强生宣布锐珂®（埃万妥单抗注射液）在华获批一线治疗EGFR 20号外显子插入突变的局部晚期或转移性非小细胞肺癌患者

2025/02/11

  强生公司宣布，旗下创新治疗药物锐珂®（埃万妥单抗注射液）正式获得国家药品监督管理局批准，与卡铂和培美曲塞联合给药，用于经检测确认携带表皮生长因子受体（EGFR）20号外显子插入突变的局部晚期或转移性非小细胞肺癌（NSCLC）成人患者的一线治疗[1]。此次获批标志着强生在华正式进军肺癌治疗领域，有望重新定义治疗标准、开创肺癌治疗的新时代。

  此次埃万妥单抗的获批是基于一项随机、开放标签、PAPILLON临床Ⅲ期研究结果。该研究表明，与单独化疗相比，埃万妥单抗联合化疗可将疾病进展或死亡风险降低61% [2]。基于PAPILLON临床试验结果，美国国家综合癌症网络（NCCN）《NCCN临床实践指南》推荐埃万妥单抗联合化疗作为EGFR 20号外显子插入突变非小细胞肺癌患者的首选一线治疗方案[3]。

  肺癌在我国所有恶性肿瘤中发病率和死亡率均居首位[4]。据统计，我国每年肺癌的新发病例超过100万例，占全球肺癌患者总数的三分之一以上[5],[6]。非小细胞肺癌是最常见的肺癌类型，约占所有肺癌的85%[7]。其中，EGFR基因突变是非小细胞肺癌中最常见的驱动基因，我国约有40%的患者携带这一突变类型[8]。目前有25%-40%的EGFR突变患者因病程进展严峻无法进入二线治疗[9],[10]。EGFR 20号外显子插入突变是第三大常见的突变类型[11]。通常，由该突变驱动的非小细胞肺癌相较于EGFR常见突变驱动的肺癌患者，其预后更差，生存期更短[12]。研究显示，携带EGFR 20号外显子插入突变的NSCLC患者对目前已获批上市的第三代EGFR-TKI靶向药物和化疗的疗效有限，患者普遍预后较差，面临生存期和生存质量的双重挑战[13],[14]。因此，在一线治疗阶段为患者提供更加有效的治疗方案至关重要。

  强生创新尊龙凯时中国区总裁Cherry Huang女士表示：“肺癌是中国第一大癌症，其治疗仍然存在很大的未满足需求，亟待更加有效的治疗方式。锐珂®的到来将为EGFR突变非小细胞肺癌患者带来更多生存希望，有望进一步重塑我国非小细胞肺癌治疗格局。此次获批也标志着强生在华正式进入肺癌领域，实现了在精准医疗领域的重要突破。深耕肿瘤领域30余年，强生始终站在癌症防治第一线，我们希望推动让肿瘤成为可控、可治的慢性疾病，并引领探索治愈肿瘤的可能。“

CP-502816, Approved Date: 2025-02-11

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