Hengrui Pharma(SH:600276) Xin Lang Cai Jing·2025-08-13 05:51Core Viewpoint - The recent approvals of domestic gout drugs indicate a revitalization of the relatively overlooked gout treatment market, highlighting the potential for innovation in this area due to unmet clinical needs and minimal investment from multinational corporations (MNCs) [1][2][21]. Industry Overview - The global prevalence of gout is rising, yet MNCs have been conservative in their investments in this field, unlike the diabetes sector, which has seen multiple successful drug launches [3][4]. - The market for gout medications is projected to reach approximately $3.3 billion by 2024, significantly smaller than the diabetes drug market, which is expected to exceed $100 billion [3][4]. Clinical Demand - There is a pressing clinical need for effective gout treatments, as many patients experience poor adherence to existing therapies, with over half stopping medication within six months of achieving target uric acid levels [3][4]. - Current treatments have significant safety concerns, leading to a high demand for new therapies that can address these issues [5][6][9]. Recent Developments - The approval of Fuxin Qibai monoclonal antibody marks a significant milestone as the first domestically developed IL-1β inhibitor for acute gouty arthritis, offering a long-acting treatment option [11][12]. - Fuxin Qibai has demonstrated rapid pain relief and a significant reduction in the risk of recurrence, with no serious adverse events reported [12][13]. Market Dynamics - The domestic market for gout treatments is characterized by a lack of MNC involvement, creating opportunities for local companies to establish a foothold and innovate [14][21]. - Several domestic pipelines are advancing, focusing on safety and efficacy, with multiple candidates in late-stage clinical trials [16][20]. Competitive Landscape - The URAT1 inhibitor segment is particularly competitive, with numerous domestic candidates showing promising safety profiles and efficacy [16][18]. - Companies like Hengrui and Yipin Hong are making significant progress with their URAT1 inhibitors, with Hengrui's SHR4640 showing superior results in clinical trials compared to existing treatments [18][20]. Future Outlook - The domestic gout treatment market is expected to grow as companies leverage unmet clinical needs and safety concerns of existing therapies to introduce innovative solutions [21]. - The increasing prevalence of hyperuricemia and gout in China, with an estimated 26 million gout patients, presents a substantial market opportunity for domestic pharmaceutical companies [21].