虎嗅

Small molecule pharmaceutical companies are targeting conjugated drugs.

原文:小分子药企围猎偶联药物

Summary in Plain Language

On September 3, a domestic innovative pharmaceutical company and Huang Medicine sold a new type of conjugated anti-cancer drug that had not yet entered human trials to the international pharmaceutical giant GSK for a total of up to $1.295 billion, with an upfront payment of $110 million. The significance of this transaction goes beyond being a simple case of “selling a research pipeline to earn foreign currency.” It marks the recognition by a global top pharmaceutical company of a differentiated approach developed by Chinese companies that have been focusing on small molecule anti-cancer drugs. This approach involves using their own developed targeted small molecules as the “warhead” for conjugated drugs, transforming what was once a theoretical concept into a commercially viable product.

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Detailed Explanation

1. The “abnormality” of this transaction is precisely what makes it so valuable

The usual logic in innovative drug transactions is that the later the project progresses, the higher the selling price. For “semi-finished molecules” that have only undergone laboratory tests on mice, the upfront payments made by domestic pharmaceutical companies have rarely exceeded tens of millions of dollars. GSK, as a leading global pharmaceutical company, would not pay such a high price for just a molecule that has not yet undergone human trials. Instead, they are interested in the entire innovative technology behind this conjugated drug approach, which avoids using traditional, highly toxic chemotherapy drugs as warheads and instead uses their own developed targeted small molecules. This represents a breakthrough from a standard, widely copied design to a unique and proprietary solution. By paying a substantial amount, GSK is acknowledging the entire differentiated approach, not just the individual project.

2. The transition of small molecule pharmaceutical companies to conjugated drugs is essentially about reusing valuable resources

Many may wonder why these companies, which have been successful in developing small molecule anti-cancer drugs, would venture into conjugated drugs. The main reason is that many highly effective small molecules have been shelved due to severe side effects. For example, a small molecule that can precisely inhibit tumor growth may harm normal cells if administered in high doses, rendering it ineffective. Conjugated drugs, with their antibody components that target tumor cells with nearly 99% accuracy, solve this problem by delivering the drug directly to the tumor while minimizing harm to healthy tissue. Companies like Addco Therapeutics’ STING agonists, which caused severe inflammation when injected directly, can now be effectively used in conjugated drugs to activate the immune system in tumors, addressing a challenge that PD-1 antibodies fail to address.

3. Their transition is not just a fad; it’s about turning years of investment into cash

These small molecule companies did not switch to conjugated drugs because of the current trend. They possess valuable assets that the conjugated drug industry lacks. The traditional approach to conjugated drugs involves using well-established targets and toxic chemotherapy drugs, resulting in over 2,000 similar products worldwide, most of which use similar microtubule inhibitors or TOP1 inhibitors. Companies with years of experience in small molecule research have three key advantages: a deep understanding of tumor signaling pathways, a large compound library with thousands of potential candidates, and the ability to modify molecules to suit conjugated drug requirements without causing side effects in the bloodstream. Their expertise makes them unique in a highly competitive market.

4. This transaction signals a shift in the global ADC (Conjugated Antibody Drug) competition

In the past, the competition focused on finding new targets and advancing clinical trials faster. However, this path is now dead-end, with thousands of similar products on the market. International companies are now investing in new technologies, such as Eli Lilly’s $300 million acquisition of a company that developed dual-loaded ADCs or Novartis’ $110 million purchase of an NMT inhibitor platform. The competition has shifted from “who can find the best target” to “who can develop more powerful and innovative warheads.” Chinese companies, with their expertise in small molecules, are well-positioned for this transition.

5. For patients, this innovation brings real therapeutic benefits

Many patients with advanced cancer who have developed resistance to traditional ADCs have few treatment options. The new conjugated drugs, with their unique mechanisms, offer additional treatment options. This innovation is not a copycat effort but a result of years of domestic research in small molecule drugs. It not only opens up opportunities for foreign currency earnings through licensing but also ensures that Chinese patients can access cheaper and more effective anti-cancer drugs without spending millions on imported drugs.