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Innovent Biologics, Inc. (Innovent), a world-class biopharmaceutical company, announces that the second New Drug Application (NDA) of mazdutide, a glucagon-like peptide-1 receptor (GLP-1R) and glucagon receptor (GCGR) dual agonist, has been accepted by the Center for Drug Evaluation (CDE) of China’s National Medical Products Administration (NMPA) for the treatment of adults with type 2 diabetes (T2D). As the first GLP-1R/GCGR dual agonist to achieve success in phase 3 trials for T2D, mazdutide, once approved, is expected to provide a novel treatment option for the vast population of diabetic patients in China, with comprehensive benefits in glycaemic control, weight reduction and multiple metabolic benefits.
The NDA is mainly based on the results of two phase 3 clinical studies, which respectively evaluate the efficacy and safety of mazdutide as monotherapy (DREAMS-1, NCT05628311) and in combination with oral antidiabetic drugs (OADs) (DREAMS-2, NCT05606913) in Chinese patients with T2D. These studies demonstrate that mazdutide is superior to placebo or dulaglutide 1.5 mg in glycaemic control, weight reduction, and improvements on multiple cardiovascular and renal indicators. In both studies, the safety profile of mazdutide is similar to previous clinical studies and those of other GLP-1R agonists, with no new safety concerns. Detailed data will be published at academic conferences or in peer-reviewed journals.
Dr Lei Qian, vice president of clinical development of Innovent, stated, “We are glad that, following the acceptance of the first NDA for weight management, NDA of mazdutide for the treatment of T2D has also been accepted, with the support from regulatory authorities, investigators, and contributions from trial participants. As both a monotherapy and in combination with OADs, mazdutide demonstrates robust glucose-lowering and weight loss effects, together with multiple cardiovascular and renal benefits, as well as good safety and tolerability profiles. The results support the use of mazdutide as the first GLP-1R/GCGR dual agonist for the treatment of T2D. We will actively cooperate with the NMPA and look forward to providing better treatment option for T2D patients in China, helping them achieve glycaemic control, weight reduction, and cardio-renal benefits.”
According to the International Diabetes Federation's 2021 global overview of diabetes, China has the highest number of diabetes patients worldwide, with an estimation of 140 million in 2021 and over 174 million by 2045. Poor glycaemic control can lead to irreversible microvascular and macrovascular complications, such as decreased visual acuity, blindness, renal dysfunction, peripheral neuropathy, myocardial infarction, stroke and amputation. The high prevalence of diabetes, along with its serious complications, poses a significant threat to human health. At present, there are many therapeutic regimens for diabetes. In addition to effectively controlling blood glucose, the development of new hypoglycaemic drugs has begun to include the additional benefits of weight loss, cardiovascular risk reduction and kidney protection for patients with diabetes.
Innovent entered into an exclusive license agreement with Eli Lilly and Company (Lilly) for the development and potential commercialization of OXM3 (also known as mazdutide), a GLP-1R and GCGR dual agonist, in China. As a mammalian oxyntomodulin (OXM) analogue, mazdutide promotes insulin secretion, lowers blood glucose and reduces body weight similar to GLP-1 receptor agonists. Additionally, it may increase energy expenditure and improve hepatic fat metabolism by activating the glucagon receptor. Mazdutide has strong efficacy in weight loss and lowering glucose levels in clinical studies. It also offers multiple cardio-metabolic benefits, such as reducing waist circumference, blood lipids, blood pressure, blood uric acid, liver enzymes, and liver fat content, while improving insulin sensitivity.
Mazdutide has two NDAs accepted by China’s NMPA for review, including: For the chronic weight management in adults with obesity or overweight; For the glycemic control in adults with type 2 diabetes.
Currently, a total of five phase 3 studies of mazdutide are underway, including: Phase 3 study conducted in Chinese adults with overweight or obesity (GLORY-1); Phase 3 study conducted in Chinese adults with moderate to severe obesity (GLORY-2); Phase 3 study in newly treated Chinese patients with type 2 diabetes (DREAMS-1); Phase 3 study comparing mazdutide and dulaglutide in Chinese patients with type 2 diabetes (DREAMS-2); Phase 3 study comparing mazdutide and semaglutide in Chinese patients with type 2 diabetes and obesity (DREAMS-3).
Among them, GLORY-1, DREAMS-1 and DREAMS-2 have reached the study endpoints.
Innovent is a leading biopharmaceutical company founded in 2011 with the mission to provide high-quality biologics that are affordable to all. The company discovers, develops, manufactures and commercializes innovative medicines that treat some of the most intractable diseases.
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