January 7, 2026
Finance

HUTCHMED Advances Toward Regulatory Filing for Sovleplenib in Treating Warm Antibody Autoimmune Hemolytic Anemia

Phase 3 Trial Results Demonstrate Durable Hemoglobin Response, Positioning Drug for 2026 Submission in China

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Summary

HUTCHMED (China) Limited has reported successful outcomes from the Phase 3 segment of its ESLIM-02 clinical trial evaluating sovleplenib for adult patients presenting with warm antibody autoimmune hemolytic anemia (wAIHA). The trial achieved its primary endpoint, showing a durable hemoglobin response during weeks 5 through 24 of therapy, a significant development in managing this rare autoimmune condition. Building on previously published Phase 2 results indicating positive efficacy and safety, HUTCHMED plans to file a New Drug Application for sovleplenib in the first half of 2026 with China's regulatory authorities. In addition, the company is preparing for another NDA resubmission for sovleplenib in immune thrombocytopenia (ITP). Concurrently, competitive therapies under development by Novartis and CRISPR Therapeutics add context to the evolving treatment landscape for autoimmune blood disorders.

Key Points

Phase 3 portion of ESLIM-02 trial in China met primary endpoint for sovleplenib in wAIHA patients, showing durable hemoglobin response between weeks 5 and 24.
wAIHA accounts for the majority (75-80%) of AIHA cases, a rare autoimmune disorder impacting red blood cells with an estimated prevalence of 17 per 100,000 adults.
HUTCHMED plans to submit New Drug Application for sovleplenib to China’s NMPA in first half of 2026 for wAIHA, with a separate NDA resubmission planned for immune thrombocytopenia indication.
Competitive therapies in development include Novartis’s ianalumab plus eltrombopag (showing extended time to treatment failure in ITP) and CRISPR Therapeutics' allogeneic CAR T trial for ITP and wAIHA.

HUTCHMED (China) Limited (NASDAQ:HCM) disclosed on Tuesday encouraging results from the Phase 3 registration portion of its ongoing ESLIM-02 clinical trial assessing sovleplenib in adults diagnosed with warm antibody autoimmune hemolytic anemia (wAIHA). This condition arises when the immune system erroneously produces IgG antibodies that target and destroy red blood cells at normal body temperatures, thereby causing anemia alongside symptoms such as fatigue, pallor, and shortness of breath.

Within the China-based trial, the primary endpoint — measured as the durable hemoglobin (Hb) response rate between treatment weeks 5 and 24 — was successfully met, indicating sustained therapeutic benefit. Such findings mark a pivotal step in confirming sovleplenib’s clinical value in addressing this rare but serious hematological disorder.

Autoimmune hemolytic anemia (AIHA) presents an incidence rate estimated between 0.8 and 3.0 per 100,000 adult individuals annually, with an overall prevalence around 17 per 100,000 adults and a mortality range of 8 to 11 percent. Warm antibody AIHA comprises the majority of these cases, representing 75 to 80 percent of all adult AIHA diagnoses. ESLIM-02 functions as a Phase 2/3 trial focused specifically on adult patients who suffer from either primary or secondary wAIHA, who have previously been treated with at least one standard therapy line and demonstrated relapse or treatment resistance.

The earlier Phase 2 portion of ESLIM-02 yielded positive results that were published in The Lancet Haematology in January 2025. In that phase, sovleplenib demonstrated a significant hemoglobin improvement when compared to placebo, achieving an overall response rate of 43.8 percent in the initial eight weeks versus 0 percent in the placebo group. Furthermore, extending the treatment to a 24-week period, response rates for those receiving sovleplenib—including those crossing over from placebo—rose to 66.7 percent. Throughout the trial, sovleplenib also exhibited a favorable safety profile, reinforcing its potential as a viable treatment option.

Building on these clinical milestones, HUTCHMED intends to submit a New Drug Application (NDA) to the China National Medical Products Administration (NMPA) for sovleplenib’s use in wAIHA therapy during the first half of 2026. Additionally, sovleplenib is under investigation for another autoimmune condition, immune thrombocytopenia (ITP), with plans for an NDA resubmission in the second-line ITP category anticipated also in the same timeframe.

Competitive Environment

The competitive landscape for autoimmune blood disorder treatments remains active. In December 2025, Novartis AG (NYSE:NVS) released data from its VAYHIT2 Phase 3 trial evaluating a combination of ianalumab and eltrombopag in ITP patients who had prior corticosteroid therapy. Results indicated that the median time to treatment failure for patients treated with ianalumab plus eltrombopag was 13.0 months, notably 2.8 times longer than the 4.7 months observed in the placebo plus eltrombopag group.

In the same month, CRISPR Therapeutics AG (NASDAQ:CRSP) announced the commencement of a Phase 1 trial testing an allogeneic CAR T-cell therapy approach for both ITP and wAIHA. These developments underscore the robust investigational pipelines seeking to address unmet needs within these challenging autoimmune conditions.

Additional Clinical Initiatives

Beyond sovleplenib, HUTCHMED has recently initiated the Phase 3 portion of its Phase 2/3 trial assessing a combination regimen of surufatinib, camrelizumab, nab-paclitaxel, and gemcitabine. This study targets first-line treatment of metastatic pancreatic ductal adenocarcinoma patients in China, extending the company’s clinical development efforts across oncology indications.

Market Reaction

Following the announcement of the positive Phase 3 results, shares of HUTCHMED rose 5.09 percent to $14.45 during premarket trading on Wednesday. This movement reflects investor interest in the company’s advancing drug pipeline and potential regulatory achievements in the near future.

Risks
  • The success of HUTCHMED’s planned NDA submissions for sovleplenib depends on regulatory approval which is not guaranteed despite positive trial results.
  • There is competitive pressure from other pharmaceutical companies developing alternative therapies in the autoimmune blood disorder market such as Novartis and CRISPR Therapeutics.
  • Clinical trial results, while promising, may not fully translate into widespread clinical use or commercial success if long-term safety or efficacy issues arise.
  • Market acceptance and reimbursement decisions in China for new therapeutics like sovleplenib may pose challenges impacting commercial potential.
Disclosure
Education only / not financial advice
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