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HUTCHMED and Innovent Jointly Announce NMPA Approval for ELUNATE® (Fruquintinib) in Combination with TYVYT® (Sintilimab Injection) for the Treatment of Patients with Locally Advanced or Metastatic Renal Cell Carcinoma

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HUTCHMED (NASDAQ:HCM) and Innovent announced NMPA approval of ELUNATE (fruquintinib) plus TYVYT (sintilimab) for adults with locally advanced or metastatic renal cell carcinoma in China after VEGFR-TKI failure and without prior PD-1/PD-L1 first-line therapy.

FRUSICA-2 showed a 63% lower risk of progression or death and median PFS of 22.2 months.

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Positive

  • NMPA approval for fruquintinib plus sintilimab in second-line renal cell carcinoma
  • FRUSICA-2 showed 63% reduction in risk of progression or death
  • Median progression-free survival of 22.2 months in FRUSICA-2 study
  • Combination now approved for two difficult-to-treat cancers, according to Innovent
  • TYVYT (sintilimab) reaches 10th approved indication in China

Negative

  • None.

News Market Reaction – HCM

+1.09%
+1.09% Session close to close

In the May 21 session, HCM gained 1.09%, reflecting a mild positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

This announcement highlights NMPA approval of fruquintinib plus sintilimab for second-line advanced ...
Analysis

This announcement highlights NMPA approval of fruquintinib plus sintilimab for second-line advanced renal cell carcinoma, backed by a 63% reduction in progression or death and median PFS of 22.2 months in FRUSICA-2. It adds to a recent stream of China-focused oncology milestones for HUTCHMED. Investors may watch future disclosures on real-world uptake, additional indications for these agents, and how this combination fits within the company’s broader clinical pipeline and partnership strategy.

Key Figures

Risk reduction: 63% Median PFS: 22.2 months Approved indications: 10
3 metrics
Risk reduction 63% Reduced risk of disease progression or death in FRUSICA-2 study
Median PFS 22.2 months Progression free survival in FRUSICA-2 registration study
Approved indications 10 10th approved indication for sintilimab (TYVYT®)

Historical Context

5 past events · Latest: Apr 29 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Apr 29 NDA acceptance wAIHA Positive -1.7% NMPA accepted sovleplenib NDA with Priority Review and Breakthrough status.
Apr 8 AACR data preview Positive +1.2% Announced new preclinical and clinical oncology data to be presented at AACR 2026.
Mar 22 Phase III trial start Positive +0.4% Initiated registrational Phase III HMPL-760 trial in relapsed/refractory DLBCL in China.
Mar 9 TAZVERIK withdrawal Negative -0.6% Reported global withdrawal of TAZVERIK and corresponding suspension and recalls in China.
Mar 6 Board changes Neutral +0.0% Announced retirement of an independent director and committee composition changes.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Recent news reactions mostly aligned with sentiment, with one notable divergence on a positive regulatory update.

Recent Company History

Over the last few months, HUTCHMED has reported multiple clinical and regulatory milestones, including NMPA priority review and Breakthrough Therapy Designation for sovleplenib (Apr 29, 2026), AACR 2026 data highlights (Apr 8, 2026), and initiation of a Phase III HMPL-760 trial (Mar 22, 2026). It also managed the global withdrawal of TAZVERIK (Mar 9, 2026) and announced board changes (Mar 6, 2026). Today’s NMPA approval further extends this pattern of China-focused oncology progress.

Key Terms

New Drug Application, progression free survival, blinded independent central review, VEGFR-TKI, +4 more
8 terms
New Drug Application regulatory
"the New Drug Application (NDA) for the combination of ELUNATE"
A new drug application is a formal request submitted to government regulators seeking approval to market a new medicine. It is like a detailed proposal that shows the drug has been tested for safety and effectiveness. For investors, receiving approval signals that the drug may soon become available for sale, potentially leading to revenue growth and impacting the company's value.
progression free survival medical
"The study met its primary endpoint of progression free survival (“PFS”)"
Progression free survival is the length of time during and after a treatment when a disease, such as cancer, does not get worse or spread. It is an important measure because longer periods of stability can indicate that a treatment is effectively controlling the condition. For investors, it provides insight into the potential durability and success of a therapy or medication.
blinded independent central review medical
"as assessed by blinded independent central review (“BICR”)"
Blinded independent central review is a quality-control step in clinical trials where outside medical experts, who do not know which patients received the experimental therapy, re-examine key measurements (like scans or lab results) to prevent bias. Think of it as neutral referees watching game footage without knowing the teams, which gives investors greater confidence that the trial results are fair, more reliable for regulators, and less likely to be overturned or disputed.
VEGFR-TKI medical
"failed prior vascular endothelial growth factor receptor-tyrosine kinase inhibitors (VEGFR-TKI) therapy"
A VEGFR-TKI is a type of cancer drug that blocks the action of VEGF receptors, proteins on cells that tell blood vessels to grow toward tumors; think of it as turning off a faucet that feeds a tumor’s blood supply. For investors, these drugs matter because their success or failure in clinical trials, safety profile, and regulatory approval directly affect a company’s revenue potential and valuation in oncology markets.
programmed death receptor-1 medical
"have not received programmed death receptor-1 (“PD-1”) or programmed death-ligand 1"
A protein found on certain immune cells that acts like a brake, helping prevent the immune system from attacking healthy tissue; some cancers exploit this brake to hide from immune attacks. Drugs that block programmed death receptor‑1 (PD‑1) release that brake, allowing the immune system to attack tumors — a mechanism that can create high-value medicines but also brings clinical trial, safety and regulatory risks that matter to investors.
programmed death-ligand 1 medical
"programmed death receptor-1 (“PD-1”) or programmed death-ligand 1 (“PD-L1”) inhibitor therapy"
Programmed death-ligand 1 (PD-L1) is a protein found on the surface of some cells that can act like a ‘do not attack’ flag to the immune system, helping those cells avoid immune responses. Investors watch PD-L1 because drugs that block this flag can unleash the immune system to fight cancers and other diseases, potentially creating major revenue opportunities and shifting clinical trial and regulatory outcomes.
PD-1 medical
"have not received programmed death receptor-1 (“PD-1”) or programmed death-ligand 1"
PD-1 is a protein found on certain immune cells that acts like a brake, signaling the immune system to slow down and avoid damaging healthy tissue. Drugs that block PD-1 release that brake so immune cells can better attack cancer cells; because such therapies can produce large clinical benefits, regulatory approvals, trial outcomes, pricing and market uptake for PD-1 drugs can materially affect a drugmaker’s prospects and investor returns.
PD-L1 medical
"programmed death receptor-1 (“PD-1”) or programmed death-ligand 1 (“PD-L1”) inhibitor therapy"
PD-L1 is a protein found on the surface of some cells that acts like a stop sign for the immune system, telling certain immune cells to back off. It matters to investors because many cancer drugs and diagnostic tests target or measure PD-L1 to unlock immune responses or predict which patients will benefit, affecting clinical success, regulatory approval, and potential sales in the oncology market.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Reduced risk of disease progression or death by 63%, with median PFS of 22.2 months in the FRUSICA-2 registration study

HONG KONG and SHANGHAI and FLORHAM PARK, N.J., May 21, 2026 (GLOBE NEWSWIRE) -- HUTCHMED (China) Limited (“HUTCHMED”) (Nasdaq/AIM:HCM; HKEX:13) and Innovent Biologics, Inc. (“Innovent”, HKEX:1801) today jointly announce that the New Drug Application (NDA) for the combination of ELUNATE® (fruquintinib) and TYVYT® (sintilimab injection) has been granted approval by the China National Medical Products Administration (“NMPA”) for the treatment of patients with locally advanced or metastatic renal cell carcinoma who have failed prior vascular endothelial growth factor receptor-tyrosine kinase inhibitors (VEGFR-TKI) therapy and have not received programmed death receptor-1 (“PD-1”) or programmed death-ligand 1 (“PD-L1”) inhibitor therapy in the first-line setting.

The approval is supported by data from FRUSICA-2, a randomized, open-label, active-controlled registration study evaluating the efficacy and safety of fruquintinib in combination with sintilimab versus axitinib or everolimus monotherapy for the second-line treatment of patients with locally advanced or metastatic renal cell carcinoma. The study met its primary endpoint of progression free survival (“PFS”) as assessed by blinded independent central review (“BICR”).

“The rapid advancements in targeted therapies, immunotherapies, and their combination regimens have led to a significant evolution in the treatment landscape for advanced renal cell carcinoma. Optimizing the selection of treatment for individual patients is a key focus of clinical interest,” said Professor Dingwei Ye of Fudan University Shanghai Cancer Center and co-lead Principal Investigator of the FRUSICA-2 study. “The approval of the fruquintinib and sintilimab combination underscores its potential to address the pressing medical needs of patients with this challenging disease.”

“The FRUSICA-2 trial results provided compelling evidence that the fruquintinib and sintilimab combination could play a meaningful role in shaping second-line treatment strategies for advanced renal cell carcinoma,” said Professor Zhisong He of Peking University First Hospital and co-lead Principal Investigator of the FRUSICA-2 study. “We are optimistic about the clinical implications of this approval as we strive to provide effective treatment options for patients.”

“This approval reaffirms our deep commitment to delivering innovative therapies to patients facing advanced renal cell carcinoma in China, where second-line treatment options remain limited,” said Mr Johnny Cheng, Acting Chief Executive Officer and Chief Financial Officer of HUTCHMED. “We are excited to continue pushing the boundaries of our research — across monotherapies, combination strategies, and exciting new platforms such as our ATTC technology — to unlock even greater therapeutic potential across various tumor types, ultimately providing more impactful and transformative solutions to patients.”

Dr Hui Zhou, Chief R&D Officer of Oncology of Innovent, stated: “The approval is a significant milestone for patients with advanced renal cell carcinoma in China. It further validates the potential of the sintilimab plus fruquintinib combination regimen, now approved for two difficult-to-treat cancers. We are also proud to achieve the 10th approved indication for sintilimab (TYVYT®), and remain committed to advancing clinical value optimization to benefit an even broader population of cancer patients.”

About The FRUSICA-2 Trial

Results from the Phase III part of the study were presented at the 2025 European Society for Medical Oncology (ESMO) Congress. As of the PFS final analysis cutoff of February 17, 2025, the median follow-up was 16.6 months. The median PFS as assessed by BICR was 22.2 months with fruquintinib plus sintilimab, compared to 6.9 months with axitinib/everolimus (stratified hazard ratio [HR] 0.373; stratified log-rank p<0.0001). The objective response rate (ORR) was 60.5% vs 24.3% (Odds Ratio 4.622, p<0.0001), and the median duration of response (DoR) was 23.7 months vs 11.3 months, respectively. Overall survival data were still evolving at the time of data cutoff with maturity of approximately 20%. Efficacy benefits were observed in all prognostic risk groups, as defined by the International mRCC Database Consortium (IMDC) criteria. The safety profile of the fruquintinib and sintilimab combination was consistent with the known profiles of each individual treatment.  Additional details may be found at clinicaltrials.gov, using identifier NCT05522231.

About Kidney Cancer and Renal Cell Carcinoma

It is estimated that approximately 435,000 new patients were diagnosed with kidney cancer worldwide in 2022.1 In China, an estimated 74,000 new patients were diagnosed with kidney cancer in 2022.2 Approximately 90% of kidney tumors are renal cell carcinoma.

About Fruquintinib

Fruquintinib is a selective oral inhibitor of all three vascular endothelial growth factor receptors (“VEGFR”) -1, -2 and -3. VEGFR inhibitors play a pivotal role in inhibiting tumor angiogenesis. Fruquintinib was designed to have enhanced selectivity that limits off-target kinase activity, allowing for drug exposure that achieves sustained target inhibition and flexibility for potential use as part of a combination therapy.3

About Fruquintinib Approvals

Fruquintinib is co-developed and co-commercialized in China by HUTCHMED and Eli Lilly and Company under the brand name ELUNATE®. It is approved for the treatment of patients with metastatic colorectal cancer who have previously received fluoropyrimidine, oxaliplatin and irinotecan-based chemotherapy, and those who have previously received or are not suitable to receive anti-VEGF therapy or anti-epidermal growth factor receptor (EGFR) therapy (RAS wild-type) in China. It was included in China’s National Reimbursement Drug List (NRDL) in January 2020.

The combination of ELUNATE® (fruquintinib) and TYVYT® (sintilimab injection) has conditional approval in China for the treatment of patients with advanced mismatch repair proficient (pMMR) endometrial cancer who have failed prior systemic therapy and are not candidates for curative surgery or radiation.

Takeda holds the exclusive worldwide license to further develop, commercialize, and manufacture fruquintinib outside mainland China, Hong Kong and Macau, marketing it under the brand name FRUZAQLA®. Fruquintinib received approval for the treatment of previously treated metastatic colorectal cancer in the US, Europe, Japan and many other countries around the world.

About Sintilimab

Sintilimab, marketed as TYVYT® (sintilimab injection) in China, is a PD-1 immunoglobulin G4 monoclonal antibody co-developed by Innovent and Eli Lilly and Company. Sintilimab is a type of immunoglobulin G4 monoclonal antibody, which binds to PD-1 molecules on the surface of T-cells, blocks the PD-1/PD-L1 pathway, and reactivates T-cells to kill cancer cells.4

About HUTCHMED

HUTCHMED (Nasdaq/AIM:​HCM; HKEX:​13) is an innovative, commercial-stage, biopharmaceutical company. It is committed to the discovery and global development and commercialization of targeted therapies and immunotherapies for the treatment of cancer and immunological diseases. Since inception it has focused on bringing drug candidates from in-house discovery to patients around the world, with its first three medicines marketed in China, the first of which is also approved around the world including in the US, Europe and Japan. For more information, please visit: www.hutch-med.com or follow us on LinkedIn.

About Innovent

Innovent is a leading biopharmaceutical company with the mission to empower patients worldwide with affordable, high-quality biopharmaceuticals. Innovent discovers, develops, manufactures and commercializes innovative medicines that target some of the most intractable diseases. Its pioneering therapies treat cancer, cardiovascular and metabolic, autoimmune and eye diseases. Innovent has launched 18 products in the market, 4 assets in Phase III or pivotal clinical trials and 15 more molecules in early clinical stage. Innovent partners with over 30 global healthcare companies to improve drug availability and enhance the quality of patients’ lives.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the “safe harbor” provisions of the US Private Securities Litigation Reform Act of 1995. These forward-looking statements reflect HUTCHMED’s current expectations regarding future events, including its expectations regarding the therapeutic potential of fruquintinib, the further clinical development for fruquintinib, its expectations as to whether any studies on fruquintinib would meet their primary or secondary endpoints, and its expectations as to the timing of the completion and the release of results from such studies. Forward-looking statements involve risks and uncertainties. Such risks and uncertainties include, among other things, assumptions regarding enrollment rates and the timing and availability of subjects meeting a study’s inclusion and exclusion criteria; changes to clinical protocols or regulatory requirements; unexpected adverse events or safety issues; the ability of fruquintinib, including as a combination therapy, to meet the primary or secondary endpoint of a study, to obtain regulatory approval in other jurisdictions and to gain commercial acceptance after obtaining regulatory approval; the potential market of fruquintinib for a targeted indication; and HUTCHMED and/or its partner’s ability to fund, implement and complete its further clinical development and commercialization plans for fruquintinib, and the timing of these events. In addition, as certain studies rely on the use of other drug products such as sintilimab as combination therapeutics with fruquintinib, such risks and uncertainties include assumptions regarding the safety, efficacy, supply and continued regulatory approval of these therapeutics. Existing and prospective investors are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. For further discussion of these and other risks, see HUTCHMED’s filings with the US Securities and Exchange Commission, The Stock Exchange of Hong Kong Limited and on AIM. HUTCHMED undertakes no obligation to update or revise the information contained in this press release, whether as a result of new information, future events or circumstances or otherwise.

Medical Information

This press release contains information about products that may not be available in all countries, or may be available under different trademarks, for different indications, in different dosages, or in different strengths. Nothing contained herein should be considered a solicitation, promotion or advertisement for any prescription drugs including the ones under development.

CONTACTS

Investor Enquiries+852 2121 8200 /ir@hutch-med.com
  
Media Enquiries 
FTI Consulting –+44 20 3727 1030 /HUTCHMED@fticonsulting.com
Ben Atwell / Tim Stamper+44 7771 913 902 (Mobile) / +44 7779 436 698 (Mobile)
Brunswick – Zhou Yi+852 9783 6894 (Mobile) /HUTCHMED@brunswickgroup.com
  
Panmure LiberumNominated Advisor and Joint Broker
Atholl Tweedie / Emma Earl / Rupert Dearden+44 20 7886 2500
  
CavendishJoint Broker
Geoff Nash / Nigel Birks+44 20 7220 0500
  
Deutsche NumisJoint Broker
Duncan Monteith / Ramin Naji+44 20 7545 8000

_______________________________
1
The Global Cancer Observatory, kidney cancer fact sheet. https://gco.iarc.who.int/media/globocan/factsheets/cancers/29-kidney-fact-sheet.pdf. Accessed February 19, 2025.
2 The Global Cancer Observatory, China fact sheet. https://gco.iarc.who.int/media/globocan/factsheets/populations/160-china-fact-sheet.pdf. Accessed February 19, 2025.
3  Sun Q, et al. Discovery of fruquintinib, a potent and highly selective small molecule inhibitor of VEGFR 1, 2, 3 tyrosine kinases for cancer therapy. Cancer Biol Ther. 2014;15(12):1635-45. doi: 10.4161/15384047.2014.964087.
4 Wang J, et al. Durable blockade of PD-1 signaling links preclinical efficacy of sintilimab to its clinical benefit. mAbs 2019;11(8): 1443-1451. doi: 10.1080/19420862.2019.1654303.


FAQ

What did HUTCHMED (NASDAQ:HCM) announce about ELUNATE and TYVYT on May 21, 2026?

HUTCHMED and Innovent announced NMPA approval of ELUNATE (fruquintinib) plus TYVYT (sintilimab) for second-line treatment of advanced renal cell carcinoma in China. According to HUTCHMED, this covers patients after VEGFR-TKI failure without prior PD-1/PD-L1 first-line therapy.

What are the key FRUSICA-2 trial results for the ELUNATE and TYVYT combination in renal cell carcinoma?

The FRUSICA-2 study reported a 63% reduction in risk of disease progression or death with fruquintinib plus sintilimab versus axitinib or everolimus. According to HUTCHMED, median progression-free survival reached 22.2 months, meeting the primary PFS endpoint by blinded independent central review.

Which renal cell carcinoma patients are eligible for the ELUNATE and TYVYT regimen approved by the NMPA?

The approved regimen is for adults with locally advanced or metastatic renal cell carcinoma who failed prior VEGFR-TKI therapy and did not receive PD-1 or PD-L1 inhibitors first line. According to HUTCHMED, it is positioned as a second-line treatment option in China.

How does the ELUNATE and TYVYT approval impact TYVYT’s indication portfolio?

The new renal cell carcinoma approval brings TYVYT (sintilimab) to its 10th approved indication in China. According to Innovent, the fruquintinib plus sintilimab combination is now approved for two difficult-to-treat cancers, expanding its clinical use across oncology settings.

What is the strategic significance of the HUTCHMED and Innovent RCC approval for HCM shareholders?

The approval adds a new indication for fruquintinib in combination with sintilimab in a second-line RCC setting. According to HUTCHMED, it reinforces its commitment to combination strategies and could broaden the clinical reach of its oncology portfolio in China.

What type of study was FRUSICA-2 supporting the NMPA approval for HUTCHMED’s ELUNATE combo?

FRUSICA-2 was a randomized, open-label, active-controlled registration study comparing fruquintinib plus sintilimab with axitinib or everolimus monotherapy. According to HUTCHMED, the trial achieved its primary endpoint of progression-free survival as assessed by blinded independent central review.