Summary of Conference Call Notes Industry Overview - The conference focuses on the innovative pharmaceutical sector, particularly the PD-(L)1 Plus treatment landscape, which is becoming a competitive area for overseas pharmaceutical companies [1][2]. Key Insights and Arguments - **Market Performance**: The pharmaceutical sector has shown strong performance recently, with significant volatility in innovative drugs. The core stocks have remained relatively stable during adjustments, driven by short-term trading dynamics [3]. - **Investment Outlook**: There is a strong bullish sentiment towards the innovative drug market, supported by solid underlying logic and clear industry trends. Key innovative drug targets, especially those with BD expectations or PD-1 Plus logic, are expected to perform well even during market corrections [3]. - **Investment Strategy**: Four main investment lines are recommended: Chinese supermarkets, generic drug opportunities, re-evaluation of small-cap pipelines, and large overseas pharmaceuticals. The strategy includes a combination of buying and random rotation for explosive growth [3]. - **Focus Areas**: Attention is drawn to the PD-1 Plus logic, particularly the potential upgrade from PD-1/VEGF to PD-1/IL-2. Upcoming opportunities related to the ADA conference in late June and advancements in medical technology (brain-computer interfaces, rehabilitation robots, AI in healthcare) are highlighted [3]. - **2025 Outlook**: Optimism prevails for the pharmaceutical sector, with expectations of a structural bull market. Focus areas include innovative drugs, new technologies, and industry restructuring [3]. Clinical Data Insights - **Sinda's PD-1/IL-2 (IBI363) Data**: - In non-small cell lung cancer (wild-type), the 1-1.5 mg/kg group showed an ORR of 25.9% and a median OS of 15.3 months, while the 3 mg/kg group had an ORR of 36.7% and a median PFS of 9.3 months, suggesting a potential median OS of 20-25+ months [3]. - In lung adenocarcinoma (wild-type), the low-dose group (0.6/1.5 mg/kg) had an ORR of 13.08% and a median PFS of 2.7 months, while the high-dose group (3 mg/kg) showed an ORR of 24% and a median PFS of 5.6 months, with a potential median OS of 25-30 months [3]. - The data indicates a high OS/PFS ratio, particularly in lung adenocarcinoma, which is rare and suggests a potential to limit metastatic tumors [3][4]. Competitive Landscape - **PD-1 Plus Market**: The PD-(L)1 market is substantial, estimated at around $40 billion, and is undergoing innovation. Major multinational corporations are actively investing in PD-1 Plus, contributing to rising upfront payments in business development [6]. - **Key Companies to Watch**: Notable companies in the PD-1 Plus space include Sinda, Hengrui, BeiGene, Kangfang Biotech, Rongchang Biotech, Aosaikang, and Zhimeng Junshi [6]. Sector-Specific Updates - **Innovative Drugs**: The index for innovative drugs rose by 0.34% last week, with a positive long-term outlook driven by clinical data and business development catalysts [6]. - **Generic Drugs**: The index increased by 1.69%, outperforming the pharmaceutical index. Key events include the approval of a compound release tablet by Shenda and the acceptance of a conditional listing application for a hemophilia drug [6]. - **Traditional Chinese Medicine & Pharmacies**: The Chinese medicine index rose by 0.39%, while pharmacies increased by 1.67%, with a focus on policy impacts and operational strategies [6]. - **Medical Devices**: The medical device index rose by 1.11%, with attention on equipment updates and market recovery [6]. - **Life Sciences**: The life sciences sector saw an average increase of 1.47%, with a focus on operational recovery and investment trends [6]. Additional Considerations - **Stock Selection**: Emphasis on companies with clean shareholding structures, low stock prices, and positive future operational trends. Monitoring monthly operational data and overall consumption data is crucial [7].

Core Viewpoint - The current "medication" market rally is distinct from previous ones, with leading gains concentrated in innovative pharmaceutical companies, particularly strong performance in the Hong Kong stock market [1][2] Group 1: Market Performance - On June 9, both Hong Kong and A-share innovative pharmaceutical sectors saw significant gains, with the Hang Seng Innovative Drug ETF rising by 4.08% and the Hong Kong Stock Connect Medical ETF increasing by 4.25% [3] - Notable individual stock performances included 3SBio (01530.HK) reaching a peak of 22.5 HKD, just shy of its historical high, and a 260% increase in its stock price since February [3] - The A-share innovative drug index rose by 31.5% and the Hong Kong innovative drug index surged by 61.54% since April 9, with several stocks doubling in value [4] Group 2: Catalysts for Growth - The surge in innovative drug stocks is attributed to multiple factors, including recent approvals for 11 innovative drugs from eight companies and promising clinical data for major diseases [5] - The upcoming 2025 ASCO annual meeting will feature 73 research studies from China, a 30% increase from the previous year [5] Group 3: Long-term Positive Factors - Many leading companies are approaching breakeven points, with significant revenue growth reported, particularly for Ascentage Pharma (332.31% growth) [7][8] - The overseas licensing deals have seen substantial increases, with a record-breaking deal of 6.05 billion USD for 3SBio's drug rights to Pfizer [9] - The overall licensing-out transactions in the innovative drug sector have surged, with 41 transactions in Q1 2024 alone, totaling 36.93 billion USD [9] Group 4: Policy Support - Recent policy changes are favorable for innovative drug companies, including optimized centralized procurement policies and increased support for innovative drugs in government reports [10] - The 2024 government work report includes 38 new innovative drugs in the medical insurance catalog, the highest ever, with plans for further optimization in 2025 [10] Group 5: Market Outlook - The valuation of the pharmaceutical sector remains relatively safe compared to other growth industries, with a current TTM P/E ratio of 27.1 times [11] - Some analysts suggest that the innovative drug sector is transitioning from following to leading in the global market, indicating a new era for domestic innovation [11] - However, there are concerns about potential short-term volatility due to rapid price increases and profit-taking by investors [11]

Core Viewpoint - The Chinese pharmaceutical industry is transitioning from "generic drugs" to "innovative drugs," creating a golden development period for companies with core R&D capabilities, driven by policy support, capital influx, and market demand [1] Group 1: Reasons for Optimism in the "Innovative Drug" Sector - Policy Benefits: National strategic support for the shift from "generic" to "innovative" drugs [1] - Market Demand: Aging population and consumption upgrades ensure strong long-term growth [1] - Technological Breakthroughs: Chinese innovative drugs are gradually moving towards global markets, with companies like BeiGene achieving overseas licensing [1] Group 2: Notable A-Share Innovative Drug Companies - Hengrui Medicine (600276): Leading innovative drug company with the highest R&D investment in China, exceeding 6 billion in 2023, covering oncology, autoimmune diseases, and metabolic diseases [3] - BeiGene (688235): A benchmark for Chinese innovative drugs going global [5] - Innovent Biologics (01801.HK): One of the "PD-1 Four Little Dragons" with a rich pipeline [5] - Rongchang Biologics (688331): Leader in the ADC sector [7] - Kelun Pharmaceutical (002422): Transitioning from an infusion leader to innovative drugs [7] - East China Pharmaceutical (000963): Driven by both medical aesthetics and innovative drugs [7] - Kangfang Biologics (09926.HK): Leader in the dual antibody sector [7] Group 3: Market Trends and Dynamics - Accelerated inclusion of innovative drugs in medical insurance, leading to explosive sales growth [4] - New listing regulations for the Sci-Tech Innovation Board/B-shares allow unprofitable biotech companies to go public, improving the financing environment [4] - The aging population in China exceeds 280 million, with increasing treatment demands for diseases like cancer, diabetes, and cardiovascular issues [4] - Rising per capita medical expenditure and enhanced patient payment capabilities for high-end innovative drugs [4] Group 4: Investment Recommendations - Long-term holding of core leaders like Hengrui and BeiGene is advised [9] - Attention to emerging players in niche sectors such as ADC, dual antibodies, and GLP-1 drugs [9] - Monitoring of R&D risks, including clinical failures and price reductions in medical insurance [9]

Group 1 - The report emphasizes the active overseas commercialization of innovative drugs, with several domestic innovative drugs presenting excellent data at the ASCO conference, highlighting ongoing business development (BD) opportunities and clinical progress of key pipelines [3][39]. - Key companies such as BeiGene, Innovent Biologics, and others are expected to achieve significant milestones, including BeiGene's projected non-GAAP operating profit of $45 million in 2024 and a positive cash flow in 2025 [3][4]. - The report notes that the Hong Kong pharmaceutical sector has shown strong performance, with the Hang Seng Healthcare Index rising approximately 42% year-to-date, driven by the successful execution of BD transactions and the internationalization of domestic innovative drugs [14][39]. Group 2 - The report outlines the financial forecasts for key companies, indicating that BeiGene's revenue is expected to grow from 36.69 billion HKD in 2025 to 44.36 billion HKD in 2026, with a significant increase in net profit from 1.25 billion HKD to 4.56 billion HKD [4]. - The innovative drug sector is projected to see a revenue increase of 30% year-on-year in 2024, with total revenue reaching 71.88 billion HKD, while the overall loss for innovative drug companies is expected to narrow by 29% [35][36]. - The report highlights the increasing number of license-out transactions, with 81 transactions in 2024 totaling $45 billion, reflecting a 28% year-on-year growth, and a notable deal between 3SBio and Pfizer involving a $1.25 billion upfront payment [43][44]. Group 3 - The report indicates that the pharmaceutical sector is undergoing a transformation, with leading companies like Hansoh Pharmaceutical and China National Pharmaceutical Group achieving revenue growth rates of 21% and 10% respectively in 2024 [35]. - The medical services sector is facing pressure due to the impact of healthcare insurance policies and macroeconomic conditions, which may affect growth in consumer medical services [39]. - The CXO sector is showing signs of improvement, with a focus on the recovery of orders, indicating a potential rebound in performance [39]. Group 4 - The report provides a comparative analysis of valuations, noting that the overall valuation of Hong Kong pharmaceuticals is lower than that of A-share and overseas pharmaceuticals, with a median PE of 15x for Hong Kong compared to 24.7x for A-share [12][14]. - The report highlights the significant performance disparity among sub-sectors, with innovative drugs and pharma benefiting from ongoing BD transactions and a favorable valuation correction, while medical services are under pressure [18][39]. - The report also mentions the increasing trend of dual-listed pharmaceutical companies, with the number rising from 5 in 2017 to 20 currently, indicating a growing interest in the Hong Kong market [23].

Core Viewpoint - Kangfang Biopharma is facing significant scrutiny and potential reputational damage due to the improper distribution of a clinical trial cancer drug, which raises serious questions about its compliance management and internal controls [2][3][4]. Compliance Management Issues - The incident involving a cervical cancer patient in Chongqing highlights the failure of Kangfang Biopharma's compliance management, as the patient received a drug intended only for clinical research [3][4]. - Kangfang Biopharma attributed the issue to a sales representative who allegedly forged research documents to obtain the drug, but this explanation has not alleviated public concerns regarding the company's internal management systems [4]. Financial Performance and Revenue Decline - Kangfang Biopharma, once a leading player in the innovative drug sector, reported a dramatic decline in revenue, with overseas licensing income plummeting over 95% from 2023 to 2024, dropping from 29.23 billion RMB to 1.22 billion RMB [5][6]. - Despite a 24.88% increase in commercial product sales to 20.02 billion RMB in 2024, the overall revenue fell from 45.26 billion RMB in 2023 to 21.24 billion RMB in 2024, indicating a heavy reliance on single licensing transactions [6][7]. Sales and Marketing Strategy - The company has increased its sales team from 788 to 816 members in 2024, but the cost of sales has surged by 116.92% to 289 million RMB, while gross profit only increased by 16.53% to 1.713 billion RMB [10][11]. - The sales expense ratio reached 47.17%, raising concerns about the sustainability of its commercial expansion strategy as R&D spending decreased by 5.29% to 1.188 billion RMB [11][12]. Future Outlook - Despite the current challenges, Kangfang Biopharma's leadership remains optimistic about 2025, anticipating increased sales following the implementation of new insurance pricing for its dual-antibody products [9]. - The company aims to expand its hospital coverage significantly, targeting over 2,000 hospitals by the end of 2025 [9].

Investment Rating - The report maintains a "Recommended" rating for the pharmaceutical industry [1] Core Insights - The revaluation of innovative drugs continues, driven by significant transactions and a trend towards differentiation in the market. The value of innovative drugs is increasingly recognized by multinational corporations (MNCs), particularly in the areas of EGFR and PD-1 dual antibodies. The number of pharmaceutical transactions in China increased by 34% year-on-year in Q1 2025, with total transaction value rising by 222% [3] - The upcoming ADA conference presents opportunities for Chinese companies to showcase their research, particularly in the areas of diabetes and weight loss. Notable collaborations and developments in GLP-1 drugs are expected to enhance the market presence of Chinese firms [4] - The gout treatment market shows significant potential, with a projected increase in patients from 170 million in 2020 to 240 million by 2030 in China. New drugs targeting URAT1 are entering critical clinical stages, indicating a strong market opportunity for innovative treatments [5] - Chinese companies are leading breakthroughs in CAR-T technology, with key developments expected in 2025. Recent clinical trials have shown promising results for CAR-T therapies in treating various cancers, indicating a strong future for these innovations [6] Summary by Sections 1. Pharmaceutical Market Tracking - The pharmaceutical industry outperformed the CSI 300 index by 0.25% in the past week, with a weekly increase of 1.13% [17] - Over the past month, the pharmaceutical sector's index rose by 6.48%, surpassing the CSI 300 index by 4.76%, ranking second among all sectors [22] 2. Pharmaceutical Sector Trends and Valuation - The pharmaceutical sector's current PE (TTM) is 34.41, slightly above the five-year historical average of 32.55 [41] 3. Recent Research Achievements - The research team has published several in-depth reports highlighting the growth trends in the blood products industry and the impact of policies on inhalation drug markets [44] 4. Recent Industry Policies and News - Recent policies aim to enhance the pricing and procurement evaluation system in the pharmaceutical sector, promoting a fair and transparent market environment [47] - Notable industry news includes several innovative drugs receiving clinical trial approvals and partnerships between Chinese companies and international firms, indicating a vibrant and evolving market landscape [48][49]

Core Insights - The PD-1/VEGF dual antibody is currently a hot topic in innovative drug development, with significant collaborations and financial transactions highlighting its potential [1][2][3] Group 1: Industry Dynamics - Chinese biotech companies are emerging as key players in the global PD-(L)1/VEGF dual antibody development race, demonstrating advanced research progress and achieving international recognition through high-value business development (BD) deals [2][3] - Major collaborations include 12.5 billion USD upfront payment and 60.5 billion USD total deal value between 3SBio and Pfizer for SSGJ-707, and BioNTech's 15 billion USD upfront payment for BNT327 licensed to BMS, totaling over 90 billion USD [1][2] Group 2: Clinical Developments - The PD-(L)1/VEGF target gained traction after Kangfang Biotech's AK112 outperformed the benchmark drug, Pembrolizumab (K drug), in head-to-head trials, leading to increased interest from multinational corporations (MNCs) [3][4] - AK112 demonstrated a higher objective response rate (ORR) of 50% compared to K drug's 38.5% and a disease control rate (DCR) of 89.9% versus 70.5% in late-stage non-small cell lung cancer (NSCLC) trials [4][6] Group 3: Competitive Landscape - The success of AK112 has intensified competition among MNCs, with companies eager to capitalize on the potential of PD-(L)1/VEGF dual antibodies, as evidenced by Pfizer's strategic investments [9][10] - As of May 2025, there are 14 PD-(L)1/VEGF dual antibodies in clinical stages globally, with half originating from Chinese biotech firms, indicating a robust pipeline and potential for further BD opportunities [15][24] Group 4: Future Prospects - Companies like Junshi Biosciences, I-Mab, and Hualan Biological Engineering are actively pursuing PD-(L)1/VEGF dual antibodies, with significant investments and clinical trials underway [15][20][22] - The shift from merely imitating existing drugs to innovating new targets and technologies marks a significant evolution in the Chinese pharmaceutical industry, enhancing its international competitiveness [24][25]

Group 1 - The core viewpoint of the news highlights the strong performance of the Hong Kong pharmaceutical sector, with the CSI Hong Kong Stock Connect Healthcare Index rising by 3.02% as of June 9, 2025, and several key stocks showing significant gains [1] - The Hong Kong pharmaceutical ETF (159718) has seen a weekly increase of 4.58% and a daily trading volume of 8,878.41 million HKD, indicating active market participation [1] - The ETF's recent scale growth of 784.63 million HKD over two weeks places it in the top quartile among comparable funds [1] Group 2 - The 2025 ASCO conference featured a record 73 oral presentations from China, with 184 ADC pipeline studies included, of which 89 (48.4%) were from Chinese enterprises [2] - Chinese companies contributed approximately 49% of the dual-antibody research presented at ASCO, showcasing the country's innovation in drug development [2] - Southwest Securities emphasizes the importance of focusing on drug development that is clinically valuable and patient-centered, suggesting three main lines of investment: leading innovative drugs, biotech, and transformation innovation [2] Group 3 - The latest PE-TTM for the CSI Hong Kong Stock Connect Healthcare Index is 26.04 times, indicating it is at a historical low compared to the past five years [5] - The index comprises 50 liquid and large-cap healthcare companies, with the top ten stocks accounting for 60.77% of the index [5] - The top weighted stocks include BeiGene (06160), WuXi Biologics (02269), and Innovent Biologics (01801), among others, reflecting the concentration of market influence within a few key players [7]

Investment Rating - The report assigns an "Overweight" (OW) rating to Akeso with a price target of HK$99.00 by December 2025 [2][5]. Core Insights - Akeso's AK104, a PD-1/CTLA-4 bispecific antibody, has received approval in China for first-line treatment of persistent, recurrent, or metastatic cervical cancer, which is expected to significantly boost sales in China [1][4]. - The report anticipates a global development plan for AK104 to be announced in the second half of 2025, which could attract investor interest [1][4]. - Upcoming catalysts include sales figures for AK104 and AK112, the potential global development plan announcement, and detailed data from the HARMONi studies [4][5]. Summary by Sections Approval and Efficacy - AK104's approval is based on strong results from the Phase 3 COMPASSION-16 study, showing a median overall survival (mOS) not reached in the AK104+chemo cohort compared to 22.8 months in the control group, and a median progression-free survival (mPFS) of 12.7 months versus 8.1 months [4]. Market Potential - The report estimates that AK104 could generate approximately RMB 6 billion in peak sales in China, while AK112 is expected to achieve over RMB 5 billion in peak sales in non-small cell lung cancer (NSCLC) [5]. Valuation - The price target of HK$99.00 is based on a discounted cash flow (DCF) valuation, assuming a terminal growth rate of 3.0% and a weighted average cost of capital (WACC) of 9.4% [6].

Summary of Key Points from the Conference Call Industry Overview - The conference highlighted the significant advancements in China's innovative drug development, particularly in the oncology sector, showcased at the ASCO conference with a record number of presentations and reports [2][1]. Core Insights and Arguments - **Increased Global Competitiveness**: Chinese innovative drugs have shown remarkable improvement in global competitiveness, evidenced by a rise in high-value licensing agreements and a record number of presentations at ASCO, including 73 oral presentations and 11 LBA reports [2][1]. - **Significant Data from IBI363**: - IBI363, a second-generation IO product from Innovent Biologics, demonstrated a total survival rate (OS) exceeding 15 months in non-small cell lung cancer (NSCLC) patients, significantly outperforming existing therapies [6][10]. - In colorectal cancer, the 1 mg dose group achieved an OS of 17.5 months, nearing first-line treatment levels, with a disease control rate (DCR) exceeding 60% when combined with Bevacizumab [7][8]. - **Advancements in Dual Antibodies**: Companies like Innovent, Zai Lab, and 3SBio reported promising data in the dual antibody sector, particularly with IBI363 enhancing IL-2 functionality while reducing toxicity [3][1]. - **ADC and Small Molecule Innovations**: Companies such as Hengrui, Kelun, and Innovent showcased strong data in the ADC and small molecule therapy fields, indicating ongoing innovation in these advanced treatment modalities [5][1]. Noteworthy Developments - **Kangfang Biotech's Progress**: The PD-1 antibody, Cadonilimab, showed promising progression-free survival (PFS) rates of 12 months in patients with low PD-L1 expression, highlighting its potential in cervical cancer treatment [14][1]. - **Botai's ADC Drug Performance**: Botai's ADC drug 264 exhibited an overall response rate (ORR) of 45.1% in HER2 mutation-resistant patients, significantly higher than the control group [26][1]. - **Clinical Data from Other Companies**: - Companies like BeiGene and Maiwei Biotech presented data on ADCs and small molecules, demonstrating significant advancements in the treatment of various malignancies [16][1][17][1]. - The combination of Savolitinib and Osimertinib in NSCLC patients showed a PFS of 8.2 months, indicating a substantial improvement over chemotherapy [23][24]. Additional Important Insights - **Safety and Efficacy of IBI363**: Despite a treatment-related adverse event (TRAE) rate exceeding 40%, the main side effects were manageable, and the overall safety profile was deemed controllable [10][1]. - **Future Expectations for IBI363**: There is optimism regarding IBI363's future clinical data in first-line treatments and its safety profile in various indications, enhancing market confidence [9][1]. - **Emerging ADC Data**: Companies like LianTuo Biotech reported promising ADC data, with B7H3 ADC showing an ORR of 42.3% in CRPC patients [28][1]. This summary encapsulates the key points discussed during the conference call, focusing on the advancements in the Chinese pharmaceutical industry, particularly in oncology, and the promising data from various innovative therapies.