HLX14, a denosumab biosimilar targeted for the treatment of postmenopausal osteoporosis in patients with a high risk of fractures, was approved by China’s National Medical Products Administration (NMPA).
Shanghai Henlius Biotech said its denosumab biosimilar (HLX14) has been approved by China’s National Medical Products Administration (NMPA) for the treatment of postmenopausal osteoporosis. The approval came just 2 months after the investigational new drug application for HLX14 was accepted for review by the NMPA.
Osteoporosis affects almost 70 million Chinese over the age of 50 and is responsible for 687,000 hip fractures each year, according to the International Osteoporosis Foundation. . A large number of cases are concentrated in postmenopausal women and elderly patients. Osteoporosis can lead to a higher risk of fractures, which can greatly affect a patient’s quality of life.
“At present, the rate of medical consultation and standardized treatment of osteoporosis is still low globally,” and the continual growth of the patient population constitutes an urgent need for treatment options, Henlius officials said in a statement.
Henlius followed biosimilar guidance issued by China and the European Medicines Agency (EMA) to complete head-to-head studies analyzing comparative pharmacology, pharmacokinetics, and biosimilarity between HLX14 and reference denosumab (Prolia).
Denosumab is a recombinant anti-RANKL human monoclonal antibody (mAb) injection that blocks the binding of RANKL receptors that regulate bone resorption, which in osteoporosis exceeds the rate of bone formation. Denosumab retards bone resorption, thereby favoring bone formation over bone resorption, leading to increased bone mass and a reduced risk of fractures.
Recently, Henlius announced that its bevacizumab biosimilar (HLX04) met primary end points in a phase 3 trial comparing the safety, efficacy, and immunogenicity compared with the reference product (Avastin).
Growing Osteoporosis Drug Market
In May, Daewon Pharmaceutical of Republic of Korea launched its teriparatide biosimilar, Terrosa, also for the treatment of osteoporosis in men and postmenopausal women with a high risk of fractures. Terrosa was the first teriparatide biosimilar launched in the Republic of Korea and the first biosimilar for Daewon.
Terrosa was approved by the EMA in 2017 and launched in that market in 2019. It is also available in the United States but not as a biosimilar.
Pfenex also has an approved teriparatide molecule that serves as a follow-on product to reference teriparatide Forsteo. In the United States, the company submitted a 505(b)(2) application for approval rather than an abbreviated Biologics License Application.
Eye on Pharma: Sandoz Files Antitrust Suit; Yuflyma Interchangeability; Costco’s Ustekinumab Pick
April 22nd 2025Sandoz's antitrust suit against Amgen, the FDA’s interchangeability designation for Celltrion’s adalimumab biosimilar, and the inclusion of an ustekinumab biosimilar in Costco’s prescription program highlight growing momentum to expand biosimilar access and affordability for patients with chronic inflammatory diseases.
How AI Can Help Address Cost-Related Nonadherence to Biologic, Biosimilar Treatment
March 9th 2025Despite saving billions, biosimilars still account for only a small share of the biologics market—what's standing in the way of broader adoption and how can artificial intelligence (AI) help change that?
President Trump Signs Executive Order to Bring Down Drug Prices
April 16th 2025To help bring down sky-high drug prices, President Donald Trump signed an executive order pushing for faster biosimilar development, more transparency, and tougher rules on pharmacy benefit managers—aiming to save billions and make meds more affordable for everyone.
Will the FTC Be More PBM-Friendly Under a Second Trump Administration?
February 23rd 2025On this episode of Not So Different, we explore the Federal Trade Commission’s (FTC) second interim report on pharmacy benefit managers (PBMs) with Joe Wisniewski from Turquoise Health, discussing key issues like preferential reimbursement, drug pricing transparency, biosimilars, shifting regulations, and how a second Trump administration could reshape PBM practices.
Latest Biosimilar Deals Signal Growth Across Immunology, Oncology Markets
April 14th 2025During Q1 2025, pharmaceutical companies accelerated biosimilar expansion through strategic acquisitions and partnerships in hopes of boosting patient access to lower-cost treatments in immunology and oncology.
Experts Pressure Congress to Remove Roadblocks for Biosimilars
April 12th 2025Lawmakers and expert witnesses emphasized the potential of biosimilars to lower health care costs by overcoming barriers like pharmacy benefit manager practices, limited awareness, and regulatory delays to improve access and competition in chronic disease management during a recent congressional hearing.