a differentiated PD-1 monoclonal antibody with best-in-class therapeutic potential.
Preclinical • Journal • Combination therapy
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LAG3 (Lymphocyte Activating 3) • TIGIT (T Cell Immunoreceptor With Ig And ITIM Domains 2)
|
Keytruda (pembrolizumab) • Opdivo (nivolumab) • Hetronifly (serplulimab)
2ms
Evaluate the Efficacy, Safety and Tolerability of HLX26 and Serplulimab in Patients with MCRC (clinicaltrials.gov)
P2, N=2, Terminated, Shanghai Henlius Biotech | N=49 --> 2 | Trial completion date: Apr 2026 --> Dec 2023 | Suspended --> Terminated | Trial primary completion date: Aug 2024 --> Dec 2023; Due to poor clinical trial accrual, the study was terminated.
Enrollment change • Trial completion date • Trial termination • Trial primary completion date • Combination therapy
|
KRAS (KRAS proto-oncogene GTPase) • BRAF (B-raf proto-oncogene)
|
BRAF mutation • KRAS wild-type • RAS wild-type
|
Hetronifly (serplulimab) • HLX26
2ms
First reported advanced pancreatic cancer with hyperprogression treated with PD-1 blockade combined with chemotherapy: a case report and literature review. (PubMed, Discov Oncol)
Herein, we describe the case of a 59-year-old male with metastatic pancreatic ductal adenocarcinoma, referred to our center to receive immunotherapy (serplulimab, a novel anti-PD-1 antibody) combined with chemotherapy (gemcitabine/nab-paclitaxel). We investigated the potential mechanisms and reviewed the latest literature on predictive factors for HPD. These findings suggest that while chemotherapy combined with immunotherapy may hold promise for treating pancreatic cancer, it is imperative to identify and closely monitor patients with high-risk factors for HPD when using immunotherapy.
Review • Journal • Metastases
|
MDM4 (The mouse double minute 4)
|
MDM4 amplification
|
gemcitabine • albumin-bound paclitaxel • Hetronifly (serplulimab)
2ms
Case report: Emerging therapies for transformed small cell lung cancer: efficacy of serplulimab and a comprehensive case report. (PubMed, Front Med (Lausanne))
Given the limited therapeutic options, the patient was administered a serplulimab-based immunochemotherapy regimen, achieving a progression-free survival (PFS) of 6 months post-transformation. The study underscores the potential of PD-1 inhibitors, particularly serplulimab, in the treatment landscape for T-SCLC and highlights the need for future comprehensive research.
Journal
|
EGFR (Epidermal growth factor receptor)
|
Hetronifly (serplulimab)
3ms
Serplulimab Plus Chemotherapy for Early-stage ER+/HER2- Breast Cancer (clinicaltrials.gov)
P2, N=109, Recruiting, Henan Cancer Hospital | Not yet recruiting --> Recruiting
Enrollment open • IO biomarker
|
PD-L1 expression
|
albumin-bound paclitaxel • epirubicin • Hetronifly (serplulimab)
3ms
Biomarker Based Neoadjuvant Strategies for Locally Advanced Resectable ESCC (clinicaltrials.gov)
P2, N=90, Recruiting, Fujian Medical University Union Hospital
New P2 trial • Metastases
|
PD-L1 (Programmed death ligand 1)
|
cisplatin • paclitaxel • Hetronifly (serplulimab)
3ms
New trial
|
Hetronifly (serplulimab)
3ms
New P2 trial • Combination therapy • Metastases
|
Hetronifly (serplulimab)
4ms
New trial
|
Hetronifly (serplulimab)
4ms
New P2 trial • Metastases
|
PD-L1 (Programmed death ligand 1)
|
albumin-bound paclitaxel • oxaliplatin • Hetronifly (serplulimab) • Teysuno (gimeracil/oteracil/tegafur)
4ms
HLX10-020-SCLC302: A Study to Evaluate the Efficacy and Safety of Serplulimab in Combination With Chemotherapy and Concurrent Radiotherapy in Patients With Limited-Stage Small Cell Lung Cancer (clinicaltrials.gov)
P3, N=482, Recruiting, Shanghai Henlius Biotech | Trial completion date: Jun 2026 --> Dec 2026 | Trial primary completion date: Dec 2024 --> Jul 2025
Trial completion date • Trial primary completion date • Combination therapy
|
cisplatin • carboplatin • etoposide IV • Hetronifly (serplulimab)
4ms
Serplulimab Combined With Chemotherapy in Patients With Resectable Non-small-cell Lung Cancer (clinicaltrials.gov)
P2, N=30, Recruiting, Second Affiliated Hospital, School of Medicine, Zhejiang University | N=55 --> 30
Enrollment change
|
carboplatin • albumin-bound paclitaxel • Hetronifly (serplulimab)
4ms
Efficacy and Safety of Serplulimab With Chemotherapy and Aspirin in Untreated Extensive-Stage Small Cell Lung Cancer (clinicaltrials.gov)
P2, N=43, Not yet recruiting, Daping Hospital and the Research Institute of Surgery of the Third Military Medical University
New P2 trial • Combination therapy
|
cisplatin • carboplatin • Hetronifly (serplulimab) • aspirin
4ms
New P2 trial • Metastases
|
BRAF (B-raf proto-oncogene)
|
Hetronifly (serplulimab) • pimurutamab (HLX07)
5ms
New P2 trial • Metastases
|
Hetronifly (serplulimab) • Sulanda (surufatinib)
5ms
Navigating first-line therapies for extensive-stage small-cell lung cancer: a frequentist network meta-analysis and systematic review. (PubMed, Future Oncol)
Our analysis showed that the PD-1/PD-L1 + etoposide combined with platinum (EP) and PD-L1 + vascular endothelial growth factor (VEGF) + EP regimens significantly enhanced overall survival and progression-free survival, with subgroup analysis revealing that serplulimab ranked as the most promising option for improving overall survival. Integrating anti-angiogenesis drugs into immunochemotherapy presents potential benefits, with an increased incidence of adverse events necessitating further investigation. Our findings offer valuable insights for future research and for developing more effective treatment strategies for ES-SCLC, underscoring the critical need for continued innovation in this therapeutic area.
Retrospective data • Review • Journal
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PD-L1 (Programmed death ligand 1) • PD-1 (Programmed cell death 1)
|
etoposide IV • Hetronifly (serplulimab)
5ms
Phase I/II Clinical Study of PRaG Regimen Combined With Intraperitoneal Infusion of PD-1 Inhibitor for Advanced Refractory Solid Tumors With Cancerous Ascites (PRaG4.0P Study). (PubMed, Technol Cancer Res Treat)
This proposed study aims to investigate the safety and efficacy of intraperitoneal infusion of serplulimab in combination with the PRaG regimen in patients with simultaneous advanced solid tumors and cancerous ascites who fail at least the first-line treatment...The dose of intraperitoneal infusion of PD-1 inhibitor for phase II will be determined according to dose-limiting toxicity evaluation in the phase I study. This prospective, open-label, multicenter study will potentially lead to intraperitoneal perfusion of a PD-1 inhibitor being a new strategy for malignant ascites patients and provide a meaningful efficacy and safety of the combination of PRaG regimen with an intraperitoneal infusion of PD-1 inhibitor for these patients.
Clinical • P1/2 data • Journal • Metastases
|
CSF2 (Colony stimulating factor 2)
|
Hetronifly (serplulimab)
5ms
Efficacy and safety evaluation of frontline immunotherapy combinations in advanced esophageal squamous cell carcinoma: a network meta-analysis highlighting the value of PD-L1 expression positivity scores. (PubMed, Front Immunol)
In advanced ESCC patients irrespective of PD-L1 expression, both sintilimab-chemotherapy and toripalimab-chemotherapy regimens demonstrated comparable OS benefits (HR=0.92, 95% CI: 0.64-1.33)...Notably, camrelizumab-chemotherapy (HR=0.83, 95% CI: 0.59-1.16) and nivolumab-ipilimumab (HR=0.84, 95% CI: 0.60-1.17) demonstrated significant safety profiles over chemotherapy alone...Among patients with PD-L1 expression ≥10%, camrelizumab-chemotherapy (HR=0.52, 95% CI: 0.35-0.78) emerged as the most efficacious in improving OS, while serplulimab-chemotherapy (HR=0.48, 95% CI: 0.34-0.68) was associated with the longest PFS benefit...Since most of the patients in this study originated from Asia, the above findings are more applicable to the Asian population. https://www.crd.york.ac.uk/prospero/, identifier CRD42024504992.
Clinical • Retrospective data • Review • Journal • PD(L)-1 Biomarker • IO biomarker • Metastases
|
PD-L1 (Programmed death ligand 1)
|
Opdivo (nivolumab) • Yervoy (ipilimumab) • Tyvyt (sintilimab) • Loqtorzi (toripalimab-tpzi) • AiRuiKa (camrelizumab) • Hetronifly (serplulimab)
5ms
A Phase 1 Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Advanced Solid Tumors (clinicaltrials.gov)
P1, N=162, Recruiting, MediLink Therapeutics (Suzhou) Co., Ltd. | Not yet recruiting --> Recruiting
Enrollment open • Combination therapy • Metastases
|
Hetronifly (serplulimab) • YL201
5ms
Serplulimab Combined With CCRT for LS-SCLC. (clinicaltrials.gov)
P2, N=96, Recruiting, Peking Union Medical College Hospital | Not yet recruiting --> Recruiting
Enrollment open • IO biomarker
|
cisplatin • carboplatin • Tyvyt (sintilimab) • etoposide IV • Hetronifly (serplulimab)
5ms
New P2 trial
|
EGFR (Epidermal growth factor receptor) • ALK (Anaplastic lymphoma kinase) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
|
docetaxel • Tyvyt (sintilimab) • Hetronifly (serplulimab)
5ms
New P2/3 trial
|
PD-L1 (Programmed death ligand 1)
|
Hetronifly (serplulimab)
5ms
Enrollment open
|
gemcitabine • albumin-bound paclitaxel • Hetronifly (serplulimab)
5ms
Case report: Disitamab vedotin combined with immunotherapy demonstrated excellent efficacy in scrotal Paget's disease with Her-2 overexpression. (PubMed, Front Immunol)
This patient received disitamab vedotin (an antibody-drug conjugate, targeting Her-2) combined with serplulimab as first-line treatment. Disitamab vedotin combined with immunotherapy demonstrated a long-term clinical benefit in advanced Her-2-positive EMPD. For rare solid tumors with Her-2 overexpression, disitamab vedotin combined with immunotherapy might offer a viable therapeutic choice.
Journal • IO biomarker
|
HER-2 (Human epidermal growth factor receptor 2)
|
Aidixi (disitamab vedotin) • Hetronifly (serplulimab)
5ms
New P2 trial • Combination therapy • Metastases
|
oxaliplatin • Hetronifly (serplulimab)
5ms
Cost-effectiveness analysis of first-line serplulimab plus chemotherapy for advanced squamous non-small-cell lung cancer in China: based on the ASTRUM-004 trial. (PubMed, Expert Rev Pharmacoecon Outcomes Res)
Presently, the probability of serplulimab plus chemotherapy being cost-effective was 14.15%. Compared with placebo plus chemotherapy, serplulimab plus chemotherapy might not be cost-effective in the first-line treatment for advanced sqNSCLC.
Journal • HEOR • PD(L)-1 Biomarker • Cost-effectiveness • Cost effectiveness • Metastases
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PD-L1 (Programmed death ligand 1)
|
Hetronifly (serplulimab)
5ms
New P2 trial • Metastases
|
BRAF (B-raf proto-oncogene)
|
5-fluorouracil • oxaliplatin • leucovorin calcium • Hetronifly (serplulimab)
6ms
First-line serplulimab plus chemotherapy versus chemotherapy in PD-L1-positive esophageal squamous-cell carcinoma: a cost-effectiveness analysis. (PubMed, Sci Rep)
Patients with PD-L1-positive esophageal squamous-cell carcinoma (ESCC) were significantly more likely to survive when treated with serplulimab plus cisplatin plus 5-fluorouracil (serplulimab-CF). There was no cost-effectiveness in general regions of China for serplulimab-CF in PD-L1-positive ESCC compared to CF, although it is probably considered cost-effective in affluent regions. Serplulimab-CF may achieve favorable cost-effectiveness by lowering the price of serplulimab.
Journal • HEOR • PD(L)-1 Biomarker • IO biomarker • Cost-effectiveness • Cost effectiveness
|
PD-L1 (Programmed death ligand 1)
|
cisplatin • 5-fluorouracil • Hetronifly (serplulimab)
6ms
Phase classification
|
Tecentriq (atezolizumab) • carboplatin • etoposide IV • Hetronifly (serplulimab)
6ms
New trial
|
carboplatin • etoposide IV • Hetronifly (serplulimab)
6ms
Phase classification
|
Tecentriq (atezolizumab) • carboplatin • etoposide IV • Hetronifly (serplulimab)
6ms
Phase II Clinical Study to Compare the Efficacy and Safety of HLX07 + Serplulimab +Chemotherapy Versus Placebo + Serplulimab + Chemotherapy in First-Line Treatment of Patients With Recurrent or Metastatic NPC (clinicaltrials.gov)
P2, N=75, Active, not recruiting, Shanghai Henlius Biotech | Recruiting --> Active, not recruiting | Trial primary completion date: Jun 2024 --> Sep 2024
Enrollment closed • Trial primary completion date • Metastases
|
cisplatin • Hetronifly (serplulimab) • pimurutamab (HLX07)
6ms
First-line serplulimab in metastatic colorectal cancer: Phase 2 results of a randomized, double-blind, phase 2/3 trial. (PubMed, Med)
Serplulimab plus HLX04 and XELOX exhibits promising efficacy and is safe and tolerable in patients with treatment-naive mCRC.
Clinical • P2/3 data • Journal • Metastases
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MSI (Microsatellite instability)
|
Avastin (bevacizumab) • capecitabine • oxaliplatin • Hetronifly (serplulimab) • Hanbeitai (bevacizumab biosimilar)