中国银河（601881）证券发布研报称，血液肿瘤分类复杂，多种细分亚型治疗领域仍存在较多投资机 会。近年来在靶向、免疫以及细胞治疗等新兴治疗手段的推广应用下，血液瘤治疗已呈现与高血压、糖 尿病类似的慢病管理趋势。血液瘤的长生存周期带来大量存量患者，且药物治疗费用高，导致重磅产品 频出，潜在市场机会巨大。建议关注百济神州(06160)、诺诚健华(09969)、亚盛医药-B(06855)、迪哲医 药-U(688192.SH)。 AML、ALL等急性白血病目前主要采用化疗或靶向联合化疗模式，并通过靶向治疗和多药联合提升生 存率。在慢性白血病治疗中，CML主要采用BCR-ABLTKI治疗，尝试通过技术迭代及新靶点克服耐 药;CLL治疗包括BTK、BCL-2、CD20等药物，正探索BTK+BCL-2固定疗程给药及开发非共价BTK、双 靶BTK、BTKPROTAC等布局BTK耐药后市场。淋巴瘤亚型较多，大多数采用利妥昔联合化疗，而多发 性骨髓瘤仍以CD38单抗治疗为核心;淋巴瘤中侵袭性较强的DLBCL和多发性骨髓瘤均面临复发概率高且 复发后难治的问题，目前CAR-T疗法缓解率较高，为后线患者提供更多治疗选择。 靶向药竞争 ...

Core Insights - The global pharmaceutical sales ranking for the first half of 2025 has been released, highlighting the dominance of GLP-1 drugs in the market, with the top three drugs surpassing $10 billion in sales, driving industry growth [2][5] - The competition among pharmaceutical giants is intensifying, particularly in the GLP-1 category, with Novo Nordisk and Eli Lilly leading the charge [5][6] Group 1: GLP-1 Drug Market - GLP-1 drugs are the main drivers of market growth, contributing nearly 30% to the global biopharmaceutical market [3][5] - Semaglutide from Novo Nordisk topped the sales chart with $16.632 billion, while Eli Lilly's tirzepatide followed closely with $14.734 billion, marking a significant year-on-year growth of 121.3% [5][6] - The competitive landscape is shifting, with semaglutide's various formulations (injection, oral, and weight loss) ending Keytruda's long-standing dominance [5][6] Group 2: Emerging Therapies - New therapies such as bispecific antibodies, antibody-drug conjugates (ADC), and fusion proteins are gaining traction, accounting for over 15% of the top-selling drugs [3][10] - ADC drug Enhertu made its debut in the top rankings with $3.9 billion in sales, indicating a growing interest in innovative therapies [3][10] Group 3: CDK4/6 Inhibitors - The CDK4/6 inhibitor market is experiencing a reshuffle, with Eli Lilly's Abemaciclib leading at $2.648 billion, while Novartis' Ribociclib showed a remarkable growth rate of 58.7% [10] - Pfizer's Palbociclib, once a market leader, has seen a decline, dropping to $2.026 billion in sales [10] Group 4: BTK Inhibitors - The BTK inhibitor market is projected to reach approximately $12.5 billion by 2024, with Ibrutinib, Zebrutinib, and Acalabrutinib dominating the market [11][12] - Zebrutinib from BeiGene has entered the global top 50 list with $1.742 billion in sales, marking a significant achievement for Chinese innovation in the pharmaceutical sector [12][13]

Core Insights - The global pharmaceutical sales ranking for the first half of 2025 has been released, highlighting the dominance of GLP-1 drugs in the market, with the top three drugs surpassing $10 billion in sales, driving industry growth [1][6][13] - The competition among global pharmaceutical giants is intensifying, particularly in the metabolic drug sector, with companies like Novo Nordisk and Eli Lilly expected to expand their advantages [2][4] Group 1: GLP-1 Drug Market - GLP-1 drugs are leading the market, with Novo Nordisk's semaglutide family generating $16.632 billion in sales, marking its first position in the ranking [6] - Eli Lilly's tirzepatide follows closely with $14.734 billion in sales, showing a remarkable year-on-year growth of 121.3% [6] - The sales dynamics indicate that semaglutide's injection version holds a 61% market share, while the oral version accounts for 29% [6][7] Group 2: Emerging Therapies - New therapies such as bispecific antibodies, antibody-drug conjugates (ADC), and fusion proteins are gaining traction, accounting for over 15% of the market [1][13] - ADC drug Enhertu has entered the top rankings with $3.9 billion in sales [1] - mRNA vaccines have collectively contributed $9.4 billion, showcasing the impact of innovative therapies in the pharmaceutical landscape [1] Group 3: CDK4/6 Inhibitors - The CDK4/6 inhibitor market is experiencing a reshuffle, with Eli Lilly's Abemaciclib leading at $2.648 billion, while Novartis's Ribociclib has surged with a 58.7% growth [10][11] - Pfizer's Palbociclib has seen a decline, dropping to $2.026 billion, marking a significant shift in market dynamics [11] Group 4: Chinese Pharmaceutical Innovations - The entry of Chinese innovation, specifically BeiGene's Zebrutinib, into the global top 50 with $1.742 billion in sales signifies a breakthrough for domestic drugs [12] - Zebrutinib's success reflects the potential for Chinese pharmaceuticals to transition from thematic investments to performance-driven investments in the global market [12]

Core Insights - Chronic Lymphocytic Leukemia (CLL) is increasingly prevalent among the aging population in China, with a median age of diagnosis at 65 years, and the patient count is expected to grow at an annual rate of over 10% in the next decade [3] - The approval of multiple BTK inhibitors for first-line treatment of CLL marks a significant shift in therapy, moving away from traditional chemotherapy, which has considerable side effects and is less suitable for older patients [1][4] - The introduction of oral BTK inhibitors, such as Orelabrutinib, enhances patient compliance and offers a more manageable treatment option, although monitoring for adverse effects remains essential [4][5] Industry Overview - As of now, five BTK inhibitors have been approved in China for CLL treatment, including three imported drugs and two domestic ones, indicating a growing market for targeted therapies [1][3] - The challenges in CLL treatment include the concentration of quality medical resources in major cities, weak capabilities in grassroots healthcare, and the need for standardized treatment protocols [3] - The future direction of CLL treatment is leaning towards "chemotherapy-free" strategies, with ongoing developments in new drugs and combination therapies expected to refine treatment options [5]

Core Insights - The approval of multiple BTK inhibitors in China is transforming the treatment landscape for Chronic Lymphocytic Leukemia (CLL) and B-cell lymphomas, with a notable shift towards second-generation BTK inhibitors [1][3][4] Group 1: Market Overview - As of now, five BTK inhibitors have been approved in China, including three imported drugs and two domestic drugs, with the first-generation inhibitor ibrutinib and three second-generation inhibitors [3] - The global incidence of CLL is significant, with 191,000 new cases and 61,000 deaths annually, primarily affecting elderly patients with a median age of 65 in China [2] Group 2: Treatment Efficacy and Safety - The five-year survival rate for CLL patients is high, ranging from 80% to 90%, with low-risk patients having a median survival of nearly 20 years [2] - Newer BTK inhibitors demonstrate improved safety profiles compared to first-generation inhibitors, which have seen a decline in global recommendation levels due to safety concerns [3][4] Group 3: Future Directions - The development of BCL2 inhibitors is underway, with ongoing clinical trials combining these with BTK inhibitors, indicating a potential new direction for CLL treatment [5] - The increasing elderly population in China presents challenges for long-term management of CLL patients, necessitating systematic approaches to address treatment adherence and adverse effects [5]