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RCS - Hutchmed China Ltd - HUTCHMED Completes Enrollment of Phase III Trial

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RNS Number : 9441V  Hutchmed (China) Limited  20 August 2025

Press Release

 

HUTCHMED Completes Patient Enrollment of SANOVO Phase III Trial of
ORPATHYS(®) and TAGRISSO(®) Combination as a First-Line Therapy for
Certain Lung Cancer Patients in China

Hong Kong, Shanghai & Florham Park, NJ -  Wednesday, August 20, 2025:
HUTCHMED (China) Limited ("HUTCHMED (https://www.hutch-med.com/) ")
(Nasdaq/AIM:HCM; HKEX:13) today announces the completion of patient enrollment
of SANOVO, a China Phase III study of ORPATHYS(®) (savolitinib) and
TAGRISSO(®) (osimertinib) as a first-line treatment in certain non-small cell
lung cancer ("NSCLC") patients whose tumors harbor epidermal growth factor
receptor ("EGFR") mutation and MET overexpression. The last patient was
enrolled on August 18, 2025.

 

This Phase III trial is a blinded, randomized, controlled study in previously
untreated patients with locally advanced or metastatic NSCLC with activating
EGFR mutations and MET overexpression. The study will evaluate the efficacy
and safety of TAGRISSO(®) in combination with ORPATHYS(®) comparing to
TAGRISSO(®) alone, a standard-of-care treatment option for these patients.
The primary endpoint of the study is progression free survival ("PFS") as
assessed by investigators. Other endpoints include PFS assessed by an
independent review committee, overall survival (OS), objective response rate
("ORR"), duration of response (DoR), disease control rate (DCR), time to
response (TTR), and safety. Additional details may be found at
clinicaltrials.gov, using identifier NCT05009836
(https://clinicaltrials.gov/ct2/show/NCT05009836) .

 

Topline results from the SANOVO study are estimated to be reported in the
second half of 2026, followed by submission of results for presentation at an
appropriate medical congress.  If favorable, the results would enable a
supplementary New Drug Application submission to China's National Medical
Products Administration ("NMPA").

 

ORPATHYS(®) is an oral, potent and highly selective MET tyrosine kinase
inhibitor ("TKI") being jointly developed by AstraZeneca and HUTCHMED and
commercialized by AstraZeneca. TAGRISSO(®) is a third-generation,
irreversible EGFR TKI.

 

About NSCLC and MET aberrations

Lung cancer is the leading cause of cancer death, accounting for about
one-fifth of all cancer deaths. 1  Lung cancer is broadly split into NSCLC and
small cell lung cancer, with 80-85% classified as NSCLC. 2  The majority of
NSCLC patients (approximately 75%) are diagnosed with advanced disease, and
approximately 10-15% of NSCLC patients in the US and Europe and up to 40-50%
of patients in Asia have EGFR-mutated ("EGFRm") NSCLC. 3 (, 4 , 5 , 6 , 7 )

 

MET is a tyrosine kinase receptor that has an essential role in normal cell
development. MET overexpression and/or amplification can lead to tumor growth
and the metastatic progression of cancer cells, and is one of the mechanisms
of de novo or acquired resistance to EGFR TKI for metastatic EGFRm
NSCLC. 8 (, 9 )

 

About ORPATHYS(®)

ORPATHYS(®) (savolitinib) is an oral, potent and highly selective MET TKI
that has demonstrated clinical activity in advanced solid tumors. It blocks
atypical activation of the MET receptor tyrosine kinase pathway that occurs
because of mutations (such as exon 14 skipping alterations or other point
mutations), gene amplification or protein overexpression.

 

ORPATHYS(®) is approved in China and is marketed by AstraZeneca for the
treatment of adult patients with locally advanced or metastatic NSCLC with MET
exon 14 skipping alteration, representing the first selective MET inhibitor
approved in China. ORPATHYS(®) is also approved in China for the treatment of
patients with locally advanced or metastatic EGFRm-positive non-squamous NSCLC
with MET amplification after disease progression on EGFR tyrosine kinase
inhibitor therapy, in combination with TAGRISSO(®).

 

It is currently under clinical development for multiple tumor types, including
lung, kidney, and gastric cancers as a single treatment and in combination
with other medicines.

 

About TAGRISSO(®)

TAGRISSO(®) (osimertinib) is a third-generation, irreversible EGFR-TKI with
proven clinical activity in NSCLC, including against central nervous system
(CNS) metastases. TAGRISSO(®) (40mg and 80mg once-daily oral tablets) has
been used to treat more than one million patients across its indications
worldwide and AstraZeneca continues to explore TAGRISSO(®) as a treatment for
patients across multiple stages of EGFRm NSCLC.

 

There is an extensive body of evidence supporting the use of TAGRISSO(®) in
EGFRm NSCLC, and it is the only targeted therapy shown to improve patient
outcomes across all stages of the disease.

 

In late-stage disease, TAGRISSO(®) demonstrated improved outcomes as
monotherapy in the FLAURA
(https://www.astrazeneca.com/media-centre/press-releases/2019/tagrisso-significantly-improves-overall-survival-in-the-phase-iii-flaura-trial-for-1st-line-egfr-mutated-non-small-cell-lung-cancer-09082019.html)
Phase III trial and in combination with chemotherapy in the FLAURA2
(https://www.astrazeneca.com/media-centre/press-releases/2023/tagrisso-plus-chemo-improved-pfs-in-lung-cancer.html)
Phase III trial. TAGRISSO(®) is also being investigated in this setting in
combination with ORPATHYS(®) (savolitinib) in the SAFFRON
(https://clinicaltrials.gov/study/NCT05261399) Phase III trial and in
combination with DATROWAY(®) (datopotamab deruxtecan or Dato-DXd) in
the TROPION-Lung14 (https://clinicaltrials.gov/study/NCT06350097) and
TROPION-Lung15 (https://clinicaltrials.gov/study/NCT06417814) Phase III
trials.

 

TAGRISSO(®) also showed improved outcomes in early-stage disease in the
NeoADAURA and ADAURA
(https://www.astrazeneca.com/media-centre/press-releases/2023/tagrisso-demonstrated-strong-overall-survival-benefit-in-the-adaura-phase-iii-trial.html)
Phase III trials and in locally advanced stages in the LAURA
(https://www.astrazeneca.com/media-centre/press-releases/2024/tagrisso-improved-pfs-in-stage-iii-lung-cancer.html)
Phase III trial. As part of AstraZeneca's ongoing commitment to treating
patients as early as possible in lung cancer, TAGRISSO(®) is also being
investigated in the early-stage adjuvant resectable setting in the ADAURA2
Phase III trial.

 

About ORPATHYS(®) and TAGRISSO(®) Combination Development in EGFR-mutated NSCLC

Among patients who experience disease progression following treatment with a
third-generation EGFR TKI, approximately 15-50% present with MET aberration,
depending on the sample type, detection method and assay cut-off used.
TAGRISSO(®) is a third-generation, irreversible EGFR-TKI with proven clinical
activity in NSCLC, including against central nervous system metastases.
Treatment with ORPATHYS(®) in combination with TAGRISSO(®) has been studied
extensively in these patients in the TATTON (NCT02143466
(https://clinicaltrials.gov/study/NCT02143466) ) and SAVANNAH (NCT03778229
(https://clinicaltrials.gov/study/NCT03778229#participation-criteria) )
studies. The encouraging results led to the initiation of several Phase III
trials in this setting including the SACHI trial in China (NCT05015608
(https://clinicaltrials.gov/study/NCT05015608) ) and the global SAFFRON trial
(NCT05261399 (https://www.clinicaltrials.gov/study/NCT05261399) ), as well as
the SANOVO trial in China (NCT05009836
(https://clinicaltrials.gov/study/NCT05009836) ).

 

This combination represents a promising chemotherapy-free oral treatment
strategy to address mechanisms of resistance in this advanced setting.
Positive data from the SACHI randomized Phase III trial led to the filing of a
third NDA in China
(https://www.hutch-med.com/orpathys-tagrisso-nda-acceptance-in-china-with-priority-review-status-for-lung-cancer-after-egfri/)
. Strong data from the SAVANNAH single-arm Phase II study was recently
presented at the European Lung Cancer Congress
(https://www.hutch-med.com/elcc25/) (ELCC) in March 2025 demonstrated high,
clinically meaningful and durable ORR, with consistent safety results. The
SAFFRON randomized Phase III trial is progressing. Following AstraZeneca's
consultation with the US Food and Drug Administration ("FDA"), we look forward
to completing the SAFFRON trial as soon as possible to support potential US
and other global registration filings.

 

SACHI: The SACHI China Phase III study evaluated the combination of
ORPATHYS(®) and TAGRISSO(®) for the treatment of patients with EGFRm,
MET-amplified locally advanced or metastatic NSCLC after progression on EGFR
TKI compared to platinum-based doublet chemotherapy. Results were presented at
the ASCO Annual Meeting in June 2025. Based on the data from the SACHI study,
the combination of ORPATHYS(®) and TAGRISSO(®) received approval from the
China NMPA for the treatment of patients with locally advanced or metastatic
EGFR mutation-positive non-squamous NSCLC with MET amplification after disease
progression on EGFR TKI therapy in June 2025.

 

SAFFRON: In 2023, ORPATHYS(®) and TAGRISSO(®) received Fast Track
Designation from the US FDA in this setting. The global SAFFRON Phase III
trial is currently ongoing to assess the ORPATHYS(®) plus TAGRISSO(®)
combination versus platinum-based doublet chemotherapy in patients with EGFRm,
MET-overexpressed and/or amplified, locally advanced or metastatic NSCLC
following progression on treatment with TAGRISSO(®). Patients are being
prospectively selected using the high MET level cut-off identified in
SAVANNAH.

 

About HUTCHMED

HUTCHMED (Nasdaq/AIM:HCM; HKEX:13) is an innovative, commercial-stage,
biopharmaceutical company. It is committed to the discovery and global
development and commercialization of targeted therapies and immunotherapies
for the treatment of cancer and immunological diseases. Since inception it has
focused on bringing drug candidates from in-house discovery to patients around
the world, with its first three medicines marketed in China, the first of
which is also approved around the world including in the US, Europe and Japan.
For more information, please visit: www.hutch‑med.com
(https://www.hutch-med.com/) or follow us on LinkedIn
(https://www.linkedin.com/company/hutchmed/) .

 

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of
the "safe harbor" provisions of the US Private Securities Litigation Reform
Act of 1995. These forward-looking statements reflect HUTCHMED's current
expectations regarding future events, including its expectations regarding the
therapeutic potential of ORPATHYS(®), the further clinical development for
ORPATHYS(®), its expectations as to whether any studies on ORPATHYS(®) would
meet their primary or secondary endpoints, and its expectations as to the
timing of the completion and the release of results from such studies.
Forward-looking statements involve risks and uncertainties. Such risks and
uncertainties include, among other things, assumptions regarding enrollment
rates and the timing and availability of subjects meeting a study's inclusion
and exclusion criteria; changes to clinical protocols or regulatory
requirements; unexpected adverse events or safety issues; the ability of
ORPATHYS(®), including as a combination therapy, to meet the primary or
secondary endpoint of a study, to obtain regulatory approval in other
jurisdictions and to gain commercial acceptance after obtaining regulatory
approval; the potential market of ORPATHYS(®) for a targeted indication; and
HUTCHMED and/or its partner's ability to fund, implement and complete its
further clinical development and commercialization plans for ORPATHYS(®), and
the timing of these events. In addition, as certain studies rely on the use of
other drug products such as TAGRISSO(®) as combination therapeutics with
ORPATHYS(®), such risks and uncertainties include assumptions regarding the
safety, efficacy, supply and continued regulatory approval of these
therapeutics. Existing and prospective investors are cautioned not to place
undue reliance on these forward-looking statements, which speak only as of the
date hereof. For further discussion of these and other risks, see HUTCHMED's
filings with the US Securities and Exchange Commission, The Stock Exchange of
Hong Kong Limited and on AIM. HUTCHMED undertakes no obligation to update or
revise the information contained in this press release, whether as a result of
new information, future events or circumstances or otherwise.

Medical Information

This press release contains information about products that may not be
available in all countries, or may be available under different trademarks,
for different indications, in different dosages, or in different strengths.
Nothing contained herein should be considered a solicitation, promotion or
advertisement for any prescription drugs including the ones under development.

 

CONTACTS
 Investor Enquiries                                  +852 2121 8200 / ir@hutch-med.com (mailto:ir@hutch-med.com)

 Media Enquiries
 FTI Consulting -                                    +44 20 3727 1030 / HUTCHMED@fticonsulting.com
                                                     (mailto:HUTCHMED@fticonsulting.com)
    Ben Atwell / Alex Shaw                              +44 7771 913 902 (Mobile) / +44 7779 545 055 (Mobile)
 Brunswick - Zhou Yi                                 +852 9783 6894 (Mobile) / HUTCHMED@brunswickgroup.com
                                                     (mailto:HUTCHMED@brunswickgroup.com)

 Panmure Liberum                                     Nominated Advisor and Joint Broker
 Atholl Tweedie / Emma Earl / Rupert Dearden         +44 20 7886 2500

 Cavendish                                           Joint Broker
 Geoff Nash / Nigel Birks                            +44 20 7220 0500

 Deutsche Numis                                      Joint Broker
 Freddie Barnfield / Jeffrey Wong / Duncan Monteith  +44 20 7260 1000

 

 1   World Health Organization. International Agency for Research on Cancer.
All cancers fact sheet. Available at:
https://gco.iarc.fr/today/-data/factsheets/cancers/39-All-cancers-fact-sheet.pdf
(https://gco.iarc.fr/today/data/factsheets/cancers/39-All-cancers-fact-sheet.pdf)
. Accessed November 2022.

 2   American Cancer Society. What is Lung Cancer? Available at:
https://www.cancer.org/cancer/lung-cancer/about/what-is.html
(https://www.cancer.org/cancer/lung-cancer/about/what-is.html) . Accessed
November 2022.

 3  Knight SB, et al. Progress and prospects of early detection in lung
cancer. Open Biol. 2017;7(9): 170070.

 4  Keedy VL, et al. American Society of Clinical Oncology Provisional
Clinical Opinion: Epidermal Growth Factor Receptor (EGFR) Mutation Testing for
Patients with Advanced Non-Small-Cell Lung Cancer Considering First-Line EGFR
Tyrosine Kinase Inhibitor Therapy. J Clin Oncol. 2011:29;2121-27.

 5  Zhang Y, et al. The prevalence of EGFR mutation in patients with non-small
cell lung cancer: a systematic review and meta-analysis. Oncotarget.
2016;7(48).

 6  Szumera-Ciećkiewicz A, et al. EGFR Mutation Testing on Cytological and
Histological Samples in 11. Non-Small Cell Lung Cancer: a Polish, Single
Institution Study and Systematic Review of European Incidence. Int J Clin
Exp Pathol. 2013:6;2800-12.

 7  Gou LY, et al. Prevalence of driver mutations in non-small-cell lung
cancers in the People's Republic of China. Lung Cancer: Targets and Therapy.
2014; 5; 1-9.

 8  Uchikawa E, et al. Structural basis of the activation of c-MET receptor.
Nat Commun. 2021;12(4074).

 9  Wang Q, et al. MET inhibitors for targeted therapy of EGFR TKI-resistant
lung cancer. Journal of Hematology & Oncology. 2019;63.

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