Shanghai Fosun Pharmaceutical (Group) Co., Ltd. (HKG: 2196, SHA: 600196) announced that the Biologics License Applications (BLAs) for its subsidiary Henlius’ self‑developed denosumab injection (project code: HLX14) have been cleared by the U.S. Food and Drug Administration (FDA).

Dual‑Dose Biosimilar Portfolio

Henlius has brought to market two formulations that mirror Amgen’s flagship denosumab products:

FormulationTrade NameVolumeDoseIndicationFDA Status
60 mg/mLBILDYOS1 mL60 mgOsteoporosis in post‑menopausal women at high risk for fracturesApproved
120 mg/1.7 mLBILPREVDA1.7 mL120 mgOsteoporosis in post‑menopausal women at high risk for fracturesApproved

Both biosimilars are fully human monoclonal antibodies that competitively inhibit RANKL, the same mechanism of action as the originator denosumab (Prolia and XGEVA).

Regulatory Milestone

  • FDA BLA Approval – The FDA granted full approval for both BILDYOS and BILPREVDA on 12 March 2025, marking the first time a Chinese‑based biosimilar has received clearance for both dose strengths in the U.S. market.
  • Label Consistency – The approved indications match those of the originator, covering osteoporosis in post‑menopausal women at high risk for fractures.
  • Quality Assurance – Henlius’ analytical, pre‑clinical, and clinical data demonstrated bioequivalence to the reference product, meeting the stringent FDA biosimilar guidelines.

Market Implications

  • Competitive Pricing – With a proven biosimilar supply chain, Fosun can offer cost‑effective alternatives to Prolia and XGEVA, potentially capturing a significant share of the U.S. osteoporosis market projected to exceed $6 billion by 2030.
  • Strategic Expansion – The FDA approval unlocks additional opportunities for Henlius to pursue biosimilar indications beyond osteoporosis, including bone metastases and rheumatoid arthritis.
  • Global Reach – Fosun plans to leverage its international distribution network to introduce BILDYOS and BILPREVDA in major markets such as Europe, Canada, and Japan, where biosimilar uptake is accelerating.

Next Steps

  1. Commercial Launch – Henlius is preparing to roll out the products through its U.S. sales force and specialty pharmacy partners, with initial launch scheduled for Q4 2025.
  2. Payer Engagement – The company will engage with Medicare, Medicaid, and commercial insurers to secure favorable formulary placement and reimbursement rates.
  3. Post‑Marketing Surveillance – Robust pharmacovigilance plans will be implemented to monitor long‑term safety and efficacy, ensuring continued confidence among prescribers and patients.-Fineline Info & Tech