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百濟神州(688235.SH):百悦澤®在復發或難治性慢性淋巴細胞白血病/小淋巴細胞淋巴瘤成人患者中展示了優於伊布替尼的總緩解率

格隆匯4月11日丨百濟神州(688235.SH)公佈,公司公佈自主研發產品BTK抑制劑百悦澤®(澤布替尼膠囊)全球性3期臨牀試驗ALPINE究的最終緩解評估結果。獨立審查委員會確認百悦澤®在復發或難治性慢性淋巴細胞白血病/小淋巴細胞淋巴瘤成人患者中展示了優於伊布替尼的總緩解率

ALPINE研究是一項隨機、全球3期臨牀試驗(NCT03734016),旨在評估百悦澤®對比伊布替尼,用於治療既往經治的復發或難治性(R/R)慢性淋巴細胞白血病(CLL)/小淋巴細胞淋巴瘤(SLL)患者的效果。在此前公佈的ALPINE研究的期中分析中,百悦澤®已在試驗主要終點(即由研究者評估的總緩解率)顯示了優效性。此次最終緩解評估中,百悦澤®也達到了主要終點,在由獨立審查委員會(IRC)評估的總緩解率(ORR)方面展現了相比伊布替尼的優效性。百悦澤®對比伊布替尼,ORR結果分別為80.4%72.9%(雙側p=0.0264)。其中,ORR的定義為完全緩解(CR)和部分緩解(PR)數據的總和。ALPINE試驗在全球共入組652例患者,覆蓋歐洲(60%)、美國(17%)、中國(14%)、新西蘭和澳大利亞(9%)等多個國家和地區。試驗的中位隨訪時間為24.2個月。下一步計劃對ALPINE數據進行的分析無進展生存(PFS)最終分析。

ALPINE試驗數據顯示,百悦澤®總體耐受性良好,安全性結果與既往研究中的觀察一致。預先指定的安全性分析表明,百悦澤®組的房顫或房撲發生率始終較低。在中位隨訪時間為24.2個月時,百悦澤®和伊布替尼組的房顫或房撲發生率分別為4.6%(n=15)和12.0%(n=39)。兩個治療組中各有324例患者,其中,百悦澤®組有13.0%(n=42)患者因不良事件終止治療,而這一數值在伊布替尼治療組則17.6%(n=57)。百悦澤®與伊布替尼組中最常報吿的3以上級不良事件分別為中性粒細胞減少症(14.2% vs. 13.9%)、高血壓(12.7% vs. 10.2%)、感染性肺炎(4% vs. 7.4%)、中性粒細胞計數降低(4.3% vs. 4.0%)、COVID-19 肺炎(4.3% vs. 3.1%)。

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