Hengrui’s HRS-7535 GLP-1R Agonist Cleared for Hypertension with Obesity Study in China

Jiangsu Hengrui Pharmaceuticals Co., Ltd. (SHA: 600276, HKG: 1276) announced that China’s National Medical Products Administration (NMPA) has authorized HRS-7535, a novel oral small‑molecule GLP‑1 receptor (GLP‑1R) agonist, to enter clinical studies for hypertension comorbid with overweight or obesity, positioning Hengrui at the forefront of next‑generation metabolic disease therapies.

Regulatory Milestone

ItemDetail
CompanyJiangsu Hengrui Pharmaceuticals (600276.SH, 1276.HK)
DrugHRS-7535 (oral small‑molecule GLP‑1R agonist)
ApplicationClinical Trial Authorization (CTA)
AgencyNMPA (China)
IndicationHypertension with overweight/obesity comorbidity
Authorization Date12 Jan 2026
Next MilestonePhase I/II study initiation expected Q2 2026
Additional IndicationsType 2 diabetes and weight loss (also in development)

Drug Profile & Mechanism of Action

  • Molecule: Oral small‑molecule glucagon‑like peptide‑1 receptor (GLP‑1R) agonist
  • Mechanism: Activates human GLP‑1R to:
  • Promote pancreatic insulin secretion and reduce glucagon release
  • Inhibit gastric emptying and enhance satiety via central nervous system effects
  • Suppress appetite and directly reduce energy intake
  • Differentiation: First oral small‑molecule GLP‑1R agonist entering clinical trials globally; offers potential manufacturing cost advantages and improved stability compared to peptide‑based injectables and oral tablets (e.g., Rybelsus)
  • Development Stage: Pre‑clinical efficacy demonstrated in rodent and non‑human primate models; IND‑enabling toxicology completed

Market Opportunity: Hypertension with Obesity

ParameterChinaGlobal
Hypertension Prevalence330 million1.28 billion
With Overweight/Obesity Comorbidity115 million450 million
Currently Treated with GLP‑1<2 %<3 %
Addressable Market (2030E)18 million patients72 million patients
Annual Treatment Cost (China)¥8,000‑12,000
  • Unmet Need: Current antihypertensives (ACE inhibitors, ARBs) do not address obesity‑driven pathophysiology; GLP‑1R agonists offer dual metabolic and cardiovascular benefits
  • Clinical Rationale: Semaglutide (injectable) demonstrated 5‑7 mmHg systolic BP reduction in obese patients; oral small molecule could replicate benefits with superior convenience

Competitive Landscape: Oral GLP‑1R Space

CompanyDrugMechanismStageKey Differentiator
HengruiHRS‑7535Small moleculePhase I readyOral non‑peptide; China‑first
RybelsusSemaglutideOral peptideMarketedFirst oral GLP‑1, but peptide‑based
PfizerDanuglipronSmall moleculePhase IIDiscontinued GI tolerability issues
Eli LillyOrforglipronSmall moleculePhase IIIDual GIP/GLP‑1; 2027E launch
StructureNoneSmall molecule
  • Strategic Moat: HRS‑7535 is the first and only oral small‑molecule GLP‑1R agonist in China’s pipeline; potential for global first‑in‑class if Phase I data proves competitive
  • Timeline Advantage: 12‑18‑month head start vs. multinational competitors in China; NMPA fast‑track eligibility for cardiometabolic diseases

Development Timeline & Revenue Forecast

MilestoneExpected Date
Phase I initiationQ2 2026
Phase I/II dataQ1 2027
Phase III startQ4 2027
NDA submissionQ2 2029
Potential launchQ4 2030
Parameter2030E2031E2032E
China Market Penetration0 %3 %8 %
Patient Population3.5 million9.2 million
Annual Cost (¥)¥9,500¥8,800
Hengrui Revenue (¥)¥33 billion¥81 billion
  • Global Strategy: Hengrui plans US IND filing in 2027 leveraging China Phase I/II data under FDA bridging study pathway
  • Manufacturing: Hengrui’s Lianyungang facility (current capacity 2 billion tablets) will dedicate 30 % capacity to HRS‑7535 upon approval

Forward‑Looking Statements
This brief contains forward‑looking statements regarding clinical development timelines, regulatory pathways, and revenue forecasts for HRS‑7535. Actual results may differ due to clinical trial outcomes, competitive dynamics, and evolving GLP‑1 market access policies.-Fineline Info & Tech