Summary of the Conference Call on China Healthcare and Pharmaceuticals Industry Overview - The conference focused on the **China healthcare and pharmaceuticals** sector, specifically discussing the **2025 National Reimbursement Drug List (NRDL)** and the **Commercial Health Insurance Innovative Drug Directory (CHIIDD)** [1][2]. Key Points NRDL and CHIIDD Updates - Approximately **70 innovative drugs** were included in the NRDL, with a **success rate of 88%** for new drug negotiations, an increase from **76% in 2024** [2]. - A total of **114 new drugs** were added to the NRDL, including **50 type 1 innovative drugs**, while **29 drugs** were removed, bringing the total to **3,253 drugs** [2]. - The CHIIDD features **19 expensive innovative drugs** out of **24 candidates**, covering treatments for oncology, Alzheimer’s disease, and rare diseases [2]. Implementation Timeline - The new NRDL and CHIIDD will be implemented on **January 1, 2026**, with new prices for most newly included drugs to be revealed at that time [3]. Company-Specific Insights 1. **Hengrui (600276 CH/1276 HK)**: - Included **10 new drugs** in the NRDL for the first time, such as trastuzumab rezetecan and ivarmacitinib [4]. 2. **Hansoh (3692 HK)**: - Added two new indications for almonertinib to the NRDL [4]. 3. **Sinobio (1177 HK)**: - Three new drugs added: garsorasib, recombinant human coagulation factor VIIa, and penpulimab [5]. 4. **Innovent (1801 HK)**: - New additions include teprotumumab, limertinib, and fulzerasib among others [5]. 5. **BeOne (6160 HK/ONC US)**: - Newly added dinutuximab and zanidatamab in the CHIIDD [5]. 6. **Kelun Biotech (6990 HK)**: - Included sacituzumab tirumotecan and cetuximab N01 in the NRDL [5]. 7. **Akeso (9926 HK)**: - Added new indications for ivonescimab and cadonilimab, along with ebdarokimab and ebronucimab in the NRDL [6]. 8. **Tirzepatide**: - Included in the NRDL for type 2 diabetes, but not for obesity [6]. Market Outlook - The higher success rate and supportive policy trends suggest a **bright sales outlook** for innovative drugs, which are expected to drive growth for the related companies in **2026** [7]. Additional Insights - The report emphasizes the positive implications of the NRDL updates for the growth of covered companies, indicating a favorable environment for innovative drug sales in the Chinese healthcare market [4][7].

Summary of China Healthcare & Pharmaceuticals 3Q25 Drug Sales Tracker Industry Overview - The report focuses on the **China healthcare and pharmaceuticals industry**, specifically analyzing drug sales data for the third quarter of 2025 (3Q25) [1][2]. Key Findings - **Overall Market Performance**: The overall drug market sales in China declined by **6.2% year-on-year (y-y)** but increased by **6% quarter-on-quarter (q-q)**, totaling **CNY 226 billion** in 3Q25 [2][1]. - **Performance of Domestic Pharma Companies**: - **Hengrui**: Sales decreased by **0.1% y-y** to **CNY 5.8 billion**. - **Sinobio**: Sales fell by **0.9% y-y** to **CNY 4.1 billion**. - **Hansoh**: Sales declined by **0.8% y-y** to **CNY 2.0 billion**. - **Qilu Pharma**: Experienced a **9% y-y decline** to **CNY 4.7 billion**. - **CSPC**: Sales dropped by **17% y-y** to **CNY 3.6 billion** [4][4]. - **Biotech Companies' Growth**: - **BeOne**: Sales increased by **20.4% y-y** to **CNY 1.5 billion**. - **Innovent**: Sales rose by **24.6% y-y** to **CNY 1.5 billion**. - **Akeso**: Notable growth of **130.1% y-y** to **CNY 156 million**. - **Remegen**: Sales grew by **54.2% y-y** to **CNY 255 million** [5][5]. - **Multinational Corporations (MNCs) Performance**: - **AstraZeneca**: Sales decreased by **4.9% y-y** to **CNY 6.1 billion**. - **Novartis**: Sales fell by **7.3% y-y**. - **Roche**: Sales declined by **13.6% y-y**. - **Pfizer**: Sales dropped by **13.9% y-y** [6][6]. - **Notable Growth in Specific Products**: - **Novo Nordisk**: Sales increased by **22.3% y-y** to **CNY 3.7 billion**, driven by **Semaglutide** sales growth of **35% y-y** to **CNY 1.3 billion**. - **Eli Lilly**: Sales of **Tirzepatide** reached **CNY 2 million** in 3Q25 [7][7]. Additional Insights - **Hengrui's Specific Products**: - **Camrelizumab**: Sales rose by **34% y-y** to **CNY 445 million**. - **Pyrotinib**: Sales remained flat at **CNY 280 million**. - **Mecapegfilgrastim**: Sales increased by **4% y-y** to **CNY 435 million** [9][9]. - **Sinobio's Product Performance**: - **Anlotinib**: Sales grew by **6% y-y** to **CNY 646 million**. - **Magnesium Isoglycyrrhizinate**: Sales increased by **7% y-y** to **CNY 682 million** [9][9]. - **CSPC's Oncology Drugs**: - **Duomeisu**: Sales surged by **91% y-y** to **CNY 40 million**. - **Jinyouli**: Sales declined by **19% y-y** to **CNY 609 million** [10][10]. - **Hansoh's Oncology Drugs**: - **Almonertinib**: Sales rose by **14% y-y** to **CNY 560 million**. - **Flumatinib**: Sales increased by **25% y-y** to **CNY 185 million** [10][10]. Conclusion - The China healthcare and pharmaceuticals market is experiencing mixed results, with domestic companies facing declines while biotech firms show significant growth. MNCs are also struggling, indicating a challenging environment for the industry overall. The data suggests potential investment opportunities in biotech companies that are outperforming their peers.

Core Insights - BeOne Medicines Ltd. announced new data on sonrotoclax, a next-generation BCL2 inhibitor, showing significant clinical benefits as both a monotherapy and in combination therapies for B-cell malignancies, particularly at the 67th American Society of Hematology Annual Meeting [1][2] Summary by Category Clinical Data - Sonrotoclax demonstrated an overall response rate (ORR) of 52.4% in patients with relapsed/refractory mantle cell lymphoma (MCL), with a complete response (CR) rate of 15.5% in a Phase 1/2 study [3] - The median duration of response (DOR) was 15.8 months, with a median time to response (TTR) of 1.9 months and a median progression-free survival (PFS) of 6.5 months [4] - In combination therapies, sonrotoclax plus zanubrutinib achieved a 100% ORR in 135 efficacy-evaluable patients, with a CR/CRi rate of 55% [7] Safety and Tolerability - Treatment with sonrotoclax monotherapy was generally well tolerated, with manageable adverse events; the most common grade 3 treatment-emergent adverse events included neutropenia (19.1%), infections (16.5%), and pneumonia (10.4%) [5] - The combination therapies also showed good tolerability, with no treatment-emergent adverse events leading to death or significant complications [13][14] Regulatory Status - Sonrotoclax is under Priority Review by the U.S. Food and Drug Administration (FDA) for potential accelerated approval, having received Breakthrough Therapy Designation and Fast Track Designation for MCL and other conditions [5][17] Market Potential - Sonrotoclax could become the first BCL2 inhibitor approved for relapsed/refractory MCL in the U.S., with the potential to transform treatment outcomes for patients with limited options [3][6]

Core Viewpoint - The recent adjustments to the national basic medical insurance directory and the introduction of the commercial insurance innovative drug directory mark significant steps towards enhancing access to innovative treatments in China, particularly for high-cost therapies like CAR-T drugs [2][6]. Summary by Sections National Basic Medical Insurance Directory Adjustments - A total of 114 new drugs were added to the basic medical insurance directory, including 50 first-class innovative drugs [2]. - The total number of drugs in the basic medical insurance directory has increased to 3,253, comprising 1,857 Western medicines and 1,396 traditional Chinese medicines [3]. - New inclusions cover various fields such as oncology, chronic diseases, mental health, and pediatric medications, with several rare disease treatments also added [3]. Commercial Insurance Innovative Drug Directory - The commercial insurance innovative drug directory aims to include high-innovation drugs that exceed the basic insurance scope but offer significant clinical value and patient benefits [6]. - A total of 121 drugs underwent formal review for the commercial insurance directory, with 24 entering price negotiation, ultimately resulting in 19 drugs from 18 companies being included [6]. - Notable inclusions are five CAR-T therapies, which previously cost over one million yuan per injection, making them unaffordable for many patients [6]. Performance of Pharmaceutical Companies - Several leading pharmaceutical companies have reported their successes in the 2025 national medical insurance negotiations, with Heng Rui Pharmaceutical having 20 drugs included, contributing 7.554 billion yuan to their total revenue [5]. - Innovent Biologics announced that 7 of its new drugs were included in the updated national medical insurance directory, with 12 of its 17 innovative drugs now covered [5]. Specific Drug Inclusions - The directory includes drugs for Alzheimer's disease, such as the monoclonal antibodies from Eisai and Eli Lilly, and several rare disease treatments [7]. - Some high-profile drugs, like Novo Nordisk's semaglutide and Bristol-Myers Squibb's nivolumab, were not included despite passing the formal review [8]. Implementation Timeline - The new directory is set to be officially implemented nationwide on January 1, 2026 [9].

Group 1 - Brendan, a Pennsylvanian, completed a Ph.D. at Stanford University in organic synthesis in 2009 [1] - He worked for Merck from 2009 to 2013 and has experience in biotech startups such as Theravance and Aspira before joining Caltech [1] - Brendan is the first employee and co-founder of 1200 Pharma, which spun out of Caltech and secured major investments in the eight figures [1] - He remains an avid investor focused on market trends, particularly in biotechnology stocks [1]

Core Viewpoint - BeOne Medicines Ltd. has received Priority Review from the FDA for its New Drug Application for sonrotoclax, a next-generation BCL2 inhibitor aimed at treating adult patients with relapsed or refractory mantle cell lymphoma after BTK inhibitor treatment [1] Company Summary - BeOne Medicines Ltd. is a global oncology company focused on developing innovative treatments for cancer [1] - The company’s drug sonrotoclax targets a specific patient population suffering from mantle cell lymphoma, indicating a strategic focus on niche oncology markets [1] Industry Summary - The acceptance of sonrotoclax's NDA by the FDA highlights the ongoing advancements in oncology therapeutics, particularly in the area of targeted therapies for hematological malignancies [1] - The Priority Review designation suggests a potential expedited approval process, reflecting the urgency and unmet medical need in treating relapsed or refractory mantle cell lymphoma [1]

Core Insights - ONC has shown a positive performance trajectory, making it an attractive investment option due to its growth potential and strong financial indicators [1][6] Performance Overview - Over the last 30 days, ONC has gained approximately 5.17%, indicating a strong upward trend [2][6] - In the past 10 days, ONC experienced a decline of about 3.47%, which may present a strategic entry point for long-term investors [2] Growth Potential - ONC has a stock price growth potential of 19.68%, suggesting it is currently undervalued and has room for appreciation [3] - Analysts have set a target price of $397 for ONC, reflecting confidence in the stock's ability to reach this level [5][6] Financial Health - The Piotroski score for ONC is 8 out of 9, indicating strong financial health across various metrics such as profitability, leverage, liquidity, and operating efficiency [4][6]

Market Performance - On November 24, US stock indices closed higher, with the Dow Jones up 0.44%, S&P 500 up 1.55%, and Nasdaq up 2.69% [1] - Major tech stocks saw significant gains, with Tesla and Google both rising over 6% [3] Notable Stock Movements - Broadcom (AVGO) surged 11.10% with 46.63 million shares traded, marking its largest increase since April [4] - GoPro (GPRO) increased by 9.93%, Western Digital (WDC) rose 8.43%, and Tesla (TSLA) climbed 6.82% [4] - Other notable gains included Seagate Technology (STX) up 6.69%, Tyson Foods (TSN) up 6.52%, and Coinbase (COIN) up 6.47% [5] Corporate Developments - Google announced a multi-million dollar cloud services agreement with NATO, aimed at providing secure sovereign cloud services [6] - Amazon plans to invest up to $50 billion to expand its AWS AI and high-performance computing capabilities for US government clients, with construction expected to begin in 2026 [6] Semiconductor Sector - The semiconductor sector showed strength, with the Philadelphia Semiconductor Index rising 4.6% and Micron Technology increasing nearly 8% [7] - AMD and Nvidia also saw gains, with AMD up over 5% and Nvidia up 2% [7] Chinese Stocks - Chinese stocks experienced a rally, with the Nasdaq Golden Dragon China Index rising 2.82%, and notable increases in Baidu (BIDU) up over 7%, Bilibili up over 6%, Alibaba up over 5%, and NIO up over 3% [7][8] Commodity Prices - The dollar index fell 0.04%, closing at 100.144 [10] - Oil prices increased, with WTI crude oil futures up $0.78 to $58.84 per barrel, and Brent crude oil futures up $0.81 to $63.37 per barrel [10] - Bitcoin futures rose 5.13%, closing at $88,940, while Ethereum futures increased 7.24% to $2,969.50 [10] Federal Reserve Outlook - Goldman Sachs predicts the Federal Reserve will implement a third consecutive rate cut in December, with expectations of further cuts in March and June 2026 [11][12] - The firm anticipates that the Fed will transition to a more neutral policy stance as inflation trends continue to slow [11][12]

Group 1 - BeOne Medicines, formerly known as BeiGene, is currently experiencing a significant rally in 2025, presenting an opportunity for new investors [1] - The company specializes in developing immunotherapies aimed at combating cancer, indicating a focus on innovative treatments within the pharmaceutical sector [1] - Jazz Pharmaceuticals has received a Relative Strength Rating upgrade to 93, reflecting its improving technical performance in the market [2] Group 2 - BeOne Medicines has seen a stock price increase of 10%, leading a group of 13 new stocks that are performing well [4] - The stock market is witnessing a notable performance, with the Dow reaching new highs and companies like BeOne Medicines, Goldman Sachs, and Interactive Brokers being highlighted [4] - Jazz Pharmaceuticals has also shown a rising price performance, achieving an RS rating jump to 83, indicating strong market interest [4]

Core Insights - BeOne Medicines showcases its leadership in B-cell malignancies at the ASH 2025 conference, presenting extensive new data from its hematology portfolio, including BRUKINSA, sonrotoclax, and BGB-16673 [1][3][4] Group 1: BRUKINSA (Zanubrutinib) - BRUKINSA demonstrates sustained overall survival of 84% and 88% after COVID adjustment, with a landmark progression-free survival (PFS) superiority of 74% at 6 years in treatment-naïve chronic lymphocytic leukemia (CLL) [5] - Long-term data from the SEQUOIA and ALPINE studies confirm BRUKINSA's role as the backbone of CLL therapy, with continuous treatment showing clinically meaningful benefits [6][11] - BRUKINSA is positioned as the preferred BTK inhibitor due to its manageable side effect profile, including lower incidences of fatigue and pain compared to other treatments [8] Group 2: Sonrotoclax - Sonrotoclax, a next-generation BCL2 inhibitor, shows promising clinical activity in B-cell malignancies, with early trials indicating rapid undetectable minimal residual disease (uMRD) rates in treatment-naïve CLL patients [22][23] - The FDA has granted Breakthrough Therapy Designation for sonrotoclax in relapsed or refractory mantle cell lymphoma (MCL) and Fast Track Designation for MCL and Waldenström macroglobulinemia [24] Group 3: BGB-16673 - BGB-16673 is a potential first-in-class BTK protein degrader, with nearly 800 patients dosed in clinical trials, including three Phase 3 trials in relapsed/refractory CLL [25][26] - The drug is designed to degrade both wildtype and mutant forms of BTK, addressing resistance issues seen in patients with progressive disease [25] Group 4: Clinical Presentations and Data - Nearly 50 abstracts accepted for presentation at ASH 2025, including six oral presentations highlighting the efficacy and safety of BeOne's hematology assets [1][4] - Presentations will include real-world evidence and modeling approaches to refine understanding of treatment outcomes with BTK inhibitors [7][20] Group 5: Company Overview - BeOne Medicines is a global oncology company focused on developing innovative treatments for cancer, with a commitment to improving access to medicines for patients worldwide [32][33]