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HUTCHMED (China) Limited

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FY2021 Annual Report · HUTCHMED (China) Limited
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BOARD OF DIRECTORS

Executive Directors

TO Chi Keung, Simon, BSc, ACGI, MBA
  Chairman

Christian Lawrence HOGG, BSc, MBA (1)
  Chief Executive Officer

Weiguo SU, BSc, PhD (2)
  Chief Executive Officer and Chief Scientific Officer

CHENG Chig Fung, Johnny, BEc, CA
  Chief Financial Officer

Non-executive Directors

Dan ELDAR, BA, MA, MA, PhD

Edith SHIH, BSE, MA, MA, EdM, Solicitor,

FCG(CS, CGP), HKFCG(CS, CGP)(PE)

Independent Non-executive Directors

Paul Rutherford CARTER, BA, FCMA
  Senior Independent Director

Karen Jean FERRANTE, MD, BSc

Graeme Allan JACK, BCom, CA(ANZ), FHKICPA

MOK Shu Kam, Tony, BMSc, MD, FRCPC, FHKCP,

FHKAM, FRCP(Edin), FASCO

AUDIT COMMITTEE

Graeme Allan JACK (Chairman)
Paul Rutherford CARTER
Karen Jean FERRANTE

NOMINATION COMMITTEE

MOK Shu Kam, Tony (Chairman)
Graeme Allan JACK
TO Chi Keung, Simon

REMUNERATION COMMITTEE

Paul Rutherford CARTER (Chairman)
Graeme Allan JACK
TO Chi Keung, Simon

TECHNICAL COMMITTEE

Karen Jean FERRANTE (Chairman)
Paul Rutherford CARTER
Christian Lawrence HOGG (1)
MOK Shu Kam, Tony
Weiguo SU
TO Chi Keung, Simon

SUSTAINABILITY COMMITTEE

Edith SHIH (Chairman)
CHENG Chig Fung, Johnny
Christian Lawrence HOGG (1)
MOK Shu Kam, Tony

COMPANY SECRETARY

Edith SHIH, BSE, MA, MA, EdM, Solicitor,

FCG(CS, CGP), HKFCG(CS, CGP)(PE)

NOMINATED ADVISER

Panmure Gordon (UK) Limited

CORPORATE BROKERS

Panmure Gordon (UK) Limited
HSBC Bank plc

AUDITOR

PricewaterhouseCoopers

Notes:
(1) 
(2) 

Retired as an Executive Director, Chief Executive Officer, member of Sustainability Committee and Technical Committee on March 4, 2022
Appointed as a Chief Scientific Officer since 2012 and appointed as Chief Executive Officer and Chief Scientific Officer on March 4, 2022

CORPORATE  INFORMATION 
 
 
Corporate Information

Retirement of CEO and Appointment of New CEO

Chairman’s Statement

2021 Full Year Results and Business Updates

Full Year 2021 Financial Results

Financial Summary

Operations Review

Oncology/Immunology

Other Ventures

Use of Non-GAAP Financial Measures and Reconciliation

Group Capital Resources

Other Information

Information on Directors

Information on Senior Management

Directors’ Report

Corporate Governance Report

Independent Auditor’s Report

Consolidated Financial Statements

Form 20-F

References and Abbreviations   

Information for Shareholders

4

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6

14

16

19

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31

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35

40

42

49

51

70

92

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151

444

CONTENTS2

BUILDING A GLOBAL SCIENCE-FOCUSED BIOPHARMA COMPANY FROM AN ESTABLISHED BASE IN CHINAFULLY INTEGRATED R&D AND 
FULLY INTEGRATED R&D AND 
FULLY INTEGRATED R&D AND
FULLY INTEGRATED R&D AND 
COMMERCIALIZATION PLATFORM 
COMMERCIALIZATION PLATFORM 
COMMERCIALIZATION PLATFORM 
COMMERCIALIZATION PLATFORM
BUILT OVER 22 YEARS
BUILT OVER 22 YEARS
BUILT OVER 22 YEARS
BUILT OVER 22 YEARS

>4,600 
>4,600 
>4,600 
>4,600 personnel*
across HUTCHMED group

~1,500 
~1,500 
~1,500 person team
~1,500 
in Oncology/Immunology

Global novel drug discovery and manufacturing 
Global novel drug discovery and manufacturing 
Global novel drug discovery and manufacturing 
Global novel drug discovery and manufacturing 
operations
operations
operations
operations
•
•
•  Over 20 years novel drug discovery track-record
•
•
•
•  12 novel clinical-stage drug candidates discovered in-house
•
•
•
•  ~820 integrated R&D staff focused on oncology & immunological diseases
•

Clinical development & regulatory operations 
Clinical development & regulatory operations  
Clinical development & regulatory operations 
Clinical development & regulatory operations 
in all major markets 
in all major markets 
in all major markets
in all major markets 
•
•  China, U.S., EU & Japan clinical infrastructure
•
•
•  More than 45 clinical studies underway world-wide
•
•
•
•  First 3 novel oncology drugs approved
•
•
•

Commercial teams in China & U.S. representing 
Commercial teams in China & U.S. representing 
Commercial teams in China & U.S. representing 
Commercial teams in China & U.S. representing 
around half of the global pharma market
around half of the global pharma market
around half of the global pharma market
around half of the global pharma market
•
•  ~630 person China oncology commercial team
•
•
•  Covering over 2,500 China oncology hospitals
•
•
•
•  U.S. team set for possible first launch in 2022
•
•
•

* includes non-consolidated joint venture

HUTCHMED (China) Limited 2021 Annual Report  3

On March 3, 2022, we announced the 
retirement of Mr. Christian Hogg after 
almost 22 years with HUTCHMED, 
including 15 years as Executive 
Director and Chief Executive Officer 
(“CEO”), and the appointment of Dr. 
Weiguo Su as the new CEO.

Dr. Su has been selected and 
appointed to his additional role as the 
CEO, as part of the Company’s ongoing 
succession planning.

Dr. Su, has been with HUTCHMED 
for about 17 years, including about 
10 years as Chief Scientific Officer 
and almost five years as Executive 
Director. He has been responsible for 
the establishment of all aspects of 
the oncology/immunology innovation 
platform which led to the in-house 
discovery of 12 novel oncology drug 
candidates, the first three of which 
have achieved approval and successful 
commercial launch. 

Weiguo SU

 “On behalf of the Board, I would like to congratulate Dr. Su on his appointment to CEO of 
HUTCHMED and wish him great success in this well-deserved appointment. I would also like to 
extend our deepest appreciation to Christian for his contributions and wish him the best in his 
retirement.

Christian was the first employee of HUTCHMED twenty-two years ago and he has worked tirelessly 
to build the Company from its very beginning into the truly globally facing biopharmaceutical 
company it is today.  Christian will remain as a strategic advisor to the Company, with an emphasis 
on organizational development, relations with our partners, global commercialization strategy 
and investor relations matters.”

 “After over 34 years away, and 27 years in China, I have taken the decision to return home to 
Europe to focus on, and be close to, my important family responsibilities. I am glad to see the 
Board’s new appointment of Dr. Weiguo Su, one of the industry’s most respected leaders, and a 
person who I believe, with the support of our board and deeply experienced senior management 
team, will take HUTCHMED to greater heights.”

Simon To
Chairman

Christian Hogg

4

RETIREMENT OF CEO AND APPOINTMENT OF NEW CEO“
2021 was an exceptional 
year for HUTCHMED

”

SIMON TO, CHAIRMAN

Commercial success on ELUNATE® and the launches of SULANDA® and 
ORPATHYS® contributed to an almost four-fold increase in consolidated 
oncology/immunology revenues to $119.6 million, with momentum 
continuing in 2022.

ORPATHYS® took a major step forward in 2021 with its first approval 
and important, and as yet unpublished, data from the SAVANNAH 
study in combination with TAGRISSO®. We and our partner AstraZeneca 
initiated four Phase III studies and one Phase II study, with registration 
potential, for ORPATHYS® during 2021. These actions have triggered  
$40 million in milestone payments to HUTCHMED since mid-2021.  
A seventh registration study, a global Phase III in NSCLC, the SAFFRON 
study, is set to initiate in mid-2022.

We are rapidly progressing our plan to expand our oncology assets into 
global markets. Led by our team of over 800-personnel in discovery, 
development and manufacturing operations, we have an un-equaled 
fifteen-year track-record of producing high quality novel oncology/
immunology drug candidates.

enrollment was completed for fruquintinib in a fourteen-country 
global Phase III study, the FRESCO-2 study, in CRC which reads-out 
later in 2022; positive and differentiated POC data was presented 
for amdizalisib and sovleplenib; and our FGFR, IDH1/2, ERK, third 
generation BTK and CSF-1R inhibitors all made good progress in early 
development.

With a strong track record in bringing innovative drugs to patients 
through rigorous clinical trials, our seasoned clinical team is now 
enrolling 13 registration studies for six assets with an additional  
5 registration studies set to initiate in 2022. With over $1 billion in 
cash, and the intention to divest further non-core assets, we anticipate 
having sufficient runway to see our plans through.

Our strategy is to launch a stream of new products in both the China 
and global markets over the coming years, helping patients with unmet 
needs and creating value for all our stakeholders.

Seven of our assets are now being developed outside China. In addition 
to the global progress of ORPATHYS®, surufatinib’s U.S. NDA and  
EU MAA are in the later stages of regulatory review for advanced NETs; 

Simon To
Chairman
March 3, 2022

AstraZeneca = AstraZeneca PLC and its wholly owned subsidiary, AstraZeneca AB (publ)
NSCLC = Non-small cell lung cancer
NDA = New Drug Approval
MAA = Marketing Authorisation Application
NET = Neuroendocrine tumors
CRC = Colorectal cancer

POC = Proof of concept
FGFR = Fibroblast growth factor receptor
IDH = Isocitrate dehydrogenase
ERK = Extracellular signal-regulated kinase
BTK = Bruton’s tyrosine kinase
CSF-1R = Colony stimulating factor-1 receptor

All amounts are expressed in U.S. dollars unless otherwise stated.

HUTCHMED (China) Limited 2021 Annual Report  5
HUTCHMED (China) Limited 2021 Annual Report  5

CHAIRMAN’S  STATEMENTCOMMERCIAL OPERATIONS

• 

• 

• 

• 

Total revenues increased 56% to $356.1 million in 2021 (2020: 
$228.0m), driven by commercial progress on our three in-house 
developed oncology drugs ELUNATE®, SULANDA® and ORPATHYS®;

Full year 2021 Oncology/Immunology consolidated revenues 
of $119.6 million, up 296% (2020: $30.2m), and in line with 2021 
guidance of $110-130 million;

Continuing expansion of in-house oncology commercial 
organization in China, which at the end of 2021 numbered 
about 630 personnel (end 2020: ~390) covering over 2,500 oncology 
hospitals and over 29,000 oncology physicians;

ELUNATE® (fruquintinib in China) in-market sales1 increased 
111% to $71.0 million (2020: $33.7m), reflecting a full year of 
HUTCHMED management of all on-the-ground medical detailing, 
promotion and local and regional marketing activities in China;

• 

• 

• 

• 

SULANDA® (surufatinib in China) launched for both extra-
pancreatic NET and pancreatic NET with in-market sales in 
2021 of $11.6 million (2020: nil). An encouraging start in the self-
pay market and positioned well for national reimbursement which 
started in January 2022;

ORPATHYS® (savolitinib in China) launched in mid-2021 through 
AstraZeneca’s extensive oncology commercial organization, 
with in-market sales of $15.9 million (2020: nil). Rapid initial self-
pay uptake due to being the first-in-class selective MET2 inhibitor in 
China;

Successful management of the NRDL3 process to expand access 
to our key products in January 2022. Concluded ELUNATE® NRDL 
renewal and first time NRDL inclusion of SULANDA®; and

U.S. commercial team continued to build for the potential 
surufatinib U.S. approval in 2022. The team, more than 30 personnel, 
is fully engaged on all aspects of launch readiness including supply 
chain, market access, marketing, sales and commercial operations.

(Growth vs. Prior Period)

ELUNATE®

SULANDA®

ORPATHYS®

Product Sales

Other R&D4 service income

Milestone payments

Total Oncology/Immunology

In-market Sales*

Consolidated Revenue**

2021

Jan-Feb 2022 
Unaudited

2021

Jan-Feb 2022 
Unaudited

$71.0m (111%)

$21.6m (51%)

$53.5m (168%)

$13.5m (33%)

$11.6m –

$15.9m –

$6.0m (21%)

$7.4m –

$11.6m –

$11.3m –

$6.0m (21%)

$4.8m –

$98.5m (192%)

$35.0m (81%)

$76.4m (282%)

$24.3m (61%)

$18.2m (77%)

$3.7m (80%)

$25.0m –

$15.0m –

$119.6m (296%)

$43.0m (151%)

* = For ELUNATE® and ORPATHYS®, represents total sales to third parties as provided by Lilly and AstraZeneca, respectively; 
** =  For ELUNATE® and ORPATHYS®, represents manufacturing fees, commercial service fees and royalties paid by Lilly and AstraZeneca, respectively, to HUTCHMED, and sales to other third 

parties invoiced by HUTCHMED; For SULANDA®, represents the Company’s sales of the product to third parties.

6

2021 FULL YEAR RESULTS & BUSINESS UPDATESREGULATORY ACHIEVEMENTS

China

o 

The PDUFA8 goal date is April 30, 2022 and mid- and late-
cycle review meetings with the FDA have completed. Timing 
of completion of the NDA review is subject to FDA scheduling 
limitations.

• 

Surufatinib EMA9 MAA process update:

o 

o 

Fully submitted EMA MAA for surufatinib, which was 
validated and accepted in July 2021, for the treatment of both 
pancreatic and non-pancreatic NET; and

Completed the 120-day assessment, and now entering the 
later stages of MAA review.

• 

Savolitinib: conducted U.S. FDA EOP210 meeting for SAVANNAH 
study of savolitinib plus TAGRISSO® in EGFR11 TKI12 refractory NSCLC.

o 

o 

Continued evaluation of SAVANNAH study for potential 
accelerated approval use; and

Completed clinical trial applications in U.S., EU and Japan for 
the SAFFRON study, a global pivotal Phase III study of savolitinib 
and TAGRISSO® in patients with NSCLC who have progressed 
following TAGRISSO® treatment due to MET amplification.

• 

• 

• 

• 

• 

Received China NMPA5 NDA approval for ORPATHYS® 
(savolitinib) as a treatment for patients with MET exon 14 skipping 
alteration NSCLC in June 2021, making savolitinib the first-in-class 
selective MET inhibitor in China;

Received second China NMPA NDA approval for SULANDA® 
(surufatinib) in June 2021 as a treatment for patients with advanced 
pancreatic NET;

A $25 million milestone payment was made to us by 
AstraZeneca in July 2021 upon first sale of ORPATHYS® in China;

Received Breakthrough Therapy Designation in China for 
amdizalisib (HMPL-689) in September 2021 for the treatment of 
relapsed or refractory follicular lymphoma; and

Received Breakthrough Therapy Designation in China for 
sovleplenib (HMPL-523) in January 2022 for the treatment of ITP6.

United States and Europe

• 

Surufatinib U.S. FDA7 NDA process update:

o 

Completed submission of U.S. FDA NDA for surufatinib, 
which was accepted in June 2021, for the treatment of both 
pancreatic and extra-pancreatic NET;

o  U.S. FDA NDA review, as well as the clinical site inspections 

and pre-approval inspections of our manufacturing 
facilities, are ongoing, several inspections have been 
completed with others pending subject to COVID-19 travel 
restrictions and security requirements for foreign visitors; and

HUTCHMED (China) Limited 2021 Annual Report  7

CLINICAL DEVELOPMENT 
ACTIVITIES

Savolitinib (ORPATHYS®), a highly selective oral inhibitor of MET 
being developed broadly across MET-driven patient populations in 
lung and gastric cancer and renal cell carcinoma

Major clinical milestones for savolitinib in 2021:

Initiated SAMETA, a global Phase III pivotal study of the 
savolitinib plus IMFINZI® combination in MET-driven, unresectable 
and locally advanced or metastatic PRCC in October 2021 
(NCT05043090);

Initiated SANOVO, a pivotal Phase III study in China for the 
savolitinib plus TAGRISSO® combination in treatment naïve patients 
with EGFR mutant NSCLC with MET aberration in September 2021 
(NCT05009836);

Potential upcoming clinical and regulatory milestones for savolitinib in 
2022:

• 

• 

Submit for presentation the SAVANNAH Phase II study 
(NCT03778229) for the savolitinib plus TAGRISSO® combination in 
NSCLC patients harboring EGFR mutation and MET amplification or 
overexpression at a scientific conference in the second half of 2022; 
and

Commence enrollment in SAFFRON, a global, pivotal Phase III 
study for the savolitinib plus TAGRISSO® combination in mid-
2022 (NCT05261399).

Surufatinib (SULANDA® in China), an oral inhibitor of VEGFR15, FGFR and 
CSF-1R designed to inhibit tumor angiogenesis and promote the body’s 
immune response against tumor cells via tumor associated macrophage 
regulation; approved and launched in China

Major clinical milestones for surufatinib in 2021:

Initiated SACHI, a pivotal Phase III study in China for the 
savolitinib plus TAGRISSO® combination in patients with EGFR 
mutant NSCLC who have progressed following EGFR TKI treatment 
due to MET amplification in November 2021 (NCT05015608);

Initiated Phase II study with potential for registration 
(NCT04923932) for savolitinib in metastatic gastric cancer with MET 
amplification in China in mid-2021;

Initiated a confirmatory China Phase IIIb post-approval study 
(NCT04923945) of savolitinib monotherapy in MET exon 14 skipping 
alteration patients in mid-2021; and

• 

• 

• 

Initiated the SURTORI-01 Phase III trial in NEC16 patients in 
China, the first pivotal study combining SULANDA® and TUOYI®, 
Junshi’s17 anti-PD-1 antibody, in September 2021 (NCT05015621);

Initiated a bridging study in NET patients in Japan in September 
2021 (NCT05077384) based on dialogue with the Japanese PMDA18; 
and

Initiated an international Phase Ib/II study of surufatinib 
combined with tislelizumab (NCT04579757), BeiGene’s19 PD-120 
antibody, in the U.S. and Europe in March 2021.

• 

• 

• 

• 

• 

• 

A further $15 million milestone payment, to us by AstraZeneca, 
was triggered in February 2022 upon initiation of start-up activities 
for SAFFRON.

Major savolitinib clinical data presentations in 2021:

Presented CALYPSO Phase II study data in MET-driven PRCC 
patients (NCT02819596) for savolitinib in combination with IMFINZI® 
at the 2021 ASCO13 Annual Meeting;

Published in The Lancet Respiratory Medicine updated data 
from the Phase II study in patients with MET exon 14 skipping 
alteration NSCLC (NCT02897479); and

Presented final Phase II data at WCLC14 2020 for the TATTON 
study (NCT02143466) in NSCLC patients with MET amplification who 
had progressed after prior treatment with EGFR inhibitors.

• 

• 

• 

8

Major surufatinib clinical data presentations in 2021:

• 

• 

• 

• 

Presented NEC cohort data from the China Phase II study of 
surufatinib plus TUOYI® (NCT04169672) at the 2021 ASCO and 
ESMO IO21 2021 annual meetings;

Presented data from the gastric and gastroesophageal junction 
cancers cohort of the China Phase II study of surufatinib plus 
TUOYI® (NCT04169672) at the 2021 ASCO and ESMO IO 2021 annual 
meetings;

Presented data from two additional cohorts of the China Phase 
II study of surufatinib plus TUOYI® (NCT04169672) at the ESMO IO 
2021 for esophageal and small cell lung cancer;

Presented updated results from U.S. Phase Ib monotherapy 
NET cohorts (NCT02549937) in heavily pretreated patients with NET 
at the 2021 ASCO Annual Meeting;

2021 FULL YEAR RESULTS  & BUSINESS UPDATESPresented a subgroup analysis by Ki-67 and baseline CgA22 of 
the Phase III monotherapy study in pancreatic NET (SANET-p) 
(NCT02589821) at the 2021 ASCO Annual Meeting; and

• 

Completed enrollment in four cohorts of the Phase II study 
of fruquintinib combined with TYVYT® (NCT03903705), in CRC, 
endometrial cancer, HCC24 and RCC25 in China.

Presented Phase II data for surufatinib monotherapy in BTC23 
patients (NCT02966821) at the 2021 ASCO Annual Meeting in U.S. 
patients after first-line chemotherapy.

Potential upcoming clinical and regulatory milestones for surufatinib in 
2022:

• 

• 

• 

Submit for presentation data from the Phase Ib/II combination 
study with tislelizumab at a scientific conference in the second 
half of 2022;

Submit for presentation further Phase II data for the TUOYI® 
combination study for biliary tract, thyroid cancer, non-small cell 
lung cancer, endometrial cancer and sarcoma cohorts at a scientific 
conference in the second half of 2022, and

Plan to initiate SURTORI-02, a Phase III study of surufatinib 
in combination with TUOYI® in esophageal cancer in China in the 
second half of 2022.

Fruquintinib (ELUNATE® in China), a highly selective oral inhibitor 
of VEGFR 1/2/3 designed to improve kinase selectivity to minimize 
off-target toxicity and thereby improve tolerability; approved and 
launched in China

Major clinical milestones for fruquintinib in 2021:

Completed enrollment in the FRESCO-2 global Phase III 
registration study (NCT04322539) in refractory metastatic CRC 
in late 2021, with 691 patients recruited in 15 months, across 14 
countries including U.S., EU, Japan and Australia, ahead of schedule;

Initiated registration-intent Phase II study in endometrial 
cancer for fruquintinib in combination with TYVYT® 
(NCT03903705) following discussion with the NMPA;

Initiated a Phase II study in China and Korea for fruquintinib in 
combination with tislelizumab (NCT04716634) with advanced or 
metastatic, unresectable gastric cancer, CRC or NSCLC;

Major fruquintinib clinical data presentations in 2021:

• 

• 

• 

Presented preliminary endometrial cancer, HCC and RCC 
cohorts data from the Phase Ib/II studies of fruquintinib 
combined with TYVYT® at CSCO26 2021 (NCT03903705);

Presented preliminary CRC cohorts data from the Phase 
Ib/II studies of fruquintinib combined with TYVYT® and of 
fruquintinib combined with geptanolimab, Genor’s27 PD-1 
antibody, at the 2021 ASCO Annual Meeting (NCT04179084 and 
NCT03977090, respectively); and

Presented Phase Ib U.S. monotherapy data in two different 
cohorts of patients with refractory metastatic CRC (NCT03251378) at 
the 2022 ASCO Gastrointestinal Cancers Symposium.

Potential upcoming clinical and regulatory milestones for fruquintinib in 
2022:

• 

• 

• 

• 

Complete enrollment of the FRUTIGA China Phase III 
registration study (NCT03223376) in advanced gastric cancer in 
2022, which is expected to enroll about 700 patients in China;

Report outcome of the FRESCO-2 trial (NCT04322539) in the 
second half of 2022 when the event-driven primary endpoint, OS28, is 
reached;

If FRESCO-2 is positive, HUTCHMED plans to initiate a 
simultaneous submission program to apply for fruquintinib 
marketing authorization with the U.S. FDA, the EMA and the PMDA; 
and

Plan to initiate Phase III studies of fruquintinib plus TYVYT® 
combination in HCC, RCC and endometrial cancer in China.

Amdizalisib (HMPL-689), an investigative and highly selective oral 
inhibitor of PI3Kδ29 designed to address the gastrointestinal and 
hepatotoxicity associated with currently approved and clinical-stage 
PI3Kδ inhibitors

Major clinical milestones for amdizalisib in 2021:

• 

• 

• 

• 

• 

• 

Initiated a Phase Ib/II study in the U.S. for fruquintinib in 
combination with tislelizumab (NCT04577963) in patients with 
triple negative breast or endometrial cancer and metastatic CRC; and

• 

Initiated two Phase II studies with potential for registration 
in China for the treatment of patients with follicular lymphoma and 
patients with marginal zone lymphoma in April 2021; and

HUTCHMED (China) Limited 2021 Annual Report  9

• 

Initiated dose expansion portion of the Phase I/Ib study in 
the U.S. and Europe (NCT03786926) in the second half of 2021 in 
multiple types of non-Hodgkin’s lymphoma.

Potential upcoming clinical milestone for sovleplenib in 2022:

• 

Complete U.S. IND and initiate Phase I study in the U.S. in 
patients with ITP.

Major amdizalisib clinical data presentation in 2021:

• 

Presented initial dose expansion data at ESMO in September 
2021 at the RP2D30, in patients with multiple types of non-Hodgkin’s 
lymphoma in China.

Potential upcoming clinical and regulatory milestones for amdizalisib in 
2022:

• 

• 

• 

Initiate additional Phase II studies with potential for 
registration intent in China in additional relapsed/refractory non-
Hodgkin’s lymphoma indications in the second half of 2022;

Initiate studies in combination with other anti-cancer therapies 
in China in early 2022; and

Complete recruitment of patients for Phase II studies with 
potential for registration intent in China for the treatment of 
follicular lymphoma and marginal zone lymphoma in late 2022.

Sovleplenib (HMPL-523), an investigative and highly selective oral 
inhibitor of Syk31, an important component of the B-cell receptor 
signaling pathway, for the treatment of hematological cancers and 
immune diseases

Major clinical and regulatory milestones for sovleplenib in 2021:

Initiated the ESLIM-01 Phase III pivotal study in ITP 
(NCT03951623) in China in October 2021; and

• 

• 

Tazemetostat (TAZVERIK® in the U.S. and Japan), an inhibitor of EZH2 
licensed from Epizyme for which HUTCHMED is collaborating to research, 
develop, manufacture and commercialize in Greater China

Potential upcoming clinical and regulatory milestones for tazemetostat in 
2022:

• 

• 

• 

• 

Initiate a bridging study in follicular lymphoma in China for 
conditional registration based on U.S. approvals;

Initiate the China portion of the global SYMPHONY-1 Phase III 
trial (NCT04224493) of tazemetostat combined with lenalidomide 
and rituximab in patients with relapsed or refractory follicular 
lymphoma after at least one prior line of therapy;

Initiate Phase II combination studies with other HUTCHMED 
assets; and

Engage with NMPA on potential path for regulatory approval for 
the treatment of patients with epithelioid sarcoma, a rare disease for 
which TAZVERIK® has FDA approval.

HMPL-453, an investigative and highly selective oral inhibitor of  
FGFR 1/2/3

• 

Initiated combination studies with other anti-cancer therapies, 
including chemotherapies and/or PD-1 antibodies, in China in 
January 2022 (NCT05173142).

Initiated dose expansion portion of the international Phase I  
study in the second half of 2021 in multiple non-Hodgkin’s 
lymphoma indications.

HMPL-306, an investigative and highly selective oral inhibitor of 
IDH1/2 designed to address resistance to the currently marketed IDH 
inhibitors

Major sovleplenib clinical data presentations in 2021:

Major clinical and regulatory milestones for HMPL-306 in 2021:

Presented initial Phase Ib ITP study (NCT03951623) in China at 
ASH 202132; and

Presented initial data from the dose escalation portion of the 
international Phase I study (NCT03779113) in lymphoma patients 
in the U.S. and Europe at ASH 2021.

• 

• 

Initiated Phase I dose escalation study in China in hematological 
malignancies;

Initiated dose escalation portion of a Phase I study 
(NCT04764474) in the U.S. and Europe in patients with hematological 
malignancies with an IDH1 and/or IDH2 mutation in early 2021; and

• 

• 

10

2021 FULL YEAR RESULTS  & BUSINESS UPDATES• 

Initiated dose escalation portion of a Phase I study 
(NCT04762602) in the U.S. and Europe in patients with solid tumors 
with an IDH1 and/or IDH2 mutation in early 2021.

HMPL-A83, a differentiated, red blood cell sparing CD47 monoclonal 
antibody

• 

Completed IND submission for HMPL-A83 in China in early 2022.

Potential upcoming clinical and regulatory milestones for HMPL-306 in 2022:

• 

• 

• 

Submit for presentation data from the dose escalation portion 
of the Phase I study (NCT04272957) in China at a scientific 
conference in mid-2022; 

Initiate dose expansion portion of the Phase I study in China in 
mid-2022; and

Initiate dose expansion portion of the Phase I studies in the U.S. 
and Europe in mid-2022.

HMPL-295, an investigative and highly selective oral inhibitor of 
ERK in the MAPK pathway33 with the potential to address intrinsic or 
acquired resistance from upstream mechanisms such as RAS-RAF-
MEK

• 

Initiated Phase I trial (NCT04908046) in patients with advanced 
solid tumors in China in July 2021.

HMPL-760, an investigative, highly selective, third-generation oral 
inhibitor of BTK with improved potency versus first generation BTK 
inhibitors against both wild type & C481S mutant enzymes

• 

Initiated Phase I trials in China (NCT05190068) and the 
U.S. (NCT05176691) in patients with advanced hematological 
malignancies in January 2022.

HMPL-653, an investigative, highly selective, and potent CSF-1R 
inhibitor designed to target CSF-1R driven tumors as a monotherapy 
or in combinations

• 

Initiated Phase I trial in China (NCT05190068) in patients with 
advanced malignant solid tumors and tenosynovial giant cell tumors 
in January 2022.

MANUFACTURING

• 

• 

• 

Commercial scale-up and launches of SULANDA® and 
ORPATHYS®, alongside ongoing supply of ELUNATE®;

Completed all relevant amdizalisib and sovleplenib 
manufacturing process studies, in preparation for potential NDA 
submissions; and

Rapid progress in building our new flagship Shanghai 
manufacturing facility, designed to increase our novel drug 
product manufacturing capacity by over five-fold. Small molecule 
and large molecule equipment installation is planned for late 2022, 
with GMP compliance targeted for late 2023.

OTHER VENTURES

Other Ventures include our profitable prescription drug marketing 
and distribution platforms covering about 290 cities and towns in China 
with around 2,900 mainly manufacturing and commercial personnel.

• 

• 

• 

Other Ventures delivered encouraging growth with 
consolidated revenues up 20% (13% at CER34) to $236.5 million 
(2020: $197.8m). This does not include revenues from our non-
consolidated joint venture SHPL35, which also grew by 20% (12% at 
CER) to $332.6 million (2020: $276.4m);

Consolidated net income attributable to HUTCHMED from our 
Other Ventures grew by 24% (16% at CER) to $54.4 million 
(2020: $44.0m), excluding one-time gains; and

One-time gains totaled $88.5 million (2020: $28.8m), including 
$82.9 million (2020: nil) from the divestment of HBYS36 and $5.6 
million (2020: $28.8m) from land compensation, before withholding 
tax.

HUTCHMED (China) Limited 2021 Annual Report  11

OTHER CORPORATE 
DEVELOPMENTS

• 

• 

• 

• 

• 

• 

Completed listing on the Main Board of HKEX37, raising net 
proceeds of approximately $585 million;

Completed divestment of interest in HBYS, a non-core and 
non-consolidated over-the-counter drug joint venture business for 
$159.1 million in cash, representing about 22 times HBYS’s adjusted 
net profit attributable to HUTCHMED equity holders in 2020 with an 
additional $46.4 million related to declared dividends expected to be 
collected in 2022;

Entered into a collaboration with Epizyme in August 2021 to 
research, develop, manufacture and commercialize in Greater China 
its drug TAZVERIK®, an EZH2 inhibitor approved by the U.S. FDA 
for the treatment of certain patients with epithelioid sarcoma and 
follicular lymphoma;

Changed our group company name/corporate identity to 
HUTCHMED in April 2021, unifying the names of the majority of our 
key subsidiaries;

Announced a strategic partnership with Inmagene38 in January 
2021 to further develop four novel preclinical drug candidates 
discovered by HUTCHMED for the potential treatment of multiple 
immunological diseases; and

Arbitral award in favor of Hutchison Sinopharm39 in connection 
with the termination of its distribution rights for SEROQUEL® 
in mainland China by Luye Pharma Hong Kong Ltd. In 2021, the 
Hong Kong International Arbitration Centre made a final award in 
favor of Hutchison Sinopharm against Luye Pharma Hong Kong Ltd. 
in the amount of RMB253.2 million ($39.6 million), plus costs and 
interest. Payment of the award is expected in 2022.

Potential upcoming corporate developments:

IMPACT OF COVID-19

COVID-19 did not impact our research, our clinical studies or our 
commercial activities in any material manner in 2021. Certain regulatory 
inspections of our manufacturing facilities in China by the U.S. FDA have, 
however, been postponed due to travel restrictions. We will continue to 
closely work with regulators and monitor the evolving situation.

SUSTAINABILITY

As an innovative, commercial-stage biopharmaceutical company, 
HUTCHMED embraces sustainability at the core of how we operate. Over 
the past two decades, we worked hard to strengthen healthcare systems 
by providing quality and accessible drugs. As the world is gradually 
adapting to the changes brought about by COVID-19, the pandemic has 
highlighted the importance of building sustainability and environmental, 
social and governance factors into business strategy. HUTCHMED 
has embarked on our sustainability journey in 2020 by publishing our 
inaugural ESG report to demonstrate our efforts, and establishing a board 
level Sustainability Committee in 2021 to support the Board of Directors in 
fulfilling their responsibilities. We plan to publish our second sustainability 
report for 2021 at the end of May 2022.

Going forward, HUTCHMED will be working with our stakeholders to 
embrace sustainable business practices and develop a sustainability 
strategy that will help focus our efforts on areas which are most relevant 
to our business. Through a materiality assessment exercise for 2021, 
priority areas include: Business ethics; Drug research-related topics; Drug 
development; Commercial operations responsibilities; Environmental 
topics; and Management of our people. Over the course of 2022, we will 
continue to engage our stakeholders to identify areas for improvement to 
building a more sustainable and responsible future.

Divestment of further non-core operations, we continue to look 
for opportunities to divest non-core businesses, including SHPL, to 
better focus on the development and global commercialization of 
our innovation-driven assets; and

Large molecule advancement, we continue to evaluate 
opportunities which might accelerate our capabilities in the large 
molecule arena.

• 

• 

12

2021 FULL YEAR RESULTS  & BUSINESS UPDATESCash, Cash Equivalents and Short-Term Investments were 
$1,011.7 million as of December 31, 2021 compared to 
$435.2 million as of December 31, 2020.

Revenues for the year ended December 31, 2021 were 
$356.1 million compared to $228.0 million in 2020.

Adjusted Group (non-GAAP40) net cash flows excluding financing 
activities were -$73.5 million (2020: -$78.4m), with the net decrease 
mainly due to $159.1 million in proceeds from the divestment of 
HBYS, which offset the increasing Oncology/Immunology R&D 
spending and lower dividends received from our non-consolidated 
joint ventures totaling $49.9 million (2020: $86.7m); and

Net cash generated from financing activities totaled $650.0 million 
(2020: $296.4m) mainly resulting from the global offering of shares 
and listing on the HKEX in June 2021 and a private placement in April 
2021 to a fund affiliated with Baring Private Equity Asia.

• 

Oncology/Immunology consolidated revenues increased 296% 
(287% at CER) to $119.6 million (2020: $30.2m) resulting from:

ELUNATE® revenues increased 168% to $53.5 million (2020: 
$20.0m) in manufacturing revenues, promotion and marketing 
service revenues and royalties, as our in-house sales team increased 
in-market sales 111% to $71.0 million (2020: $33.7m), as provided by 
Lilly41;

SULANDA® sales revenues of $11.6 million since mid-January 
2021 launch, initially approved to treat patients with advanced 
extra-pancreatic (non-pancreatic) NET and subsequently also 
approved to treat patients with pancreatic NET in June 2021;

ORPATHYS® revenue of $36.3 million since mid-July 2021 
launch, which was comprised of a $25.0 million first sale milestone 
payment and $11.3 million in manufacturing revenues and royalties. 
AstraZeneca reported $15.9 million in-market sales (2020: nil) of 
ORPATHYS® in 2021; and

Other R&D service fee revenues of $18.2 million (2020: $10.2m), 
which were primarily fees from AstraZeneca and Lilly for the 
management of development activities in China.

• 

Other Ventures consolidated revenues increased 20% (13% at 
CER) to $236.5 million (2020: $197.8m), mainly due to continued sales 
growth of third-party prescription drug products.

• 

• 

14

FULL YEAR 2021 FINANCIAL RESULTSNet Expenses for the year ended December 31, 2021 were 
$550.7 million compared to $353.7 million in 2020.

Net Loss attributable to HUTCHMED for the year ended 
December 31, 2021 was $194.6 million compared to 
$125.7 million in 2020.

• 

As a result, the net loss attributable to HUTCHMED in 2021 was $0.25 
per ordinary share/$1.23 per ADS43, compared to net loss attributable 
to HUTCHMED of $0.18 per ordinary share/$0.90 per ADS, in 2020.

• 

• 

• 

• 

Cost of Revenues were $258.2 million (2020: $188.5m), the majority 
of which were the cost of third-party prescription drug products 
marketed through our profitable Other Ventures, as well as full 
year costs associated with ELUNATE®, including the provision of 
promotion and marketing services to Lilly which commenced in 
October 2020, and the costs for SULANDA® and ORPATHYS® which 
commenced commercial sales in 2021;

R&D Expenses were $299.1 million (2020: $174.8m), which increased 
mainly as a result of an expansion in the active development 
of eleven novel oncology drug candidates. Our rapidly scaling 
international clinical and regulatory operations in the U.S. and 
Europe incurred expenses of $140.1 million (2020: $63.3m), while R&D 
expenses in China were $159.0 million (2020: $111.5m);

SG&A Expenses42 were $127.1 million (2020: $61.3m), which 
increased primarily due to higher staff costs and share-based 
compensation expense to support rapidly expanding operations. This 
included the build-up of a large-scale national oncology commercial 
infrastructure in China and commercial launch readiness in the U.S. 
to support our oncology products; and

Other Items generated net income of $133.7 million (2020: $70.9m), 
which increased primarily due to a one-off gain on the divestment of 
HBYS attributable to the Group of $82.9 million (comprised of a gain 
of $121.3 million offset in part by related taxes of $14.4 million and 
amounts attributable to a non-controlling interest of $24.0 million), 
offset in part by lower one-time land compensation of $5.6 million 
(2020: $28.8m) recognized for HBYS.

HUTCHMED (China) Limited 2021 Annual Report  15

As of December 31,

2021

2020

1,011,700
83,580
116,796
41,275
76,479
42,831

1,372,661

41,177
210,839
26,905
54,226

333,147
986,893
52,621

1,372,661

435,176
47,870
47,694
24,170
139,505
29,703

724,118

31,612
121,283
26,861
25,413

205,169
484,116
34,833

724,118

CONDENSED CONSOLIDATED BALANCE SHEET DATA
(in $’000)

Assets

Cash and cash equivalents and short-term investments
Accounts receivable
Other current assets
Property, plant and equipment
Investments in equity investees
Other non-current assets

Total assets

Liabilities and shareholders’ equity

Accounts payable
Other payables, accruals and advance receipts
Bank borrowings
Other liabilities

Total liabilities
Company’s shareholders’ equity
Non-controlling interests

Total liabilities and shareholders’ equity

16

FINANCIAL  SUMMARY 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS DATA
(in $’000, except share and per share data)

Revenues:

Oncology/Immunology – Marketed Products
Oncology/Immunology – R&D

Oncology/Immunology consolidated revenues

Other Ventures

Total revenues

Expenses:

Costs of revenues
Research and development expenses
Selling and general administrative expenses

Total expenses

Loss from Operations

Gain on divestment of an equity investee
Other (expense)/income

Loss before income taxes and equity in earnings of equity investees

Income tax expense
Equity in earnings of equity investees, net of tax

Net loss
Less: Net income attributable to non-controlling interests

Net loss attributable to HUTCHMED

Year Ended December 31,

2021

2020

76,429
43,181

119,610
236,518

356,128

(258,234)
(299,086)
(127,125)

(684,445)

(328,317)
121,310
(8,733)

(215,740)
(11,918)
60,617

(167,041)
(27,607)

(194,648)

19,953
10,262

30,215
197,761

227,976

(188,519)
(174,776)
(61,349)

(424,644)

(196,668)
–
6,934

(189,734)
(4,829)
79,046

(115,517)
(10,213)

(125,730)

Losses per share attributable to HUTCHMED – basic and diluted (US$ per share)
Number of shares used in per share calculation – basic and diluted

Losses per ADS attributable to HUTCHMED – basic and diluted (US$ per ADS)
Number of ADSs used in per share calculation – basic and diluted

(0.25)
792,684,524

(1.23)
158,536,905

(0.18)
697,931,437

(0.90)
139,586,287

HUTCHMED (China) Limited 2021 Annual Report  17

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We discover, develop, manufacture and market targeted therapies and 
immunotherapies for the treatment of cancer and immunological diseases 
through a fully integrated team of approximately 820 scientists and 
staff (December 31, 2020: >600), and an in-house oncology commercial 
organization of about 630 staff (December 31, 2020: ~390).

The only other approved and NRDL reimbursed product in third-line CRC 
in China is STIVARGA®. LONSURF®, a nucleoside metabolic and thymidine 
phosphorylase inhibitor, is approved in China for third-line CRC but is not 
on the NRDL.

We have advanced 13 oncology drug candidates into clinical trials in 
China, with seven also in clinical development in the U.S. and Europe. Our 
first three drug candidates, fruquintinib, surufatinib and savolitinib, have 
all been approved and launched in China.

Surufatinib (SULANDA® in China)

SULANDA® was launched in China in 2021 for the treatment of all 
advanced NETs for which there is an approximate incidence of 34,000 new 
patients per year in China.

MARKETED PRODUCT SALES

Fruquintinib (ELUNATE® in China)

ELUNATE® is approved for the treatment of third-line metastatic CRC for 
which there is an approximate incidence of 83,000 new patients per year 
in China. We estimate that in 2021, approximately 22,000 new patients 
were treated with ELUNATE® in China with resulting in-market sales of 
$71.0 million, up 111% versus 2020 ($33.7m).

Under the terms of our agreement with Lilly, HUTCHMED manages all 
on-the-ground medical detailing, promotion and local and regional 
marketing activities for ELUNATE® in China. We consolidate as revenues 
approximately 70-80% of ELUNATE® in-market sales from service fees 
and royalties paid to us by Lilly. In 2021, we consolidated $53.5 million in 
revenue for ELUNATE®, equal to 75.4% of in-market sales.

Following negotiations with the China National Healthcare Security 
Administration (“NHSA”), ELUNATE® continues to be included in the NRDL 
for a new two-year term starting in January 2022. For this renewal, we 
agreed to a discount of 5% relative to the 2021 NRDL price.

During 2021, our medical marketing and affairs teams conducted about 
4,800 educational/scientific events for ELUNATE® in China. As a result of 
the above activities, ELUNATE® continues to expand with unaudited 
in-market sales in the months of January and February 2022 increasing 
51% to $21.6 million (Jan-Feb 2021: $14.3 million). In January 2022, a 
total of 5,473 new and continuing patients were treated with ELUNATE® 
representing a 50% increase as compared to 3,661 in January 2021.

In 2021, SULANDA® was sold as a self-pay drug. We used means-tested 
early access and patient access programs to help patients afford 
SULANDA®, and we estimate that approximately 4,800 new patients were 
treated. Despite these access programs, duration of treatment was often 
affected by the economic constraints of patients. As a result, total sales in 
2021 were $11.6 million (2020: nil).

Following negotiations with the China NHSA, SULANDA® was included in 
the NRDL starting in January 2022 at a 52% discount on our main 50mg 
dosage form, relative to the 2021 self-pay price. Under the NRDL, actual 
out-of-pocket costs for patients in 2022 represent approximately 15-20% 
of the 2021 self-pay price.

During 2021, we introduced SULANDA® through a campaign of local, 
regional and national launch events involving approximately 12,000 
healthcare professionals. As a result of the above activities, patient 
access to SULANDA®, as well as duration of treatment, are increasing with 
unaudited in-market sales for the months of January and February 2022 
up 21% to $6.0 million (Jan-Feb 2021: $4.9m). It should be noted that 
January and February 2021 in-market sales included normal pipeline fill 
behind the initial launch of SULANDA® whereas January and February 2022  
figures represent consumption sales. In January 2022, a total of 1,497 new 
and continuing patients were treated with SULANDA® representing an 
over 7-fold increase as compared to 213 in January 2021.

There are two therapies for advanced NETs approved and NRDL 
reimbursed in China: SUTENT® for the treatment of pancreatic NET 
(approximately 10% of NET), and AFINITOR® in broadly the same 
indication as SULANDA®.

HUTCHMED (China) Limited 2021 Annual Report  19

OPERATIONS REVIEW – ONCOLOGY/IMMUNOLOGYSavolitinib (ORPATHYS® in China)

Savolitinib – Lung cancer:

On June 22, 2021, ORPATHYS® became the first-in-class selective MET 
inhibitor to be approved in China. Our partner, AstraZeneca, then 
launched ORPATHYS® in mid-July 2021, less than three weeks after its 
conditional approval by the NMPA for patients with MET exon 14 skipping 
alteration NSCLC.

MET plays an important role in NSCLC. Savolitinib has made significant 
development progress in lung cancer, completing NMPA NDA review, 
gaining approval and successfully launching as a monotherapy in China. 
It is also now in multiple late stage registrational studies as a combination 
therapy.

More than a third of the world’s lung cancer patients are in China and, 
among those with NSCLC, approximately 2-3% have tumors with MET 
exon 14 skipping alterations, representing an approximate incidence 
of 13,000 new patients per year in China. Importantly also, MET plays a 
role in multiple other solid tumors, with an estimated total incidence of 
120,000 new patients per year in China.

In-market sales of ORPATHYS® since its launch in July 2021 were $15.9 million  
(2020: nil) resulting in our consolidation of $11.3 million (2020: nil) in 
revenues from manufacturing fees and royalties. We estimate that 
approximately 1,900 patients were treated with ORPATHYS® in 2021.

Following negotiations with the China NHSA, AstraZeneca and HUTCHMED 
declined inclusion in the 2022 NRDL, a position that will be reassessed for 
potential 2023 inclusion.

AstraZeneca introduced a patient access program in late 2021 which 
subsidizes use of ORPATHYS®, through progressive disease. As a result, in-
market sales for ORPATHYS® have started strongly in 2022 with unaudited 
in-market sales in the months of January and February 2022 of $7.4 
million (Jan-Feb 2021: nil).

ORPATHYS® is the first and only selective MET inhibitor on the market in 
China, however XALKORI® is an approved multi-kinase inhibitor of ALK 
and ROS1 with modest MET activity. Several selective MET inhibitors are 
in development in China, but none are currently expected to reach the 
market before 2023.

RESEARCH & DEVELOPMENT

SAVOLITINIB (ORPATHYS® IN CHINA)

Savolitinib is an oral, potent, and highly selective oral inhibitor of MET. 
In global partnership with AstraZeneca, savolitinib has been studied in 
NSCLC, PRCC and gastric cancer clinical trials with over 1,500 patients to 
date, both as a monotherapy and in combinations.

In July 2021, we received a $25 million first sale milestone from 
AstraZeneca upon launch of ORPATHYS® in China and in February 2022, a 
$15 million milestone from AstraZeneca was triggered by the initiation of 
start-up activities for the SAFFRON study. In total, AstraZeneca will have 
paid HUTCHMED $85 million of the total $140 million in upfront payments, 
development and approvals milestones that are potentially payable under 
the 2011 license and collaboration agreement.

20

The table below shows a summary of the clinical studies for savolitinib in 
lung cancer patients.

Treatment

Savolitinib 
monotherapy

Savolitinib 
monotherapy

Savolitinib + 
TAGRISSO®

Savolitinib + 
TAGRISSO®

Savolitinib + 
TAGRISSO®

Savolitinib + 
TAGRISSO®

Name, Line, 
Patient Focus

MET exon 
14 skipping 
alterations

MET exon 
14 skipping 
alterations

SAVANNAH: 
2L/3L EGFRm+44; 
TAGRISSO® 
refractory; MET+

SAFFRON: 
2L/3L EGFRm+; 
TAGRISSO® 
refractory; MET+

SACHI: 2L EGFR 
TKI refractory 
NSCLC; MET+

SANOVO: Naïve 
patients with 
EGFRm & MET+

Sites

Phase

Status/Plan

NCT #

China

II Registration Approved and 

NCT02897479

launched

China

III 
Confirmatory

Ongoing

NCT04923945

Global

II 
Registration-
intent

Global

III

NCT03778229

NCT05261399

Ongoing. Data 
has supported 
progression 
into Phase IIIs

In planning. 
Intend to 
initiate in mid-
2022

China

III

Ongoing

NCT05015608

China

III

Ongoing

NCT05009836

Update on monotherapy in MET altered NSCLC – In June 2021, 
savolitinib was approved by the NMPA based on positive results from a 
Phase II trial conducted in China in patients with NSCLC with MET exon 
14 skipping alterations (NCT02897479), having demonstrated effective 
anti-tumor activity based on ORR45 and DCR46. The approval is conditional 
upon successful completion of a confirmatory study in this patient 
population (NCT04923945), which is expected to enroll approximately 160 
patients from approximately 40 sites.

Update on combination therapies in EGFR TKI-resistant NSCLC – 
MET-amplification is a major mechanism for acquired resistance to both 
first-generation EGFR TKIs as well as third-generation EGFR TKIs like 
TAGRISSO®. As many as 30-40% of EGFR mutation positive NSCLC patients 
develop MET amplification driven resistance to EGFR TKIs. Savolitinib has 
been studied extensively in these patients in the TATTON and SAVANNAH 
studies. The successful results led to the initiation and planning of three 
Phase III studies: SACHI and SANOVO were initiated in China in 2021, 
and the global, pivotal Phase III study, the SAFFRON study, is planned to 
commence enrollment in mid-2022.

OPERATIONS REVIEW –  ONCOLOGY/IMMUNOLOGYSAVANNAH (NCT03778229) – This global, single-arm study in patients 
who have progressed following TAGRISSO® due to MET amplification 
or overexpression has three dose cohorts of savolitinib combined with 
TAGRISSO®. We plan to submit results for presentation at a scientific 
conference in 2022. In addition to the planned global Phase III, which will 
initiate in mid-2022, we continue to evaluate the possibility of using the 
SAVANNAH study as the basis for U.S. accelerated approval.

SACHI (NCT05015608) – In November 2021, we initiated this China Phase III  
study of savolitinib in combination with TAGRISSO®, which is a multi-
center, open-label, randomized, controlled study in patients with 
locally advanced or metastatic EGFR mutation-positive NSCLC with MET 
amplification after disease progression on EGFR inhibitor therapy. The 
study will evaluate savolitinib in combination with TAGRISSO®, compared 
to platinum-based doublet-chemotherapy (pemetrexed plus cisplatin or 
carboplatin), the standard-of-care treatment option in this setting. The 
primary endpoint of the study is PFS.

SANOVO (NCT05009836) – In September 2021, we initiated this China 
Phase III study of savolitinib in combination with TAGRISSO® as a 
first-line treatment in certain NSCLC patients whose tumors harbor 
EGFR mutations and overexpress MET. The Phase III trial is a blinded, 
randomized, controlled study in previously untreated patients with locally 
advanced or metastatic NSCLC with activating EGFR mutations and MET 
overexpression. The study will evaluate TAGRISSO® in combination with 
savolitinib comparing to TAGRISSO® alone, a standard-of-care treatment 
option for these patients. The primary endpoint of the study is PFS.

Savolitinib – Kidney cancer:

MET is a key genetic driver in RCC, and emerging evidence suggests 
that combining immunotherapies with a MET inhibitor could enhance 
anti-tumor activity. PRCC is a subtype of kidney cancer, representing 
about 15% of patients, with no treatments approved for patients with 
tumors that harbor MET-driven alterations. We have conducted multiple 
global studies of savolitinib in PRCC patients, including the SAVOIR 
monotherapy and CALYPSO combination therapy global Phase II trials, 
that both demonstrated highly encouraging results. These results led to 
the initiation of a global Phase III, the SAMETA study, in 2021.

The table below shows a summary of the clinical studies for savolitinib in 
kidney cancer patients.

Sites

Phase

Status/Plan

NCT #

Global

III

Ongoing

NCT05043090

Treatment

Savolitinib + 
IMFINZI®

Name, Line, 
Patient Focus

SAMETA: 
MET-driven, 
unresectable and 
locally advanced 
or metastatic 
PRCC

Savolitinib + 
IMFINZI®

Savolitinib + 
IMFINZI®

CALYPSO: PRCC U.K./
Spain

CALYPSO: Clear 
cell RCC; VEGFR 
TKI refractory

U.K./
Spain

II

II

Data updated at 
ASCO 2021

NCT02819596

Ongoing

NCT02819596

SAMETA (NCT05043090) – In November 2021, we initiated this global 
Phase III study of savolitinib in combination with AstraZeneca’s PD-L1 
inhibitor IMFINZI® in patients with MET-driven advanced PRCC. The 
Phase III trial is an open-label, randomized, controlled study in treatment-naïve 
patients with MET-driven, unresectable and locally advanced or metastatic 
PRCC, to evaluate savolitinib in combination with IMFINZI®, compared 
to single agent IMFINZI® or single agent SUTENT®, an oral multi-kinase 
inhibitor considered the standard-of-care treatment option in PRCC. The 
primary endpoint of the study is median PFS.

CALYPSO (NCT02819596) – This investigator-initiated open-label Phase I/II 
study of savolitinib in combination with IMFINZI® is evaluating the 
savolitinib/IMFINZI® combination in patients with PRCC and clear cell RCC. 
Interim results of the PRCC cohort of the CALYPSO study were presented 
at the ASCO 2021 and showed encouraging efficacy across all patients, 
particularly in MET-driven PRCC patients. Importantly, for patients whose 
tumors are MET-driven, ORR was 57%, median PFS was 10.5 months (95% 
CI: 2.9-15.7) and median OS was 27.4 months (95% CI: 7.3-NR). Tolerability 
was consistent with established single agent safety profiles.

HUTCHMED (China) Limited 2021 Annual Report  21

Savolitinib – Gastric cancer:

MET-driven gastric cancer has a very poor prognosis. Multiple Phase II 
studies have been conducted in Asia to study savolitinib in MET-driven 
gastric cancer, of which approximately 5% of all gastric cancer patients, 
demonstrated promising efficacy, including VIKTORY. The VIKTORY study 
reported a 50% ORR with savolitinib monotherapy in gastric cancer 
patients whose tumors harbor MET amplification.

Phase II with potential for registration intent in 2L+ gastric cancer with 
MET amplification (NCT04923932) – In July 2021, we initiated a Phase II 
registration-intent study in MET-amplified gastric cancer in China. This 
is a two-stage, single-arm study which targets advanced gastric cancer 
patients who have failed at least one line of treatment. The primary 
endpoint is ORR. Subject to the results of the first stage of this study, 
we will discuss with the CDE of NMPA the appropriate approach and 
necessary criteria for registration.

SURUFATINIB (SULANDA® IN CHINA)

Surufatinib is a novel, oral angio-immuno kinase inhibitor that selectively 
inhibits the tyrosine kinase activity associated with VEGFR and FGFR, 
both shown to be involved in tumor angiogenesis, and CSF-1R, which 
plays a key role in regulating tumor-associated macrophages, promoting 
the body’s immune response against tumor cells. Surufatinib has been 
studied in clinical trials with around 1,200 patients to date, both as a 
monotherapy and in combinations, and is approved in China. We currently 
retain all rights to surufatinib worldwide.

Initial approvals for surufatinib in China are for the treatment of advanced 
NET patients. NETs present in the body’s organ system with fragmented 
epidemiology. About 58% of NETs originate in the gastrointestinal tract 
and pancreas, 27% in the lung or bronchus, and a further 15% in other 
organs or unknown origins.

Surufatinib’s ability to inhibit angiogenesis, block the accumulation of 
tumor associated macrophages and promote infiltration of effector T cells 
into tumors could help improve the anti-tumor activity of PD-1 antibodies. 
Several combination studies with PD-1 antibodies have shown promising 
data.

A summary of the clinical studies of surufatinib is shown in the table 
below.

22

Treatment

Name, Line, 
Patient Focus

Sites

Phase

Status/Plan

NCT #

Surufatinib 
monotherapy

SANET-ep: extra-
pancreatic NET

China

III

Approved & 
launched

Surufatinib 
monotherapy

SANET-p: 
pancreatic NET

China

III

Surufatinib 
monotherapy

NETs

U.S.

Ib

Surufatinib 
monotherapy

Surufatinib 
monotherapy

Surufatinib 
monotherapy

NETs

NETs

BTC

Surufatinib + 
TUOYI® (PD-1)

SURTORI-01: 
NEC

Europe II

Japan Bridging Ongoing. Reg-
enabling study.

NCT05077384

China

Ib/IIa

Completed; data 
at ASCO 2021

NCT02966821

China

III

Ongoing

NCT05015621

NENs47

China

II

NCT02588170

NCT02589821

NCT02549937

NCT04579679

Approved & 
launched; 
subgroup analysis 
at ASCO 2021

FDA accepted 
NDA (June 2021); 
updated Ib data 
at ASCO 2021

EMA accepted 
MAA (July 2021)

NCT04169672

Ongoing; data 
at ASCO 2021 & 
ESMO IO 2021

Ongoing

NCT04169672

NCT04169672

Ongoing; data at 
ASCO 2021 and 
updated at ESMO 
IO 2021

Ongoing

NCT04169672

Ongoing; data at 
ESMO IO 2021

NCT04169672

Ongoing

NCT04169672

Ongoing

NCT04169672

Ongoing; data at 
ESMO IO 2021

NCT04169672

Ongoing

NCT04169672

Surufatinib + 
TUOYI® (PD-1)

Surufatinib + 
TUOYI® (PD-1)

Surufatinib + 
TUOYI® (PD-1)

Surufatinib + 
TUOYI® (PD-1)

Surufatinib + 
TUOYI® (PD-1)

BTC

China

Gastric cancer

China

Thyroid cancer

China

SCLC48

China

China

China

China

Surufatinib + 
TUOYI® (PD-1)

Soft tissue 
sarcoma

Surufatinib + 
TUOYI® (PD-1)

Endometrial 
cancer

Surufatinib + 
TUOYI® (PD-1)

Esophageal 
cancer

Surufatinib + 
TUOYI® (PD-1)

Surufatinib + 
tislelizumab  
(PD-1)

NSCLC

China

Solid tumors

U.S./
Europe

II

II

II

II

II

II

II

II

Ib/II

Ongoing

NCT04579757

Surufatinib – monotherapy in NET updates:

Global development of surufatinib in NET: U.S. NDA and EU MAA under 
review – The U.S. NDA and EU MAA are supported by data from two 
positive Phase III studies of surufatinib in patients with pancreatic and 
extra-pancreatic NET in China (SANET-p and SANET-ep both previously 
reported in The Lancet Oncology, as mentioned below), and a surufatinib 
Phase Ib study conducted in U.S. NET patients (N=107 for safety and N=67 
for efficacy).

OPERATIONS REVIEW –  ONCOLOGY/IMMUNOLOGYIn June 2021, the U.S. FDA accepted our filing of the NDA for surufatinib for 
the treatment of pancreatic and extra-pancreatic (non-pancreatic) NETs. 
Surufatinib received fast track designation in April 2020 for the treatment 
of pancreatic and extra-pancreatic NET. Orphan Drug Designation for 
pancreatic NET was also granted in November 2019. We have also initiated 
an Expanded Access Protocol in the U.S. to ensure patients with NET with 
limited therapeutic options have access to this treatment. Regulatory 
clearance of this protocol has been granted by the U.S. FDA and this 
program is open for site activation.

U.S. FDA NDA review, as well as the clinical site inspections and pre-
approval inspections of our manufacturing facilities, are ongoing. The 
PDUFA goal date for the FDA’s completion of review is April 30, 2022. 
Timing of completion of the NDA review is subject to FDA scheduling 
limitations which are contingent on COVID-19 travel restrictions and 
security requirements for foreign visitors. Remaining inspections must be 
completed before regulatory action can be taken.

We have also submitted the EMA MAA for surufatinib, which was validated 
and accepted in July 2021, for the treatment of both pancreatic and 
non-pancreatic NET. The 120-day assessment has been completed, 
and we are now entering the later stages of MAA review. In addition, we 
initiated a registration-enabling bridging study in NET patients in Japan in 
September 2021.

U.S. Phase Ib NET cohorts (NCT02549937) – Updated data from a study in 
U.S. patients was presented at ASCO 2021, reinforcing the dosage, efficacy 
and safety profile as comparable to the China trials data. At data cut-
off, confirmed response and DCR was observed in 18.8% and 87.5% of 
pancreatic NET patients, and 6.3% and 93.8% of extra-pancreatic NET 
patients, respectively. Median PFS was 11.5 months in both cohorts (95% 
CI: 6.5-17.5).

Japan Bridging Study to Support Registration for Advanced NET 
(NCT05077384) – Based on dialogue with the Japanese PMDA, it was 
agreed that the Japanese NDA would include results from a 34-patient, 
registration-enabling bridging study in Japan to complement the 
registration data package submitted to the U.S. FDA and the EMA. It was 
initiated in September 2021.

Surufatinib – combination therapy with checkpoint inhibitor 
TUOYI® updates:

A Phase II China study (NCT04169672) is enrolling approximately 260 
patients in nine solid tumor indications, including NENs, BTC, gastric 
cancer, thyroid cancer, SCLC, soft tissue sarcoma, endometrial cancer, 
esophageal cancer and NSCLC. In 2021, we presented encouraging 
preliminary data on several of these surufatinib-TUOYI® combination 
cohorts at CSCO and ESMO IO. These have led to the initiation of the first 
Phase III trial combining surufatinib with a PD-1 antibody, the SURTORI-01 
study in NEC, and we are currently considering further registration studies 
in gastric cancer, SCLC and esophageal cancer.

NEC (subset of NENs) cohort – At CSCO 2021, we presented data, with a 
cutoff date of July 30, 2021, for all 21 enrolled NEC patients that were 
efficacy evaluable. Average duration of treatment was 4.9 months (range 
1-19) and median OS was 10.3 months (95% CI: 9.1-not reached). The 
median PFS was 4.14 months (95% CI: 1.5-5.5) and median DoR49 was 4.1 
months (95% CI: 3.0-not reached). The confirmed ORR was 23.8% (95% CI: 
8.2-47.2) and DCR was 71.4% (95% CI: 47.8-88.7).

All patients experienced TRAEs50, including 9 (42.9%) who experienced 
grade 3 or above TRAEs. One (4.8%) patient reported treatment-related 
serious adverse events. Hyperglycemia (3 patients, 14.3%), hypertension (2 
patients, 9.5%) and hypertriglyceridemia (2 patients, 9.5%) were the most 
commonly (more than one patient) reported grade 3 or above TRAEs. No 
TRAEs led to treatment discontinuation or treatment-related deaths.

SURTORI-01 (NCT05015621) – In September 2021, we initiated this 
Phase III study to evaluate the combination compared with FOLFIRI 
to treat patients with advanced NEC who have progression of disease 
or intolerable toxicity after previous first-line chemotherapy. It is 
a randomized, controlled, open-label, multi-center study where 
approximately 200 patients are expected to be enrolled. For the study 
group, all patients will receive study treatment on a 21-day cycle. The 
primary outcome measure is OS. HUTCHMED is the sponsor and is 
responsible for the study’s execution. HUTCHMED and Junshi Biosciences 
are jointly funding the study.

Surufatinib – combination with checkpoint inhibitor 
tislelizumab:

In addition to the TUOYI® and TYVYT® combination studies in China, in 
March 2021 we initiated an open-label, Phase Ib/II study of surufatinib 
in combination with BeiGene’s tislelizumab in the U.S. and Europe, 
evaluating the safety, tolerability, pharmacokinetics and efficacy in 
patients with advanced solid tumors, including CRC, NET, small cell 
lung cancer, gastric cancer and soft tissue sarcoma. The dose finding 
phase of the study is now complete and the expansion phase is ongoing 
(NCT04579757).

Surufatinib – Exploratory development:

In China, we support an Investigator Initiated Trial (“IIT”) program for 
surufatinib, with about 50 IITs in various solid tumor settings being 
conducted for both combination and single agent regimens. These trials 
explore and answer important medical questions in addition to our own 
company-sponsored clinical trials.

HUTCHMED (China) Limited 2021 Annual Report  23

FRUQUINTINIB (ELUNATE® IN CHINA)

Fruquintinib – CRC updates:

Fruquintinib is a novel, selective, oral inhibitor of VEGFR 1/2/3 kinases that 
was designed to improve kinase selectivity to minimize off-target toxicity 
and thereby improve tolerability. Fruquintinib has been studied in clinical 
trials with about 5,000 patients to date, both as a monotherapy and in 
combinations.

Aside from its first approved indication of third-line CRC (in China), 
several studies of fruquintinib combined with checkpoint inhibitors 
(including TYVYT®, geptanolimab and tislelizumab) have been underway, 
some of which presented encouraging data in 2021. Registration-intent 
studies combined with chemotherapy (FRUTIGA study in gastric cancer) 
or checkpoint inhibitors (TYVYT® combo, in endometrial cancer) are 
ongoing in China, with further registration studies in HCC and RCC under 
consideration.

We retain all rights to fruquintinib outside of China and are partnered with 
Lilly in China. The table below shows a summary of the clinical studies for 
fruquintinib.

FRESCO-2 (NCT04322539) – This double-blind, placebo-controlled, 
global Phase III study in refractory metastatic CRC patients reached its 
enrollment goal in December 2021. It recruited 691 patients from over 
150 sites in 14 countries in fifteen months, ahead of schedule. The primary 
endpoint of the study is OS. Topline results are expected to be reported 
in the second half of 2022 when the event-driven primary endpoint, OS, 
is mature. If positive, HUTCHMED would simultaneously initiate plans to 
apply for marketing authorization of fruquintinib by the U.S. FDA, which 
granted Fast Track Designation in 2020, the EMA and the Japanese PMDA.

U.S. Phase I/Ib CRC cohorts (NCT03251378) – Preliminary efficacy and 
safety data of fruquintinib in patients with refractory, metastatic CRC were 
presented at ASCO GI in early 2022. In patients who had progressed on all 
standard therapies, including LONSURF® and/or STIVARGA®, the DCR was 
68.3% and the median duration of treatment was 19.3 weeks. In patients 
who had not received LONSURF® or STIVARGA®, the DCR was 57.5% and 
the median duration of treatment was 14.1 weeks. The safety profile in 
both patient populations was consistent with what has previously been 
reported.

Treatment

Fruquintinib 
monotherapy

Name, Line, 
Patient Focus

FRESCO: 
≥3L CRC; 
chemotherapy 
refractory

Fruquintinib 
monotherapy

FRESCO-2: 
metastatic CRC

Fruquintinib 
monotherapy

CRC51; TN & 
HR+52/Her2-53 
breast cancer

Sites

Phase

Status/Plan

NCT #

China

III

Approved and 
launched

NCT02314819

III

Fully enrolled

NCT04322539

U.S./
Europe/
Japan/
Aus.

U.S.

Ib

Ongoing

NCT03251378

Fruquintinib + 
paclitaxel

FRUTIGA: 2L 
gastric cancer

China

III

Fruquintinib + 
TYVYT® (PD-1)

Fruquintinib + 
TYVYT® (PD-1)

CRC

HCC

China

II

China

Ib/II

Ongoing; 
completed 2nd 
interim analysis

Ongoing; data 
at ASCO 2021

Ongoing; data 
at CSCO 2021

Fruquintinib + 
TYVYT® (PD-1)

endometrial 
cancer

China

II 
registration-
intent

Ongoing; Ib 
data at CSCO 
2021

NCT03223376

NCT04179084

NCT03903705

NCT03903705

Fruquintinib + 
TYVYT® (PD-1)

RCC

China

Ib/II

Ongoing; data 
at CSCO 2021

NCT03903705

Fruquintinib + 
TYVYT® (PD-1)

Gastrointestinal 
tumors

Fruquintinib 
+ tislelizumab 
(PD-1)

TN breast cancer 
& endometrial 
cancer

China

Ib/II

Ongoing

NCT03903705

U.S.

Ib/II

Ongoing

NCT04577963

Fruquintinib 
+ tislelizumab 
(PD-1)

Solid tumors

Korea/
China

Ib/II

Ongoing

NCT04716634

24

Fruquintinib – Gastric cancer:

FRUTIGA (NCT03223376) – This randomized, double-blind, Phase III study 
in China to evaluate fruquintinib combined with paclitaxel compared with 
paclitaxel monotherapy, for second-line treatment of advanced gastric 
cancer, is expected to enroll approximately 700 patients. Its co-primary 
endpoints are PFS and OS. We expect to complete enrollment of FRUTIGA 
in 2022.

Fruquintinib – combinations with checkpoint inhibitors:

Advanced endometrial cancer registration-intent cohort – Platinum-based 
systemic chemotherapy is the standard first-line treatment for advanced 
endometrial cancer. However, patients who progress following first-line 
chemotherapy have limited treatment options, and the prognosis remains 
poor. As disclosed at CSCO 2021, as of data cutoff date of August 31, 
2021, 35 patients were enrolled (NCT03903705), including 7 treatment-
naïve and 28 pretreated patients. Of them, 29 were efficacy evaluable, 
4 were treatment-naïve and 25 were pretreated. All 4 treatment-naïve 
patients experienced confirmed tumor response, for ORR of 100% (95% 
CI: 39.8-100.0), and median PFS was not reached. Among the 25 pretreated 
patients, the confirmed ORR was 32.0% (95% CI: 14.9-53.5), DCR was 
92.0% (95% CI: 74.0-99.0) and the median PFS was 6.9 months (95% CI: 
4.1-NR). Among the 19 proficient mismatch repair (pMMR) patients in the 
pretreated cohort, the confirmed ORR was 36.8% (95% CI: 16.3-61.6), DCR 
was 94.7% (95% CI: 74.0-99.9), median PFS was 6.9 months (95% CI: 4.1-
NR), and the median OS was not reached. Among the 35 enrolled patients, 
TRAEs of grade 3 or above that occurred in more than 10% of patients 
were hypertension (4 patients, 11.4%) and proteinuria (11.4%). 5 (14.3%) 
patients reported treatment-related serious adverse events.

Following discussion with the NMPA in late 2021, the cohort is now 
targeting to enroll over 130 patients to meet the requirements to be a 
single-arm, registration-intent Phase II study.

OPERATIONS REVIEW –  ONCOLOGY/IMMUNOLOGYCRC registration strategy for mCRC under discussion – Encouraging 
preliminary data disclosed at ASCO 2021 for fruquintinib in combination 
with two PD-1 inhibitors, TYVYT® and geptanolimab, in advanced CRC 
showed a five-fold increase in ORR and a doubling of median PFS as 
compared to the FRESCO study for fruquintinib as a monotherapy.

In the TYVYT® combination study (NCT04179084), 44 patients were 
enrolled into the CRC cohort, 22 of whom received the RP2D. ORR was 
23% for all patients and 27% for those who received the RP2D. DCR was 
86% for all patients and 96% for those who received the RP2D. Median PFS 
was 5.6 months for all patients, and 6.9 months for those who received 
the RP2D. Median OS was 11.8 months for all patients.

In the geptanolimab combination study (NCT03977090), for the 15 
patients in the CRC cohort ORR was 26.7% (including 1 patient with 
unconfirmed PR) and 33% in the group that received the RP2D. DCR for 
all evaluable patients was 80% and median PFS was 7.3 months (95% CI: 
1.9-NR). Grade 3 TRAEs occurred in 47% of patients, and no incidences of 
grade 4 or 5 TRAEs were observed.

Tislelizumab combinations (NCT04577963 & NCT04716634) – In August 2021, 
we initiated an open-label, multi-center, non-randomized Phase Ib/II 
study in the U.S. to assess fruquintinib in combination with tislelizumab in 
patients with locally advanced triple negative breast cancer or advanced 
endometrial cancer. In addition, a Phase II study in China and Korea for 
fruquintinib in combination with tislelizumab was initiated and is being 
led by BeiGene for the treatment of advanced or metastatic, unresectable 
gastric cancer, CRC or NSCLC.

Fruquintinib – Exploratory development:

We are conducting multiple Phase Ib expansion cohorts in the U.S. to 
explore fruquintinib in CRC and breast cancer. In China, there are about 40 
ongoing IIT’s in various solid tumor settings.

Hematological Malignancies Candidates

HUTCHMED currently has five investigational drug candidates targeting 
hematological malignancies in clinical development, with its sixth 
expected to enter clinical development in mid-2022. Amdizalisib 
(targeting PI3Kδ), sovleplenib (HMPL-523, targeting Syk) and HMPL-760 
(targeting BTK) are being studied in several trials against B-cell dominant 
malignancies. In addition to the three B-cell receptor pathway inhibitors, 
HUTCHMED is also developing HMPL-306 (targeting IDH1 and IDH2); 
tazemetostat (a methyltransferase inhibitor of EZH2); and HMPL-A83 (a 
IND-stage anti-CD47 monoclonal antibody).

AMDIZALISIB (HMPL-689)

Amdizalisib is a novel, highly selective oral inhibitor targeting the isoform 
PI3Kδ, a key component in the B-cell receptor signaling pathway. 
Amdizalisib’s pharmacokinetic properties have been found to be favorable 

with good oral absorption, moderate tissue distribution and low clearance 
in preclinical studies. We also expect that amdizalisib will have low risk 
of drug accumulation and drug-drug interactions. In 2021, registration-
intent studies for amdizalisib were initiated and Breakthrough Therapy 
Designation was granted for relapse or refractory follicular lymphoma in 
China. We currently retain all rights to amdizalisib worldwide. The table 
below shows a summary of the clinical studies for amdizalisib.

Treatment

Amdizalisib 
monotherapy

Amdizalisib 
monotherapy

Name, Line, 
Patient Focus

Indolent non-
Hodgkin’s 
lymphoma

Relapsed/
refractory 
follicular 
lymphoma

Amdizalisib 
monotherapy

Amdizalisib 
monotherapy

Relapsed/
refractory 
marginal zone 
lymphoma

Indolent non-
Hodgkin’s 
lymphoma

Sites

Phase

Status/Plan

NCT #

China

Ib

China

II 
registration-
intent

NCT03128164

NCT04849351

Ongoing; 
expansion data 
presented at 
ESMO 2021

Ongoing: 
initiated in 
Apr 2021. 
Breakthrough 
Therapy 
Designation

China

II 
registration-
intent

Ongoing: 
initiated in Apr 
2021

NCT04849351

I/Ib

U.S./
Europe

NCT03786926

Dose expansion 
initiated in H2 
2021

Phase II registration-intent trial (NCT04849351) – In April 2021, we 
commenced a registration-intent, single-arm, open-label Phase II trial in 
China in approximately 100 patients with relapsed/refractory follicular 
lymphoma and approximately 80 patients with relapsed/refractory 
marginal zone lymphoma, two subtypes of non-Hodgkin’s lymphoma. The 
primary endpoint is ORR. The trial is being conducted in over 35 sites in 
China.

This initiation is based on the highly promising preliminary results 
presented at ESMO 2021 from the Phase Ib expansion study ongoing in 
China (NCT03128164), which demonstrated that amdizalisib was well 
tolerated with single-agent clinical activity in relapsed/refractory B-cell 
lymphoma patients.

SOVLEPLENIB (HMPL-523)

Sovleplenib is a novel, selective, oral inhibitor targeting Syk, for the 
treatment of hematological cancers and immune diseases. Syk is a 
component in B-cell receptor signaling pathway.

In 2021 we initiated Phase III study in China for ITP, for which it has 
received Breakthrough Therapy Designation, and presented data on both 
ITP and hematological malignancies at ASH 2021. We currently retain all 
rights to sovleplenib worldwide. The table below shows a summary of the 
clinical studies for sovleplenib.

HUTCHMED (China) Limited 2021 Annual Report  25

Treatment

Sovleplenib 
monotherapy

Sovleplenib 
monotherapy

Sovleplenib 
monotherapy

Sovleplenib 
monotherapy

Sovleplenib 
monotherapy

Sovleplenib 
monotherapy

ESLIM-01 (Evaluation of Sovleplenib for immunological diseases–01, 
NCT05029635) – In October 2021, we initiated a randomized, double-
blinded, placebo-controlled Phase III trial in China of sovleplenib in 
approximately 180 adult patients with primary ITP, an autoimmune 
disorder that can lead to increased risk of bleeding. The primary endpoint 
of the study is the durable response rate. In January 2022, the NMPA 
granted Breakthrough Therapy Designation for this indication.

Name, Line, 
Patient Focus

Sites

Phase

Status/Plan

NCT #

ESLIM-01: ITP

China

III

ITP

China

I/Ib

Australia Ib

NCT05029635

Ongoing: 
initiated in 
Oct 2021. 
Breakthrough 
Therapy 
Designation

Completed. Data 
at ASH 2021

NCT03951623

Active, not 
recruiting

NCT02503033

I/Ib

U.S./
Europe

Ongoing. Prelim. 
data at ASH 2021

NCT03779113

China

I/Ib

Completed

NCT02857998

Indolent non-
Hodgkin’s 
lymphoma

Indolent non-
Hodgkin’s 
lymphoma

Multiple sub-
types of B-cell 
malignancies

wAIHA

China

II

In planning

N/A

Phase Ib Study of Amdizalisib in Chinese Patients with Relapsed/Refractory Lymphoma: 
Best response of target lesion (N=76)

FL
n=22

MZL
n=14

CLL/SLL
n=3

MCL
n=8

DLBCL
n=29

CR

PR

PD

SD

100

75

50

25

0

-25

-50

-75

-100

PD

PD

SD

SD

PR

PR

CR

SD

SD

SD

SD

SD

SD

SD

PR

PR

PD

SD

PR

PR

CR

PR

PR

PR
PR

CR PR
CR
PR

CR

PR

PR

PR

CR

PR

PR

CR
CR

CR
CR

CR
CR

CR

PR

PR

PR

PR

PR

PR
PR

2

PR

2

PD-PD-PD-PD-PD-PD-PD-

PD

PD PD

PD
PD

PD
PD

PD SD

SD

PR

PR
PR

PR
PR

SD SD SD SD

SD

PR

PR

PR
PR

PD

PD

PR PR

PR

PR
PR

1

0

0

0

1

1

2

2

1

0

0

0

1

1

2

0

0

1

0

0

0

0

0

0

0

0

1

0

0

0

0

2

0

0

2

0

2

6

-

0

4

-

0

4

7

-

0

-

0

7

-

0

7

-

0

1

-

0

1

-

5

-

4

-

0

0

0

3

-

0

2

4

-

0

-

0

2

1

-

2

-

0

4

3

-

0

-

0

2

-

0

2

-

0

4

-

0

0

3

3

0

0

0

0

0

0

4

1

2

0

0

1

3

3

0

2

3

2

0

3

-

0

6

-

0

7

-

0

4

-

0

3

-

0

9

-

0

8

-

0

4

-

0

4

-

0

4

-

0

1

-

0

3

-

0

4

-

0

3

-

0

4

0

0

3

4

0

0

4

4

2

0

2

3

0

6

4

9

1

3

2

3

5

1

3

1

2

1

7

2

6

6

1

1

2

9

0

2

3

5

2

4

1

9

1

6

4

7

7

4

-

0

1

-

0

3

-

0

4

0

6

8

0

2

1

0

1

0

1

2

1

-

0

5

-

0

4

-

2

6

-

0

3

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0

6

-

2

1

-

0

0

9

0

2

4

0

8

8

3

7

0

1

1

0

3

-

0

0

0

0

1

1

1

1

2

1

0

0

1

1

1

2

0

2

0

0

0

1

1

0

0

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1

0

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0

2

2

-

0

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2

2

-

0

6

-

0

6

-

2

9

4

-

0

-

0

9

8

8

-

0

-

0

-

0

2

-

0

2

-

2

9

-

0

1

-

0

3

4

2

4

4

-

0

-

0

-

0

-

0

-

0

9

-

2

7

4

-

2

-

0

2

-

0

1

-

0

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3

-

0

-

0

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0

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0

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0

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0

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1

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0

4

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6

2

5

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1

6

3

5

9

3

3

3

1

2

2

0

2

1

1

4

9

6

5

3

1

3

2

0

4

4

-

0

-

0

Notes:  Data cut-off as of June 15, 2021. Target lesion SPD (sum of the product of perpendicular diameters) increased more over 100%. Efficacy evaluable population: received at least one tumor assessment. FL = follicular 

lymphoma; MZL = marginal zone lymphoma; CLL/SLL = chronic lymphocytic leukemia / small lymphocytic lymphoma; MCL = mantle cell lymphoma; DLBCL = diffuse large B cell lymphoma; n = number of patients; 

CR = complete response; PR = partial response; PD = progressive disease; SD = stable disease; ORR = objective response rate; CBR = clinical benefit rate (CR + PR + SD) 

Source:  CaoJN, et al. “A phase Ib study result of HMPL-689, a PI3Kδ inhibitor, in Chinese patients with relapsed/refractory lymphoma.” Presented at the 2021 European Society for Medical Oncology (ESMO) Virtual Congress 

on September 20, 2021. Presentation #833O

China Phase I/Ib in ITP (NCT03951623) – ESLIM-01 was initiated based on 
encouraging data from this Phase Ib study presented at ASH 2021. At 
data cutoff, 34 patients received sovleplenib and 11 received placebo. 
Among 16 patients who received the RP2D of 300mg once daily, 11 (68.8%) 
experienced response (defined by at least one incident of platelet count 
being ≥ 50x10⁹/L in the initial 8-week double-blinded phase of the study), 
compared to one placebo patient (9.1%). One additional patient at the 
RP2D experienced response during the subsequent 16-week open-label 

phase of the study, and all four placebo patients that crossed over to 
receive treatment at RP2D after the initial 8-week double-blinded phase 
experienced response. In total, 16 out of 20 patients (80%) experienced 
response during both phases of the study. Durable response (defined as 
platelet count being ≥ 50x10⁹/L in at least 4 out of 6 last scheduled visits) 
was reported in 8 out of 20 patients (40%) who received RP2D in both 
phases of the study.

26

OPERATIONS REVIEW –  ONCOLOGY/IMMUNOLOGYPhase Ib Study of Sovleplenib in Adult Patients with Primary Immune Thrombocytopenia

Notes:	 Data	cut-off	as	of	September	30,	2021.	Overall	Response	was	defined	as	at	least	one	incident	of	platelet	count	being	≥	50×109/L in the initial 8-week double blinded phase of the study. Durable Response was defined 

as	platelet	count	being	≥	50×109/L in at least 4 out of 6 last scheduled visits.

*The 300mg QD cohort includes 4 patients who, after receiving placebo in the first 8 weeks of double blind treatment, received sovleplenib 300mg QD in a 16-week open-label treatment period. QD= once daily

Source:  Yang R, et al. “Safety, Pharmacokinetics and Preliminary Efficacy of HMPL-523 in Adult Patients with Primary Immune Thrombocytopenia: A Randomized, Double-Blind and Placebo-Controlled Phase Ib Study.” 

Presented at the 63rd American Society of Hematology (ASH) Annual Meeting and Exposition on December 11, 2021. Abstract #149895.

Safety data were presented for all 41 patients treated by sovleplenib. The 
median duration of treatment was 142 days (range: 23-170). No patients 
discontinued treatment due to TRAE, and no cases of treatment-related 
serious adverse events were reported. There were 30 patients (73%) who 
experienced TRAEs, including 3 (7.3%) who experienced grade 3 or above 
TRAEs, one of whom received the RP2D. No TRAEs of grade 3 or above 
occurred in more than one patient.

Australia/China Phase I/Ib studies in multiple subtypes of B-cell 
malignancies (NCT02503033/NCT02857998) – Our Phase I/Ib dose 
escalation and expansion studies in Australia and China have now 
enrolled over 200 patients in a broad range of hematological cancers and 
have identified indications of interest for future development.

U.S./Europe Phase I/Ib in indolent non-Hodgkin’s lymphoma (NCT03779113) 
– We presented preliminary results from this Phase I study at ASH 2021, 
which support progressing sovleplenib into the ongoing dose expansion 
phase of the study to evaluate its safety and efficacy in multiple subtypes 
of B-cell and T-cell lymphoma at the RP2D of 700mg.

TAZVERIK® (TAZEMETOSTAT)

In August 2021, we entered into a strategic collaboration with Epizyme 
to research, develop, manufacture and commercialize TAZVERIK® in 
Greater China, including mainland China, Hong Kong, Macau and Taiwan. 
TAZVERIK® is an inhibitor of EZH2 developed by Epizyme that is approved 

by the U.S. FDA for the treatment of certain epithelioid sarcoma and 
follicular lymphoma patients. It received accelerated approval from the 
FDA based on ORR and DoR in January and June 2020 for epithelioid 
sarcoma and follicular lymphoma, respectively.

Under the terms of the agreement, we are responsible for the 
development and commercialization of TAZVERIK® in Greater China. 
Epizyme received a $25 million upfront payment and is eligible to 
receive up to an additional $110 million in development and regulatory 
milestone payments, across up to eight potential indications, and up to 
an additional $175 million in sales milestone payments. Epizyme is also 
eligible to receive tiered royalties of mid -teen to low-twenties percent 
based on annual net sales of TAZVERIK® in Greater China. In addition, 
we received a four-year warrant to acquire up to $65 million of Epizyme 
shares at $11.50 per share.

We are developing and plan to seek approval for TAZVERIK® in various 
hematological and solid tumors, including epithelial sarcoma, follicular 
lymphoma and diffuse large b-cell lymphoma (DLBCL) in Greater China. 
We are participating in Epizyme’s SYMPHONY-1 (EZH-302) study, leading 
it in Greater China. The parties also intend to conduct additional global 
studies jointly. We will generally be responsible for funding all clinical 
trials of TAZVERIK® in Greater China, including the portion of global trials 
conducted there. We are responsible for the research, manufacturing and 
commercialization of TAZVERIK® in Greater China.

HUTCHMED (China) Limited 2021 Annual Report  27

The table below shows a summary of the clinical studies for TAZVERIK®.

HMPL-306

In planning

Pending

Treatment

Name, Line, 
Patient Focus

Sites

Phase Status/Plan

NCT #

HMPL-306 is a novel dual-inhibitor of IDH1 and IDH2 enzymes. IDH1 and 
IDH2 mutations have been implicated as drivers of certain hematological 
malignancies, gliomas and solid tumors, particularly among acute myeloid 
leukemia patients. We currently retain all rights to HMPL-306 worldwide. 
The table below shows a summary of the clinical studies for HMPL-306.

HMPL-306 
monotherapy

Hematological 
malignancies

China

I

HMPL-306 
monotherapy

U.S.

Solid tumors 
including but not 
limited to gliomas, 
chondrosarcomas or 
cholangiocarcinomas

HMPL-306 
monotherapy

Hematological 
malignancies

U.S.

I

I

NCT04272957

NCT04762602

NCT04764474

Ongoing: close 
to establishing 
the RP2D, dose 
expansion in 
mid-2022

Ongoing: 
initiated in 
Mar 2021 Dose 
expansion phase 
is expected to 
start in mid-2022

Ongoing: 
initiated in Mar 
2021

HMPL-760

HMPL-760 is an investigational, non-covalent, third-generation BTK 
inhibitor. It is a highly potent, selective, and reversible inhibitor with long 
target engagement against BTK, including wild-type and C481S-mutated 
BTK. China and U.S. Phase I studies initiated in early 2022 will include 
patients treated with a prior regimen containing a BTK inhibitor. We 
currently retain all rights to HMPL-760 worldwide.

Treatment

Name, Line, 
Patient Focus

Sites

Phase Status/Plan

NCT #

HMPL-760 
monotherapy

CLL, SLL, other 
NHL

China

HMPL-760 
monotherapy

CLL, SLL, other 
NHL

U.S.

I

I

Ongoing: initiated 
in Jan 2022

NCT05190068

Initiating

NCT05176691

Treatment

Name, Line, 
Patient Focus

TAZVERIK® + R² 
(lenalidomide & 
rituximab)

SYMPHONY-1: 
2L follicular 
lymphoma

TAZVERIK® 
monotherapy

TAZVERIK® 
combinations

Relapsed/
refractory 
3L+ follicular 
lymphoma

Indolent 
lymphoma 
combinations

Sites

Phase

Status/Plan

NCT #

Global

III

NCT04224493

Ongoing: 
HUTCHMED is 
leading China 
portion of 
global Ph III

China

II 
registration-
intent 
(bridging)

China

II

In planning

N/A

SYMPHONY-1 (NCT04224493) – This is a global, multicenter, randomized, 
double-blind, active-controlled, 3-stage, biomarker-enriched, Phase 
Ib/III study of TAZVERIK® in combination with R² in patients with 
relapsed or refractory follicular lymphoma after at least one prior line of 
therapy. Epizyme conducted the Phase Ib portion of the study in 2021, 
which determined the recommended Phase III dose (“RP3D”) and also 
demonstrated potential efficacy in second-line follicular lymphoma. 
The safety profile of the combination was consistent with the previously 
reported safety information in the U.S. prescribing information for both 
TAZVERIK® and R², respectively.

In the Phase III portion of the trial, approximately 500 patients are 
randomly assigned to receive the RP3D of TAZVERIK® + R² or placebo + R². 
The study will also include a maintenance arm with TAZVERIK® or placebo 
following the first year of treatment with TAZVERIK® + R² or placebo + R². 
We anticipate the first patient enrollment in H1 2022 in the China Phase III 
portion of SYMPHONY-1.

We intend to initiate a bridging study in follicular lymphoma to support 
China registration, as well as several combination studies of TAZVERIK® 
with HUTCHMED assets.

28

OPERATIONS REVIEW –  ONCOLOGY/IMMUNOLOGYHMPL-453

HMPL-653

HMPL-453 is a novel, selective, oral inhibitor targeting FGFR 1/2/3. 
Aberrant FGFR signaling is associated with tumor growth, promotion of 
angiogenesis, as well as resistance to anti-tumor therapies. We currently 
retain all rights to HMPL-453 worldwide. The table below shows a 
summary of the clinical studies for HMPL-453.

HMPL-653 is a novel, highly selective, and potent CSF-1R inhibitor 
designed to target CSF-1R driven tumors as a monotherapy or in 
combination with other drugs. We initiated a China Phase I study in 
January 2022. We currently retain all rights to HMPL-653 worldwide.

Name, Line, 
Patient Focus

2L 
Cholangiocarcinoma 
(IHCC with FGFR 
fusion)

Multiple

China

I/II

Multiple

China

I/II

Treatment

HMPL-453 
monotherapy

HMPL-453 + 
chemotherapies

HMPL-453 
+TUOYI® (PD 1)

Sites

Phase Status/Plan

NCT #

China

II

NCT04353375

NCT05173142

NCT05173142

Ongoing. ~10-
15% of IHCC pts’ 
tumors harbor 
FGFR2 fusion

Ongoing: 
initiated in Jan 
2022

Ongoing: 
initiated in Jan 
2022

HMPL-295

HMPL-295 is a novel ERK inhibitor. ERK is a downstream component of 
the RAS-RAF-MEK-ERK signaling cascade (MAPK pathway). This is our first 
of multiple candidates in discovery targeting the MAPK pathway. A China 
Phase I study was initiated in July 2021. We currently retain all rights to 
HMPL-295 worldwide.

RAS-MAPK pathway is dysregulated in cancer, in which mutations or 
non-genetic events hyper-activate the pathway in more than 50% of 
cancers. RAS and RAF predict worse clinical prognosis in a wide variety of 
tumor types, mediate resistance to targeted therapies, and decrease the 
response to the approved standards of care, namely, targeted therapy and 
immunotherapy. ERK inhibition has the potential to overcome or avoid 
the intrinsic or acquired resistance from the inhibition of RAS, RAF and 
MEK upstream mechanisms.

Treatment

HMPL-295 
monotherapy

Name, Line, 
Patient Focus

Sites

Phase

Status/Plan

NCT #

Solid tumors

China

I

Ongoing: initiated 
in Jul 2021

NCT04908046

CSF-1R is usually expressed on the surface of macrophages and can 
promote growth and differentiation of macrophages. Studies have shown 
that blocking the CSF-1R signaling pathway could effectively modulate 
the tumor microenvironment, relieve tumor immunosuppression, and 
synergize with other anti-cancer therapies such as immune checkpoint 
inhibitors to achieve tumor inhibition. It has been demonstrated in several 
clinical studies that CSF-1R inhibitors could treat tenosynovial giant cell 
tumors, and treat a variety of malignancies combined with immuno-
oncology or other therapeutic agents. Currently no CSF-1R inhibitor has 
been approved in China.

Treatment

HMPL-653 
monotherapy

Name, Line, 
Patient Focus

Solid tumors 
& tenosynovial 
giant cell tumors

Sites

Phase

Status/Plan

NCT #

China

I

NCT05190068

Ongoing: initiated 
in Jan 2022, ~110 
patients expected 
to be enrolled

IMMUNOLOGY COLLABORATION WITH INMAGENE

In January 2021, we entered into a strategic partnership with Inmagene, 
a clinical development stage company with a focus on immunological 
diseases, to further develop four novel preclinical drug candidates 
we discovered for the potential treatment of multiple immunological 
diseases. Funded by Inmagene, we will work together to move the drug 
candidates towards IND. If successful, Inmagene will then advance the 
drug candidates through global clinical development. INDs for the first 
two compounds are expected to be submitted in China in 2022.

HUTCHMED (China) Limited 2021 Annual Report  29

Our Other Ventures include drug marketing and distribution platforms 
covering about 290 cities and towns in China with around 2,900 mainly 
manufacturing and commercial personnel. Built over the past 20 years, 
it primarily focuses on prescription drug and science-based nutrition 
products through several joint ventures and subsidiary companies.

In 2021, our Other Ventures delivered encouraging growth with 
consolidated revenues up 20% (13% at CER) to $236.5 million (2020: 
$197.8m). Consolidated net income attributable to HUTCHMED from our 
Other Ventures grew by 24% (15% at CER) to $54.4 million (2020: $44.0m), 
excluding one-time gains. One-time gains in 2021 totaled $88.5 million 
(2020: $28.8m), including $82.9 million (2020: nil) from the divestment of 
HBYS and $5.6 million (2020: $28.8m) from one-time land compensation.

Hutchison Sinopharm: 

Our prescription drugs commercial services business, which in addition 
to providing certain commercial services for our own products, provides 
services to third-party pharmaceutical companies in China, grew sales by 
24% (16% at CER) to $204.1 million in 2021 (2020: $165.1m).

In 2021, the Hong Kong International Arbitration Centre made a final 
award in favor of Hutchison Sinopharm against Luye Pharma Hong Kong 
Ltd. in the amount of RMB253.2 million ($39.6 million), plus costs and 
interest, in connection with the termination of Hutchison Sinopharm’s 
right to distribute SEROQUEL® in China. Payment of the award is expected 
in 2022.

Hutchison Sinopharm has a dedicated team of about 130 commercial 
staff focused on two key areas of operation. First, a team that markets 
third-party prescription drug products directly to about 700 public and 
private hospitals in the Shanghai region and through a network of about 
50 distributors to cover all other provinces in China. Second, a team that 
markets HUTCHMED’s science-based maternal and infant supplements 
through a network of over 32,000 promoters in China.

SHPL: 

Our own-brand prescription drugs business, operated through our non-
consolidated joint venture SHPL, grew sales by 20% (12% at CER) to 
$332.6 million (2020: $276.4m). This sales growth and favorable product 
mix led to an increase of 33% (24% at CER) in net income attributable to 
HUTCHMED to $44.7 million (2020: $33.5m).

The SHPL operation is large-scale, with a commercial team of over 2,200 
staff managing the medical detailing and marketing of its products not just 
in hospitals in provincial capitals and medium-sized cities, but also in the 
majority of county-level hospitals in China. SHPL’s Good Manufacturing 
Practice-certified factory holds 74 drug product manufacturing licenses 
and is operated by over 530 manufacturing staff.

HUTCHMED (China) Limited 2021 Annual Report  31

OPERATIONS REVIEW – OTHER VENTURESSXBX54 pill: SHPL’s main product is SXBX pill, an oral vasodilator 
prescription therapy for coronary artery disease. SXBX pill is the third 
largest botanical prescription drug in this indication in China, with a 
national market share in January to December 2021 of 19.6% (2020: 
18.2%). Sales increased by 23% (15% at CER) to $307.1 million in 2021 
(2020: $250.0m).

SXBX pill is protected by a formulation patent that expires in 2029, but 
also retains certain state protection that extends indefinitely, and is one of 
less than two dozen proprietary prescription drugs represented on China’s 
National Essential Medicines List (“NEML”). Inclusion on the NEML means 
that all Chinese state-owned health care institutions are required to carry 
it. SXBX pill is fully reimbursed in all China.

Dividends: Our share of SHPL’s profits are passed to the HUTCHMED 
Group through dividend payments. In 2021, dividends of $49.9 million 
(2020: $36.1m) were paid from SHPL to the HUTCHMED Group level with 
aggregate dividends received by HUTCHMED since inception of over $240 
million.

HBYS disposal: 

In September 2021, we divested our entire indirect interest in HBYS, a 
non-core and non-consolidated over-the-counter drug joint venture 
business, to GL Capital for $159.1 million in cash and including $46.4 
million expected to be received related to undistributed profits, this 
represents about 22 times of HBYS’ adjusted 2020 net profit attributable 
to HUTCHMED equity holders of $7.7 million55. The sale of this non-
core consumer health products business resulted in a one-time gain of 
approximately $82.9 million attributable to HUTCHMED equity holders.

Christian Hogg
Chief Executive Officer
March 3, 2022

32

OPERATIONS REVIEW –  OTHER VENTURESused for translation may have a significant effect on our reported results. 
We believe the presentation at CER provides useful and meaningful 
information because it facilitates period-to-period comparisons of our 
results and increases the transparency of our underlying performance.

Reconciliation of GAAP change in cash and cash equivalents 
and short-term investments to Adjusted Group net cash 
flows excluding financing activities:

$’millions

2021

2020

Cash and cash equivalents and short-term 

investments at end of year

1,011.7

435.2

Excludes: Cash and cash equivalents and short-

term investments at beginning of year

(435.2)

(217.2)

Excludes: Net cash generated from financing 

activities for the year

(650.0)

(296.4)

Adjusted Group net cash flows excluding financing 

activities

(73.5)

(78.4)

In addition to financial information prepared in accordance with U.S. 
GAAP, this annual report also contains certain non-GAAP financial 
measures based on management’s view of performance including:

• 
• 

Adjusted Group net cash flows excluding financing activities
CER

Management uses such measures internally for planning and forecasting 
purposes and to measure the HUTCHMED Group’s overall performance. 
We believe these adjusted financial measures provide useful and 
meaningful information to us and investors because they enhance 
investors’ understanding of the continuing operating performance of our 
business and facilitate the comparison of performance between past and 
future periods. These adjusted financial measures are non-GAAP measures 
and should be considered in addition to, but not as a substitute for, the 
information prepared in accordance with U.S. GAAP. Other companies 
may define these measures in different ways.

Adjusted Group net cash flows excluding financing activities: We include 
the change in short-term investments for the period to the change in cash 
and cash equivalents for the period, and exclude the net cash generated 
from financing activities for the period to derive our adjusted Group net 
cash flows excluding financing activities. We believe the presentation of 
adjusted Group net cash flows excluding financing activities provides 
useful and meaningful information about the change in our cash 
resources excluding those from financing activities which may present 
significant period-to-period differences.

CER: We remove the effects of currency movements from period-to-
period comparisons by retranslating the current period’s performance 
at previous period’s foreign currency exchange rates. Because we have 
significant operations in China, the RMB to U.S. dollar exchange rates 

HUTCHMED (China) Limited 2021 Annual Report  33

USE OF NON-GAAP FINANCIAL MEASURES AND RECONCILIATION 
 
 
 
 
 
 
 
 
 
 
 
Reconciliation of GAAP revenues and net income attributable to HUTCHMED to CER:

$’millions (except %)

Year Ended

Change Amount

Change %

December

December 

Exchange 

Exchange 

31, 2021

31, 2020

Actual

CER

effect

Actual

CER

effect

Consolidated revenues

Oncology/Immunology

119.6

30.2

Other Ventures^

236.5

197.8

89.4

38.7

86.6

25.2

2.8

296%

287%

13.5

20%

13%

9%

7%

^ Includes:

— Hutchison Sinopharm 

– prescription drugs

Non-consolidated joint venture 

revenues
— SHPL

— SXBX pill

Consolidated net income attributable 

to HUTCHMED 

Other Ventures

— Consolidated entities

— Equity investees

— SHPL

— HBYS*

Excluding one-time gains

Other Ventures

— Consolidated entities

— Equity investees

— SHPL

— HBYS*

204.1

165.1

39.0

26.2

12.8

24%

16%

8%

332.6

307.1

276.4

250.0

56.2

57.1

34.1

36.5

22.1

20.6

20%

23%

12%

15%

142.9
2.6

140.3

44.7

95.6

54.4
2.6

51.8

44.7

7.1

72.8
2.8

70.0

33.5

36.5

44.0
2.8

41.2

33.5

7.7

70.1
(0.2)

70.3

11.2

59.1

10.4
(0.2)

10.6

11.2

(0.6)

66.4
(0.3)

66.7

7.9

58.8

6.7
(0.3)

7.0

7.9

(0.9)

3.7
0.1

3.6

3.3

0.3

3.7
0.1

3.6

3.3

0.3

96%
-8%

100%

33%

162%

24%
-8%

26%

33%

-7%

91%
-12%

95%

24%

161%

15%
-12%

17%

24%

-12%

8%

8%

5%
4%

5%

9%

1%

9%
4%

9%

9%

5%

*  Period from January 1, 2021 to September 28, 2021. For the year ended December 31, 2021, one-time gains include gain on divestment of $82.9 million (2020: 

nil) and land compensation gain of $5.6 million (2020: $28.8 million), respectively.

34

USE OF NON-GAAP FINANCIAL MEASURES AND RECONCILIATION 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
LIQUIDITY AND CAPITAL 
RESOURCES

To date, we have taken a multi-source approach to fund our operations, 
including through cash flows generated and dividend payments from 
our Oncology/Immunology and Other Ventures operations, service and 
milestone and upfront payments from our collaboration partners, bank 
borrowings, investments from third parties, proceeds from our listings on 
various stock exchanges and follow-on offerings.

Our Oncology/Immunology operations have historically not generated 
significant profits or have operated at a net loss, as creating potential 
global first-in-class or best-in-class drug candidates requires a significant 
investment of resources over a prolonged period of time. As such, we 
incurred net losses of $194.6 million for the year ended December 31, 2021 
and net losses of $125.7 million for the year ended December 31, 2020.

As of December 31, 2021, we had cash and cash equivalents and short-
term investments of $1,011.7 million and unutilized bank facilities of 
$157.4 million. As of December 31, 2021, we had $26.9 million in bank 
borrowings.

Certain of our subsidiaries and joint ventures, including those registered 
as wholly foreign-owned enterprises in China, are required to set aside 
at least 10.0% of their after-tax profits to their general reserves until such 
reserves reach 50.0% of their registered capital. In addition, certain of our 
joint ventures are required to allocate certain of their after-tax profits as 
determined in accordance with related regulations and their respective 
articles of association to the reserve funds, upon approval of the board.

Profit appropriated to the reserve funds for our subsidiaries and joint 
ventures incorporated in the PRC was approximately $89,000 and $44,000 
for the years ended December 31, 2021 and 2020, respectively. In addition, 
as a result of PRC regulations restricting dividend distributions from 
such reserve funds and from a company’s registered capital, our PRC 
subsidiaries are restricted in their ability to transfer a certain amount of 
their net assets to us as cash dividends, loans or advances. This restricted 
portion amounted to $0.1 million as of December 31, 2021.

In addition, our non-consolidated joint venture, SHPL, held an aggregate 
of $50.0 million in cash and cash equivalents and no bank borrowings as 
of December 31, 2021. Such cash and cash equivalents are only accessible 
by us through dividend payments from the joint venture. The level of 
dividends declared by the joint venture is subject to agreement each year 
between us and our joint venture partner based on the profitability and 
working capital needs of the joint venture.

CASH FLOW

Cash Flow Data:
Net cash used in operating activities

Net cash used in investing activities

Year Ended

December 31,

2021

2020

(in $’000)

(204,223)

(62,066)

(306,320)

(125,441)

Net cash generated from financing activities

650,028

296,434

Net increase in cash and cash equivalents

Effect of exchange rate changes

Cash and cash equivalents at beginning  

of the year

139,485

108,927

2,427

5,546

235,630

121,157

Cash and cash equivalents at end of the year

377,542

235,630

Net Cash used in Operating Activities

Net cash used in operating activities was $62.1 million for the year ended 
December 31, 2020, compared to net cash used in operating activities of 
$204.2 million for the year ended December 31, 2021. The net change of 
$142.1 million was primarily attributable to higher operating expenses 
of $259.8 million from $424.6 million for the year ended December 31, 
2020 to $684.4 million for the year ended December 31, 2021, partially 
offset by an increase in revenues of approximately $128.1 million from 
$228.0 million for the year ended December 31, 2020 to $356.1 million for 
the year ended December 31, 2021.

HUTCHMED (China) Limited 2021 Annual Report  35

GROUP CAPITAL RESOURCES 
 
 
 
 
 
 
 
 
 
 
 
Net Cash used in Investing Activities

Net cash used in investing activities was $125.4 million for the year ended 
December 31, 2020, compared to net cash used in investing activities of 
$306.3 million for the year ended December 31, 2021. The net change of 
$180.9 million was primarily attributable to an increase in net deposits 
in short-term investments of $331.1 million from $103.5 million for the 
year ended December 31, 2020 to $434.6 million for the year ended 
December 31, 2021. The net change was also attributable to the payment 
of $15.0 million during the year ended December 31, 2021 to acquire a 
warrant to purchase Epizyme shares. The net change was partially offset 
by the proceeds received from the divestment of Hutchison Baiyunshan of 
$159.1 million during the year ended December 31, 2021.

Net Cash generated from Financing Activities

Net cash generated from financing activities was $296.4 million for the 
year ended December 31, 2020, compared to net cash generated from 
financing activities of $650.0 million for the year ended December 31, 2021. 
The net change of $353.6 million was primarily attributable to net 
proceeds of $685.4 million from a private placement in April 2021 and from 
our public offering on the SEHK with over-allotment option exercised in 
full in June and July 2021, as compared to net proceeds of $310.0 million 
from our follow-on offering in the United States and private placements 
in 2020. The net change was partially offset by an increase in purchases of 
ADSs by our Company for the settlement of certain equity awards which 
totaled $12.9 million for the year ended December 31, 2020 as compared 
to $27.3 million for the year ended December 31, 2021, as well as an 
increase in dividends paid to non-controlling shareholders of subsidiaries 
which totaled $1.5 million for the year ended December 31, 2020 as 
compared to $9.9 million for the year ended December 31, 2021.

LOAN FACILITIES

In November 2018, our subsidiary renewed a three-year revolving loan 
facility with HSBC56. The facility amount of this loan was HK$234.0 million 
($30.0 million) with an interest rate at HIBOR57 plus 0.85% per annum. 
This credit facility was guaranteed by us and includes certain financial 
covenant requirements. The revolving loan facility expired in November 
2021.

In May 2019, our subsidiary entered into additional credit facility 
arrangements with HSBC for the provision of unsecured credit facilities 
in the aggregate amount of HK$400.0 million ($51.3 million). The 3-year 
credit facilities include (i) a HK$210.0 million ($26.9 million) term loan 
facility and (ii) a HK$190.0 million ($24.4 million) revolving loan facility, 
both with an interest rate at HIBOR plus 0.85% per annum. These credit 
facilities are guaranteed by us and include certain financial covenant 
requirements. In October 2019, we drew down HK$210.0 million 
($26.9 million) from the term loan facility and as of December 31, 2021, no 
amount was drawn from the revolving loan facility.

In August 2020, our subsidiary entered into a 24-month revolving credit 
facility with Deutsche Bank AG58 in the amount of HK$117.0 million 
($15.0 million) with an interest rate at HIBOR plus 4.5% per annum. 
This revolving facility is guaranteed by us and includes certain financial 
covenant requirements. As of December 31, 2021, no amount was drawn 
from the revolving loan facility.

In October 2021, our subsidiary entered into a 10-year fixed asset loan 
facility agreement with Bank of China Limited for the provision of a 
secured credit facility in the amount of RMB754.9 million ($118.1 million) 
with an annual interest rate at the 5-year China Loan Prime Rate less 
0.65%. This credit facility is guaranteed by another subsidiary of the Group, 
and secured by the underlying leasehold land and buildings, and includes 
certain financial covenant requirements. As of December 31, 2021, no 
amount was drawn from the fixed asset loan facility.

Our non-consolidated joint venture SHPL had no bank borrowings 
outstanding as of December 31, 2021.

36

GROUP CAPITAL RESOURCESCONTRACTUAL OBLIGATIONS AND COMMITMENTS

The following table sets forth our contractual obligations as of December 31, 2021. Our purchase obligations relate to property, plant and equipment that 
are contracted for but not yet paid. Our lease obligations primarily comprise future aggregate minimum lease payments in respect of various factories, 
warehouse, offices and other assets under non-cancellable lease agreements.

Bank borrowings

Interest on bank borrowings

Purchase obligations

Lease obligations

SHPL

Payment Due by Period (in $’000)

Total

Less than 1 Year

1-3 Years

3-5 Years More than 5 Years

26,923

104

44,204

12,818

84,049

26,923

104

42,519

5,348

74,894

–

–

1,685

5,316

7,001

–

–

–

1,359

1,359

–

–

–

795

795

The following table sets forth the contractual obligations of our non-consolidated joint venture SHPL as of December 31, 2021. SHPL’s purchase obligations 
comprise capital commitments for property, plant and equipment contracted for but not yet paid. SHPL’s lease obligations primarily comprise future 
aggregate minimum lease payments in respect of various offices under non-cancellable lease agreements.

Purchase obligations

Lease obligations

FOREIGN EXCHANGE RISK

Payment Due by Period (in $’000)

Total

Less than 1 Year

1-3 Years

3-5 Years More than 5 Years

155

3,149

3,304

155

859

1,014

–

1,577

1,577

–

713

713

–

–

–

Most of our revenues and expenses are denominated in renminbi, and our consolidated financial statements are presented in U.S. dollars. We do not 
believe that we currently have any significant direct foreign exchange risk and have not used any derivative financial instruments to hedge our exposure 
to such risk. In general, our exposure to foreign exchange risks is limited.

The value of the renminbi against the U.S. dollar and other currencies may fluctuate and is affected by, among other things, changes in China’s political 
and economic conditions. The conversion of renminbi into foreign currencies, including U.S. dollars, has been based on rates set by the PBOC59. If we 
decide to convert renminbi into U.S. dollars for the purpose of making payments for dividends on our ordinary shares or ADSs or for other business 
purposes, appreciation of the U.S. dollar against the renminbi would have a negative effect on the U.S. dollar amounts available to us. On the other hand, 
if we need to convert U.S. dollars into renminbi for business purposes, e.g. capital expenditures and working capital, appreciation of the renminbi against 
the U.S. dollar would have a negative effect on the renminbi amounts we would receive from the conversion. In addition, for certain cash and bank 
balances deposited with banks in the PRC, if we decide to convert them into foreign currencies, they are subject to the rules and regulations of foreign 
exchange control promulgated by the PRC government.

HUTCHMED (China) Limited 2021 Annual Report  37

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CREDIT RISK

SIGNIFICANT INVESTMENTS HELD

Substantially all of our bank deposits are in major financial institutions, 
which we believe are of high credit quality. We limit the amount of credit 
exposure to any single financial institution. We make periodic assessments 
of the recoverability of trade and other receivables and amounts due 
from related parties. Our historical experience in collection of receivables 
falls within the recorded allowances, and we believe that we have made 
adequate provision for uncollectible receivables.

INTEREST RATE RISK

We have no significant interest-bearing assets except for bank deposits. 
Our exposure to changes in interest rates is mainly attributable to our 
bank borrowings, which bear interest at floating interest rates and expose 
us to cash flow interest rate risk. We have not used any interest rate swaps 
to hedge our exposure to interest rate risk. We have performed sensitivity 
analysis for the effects on our results for the period from changes in 
interest rates on floating rate borrowings. The sensitivity to interest rates 
used is based on the market forecasts available at the end of the reporting 
period and under the economic environments in which we operate, with 
other variables held constant. According to the analysis, the impact on 
our net loss of a 1.0% interest rate shift would be a maximum increase/
decrease of $0.3 million for the year ended December 31, 2021.

OFF-BALANCE SHEET 
ARRANGEMENTS

We did not have during the periods presented, and we do not currently 
have, any material off-balance sheet arrangements.

Except for our investment in a non-consolidated joint venture SHPL with 
a carrying value of $76.0 million including details below and those as 
disclosed in note 11 to the full year financial statements, we did not hold 
any other significant investments in the equity of any other companies as 
of December 31, 2021.

Place of 

Nominal Value 

Equity Interest 

establishment 

of Registered 

Attributable to 

and operations

Capital

the Group

Principal 

activities

(in RMB’000)

PRC

229,000

50%

Manufacture and 

distribution of 

prescription drug 

products

Our own-brand prescription drugs business under Other Ventures is 
operated through SHPL. Dividends received from SHPL for the year ended 
December 31, 2021 were $49.9 million.

FUTURE PLANS FOR MATERIAL 
INVESTMENTS AND CAPITAL 
ASSETS

Note 16 to the full year financial statements discloses our planned 
expenditures on capital assets as of December 31, 2021. At this date 
there were no other plans to incur material expenditures on additional 
investments or capital assets.

CONTINGENT LIABILITIES

Other than as disclosed in note 16 to the full year financial statements, the 
Group does not have any other significant commitments or contingent 
liabilities.

MATERIAL ACQUISITIONS AND 
DISPOSALS OF SUBSIDIARIES, 
ASSOCIATES AND JOINT 
VENTURES

GEARING RATIO

The gearing ratio of the Group, which was calculated by dividing total 
interest-bearing loans by total equity, was 2.6% as of December 31, 2021, a 
decrease from 5.2% as of December 31, 2020. The decrease was primarily 
attributable to the increase in equity due to the primary offering of shares 
on HKEX.

During the year ended December 31, 2021, except for the HBYS disposal as 
disclosed in note 23 to the full year financial statements, we did not have 
any other material acquisitions and disposals of subsidiaries, associates 
and joint ventures.

38

GROUP CAPITAL RESOURCES 
 
 
 
 
 
 
 
 
 
 
 
PLEDGE OF ASSETS

As of December 31, 2021, we did not have any pledge of assets (as of 
December 31, 2020: nil). Our 10-year fixed asset loan facility agreement 
with Bank of China Limited is secured by the underlying leasehold land 
and buildings; however, no amount was drawn from the fixed asset loan 
facility as of December 31, 2021.

INFLATION

In recent years, China has not experienced significant inflation, and thus 
inflation has not had a material impact on our results of operations. 
According to the National Bureau of Statistics of China, the Consumer 
Price Index in China increased by 4.5%, 0.2% and 1.5% in 2019, 2020 
and 2021, respectively. Although we have not been materially affected 
by inflation in the past, we can provide no assurance that we will not be 
affected in the future by higher rates of inflation in China.

FINAL DIVIDEND

The Board does not recommend any final dividend for the year ended 
December 31, 2021.

HUTCHMED (China) Limited 2021 Annual Report  39

HUMAN RESOURCES
As at December 31, 2021, the Group employed approximately 1,760 
(2020: ~1,280) full time staff members. Staff costs during the year 
ended December 31, 2021, including directors’ emoluments, totaled 
$180.2 million (2020: $101.0m).

The Group fully recognizes the importance of high-quality human 
resources in sustaining market leadership. Salary and benefits are kept at 
competitive levels, while individual performance is rewarded within the 
general framework of the salary, bonus and incentive system of the Group, 
which is reviewed annually. Employees are provided with a wide range of 
benefits that include medical coverage, provident funds and retirement 
plans, and long-service awards. The Group stresses the importance of 
staff development and provides training programs on an ongoing basis. 
Employees are also encouraged to play an active role in community care 
activities.

ENVIRONMENTAL, SOCIAL 
AND GOVERNANCE (“ESG”) 
RESPONSIBILITY

The Group is committed to the long-term sustainability of its businesses 
and the communities in which it conducts business. The Group supports 
the proposition that enterprises should give back to society and bear 
social responsibility. It encourages its business units to contribute to 
the welfare of the communities in which it operates. Moreover, the 
Group’s business is anchored to the purpose of serving medical needs of 
the public and distributing its drugs to those in need. While advancing 
breakthroughs with its novel drugs, the Group ensures every drug product 
is marketed and manufactured in a high quality, safe, traceable and 
affordable manner. Furthermore, the Group is continually improving its 
business practices and employee training in such best practices. It has 
adopted a proactive approach to ESG responsibility and has established 
a Sustainability Committee comprising four Directors to spearhead the 
ESG initiatives and activities of the Group and to enhance the Group’s ESG 
efforts.

CLOSURE OF REGISTER OF 
MEMBERS

The register of members of the Company will be closed from Friday, April 
22, 2022 to Wednesday, April 27, 2022, both days inclusive, during which 
period no transfer of shares will be effected, to determine shareholders’ 
entitlement to attend and vote at the 2022 Annual General Meeting (or 
at any adjournment or postponement thereof). All share certificates 
with completed transfer forms, either overleaf or separately, must be 
lodged with (a) the Hong Kong Branch Share Registrar of the Company, 
Computershare Hong Kong Investor Services Limited, at Rooms 1712-
1716, 17th Floor, Hopewell Centre, 183 Queen’s Road East, Wanchai, Hong 
Kong or (b) the Principal Share Registrar of the Company, Computershare 
Investor Services (Jersey) Limited c/o Computershare Investor Services 
PLC, The Pavilions, Bridgwater Road, Bristol, BS99 6ZY, United Kingdom, 
no later than 4:30 pm Hong Kong time on Thursday, April 21, 2022.

40

OTHER INFORMATIONUSE OF NET PROCEEDS

On June 30, 2021, the Company issued 104,000,000 new ordinary shares for total gross proceeds of approximately $534.7 million from the listing and 
offering of the Company’s ordinary shares on HKEX.

On July 15, 2021, the over-allotment option was fully exercised and the Company issued an aggregate of 15,600,000 ordinary shares for total gross 
proceeds of approximately $80.2 million.

The intended use of total net proceeds of approximately $585.2 million from the offering and the over-allotment option for the purposes and in the 
amounts (adjusted on pro rata basis based on the actual net proceeds) as disclosed in the Prospectus is as below:

Use of Proceeds

Advance our late-stage clinical programs 
for savolitinib, surufatinib, fruquintinib, 
amdizalisib and sovleplenib through 
registration trials and potential NDA 
submissions

Support further proof-of-concept studies 
and fund the continued expansion of 
our product portfolio in cancer and 
immunological diseases through internal 
research, including the development cost of 
early-clinical and preclinical-stage pipeline 
drug candidates

Further strengthen our integrated capabilities 

across commercialization, clinical and 
regulatory and manufacturing

Fund potential global business development 
and strategic acquisition opportunities 
to complement our internal research and 
development activities and enhance our 
current drug candidate pipeline
Working capital, expanding internal 

capabilities globally and in China and 
general corporate purposes

Percentage of 
Total Net 
Proceeds
(%)
50%

Approximate 
Amount
($’millions)
292.7

Actual Usage 
up to 
December 31, 
2021
($’millions)
99.8

Unutilized Net 
Proceeds as of 
December 31, 2021
($’millions)
192.9

Expected Timeline 
for Utilization of 
Proceeds (note)

2023

10%

58.5

17.9

40.6

2023

20%

15%

5%

100%

117.1

87.8

29.1

585.2

21.9

25.0

17.2

181.8

95.2

62.8

11.9

403.4

2023

2023

2022

Note:  There was no change in the intended use of net proceeds as previously disclosed, and the Company plans to gradually utilize the remaining net proceeds in 

accordance with such intended purposes depending on actual market conditions and business needs, which is expected to be fully utilized by the end of year 2023.

AUDIT REPORT ON THE ANNUAL FINANCIAL STATEMENTS

The consolidated financial statements of the Company and its subsidiary companies for the year ended December 31, 2021 have been audited by the 
Company’s auditor, PricewaterhouseCoopers, in accordance with accounting principles generally accepted in the U.S. The unqualified auditor’s report is 
set out on pages 92 to 95 of this annual report. The consolidated financial statements of the Company and its subsidiary companies for the year ended 
December 31, 2021 have also been reviewed by the Audit Committee of the Company.

IMPORTANT EVENTS AFTER THE REPORTING DATE

Save as disclosed above, no important events affecting the Company occurred since December 31, 2021 and up to the date of this annual report.

HUTCHMED (China) Limited 2021 Annual Report  41

 
 
 
 
 
 
 
 
 
 
 
 
 
 
BIOGRAPHICAL DETAILS OF 
DIRECTORS

TO Chi Keung, Simon

Weiguo SU

Executive Director and Chairman

Mr To, aged 70, has been a Director since 2000 and 
an Executive Director and Chairman of HUTCHMED 
(China) Limited (the “Company”) since 2006. He 
is also a member of the Nomination Committee, 
Remuneration Committee and Technical Committee of the Company. 
He is the managing director of Hutchison Whampoa (China) Limited 
(“Hutchison China”) and has been with Hutchison China for over 40 years, 
building its business from a small trading company to a multi-billion 
dollar investment group. He has negotiated major transactions with 
multinational corporations such as Procter & Gamble, Lockheed, Pirelli, 
Beiersdorf, United Airlines, and British Airways. He is currently chairman 
of Gama Aviation Plc and formerly served as independent non-executive 
director on the boards of China Southern Airlines Company Limited and 
Air China Limited. In addition, Mr To is a director of certain substantial 
shareholders (within the meaning of the Securities and Futures Ordinance) 
of the Company and certain companies controlled by substantial 
shareholders of the Company.

Mr To’s career in China spans more than 45 years. He is the original 
founder of the China healthcare business of Hutchison Whampoa 
Limited (currently a subsidiary of CK Hutchison Holdings Limited, 
(“CKHH”)) and has been instrumental in its acquisitions made to date. 
He received a Bachelor’s degree in Mechanical Engineering from Imperial 
College, London and a Master in Business Administration from Stanford 
University’s Graduate School of Business.

Executive Director, Chief Executive 
Officer and Chief Scientific Officer

Dr Su, aged 64, has been an Executive Director 
since 2017 and Chief Executive Officer of the 
Company since March 4, 2022. He is also executive 
vice president and Chief Scientific Officer of the Company since 2012. 
He is also a member of Technical Committee of the Company. Dr Su has 
headed all drug discovery and research since he joined the Company, 
including master-minding the scientific strategy of the Company, being 
a key leader of the Oncology/Immunology operations, and responsible 
for the discovery of each and every small molecule drug candidate in our 
pipeline. Prior to joining the Company in 2005, Dr Su worked with the U.S. 
research and development department of Pfizer, Inc. (“Pfizer”).

In 2017, Dr Su was granted the prestigious award by the China 
Pharmaceutical Innovation and Research Development Association 
(PhIRDA) as one of the Most Influential Drug R&D Leaders in China.

Dr Su received a Bachelor of Science degree in Chemistry from Fudan 
University in Shanghai and completed a PhD and Post-Doctoral Fellowship 
in Chemistry at Harvard University under the guidance of Nobel Laureate 
Professor E. J. Corey.

42

INFORMATION ON DIRECTORSCHENG Chig Fung, Johnny

Edith SHIH

Executive Director and Chief Financial 
Officer

Mr Cheng, aged 55, has been an Executive 
Director since 2011 and Chief Financial Officer 
of the Company since 2008. He is a member of the 
Sustainability Committee of the Company.

Prior to joining the Company, Mr Cheng was Vice President, Finance 
of Bristol Myers Squibb in China and was a director of Sino-American 
Shanghai Squibb Pharmaceuticals Ltd. and Bristol-Myers Squibb (China) 
Investment Co. Ltd. in Shanghai between late 2006 and 2008.

Mr Cheng started his career as an auditor with Price Waterhouse (currently 
PricewaterhouseCoopers) in Australia and then KPMG in Beijing before 
spending eight years with Nestlé China where he was in charge of a 
number of finance and control functions in various operations. Mr Cheng 
received a Bachelor of Economics, Accounting Major from the University 
of Adelaide and is a member of Chartered Accountants Australia and New 
Zealand.

Dan ELDAR

Non-executive Director

Dr Eldar, aged 68, has been a Non-executive 
Director of the Company since 2016. He has more 
than 30 years of experience as a senior executive, 
leading global operations in telecommunications, 
water, biotech and healthcare. He is an executive director of Hutchison 
Water Israel Ltd which focuses on large scale projects including 
desalination, wastewater treatment and water reuse. He was formerly an 
independent non-executive director of Leumi Card Ltd., a subsidiary of 
Bank Leumi Le-Israel B.M., one of Israel’s leading credit card companies.

Dr Eldar received a Doctor of Philosophy degree in Government from 
Harvard University, Master of Arts degree in Government from Harvard 
University, Master of Arts degree in Political Science and Public 
Administration from the Hebrew University of Jerusalem and a Bachelor of 
Arts degree in Political Science from the Hebrew University of Jerusalem.

Non-executive Director and Company 
Secretary

Ms Shih, aged 70, has been a Non-executive 
Director since 2006, the Company Secretary of 
the Company and the company secretary of Group 
companies since 2000. She is also chairman of the Sustainability 
Committee of the Company. She has over 35 years of experience in legal, 
regulatory, corporate finance, compliance and corporate governance 
fields. She is also executive director and company secretary of CKHH. 
She has been with the Cheung Kong (Holdings) Limited (“CKH”) group 
since 1989 and with Hutchison Whampoa Limited (“HWL”) from 1991 to 
2015. Both CKH and HWL became wholly-owned subsidiaries of CKHH 
in 2015. She has acted in various capacities within the HWL group, 
including head group general counsel and company secretary of HWL 
as well as director and company secretary of HWL subsidiaries and 
associated companies. Ms Shih is in addition a non-executive director of 
Hutchison Telecommunications Hong Kong Holdings Limited, Hutchison 
Port Holdings Management Pte. Limited as the trustee-manager of 
Hutchison Port Holdings Trust and a member of Board of Commissioners 
of PT Duta Intidaya Tbk. In addition, Ms Shih is a director of certain 
substantial shareholders (within the meaning of the Securities and 
Futures Ordinance) of the Company and certain companies controlled 
by substantial shareholders of the Company. The aforementioned 
companies are either subsidiaries or associated companies of CKHH of 
which Ms Shih has oversight as director of CKHH. She is the immediate 
past international president and current member of the Executive 
Committee of The Chartered Governance Institute (“CGI”), as well as a 
past president and current chairperson of the Nomination Committee of 
The Hong Kong Chartered Governance Institute (“HKCGI”, formerly known 
as The Hong Kong Institute of Chartered Secretaries). She is also chairman 
of the Process Review Panel for the Financial Reporting Council, a panel 
member of the Securities and Futures Appeals Tribunal and a member of 
the Hong Kong- Europe Business Council.

Ms Shih is a solicitor qualified in England and Wales, Hong Kong and 
Victoria, Australia. She is a fellow of both the CGI and HKCGI, holding 
Chartered Secretary and Chartered Governance Professional dual 
designations. Ms Shih holds a Bachelor of Science degree and a Master 
of Arts degree from the University of the Philippines as well as a Master of 
Arts degree and a Master of Education degree from Columbia University, 
New York.

HUTCHMED (China) Limited 2021 Annual Report  43

Paul Rutherford CARTER

Karen Jean FERRANTE

Senior Independent Non-executive 
Director

Mr Carter, aged 61, has been a senior Independent 
Non-executive Director of the Company since 2017. 
He is also chairman of the Remuneration Committee 
and a member of the Audit Committee and Technical Committee 
of the Company. He has more than 26 years of experience in the 
pharmaceutical industry. From 2006 to 2016, Mr Carter served in various 
senior executive roles at Gilead Sciences, Inc. (“Gilead”), a research-based 
biopharmaceutical company, with the last position as executive vice 
president, commercial operations. In this role, Mr Carter headed the 
worldwide commercial organization responsible for the launch and 
commercialization of all of the products of Gilead. He also worked as 
a senior executive at GlaxoSmithKline Plc. He is currently a director of 
Mallinckrodt plc. He is also a director of Immatics N.V. and VectivBio 
Holding AG. He is chairman of Evox Therapeutics and a retained advisor to 
several firms active in the life sciences sector. He was formerly a director 
of Alder Biopharmaceuticals, Inc.

Mr Carter received a degree in Business Studies from the Ealing School of 
Business and Management (now merged into University of West London) 
and is a Fellow of the Chartered Institute of Management Accountants in 
the United Kingdom.

Independent Non-executive Director

Dr Ferrante, aged 64, has been an Independent 
Non-executive Director of the Company since 
2017. She is also chairman of the Technical 
Committee and a member of the Audit Committee 
of the Company. She has more than 26 years of experience in the 
pharmaceutical industry. She was the former chief medical officer and 
head of research and development of Tokai Pharmaceuticals, Inc.,  
a biopharmaceutical company focused on developing and commercializing 
innovative therapies for prostate cancer and other hormonally driven 
diseases. Dr Ferrante previously held senior positions at Millennium 
Pharmaceuticals, Inc. and its parent company, Takeda Pharmaceutical 
Company Limited, including chief medical officer and most recently 
as oncology therapeutic area and Cambridge USA site head. She had 
also held positions of increasing responsibility at Pfizer, with the last 
position as vice president, oncology development. Dr Ferrante is currently 
a member of the board of directors of MacroGenics, Inc., and Cogent 
Biosciences, Inc. (formerly Unum Therapeutics Inc.). She is also currently 
a member of the Scientific Advisory Board of Kazia Therapeutics Limited. 
Dr Ferrante was previously a director of Baxalta Incorporated until it was 
acquired by Shire plc in 2016 and a director of Progenics Pharmaceuticals, 
Inc., until it was acquired by Lantheus Holdings, Inc. in 2020.  
She was previously a member of the Scientific Advisory Board of Trillium 
Therapeutics Inc. until it was acquired by Pfizer in November 2021.

Dr Ferrante is an author of a number of papers in the field of oncology, 
an active participant in academic and professional associations and 
symposia and holder of several patents. Dr Ferrante received a Bachelor 
of Science degree in Chemistry and Biology from Providence College and 
a Doctor of Medicine from Georgetown University.

44

INFORMATION ON DIRECTORSGraeme Allan JACK

MOK Shu Kam, Tony

Independent Non-executive Director

Independent Non-executive Director

Mr Jack, aged 71, has been an Independent 
Non-executive Director of the Company since 
2017. He is also chairman of the Audit Committee 
and a member of the Nomination Committee 
and Remuneration Committee of the Company. He has more than 
40 years of experience in finance and audit. He retired as partner of 
PricewaterhouseCoopers in 2006 after a distinguished career with the firm 
for over 33 years. He is currently an independent non-executive director of 
The Greenbrier Companies, Inc. (an international supplier of equipment 
and services to the freight rail transportation markets) and Hutchison Port 
Holdings Management Pte. Limited as the trustee-manager of Hutchison 
Port Holdings Trust (a developer and operator of deep water container 
terminals). He was formerly a director of COSCO SHIPPING Development 
Co., Ltd. (formerly known as “China Shipping Container Lines Company 
Limited”, an integrated financial services platform principally engaged in 
vessel and container leasing).

Mr Jack received a Bachelor of Commerce degree from University of 
New South Wales, Australia and is a Fellow of the Hong Kong Institute of 
Certified Public Accountants and an Associate of Chartered Accountants 
Australia and New Zealand.

Professor Mok, aged 61, has been an Independent 
Non-executive Director of the Company since 2017. 
He is also chairman of the Nomination Committee 
and a member of the Sustainability Committee and 
Technical Committee of the Company. Professor Mok has more than 
31 years of experience in clinical oncology with his main research interest 
focusing on biomarker and molecular targeted therapy in lung cancer. 
He is currently Li Shu Fan Medical Foundation named professor and 
chairman of department of clinical oncology at The Chinese University of 
Hong Kong.

Professor Mok has contributed to over 250 articles in international 
peer reviewed journals, as well as multiple editorials and textbooks. In 
October 2018, Professor Mok was the first Chinese to be bestowed with 
the European Society for Medical Oncology (ESMO) Lifetime Achievement 
Award, one of the most prestigious international honors and recognitions 
given to cancer researchers, for his contribution to and leadership in lung 
cancer research worldwide.

Professor Mok is a non-executive director of AstraZeneca PLC, a board 
director of the American Society of Clinical Oncology (“ASCO”) and a 
steering committee member of the Chinese Society of Clinical Oncology 
(“CSCO”). He is also currently chairman of the board of ACT Genomics 
Holdings Ltd. (“ACT Genomics”) and a non-executive independent director 
of Lunit USA Inc. He is past president of the International Association for 
the Study of Lung Cancer, and co-founder of Sanomics Limited (acquired 
by ACT Genomics in November 2021) and Aurora Tele-Oncology Limited. 
Professor Mok is also closely affiliated with the oncology community in 
China and has been awarded an Honorary Professorship at Guangdong 
Province People’s Hospital, Guest Professorship at Peking Union Medical 
College Hospital and Visiting Professorship at Shanghai Jiao Tong 
University. He received his Bachelor of Medical Science degree and a 
Doctor of Medicine from University of Alberta, Canada. He is also a fellow 
of the Royal College of Physicians and Surgeons of Canada, Hong Kong 
College of Physicians, Hong Kong Academy of Medicine, Royal College of 
Physicians of Edinburgh and ASCO.

HUTCHMED (China) Limited 2021 Annual Report  45

CHANGES IN INFORMATION OF DIRECTORS

Pursuant to Rule 13.51B(1) of the Rules Governing the Listing of Securities on The Stock Exchange of Hong Kong Limited, the changes in information of 
Directors of the Company, as notified to the Company, subsequent to the date of the 2021 Interim Report or the date of announcement of appointment 
of Chief Executive Officer are set out below:

Directors

Paul Rutherford CARTER

Details of changes

Appointed as a Director, Chairman of Compensation Committee and a Member of Governance 

and Nomination Committee of VectivBio Holding AG on September 2, 2021

MOK Shu Kam, Tony

Appointed as Chairman of the board of ACT Genomics Holdings Limited on November 22, 2021

Edith SHIH

Appointed as a member of Nomination Committee of Hutchison Telecommunications Hong Kong 

Holdings Limited on February 28, 2022

46

INFORMATION ON DIRECTORS 
 
DIRECTORS’ INTERESTS AND SHORT POSITIONS IN SHARES, 
UNDERLYING SHARES AND DEBENTURES

As at December 31, 2021, the interests and short positions of the Directors and chief executive of the Company in the shares, underlying shares and 
debentures of the Company or any of its associated corporations (within the meaning of Part XV of the Securities and Futures Ordinance (Chapter 571 
of the Laws of Hong Kong) (the “SFO”)) which were notified to the Company and The Stock Exchange of Hong Kong Limited (the “HKEX”) pursuant to 
Divisions 7 and 8 of Part XV of the SFO (including interests and short positions which the Directors and chief executive of the Company were deemed or 
taken to have under such provisions of the SFO), or which were recorded in the register required to be kept by the Company pursuant to Section 352 of 
the SFO, or as otherwise notified to the Company and the HKEX pursuant to the Code on Dealings in Shares by Directors adopted by the Company (the 
“Share Dealings Code”) were as follows:

Interests and short positions in the shares, underlying shares and debentures of the Company

Long positions in the shares and underlying shares of the Company

Directors

TO Chi Keung, Simon

Christian Lawrence HOGG(20)

CHENG Chig Fung, Johnny

Weiguo SU

Dan ELDAR

Capacity

Nature of Interests

Beneficial owner

Interest of spouse

Beneficial owner

Beneficiary of a trust

Beneficial owner

Beneficiary of a trust

Beneficial owner

Beneficiary of a trust

Beneficial owner

Beneficiary of a trust

Personal interest

Family interest

Personal interest

Personal interest

Personal interest

Personal interest

Personal interest

Personal interest

Personal interest

Personal interest

Number of Shares/

Underlying 

Shares Held

1,020,000
1,446,185 (1)

13,478,405 (2)
336,840 (3)

3,275,865 (4)
135,755 (5)

6,487,575 (6)
346,005 (7)

75,950 (8)
74,710 (9)

Approximate% 

Total

of Shareholding

2,466,185

0.29%

13,815,245

1.60%

3,411,620

0.39%

6,833,580

0.79%

150,660

0.02%

0.14%

Edith SHIH

Beneficial owner

Personal interest

1,200,000 (10)

1,200,000

Paul Rutherford CARTER

Karen Jean FERRANTE

Graeme Allan JACK

MOK Shu Kam, Tony

Beneficial owner

Beneficiary of a trust

Beneficial owner

Beneficiary of a trust

Beneficial owner

Interest of spouse

Beneficiary of a trust

Beneficial owner

Beneficiary of a trust

Personal interest

Personal interest

Personal interest

Personal interest

Personal interest

Family interest

Personal interest

Personal interest

Personal interest

45,425 (11)
63,500 (12)

40,910 (13)
68,895 (14)

11,985 (15)
15,000 (16)
74,710 (17)

61,995 (18)
74,710 (19)

108,925

0.01%

109,805

0.01%

101,695

0.01%

136,705

0.02%

HUTCHMED (China) Limited 2021 Annual Report  47

 
 
 
 
 
 
 
 
Notes:

(1) 

(2) 

The spouse of Mr To Chi Keung, Simon is interested in 780,000 ordinary shares (“Shares”) and 133,237 American depositary shares (“ADSs”, each representing five 
Shares) in the Company as beneficiary of trusts. Mr To Chi Keung, Simon is the settlor of the same trusts in which his spouse has interests.

Includes (1) 10,938,020 Shares and 68,035 ADSs held by Mr Christian Lawrence Hogg and (2) entitlement of Mr Christian Lawrence Hogg to receive up to 440,042 ADSs 
pursuant to the exercise of options granted to him under the 2015 Share Option Scheme of the Company (the “2015 Share Option Scheme”), subject to the vesting 
conditions of those options. Details of the interests of Mr Christian Lawrence Hogg in the options are set out on page 60.

(3) 

Mr Christian Lawrence Hogg is interested in 67,368 ADSs as beneficiary of a trust pursuant to a Long Term Incentive Plan (“LTIP”), subject to vesting conditions.

(4) 

Includes (1) 2,561,460 Shares and 14,401 ADSs held by Mr Cheng Chig Fung, Johnny, (2) entitlement of Mr Cheng Chig Fung, Johnny to receive up to 128,480 ADSs 
pursuant to the exercise of options granted to him under the 2015 Share Option Scheme, subject to the vesting conditions of those options. Details of the interests of 
Mr Cheng Chig Fung, Johnny in the options are set out on page 60.

(5) 

Mr Cheng Chig Fung, Johnny is interested in 27,151 ADSs as beneficiary of a trust pursuant to LTIP, subject to vesting conditions.

(6) 

Includes (1) 74,317 ADSs held by Dr Weiguo Su, (2) entitlement of Dr Weiguo Su to receive up to 5,000,000 Shares pursuant to the exercise of options granted to him 
under the 2015 Share Option Scheme, subject to the vesting conditions of those options, and (3) entitlement of Dr Weiguo Su to receive up to 223,198 ADSs pursuant 
to the exercise of options granted to him, subject to the vesting conditions of those options. Details of the interests of Dr Weiguo Su in the options are set out on  
page 60.

(7) 

Dr Weiguo Su is interested in 69,201 ADSs as beneficiary of a trust pursuant to LTIP, subject to vesting conditions.

(8) 

Includes 19,000 Shares and 11,390 ADSs held by Dr Dan Eldar.

(9) 

Dr Dan Eldar is interested in 14,942 ADSs as beneficiary of a trust pursuant to LTIP, subject to vesting conditions.

(10) 

Includes 700,000 Shares and 100,000 ADSs held by Ms Edith Shih.

(11) 

Includes 35,240 Shares and 2,037 ADSs held by Mr Paul Rutherford Carter.

(12)  Mr Paul Rutherford Carter is interested in 12,700 ADSs as beneficiary of a trust pursuant to LTIP, subject to vesting conditions.

(13) 

Represents 8,182 ADSs held by Dr Karen Jean Ferrante.

(14) 

Dr Karen Jean Ferrante is interested in 13,779 ADSs as beneficiary of a trust pursuant to LTIP, subject to vesting conditions.

(15) 

Represents 2,397 ADSs held by Mr Graeme Allan Jack.

(16) 

The spouse of Mr Graeme Allan Jack is interested in 3,000 ADSs.

(17)  Mr Graeme Allan Jack is interested in 14,942 ADSs as beneficiary of a trust pursuant to LTIP, subject to vesting conditions.

(18) 

Represents 12,399 ADSs held by Professor Mok Shu Kam, Tony.

(19) 

Professor Mok Shu Kam, Tony is interested in 14,942 ADSs as beneficiary of a trust pursuant to LTIP, subject to vesting conditions.

(20)  Mr Christian Lawrence Hogg retired as Executive Director and Chief Executive Officer on March 4, 2022.

Save as disclosed above, as at December 31, 2021, none of the Directors or chief executive of the Company and their respective associates had any 
interest or short position in the shares, underlying shares and debentures of the Company or any of its associated corporations (within the meaning of 
Part XV of the SFO) as recorded in the register required to be kept by the Company pursuant to Section 352 of the SFO, or as otherwise notified to the 
Company and the HKEX pursuant to the Share Dealings Code.

DIRECTORS’ INTERESTS IN COMPETING BUSINESS

During the year ended December 31, 2021, none of the Directors had any interests in certain businesses (apart from the business of the Company or 
its subsidiaries) which competes or is likely to compete, either directly or indirectly, with the principal businesses of the Company or its subsidiaries 
conducted during the year, which would require disclosure under Rule 8.10(2) of the Listing Rules.

48

INFORMATION ON DIRECTORSBIOGRAPHICAL DETAILS OF 
SENIOR MANAGEMENT

Marek Krzysztof KANIA

Karen Jane ATKIN

Executive President, Managing Director and Chief Medical 
Officer

Dr Kania, aged 59, is the Executive President, Managing Director and Chief 
Medical Officer of the Company. Prior to joining the Company in 2018, 
Dr Kania spent 25 years with Eli Lilly where he led teams on multiple 
oncology products around the world. While at Eli Lilly, Dr Kania was 
involved in clinical research and development, global medical affairs 
including product launches and medical policy and strategy. Prior to 
joining Eli Lilly, Dr Kania practiced as an anesthesiologist and critical 
care physician. Dr Kania is a member of the American Society of Clinical 
Oncology and the American Association for Cancer Research. He received 
his medical training at the Silesian School of Medicine in Katowice, 
Poland, and subsequently completed an anesthesiology and critical-care 
residency, with board certification from Jagiellonian University School 
of Medicine in Krakow. Dr Kania also holds an MBA degree from The 
University of Chicago Booth Graduate School of Business.

Executive Vice President and Chief Operating Officer

Dr Atkin, aged 56, is the Executive Vice President and Chief Operating 
Officer of the Company. Prior to joining the Company in 2021, Dr Atkin  
spent 24 years at AstraZeneca in senior Medical, Regulatory, 
Pharmacovigilance, R&D and Commercial leadership roles, including as 
Senior Vice President of Medical for Biopharmaceuticals, Vice President of 
the Global Infection, Neuroscience and Autoimmunity Therapy Area and 
the Established Brand Business, Country President of Indonesia and led 
China R&D for over four years. Dr Atkin is also a registered physician with 
advanced level qualifications in internal medicine and pharmaceutical 
medicine. Dr Atkin holds three Bachelor’s degrees in Physiology, Medicine 
and Surgery, respectively, from University College London. She graduated 
with a First Class Honors degree in Medicine, holds an MBA from the Open 
University, is a Member of the Royal College of Physicians and a fellow of 
the Faculty of Pharmaceutical Medicine in the UK.

HUTCHMED (China) Limited 2021 Annual Report  49

INFORMATION ON SENIOR MANAGEMENTZhenping WU

Hong CHEN

Senior Vice President, Pharmaceutical Sciences

Senior Vice President and Chief Commercial Officer (China)

Dr Wu, aged 62, joined the Company in 2008 and has been the Senior 
Vice President of Pharmaceutical Sciences since 2012. Dr Wu has 
over 28 years of experience in drug discovery and development. His 
past positions include Senior Director of Pharmaceutical Sciences at 
Phenomix Corporation, a US-based biotechnology company, Director of 
Pharmaceutical Development at Pfizer Global Research & Development 
in California (formerly Agouron Pharmaceuticals) and a group leader 
at Roche at its Palo Alto site. He is a past Chairman and President of 
the Board of the Sino-American Biotechnology and Pharmaceutical 
Association. Dr Wu received a PhD from the University of Hong Kong and 
a Master in Business Administration from the University of California at 
Irvine.

Mark Kin Hung LEE

Senior Vice President, Corporate Finance and Development

Mr Lee, aged 44, is the Senior Vice President of Corporate Finance 
and Development of the Company. He began working in healthcare 
investment banking in the United States and Europe in 1998 and joined 
the Company in 2009. Based in the New York and London offices of Credit 
Suisse, Mr Lee was involved in the execution and origination of mergers, 
acquisitions, public and private financings and corporate strategy for 
life science companies such as AstraZeneca, Bristol-Myers Squibb and 
Genzyme, as well as others medical product and service companies. 
Mr Lee received his Bachelor’s Degree in Biochemical Engineering 
with First Class Honors from University College London, where he was 
awarded a Dean’s Commendation. He also received a Master of Business 
Administration from the Massachusetts Institute of Technology’s Sloan 
School of Management.

May Qingmei WANG

Senior Vice President, Business Development & Strategic 
Alliances

Dr Wang, aged 58, is the Senior Vice President of Business Development & 
Strategic Alliances of the Company. Prior to joining the Company in 2010, 
Dr Wang spent 16 years with Eli Lilly where she was the Head of Eli Lilly’s 
Asian Biology Research and responsible for establishing and managing 
research collaborations in China and across Asia. Dr Wang holds 
numerous patents, has published more than 50 peer-reviewed articles 
and has given dozens of seminars and plenary lectures. Dr Wang received 
a PhD in Biochemistry from Purdue University.

Mr Chen, aged, 51, is the Senior Vice President and Chief Commercial 
Officer (China) of the Company. Prior to joining the Company in 2011, 
Mr Chen spent 12 years with Bristol-Myers Squibb and was last serving 
as its National Sales & Marketing Director in China. Mr Chen received a 
Bachelor’s degree in Medicine from Nanjing Medical University and an 
EMBA from Cheung Kong Graduate School of Business.

Thomas R. HELD

Senior Vice President, Commercial (US)

Mr Held, aged 61, is the Senior Vice President, Commercial (US) of the 
Company. He is responsible for establishing and leading the commercial 
presence in the US and building the commercial infrastructure for the 
international operations, inclusive of launch strategy, marketing, sales, 
market access, and operational planning.

Mr Held has more than 30 years of experience in the pharmaceutical 
industry with a majority of time spent in the oncology commercial 
space. In his most recent assignment at Daiichi Sankyo, he served as 
Vice President of Daiichi Sankyo’s emergent Antibody Drug Conjugate 
strategic platform. Prior to this, he held commercial roles of increasing 
responsibility at Novartis Oncology, where he worked from 1997 to 
2017, gaining invaluable experience in the solid tumor arena, including 
importantly neuroendocrine tumors.

Mr Held holds a Bachelor’s degree in Economics from Allegheny College 
and an MBA from Ashland University.

Charles George Rupert NIXON

Group General Counsel

Mr Nixon, aged 52, has been Group General Counsel of the Company since 
May 2015 and has worked with the Company since 2006. Prior to joining 
the Company, Mr Nixon was Group Senior Legal Counsel for Hutchison 
Whampoa Limited (previously a listed company in Hong Kong and after 
a restructuring, a subsidiary of CK Hutchison Holdings Limited) in both 
Hong Kong and London and prior to that Senior Legal Counsel for Three 
UK, the mobile phone operator. Mr Nixon has been with the CK Hutchison 
Group since 2001.

Mr Nixon received an LLB (Hons) from Middlesex University and is a 
qualified solicitor in England & Wales with 30 years of experience.

50

INFORMATION ON SENIOR MANAGEMENTThe Directors have pleasure in submitting to shareholders their report and 
the audited financial statements for the year ended December 31, 2021.

DIVIDENDS

PRINCIPAL ACTIVITIES

The principal activity of the Company is that of a holding company of a 
biopharmaceutical group with operations in China, the U.S. and Europe. It 
is focused on the research, development, manufacture and marketing of 
pharmaceutical products.

BUSINESS REVIEW

A detailed review of the performance, business activities and future 
development of the Company and its subsidiaries (the “Group”) is set out 
in the Chairman’s Statement and the Operations Review.

RESULTS

No interim dividend for the year ended December 31, 2021 was declared 
and the Directors do not recommend the payment of a final dividend for 
the year ended December 31, 2021.

RESERVES

Movements in the reserves of the Group during the year ended December 
31, 2021 are set out in the Consolidated Statements of Changes in 
Shareholders’ Equity on page 100.

CHARITABLE DONATIONS

Donations to charitable organizations by the Group during the year ended 
December 31, 2021 amounted to approximately US$1.89 million (2020 – 
approximately US$0.3 million).

The Consolidated Statements of Operations are set out on page 98 and 
show the Group’s results for the year ended December 31, 2021.

PROPERTY, PLANT AND 
EQUIPMENT

Particulars of the movements of property, plant and equipment of the 
Group are set out in note 9 to the Consolidated Financial Statements.

SHARE CAPITAL

The share capital of the Company is set out in the Consolidated Balance 
Sheets on page 97. Details of the ordinary shares of the Company are set 
out in note 17 to the Consolidated Financial Statements.

HUTCHMED (China) Limited 2021 Annual Report  51

DIRECTORS’ REPORTDIRECTORS

The Directors of the Company as of December 31, 2021 were:

Executive Directors:

TO Chi Keung, Simon
Christian Lawrence HOGG
CHENG Chig Fung, Johnny
Weiguo SU

Non-executive Directors:

Dan ELDAR
Edith SHIH

Independent Non-executive Directors:

Paul Rutherford CARTER
Karen Jean FERRANTE
Graeme Allan JACK
MOK Shu Kam, Tony

During the year ended December 31, 2021 and up to the date of this 
report, the following changes to the Board composition took place on 
March 4, 2022:

The Company has received written confirmation from all Independent 
Non-executive Directors regarding their independence as required 
under Rule 3.13 of the Rules Governing the Listing of Securities on The 
Stock Exchange of Hong Kong Limited (the “HK Listing Rules”) as well as 
Rule 5605(a)(2) of the Nasdaq Listing Rules. The Board considers all the 
Independent Non-executive Directors to be independent.

The Directors’ biographical details are set out on pages 42 to 45.

DIRECTORS’ SERVICE CONTRACT

None of the Directors of the Company who are proposed for re-election at 
the 2022 AGM has a service contract with the Company not terminable by 
the Company within one year without payment of compensation (other 
than statutory compensation).

DIRECTORS’ MATERIAL 
INTERESTS IN SIGNIFICANT 
TRANSACTIONS, ARRANGEMENTS 
OR CONTRACTS

There were no transactions, arrangements or contracts that are of 
significance subsisting during or at the end of the year in which a Director 
of the Company or an entity connected with a Director is or was materially 
interested, whether directly or indirectly.

Mr Christian Lawrence Hogg retired as Executive Director and Chief 
Executive Officer; and

(i) 

(ii) 

Dr Weiguo Su was appointed as Chief Executive Officer, in 
additional to his roles as Executive Director and Chief Scientific 
Officer.

CONTINUING CONNECTED 
TRANSACTIONS

Mr Christian Lawrence Hogg has confirmed that he has no disagreement 
with the Board and nothing relating to the affairs of the Company needed 
to be brought to the attention of the shareholders of the Company.

The Board would like to record its appreciation for the contribution of  
Mr Christian Lawrence Hogg made to the Group during his tenure and 
is pleased to congratulate Dr Weiguo Su on his appointment to Chief 
Executive Officer of the Company.

The Company’s articles of association require not less than one-third 
of the Directors to retire by rotation at each annual general meeting, 
and a retiring Director is eligible for re-election. In the interests of good 
corporate governance, all Directors, being Mr To Chi Keung, Simon,  
Dr Weiguo Su, Mr Cheng Chig Fung, Johnny, Dr Dan Eldar, Ms Edith Shih, 
Mr Paul Rutherford Carter, Dr Karen Jean Ferrante, Mr Graeme Allan Jack 
and Professor Mok Shu Kam, Tony will all retire at the 2022 annual general 
meeting (the “AGM”) and, being eligible, will offer themselves for  
re-election by shareholders.

1. 

Supply of Products by the Group to A.S. Watson Group and 
Provision of Associated Marketing Services by A.S. Watson Group

From time to time, the Group may supply products to A.S. Watson 
Holdings Limited (“A.S. Watson”), an indirect subsidiary of CK 
Hutchison Holdings Limited (“CKHH”), and/or its subsidiaries (“A.S. 
Watson Group”), including the retail grocery and pharmacy chains, 
Park N Shop (HK) Ltd. (“PARKnSHOP”) and A.S. Watson Retail (HK) 
Ltd (“Watsons”), which are owned and operated by A.S. Watson. In 
connection with the supply and sale of the products by the Group, 
A.S. Watson Group may also from time to time provide marketing 
services associated with the products to the Group.

The Company entered into a framework products supply and 
marketing services agreement with A.S. Watson (the “A.S. Watson 
Framework Connected Transactions Agreement”) on June 15, 2021 
to govern all existing and future supply of products by the Group 
to A.S. Watson Group and the associated provision of marketing 
services by A.S. Watson Group to the Group.

52

DIRECTORS’ REPORTThe A.S. Watson Framework Connected Transactions Agreement 
expires on December 31, 2023 and is automatically renewable for a 
successive period of three years thereafter, subject to compliance 
with the applicable provisions of the HK Listing Rules, unless 
terminated earlier by not less than one month’s prior notice 
or otherwise in accordance with the terms of the A.S. Watson 
Framework Connected Transactions Agreement.

In relation to the supply of products by the Group, it is expected 
that the maximum annual transaction amount receivable by the 
Group from A.S. Watson Group for the financial years 2021, 2022 
and 2023 will not exceed US$12.46 million, US$14.95 million and 
US$17.94 million, respectively.

In relation to the provision of associated marketing services by 
A.S. Watson Group to the Group, it is expected that the maximum 
annual transaction amount payable by the Group to A.S. Watson 
Group for the financial years 2021, 2022 and 2023 will not exceed 
US$1.25 million, US$1.50 million and US$1.79 million, respectively.

As A.S. Watson is a subsidiary of CKHH, it is a connected person 
of the Company by virtue of being an associate of a substantial 
shareholder of the Company, and the supply of products by the 
Group to A.S. Watson Group and the provision of associated 
marketing services by A.S. Watson Group to the Group constitutes 
continuing connected transactions of the Company.

2. 

Product Labelling Services

The Company has entered into the A.S. Watson Framework 
Connected Transactions Agreement with A.S. Watson (as described 
above), which provides for the provision of product labelling 
services by A.S. Watson Group, whereby Hutchison Hain Organic 
(Hong Kong) Limited (“HHOHK”), a wholly-owned subsidiary of a 
consolidated joint venture of the Company, engaged PARKnSHOP 
to provide product labelling services for products supplied by 
HHOHK to PARKnSHOP, a retail grocery chain owned and operated 
by the A.S. Watson Group.

It is expected that the maximum annual transaction amount 
payable by the Group to A.S. Watson Group for the financial years 
2021, 2022 and 2023 will not exceed US$0.66 million, US$0.79 
million and US$0.95 million, respectively.

3. 

Provision of Travel Services

The Company entered into a framework travel services agreement 
with Hutchison Travel Limited (“Hutchison Travel”) on June 15, 
2021 (the “Framework Travel Services Agreement”) whereby 
Hutchison Travel and/or its subsidiaries (together, the “Hutchison 
Travel Group”) provide travel services (e.g. bookings and 
reservations for air tickets) to the Group and charge the Group 
services fees based on market prices. The Framework Travel 
Services Agreement governs all existing and future provision of 
travel services by Hutchison Travel Group to the Group.

The Framework Travel Services Agreement expires on December 
31, 2023 and is automatically renewable for a successive period of 
three years thereafter, subject to compliance with the applicable 
provisions of the HK Listing Rules, unless terminated earlier by not 
less than one month’s prior notice or otherwise in accordance with 
the terms of the Framework Travel Services Agreement.

It is expected that the maximum annual service fees payable by 
the Group to Hutchison Travel Group for the financial years 2021, 
2022 and 2023 will not exceed US$1.00 million, US$1.50 million and 
US$2.25 million, respectively.

As Hutchison Travel is a subsidiary of CKHH, it is a connected 
person of the Company by virtue of being an associate of a 
substantial shareholder of the Company, the supply of travel 
services by Hutchison Travel Group to the Group constitutes 
continuing connected transactions of the Company.

4. 

Hain Products Supply Agreement

As part of the commercial reasons for the establishment of HHOHK, 
and pursuant to the terms of the joint venture agreement entered 
into between The Hain Celestial Group, Inc. (“Hain Celestial”) and 
Hutchison Organic Holdings Limited, a wholly-owned subsidiary 
of the Company, on October 8, 2009 (the “Hain JV Agreement”), 
a Hain Products Supply Agreement (the “Hain Products Supply 
Agreement”) was entered into between Hain Celestial and HHOHK 
on October 27, 2009 (as amended and supplemented on July 
1, 2011), pursuant to which Hain Celestial appointed HHOHK to 
market, distribute and sell the products within the current brands 
of Hain Celestial in certain territories and agreed to supply such 
products in connection with the appointment.

The supply price for each product will be an amount equal to 
Hain Celestial’s standard cost plus a margin of 10%, or such 
other percentage that is equal to Hain Celestial’s sales margin 
for intercompany sales among its group companies plus 2%. The 
standard cost will consist of the actual cost of the raw materials, 
packaging materials, manufacturing expenses, amortization of 

HUTCHMED (China) Limited 2021 Annual Report  53

mold and die expenses, variation and logistics. HHOHK will also 
reimburse Hain Celestial for any necessary licensing fees in relation 
to the third-party endorsement incurred in connection with the 
supply of the products to HHOHK.

Unless terminated in accordance with the Hain Products Supply 
Agreement, the Hain Products Supply Agreement became effective 
on the date of signing and will continue in full force and effect so 
long as the Hain JV agreement is in full force and effect. Pursuant 
to the Hain Products Supply Agreement, either party may terminate 
the Hain Products Supply Agreement if, among other things, (i) 
the other party files a petition of any type as to its bankruptcy, be 
declared bankrupt or become insolvent, or (ii) the other party is in 
material breach of the Hain Products Supply Agreement and shall 
have failed to cure such breach within 30 days of receipt of written 
notice thereof.

It is expected that the maximum annual transaction amount to be 
recorded by the Group from Hain Celestial for the financial years 
2021, 2022 and 2023 will not exceed US$23.14 million, US$27.76 
million and US$33.32 million, respectively.

Hutchison Hain Organic Holdings Limited (“Hutchison Hain 
Organic”) is a consolidated joint venture of the Company and 
therefore a subsidiary of the Company under the HK Listing Rules. 
As Hain Celestial holds 50% of the interest in Hutchison Hain 
Organic, Hain Celestial is a connected person of the Company 
by virtue of being a substantial shareholder of a subsidiary of the 
Company. Accordingly, the transactions under the Hain Products 
Supply Agreement constitutes continuing connected transactions 
of the Company under the HK Listing Rules.

5. 

Framework Sinopharm Products Supply and Purchase Agreement

Hutchison Whampoa Sinopharm Pharmaceuticals (Shanghai) 
Company Limited has been supplying/purchasing prescription 
drugs to/from Sinopharm Group Co. Ltd., (“Sinopharm”) and/or 
its associates. The Company entered into a framework products 
supply and purchase agreement with Sinopharm (the “Framework 
Sinopharm Products Supply and Purchase Agreement”) on June 
15, 2021 to govern all existing and future (i) supply of products by 
the Group to Sinopharm and/or its associates and (ii) purchase of 
products by the Group from Sinopharm and/or its associates.

The Framework Sinopharm Products Supply and Purchase 
Agreement expires on December 31, 2023 and is automatically 
renewable for a successive period of three years thereafter, subject 
to compliance with the applicable provisions of the HK Listing 
Rules, unless terminated earlier by not less than one month’s prior 
notice or otherwise in accordance with the terms of the Framework 
Sinopharm Products Supply and Purchase Agreement.

54

In relation to the supplying of products by the Group, it is expected 
that the maximum annual transaction amount receivable by the 
Group from Sinopharm and/or its associates for the financial years 
2021, 2022 and 2023 will not exceed US$134.50 million, US$236.75 
million and US$335.78 million, respectively.

In relation to the purchase of products by the Group, it is expected 
that the maximum annual transaction amount payable by the 
Group to Sinopharm and/or its associates for the financial years 
2021, 2022 and 2023 will not exceed US$4.08 million, US$4.90 
million and US$5.88 million, respectively.

As Sinopharm is a substantial shareholder of a subsidiary of 
the Company, it is a connected person of the Company and the 
supply to and purchase from Sinopharm of products by the Group 
constitutes continuing connected transactions of the Company.

6. 

HBYS Brand License Royalty Agreement

Hutchison Chinese Medicine Holding Limited (“HCMHL”, a 
subsidiary of the Company) entered into a brand license royalty 
agreement (“HBYS Brand License Royalty Agreement”), pursuant 
to which HCMHL will pay to Hutchison Whampoa Enterprises 
Limited (“HWEL”, a subsidiary of CKHH) an annual fee of HK$12 
million in consideration of the grant of the royalty-free right to 
use the “Hutchison Whampoa” related trade marks and logos by 
HWEL to Hutchison Whampoa Guangzhou Baiyunshan Chinese 
Medicine Company Limited (“HBYS”) and certain of its subsidiaries, 
which commenced on the completion date of sale of the entire 
interest in HBYS by the Company (i.e. 28 September 2021) and 
up to and including December 31, 2023. Subject to compliance 
with the requirements of the Listing Rules or, alternatively, any 
waivers obtained from strict compliance with such requirements, 
upon expiration of the initial term or subsequent renewal term, 
the agreement is automatically renewed for a successive period of 
three years thereafter (or such other period permitted under the 
Listing Rules).

The royalty payable by HCMHL under the HBYS Brand License 
Royalty Agreement for each year ending December 31 for the 
duration of the HBYS Brand License Royalty Agreement will be 
HK$12 million. The aggregate royalty payable under the HBYS 
Brand License Royalty Agreement (including any renewal thereof) 
shall not be more than HK$120 million, even if the HBYS Brand 
License Royalty Agreement is not terminated and continues to be 
renewed after 10 years.

As HWEL is a subsidiary of CKHH, it is a connected person of 
the Company by virtue of being an associate of a substantial 
shareholder of the Company and the license granted under the 
HBYS Brand License Royalty Agreement constitutes a continuing 
connected transaction of the Company.

DIRECTORS’ REPORTThe annual caps of the Continuing Connected Transactions in respect of the year ended December 31, 2021 and the corresponding aggregate transaction 
amounts for the year are set out below:

Continuing Connected Transactions

(1) (a)

(b)

(2)

(3)

(4)

(5) (a)

(b)

(6)

Supply of products by the Group under the A.S. Watson Framework Connected 

Transactions Agreement

Provision of marketing services by A.S. Watson Group under the A.S. Watson 

Framework Connected Transactions Agreement

Product Labelling Services under A.S. Watson Framework Connected Transactions 
Agreement

Framework Travel Services Agreement

Hain Products Supply Agreement

Supply of products under the Framework Sinopharm Products Supply and Purchase 

Agreement

Purchase of products by the Group under the Framework Sinopharm Products Supply 

and Purchase Agreement

HBYS Brand License Royalty Agreement

Aggregate amount 

for year ended 

December 31, 2021

Cap Amount

(US$ millions)

(US$ millions)

4.26

0.35

0.18

–

9.77

55.74

2.58

1.54

12.46

1.25

0.66

1.00

23.14

134.50

4.08

1.54

The internal audit of the Group has reviewed the Continuing Connected Transactions for the year ended December 31, 2021 and the relevant internal 
control procedures in respect of the negotiation, review, approval, agreement management, reporting, consolidation and monitoring process of the 
Continuing Connected Transactions, and is of the view that the Continuing Connected Transactions were conducted in accordance with the terms of 
the relevant agreements (including the pricing policy/mechanism thereunder), and that the internal control procedures in respect of the Continuing 
Connected Transactions are sound and effective.

All the Independent Non-executive Directors of the Company, having reviewed the Continuing Connected Transactions for the year ended December 31, 
2021 and the findings provided by the Group’s internal audit, confirmed that such transactions had been entered into (a) in the ordinary and usual course 
of business of the Group; (b) on normal commercial terms or better; and (c) according to the respective agreements governing them on terms that are fair 
and reasonable and in the interests of the shareholders of the Company as a whole.

The Company has engaged its external auditor, PricewaterhouseCoopers, to report on the Continuing Connected Transactions for the year ended 
December 31, 2021 in accordance with Hong Kong Standard on Assurance Engagements 3000 (Revised) “Assurance Engagements Other Than Audits or 
Reviews of Historical Financial Information” and with reference to Practice Note 740 “Auditor’s Letter on Continuing Connected Transactions under the 
Hong Kong Listing Rules” issued by the Hong Kong Institute of Certified Public Accountants. Based on the work performed, the external auditor of the 
Company has confirmed in its letter to the Board that nothing has come to its attention which causes it to believe that:

(i) 

the disclosed continuing connected transactions have not been approved by the Board;

(ii) 

for transactions involving the provision of goods or services by the Group, they were not, in all material respects, in accordance with the pricing 
policies of the Group;

(iii) 

the transactions were not entered into, in all material respects, in accordance with the relevant agreements governing such transactions;

(iv)  with respect to the aggregate amount of each of the continuing connected transactions, the disclosed continuing connected transactions have 

exceeded the annual cap as set by the Company.

Related party transactions of the Group during the year ended December 31, 2021 are described in note 24 to the financial statements. Except as 
disclosed above, none of such related party transactions constitutes a non-exempted connected transaction under the HK Listing Rules.

HUTCHMED (China) Limited 2021 Annual Report  55

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PERMITTED INDEMNITY PROVISIONS

The Articles of Association provide that the Directors shall be indemnified and secured harmless out of the assets and profits of the Company from and 
against all actions, costs, charges, losses, damages and expenses which they shall or may incur or sustain by or by reason of any act done, concurred in or 
omitted in or about the execution of their duty. Directors liability insurance is in place for the Directors of the Company and its subsidiaries in respect of 
potential costs and liabilities arising from claims that may be brought against the Directors. The relevant provisions in the Articles of Association and the 
Directors’ liability insurance were in force during the financial year ended December 31, 2021 and as of the date of this report.

DIRECTORS’ AND CHIEF EXECUTIVE’S INTERESTS AND SHORT 
POSITIONS IN SHARES, UNDERLYING SHARES AND DEBENTURES

Directors’ and chief executive’s interests and short positions in shares, underlying shares and debentures are set out in the section “Information on 
Directors” on pages 47 to 48.

INTERESTS AND SHORT POSITIONS OF SHAREHOLDERS 
DISCLOSEABLE UNDER THE SECURITIES AND FUTURES ORDINANCE

So far as the Directors and the chief executives of the Company are aware, as at December 31, 2021, other than the interests of the Directors and the chief 
executives of the Company as disclosed in the section titled “Directors’ Interests and Short Positions in Shares, Underlying Shares and Debentures” under 
“Information on Directors”, the following persons had interests or short positions in the shares or underlying shares of the Company which would fall 
to be disclosed to the Company under the provisions of Divisions 2 and 3 of Part XV of the Securities and Futures Ordinance (Chapter 571 of the Laws of 
Hong Kong) (the “SFO”), or which were recorded in the register required to be kept by the Company under Section 336 of the SFO, or as otherwise notified 
to the Company and The Stock Exchange of Hong Kong Limited (“HKEX”) under Part XV of the SFO:

Interests and short positions of substantial shareholders in the shares and underlying shares of the Company

Long positions and short positions in the shares of the Company

Names

CKHH(1)

Capacity

Number of Shares
 Held/Interested

Approximate% of
 Shareholding

Total

Interest of controlled corporations

332,574,650

332,574,650

CK Hutchison Global Investments Limited (“CKHGIL”)(1)

Interest of controlled corporations

332,574,650

332,574,650

Hutchison Whampoa (China) Limited (“HWCL”)(1)

Interest of controlled corporations

332,526,710

332,526,710

Hutchison Healthcare Holdings Limited (“HHHL”)(1)

Beneficial owner

332,478,770

332,478,770

The Capital Group Companies, Inc.(2)

Interest of controlled corporations

77,676,002

77,676,002

38.46%

38.46%

38.46%

38.46%

8.98%

JP Morgan Chase & Co.(3)

Interest of controlled corporations

Investment Manager

Person having a security interest in shares

Trustee

Approved lending agent

11,700,542 )
9,239,182(S) )
 )

13,134,405 )
 )

56,970 )
 )

7,865 )
 )

35,167,154 )
 )
 )
 )

60,066,936
9,239,182 (S)
35,167,154 
(Lending pool)

6.94%
1.06%
4.06%

56

DIRECTORS’ REPORT 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes:

(1) 

CKHH wholly owns CKHGIL, which holds more than one-third of the issued share capital of HWCL, which wholly owns HHHL. Accordingly, for the purpose of Part XV of 
the SFO, HWCL is deemed to be interested in the shares HHHL holds and is deemed to be interested in the Company; CKHGIL is deemed to be interested in the shares 
HWCL holds and is deemed to be interested in the Company; and CKHH is deemed to be interested in the shares CKHGIL holds and is deemed to be interested in the 
Company.

(i)332,478,770 shares are held by HHHL; (ii) 2,397 American depositary shares (“ADSs”) are held by Hutchison Capital Holdings Limited (“HCHL”); (iii) 2,397 ADSs are 
held by Genius Wisdom Limited (“GWL”); (iv) 7,191 ADSs will be transferred to HCHL upon vesting of the non-performance based Long Term Incentive Plan (“LTIP”) of 
Mr To Chi Keung, Simon, subject to vesting conditions; and (v) 7,191 ADSs will be transferred to GWL upon vesting of the non-performance based LTIP of Ms Edith Shih, 
subject to vesting conditions.

HHHL, HCHL and GWL are indirect wholly owned subsidiaries of CKHH. For the purposes of the SFO, CKHH is deemed to be interested in a total of 332,574,650 shares 
held by HHHL, HCHL and GWL for the purpose of Part XV of the SFO.

(2) 

(i) 49,441,485 shares are held by Capital Research and Management Company; (ii) 3,145,615 shares are held by Capital International Sarl; (iii) 23,785,782 shares are held 
by Capital International, Inc.; (iv) 13,365 shares are held by Capital Bank and Trust Company; and (v) 1,289,755 shares are held by Capital Group Private Client Services, 
Inc.

Capital Research and Management Company, Capital International Sarl, Capital International, Inc., Capital Bank and Trust Company and Capital Group Private Client 
Services, Inc. are wholly owned by The Capital Group Companies, Inc. For the purposes of the SFO, The Capital Group Companies, Inc. is deemed to be interested in 
an aggregated 77,676,002 shares. Among them, 67,130,085 shares are physically settled listed derivatives.

(3) 

An aggregated 60,066,936 shares (long position), 9,239,182 shares (short position) and 35,167,154 shares (lending pool) of the Company are held by JPMorgan Chase & 
Co. indirectly through its certain subsidiaries. Among them, 915,547 shares (long position) and 335,734 shares (short position) are cash settled unlisted derivatives.

Save as disclosed above, as at December 31, 2021, no other person (other than the Directors and chief executive of the Company) had any interest or 
short position in the shares or underlying shares of the Company as recorded in the register required to be kept by the Company under Section 336 of the 
SFO, or as otherwise notified to the Company and the HKEX for the purpose of Part XV of the SFO.

EQUITY-LINKED AGREEMENTS

Details of the equity-linked agreements entered into during the year or subsisting at the end of the year are set out below:-

On July 2, 2020, the Company and General Atlantic entered into an ordinary shares subscription warrant which upon exercise entitles General Atlantic 
to subscribe for 16,666,670 shares at an exercise price of US$6.00 per share. The warrant was exercisable during the period from July 2, 2020 to January 3, 
2022. The warrant expired on January 4, 2022.

On April 14, 2021, the Company issued 16,393,445 ordinary shares to Pachytene Limited (an investment vehicle wholly-owned by Baring Private Equity 
Asia Fund VII) for an aggregate price of US$100 million at the price equivalent to US$30.50 per ADS pursuant to a securities subscription agreement.

On June 30, 2021, the Company issued 104,000,000 ordinary shares at the price of HK$40.10 per ordinary share pursuant to the Global Offering and listing 
of the ordinary shares of the Company on HKEX. Following the exercise of an over-allotment option granted by the Company in the context of the Global 
Offering, the Company issued an additional 15,600,000 ordinary shares at the same price per ordinary share on July 15, 2021. Details of the Global Offering 
and the over-allotment option are set out in the prospectus issued by the Company dated June 18, 2021.

HUTCHMED (China) Limited 2021 Annual Report  57

SHARE OPTION SCHEMES AND 
DIRECTORS’ RIGHTS TO ACQUIRE 
SHARES

(i) 

Share option scheme adopted in 2015 by the 
Company

To replace the share option scheme adopted on June 4, 2005 which 
expired on June 3, 2016 and since this date no further options have 
been granted under the 2005 Share Option Scheme (see further 
details below), the Company conditionally adopted a share option 
scheme on annual general meeting held on April 24, 2015 which 
was amended on April 27, 2020 (the “2015 Share Option Scheme”). 
Pursuant to the 2015 Share Option Scheme, the Board of Directors 
of the Company may, at its discretion, offer any employees and 
directors (including Executive and Non-executive Directors but 
excluding Independent Non-executive Directors) of the Company, 
holding companies of the Company and any of their subsidiaries 
or affiliates, and subsidiaries or affiliates of the Company share 
options to subscribe for shares of the Company. Among the Board, 
only Executive Directors of the Company, Mr Christian Lawrence 
Hogg, Mr Cheng Chig Fung, Johnny and Dr Weiguo Su, have been 
granted share options under the 2015 Share Option Scheme.

A summary of the 2015 Share Option Scheme is as follows:

(1) 

(2) 

Purpose of the Scheme – the purpose of the 2015 
Share Option Scheme is to provide the Company with a 
flexible means of either retaining, incentivizing, rewarding, 
remunerating, compensating and/or providing benefits to 
2015 Eligible Persons (as defined below).

Scheme Administration – the Remuneration Committee of 
the Company consists of Mr Paul Rutherford Carter,  
Mr Graeme Allan Jack and Mr To Chi Keung, Simon, with Mr Paul 
Rutherford Carter serving as chairman of the committee. The 
Remuneration Committee is responsible for considering all 
material elements of remuneration policy and recommends 
to the Board the remuneration and incentives of the 
Directors and key employees with reference to independent 
remuneration research and professional advice. The 
Remuneration Committee meets formally at least once each 
year and otherwise as required and makes recommendations 
to the Board of Directors on the framework for executive 
remuneration and on proposals for the granting of share 
options and other equity incentives. The Board is responsible 
for implementing these recommendations and agreeing the 
remuneration packages of individual Executive Directors. 
No Director is permitted to participate in discussions or 
decisions concerning his/her own remuneration. Directors 
are also abstained from voting in respect of his/her own 

58

(3) 

(4) 

(5) 

proposed share awards/remuneration, such that no Director 
is involved in determining his or her own share awards/
remuneration.

Eligible Person – share options may be granted to a “2015 
Eligible Person”, being any person who is (or will be on and 
following the date of offer of the relevant option) a  
non-executive director (excluding any independent 
non-executive directors) or an employee or a director 
holding salaried office or employment under a contract 
with the Company, its listed parent company and any of 
its subsidiaries or affiliates, and any holding company, 
subsidiaries or affiliates of the Company or other companies 
which the Board determines will be subject to the 2015 Share 
Option Scheme, who is notified by the Board that he or she 
is an eligible person.

No Payment for the Option other than Exercise Price – 
share option holders are not required to pay for the grant of 
any share option other than the exercise price for exercising 
the options.

No Holding Period but Vesting Schedule Applies – unless 
otherwise determined by the Board and stated in the offer of 
the grant of share options to a 2015 Eligible Person, there is 
no minimum period required under the 2015 Share Option 
Scheme for the holding of a share option but there are 
vesting periods which apply to the share option before which 
it cannot be exercised.

(6) 

Exercise Price – subject to any adjustment according to the 
rules of the 2015 Share Option Scheme, the exercise price 
shall be, in respect of any share option, the 2015 Market 
Value (as defined below) of the shares as at the offer date,

where “2015 Market Value” on any particular day means:

(a) 

where the shares of the same class are admitted to 
trading on any stock exchange, the higher of:

(i) 

(ii) 

the average of the closing prices of the shares 
on the five dealing days immediately preceding 
the offer date;

the closing price of the shares as stated on a 
recognized stock exchange’s daily quotations 
sheet of such shares on the offer date; and

(iii) 

the nominal value of the shares; or

DIRECTORS’ REPORT(b)  where the shares of the same class are not admitted to 

(c) 

trading on any recognized stock exchange, the value 
of a share is determined in such manner as the Board 
considers reasonable according to objective criteria.

(7) 

Scheme Limit – the maximum number of shares which may 
be allotted and issued pursuant to the 2015 Share Option 
Scheme is subject to the following:

(a) 

(b) 

the total number of shares which may be issued upon 
the exercise of all options to be granted under the 
2015 Share Option Scheme must not in aggregate 
exceed 4% of the shares in issue as at May 13, 2016, 
being the date on which the 2015 Share Option 
Scheme was approved by the shareholders of the 
Company in a general meeting (the “Scheme Limit”). 
On April 27, 2020, rules of the 2015 Share Option 
Scheme was amended to increase the Scheme Limit 
to 5% of the shares in issue as at the adoption date. 
The Scheme Limit was also refreshed to 34,528,738 
shares, representing about 5% of the shares in issue as 
at April 27, 2020. Share options lapsed in accordance 
with the terms of the 2015 Share Option Scheme will 
not be counted for the purpose of calculating the 
Scheme Limit;

the Board may refresh the Scheme Limit by reference 
to the issued share capital of the Company then 
prevailing with the approval of the shareholders of 
its listed parent company, if required, under the HK 
Listing Rules in a general meeting, provided that the 
total number of the Company Shares which may 
be issued upon the exercise of share options to be 
granted under the 2015 Share Option Scheme and 
any options under any other share option schemes 
of the Company under the limit as refreshed shall not 
exceed 10% of the shares in issue at the date on which 
shareholders of the listed parent company approve 
the refreshed limit (where applicable). Share options 
previously granted under the 2015 Share Option 
Scheme and any other share option schemes of the 
Company (including those outstanding, cancelled, 
lapsed in accordance with the terms of the relevant 
scheme, or exercised options) will not be counted for 
the purpose of calculating the limit as refreshed. As at 
December 31, 2021, the total number of the Company 
Shares available for issue under the 2015 Share 
Option Scheme (including the share options granted 
but yet to be exercised) was 50,059,198, representing 
approximately 5.79% of the total number of shares in 
issue;

(d) 

share options may be granted to any 2015 Eligible 
Person(s) specifically identified by the Board which 
would cause the Scheme Limit (including, for the 
avoidance of doubt, any such limit as refreshed under 
paragraph (7)(b) above) to be exceeded, but only with 
the approval of the shareholders of the Company in a 
general meeting (and by the shareholders of the listed 
parent company, if required under the HK Listing 
Rules), and subject always to paragraphs (7)(d) and  
(7)(e) below and restrictions on grant to key individuals  
under the 2015 Share Option Scheme;

the Board shall not grant any share options (the 
“Relevant Company Options”) to any 2015 Eligible 
Person which, if exercised, would result in such person 
becoming entitled to subscribe for such number of 
shares as, when aggregated with the total number 
of shares already issued or to be issued to him/her 
under all share options (including both exercised and 
outstanding share options) granted to him/her in the 
12-month period up to, and including, the offer date 
of the Relevant Company Options, exceeds 1% of the 
shares in issue at such date; but notwithstanding the 
aforesaid, the Board may grant the Relevant Company 
Options to any 2015 Eligible Person(s) which would 
cause the aforesaid limit to be exceeded, but only with 
the approval of the shareholders of the listed parent 
company in a general meeting (with such 2015 Eligible 
Person and his/her associates abstaining from voting) 
and subject to paragraph (7)(e) below; and

(e) 

the total number of shares which may be issued upon 
exercise of all outstanding share options granted 
and not yet exercised under the 2015 Share Option 
Scheme, and under any other share option scheme of 
the Company must not exceed 10% of the shares in 
issue from time to time.

Subject to and in accordance with the rules of the 2015 Share 
Option Scheme, a share option may be exercised during a period 
which is notified at the offer date of the share option, such period 
will not exceed the period of 10 years from such offer date.

HUTCHMED (China) Limited 2021 Annual Report  59

Particulars of share options outstanding under the 2015 Share Option Scheme at the beginning and at the end of the year 2021 and share options 
granted, exercised, cancelled or lapsed under the 2015 Share Option Scheme during 2021 were as follows:

Number of 
share options
 held as at
 January 1,
 2021

Granted
 during the
 year ended
 December 31,
 2021

Exercised
 during the
 year ended
 December 31,
 2021

Lapsed/
cancelled
 during the 
year ended
 December 31, 
2021

–

–

–

–

–

Name or 
category of 
participants

Director
Christian 
Lawrence  
HOGG (1)

CHENG Chig 
Fung, Johnny 

Date of grant
 of share
 options

Apr 28, 2020 (3)

Dec, 14 2020 (3)

Mar 26, 2021 (3)

Apr 28, 2020 (3)

Mar 26, 2021 (3)

1,291,700
(=258,340 ADS)

39,610
(=7,922 ADS)

–

–

–

868,900
(=173,780 ADS)

401,900
(=80,380 ADS)

–

–

240,500
(=48,100 ADS)

Weiguo SU

Jun 15, 2016 (2)

3,000,000

Mar 27, 2017 (3)

1,000,000

Mar 19, 2018 (3)

1,000,000

789,700
(=157,940 ADS)

18,960
(=3,792 ADS)

Apr 28, 2020 (3)

Dec 14, 2020 (3)

Mar 26, 2021 (3)

Dec 14, 2021 (3)

–

–

282,400
(=56,480 ADS)

24,930
(=4,986 ADS)

Employees in 
aggregate

Jun 15, 2016 (2)

2,936,860

Apr 20, 2018 (3)

4,535,220

Jun 6, 2018 (3)

162,450

Aug 6, 2018 (3)

680,000

Oct 19, 2018 (3)

255,000

May 21, 2019 (3)

100,000

Oct 9, 2019 (3)

1,290,000

Dec 11, 2019 (3)

400,000

Apr 20, 2020 (3)

775,000

Apr 28, 2020 (3)

Aug 11, 2020 (3)

Dec 14, 2020 (3)

Mar 26, 2021 (3)

7,146,400
(=1,429,280 ADS)

745,000
(=149,000 ADS)

1,477,010
(=295,402 ADS)
-

Sep 1, 2021 (3)

Dec 14, 2021 (3)

–

–

–

–

–

–

–

–

–

–

–

–

–

–

6,888,100
(=1,377,620 ADS)

1,086,000
(=217,200 ADS)

784,010
(=156,802 ADS)

Number of
 share options 
held as at 
December 31, 
2021

1,291,700
(=258,340 ADS)

39,610
(=7,922 ADS)

868,900
(=173,780 ADS)

401,900
(=80,380 ADS)

240,500
(=48,100 ADS)

3,000,000

1,000,000

1,000,000

789,700
(=157,940 ADS)

18,960
(=3,792 ADS)

282,400
(=56,480 ADS)

24,930
(=4,986 ADS)

2,936,860

4,343,500

122,450

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

(50,000)

630,000

–

–

–

–

255,000

100,000

1,240,000

400,000

–

–

–

–

–

–

–

–

–

–

–

–

–

(191,720)

(40,000)

–

–

–

(50,000)

–

(50,000)

(150,000)

575,000

(72,350)
(=14,470 ADS)

(203,550)
(=40,710 ADS)

6,870,500
(=1,374,100 ADS)

–

–

–

–

–

(280,000)
(=56,000 ADS)

(150,000)
(=30,000 ADS)

465,000
(=93,000 ADS)

1,327,010
(=265,402 ADS)

(496,500)
(=99,300 ADS)

6,391,600
(=1,278,320 ADS)

–

–

1,086,000
(=217,200 ADS)

784,010
(=156,802 ADS)

Exercise 
period of 
share options

Exercise 
price of 
share options

Price of share

prior to
  the grant 
date of 
share options

prior to the
 exercise date 
of share 
options

Apr 28, 2020
to Apr 27, 2030

Dec 14, 2020
to Dec 13, 2030

Mar 26, 2021
to Mar 25, 2031

Apr 28, 2020
to Apr 27, 2030

Mar 26, 2021
to Mar 25, 2031

June 15, 2016
to Dec 19, 2023

Mar 27, 2017
to Mar 26, 2027

Mar 19, 2018
to Mar 18, 2028

Apr 28, 2020
to Apr 27, 2030

Dec 14, 2020
to Dec 13, 2030

Mar 26, 2021
to Mar 25, 2031

Dec 14, 2021
to Dec 13, 2031

Jun 15, 2016
to Dec 19,.2023

Apr 20, 2018
to Apr 19, 2028

Jun 6, 2018
to June 5, 2028

Aug 6, 2018
to Aug 5, 2028

Oct 19, 2018
to Oct 18, 2028

May 21, 2019
to May 20, 2029

Oct 9, 2019
to Oct 8, 2029

Dec 11, 2019
to Dec 10, 2029

Apr 20, 2020
to Apr 19, 2030

Apr 28, 2020
to Apr 27, 2030

Aug 11, 2020
to Aug 10, 2030

Dec 14, 2020
to Dec 13, 2030

Mar 26, 2021
to Mar 25, 2031

Sep 1, 2021
to Aug 31, 2031

Dec 14, 2021
to Dec 13,.2031

US$22.090 
per ADS

US$29.000 
per ADS

US$27.940 
per ADS

US$22.090 
per ADS

US$27.940 
per ADS

£1.970 
per share

£3.105 
per share

£4.974 
per share

US$22.090 
per ADS

US$29.000 
per ADS

US$27.940 
per ADS

US$35.210 
per ADS

£1.970 
per share

£4.645 
per share

£4.166 
per share

£4.860 
per share

£4.610 
per share

£4.220 
per share

£2.978 
per share

£3.592 
per share

£3.340 
per share

US$22.090 
per ADS

US$32.820 
per ADS

US$29.000 
per ADS

US$27.940 
per ADS

US$39.740 
per ADS

US$35.210 
per ADS

US$21.920 
per ADS

US$28.160 
per ADS

US$27.640 
per ADS

US$21.920 
per ADS

US$27.640 
per ADS

(4)

£1.975 
per share

(4)

£3.000 
per share

(4)

£4.890 
per share

US$21.920 
per ADS

US$28.160 
per ADS

US$27.640 
per ADS

US$35.064 
per ADS

(4)

£1.975 
per share

(4)

£4.590 
per share

(4)

£4.110 
per share

(4)

£5.000 
per share

(4)

£4.600 
per share

(4)

£4.175 
per share

£2.950 
per share

£3.600 
per share

£3.060 
per share

US$21.920 
per ADS

US$32.320 
per ADS

US$28.160 
per ADS

US$27.640 
per ADS

US$37.564 
per ADS

US$35.064 
per ADS

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

N/A

£6.100 (5)

per share

£5.890 (5) 

per share

N/A

N/A

N/A

£4.915 (5) 

per share

N/A

£5.660 (5)

per share

US$35.283 (5)
per ADS

N/A

N/A

N/A

N/A

N/A

Total:

28,044,810

10,174,840

(404,070)

(1,330,050)

36,485,530

60

DIRECTORS’ REPORT 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
Effective from May 30, 2019, each ordinary share of US$1.00 each 
of the Company was subdivided into 10 new ordinary shares of 
US$0.10 each (the “Share Division”). Accordingly, adjustments have 
been made to the number of share options by multiplying the 
number by 10 and to the share price and exercise price by dividing 
the price by 10 pursuant to the terms of the 2015 Share Option 
Scheme.

The share options granted on or after April 28, 2020 were in the 
form of ADS and the relevant exercise prices were stated in US 
dollars per ADS. For disclosure purposes, these share options are 
presented in the form of ordinary shares. Each ADS represents five 
ordinary shares.

Notes:

(1) 

(2) 

(3) 

(4) 

(5) 

Mr Christian Lawrence Hogg retired as Executive Director and Chief 
Executive Officer on March 4, 2022.

The share options granted are exercisable subject to, amongst other 
relevant vesting criteria, the vesting schedule of approximately 50% 
on the day after the acceptance of the offer, approximately 25% on 
December 20, 2016 and approximately 25% on December 20, 2017.

The share options granted are exercisable subject to, amongst other 
relevant vesting criteria, the vesting schedule of 25% on each of the 
first, second, third and fourth anniversaries of the date of grant of 
share options.

The stated prices were the adjusted prices as a result of the Share 
Subdivision. The prices prior to the adjustment were closing prices 
of the shares quoted on AIM on the trading day immediately prior to 
the respective dates of grant of share options.

The stated price was the weighted average closing price of the 
ordinary shares/ADSs immediately before the date on which the 
share options were exercised.

(ii)  Share option scheme adopted in 2005 by the 

Company – expired on June 3, 2016

(3) 

The Company conditionally adopted a share option scheme on 
June 4, 2005 which was amended on March 21, 2007 (the “2005 
Share Option Scheme”). The 2005 Share Option Scheme had a term 
of 10 years. It expired on June 3, 2016 and no further share option 
can be granted. Pursuant to the 2005 Share Option Scheme, the 
Board of Directors of the Company may, at its discretion, offer any 
employees and directors (including Executive and Non-executive 
Directors but excluding Independent Non-executive Directors) 
of the Company, holding companies of the Company and any of 
their subsidiaries or affiliates, and subsidiaries or affiliates of the 
Company share options to subscribe for shares of the Company. 
Among the Board, only Executive Directors of the Company,  

Mr Christian Lawrence Hogg, Mr Cheng Chig Fung, Johnny and  
Dr Weiguo Su, received share options under the 2005 Share Option 
Scheme.

A summary of the 2005 Share Option Scheme is as follows:

(1) 

(2) 

Purpose of the Scheme – the purpose of the 2005 
Share Option Scheme is to provide the Company with a 
flexible means of either retaining, incentivizing, rewarding, 
remunerating, compensating and/or providing benefits to 
2005 Eligible Persons (as defined below).

Scheme Administration – the Remuneration Committee of 
the Company consists of Mr Paul Rutherford Carter,  
Mr Graeme Allan Jack and Simon Mr To Chi Keung, Simon, 
with Mr Paul Rutherford Carter serving as chairman of the 
committee. The Remuneration Committee is responsible 
for considering all material elements of remuneration 
policy and recommends to the Board the remuneration 
and incentives of the Directors and key employees with 
reference to independent remuneration research and 
professional advice. The Remuneration Committee meets 
formally at least once each year and otherwise as required 
and makes recommendations to the Board of Directors 
on the framework for executive remuneration and on 
proposals for the granting of share options and other equity 
incentives. The Board is responsible for implementing these 
recommendations and agreeing the remuneration packages 
of individual Executive Directors. No Director is permitted to 
participate in discussions or decisions concerning his/her 
own remuneration. Directors are also abstained from voting 
in respect of his/her own proposed share awards, such that 
no Director is involved in determining his or her own share 
awards.

Eligible Person – share options may be granted to a “2005 
Eligible Person”, being any person who is (or will be on and 
following the date of offer of the relevant option) a  
non-executive director (other than an independent  
non-executive director) or an employee or a director 
holding salaried office or employment under a contract 
with the Company, its listed parent company and any 
of its subsidiaries or affiliate, and any holding company, 
subsidiaries or affiliates of the Company or other companies 
which the Board determines will be subject to the 2005 Share 
Option Scheme, who is notified by the Board that he or she 
is an eligible person. Actual participation is at the discretion 
of the Board.

(4) 

No Payment for the Option other than Exercise Price – 
share option holders are not required to pay for the grant of 
any share option other than the exercise price for exercising 
the options.

HUTCHMED (China) Limited 2021 Annual Report  61

(5) 

No Holding Period but Vesting Schedule Applies – unless 
otherwise determined by the Board and stated in the offer of 
the grant of share options to a 2005 Eligible Person, there is 
no minimum period required under the 2005 Share Option 
Scheme for the holding of a share option before it can be 
exercised but there are vesting period which apply to the 
share option before which it cannot be exercised.

(6) 

Exercise Price – subject to any adjustment according to the 
rules of the 2005 Share Option Scheme, the exercise price 
shall be:

(a) 

(b) 

in the case of the one-time initial grants of share 
options by the Company under the 2005 Share Option 
Scheme to founders and non-founders prior to the 
Listing (as defined below), the price determined by 
the Board and notified to the relevant share option 
holder; and

in respect of any other share option, the 2005 Market 
Value (as defined below) of the shares as at the offer 
date, where “2005 Market Value” on any particular day 
on or after the Listing means the higher of:

(i) 

(ii) 

the average of the closing prices of the shares 
on the five dealing days immediately preceding 
the offer date;

the closing price of the shares as stated on a 
recognised stock exchange’s daily quotations 
sheet of such shares on the offer date; and

(iii) 

the nominal value of the shares.

(7) 

Scheme Limit – the maximum number of the shares which 
may be allotted and issued pursuant to the 2005 Share 
Option Scheme is subject to the following:

(a) 

the total number of the shares which may be issued 
upon the exercise of all share options to be granted 
under all share option schemes of the Company must 
not in aggregate exceed 5% of the shares in issue on 
the date on which the shares are listed for trading on 
a recognised stock exchange (including the AIM) (the 
“Listing”);

(b) 

the Board may refresh and recalculate the limit in 
paragraph (7)(a) above by reference to the issued 
share capital of the Company then prevailing with 
the approval of the shareholders of its listed parent 

62

company, if required, under the HK Listing Rules in a 
general meeting, provided that the total number of the 
shares issued and issuable pursuant to the exercise 
of share options under all share option schemes 
of the Company may not exceed 10% of the issued 
ordinary share capital on the date of the approval of 
the refreshed limit. Share options previously granted 
under the 2005 Share Option Scheme and any other 
employee share schemes of the Company (including 
those outstanding, cancelled, lapsed or exercised) 
will not be counted for the purpose of calculating 
the limit as refreshed. As at December 31, 2021, the 
total number of shares available for issue under 
the 2005 Share Option Scheme (including the share 
options granted but yet to be exercised) was 705,060, 
representing approximately 0.08% of the total number 
of the shares in issue;

share options may be granted to any 2005 Eligible 
Person(s) specifically identified by the Board in excess 
of the limit, including the refreshed limit, under 
paragraphs (7)(a) and (7)(b) above, with the approval 
of the shareholders of the Company in a general 
meeting and by the shareholders of the listed parent 
company, if required under the HK Listing Rules, and 
subject to paragraphs (7)(d) and (7)(e) below and 
restrictions on grant to key individuals under the 2005 
Share Option Scheme;

no 2005 Eligible Person may be granted a share 
option if, as a result, the total number of the Company 
Shares over which that 2005 Eligible Person holds 
share options granted in the previous 12 months, 
when added to the number of Shares, the subject of 
the proposed grant, would exceed 1% of the issued 
ordinary share capital of the Company on that date; 
but notwithstanding the aforesaid, share options may 
be granted to any 2005 Eligible Person(s) which would 
cause the aforesaid limit to be exceeded, but only with 
the approval of the shareholders of the listed parent 
company in a general meeting (with such 2005 Eligible 
Person and his/her associates abstaining from voting) 
and subject to paragraph (7)(e) below; and

(c) 

(d) 

(e) 

the total number of shares which may be issued upon 
the exercise of all outstanding share options granted 
and yet to be exercised under the 2005 Share Option 
Scheme and under any other share option scheme of 
the Company must not exceed 10% of the shares in 
issue from time to time.

DIRECTORS’ REPORTSubject to and in accordance with the rules of the 2005 Share Option Scheme, a share option may be exercised during a period which is notified at 
the offer date of the share option, such period will not exceed the period of 10 years from such offer date.

Particulars of share options outstanding under the 2005 Share Option Scheme at the beginning and at the end of the year 2021 and share options 
granted, exercised, cancelled or lapsed under the 2005 Share Option Scheme during 2021 were as follows:

Number of

Lapsed/

Number of

 share

Granted

Exercised

cancelled

 options

 during the

 during the

 during the

 share 

 options

Category of 

Date of grant of 

 January 1,

December 31,

December 31,

December 31,

December 31,

 period of 

 price of share

 grant date of

 held as at

year ended

year ended

year ended

held as at 

Exercise

Exercise

prior to the

participants

share options

Employees in 

Jun 24, 2011 (1)

 2021

400,000

aggregate

Dec 20, 2013 (1)

716,180

Total:

1,116,180

2021

2021

2021

 2021

share options

 options

 share options

–

–

–

(400,000)

(11,120)

(411,120)

–

–

–

–

Jun 24, 2011

£0.4405 

£0.4490 

(2)

to Jun 23, 2021

per share

per share

705,060

Dec 20, 2013

£0.6100 

£0.6130 

(2)

to Dec 19, 2023

per share

per share

705,060

The Share Subdivision is also applicable to the 2005 Share Option Scheme.

Price of Share

prior to the 

exercise

 date of 

share 
options (3)

£4.2300

per share

£4.5000 

per share

Notes:

(1) 

(2) 

The share options granted are exercisable subject to, amongst other relevant vesting criteria, the vesting schedule of 25% on each of the first, second, third and 
fourth anniversaries of the date of grant of share options.

The stated price was the adjusted prices as a result of the Share Subdivision. The prices prior to the adjustment were closing prices of the shares quoted on 
AIM on the trading day immediately prior to the respective dates of grant of share options.

(3) 

The stated price was the weighted average closing price of the ordinary shares immediately before the date on which the share options were exercised.

As at December 31, 2021, the Company had 705,060 share options and 36,485,530 share options outstanding under the 2005 Share Option Scheme 
and the 2015 Share Option Scheme, respectively.

The fair values of share options in the form of ADS granted during the period, determined using the Polynomial Model were as follows:

Value of each share option in the form of ADS

US$11.18

Significant inputs into the valuation model:

Exercise price

Share price at effective grant date

Expected volatility

Risk-free interest rate

Contractual life of share options

Expected dividend yield

US$29.78

US$29.53

41.14%

1.62%

10 years

0%

The volatility of the underlying stock during the life of the share options was estimated with reference to the historical volatility prior to the 
issuance of share options. Changes in such subjective input assumptions could affect the fair value estimate.

HUTCHMED (China) Limited 2021 Annual Report  63

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
LONG TERM INCENTIVE PLAN

Conditional Right to receive Shares Bought on the Market by the LTIP Scheme Trustee – the Company grants awards under the LTIP which was 
adopted on April 24, 2015, to participating directors or employees giving them a conditional right to receive ordinary shares of the Company or the 
equivalent ADS (collectively the “Awarded Shares”) to be purchased by an independent third party trustee (the “Trustee”) in the market up to a cash 
amount. Such awards are not satisfied out of new ordinary shares, as is the case with the share options.

Vesting of LTIP Awards – vesting will depend upon continued employment of the award holder with the Group and will otherwise be at the discretion 
of the Board of Directors of the Company. Such awards can be either performance based awards or non-performance based awards. In relation to any 
awards to the Independent Non-executive Directors, these are strictly non-performance based awards and typically vest 25% annually in equal amounts 
over a four-year period.

Performance Based LTIP Awards – in relation to the salaried executive directors and employees, the Company grants performance based awards 
which are subject to change based on annual performance targets which vary by award, and may include targets for shareholder returns, financings, free 
cash flows, revenues, net profit after taxes and the achievement of clinical and regulatory milestones. Upon determination of the annual performance 
targets, the Company will pay a determined monetary amount, up to the maximum cash amount based on the actual achievement of the performance 
target specified in the award, to the Trustee to purchase the Awarded Shares. These type of annual performance based awards typically vest 100% three 
years after the date of grant.

Administration of the LTIP Scheme – the Remuneration Committee meets and make recommendations to the Board of Directors on proposals for 
the granting of LTIP Awards. The Board of Directors is responsible for implementing these recommendations. No Director is permitted to participate in 
discussions concerning his/her own LTIP Awards. Directors are also abstained from voting in respect of his/her own proposed LTIP Awards, such that no 
Director is involved in determining his or her own share awards. Any shares bought to satisfy any LTIP Award are purchased by the Trustee of the LTIP 
Scheme, Computershare Trustees (Jersey) Limited and such shares are held by the Trustee on behalf of the awardee until the awards have vested.

Summary of the Different types of LTIP Awards

LTIP Awardee – Eligibility

Based/Performance Based

held by Trustee until vested

Vesting Period/Schedule

Salaried Executive Directors (including Chief 

Annual Performance Based Award,  

Cash Amount determined based 

100% vests around three 

Executive Officer, Chief Financial Officer & Chief 

tied to Annual Performance Targets

on achievement of Annual 

years after the date of grant

LTIP Award – Non-performance 

Shares Bought by Trustee and 

Scientific Officer) & Employees

Performance Targets, used by 

Trustee to buy shares in the 

market

The Chairman, Non-executive Directors and 

Non-performance Based Award

Cash Amount Award used by 

25% of the Award vesting 

Independent Non-executive Directors & Employees

Trustee to buy shares in the 

annually over a four-year 

market

period

64

DIRECTORS’ REPORT 
 
 
 
 
 
 
 
 
 
 
 
(i)  Grant of LTIP

On March 26, 2021, the Company granted performance based awards under the LTIP to three Executive Directors and 585 employees, giving a 
conditional right to cash amounts which are used by the Trustee to purchase Awarded Shares in the Company, on market up to a maximum total 
cash amount of US$57,311,165 depending upon the achievement of the performance targets in 2021. Details of the grants are as follows:

Name or category of participants of performance based LTIP awards

Executive Directors
Christian Lawrence HOGG (1)
CHENG Chig Fung, Johnny

Weiguo SU

Senior managers and executives in aggregate

Total:

Note:

Maximum amount per annum 

for the LTIP period stipulated 

in the LTIP awards

US$1,616,538

US$657,211

US$1,622,123

US$53,415,293

US$57,311,165

(1) 

Mr Christian Lawrence Hogg retired as Executive Director and Chief Executive Officer of the Company on March 4, 2022.

Vesting will occur two business days after the date of announcement of the annual results for the financial year 2023.

On September 1, 2021, the Company granted:

(1) 

(2) 

non-performance based LTIP awards of US$503,077 to three employees. It is a one-off cash amount to be allocated to the grantees and 
used by the Trustee to purchase Awarded Shares which will be subject to a vesting schedule of 25% per year over four years; and

performance based LTIP awards to 119 employees, giving a conditional right to cash amounts which are used by the Trustee to purchase 
Awarded Shares in the Company, on market up to a maximum total cash amount of US$7,279,340 depending on the achievement of the 
performance targets in 2021. Vesting will occur two business days after the date of announcement of the annual results for the financial year 
2023.

HUTCHMED (China) Limited 2021 Annual Report  65

 
 
 
 
On October 20, 2021, the Company granted non-performance based LTIP awards of US$250,000 each to seven Directors. It is a one-off cash 
amount to be allocated to the grantees and used by the Trustee to purchase Awarded Shares which will be subject to a vesting schedule of 25% 
per year over four years. Details of the grants are as follows:

Name or category of participants of the non-performance based LTIP awards

Executive Director
TO Chi Keung, Simon

Non-executive Directors
Dan ELDAR

Edith SHIH

Independent Non-executive Directors
Paul Rutherford CARTER

Karen Jean FERRANTE

Graeme Allan JACK

MOK Shu Kam, Tony

Amount for the LTIP 

period stipulated in the 

LTIP awards

US$250,000 (1)

US$250,000
US$250,000 (2)

US$250,000

US$250,000

US$250,000

US$250,000

US$1,750,000

Total:

Notes:

(1) 

(2) 

Similar to the arrangement for his Director’s fees, this cash amount would be used by the Trustee to buy shares which will be held by the Trustee until the LTIP 
concerned is vested, with 25% to be vested in each of the next four years, whereupon the shares will be received by or for the account of his employer, HWCL.

Similar to the arrangement for her Director’s fees, this cash amount would be used by the Trustee to buy shares which will be held by the Trustee until the 
LTIP concerned is vested, with 25% to be vested in each of the next four years, whereupon the shares will be received by or for the account of her employer, 
Hutchison International Limited (“HIL”).

On December 14, 2021, the Company granted non-performance based LTIP award of US$200,000 to two employees. It is a one-off cash amount to 
be allocated to the grantees and used by the Trustee to purchase Awarded Shares, out of which US$100,000 awards will be vested one year after 
grant and US$100,000 awards will be vested 25% per year over four years.

Any Awarded Shares purchased on behalf of a LTIP grantee are to be held by the Trustee until they are vested. Vesting will also depend upon the 
continued employment of the award holder and will otherwise be at the discretion of the Board.

66

DIRECTORS’ REPORT 
 
 
 
(ii)  Vesting of LTIP

On March 9, 2021, performance based LTIP awards granted under the LTIP on March 15, 2017 in respect of the annual performance targets for the 
financial year 2018 were vested. Details of the vesting are as follows:

Name or category of participants of the performance based LTIP awards

Number of ordinary shares

Number of ADS

Executive Director
Weiguo SU

Senior managers and executives in aggregate

Total:

–

143,510

143,510

2,656

3,339

5,995

On April 20, 2021, awards granted under the LTIP on April 20, 2020, which do not stipulate performance targets, were vested. Details of the vesting 
are as follows:

Name or category of participants of the non-performance based LTIP awards

Number of ordinary shares

Number of ADS

Executive Director
TO Chi Keung, Simon

Non-executive Directors
Dan ELDAR

Edith SHIH

Independent Non-executive Directors
Paul Rutherford CARTER

Karen Jean FERRANTE

Graeme Allan JACK

MOK Shu Kam, Tony

Employees in aggregate

Total:

Notes:

(1) 

(2) 

–

–

–

–

–

–

–

16,015

16,015

2,397 (1)

2,397
2,397 (2)

2,037 (3)
2,397

2,397

2,397

–

16,419

Similar to the arrangement for his Director’s fees, this cash amount would be used by the Trustee to buy shares which will be held by the Trustee until the LTIP 
concerned is vested, with 25% to be vested in each of the next four years, whereupon the shares will be received by or for the account of his employer, HWCL.

Similar to the arrangement for her Director’s fees, this cash amount would be used by the Trustee to buy shares which will be held by the Trustee until the LTIP 
concerned is vested, with 25% to be vested in each of the next four years, whereupon the shares will be received by or for the account of her employer, HIL.

(3) 

Mr Paul Rutherford Carter opted receiving 15% of the LTIP award in cash and therefore, on April 20, 2021, 2,037 ADSs together with US$7,500 cash were vested.

On October 10, 2021, 1,390 ADSs awards granted to an employee under the LTIP on October 10, 2019, which do not stipulate performance targets, 
were vested. 

MANAGEMENT CONTRACTS

No contracts concerning the management and administration of the whole or any substantial part of the businesses of the Company were entered into or 
existed during the year.

HUTCHMED (China) Limited 2021 Annual Report  67

 
 
 
 
 
 
 
 
 
 
 
 
 
 
PURCHASE, SALE OR 
REDEMPTION OF LISTED 
SECURITIES

For the year ended December 31, 2021:

(a) 

(b) 

On April 14, 2021, the Company issued 16,393,445 ordinary shares, 
equivalent to 3,278,689 ADSs, to Pachytene Limited (an investment 
vehicle wholly-owned by Baring Private Equity Asia Fund VII) for 
an aggregate price of US$100 million at the price equivalent to 
US$30.50 per ADS pursuant to a securities subscription agreement.

On June 30, 2021, the Company issued 104,000,000 ordinary shares 
at the price of HK$40.10 per ordinary share pursuant to the Global 
Offering and listing of the ordinary shares of the Company on HKEX. 
Following the exercise of an over-allotment option granted by the 
Company in the context of the Global Offering, the Company issued 
an additional 15,600,000 ordinary shares at the same price per 
ordinary share on July 15, 2021. Details of the Global Offering and 
the over-allotment option are set out in the prospectus issued by 
the Company dated June 18, 2021.

During the year, the percentages of revenue attributable to the major 
customers of the Group were as follows:

The largest customer

Five largest customers combined

Percentage of total 

revenue of the Group

16%

53%

As at December 31, 2021, none of the Directors, their close associates or 
any shareholders (which to the knowledge of Directors own more than 5% 
of the issued share capital of the Company) had any interest in the major 
customers of the Group.

SUFFICIENCY OF PUBLIC FLOAT

As at the date of this report, based on the information that is publicly 
available to the Company and within the knowledge of the Directors of 
the Company, the Company has maintained the prescribed public float 
under the HK Listing Rules.

AUDITORS

Save as disclosed above, neither the Company nor any of its subsidiaries 
has purchased, sold or redeemed any of the listed securities of the 
Company during the year.

The financial statements have been audited by PricewaterhouseCoopers, 
Certified Public Accountants, and PricewaterhouseCoopers Zhong Tian 
LLP who will retire and, being eligible, offer themselves for re-appointment 
at the 2022 AGM.

PRE-EMPTIVE RIGHTS

Under the Articles of Association of the Company, unless the Company 
by special resolution directs otherwise, any new shares will be offered 
to the existing shareholders pro rata to their holdings. In 2021 AGM, the 
Company obtained approval from shareholders by passing of special 
resolutions to disapply the pre-emption rights.

ANNUAL GENERAL MEETING

The AGM of the Company will be held on Wednesday, April 27, 2022 at  
6:00 pm (Hong Kong time) at the Conference Room, 18th Floor, Hutchison 
Telecom Tower, 99 Cheung Fai Road, Tsing Yi, Hong Kong. Details of the 
business/resolutions proposed are set out in the Notice of the AGM.

MAJOR CUSTOMERS AND 
SUPPLIERS

By Order of the Board

During the year, the percentage of purchase attributable to the five largest 
suppliers of the Group combined was less than 30% of the total purchase 
of the Group.

Edith Shih
Director and Company Secretary

March 3, 2022

68

DIRECTORS’ REPORT 
 
THE BOARD

CORPORATE CULTURE

As a leading biopharmaceutical company, the Group instils a culture 
of innovation that is driven by science, with the ambition to create 
world-class cancer and immunological therapies, for the improvement 
of the lives of patients. This includes its commitment to encouraging, 
valuing and challenging every employee, so that the collective scientific 
and commercial expertise of the Group better serves the broader 
community. The Board, together with senior management, set the tone 
and shapes and define the corporate culture and strategic direction, 
which is underpinned by the core values of acting lawfully, ethically and 
responsibly across all levels of the Group. The desired culture is developed 
and reflected consistently in the operating practices and policies of the 
Group, as well as its relations with stakeholders. Board oversight of the 
culture of the organization encompasses a range of measures and tools, 
including employee engagement, retention and training, robust financial 
reporting, whistleblowing, data privacy and security and legal and 
regulatory compliance (including compliance with the Code of Ethics and 
other Group policies), as well as staff safety, wellbeing and support. Taking 
into account the corporate culture in a range of contexts, the Board 
considers that the culture, purpose, values and strategy of the Group are 
aligned.

The Company strives to attain and maintain high standards of corporate 
governance best suited to the needs and interests of the Company 
and its subsidiaries (the “Group”) as it believes that effective corporate 
governance framework is fundamental to promoting and safeguarding 
interests of shareholders and other stakeholders and enhancing 
shareholder value. Accordingly, the Company has adopted and applied 
corporate governance principles and practices that emphasize a quality 
board of Directors (the “Board”), effective risk management and internal 
control systems, stringent disclosure practices, transparency and 
accountability as well as effective communication and engagement with 
shareholders and other stakeholders. It is, in addition, committed to 
continuously enhancing these standards and practices and inculcating 
a robust culture of compliance and ethical governance underlying the 
business operations and practices across the Group.

Following the listing of the ordinary shares of the Company on The Stock 
Exchange of Hong Kong Limited (“HKEX”) on June 30, 2021, the Board 
has adopted the Hong Kong Corporate Governance Code (“HK CG Code”) 
contained in Appendix 14 of the Rules Governing the Listing of Securities 
on The Stock Exchange of Hong Kong Limited (the “Hong Kong Listing 
Rules”) in replacement of the UK Corporate Governance Code and the 
Company is in compliance with all code provisions of the HK CG Code. 
Although the American depositary shares of the Company are listed on 
NASDAQ Global Select Market (“Nasdaq”), being a foreign private issuer, 
the Company is permitted to follow Cayman Islands law for certain 
corporate governance practices. In addition, the Company is subject to 
and complies with certain applicable requirements of the Sarbanes-Oxley 
Act (the “SOX”). Prior to the listing of its ordinary shares on the HKEX, the 
Company had adopted the principles of the UK Corporate Governance 
Code applicable to companies listed on the premium segment of the 
London Stock Exchange main market.

The corporate governance practices adopted by the Company are 
discussed below.

70

CORPORATE  GOVERNANCE REPORTCORPORATE STRATEGY

BOARD COMPOSITION

The primary objective of the Company is to become a fully integrated 
global leader in the discovery, development and commercialization of 
targeted therapies and immunotherapies for the treatment of cancer 
and immunological diseases. The strategy of the Company is to leverage 
the highly specialized expertise of the drug discovery division, known 
as the Oncology/Immunology operations, to develop and expand the 
drug candidate portfolio of the Group for the global market while also 
building on the first-mover advantage in the development and launch of 
novel cancer drugs in China. This is aligned with the Company’s culture of 
innovation and high engagement and empowerment with a high focus on 
reward and recognition. The Chairman’s Statement and the Operations 
Review contain discussions and analyses of the Group’s opportunities, 
performance and the basis on which the Group generates or preserves 
value over the longer term and the basis on which the Group will execute 
its strategy for delivering the objective of the Group. Further information 
on the sustainability initiatives of the Group and its key relationships with 
stakeholders can also be found in the standalone sustainability report of 
the Group.

ROLE OF THE BOARD

The Board is accountable to shareholders for the long-term sustainable 
success of the Company. It is responsible for shaping and overseeing 
the corporate culture, setting and guiding the long-term strategic 
objectives of the Company with appropriate focus on value creation and 
risk management, directing, supervising and monitoring the managerial 
performance and operating practices of the Group to ensure they align 
with the desired culture. It also ensures ongoing effective communication 
with shareholders and engagement with key stakeholders as it develops 
the purpose and values of the Company. Directors are charged with the 
task of promoting the long-term sustainable success of the Company and 
making decisions in the best interests of the Company with due regard to 
sustainability considerations.

The Board, led by the Chairman, Mr To Chi Keung, Simon, fosters and 
oversees the culture, determines and monitors the Group’s long term 
objectives and commercial strategies, annual operating and capital 
expenditure budgets and business plans, evaluates the performance 
of the Company, and supervises the management of the Company (the 
“Management”). Management is responsible for the day-to-day operations 
of the Group under the leadership of the Chief Executive Officer (the 
“CEO”), and putting in place mechanisms for ensuring the desired culture 
of the Company is understood and shared at all levels of the Group.

As of December 31, 2021 and up to the date of this report, the Board 
comprised ten Directors, including the Chairman, CEO, Chief Financial 
Officer (the “CFO”), Chief Scientific Officer, two Non-executive Directors 
and four Independent Non-executive Directors (one of whom is the 
Senior Independent Non-executive Director). The number of Independent 
Non-executive Directors on the Board meets the one-third requirement 
under the Hong Kong Listing Rules.

On March 4, 2022, Mr Christian Lawrence Hogg retired as Executive 
Director and Chief Executive Officer. Dr Weiguo Su was appointed as Chief 
Executive Officer and remains as the Chief Scientific Officer.

Biographical details of the Directors are set out in the “Information on 
Directors” section on pages 42 to 45 and on the website of the Company 
(www.hutch-med.com). A list setting out the names of the Directors and 
their roles and functions is posted on the websites of the Company and 
HKEX (www.hkexnews.hk).

CHAIRMAN AND CEO

The role of the Chairman is separate from that of the CEO. Such division of 
responsibilities reinforces the independence and accountability of these 
Directors.

The Chairman is responsible for the effective conduct of the Board, 
ensuring that it as a whole plays an effective role in the development and 
determination of the Group’s strategy and overall commercial objectives 
and acts as the guardian of the Board’s decision-making processes. He 
is responsible for setting the agenda for each Board meeting, taking into 
account, where appropriate, matters proposed by Directors. He also 
ensures that the Board receives accurate, timely and clear information 
on the Group’s performance, issues, challenges and opportunities facing 
the Group and matters reserved to it for decision. With the support of the 
other Executive Directors and the Company Secretary, the Chairman seeks 
to ensure that the Board complies with approved procedures, including 
the schedule of matters and functions reserved to the Board for its 
decision and the Terms of Reference of all Board Committees. The Board, 
under the leadership of the Chairman, has adopted good corporate 
governance practices and procedures and taken appropriate steps to 
provide effective communication with shareholders, as outlined later in 
this report.

The CEO is responsible for managing the businesses of the Group, 
formulating and developing the Group’s strategy and overall commercial 
objectives in close consultation with the Chairman and the Board. With 
the executive management team of each core business division, the CEO 
implements the decisions of the Board and its Committees. He maintains 
an ongoing dialogue with the Chairman to keep him fully informed of 
all major business development and issues. He is also responsible for 
ensuring that the development needs of senior management reporting to 
him are identified and met as well as leading the communication program 
with shareholders.

HUTCHMED (China) Limited 2021 Annual Report  71

In addition to Board meetings, the Chairman also met with the 
Independent Non-executive Directors without the presence of other 
Directors, with full attendance. Such meetings provide an effective forum 
for the Chairman to listen to the views of the Independent Non-executive 
Directors including corporate governance improvement, effectiveness 
of the Board, and any other issues they may wish to raise in the absence 
of other Directors and senior management of the Company. The Senior 
Independent Non-executive Director, Mr Paul Rutherford Carter, also 
held a meeting with all Non-executive Directors without the presence of 
the Chairman, with full attendance, for the appraisal of the Chairman’s 
performance.

All Non-executive Directors are engaged on service contracts for an initial 
term ending on December 31 of the year of appointment or until the 
next following annual general meeting of the Company. Thereafter, such 
contracts are automatically renewed for successive 12-month periods 
unless terminated by written notice given by either party. The Chairman of 
the Board is of the view that the performance of each of the Non-executive 
Directors continues to be effective and they all demonstrate commitment 
to their role as a Non-executive Director. Under the Articles of Association 
of the Company, one-third of Directors are subject to re-election by 
shareholders at annual general meetings (the “AGM”) and at least once 
every three years on a rotation basis. A retiring Director is eligible for 
re-election and re-election of retiring Directors at general meetings is dealt 
with by separate individual resolutions. In the interests of good corporate 
governance, the Directors and the Board have resolved that all Directors 
will retire at the upcoming AGM of the Company and, being eligible, will 
offer themselves for re-election by shareholders. Save as mentioned 
herein, there are no existing or proposed service contracts between any 
of the Directors and the Company which cannot be terminated by the 
Company within 12 months and without payment of compensation. 
Where vacancies arise at the Board, candidates are proposed and put 
forward to the Board for consideration and approval, with the objective 
of appointing to the Board individuals with expertise in the businesses 
of the Group and leadership qualities to complement the capabilities of 
the existing Directors thereby enabling the Company to retain as well as 
improve its competitive position.

BOARD PROCESS

The Board meets regularly, and at least four times a year with dates of 
regular meetings scheduled prior to the beginning of the year. Between 
scheduled meetings, senior management of the Group provides to 
Directors, on a regular basis, monthly updates and other information 
with respect to the activities and development of the Group. Throughout 
the year, in addition to Board meetings, Directors participate in the 
deliberation and approval of routine and operational matters of the 
Company by way of written resolutions with supporting explanatory 
materials, supplemented by additional verbal and/or written information 
from the Company Secretary or other executives as and when required. 
Whenever warranted, additional Board meetings are held. Further, 
Directors have full access to information on the Group and to the advice 
and services of the Company Secretary. They also have full access to 
independent professional advice at all times whenever deemed necessary 
by the Directors and they are at liberty to propose appropriate matters for 
inclusion in Board agendas.

With respect to regular meetings of the Board, Directors receive written 
notice of the meetings generally about a month in advance and a draft 
agenda for review and comment prior thereto. The full set of Board papers 
is supplied no less than three days prior to the meetings. With respect to 
other meetings, Directors are given as much notice as is reasonable and 
practicable in the circumstances.

Except for those circumstances permitted by the Articles of Association 
of the Company, a Director who has a material interest in any contract, 
transaction, arrangement or any other kind of proposal put forward to the 
Board for consideration abstains from voting on the relevant resolution 
and such Director is not counted for quorum determination purposes.

In 2021, the Company held eight Board meetings with 100% attendance of 
its members.

Board

 Meetings

Attended/

Attendance 

Eligible to 

at 2021 

attend

AGM

8/8

8/8

8/8

8/8

8/8

8/8
8/8

8/8

8/8

8/8

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

Position

Chairman:

Executive Directors:

Non-executive Directors:

Independent Non-executive 

Directors:

Name of 

Director

To Chi Keung, Simon
Christian Lawrence Hogg Note
Cheng Chig Fung, Johnny

Weiguo Su

Dan Eldar

Edith Shih
Paul Rutherford Carter

Karen Jean Ferrante

Graeme Allan Jack

Mok Shu Kam, Tony

Note:  Retired on March 4, 2022

72

CORPORATE  GOVERNANCE REPORT 
 
 
 
To facilitate attendance and participation at the Board and other 
Board committee meetings, the Company plans meeting schedules 
for the year well in advance, with remote facilities for attendance also 
available to all Directors. External independent professional advice is 
also available to all Directors (including Independent Non-executive 
Directors) whenever deemed necessary. The Board process, ranging 
from agenda setting, provision of information and focus on constructive 
debates and discussions, facilitates effective and active participation by 
all independent Non-executive Directors, see “Board Process” on page 72 
on this report.

The Independent Non-executive Directors have historically and 
consistently demonstrated strong commitment, and the ability to devote 
sufficient time to discharging their responsibilities at the Board. Their 
commitment is also subject to self-confirmation each year.

TRAINING AND COMMITMENT

Upon appointment to the Board, a Director is provided with a package of 
comprehensive orientation materials on the Group including information 
on the Group, duties as a director and board committee member, as well 
as internal governance and sustainability policies of the Group. These 
orientation materials are presented to the Directors by senior executives 
in the form of a detailed induction to the Group’s businesses, strategic 
direction and governance practice.

The Company arranges and provides Continuous Professional 
Development (“CPD”) training such as seminars, webcasts and relevant 
reading materials to Directors to help them to keep abreast of current 
trends and issues facing the Group, including the latest changes in the 
commercial (including industry-specific and innovative changes), legal 
and regulatory environment in which the Group conducts its businesses 
and to refresh their knowledge and skills on the roles, functions and duties 
as a listed company director. In addition, CPD training may take the form 
of attendance at external forums or briefing sessions (including delivery of 
speeches) on relevant topics. CPD training of approximately 18 hours had 
been provided to Directors during the year.

BOARD PERFORMANCE

In 2021, the Company conducted a performance evaluation on the Board, 
its Committees and the Chairman of each Committee. The evaluation 
involved each Director completing a questionnaire, the findings of which 
were then analyzed and reviewed by the Board. The objective of the 
evaluation is to ensure that the Board, its Committees and the Chairman 
of each Committee continue to act effectively in fulfilling the duties and 
responsibilities expected of them. The performance criteria included 
amongst others, the composition, expertise, leadership and processes 
of the Board. The contribution and performance of the Chairman and 
individual directors are taken into account in their re-appointment. The 
Directors’ attendance, participation in and out of meetings, their skills set 
and expertise are also reviewed. The Board considers the existing practice 
as effective. The Board has reviewed and is satisfied that it has met its 
performance objectives and each Director has contributed positively to 
the overall effectiveness of the Board.

BOARD INDEPENDENCE

The Company recognizes that Board independence is key to good 
corporate governance. As part of the established governance framework, 
the Group has in place effective mechanisms that underpin a strong 
independent Board and that independent views and input from Directors 
are conveyed to the Board. The governance framework and mechanisms 
are kept under regular review to align with international best practice, 
ensuring their effectiveness.

The current composition of the Board (comprising more than one 
third Independent Non-Executive Directors) and the Audit Committee 
(comprising all Independent Non-executive Directors) comply with 
the independence requirements under the Hong Kong Listing Rules. 
The Nomination Committee and Remuneration Committee are both 
chaired by an Independent Non-executive Director. The Company has 
a vigorous selection, nomination and appointment/re-appointment 
process for Directors (including Independent Non-executive Directors), see 
“Nomination Process” on pages 85 to 86 of this report. The fees payable 
to Independent Non-executive Directors (including the additional fees 
to reflect membership or chairmanship of Board committees) are fixed 
fees without a discretionary element. The LTIP awards to Independent 
Non-executive Directors are non-performance based. As such, none of 
the Independent Non-executive Directors receives remuneration based 
on performance of the Group. The remuneration of Independent Non-
executive Directors is also subject to a regular review mechanism to 
maintain competitiveness and commensurate with their responsibilities 
and workload as well as compliance with regulatory requirements.

HUTCHMED (China) Limited 2021 Annual Report  73

The Directors are required to provide the Company with details of CPD training undertaken by them from time to time. The training records are 
maintained by the Company Secretary and are made available for regular review by the Audit Committee. Based on the details so provided, the CPD 
training undertaken by the Directors during the year is summarized as follows, representing an average of approximately 11 hours undertaken by each 
Director during the year:

Legal and Regulatory

Sustainability Practices

Risk Management

Directors’ Duties

Corporate Governance/

Financial Reporting/

Group’s Businesses/

Areas

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

✔

Directors

Chairman:

To Chi Keung, Simon

Executive Directors:
Christian Lawrence Hogg Note
Cheng Chig Fung, Johnny

Weiguo Su

Non-executive Directors:

Dan Eldar

Edith Shih

Independent Non-executive Directors:

Paul Rutherford Carter

Karen Jean Ferrante

Graeme Allan Jack

Mok Shu Kam, Tony

Note:  Retired on March 4, 2022

All Directors have confirmed that they have given sufficient time and attention to the affairs of the Group for the year. In addition, Directors have disclosed 
to the Company in a timely manner their other commitments, such as directorships in other public listed companies and major appointments as well as 
updated the Company on any subsequent changes.

SECURITIES TRANSACTIONS

The Board has adopted the Code on Dealings in Shares which is on terms no less exacting than the required standard set out in the Model Code for 
Securities Transactions by Directors of Listed Issuers set out in Appendix 10 of the Hong Kong Listing Rules as the protocol regulating Directors’ dealings 
in securities of the Company. In summary, a Director who wishes to deal in the securities of the Company must notify the Chairman (or a Director 
designated by the Board for such specific purpose) in writing prior to any dealings and obtain a dated written acknowledgement before any dealing. 
Any clearance to deal granted in response to a Director’s request would be valid for no longer than five business days of clearance being received. After 
dealings, the Director must submit a disclosure of interests filing with respect to the dealing, within one business day of transaction.

In response to specific enquiries made, all Directors have confirmed that they have complied with the required standards set out in such code regarding 
their securities transactions throughout their tenure during the year ended December 31, 2021.

BOARD COMMITTEES

The Company has established five permanent board committees: Audit Committee, Nomination Committee, Remuneration Committee, Sustainability 
Committee and Technical Committee, details of which are described later in this report. Other board committees are established by the Board as and 
when warranted to take charge of specific tasks.

74

CORPORATE  GOVERNANCE REPORT 
 
 
 
 
 
COMPANY SECRETARY

The Company Secretary, Ms Edith Shih, is accountable to the Board 
for ensuring that Board procedures are followed and Board activities 
are efficiently and effectively conducted. These objectives are achieved 
through adherence to proper Board processes and timely preparation of 
and dissemination to Directors of comprehensive Board meeting papers. 
Minutes of all meetings of the Board and Board Committees are prepared 
and maintained by the Company Secretary to record in sufficient detail 
the matters considered and decisions reached by the Board or Board 
Committees, including any concerns raised or dissenting views voiced by 
any Director. All draft and final minutes of Board meetings and meetings 
of Board Committees are sent to Directors or Board Committee members 
as appropriate for comments, approval and records. Board records are 
available for inspection by any Director upon request.

The Company Secretary who works closely with the Board to formulate 
the vision, values and strategy of the Company, take charge in developing 
a robust compliance and ethical culture to meet both regulatory and 
investor expectations, and to ensure the culture and the purpose, value 
and strategy of the Group are aligned.

The Company Secretary plays a leading role in helping the Company 
develop and maintain a sound and effective corporate governance 
framework, in particular, a set of risk management and internal control 
system to ensure that regulatory compliance, good corporate governance 
practices and culture are upheld by the Company.

The Company Secretary is responsible for ensuring that the Board is 
fully apprised of all legislative, regulatory, corporate governance and 
ESG developments of relevance to the Group and that it takes these 
developments into consideration when making decisions for the 
Group. From time to time, she organizes seminars on specific topics of 
importance and interest and disseminates reference materials to Directors 
for their information.

The Company Secretary is also directly responsible for the Group’s 
compliance with all obligations of the Hong Kong Listing Rules, AIM 
Rules for Companies and applicable Nasdaq listing rules (collectively, the 
“Rules”), including the preparation, publication and dispatch of annual 
and interim reports within the time limits laid down in the Rules, the 
timely dissemination to shareholders and the market of announcements, 
press releases and information relating to the Group and assisting in the 
notification of Directors’ dealings in securities of the Group.

Furthermore, the Company Secretary advises the Directors on related 
party transactions, connected transactions, notifiable transactions and 
price-sensitive/inside information, and Directors’ obligations for disclosure 
of interests and dealings in the Company’s securities, to ensure that 
the standards and disclosures requirements of the Rules are complied 
with and, where required, reported in the annual and interim reports of 
the Company. In relation to related party transactions and connected 
transactions, detailed analysis is performed on all potential related party 
transactions and connected transactions to ensure full compliance and 
for Directors’ consideration.

The Company Secretary also serves as a crucial conduit of 
communications internally and externally. The Company Secretary 
facilitates information flow and communication among Directors and 
also conveys the Board’s decisions to the Management from time to time 
and ensures a good channel of communication with shareholders. She 
also works with the Board and Management to assist in responding to 
regulators in a timely manner.

The appointment and removal of the Company Secretary is subject to 
Board approval. Whilst the Company Secretary reports to the Chairman, 
all members of the Board have access to her advice and service. The 
Company Secretary of the Company has day-to-day knowledge of the 
Group’s affairs. She confirms that she has complied with all the required 
qualifications, experience and training requirements under the Hong Kong 
Listing Rules.

ACCOUNTABILITY AND AUDIT

FINANCIAL REPORTING

The annual and interim results of the Company are published in a timely 
manner, within three months of the year end and two months of the 
half-year end respectively.

The responsibility of Directors in relation to the consolidated financial 
statements is set out below. This should be read in conjunction with, but 
distinguished from, the Independent Auditor’s Report on pages 92 to 95 
which acknowledges the reporting responsibility of the Group’s Auditor.

HUTCHMED (China) Limited 2021 Annual Report  75

ANNUAL REPORT AND CONSOLIDATED FINANCIAL 
STATEMENTS

The Audit Committee held three meetings in 2021 with 100% attendance 
of its members.

The Directors acknowledge their responsibility for the preparation of the 
annual report and consolidated financial statements of the Company, 
ensuring that the consolidated financial statements, taken as a whole, is 
fair, balanced and understandable and provide the information necessary 
for shareholders to assess the Company’s position, performance, business 
model and strategy in accordance with the HK CG Code, Cayman Islands 
Companies Law and the applicable accounting standards.

ACCOUNTING POLICIES

The Directors consider that in preparing the consolidated financial 
statements, the Group has applied appropriate accounting policies that 
are consistently adopted and made judgments and estimates that are 
reasonable in accordance with the applicable accounting standards.

ACCOUNTING RECORDS

The Directors are responsible for ensuring that the Group keeps 
accounting records which disclose the financial position of the Group, 
upon which the consolidated financial statements of the Group could be 
prepared in accordance with the Group’s accounting policies.

SAFEGUARDING ASSETS

The Directors are responsible for taking all reasonable and necessary 
steps to safeguard the assets of the Group and to prevent and detect 
fraud and other irregularities within the Group.

GOING CONCERN

The Directors, having made appropriate inquiries, are of the view that the 
Group has adequate resources to continue in operational existence for the 
foreseeable future and that, for this reason, it is appropriate for the Group 
to adopt the going concern basis in preparing the consolidated financial 
statements.

AUDIT COMMITTEE

The Audit Committee comprises three Independent Non-executive 
Directors who possess the relevant business and financial management 
experience and skills to understand financial statements and monitor 
the financial governance, internal controls and risk management of the 
Company. It is chaired by Mr Graeme Allan Jack with Mr Paul Rutherford 
Carter and Dr Karen Jean Ferrante as members. None of the Committee 
Members are related to the Company’s external auditor.

Name of Member

Attended/Eligible to attend

Graeme Allan Jack (Chairman)

Paul Rutherford Carter

Karen Jean Ferrante

3/3

3/3

3/3

Under the Terms of Reference of the Audit Committee, the role of the Audit 
Committee is to assist the Board in fulfilling its duties through the review 
and supervision of the Company’s financial reporting, risk management 
and internal control systems and to take on any other responsibility as 
may be delegated by the Board from time to time. The Audit Committee 
is responsible for monitoring the integrity of the Group’s interim and 
annual results, and interim and annual consolidated financial statements, 
reviewing the Group’s risk management and internal control systems as 
well as overseeing the relationship between the Company and its external 
auditors. The Audit Committee is also required to develop and review 
the Company’s policies and practices on corporate governance including 
compliance with statutory and Hong Kong Listing Rules requirements; 
and review the scope, extent and effectiveness of the activities of the 
Group’s internal audit function. The Committee is authorized to obtain, at 
the Company’s expense, external legal or other professional advice on any 
matters within its Terms of Reference.

Throughout 2021, the Audit Committee discharged the duties and 
responsibilities under its terms of reference and the applicable corporate 
governance code. The following paragraphs set out a summary of the 
work performed by the Audit Committee during 2021 and 2022 (up to the 
date of this report).

During 2021 and 2022 (up to the date of this report), the Audit Committee 
met with the CFO and other senior management of the Company to review 
the annual and interim results, the annual and interim reports and other 
financial, internal control, corporate governance and risk management 
matters of the Company. It received, considered and discussed the 
reports and presentations of Management and the Group’s internal 
auditor and external auditor, PricewaterhouseCoopers (“PwC”), with a 
view to ensuring that the Group’s consolidated financial statements were 
prepared in accordance with generally accepted accounting principles in 
the United States. It also met with the Group’s principal external auditor, 
PwC, to consider the reports of PwC on the scope, strategy, progress and 
outcome of its independent review of the interim financial report and 
annual audit of the consolidated financial statements. In addition, the 
Audit Committee held private sessions with the external auditor, the CFO 
and the internal auditor of CK Hutchison Holdings Limited (“CKHH”, being 
the largest shareholder of the Company) separately without the presence 
of Management.

76

CORPORATE  GOVERNANCE REPORT 
 
To assist the Board in assessing the overall governance, risk management 
and internal control framework and maintaining effective risk 
management and internal control systems, in 2021, the Audit Committee 
also reviewed the process by which the Group evaluated its control 
environment and managed significant risks (including sustainability risks). 
It received and considered the risk management report, the composite 
risk register, the risk heat map as well as the Management presentation 
on their review with respect to the effectiveness of the risk management 
and internal control systems of the Group. It also reviewed the adequacy 
of resources, staff qualifications and experience, training programmes and 
budget of the Group’s accounting, internal audit and financial reporting 
functions.

In addition, the Audit Committee reviewed, in conjunction with the 
internal auditor of CKHH, the 2021 work plans and resource requirements, 
and deliberated on the reports regarding the effectiveness of risk 
management and internal controls in the business operations of the 
Group. Further, it also considered the reports from the Legal Department 
on the Group’s material litigation proceedings and compliance status 
on legal and regulatory requirements. These reviews and reports were 
taken into consideration by the Audit Committee when it made its 
recommendation to the Board for approval of the consolidated financial 
statements. During 2021, the Audit Committee also received periodic 
presentations on, and reviewed, the compliance status of the Group with 
respect to the applicable corporate governance code as well as other 
corporate governance topics including the Group’s policies and practices 
on compliance with legal and regulatory requirements. It has also received 
update reports on CPD training of Directors.

The Audit Committee also conducted a review of the implementation 
and effectiveness of the Shareholders Communication Policy and having 
reviewed the multiple channels of communication and engagement in 
place (see “Relationship with Shareholders and Other Stakeholders” 
on pages 89 to 90 of this report), it is satisfied that the Shareholders 
Communication Policy has been properly implemented during 2021 and 
is effective.

The Terms of Reference for the Audit Committee and the Complaints 
Procedures adopted by the Board are published on the website of the 
Company.

EXTERNAL AUDITOR

The Audit Committee reviews and monitors the external auditor’s 
independence, objectivity and effectiveness of the audit process. Each 
year, the Audit Committee receives a letter from the external auditor 
confirming its independence and objectivity. It holds meetings with 
representatives of the external auditor to consider the scope of its audit, 
and approves its fees and the scope and appropriateness of non-audit 
services, if any, to be provided by it. The Audit Committee also makes 
recommendation to the Board on the appointment and retention of the 
external auditor.

The Group’s policy regarding the engagement of its external auditor for 
the various services listed below is as follows:

• 

• 

• 

• 

• 

Audit services – include audit services provided in connection with 
the audit of the consolidated financial statements. All such services 
are to be provided by the external auditor.

Audit related services – include services that would normally be 
provided by an external auditor but not generally included in the 
audit fees, for example, audits of the Group’s pension plans, due 
diligence and accounting advice related to mergers and acquisitions, 
internal control reviews of systems and/or processes, and issuance of 
special audit reports for tax or other purposes. The external auditor 
is to be invited to undertake those services that it must, or is best 
placed to, undertake in its capacity as an auditor.

Taxation related services – include all tax compliance and tax 
planning services, except for those services which are provided 
in connection with the audit. The Group uses the services of the 
external auditor where it is best suited. All other significant taxation 
related work is undertaken by other parties as appropriate.

Other services – include amongst others, risk management 
diagnostics and assessments, and non-financial systems 
consultations. The external auditor is also permitted to assist 
Management and the internal auditor of CKHH with internal 
investigations and fact-finding into alleged improprieties. These 
services are subject to specific approval by the Audit Committee.

General consulting services – the external auditor is not eligible to 
provide services involving general consulting work.

An analysis of the fees of PwC is shown in Item 16C of the Form 20-F. For 
the year ended December 31, 2021, fees of US$5.0 million charged by PwC 
in total were for both audit and non-audit services. The non-audit services, 
which amounted to approximately US$0.4 million, were related to the 
provision of tax advices. These non-audit services had been reviewed 
prior to the engagement by the Audit Committee, which considered 
such services not having an impairing effect on the independence of the 
auditor.

AUDIT REPORT ON THE ANNUAL CONSOLIDATED FINANCIAL 
STATEMENTS

The consolidated financial statements of the Company and its subsidiary 
companies for the year ended December 31, 2021 have been audited by 
PwC in accordance with U.S. Generally Accepted Accounting Principles. 
The unqualified auditor’s report is set out on pages 92 to 95. The 
consolidated financial statements of the Company and its subsidiary 
companies for the year ended December 31, 2021 have also been 
reviewed by the Audit Committee.

HUTCHMED (China) Limited 2021 Annual Report  77

RISK MANAGEMENT, INTERNAL 
CONTROL AND LEGAL & 
REGULATORY COMPLIANCE

BOARD OVERSIGHT

The Board has overall responsibility for the Group’s systems of risk 
management, internal control and legal and regulatory compliance.

In meeting its responsibility, with due regard to the Company’s risk 
appetite, the Board evaluates and determines the nature and extent of 
the risks (including sustainability risks) that the Company is willing to 
accept in pursuit of its strategic and business objectives. In addition, the 
Board inculcates risk culture across the business operations of the Group 
and has put in place a comprehensive range of policies and systems, 
including parameters of delegated authority, which provide a framework 
for the identification, reporting and management of risks. It also reviews 
and monitors the effectiveness of the systems of risk management and 
internal control on an ongoing basis. Reporting and review activities 
include review by the Executive Directors and the Board and approval of 
detailed operational and financial reports, budgets and plans provided 
by management of the business operations, review by the Board of actual 
results against budget, review by the Audit Committee of the ongoing 
work of the internal audit and risk management functions of CKHH, as well 
as regular business reviews by the Executive Directors and the executive 
management team of each core business division.

Whilst these procedures are designed to identify and manage risks 
that could adversely impact the achievement of the Group’s business 
objectives, they do not provide absolute assurance against material 
mis-statement, errors, losses, fraud or non-compliance.

To ensure compliance with the requirements of section 404 of SOX, the 
Company conducted a SOX compliance project, which assessed the 
management of internal controls and procedures, and the evaluation 
of the internal control systems relating to financial reporting of the 
Company.

RISK MANAGEMENT

Risk management is integrated into the day-to-day operations of the 
Group, and is a continuous and proactive process carried out at all 
levels. Coupled with a strong internal control environment, the Group is 
committed to effectively managing the risks it faces, be they strategic, 
financial, operational or compliance, by adopting an Enterprise Risk 
Management (ERM) framework based on the COSO (the Committee of 
Sponsoring Organizations of the Treadway Commission) model.

The ERM framework facilitates a systematic approach in identifying, 
assessing and managing risks within the Group. There are ongoing 
dialogues between the Executive Directors and the management team of 
each core business division to assess the plausible impact of current and 
emerging risks and their mitigation measures so as to institute additional 
controls and deploy appropriate insurance instruments, such as Directors’ 
and Officers’ Liability Insurance, in minimizing or eliminating potential 
financial, compliance or other risks to the Group’s businesses.

The Group adopts a “top-down and bottom-up” approach with respect 
to formal risk review and reporting. Such approach involves regular input 
from each core business unit as well as discussions and reviews by the 
Executive Directors. On a half-yearly basis, each core business unit is 
responsible for formally identifying the significant risks their business 
faces and considering the likelihood of occurrence and potential impact 
to the business, whilst the Executive Directors provide input after taking 
a holistic assessment of all the significant risks that the Group faces. 
Relevant risk information including key mitigation measures and plans are 
recorded in a risk register to facilitate the ongoing review and tracking of 
progress.

The review of the risk management system is overseen by the Board 
through the Audit Committee. The Audit Committee reviews the 
composite Risk Register together with the related risk assessment report 
every six months, and provides input as and where appropriate so as 
to ensure the effectiveness of the Group’s risk management system. 
The following table summarizes the principal risks of the Group and the 
related mitigation actions.

78

CORPORATE  GOVERNANCE REPORTRISK MANAGEMENT OVERVIEW

RISK FACTOR

RISK DESCRIPTION

MANAGEMENT ACTIONS

Risks Related to the Financial Position and Need for Capital

Funding for product development 

The research and development of drug candidates, as 

•  Active monitoring of available cash resources against 

programs and commercialization 

well as commercialization in the areas of manufacturing, 

future cash requirements

efforts

marketing, sales and distribution of such drug candidates, 

•  Diversified sources of funding

requires significant expenditures. Failure to raise capital 

on attractive terms may compromise the Group’s ability to 

o  Cash inflows from commercial operations
o  Sharing of clinical development costs with and 

execute its business plans.

receipt of milestone income from partners through 

collaborations

o  Ready access to capital markets as listed on AIM, 

Nasdaq and HKEX

o  Bank borrowing facilities
o  Proceeds from private placements of shares

o  Divestment of non-core business

Risks Related to Oncology/Immunology Operations and Development of the Group’s Drug Candidates

The Group’s future profitability 

The Group does not expect to be significantly profitable 

Regularly evaluating the research and development 

is dependent on the successful 

unless and until it successfully completes its clinical trials, 

strategy of the Group in light of unmet medical needs. 

development and commercialization 

receives relevant regulatory approval and generates 

Three oncology drugs, ELUNATE® in metastatic colorectal 

of the drug candidates

substantial sales of approved innovative drugs in 

cancer, SULANDA® in pancreatic and non-pancreatic 

developments.

neuroendocrine tumors and ORPATHYS® in non-small cell 

lung cancer with MET exon 14 skipping alterations, were 

approved and launched

Competition in discovering, 

The development and commercialization of new drugs 

•  Targeting potential markets with high unmet demands 

developing and commercializing 

is highly competitive. The competition from other 

in drug discovery process

drugs

pharmaceutical companies with respect to current drug 

•  Formation of strategic partnerships and collaborations 

candidates, as well as any future drug candidates, is always 

with other companies

present given market dynamics.

•  Expanding our clinical and regulatory operations 

worldwide including the U.S. and Europe

Attract, retain and motivate key 

Attracting, retaining and motivating key executives 

executives and qualified personnel

and personnel is critical to an organization’s success, 

•  Building culture of innovation and high engagement 
and empowerment with high focus on reward and 

particularly in the innovative pharmaceutical industry. 

recognition

The loss of key executives and personnel could impede 

•  Benchmarking salary and compensation structure 

the achievement of research, development and 

against peer groups

commercialization initiatives.

•  Share-based compensation provided to incentivize key 

management/talent

•  Establishing key performance measurement and talent 

development schemes

Commercial strategy for newly 

Following the commercial launches of the Group’s pipeline 

•  Building a large-scale global production facility in 

approved drug products

products, a comprehensive strategy is required to be 

Shanghai

formulated to secure manufacturing and commercialization 
capacity.

•  Setting up commercial infrastructure to perform 
commercialization activities of developed drug 

products in China, the U.S., the EU and other markets

HUTCHMED (China) Limited 2021 Annual Report  79

RISK FACTOR

RISK DESCRIPTION

MANAGEMENT ACTIONS

Risks Related to Sales of the Group’s Internally Developed Drugs and Other Drugs

Compliance with extensive regulatory 

The regulatory framework in China governs and addresses 

•  Setting up compliance team and implementing internal 

requirements for pharmaceutical 

all aspects of operations within the pharmaceutical 

policies and procedures to monitor compliance

companies in China

industry, including licensing and certification requirements, 

•  Benchmarking against regulatory reviews of industry 

periodic renewal and reassessment processes, and 

groups and best practices of peers

Product liability claims

registration of new drugs, interactions with healthcare 

professionals and organizations among others. Violations 

of such requirements may adversely affect the Group’s 

businesses.

The Group’s businesses face an inherent risk of product 
liability exposure related to sales of products or the 

products licensed from third parties. If the Group cannot 

successfully defend against product liability claims, if any, 
product reputation and financial results could be materially 
affected.

•  Establishing measures to ensure product safety 

Independent laboratory testing

o 
o  Compliance with relevant quality practices
o  Sourcing from well-established suppliers

•  Procuring product liability insurance

Risks Related to the Group’s Dependence on Third Parties

Relationships with collaboration 

Poor relationships with collaboration partners could lead 

•  Establishing joint steering committees to make key 

partners

to disagreement regarding clinical development and 

decisions and resolve any differences

commercialization, and termination or expiration of the 

•  Ongoing dialogue and regular meetings at executive 

collaboration. Any such matters would cause adverse 

levels to facilitate strategic alignment and planning

impacts to business reputation and financial results.

Sourcing of materials for clinical trials 

The development and commercialization of drug 

•  Active monitoring of the supply of materials and 

and commercial products

candidates requires sufficient supplies (including Active 

inventory levels

Pharmaceutical Ingredient (API)) for clinical testing and 

•  Sourcing from well-established clinical suppliers with 

commercial demand. Development and commercialization 

long-term relationships

could be interrupted if suppliers fail to provide a stable 

• 

Investing to build our in-house biologics and API 

supply of necessary materials.

manufacturing facilities to meet our long-term 

requirements

Compliance with clinical trial 

The regulatory approval process for clinical trials may be 

• 

Implementation of measures to ensure compliance

regulatory requirements of 

delayed or subject the Group to enforcement action in 

o  Sourcing from well-established clinical suppliers

collaboration with partner/clinical 

cases where clinical research organizations or collaboration 

o  Maintaining relevant liability insurance

research organization

partners fail to comply with clinical trial regulations. Any 

non-compliance may require clinical trials to be repeated 

and delay regulatory approval.

Other Risks and Risks Related to Doing Business in China

The COVID-19 pandemic and other 

As of the date of this annual report, the Group does not 

•  The COVID-19 outbreak continues to pose some 

adverse public health developments 

expect any material impact to its long-term activities. As 

challenges to the Group’s operations in 2021 resulting 

could materially and adversely affect 

the situation evolves, the Group does not yet know the 

from restrictions in travel

the Group’s business

full extent of potential delays or near-term impacts on 

•  The Group has been able to adapt and minimize the 

the business, the clinical trials, the research programs, 

effect across the businesses

healthcare systems or the global economy as a whole, 

•  The Group will continue to closely monitor the evolving 

which could have a material adverse effect on the business, 

situation

financial condition and results of operations and cash 

flows.

80

CORPORATE  GOVERNANCE REPORTRISK FACTOR

RISK DESCRIPTION

MANAGEMENT ACTIONS

National Reimbursement Drug List 

China’s NRDL system is driving down the price of innovative 

•  Undertaking of holistic assessments to determine 

(“NRDL”) pricing risk on innovative 

drugs which affects the profitability of all biotech 

whether to apply for inclusion in the NRDL or to pursue 

products

companies. Inclusion into the NRDL will result in a higher 

alternative commercial strategy by taking various 

sales volume and sales growth as well as a reduction in the 

factors into consideration, such as patient population 

price.

size, patient out-of-pocket costs, etc

Uncertainties with respect to the 

The implementation of laws and regulations in China may 

•  Close monitoring of the pharmaceutical regulatory 

legal system and changes in laws and 

be in part based on government policies and internal 

environment in China

regulations in China

rules that are subject to the interpretation and discretion 

•  Benchmarking against regulatory reviews of industry 

of different government agencies. Unexpected changes 

groups and best practices of peers

to laws and regulations can materially affect business 

operations and financial results.

Adverse information technology 

Pharmaceutical companies which develop and 

incidents

commercialize new drugs rely significantly on information 

•  Setting up of information technology systems security 
subject to regular reviews internally and by external 

technology for storing clinical and financial data. 

experts

Information technology systems could be vulnerable 

•  Regular maintenance and upgrade of information 

to damage from external or internal security incidents, 

technology systems security

breakdowns, malicious intrusions and cybercrimes, 

•  Compliance with best-practice cybersecurity guidelines 

which may cause significant interruptions or losses to the 

published by the National Institute of Standards and 

business.

Technology (NIST)

Foreign currency fluctuations

The value of the Renminbi against the U.S. dollar and 

•  Active cash management to mitigate foreign currency 

other currencies may fluctuate and is affected by changes 

exposure

in political and economic conditions. Appreciation or 

o  Active monitoring of China operations and its 

depreciation in the value of the Renminbi relative to U.S. 

funding requirements to plan remittances and 

dollars would affect financial results reported in U.S. dollar 

timely conversion to address exposure to currency 

terms regardless of any underlying change in the business 

exchange rate variations

or results of operations.

Compliance with personal information 

The business is subject to personal information and data 

•  Establishing Information Security Policy and other 

and data protection and privacy 

protection and privacy laws at the local, state, national and 

related policies and procedures on personal and 

regulations

international levels where applicable. Legal requirements 

customer data governance with relevant compliance 

regarding personal information and data protection and 

requirements

privacy continue to evolve and may result in ever-increasing 

•  Closely monitoring the development in the relevant 

public security and escalating levels of enforcement action.

regulatory regime to ensure compliance with the 

requirements

Risks Related to Intellectual Property

Protect product intellectual property 

The discovery and development of innovative 

•  Active management and tracking of intellectual 

rights

medicines require significant investment of resources. A 

property rights

pharmaceutical company’s success depends in part on 

•  Frequent consultations with external counsel

its ability to protect such investments, products and drug 

•  Establishing protection mechanisms including 

candidates from competition by establishing and enforcing 

execution of confidentiality and non-competition 

intellectual property rights. Failure could cause additional 

agreements, registration of intellectual property rights 

competition to harm the business.

and defense of any intellectual property related claims

Pages 7 to 61 of Form 20-F provide a further discussion of these and other important risk factors which could affect the Group’s financial condition or 
results of operations that differ materially from expected or historical results.

HUTCHMED (China) Limited 2021 Annual Report  81

The Group’s internal audit activity continues to be outsourced to CKHH, 
which appoints a General Manager with responsibility for the internal 
audit to report directly to the Audit Committee. The Audit Committee 
believes that outsourcing offers the Group access to the range of skills and 
resources required and endorsed its continuing use. The Audit Committee 
monitors and reviews the internal audit relationship with CKHH and 
the procedures used, as described in further detail below, to ensure the 
effectiveness of the internal audit process.

The General Manager of the internal audit function of CKHH, reporting 
directly to the Audit Committee, provides independent assurance as to 
the existence and effectiveness of the risk management activities and 
controls in the Group’s business operations in various countries. Using 
risk assessment methodology and taking into account the dynamics of 
the Group’s activities, internal audit derives its yearly audit plan which 
is reviewed by the Audit Committee, and reassessed during the year as 
needed to ensure that adequate resources are deployed and the plan’s 
objectives are met. Internal audit function of CKHH is responsible for 
assessing the Group’s risk management and internal control systems, 
formulating an impartial opinion on the systems, and reporting its findings 
to the Audit Committee, the CEO, the CFO and the senior management 
concerned as well as following up on all reports to ensure that all 
issues have been satisfactorily resolved. In addition, a regular dialogue 
is maintained with the external auditor so that both are aware of the 
significant factors which may affect their respective scope of work.

Depending on the nature of business and risk exposure of individual 
business units, the scope of work performed by the internal audit function 
includes financial, IT and operations reviews, recurring and surprise 
audits, fraud investigations and productivity efficiency reviews.

Reports from the external auditor on internal controls and relevant 
financial reporting matters are presented to the General Manager of the 
internal audit function of CKHH and, as appropriate, to the CFO. These 
reports are reviewed and appropriate actions are taken.

The Board, through the Audit Committee, has monitored the Group’s risk 
management and internal control systems for the year ended December 
31, 2021 covering all material financial, operational and compliance 
controls, has conducted a review of their effectiveness, and is satisfied 
that such systems are effective and adequate. In addition, the Board, 
through the Audit Committee, has reviewed and is satisfied with the 
adequacy of resources, qualifications and experience of the staff of the 
Group’s accounting and financial reporting and internal audit functions, 
and their training programs and budget.

INTERNAL CONTROL ENVIRONMENT

Group structures covering all subsidiaries, associated companies and 
joint ventures are maintained and updated on a timely and regular basis. 
Executive Directors are appointed to the boards of all material operating 
subsidiaries and associated companies for overseeing and monitoring 
those companies, including attendance at board meetings, review and 
approval of budgets and plans, and determination of business strategies 
with associated risks identified and key business performance targets 
set. The executive management team of each core business division is 
accountable for the conduct and performance of each business in the 
division within the agreed strategies, and similarly, management of each 
business is accountable for its conduct and performance. The Executive 
Directors monitor the performance and review the risk profiles of the 
companies within the Group on an ongoing basis.

The internal control procedures of the Group include a comprehensive 
system for reporting information to the executive management team of 
each core business division and the Executive Directors.

Business plans and budgets are prepared annually by management of 
individual businesses and subject to review and approval by both the 
executive management team and Executive Directors as part of the 
Group’s five-year corporate planning cycle. Reforecasts for the current year 
are prepared on a quarterly basis, reviewed for variances to the budget 
and for approval. When setting budgets and reforecasts, management 
identifies, evaluates and reports on the likelihood and potential financial 
impact of significant business risks.

Executive Directors review monthly management reports on the financial 
results and key operating statistics of each business division and 
discuss with the executive management team and senior management 
of business operations to review these reports, business performance 
against budgets, forecasts, significant business risk sensitivities and 
strategies. In addition, financial controllers of the executive management 
team of each core business division discuss with the representatives of 
the Finance Department to review monthly performance against budget 
and forecast, and to address accounting and finance related matters.

The Finance Department has established guidelines and procedures for 
the approval and control of expenditures. Operating expenditures are 
subject to overall budget control and are controlled within each business 
with approval levels set by reference to the level of responsibility of each 
executive and officer. Capital expenditures are subject to overall control 
within the annual budget review and approval process, and more specific 
control and approval prior to commitment by the Finance Department 
or Executive Directors are required for unbudgeted expenditures and 
material expenditures within the approved budget. Quarterly reports of 
actual versus budgeted and approved expenditures are also reviewed.

82

CORPORATE  GOVERNANCE REPORTLEGAL AND REGULATORY CONTROL COMPLIANCE

Complaints Procedures (Whistleblowing)

The Group is committed to ensuring its businesses are operated in 
compliance with local and international laws, rules and regulations. The 
Legal Department has the responsibility of safeguarding the legal interests 
of the Group, including preparing, reviewing and approving all legal and 
corporate secretarial documentation of Group companies, working in 
conjunction with finance, tax, treasury, corporate secretarial and business 
unit personnel on the review and co-ordination process, and advising 
Management of legal and commercial issues of concern. In addition, 
the Legal Department is also responsible for overseeing regulatory 
compliance matters of all Group companies. It analyzes and monitors 
the regulatory frameworks within which the Group operates, including 
reviewing applicable laws and regulations and preparing and submitting 
responses or filings to relevant regulatory and/or government authorities 
on regulatory issues and consultations. In addition, the Legal Department 
prepares and updates internal policies where necessary so as to 
strengthen the internal controls and compliance procedures of the Group. 
The Legal Department also determines and approves the engagement of 
external legal advisors, ensuring the requisite professional standards are 
adhered to as well as most cost effective services are rendered. Further, 
the Legal Department organizes and holds from time to time continuing 
education on legal and regulatory matters of relevance to the Group for 
Directors and the business executives.

GOVERNANCE POLICIES

The Group places utmost importance on the ethical, personal and 
professional standards of Directors and employees of the Group. The 
Board is committed to upholding high standards of business integrity, 
honesty and transparency in all its business dealings. The Group has 
adopted and implemented a number of governance policies imposing 
requirements on Directors and employees to conduct themselves in 
compliance with applicable laws, rules and regulations. These policies are 
reviewed from time to time to ensure their relevance and appropriateness 
to the Group’s business, corporate strategy and stakeholder expectations.

Key governance policies and guidelines of the Group include:

Code of Ethics

The Code of Ethics of the Group sets the standards for employees as are 
necessary to promote honest and ethical conduct, accurate and timely 
disclosure in the reports and documents that the Group files or submits 
to regulators, compliance with applicable laws and regulations, prompt 
internal reporting of violations and accountability for compliance with 
the Code of Ethics. Every employee is required to undertake to adhere 
to the Code of Ethics, which includes provisions dealing with conflict of 
interest, equal opportunities, diversity and a respectful workplace, health 
and safety, protection and proper use of company assets, record keeping, 
bribery and corruption, personal data protection and privacy as well 
as reporting procedures for illegal and unethical behaviour. Employees 
are required to report any non-compliance with the Code of Ethics in 
accordance with the established reporting and escalation procedures.

In line with the commitment to achieve and maintain high standards 
of openness, probity and accountability, the Company expects and 
encourages employees of the Group and those who deal with the 
Group (e.g. customers, suppliers, creditors and debtors) to report to 
the Company, in confidence, any suspected impropriety, misconduct 
or malpractice concerning the Group. In this regard, the Company has 
adopted the Complaints Procedures, which are posted on the website 
of the Group. The procedures aim to provide reporting channels and 
guidance on reporting possible improprieties and reassurance to 
whistleblowers of the protection that the Group will extend to them in 
the formal system, including anonymity and legal protection against 
unfair dismissal or victimization for any genuine reports made. The Board 
delegated the authority to the Audit Committee which is responsible for 
ensuring that proper arrangements are in place for fair and independent 
investigation of any matters raised and appropriate follow-up actions are 
taken.

Anti-Bribery and Anti-corruption Policy

In its business dealings, the Group does not tolerate any form of bribery, 
whether direct or indirect, by, or of, its Directors, officers, employees, 
agents or consultants or any persons or companies acting for it or on its 
behalf. The Anti-Bribery and Anti-Corruption Policy, which outlines the 
Group’s zero-tolerance stance against bribery and corruption, assists 
employees in recognizing circumstance which may lead to or give the 
appearance of being involved in corruption or unethical business conduct, 
so as to avoid such conduct which is clearly prohibited, and to promptly 
seek guidance where necessary. Each business unit is required to report 
any actual or suspected incident of bribery, corruption, theft, fraud or 
similar offences to the internal auditor of CKHH for independent analyses 
and necessary follow up.

Shareholders Communication Policy

The Group is committed to enhancing long-term shareholder value 
through regular communication with its shareholders, both individual and 
institutional. To this end, the Group strives to ensure that all shareholders 
have ready and timely access to all publicly available information of the 
Group. The Shareholders Communication Policy sets out the framework 
the Company has put in place to promote effective communication with 
shareholders so as to enable them to engage actively with the Company 
and exercise their rights as shareholders in an informed manner.

Policy on Handling of Confidential and Price-sensitive 
Inside Information, and Securities Dealing

With a view to ensuring that inside information is identified, handled and 
disseminated in compliance with the applicable rules and regulations, 
and proper internal control procedures are in place to guard against 
mishandling of inside information which may constitute insider dealing or 
breach of any other statutory obligations, the Group has implemented the 
Policy on Handling of Confidential and Price-sensitive Inside Information 
and Securities Dealing. The policy also adopts additional precautions 

HUTCHMED (China) Limited 2021 Annual Report  83

which should be taken by employees who are in possession of inside 
information, including identification of project by code name and 
communication of information for stated purpose and on a need-to-know 
basis only. Whilst all employees are absolutely prohibited at all times from 
dealing in the securities of the Company when they are in possession of 
unpublished inside information, certain members of senior management 
or staff are subject to specific additional compliance requirements as are 
communicated to them individually from time to time (including but not 
limited to obtaining written pre-clearance from designated members of 
management prior to any dealing in any such securities is allowed).

Internal audit is responsible for assessing the risk management and 
internal control systems of the Group, including reviewing the continuing 
connected transactions of the Company (refer to pages 52 to 55 of this 
annual report for more details), formulating an impartial opinion on the 
systems, and reporting its findings to the Audit Committee, the Executive 
Director and the executive management team concerned as well as 
following up on the issues to ensure that they are satisfactorily resolved. 
In addition, internal audit maintains a regular dialogue with the external 
auditor so that the parties are aware of the significant factors which may 
affect their respective scope of work.

Depending on the nature of business and risk exposure of individual 
business units, the scope of work performed by internal audit includes 
financial, IT, operations, business ethics, governance policy and regulatory 
compliance reviews, recurring and surprise audits, as well as productivity 
efficiency reviews.

Internal audit is also responsible for periodic fraud analyses and 
independent investigations. In accordance with the Code of Ethics and 
Anti-Bribery and Anti-corruption Policy of the Group, each business 
unit is required to report in a timely manner to the Company any actual 
or suspected bribery, fraudulent or suspicious activities. These cases, 
together with those escalated through the Complaints Procedures, are 
recorded in the Company’s centralized fraud incidents register under the 
internal audit’s custody, and are independently assessed and investigated 
as appropriate. Internal audit would promptly escalate any incidents of 
material nature to the Chairman of the Audit Committee for his direction. 
Also, a summary of the fraud incidents and relevant statistics (including 
results of independent investigations and actions taken) is presented to 
the Audit Committee on a quarterly basis.

Reports from the external auditor on internal controls and relevant 
financial reporting matters are presented to internal audit and, as 
appropriate, to the Chief Financial Officer. These reports are reviewed and 
appropriate actions are taken.

The Board, through the Audit Committee, has received confirmation from 
Management on the effectiveness of the risk management and internal 
control systems of the Group for the year ended 31 December 2021. It 
has also conducted a review of the effectiveness covering all material 
controls, including financial, operational and compliance controls, and is 
of the view that such systems are effective and adequate. In addition, the 
Board, through the Audit Committee, has reviewed and is satisfied with 
the adequacy of resources, staff qualifications and experience, training 
programmes and budget of the Group’s accounting, internal audit and 
financial reporting functions.

Policy on Personal Data Governance

The Group is also committed to the safeguard and protection of the 
personal data of its customers and employees. Employees must only 
collect and use personal data in accordance with applicable data 
protection laws, as well as the Policy on Personal Data Governance and 
the applicable local policies and procedures.

Information Security Policy

Employees must not disclose any confidential information of the Group, 
its customers, suppliers, business partners or shareholders, except when 
disclosure is authorized by the Group in accordance with the Information 
Security Policy which defines the common policies for information 
confidentiality, integrity and availability to be applied across the entire 
Group.

Employees are required to make a self-declaration every year to confirm 
that he/she has read, understood and will continue to comply with the 
various Group policies.

Board Diversity Policy and Director Nomination Policy

The two Board policies, Board Diversity Policy and Director Nomination 
Policy adopted by the Board in July 2014 and December 2020, respectively 
were updated in December 2020 and June 2021. These two policies set 
out the approach and procedures the Board adopts for the nomination 
and selection of Directors as well as the approach to achieving diversity. 
Further details of the policies are provided on page 85 Nomination 
Process section of this report.

INTERNAL AUDIT

Internal audit, reporting directly to the Audit Committee, provides 
independent assurance as to the existence and effectiveness of the risk 
management and internal control systems in the business operations 
of the Group. It has wide authority to access to documents, records, 
properties and personnel of the Group. By applying risk assessment 
methodology and considering the dynamics of the activities of the Group, 
internal audit devises its three-year risk-based audit plan for the Audit 
Committee’s review. The plan is subject to continuous reassessment 
taking into account external and internal factors such as macro economic 
and regulatory changes, business and operational changes, as well as 
audit and fraud findings that may affect the risk profile of the Group 
during the year.

84

CORPORATE  GOVERNANCE REPORTNOMINATION OF DIRECTORS

NOMINATION COMMITTEE

The current Nomination Committee, chaired by Professor Mok Shu Kam, Tony, an Independent Non-executive Director and with the Chairman Mr To Chi 
Keung, Simon and Independent Non-executive Director Mr Graeme Allan Jack as members, is in full compliance with the code provision of the HK CG 
Code.

The responsibilities of the Nomination Committee are to review the structure, size, diversity profile and skills set of the Board against its needs and make 
recommendations on the composition of the Board to achieve the Group corporate strategy as well as promote shareholder value. It identifies suitable 
director and senior management candidates and selects or makes recommendations to the Board on the appointment or re-appointment of Directors, 
succession planning for Directors and selection of individuals to be nominated as senior management. Furthermore, it also assesses the independence 
of Independent Non-executive Directors having regard to the criteria under the Hong Kong Listing Rules and U.S. Nasdaq Listing Rules and reviews the 
Director Nomination Policy and Board Diversity Policy periodically and makes recommendation on any proposed revisions to the Board.

NOMINATION PROCESS

The nomination process has been, and will continue to be, conducted in accordance with the Director Nomination Policy and Board Diversity Policy, 
which are available on the website of the Company. The Board will from time to time review these policies and monitor their implementation to ensure 
continued effectiveness and compliance with regulatory requirements and good corporate governance practices.

Pursuant to the Director Nomination Policy, the Nomination Committee, in determining the suitability of a candidate, will consider the potential 
contributions a candidate can bring to the Board including the attributes complementary to the Board, the commitment, motivation and integrity of the 
candidate, having due consideration of the benefits of a diversified Board.

Under the Board Diversity Policy, Board candidates are selected based on merit and the contribution such candidate can bring to the Board to 
complement and expand the competencies, experience and perspectives of the Board as a whole, taking into account the corporate strategy of the 
Group and the benefits of various aspects of diversity, including gender, age, culture, ethnicity, educational background, professional experience and 
other factors that the Nomination Committee may consider relevant from time to time towards achieving a diversified Board.

The following chart shows the diversity profile of the Board as at December 31, 2021:

Board Composi(cid:21)on and Diversity

above 64 years old
(40%)

9 years or above
(40%)

64 years old or below
(60%)

1-

8 years
(60%)

Female
(20%)

Male
(80%)

10

9

8

7

6

5

4

3

2

1

0

Chinese
(50%)

Non-
Chinese
(50%)

Execu(cid:31)ve
Directors
(40%)

Non-
Execu(cid:31)ve
Directors
(20%)

Independent
Non-
execu(cid:31)ve
Directors
(40%)

Age

Years on Board

Gender

Ethnicity

Designa(cid:31)on

HUTCHMED (China) Limited 2021 Annual Report  85

Gender diversity of the Board stands at 20% (two out of ten), above 
average amongst companies listed on HKEX. The Board places 
tremendous emphasis on diversity (including gender diversity) across 
all levels of the Group. Gender diversity of the workforce also stands 
at a relatively high level (male represents 46% and female represents 
54%). Further details on the gender ratio of the Group and initiatives 
taken to improve gender diversity across senior management and the 
wider workforce, together with relevant data, can be found in the 2021 
Sustainability Report of the Group, which will be published in May 2022.

If the Board determines that an additional or replacement Director is 
required, the Nomination Committee will deploy multiple channels for 
identifying suitable director candidates, including referral from Directors, 
shareholders, management, advisors of the Company and external 
executive search firms. Where a retiring Director, being eligible, offers 
himself/herself for re-election, the Nomination Committee will consider 
and, if appropriate, recommend such retiring Director to stand for re-
election. A circular containing the requisite information on retiring 
Directors who are standing for re-election will be sent to shareholders 
prior to a general meeting in accordance with the Hong Kong Listing 
Rules.

Shareholders of the Company may also nominate a person to stand for 
election as a Director at a general meeting in accordance with the Articles 
of Association of the Company and applicable laws and regulations. The 
procedures for such proposal are posted on the website of the Company.

and the assessment of their independence with reference to the 
independence criteria set out in Hong Kong Listing Rules and Nasdaq 
Listing Rules. In particular, the Nomination Committee considered that 
the Independent Non-Executive Directors continue to provide a balanced 
and independent view to the Board and play a leading role in the Board 
committees and bring independent and external dimension as well 
as constructive and informed comments on issues of the Company’s 
strategy, policy, performance, accountability, resources, key appointments 
and standards of conduct. In addition, none of the Independent Non-
executive Directors have any involvement in the daily management of 
the Company, or any financial or other interests or relationships in the 
business of the Company or there exist any circumstances which would 
materially interfere with their exercise of independent judgment. It also 
discussed the succession planning for Directors and Senior Management.

In March 2022, the Nomination Committee reviewed again the structure, 
skills set, expertise and competencies of the Board, affirmed the 
independence of the Independent Non-executive Directors, deliberated 
and selected Directors for retirement and re-election at the 2022 annual 
general meeting and recommended to the Board for consideration. It 
also reviewed the Board Diversity Policy and Director Nomination Policy 
as well as their implementation during 2021. These are determined to be 
effective.

REMUNERATION OF DIRECTORS 
AND SENIOR MANAGEMENT

The Terms of Reference for the Nomination Committee adopted by the 
Board are published on the website of the Company.

REMUNERATION COMMITTEE

The Nomination Committee held six meetings in 2021 with 100% 
attendance of its members.

Name of Member

Mok Shu Kam, Tony (Chairman)

Graeme Allan Jack

To Chi Keung, Simon

Attended/

Eligible to 
attend

6/6

6/6

6/6

During 2021, the Nomination Committee reviewed the structure, size and 
composition (including skills set, knowledge and experience) of the Board, 
ensuring that it has a balanced composition of skills and experience 
appropriate for the requirements of the businesses of the Group and that 
appropriate individuals with relevant expertise and leadership qualities 
are appointed to the Board to complement the capabilities of existing 
Directors.

The Nomination Committee also assessed the independence of all the 
Independent Non-executive Directors and considered all of them being 
independent, having regard to their annual independence confirmation 

The Remuneration Committee comprises three members and is chaired 
by Mr Paul Rutherford Carter, an Independent Non-executive Director, with 
the Chairman Mr To Chi Keung, Simon and Independent Non-executive 
Director Mr Graeme Allan Jack, as members. The composition of the 
Remuneration Committee meets the requirements of chairmanship and 
independence under the Hong Kong Listing Rules. The Remuneration 
Committee meets towards the end of each year to determine the 
remuneration package of Executive Directors and senior management of 
the Group and during the year to consider grants of share options and 
long term incentive plan awards and other remuneration related matters. 
Remuneration matters are also considered and approved by way of 
written resolutions and where warranted, at additional meetings.

The Remuneration Committee held three meetings in 2021 with 100% 
attendance.

Name of Member

Paul Rutherford Carter (Chairman)

Graeme Allan Jack

To Chi Keung, Simon

Attended/

Eligible to 

attend

3/3

3/3

3/3

86

CORPORATE  GOVERNANCE REPORT 
 
 
 
The responsibilities of the Remuneration Committee are to assist the Board in achieving its objectives of attracting, retaining and motivating employees 
of the highest caliber and experience needed to shape and execute strategy across the Group’s substantial, diverse and international business operations. 
It assists the Group in the administration of a fair and transparent procedure for setting remuneration policies including assessing the performance of 
Executive Directors and senior executives of the Group and determining their remuneration packages.

The Terms of Reference for the Remuneration Committee adopted by the Board are published on the website of the Company.

During the year, the Remuneration Committee reviewed background information on market data (including economic indicators, statistics and 
the Remuneration Bulletin), headcount and staff costs. It also reviewed and approved the proposed 2022 directors’ fees, year-end bonus and 2022 
remuneration package of Executive Directors and senior executives of the Company. No Director or any or his/her associates is involved in deciding his/
her own remuneration.

REMUNERATION POLICY

The remuneration of Mr Christian Lawrence Hogg, Mr Cheng Chig Fung, Johnny and Dr Weiguo Su (Executive Directors) and senior executives is 
determined by the Remuneration Committee with reference to the expertise and experience of those individuals in the industry, the performance and 
profitability of the Group and remuneration benchmarks from other local and international companies as well as prevailing market conditions. Senior 
management also participates in bonus arrangements which are determined in accordance with the performance of the Group and of the individual.

The compensation of the Chairman, Mr To Chi Keung, Simon, the Non-executive Directors and the Independent Non-executive Directors of the Company 
has been structured approximately as to one-third cash (in the form of fixed Directors’ fees) and two-thirds restricted share units bought in the market by 
the trustee of the Long Term Incentive Plan (“LTIP”) (in the form of non-performance based LTIP awards) and they do not receive any performance related 
remuneration from the Company (Please refer to the Directors’ Report for more information about Directors’ compensation). Such non-performance 
based LTIP awards vest 25% annually over a four year period. All Directors’ compensation arrangements are approved by the Board of Directors with the 
relevant Directors declaring their interest and abstaining from voting where it relates to their compensation. In addition, the Nomination Committee of 
the Company assesses the independence of all the Independent Non-executive Directors every year having regard to the criteria under the HK CG Code. 
Therefore, the current compensation arrangements will not compromise the independence of the Independent Non-executive Directors.

2021 REMUNERATION

Directors’ emoluments comprise payments to Directors from the Company and its subsidiaries. The emoluments of each of the Directors disclosed in the 
below table exclude amounts received by certain Directors from the subsidiaries of the Company but which were not retained and were paid onward by 
the respective Directors to a subsidiary of the Company or subsidiaries of CKHH. The amounts paid to each Director for 2021 are as below:

Name of Director

Salary and fees

Executive Directors:
To Chi Keung, Simon
Christian Lawrence Hogg (9)
Cheng Chig Fung, Johnny
Weiguo Su

Non-executive Directors:
Dan Eldar
Edith Shih

US$

85,000 (1) (6)
469,038 (2) (6)
390,412 (3)
470,065 (4)

70,000
74,301 (5) (6)

Independent Non-executive Directors:
Paul Rutherford Carter
Karen Jean Ferrante
Graeme Allan Jack
Mok Shu Kam, Tony

117,000
102,500
111,000
99,011

Bonus

US$

–
1,000,000
410,256
834,621

–
–

–
–
–
–

Benefits-in-
kind

US$

–
9,936
9,936
6,790

–
–

–
–
–
–

Taxable 
benefits

US$

–
18,365
–
10,000

–
–

–
–
–
–

Pension 
contributions

US$

–
30,250
27,903
34,946

–
–

–
–
–
–

Non-

Other 

Performance
based LTIP(7)
US$

Share-based 
compensation(8)
US$

91,572 (1)

–
–
–

91,572
91,572 (5)

91,572
91,572
91,572
91,572

–
2,245,625
733,119
1,934,678

–
–

–
–
–
–

Total

US$

176,572
3,773,214
1,571,626
3,291,100

161,572
165,873

208,572
194,072
202,572
190,583

Aggregate emoluments

1,988,327

2,244,877

26,662

28,365

93,099

641,004

4,913,442

9,935,756

HUTCHMED (China) Limited 2021 Annual Report  87

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes:

(1) 

Such Director’s fees and non-performance based LTIP were paid/to be 
transferred to his employer, Hutchison Whampoa (China) Limited.

(2) 

Emoluments paid include Director’s fees of US$77,151.

(3) 

Emoluments paid include Director’s fees of US$72,151.

(4) 

Emoluments paid include Director’s fees of US$75,000.

(5) 

(6) 

(7) 

(8) 

Such Director’s fees and non-performance based LTIP were paid/to be 
transferred to her employer, Hutchison International Limited.

Director’s fees received from the subsidiaries of the Company during the 
year he/she served as director that were paid to a subsidiary of the Company 
or subsidiaries of CKHH are not included in the amounts above.

LTIP awards to the Chairman, Mr To Chi Keung, Simon, the Non-executive 
Directors and the Independent Non-executive Directors of the Company are 
in the form of non-performance based LTIP only. Amounts above reflect the 
annual amortization of the fixed monetary amounts of the LTIP awards over 
their vesting periods.

Other share based compensation to Mr Christian Lawrence Hogg, 
Mr Cheng Chig Fung, Johnny and Dr Weiguo Su includes share options and 
performance based LTIP awards granted to Executive Directors. Amounts 
above reflect the annual amortization of the fixed or determinable monetary 
amounts of the LTIP awards and the grant date fair value of the share 
options over their vesting periods. For performance based LTIP awards, 
the monetary amount of LTIP awards are estimated based on the expected 
achievement of the performance targets. The fair value of share options 
granted is estimated in accordance with the methodology disclosed on page 
106 of this annual report. This methodology does not take into account 
the actual share price at the date of exercise or whether any vested share 
options would be exercised. The significant inputs to the valuation model 
are disclosed on page 121 of this annual report and the details of the share 
options granted are set out in the “Directors’ Report” section on pages 58 to 
63.

(9) 

Retired on March 4, 2022.

In 2021, the Remuneration Committee has reviewed the approach to 
remuneration and reporting on executive remuneration in detail. Aimed 
at attracting and retaining top talent, the Remuneration Committee 
appointed an independent advisor, Aon Hewitt Consulting (Shanghai) Co., 
Ltd. (“Aon”) to conduct a compensation benchmarking research on peer 
group U.S. and China biotech companies. Aon has no other connection 
with the Company or individual Directors. The Remuneration Committee 
comprehensively reviewed the Group’s compensation and share-based 
incentives policies, performed benchmarking research on peer group 
U.S. and China biotech companies and established an attractive policy 
to ensure the Group is able to recruit and retain top talent. Vesting of 
share-based awards under the policy is in line with that peer group. The 
Committee takes seriously its responsibility to ensure that the executive 
remuneration practices of the Group drive strong performance, are aligned 
with the strategy and sustainability of the Group and are appropriate in 
the context of the external regulatory environment and the expectations 
of our stakeholders.

88

The Committee consulted with the Group’s largest shareholder when 
developing its remuneration policy. In reviewing and setting remuneration, 
including that of Executive Directors, the Committee receives updates on 
investors’ views from time to time. These lines of communication ensure 
that emerging best-practice principles are factored into the Committee’s 
decision-making.

The remuneration paid to the members of senior management, including 
salaries, pension contributions, performance related bonuses and share-
based compensation (the annual amortization of share options and LTIP 
awards), by bands during the year (or for the period of employment in 
2021) is set out below:

Remuneration Bands

Number of Individuals

US$200,000 to US$600,000

US$600,000 to US$1,000,000

US$1,000,000 to US$1,400,000

US$1,400,000 to US$1,800,000

1

2

3

2

TECHNICAL COMMITTEE

The Technical Committee was chaired by Dr Karen Jean Ferrante with 
the Chairman Mr To Chi Keung, Simon, Mr Christian Lawrence Hogg 
and Dr Weiguo Su, Executive Directors, Mr Paul Rutherford Carter and 
Professor Mok Shu Kam, Tony, both Independent Non-executive Directors, 
as members. The Committee considers from time to time matters relating 
to the technical aspects of the business and research and development. It 
also invites such executives as it thinks fit to attend meetings as and when 
required.

The Terms of Reference for the Technical Committee adopted by the 
Board are published on the website of the Company.

The Technical Committee held three meetings in 2021 with 94% 
attendance. All members attended the Technical Committee meetings 
held during 2021 except for one Independent Non-executive Director who 
was not able to attend one of the meetings due to other prior business 
commitment.

Name of Member

Karen Jean Ferrante (Chairman)

Paul Rutherford Carter
Christian Lawrence Hogg Note
Mok Shu Kam, Tony
Weiguo Su

To Chi Keung, Simon

Note:  Retired on March 4, 2022

Attended/

Eligible to attend

3/3

2/3

3/3

3/3
3/3

3/3

CORPORATE  GOVERNANCE REPORT 
 
 
 
RELATIONSHIP WITH 
SHAREHOLDERS AND OTHER 
STAKEHOLDERS

The Group gives high priority to, and actively promotes investor relations 
and constructive dialogue with the investment community throughout the 
year. Through the CEO, the CFO, the Investor Relations Department and 
the Corporate Secretarial team, in addition to corporate communication 
of the Company, the Group engages with and responds to requests 
for information and queries from the investment community including 
shareholders, analysts and the media through regular briefing meetings, 
webcasts, announcements, conference calls and presentations. In 2021, 
over 100 investor interactions including virtual meetings, in-person 
meetings and conference calls and correspondence were conducted.

The Shareholders Communication Policy, which is available on the 
website of the Company, sets out the framework in place to promote 
two-way communication with shareholders so as to enable them 
to engage actively with the Company and exercise their rights as 
shareholders in an informed matter. The Audit Committee is responsible 
for regular review of the effectiveness and compliance with prevailing 
regulatory and other requirements of the policy. In June 2021, the 
Shareholders Communication Policy was updated to elaborate on the 
multiple avenues available for shareholders to communicate with the 
Company and vice versa. In March 2022, the Audit Committee reviewed 
the policy again and considered that the implementation of the policy 
effective during 2021, see “Audit Committee” on page 76 of this report.

The Board adopted a Dividend Policy for the Company. The Board intends 
to retain all future earnings for use in the operation and expansion of 
the business of the Company and does not have any present plan to pay 
any dividends for the immediate future. The declaration and payment 
of any dividends in the future will be determined by the Board, and will 
be dependent on a number of factors, including the earnings, capital 
requirements, overall financial condition, and contractual obligations of 
the Company.

The Board is committed to providing clear and full information 
on the Group to shareholders through the publication of notices, 
announcements, circulars, interim and annual reports. The Memorandum 
and Articles of Association of the Company is published on the websites of 
the Company and HKEX. Moreover, additional information on the Group 
is also available to shareholders and stakeholders on the website of the 
Company.

AGM and other general meetings of the Company provide one of the 
primary forums for communication with shareholders and for shareholder 
participation. Such meetings provide shareholders with the opportunity 
to share their views and to meet the Board and certain members of senior 
management. Question and answer sessions at general meetings foster 
constructive dialogues between shareholders of the Company, Board 
members and management.

Shareholders are encouraged to participate at general meetings of the 
Company physically, through electronic means, or by proxy if they are 
unable to attend in person. Pursuant to the Articles of Association of 
the Company, any one or more shareholders (or one shareholder which 
is a recognized clearing house, or its nominee(s)) holding not less than 
one-tenth of the paid up share capital of the Company, carrying the 
right of voting at general meetings of the Company, have rights to call 
for general meetings and to put forward agenda items for consideration 
by shareholders, by depositing at the principal office of the Company 
in Hong Kong a written requisition for such general meetings, signed by 
the shareholders concerned together with the objects of the meeting. 
The Board would within 21 days from the date of deposit of requisition 
convene the meeting to be held within two months after the deposit of 
such requisition.

All substantive resolutions at general meetings are decided on a poll 
which is conducted by the Company Secretary and scrutinized by the 
Share Registrars of the Company. The results of the poll are published on 
the websites of the Company and applicable stock exchanges. In addition, 
regular updated financial, business and other information on the Group 
are made available to the shareholders and stakeholders on the website 
of the Company.

The latest shareholders’ meeting of the Company was the 2021 annual 
general meeting (the “2021 AGM”), which was held on April 28, 2021 as 
a hybrid meeting at which shareholders attended both physically and 
by electronic facilities respectively, and attended by all Directors and 
its external auditor. The respective chairmen of the Board, the Audit 
Committee, the Nomination Committee, the Remuneration Committee 
and the Technical Committee were all present. Directors are requested 
and encouraged to attend shareholders’ meetings.

HUTCHMED (China) Limited 2021 Annual Report  89

Separate resolutions were proposed at the 2021 AGM on each substantive issue and the percentage of votes cast in favor of such resolutions as disclosed 
in the announcement of the Company dated April 28, 2021 are set out below:

Resolutions proposed at the 2021 AGM

Percentage of Votes

1

Adoption of the audited financial statements and the reports of the directors and independent auditor for the year ended 

2(A)

2(B)

2(C)

2(D)

2(E)

2(F)

2(G)

2(H)

2(I)

2(J)

3

4

December 31, 2020.

Re-election of Mr To Chi Keung, Simon as a director.

Re-election of Mr Christian Lawrence Hogg as a director.

Re-election of Mr Cheng Chig Fung, Johnny as a director.

Re-election of Dr Weiguo Su as a director.

Re-election of Dr Dan Eldar as a director.

Re-election of Ms Edith Shih as a director.

Re-election of Mr Paul Rutherford Carter as a director.

Re-election of Dr Karen Jean Ferrante as a director.

Re-election of Mr Graeme Allan Jack as a director.

Re-election of Professor Mok Shu Kam, Tony as a director.

Re-appointment of PricewaterhouseCoopers as the auditor of the Company and authorization of Directors to fix the auditor’s 

remuneration.

Ordinary Resolution No. 4(A):

Granting of a general mandate to the directors of the Company to issue additional shares.

Special Resolution No. 4(B):

Disapplication of pre-emption rights (general power).

Special Resolution No. 4(C):

Disapplication of pre-emption rights (in connection with an equity raise).

Ordinary Resolution No. 4(D):

Granting a general mandate to the directors of the Company to repurchase shares of the 

Company.

5

Special Resolution:

Change of the English name of the Company to “HUTCHMED (China) Limited” and the 

Chinese name of the Company to “ 和黃醫藥(中國)有限公司 ”.

91.60%

88.11%

99.67%

99.45%

99.59%

94.22%

94.21%

87.74%

89.99%

87.66%

94.13%

99.94%

99.63%

99.39%

83.29%

99.95%

99.99%

Accordingly, all resolutions put to shareholders at the 2021 AGM were passed. The results of the voting by poll were published on the websites of the 
Company and applicable stock exchanges.

The Articles of Association of the Company was amended and approved by shareholders by special resolutions on May 29, 2019 and effective upon Hong 
Kong listing on June 30, 2021.

Other corporate information relating to the Company is set out in the “Information for Shareholders” section of this annual report. This includes, among 
others, dates for key corporate events for 2022 and public float capitalization as at December 31, 2021.

The Group values feedback from shareholders on its efforts to promote transparency and foster investor relationship. Comments and suggestions 
to the Board or the Company are welcome and can be addressed to the Company Secretary by mail/e-mail or to the Company by e-mail at 
info@hutch-med.com.

90

CORPORATE  GOVERNANCE REPORT 
 
During 2021, the Sustainability Committee reviewed the future 
sustainability initiatives with respect to the employees, customers, 
community and environment. It also received and recommended the 
2020 Sustainability Report of the Company to the Board which was 
subsequently approved by the Board.

A standalone Sustainability Report of the Company for 2021 will be 
published to further discuss the sustainability mission and strategies, 
management approach, progress, material quantitative data, as well as 
policies and key initiatives of the Group.

By Order of the Board

Edith Shih
Director and Company Secretary

March 3, 2022

SUSTAINABILITY

SUSTAINABILITY GOVERNANCE & APPROACHES

The key sustainability mission of the Group is to create long-term value 
for all stakeholders by aligning its corporate social responsibility and 
sustainability objectives to the strategic development of its businesses. 
The Group is committed to contributing to sustainable living by providing 
connectivity and innovative services to its customers, while building 
trust with all stakeholders by behaving ethically and responsibly. Its 
sustainability governance structure is embedded at all levels of the 
Group to provide a solid foundation for developing and delivering on its 
commitment to sustainability.

The Sustainability Committee, chaired by Ms Edith Shih, Non-executive 
Director and Company Secretary, with Mr Christian Lawrence Hogg and 
Mr Cheng Chig Fung, Johnny, Executive Directors, and Professor Mok Shu 
Kam, Tony, Independent Non-executive Director, as members, was formed 
as a Board committee on July 28, 2021 to strengthen the Company’s 
corporate governance and reporting framework. It advises the Board and 
Management on and oversees the development and implementation of 
corporate social responsibility and sustainability initiatives of the Group, 
including reviewing related policies and practices as well as assessing 
and making recommendations on matters pertaining to the sustainability 
governance, strategies, planning and risk management of the Group.

The Sustainability Committee (established in July 2021) held one meeting 
in 2021 with 100% attendance.

Name of Member

Edith Shih (Chairman)

Cheng Chig Fung, Johnny
Christian Lawrence Hogg Note
Mok Shu Kam, Tony

Note:  Retired on March 4, 2022

Attended/

Eligible to attend

1/1

1/1

1/1

1/1

HUTCHMED (China) Limited 2021 Annual Report  91

 
 
Basis for Opinion

We conducted our audit in accordance with Hong Kong Standards on 
Auditing (“HKSAs”) issued by the HKICPA. Our responsibilities under those 
standards are further described in the Auditor’s Responsibilities for the 
Audit of the Consolidated Financial Statements section of our report.

We believe that the audit evidence we have obtained is sufficient and 
appropriate to provide a basis for our opinion.

Independence

We are independent of the Group in accordance with the HKICPA’s Code 
of Ethics for Professional Accountants (“the Code”), and we have fulfilled 
our other ethical responsibilities in accordance with the Code.

Key Audit Matters

Key audit matters are those matters that, in our professional judgment, 
were of most significance in our audit of the consolidated financial 
statements of the current period. These matters were addressed in the 
context of our audit of the consolidated financial statements as a whole, 
and in forming our opinion thereon, and we do not provide a separate 
opinion on these matters.

To the Shareholders of HUTCHMED (China) Limited
(incorporated in the Cayman Islands with limited liability)

Opinion

What we have audited

The consolidated financial statements of HUTCHMED (China) Limited 
(formerly known as “Hutchison China MediTech Limited”) (the “Company”) 
and its subsidiaries (the “Group”), which are set out on pages 97 to 150, 
comprise:

the consolidated balance sheets as at 31 December 2021;

the consolidated statements of operations for the year then ended;

the consolidated statements of comprehensive loss for the year then 
ended;

the consolidated statements of changes in shareholders’ equity for 
the year then ended;

the consolidated statements of cash flows for the year then ended; 
and

• 

• 

• 

• 

• 

• 

Our opinion

In our opinion, the consolidated financial statements give a true and fair 
view of the consolidated financial position of the Group as at 31 December 
2021, and of its consolidated financial performance and its consolidated 
cash flows for the year then ended in accordance with accounting 
principles generally accepted in the U.S. (“U.S. GAAP”) and have been 
properly prepared in compliance with the disclosure requirements of the 
Hong Kong Companies Ordinance.

92

the notes to the consolidated financial statements, which include 
significant accounting policies and other explanatory information.

Key audit matter identified in our audit is related to the allowances for 
credit losses on accounts receivable and other receivables (except for 
prepayments).

INDEPENDENT  AUDITOR’S REPORTKey Audit Matter

How our audit addressed the Key Audit Matter

Allowances for credit losses on accounts receivable and other 
receivables (except for prepayments)

Refer to Notes 3, 6 and 7 to the consolidated financial statements.

We performed the following audit procedures on the allowance for 
credit losses on accounts receivable and other receivables (except for 
prepayments):

As described in Note 6 to the consolidated financial statements, as of 
December 31, 2021, the gross balance of accounts receivable was US$83.6 
million and an allowance for credit losses of less than US$0.1 million was 
made. As described in Note 7 to the consolidated financial statements, as 
of December 31, 2021, the gross balance of other receivables was US$81.0 
million which consisted of the balance of prepayments of US$14.1 million, 
and no allowance for credit losses was made. As described in Note 3 to the 
consolidated financial statements, the allowances for credit losses were 
made based on estimate of current expected credit losses to be incurred 
over the expected life of the receivables.

There were significant estimates and judgments by management when 
developing the current expected credit losses to be incurred over the 
expected life of the receivables, which in turn led to a high degree of 
auditor judgment and significant audit effort in evaluating the audit 
evidence related to the accounts receivable and other receivables (except 
for prepayments) portfolio groups and estimated loss rates used by 
management.

We obtained an understanding of management’s assessment process of 

allowances for credit losses on accounts receivable and other receivables 

(except for prepayments) and internal controls and assessed the degree of 

complexity, subjectivity and uncertainty related to the significant management 

estimates and judgements used.

We evaluated and validated key internal controls relating to management’s 

estimate of allowances for credit losses on accounts receivable and other 

receivables (except for prepayments).

We evaluated the appropriateness of the model and methodology used by 

management to develop the current expected credit losses.

We assessed the reasonableness of accounts receivable and other receivables 

(except for prepayments) portfolio groups used by management by evaluating 

the credit risk characteristics of these receivables.

We assessed the reasonableness of estimated loss rates used by management 

by evaluating the historical default rates and application of forward-looking 

information.

We tested the accuracy and completeness of the underlying data, including 

historical collection records and aging of the receivables, on a sample basis, by 

comparing selected items with relevant supporting documents, and tested the 

mathematical accuracy of allowance for credit losses.

Based on the audit procedures performed, we found that the estimates used 

and judgments made by management in developing the allowances for credit 

losses on accounts receivable and other receivables (except for prepayments) 

were supportable in light of available evidence.

Other Information

The directors of the Group are responsible for the other information. The other information comprises all of the information included in the annual report 
other than the consolidated financial statements and our auditor’s report thereon.

Our opinion on the consolidated financial statements does not cover the other information and we do not express any form of assurance conclusion 
thereon.

In connection with our audit of the consolidated financial statements, our responsibility is to read the other information and, in doing so, consider 
whether the other information is materially inconsistent with the consolidated financial statements or our knowledge obtained in the audit or otherwise 
appears to be materially misstated.

If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. 
We have nothing to report in this regard.

HUTCHMED (China) Limited 2021 Annual Report  93

 
 
 
 
• 

• 

• 

• 

• 

Obtain an understanding of internal control relevant to the audit 
in order to design audit procedures that are appropriate in the 
circumstances, but not for the purpose of expressing an opinion on 
the effectiveness of the Group’s internal control.

Evaluate the appropriateness of accounting policies used and the 
reasonableness of accounting estimates and related disclosures 
made by the directors.

Conclude on the appropriateness of the directors' use of the going 
concern basis of accounting and, based on the audit evidence 
obtained, whether a material uncertainty exists related to events 
or conditions that may cast significant doubt on the Group’s ability 
to continue as a going concern. If we conclude that a material 
uncertainty exists, we are required to draw attention in our auditor’s 
report to the related disclosures in the consolidated financial 
statements or, if such disclosures are inadequate, to modify our 
opinion. Our conclusions are based on the audit evidence obtained 
up to the date of our auditor’s report. However, future events or 
conditions may cause the Group to cease to continue as a going 
concern.

Evaluate the overall presentation, structure and content of the 
consolidated financial statements, including the disclosures, and 
whether the consolidated financial statements represent the 
underlying transactions and events in a manner that achieves fair 
presentation.

Obtain sufficient appropriate audit evidence regarding the financial 
information of the entities or business activities within the Group to 
express an opinion on the consolidated financial statements. We are 
responsible for the direction, supervision and performance of the 
group audit. We remain solely responsible for our audit opinion.

We communicate with the directors regarding, among other matters, 
the planned scope and timing of the audit and significant audit findings, 
including any significant deficiencies in internal control that we identify 
during our audit.

We also provide the directors with a statement that we have complied 
with relevant ethical requirements regarding independence, and 
to communicate with them all relationships and other matters that 
may reasonably be thought to bear on our independence, and where 
applicable, actions taken to eliminate threats or safeguards applied.

Responsibilities of Directors for the Consolidated Financial 
Statements

The directors of the Group are responsible for the preparation of the 
consolidated financial statements that give a true and fair view in 
accordance with U.S. GAAP and the disclosure requirements of the Hong 
Kong Companies Ordinance, and for such internal control as the directors 
determine is necessary to enable the preparation of consolidated financial 
statements that are free from material misstatement, whether due to 
fraud or error.

In preparing the consolidated financial statements, the directors are 
responsible for assessing the Group’s ability to continue as a going 
concern, disclosing, as applicable, matters related to going concern and 
using the going concern basis of accounting unless the directors either 
intend to liquidate the Group or to cease operations, or have no realistic 
alternative but to do so.

The directors are responsible for overseeing the Group’s financial 
reporting process.

Auditor’s Responsibilities for the Audit of the Consolidated 
Financial Statements

Our objectives are to obtain reasonable assurance about whether the 
consolidated financial statements as a whole are free from material 
misstatement, whether due to fraud or error, and to issue an auditor’s 
report that includes our opinion. We report our opinion solely to you, as a 
body, and for no other purpose. We do not assume responsibility towards 
or accept liability to any other person for the contents of this report. 
Reasonable assurance is a high level of assurance, but is not a guarantee 
that an audit conducted in accordance with HKSAs will always detect a 
material misstatement when it exists. Misstatements can arise from fraud 
or error and are considered material if, individually or in the aggregate, 
they could reasonably be expected to influence the economic decisions of 
users taken on the basis of these consolidated financial statements.

As part of an audit in accordance with HKSAs, we exercise professional 
judgment and maintain professional scepticism throughout the audit. We 
also:

Identify and assess the risks of material misstatement of the 
consolidated financial statements, whether due to fraud or error, 
design and perform audit procedures responsive to those risks, 
and obtain audit evidence that is sufficient and appropriate to 
provide a basis for our opinion. The risk of not detecting a material 
misstatement resulting from fraud is higher than for one resulting 
from error, as fraud may involve collusion, forgery, intentional 
omissions, misrepresentations, or the override of internal control.

• 

94

INDEPENDENT  AUDITOR’S REPORTFrom the matters communicated with the directors, we determine those 
matters that were of most significance in the audit of the consolidated 
financial statements of the current period and are therefore the key audit 
matters. We describe these matters in our auditor’s report unless law 
or regulation precludes public disclosure about the matter or when, in 
extremely rare circumstances, we determine that a matter should not be 
communicated in our report because the adverse consequences of doing 
so would reasonably be expected to outweigh the public interest benefits 
of such communication.

The engagement partner on the audit resulting in this independent 
auditor’s report is Cheuk Chi Shing.

PricewaterhouseCoopers
Certified Public Accountants

Hong Kong, March 3, 2022

HUTCHMED (China) Limited 2021 Annual Report  95

CONSOLIDATED FINANCIAL 
STATEMENTS

HUTCHMED (CHINA) LIMITED 
CONSOLIDATED BALANCE SHEETS  
(IN US$’000, EXCEPT SHARE DATA) 

Note 

2021 

2020 

December 31, 

Assets 
Current assets 

Cash and cash equivalents 
Short-term investments 
Accounts receivable 
Other receivables, prepayments and deposits 
Inventories 

Total current assets 
Property, plant and equipment 
Right-of-use assets 
Deferred tax assets 
Investments in equity investees 
Other non-current assets 
Total assets 
Liabilities and shareholders’ equity 
Current liabilities 

Accounts payable 
Other payables, accruals and advance receipts 
Bank borrowings 
Income tax payable 
Other current liabilities  

Total current liabilities 
Lease liabilities 
Deferred tax liabilities 
Long-term bank borrowings 
Other non-current liabilities 
Total liabilities 
Commitments and contingencies 

5 
5 
6 
7 
8 

9 
10 
25(ii) 
11 
12 

13 
14 
15 
25(iii)   

10 
25(ii) 
15 

16 

377,542 
634,158 
83,580 
81,041 
35,755 
1,212,076 
41,275 
11,879 
9,401 
76,479 
21,551 
1,372,661 

41,177 
210,839 
26,905 
15,546 
17,191 
311,658 
7,161 
2,765 
— 
11,563 
333,147 

235,630 
199,546 
47,870 
27,928 
19,766 
530,740 
24,170 
8,016 
1,515 
139,505 
20,172 
724,118 

31,612 
121,283 
— 
1,120 
4,382 
158,397 
6,064 
5,063 
26,861 
8,784 
205,169 

Company’s shareholders’ equity 

Ordinary shares; $0.10 par value; 1,500,000,000 shares 

authorized; 864,530,850 and 727,722,215 shares issued at 
December 31, 2021 and 2020 respectively  

17 

Additional paid-in capital 
Accumulated losses 
Accumulated other comprehensive income 

Total Company’s shareholders’ equity 
Non-controlling interests 
Total shareholders’ equity 
Total liabilities and shareholders’ equity 

86,453 
1,505,196 
(610,328)   
5,572 
986,893 
52,621 
1,039,514 
1,372,661 

72,772 
822,458 
(415,591) 
4,477 
484,116 
34,833 
518,949 
724,118 

The accompanying notes are an integral part of these consolidated financial statements. 

HUTCHMED (China) Limited 2021 Annual Report  97

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
HUTCHMED (CHINA) LIMITED 
CONSOLIDATED STATEMENTS OF OPERATIONS  
(IN US$’000, EXCEPT SHARE AND PER SHARE DATA) 

Revenues 

Goods  —third parties 

—related parties 

Services  —commercialization—third parties 

—collaboration research and 

development 
—third parties 

—research and development 

Note 

2021 

2020 

2019 

Year Ended December 31, 

24(i) 

266,199 
4,256 
27,428 

203,606 
5,484 
3,734 

175,990 
7,637 
2,584 

18,995 

9,771 

15,532 

—related parties 

24(i) 

525 

491 

494 

Other collaboration revenue 

—royalties—third parties 
—licensing—third parties 

Total revenues 
Operating expenses 

Costs of goods—third parties 
Costs of goods—related parties 
Costs of services—commercialization —

third parties 

Research and development expenses 
Selling expenses 
Administrative expenses 
Total operating expenses 

Gain on divestment of an equity investee 
Other income/(expense) 

Interest income 
Other income 
Interest expense 
Other expense 

Total other income/(expense) 
Loss before income taxes and equity in 

earnings of equity investees 

Income tax expense 
Equity in earnings of equity investees, net of tax 
Net loss 
Less: Net income attributable to non-controlling 

interests 

Net loss attributable to the Company 
Losses per share attributable to the Company—

19 

21 

23 

27 

27 

15,064 
23,661 
356,128 

4,890 
— 
227,976 

2,653 
— 
204,890 

(229,448)   
(3,114)   

(178,828)   
(3,671)   

(152,729) 
(5,494) 

(25,672)   
(299,086)   
(37,827)   
(89,298)   
(684,445)   
(328,317)   
121,310 

2,076 
2,426 
(592)   
(12,643)   
(8,733)   

(6,020)   
(174,776)   
(11,334)   
(50,015)   
(424,644)   
(196,668)   

— 

3,236 
4,600 
(787)   
(115)   

6,934 

(1,929) 
(138,190) 
(13,724) 
(39,210) 
(351,276) 
(146,386) 
— 

4,944 
1,855 
(1,030) 
(488) 
5,281 

25(i) 
11 

(215,740)   
(11,918)   
60,617 
(167,041)   

(189,734)   
(4,829)   
79,046 
(115,517)   

(141,105) 
(3,274) 
40,700 
(103,679) 

(27,607)   
(194,648)   

(10,213)   
(125,730)   

(2,345) 
(106,024) 

basic and diluted (US$ per share) 

26 

(0.25)   

(0.18)   

(0.16) 

Number of shares used in per share calculation—

basic and diluted 

26 

  792,684,524 

  697,931,437 

  665,683,145 

The accompanying notes are an integral part of these consolidated financial statements.  

98

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
HUTCHMED (CHINA) LIMITED 
CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS  
(IN US$’000) 

Net loss 
Other comprehensive income/(loss) 

Foreign currency translation gain/(loss) 

Total comprehensive loss 
Less: Comprehensive income attributable to  

non-controlling interests 

Total comprehensive loss attributable to the Company 

Year Ended December 31, 

2021 

2020 

(167,041)   

(115,517)   

2019 
(103,679) 

2,964 
(164,077)   

9,530 
(105,987)   

(4,331) 
(108,010) 

(28,029)   
(192,106)   

(11,413)   
(117,400)   

(1,620) 
(109,630) 

The accompanying notes are an integral part of these consolidated financial statements. 

HUTCHMED (China) Limited 2021 Annual Report  99

 
 
 
 
 
   
   
 
 
 
 
 
 
HUTCHMED (CHINA) LIMITED 
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY  
(IN US$’000, EXCEPT SHARE DATA IN ’000) 

Ordinary 
Shares 
Number 

Ordinary 
Shares 
Value 

Additional 
Paid-in 
Capital 

As at January 1, 2019 

666,577 

66,658 

505,585 

Net (loss)/income 

Issuances in relation to share option 

exercises 

Share-based compensation 

Share options 

Long-term incentive plan (“LTIP”) 

LTIP—treasury shares acquired and 

held by Trustee 

Transfer between reserves 

Foreign currency translation 

adjustments 

— 

329 

— 

— 

— 

— 

— 

— 

— 

33 

— 

— 

— 

— 

— 

— 

— 

218 

7,157 

2,239 

9,396 

(346)   

51 

— 

Accumulated 
Losses 

(183,659)   

(106,024)   

— 

— 

— 

— 

— 

(51)   

Accumulated 
Other 
Comprehensive 
(Loss)/Income 

Total 
Company’s 
Shareholders’ 
Equity 

Non- 
controlling 
Interests 

Total 
Shareholders’ 
Equity 

(243) 

388,341 

23,243 

411,584 

— 

— 

— 

— 

— 

— 

— 

(106,024)   

2,345 

(103,679) 

251 

7,157 

2,239 

9,396 

(346)   

— 

— 

16 

12 

28 

— 

— 

251 

7,173 

2,251 

9,424 

(346) 

— 

— 

(3,606)   

(3,606)   

(725)   

(4,331) 

As at December 31, 2019 

666,906 

66,691 

514,904 

Net (loss)/income 

— 

— 

— 

(289,734)   

(125,730)   

Issuance in relation to public offering 

23,669 

2,366 

115,975 

Issuances in relation to private 
investment in public equity 
(“PIPE”) 

Issuance costs 

Issuances in relation to share option 

exercises 

Share-based compensation 

Share options 

LTIP 

LTIP—treasury shares acquired and 

held by Trustee 

Dividends declared to non-controlling 

shareholders of subsidiaries 

Purchase of additional interests in a 
subsidiary of an equity investee  
(Note 11) 

Transfer between reserves 

Foreign currency translation 

adjustments 

36,667 

3,667 

— 

480 

— 

— 

— 

— 

— 

— 

— 

— 

— 

48 

— 

— 

— 

— 

— 

— 

— 

— 

196,333 

(8,317) 

545 

8,727 

7,203 

15,930 

(12,904)   

— 

(52) 

44 

— 

As at December 31, 2020 

727,722 

72,772 

822,458 

Net (loss)/income 

— 

— 

Issuance in relation to public offering 

119,600 

  11,960 

Issuance in relation to PIPE 

16,393 

1,639 

Issuance costs 

Issuances in relation to share option 

exercises 

Share-based compensation 

Share options 

LTIP 

LTIP—treasury shares acquired and 

held by Trustee 

Dividends declared to non-controlling 

shareholders of subsidiaries 

Transfer between reserves 

Divestment of an equity investee  

(Note 23)  

Foreign currency translation 

adjustments 

— 

816 

— 

— 

— 

— 

— 

— 

— 

— 

— 

82 

— 

— 

— 

— 

— 

— 

— 

— 

— 

602,907 

98,361 

(29,806)   

2,370 

16,339 

19,808 

36,147 

(27,309)   

— 

89 

(21)   

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

(83) 

(44)   

— 

(415,591)   

(194,648)   

— 

— 

— 

— 

— 

— 

— 

— 

— 

(89)   

— 

— 

As at December 31, 2021 

864,531 

  86,453 

1,505,196 

(610,328)   

(3,849)   

288,012 

24,891 

312,903 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

(4) 

— 

8,330 

4,477 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

— 

(125,730)   

10,213 

(115,517) 

118,341 

— 

118,341 

200,000 

(8,317) 

593 

8,727 

7,203 

15,930 

(12,904)   

— 

— 

— 

10 

16 

26 

— 

200,000 

(8,317) 

593 

8,737 

7,219 

15,956 

(12,904) 

— 

(1,462)   

(1,462) 

(139) 

— 

(35) 

— 

(174) 

— 

8,330 

1,200 

9,530 

484,116 

34,833 

518,949 

(194,648)   

27,607 

(167,041) 

614,867 

100,000 

(29,806)   

2,452 

16,339 

19,808 

36,147 

(27,309)   

— 

— 

— 

— 

26 

70 

96 

— 

614,867 

100,000 

(29,806) 

2,452 

16,365 

19,878 

36,243 

(27,309) 

— 

— 

(9,894)   

(9,894) 

— 

— 

(1,447)   

(1,468)   

(443)   

(1,911) 

2,542 

5,572 

2,542 

422 

2,964 

986,893 

52,621 

1,039,514 

The accompanying notes are an integral part of these consolidated financial statements.  

100

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
HUTCHMED (CHINA) LIMITED 
CONSOLIDATED STATEMENTS OF CASH FLOWS  
(IN US$’000) 

Net cash used in operating activities 
Investing activities 
Purchases of property, plant and equipment 
Purchase of leasehold land 
Refund/(payment) of leasehold land deposit 
Deposits in short-term investments 
Proceeds from short-term investments 
Purchase of a warrant 
Proceeds from divestment of an equity investee 
Purchase of a subsidiary company 
Cash acquired in purchase of a subsidiary company 
Net cash (used in)/generated from investing activities 
Financing activities 
Proceeds from issuances of ordinary shares 
Purchases of treasury shares 
Dividends paid to non-controlling shareholders of 

Year Ended December 31, 

Note 
28 

2021 

(204,223)   

2020 
(62,066)   

2019 
(80,912) 

12 

20 
23 

(16,401)   
(355)   
930 

  (1,355,976)   
921,364 
(15,000)   
159,118 
— 
— 

(7,949)   
(11,631)   
(2,326)   
(732,908)   
629,373 
— 
— 
— 
— 

(306,320)   

(125,441)   

(8,565) 
— 
— 
(478,140) 
597,044 
— 
— 
(8,080) 
16,769 
119,028 

18(ii) 

717,319 
(27,309)   

318,934 
(12,904)   

251 
(346) 

subsidiaries 

(9,894)   

(1,462)   

(1,282) 

Repayment of loan to a non-controlling shareholder of a 

subsidiary 

Proceeds from bank borrowings 
Repayment of bank borrowings 
Payment of issuance costs 
Net cash generated from/(used in) financing activities 
Net increase in cash and cash equivalents 
Effect of exchange rate changes on cash and cash 

equivalents 

Cash and cash equivalents 
Cash and cash equivalents at beginning of year 
Cash and cash equivalents at end of year 

Supplemental disclosure for cash flow information 
Cash paid for interest 
Cash paid for tax, net of refunds 
Supplemental disclosure for non-cash activities 
Increase in accrued capital expenditures 
Vesting of treasury shares for LTIP 

25(iii)   

18(ii) 

(579)   
— 
— 

(29,509)   
650,028 
139,485 

— 
— 
— 
(8,134)   

296,434 
108,927 

— 
26,807 
(26,923) 
—  
(1,493) 
36,623 

2,427 
141,912 

5,546 
114,473 

(1,502) 
35,121 

235,630 
377,542 

121,157 
235,630 

86,036 
121,157 

425 
5,014 

8,607 
1,450 

815 
5,940 

298 
4,828 

917 
3,249 

1,068 
944 

The accompanying notes are an integral part of these consolidated financial statements. 

HUTCHMED (China) Limited 2021 Annual Report  101

 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
HUTCHMED (CHINA) LIMITED 
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS 

1. Organization and Nature of Business 

HUTCHMED (China)  Limited  (formerly  known  as  “Hutchison China  MediTech  Limited”)  (the  “Company”) 
and its subsidiaries (together the “Group”) are principally engaged in researching, developing, manufacturing 
and marketing pharmaceutical products. The Group and its equity investees have research and development 
facilities and manufacturing plants in the People’s Republic of China (the “PRC”) and sell their products mainly 
in the PRC, including Hong Kong. In addition, the Group has established international operations in the United 
States of America (the “U.S.”) and Europe. 

The Company’s ordinary shares are listed on the Main Board of The Stock Exchange of Hong Kong Limited 
(“HKEX”) (listing completed in June 2021) and the AIM market of the London Stock Exchange, and its American 
depositary shares (“ADS”) are traded on the Nasdaq Global Select Market. 

Liquidity 

As  at  December  31,  2021,  the  Group  had  accumulated  losses  of  US$610,328,000  primarily  due  to  its 
spending  in  drug  research  and  development  activities.  The  Group  regularly  monitors  current  and  expected 
liquidity requirements to ensure that it maintains sufficient cash balances and adequate credit facilities to meet 
its liquidity requirements in the short and long term. As at December 31, 2021, the Group had cash and cash 
equivalents  of  US$377,542,000,  short-term  investments  of  US$634,158,000  and  unutilized  bank  borrowing 
facilities of US$157,430,000. Short-term investments comprised of bank deposits maturing over three months. 
The  Group’s  operating  plan  includes  the  continued  receipt  of  dividends  from  an  equity  investee.  Dividends 
received for the years ended December 31, 2021, 2020 and 2019 were US$49,872,000, US$86,708,000 and 
US$28,135,000 respectively. 

Based on the Group’s operating plan, the existing cash and cash equivalents, short-term investments and 
unutilized bank borrowing facilities are considered to be sufficient to meet the cash requirements to fund planned 
operations and other commitments for at least the next twelve months (the look-forward period used). 

102

 
 
 
 
 
2. Particulars of Principal Subsidiaries and Equity Investees 

Name 

Subsidiaries 
HUTCHMED Limited (formerly 

known as “Hutchison MediPharma 
Limited”)  

Place of 
establishment 
and 
operations 

Equity interest attributable 
to the Group 
December 31, 

2021 

2020 

Principal activities 

PRC 

99.75  %    99.75  %   Research, development, 

manufacture and 
commercialization of 
pharmaceutical products 

HUTCHMED International 

U.S. 

99.75  %    99.75  %    Provision of professional, scientific 

Corporation (formerly known as 
“Hutchison MediPharma 
International Inc.”) 

Hutchison Whampoa Sinopharm 
Pharmaceuticals (Shanghai) 
Company Limited (“HSPL”) 
Hutchison Hain Organic (Hong 
Kong) Limited (“HHOHK”)  
(note (a)) 

and technical support services 

PRC 

50.87  %    50.87  %    Provision of sales, distribution and 

Hong 
Kong 

marketing services to 
pharmaceutical manufacturers 

50  %   

50  %    Wholesale and trading of 

healthcare and consumer 
products 

100  %    Manufacture and distribution of 
healthcare products 

Hutchison Healthcare Limited 

PRC 

100  %   

HUTCHMED Science Nutrition 
Limited (formerly known as 
“Hutchison Consumer Products 
Limited”) 

Equity investees 
Shanghai Hutchison 

Pharmaceuticals Limited (“SHPL”) 

Hutchison Whampoa Guangzhou 
Baiyunshan Chinese Medicine 
Company Limited (“HBYS”)  
(note (b)) 

Notes: 

Hong 
Kong 

100  %   

100  %    Wholesale and trading of 

healthcare and consumer 
products 

PRC 

50  %   

50  %    Manufacture and distribution of 

PRC 

—  %   

40  %    Manufacture and distribution of 

prescription drug products 

over-the-counter drug products 

(a)  HHOHK  is  regarded  as  a  subsidiary  of  the  Company,  as  while  both  its  shareholders  have  equal 
representation at the board, in the event of a deadlock, the Group has a casting vote and is therefore able 
to unilaterally control the financial and operating policies of HHOHK. 

(b)  On September 28, 2021, the Group completed a transaction to sell its entire investment in HBYS to a third 

party (Note 23). 

3. Summary of Significant Accounting Policies 

Principles of Consolidation and Basis of Presentation 

The accompanying consolidated financial statements reflect the accounts of the Company and all of its 
subsidiaries  in  which  a  controlling  interest  is  maintained. All  inter-company  balances  and  transactions  have 
been eliminated in consolidation. The consolidated financial statements have been prepared in conformity with 
generally accepted accounting principles in the U.S. (“U.S. GAAP”). 

Use of Estimates 

The  preparation  of  consolidated  financial  statements  in  conformity  with  U.S.  GAAP  requires 
management to make estimates and assumptions that affect the reported amounts of assets and liabilities and 
the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the 
reported amounts of revenues and expenses during the reporting period.  

HUTCHMED (China) Limited 2021 Annual Report  103

 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
   
 
     
 
 
 
 
 
 
 
 
 
Foreign Currency Translation 

The Company’s presentation currency and functional currency is the U.S. dollar (“US$”). The financial 
statements  of  its  subsidiaries  with  a  functional  currency  other  than  the  US$  have  been  translated  into  the 
Company’s  presentation currency. All  assets  and  liabilities of  the  subsidiaries  are  translated  using  year-end 
exchange rates and revenues and expenses are translated at average exchange rates for the year. Translation 
adjustments are reflected in accumulated other comprehensive (loss)/income in shareholders’ equity. 

Net foreign currency exchange gains of US$1,671,000, US$3,265,000 and US$246,000 were recorded 
in other income in the consolidated statements of operations for the years ended December 31, 2021, 2020 and 
2019 respectively. 

Foreign Currency Risk 

The Group’s operating transactions and its assets and liabilities in the PRC are mainly denominated in 
Renminbi  (“RMB”),  which  is  not  freely  convertible  into  foreign  currencies.  The  Group’s  cash  and  cash 
equivalents  denominated  in  RMB  are  subject  to  government  controls.  The  value  of  the  RMB  is  subject  to 
fluctuations  from  central  government  policy  changes  and  international economic  and  political  developments 
that affect the supply and demand of RMB in the foreign exchange market. In the PRC, certain foreign exchange 
transactions are required by law to be transacted only by authorized financial institutions at exchange rates set 
by the People’s Bank of China (the “PBOC”). Remittances in currencies other than RMB by the Group in the 
PRC must be processed through the PBOC or other PRC foreign exchange regulatory bodies which require 
certain supporting documentation in order to complete the remittance. 

Allowance for Current Expected Credit Losses and Concentration of Credit Risk 

Financial instruments that potentially expose the Group to credit risk consist primarily of cash and cash 
equivalents, short-term investments, and financial assets not carried at fair value including accounts receivable 
and other receivables. 

The Group recognizes an allowance for current expected credit losses on financial assets not carried 
at fair value. Current expected credit losses are calculated over the expected life of the financial assets on an 
individual  or a portfolio basis considering information available about the counterparties’ credit situation and 
collectability of the specific cash flows, including information about past events, current conditions and future 
forecasts. 

The Group has no significant concentration of credit risk. The Group places substantially all of its cash 
and cash equivalents and short-term investments in major financial institutions, which management believes 
are  of  high  credit  quality. The  Group  has  a  practice  to  limit  the  amount  of  credit  exposure  to  any  particular 
financial institution. Additionally, the Group has policies in place to ensure that sales are made to customers 
with an appropriate credit history and the Group performs periodic credit evaluations of its customers. Normally 
the Group does not require collateral from trade debtors. 

Cash and Cash Equivalents 

The Group considers all highly liquid investments purchased with original maturities of three months or 
less to be cash equivalents. Cash and cash equivalents consist primarily of cash on hand and bank deposits 
and are stated at cost, which approximates fair value. 

Short-term Investments 

Short-term investments include deposits placed with banks with original maturities of more than three 

months but less than one year. 

104

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Accounts Receivable 

Accounts receivable are stated at the amount management expects to collect from customers based 
on their outstanding invoices. The allowance for credit losses reflects the Group's current estimate of credit 
losses  expected  to  be  incurred  over  the  life  of  the  receivables.  The  Group  considers  various  factors  in 
establishing, monitoring, and adjusting its allowance for credit losses including the aging of the accounts and 
aging  trends,  the  historical  level of  charge-offs,  and  specific  exposures related  to  particular customers. The 
Group also monitors other risk factors and forward-looking information, such as country risk, when determining 
credit  limits  for  customers  and  establishing  adequate  allowances  for  credit  losses. Accounts  receivable  are 
written off after all reasonable means to collect the full amount (including litigation, where appropriate) have 
been exhausted. 

Inventories 

Inventories are stated at the lower of cost or net realizable value. Cost is determined using the weighted 
average cost method. The cost of finished goods comprises raw materials, direct labor, other direct costs and 
related production overheads (based on normal operating capacity). Net realizable value is the estimated selling 
price in the ordinary course of business, less applicable variable selling expenses. A provision for excess and 
obsolete inventory will be made based primarily on forecasts of product demand and production requirements. 
The excess balance determined by this analysis becomes the basis for excess inventory charge and the written-
down  value  of  the  inventory  becomes  its  cost.  Written-down  inventory  is  not  written  up  if  market  conditions 
improve. 

Property, Plant and Equipment 

Property,  plant  and  equipment  consist  of  buildings,  leasehold  improvements,  plant  and  equipment, 
furniture and fixtures, other equipment and motor vehicles. Property, plant and equipment are stated at cost, 
net of accumulated depreciation. Depreciation is computed using the straight-line method over the estimated 
useful lives of the depreciable assets. 

Buildings 
Plant and equipment 
Furniture and fixtures, other equipment 

20 years 
5-10 years 

and motor vehicles 
Leasehold improvements 

4-5 years 
Shorter of (a) 5 years or (b) remaining term of lease 

Additions  and  improvements  that  extend  the  useful  life  of  an  asset  are  capitalized.  Repairs  and 

maintenance costs are expensed as incurred. 

Impairment of Long-Lived Assets 

The Group evaluates the recoverability of long-lived assets in accordance with authoritative guidance 
on accounting for the impairment or disposal of long-lived assets. The Group evaluates long-lived assets for 
impairment whenever events or changes in circumstances indicate that the carrying value of these assets may 
not be recoverable. If indicators of impairment exist, the first step of the impairment test is performed to assess 
if the carrying value of the net assets exceeds the undiscounted cash flows of the assets. If yes, the second 
step of the impairment test is performed in order to determine if the carrying value of the net assets exceeds 
the fair value. If yes, impairment is recognized for the excess. 

Investments in Equity Investees 

Investments in equity investees over which the Group has significant influence are accounted for using 
the  equity  method.  The  Group  evaluates  equity  method  investments  for  impairment  when  events  or 
circumstances suggest that their carrying amounts may not be recoverable. An impairment charge would be 
recognized in earnings for a decline in value that is determined to be other-than-temporary after assessing the 
severity and duration of the impairment and the likelihood of recovery before disposal. The investments  are 
recorded at fair value only if impairment is recognized. 

Leasehold Land 

Leasehold land represents fees paid to acquire the right to use the land on which various plants and 
buildings are situated for a specified period of time from the date the respective right was granted and are stated 
at cost less accumulated amortization and impairment loss, if any. Amortization is computed using the straight-
line basis over the lease period of 50 years. 

HUTCHMED (China) Limited 2021 Annual Report  105

 
 
 
 
 
 
 
 
 
 
 
 
 
Goodwill 

Goodwill represents the excess of the purchase price plus fair value of non-controlling interests over 
the fair value of identifiable assets and liabilities acquired. Goodwill is not amortized, but is tested for impairment 
at the reporting unit level on at least an annual basis or when an event occurs or circumstances change that 
would more likely than not reduce the fair value of a reporting unit below its carrying amount. When performing 
an  evaluation  of  goodwill  impairment,  the  Group  has  the  option  to  first  assess  qualitative  factors,  such  as 
significant events and changes to expectations and activities that may have occurred since the last impairment 
evaluation, to determine if it is more likely than not that goodwill might be impaired. If as a result of the qualitative 
assessment, that it is more likely than not that the fair value of the reporting unit is less than its carrying amount, 
the quantitative fair value test is performed to determine if the fair value of the reporting unit exceeds its carrying 
value.  

Other Intangible Assets 

Other intangible assets with finite useful lives are carried at cost less accumulated amortization and 
impairment loss, if any. Amortization is computed using the straight-line basis over the estimated useful lives of 
the assets. 

Borrowings 

Borrowings are recognized initially at fair value, net of debt issuance costs incurred. Borrowings are 
subsequently stated at amortized cost; any difference between the proceeds (net of debt issuance costs) and 
the  redemption  value  is  recognized  in  the  consolidated  statements  of  operations  over  the  period  of  the 
borrowings using the effective interest method. 

Ordinary Shares 

The Company’s ordinary shares are stated at par value of US$0.10 per ordinary share. The difference 
between the consideration received, net of issuance cost, and the par value is recorded in additional paid-in 
capital. 

Treasury Shares 

The Group accounts for treasury shares under the cost method. The treasury shares are purchased for 

the purpose of the LTIP and held by a trustee appointed by the Group (the “Trustee”) prior to vesting. 

Share-Based Compensation 

Share options 

The  Group  recognizes  share-based  compensation  expense  on  share  options  granted  to  employees 
and directors based on their estimated grant date fair value using the Polynomial model. This Polynomial pricing 
model  uses  various  inputs  to  measure  fair  value,  including  the  market  value  of  the  Company’s  underlying 
ordinary shares at the grant date, contractual terms, estimated volatility, risk-free interest rates and expected 
dividend yields. The Group recognizes share-based compensation expense in the consolidated statements of 
operations  on  a  graded  vesting  basis over  the  requisite  service  period,  and  accounts  for  forfeitures  as they 
occur. 

Share  options  are  classified  as  equity-settled  awards.  Share-based  compensation  expense,  when 
recognized, is charged to the consolidated statements of operations with the corresponding entry to additional 
paid-in capital. 

LTIP 

The Group recognizes the share-based compensation expense on the LTIP awards based on a fixed 
or determinable monetary amount on a straight-line basis for each annual tranche awarded over the requisite 
period. For LTIP awards with performance targets, prior to their determination date, the amount of LTIP awards 
that is expected to vest takes into consideration the achievement of the performance conditions and the extent 
to which the performance conditions are likely to be met. Performance conditions vary by awards,  and may 
include  targets  for  shareholder  returns,  financings,  free  cash  flows,  revenues,  net  profit  after  taxes  and  the 
achievement of clinical and regulatory milestones. 

106

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
These LTIP awards are classified as liability-settled awards before the determination date (i.e. the date 
when the achievement of any performance conditions are known), as they settle in a variable number of shares 
based on a determinable monetary amount, which is determined upon the actual achievement of performance 
targets. As the extent of achievement of the performance targets is uncertain prior to the determination date, a 
probability  based  on  management’s  assessment  of  the  achievement  of  the  performance  targets  has  been 
assigned to calculate the amount to be recognized as an expense over the requisite period. 

After the determination date or if the LTIP awards have no performance conditions, the LTIP awards 
are classified as equity-settled awards. If the performance target is achieved, the Group will pay the determined 
monetary  amount  to  the  Trustee  to  purchase  ordinary  shares  of  the  Company  or  the  equivalent ADS. Any 
cumulative compensation expense previously recognized as a liability will be transferred to additional paid-in 
capital, as an equity-settled award. If the performance target is not achieved, no ordinary shares or ADS of the 
Company will be purchased and the amount previously recorded in the liability will be reversed and included in 
the consolidated statements of operations. 

Defined Contribution Plans 

The  Group’s  subsidiaries  in  the  PRC  participate  in  a  government-mandated  multi-employer  defined 
contribution  plan  pursuant  to  which  certain  retirement,  medical  and  other  welfare  benefits  are  provided  to 
employees. The relevant labor regulations require the Group’s subsidiaries in the PRC to pay the local labor 
and social welfare authority’s monthly contributions at a stated contribution rate based on the monthly basic 
compensation of qualified employees. The relevant local labor and social welfare authorities are responsible 
for  meeting  all  retirement  benefits  obligations  and  the  Group’s  subsidiaries  in  the  PRC  have  no  further 
commitments beyond their monthly contributions. The contributions to the plan are expensed as incurred. 

The  Group  also  makes  payments  to  other  defined  contribution  plans  for  the  benefit  of  employees 
employed by subsidiaries outside the PRC. The defined contribution plans are generally funded by the relevant 
companies and by payments from employees. 

The Group’s contributions to defined contribution plans for the years ended December 31, 2021, 2020 

and 2019 amounted to US$7,181,000, US$2,660,000 and US$3,479,000 respectively. 

Revenue Recognition  

Revenue is measured based on consideration specified in a contract with a customer, and excludes 
any  sales  incentives  and  amounts  collected  on  behalf  of  third  parties.  Taxes  assessed  by  a  governmental 
authority  that  are  both  imposed  on  and  concurrent  with  a  specific  revenue-producing  transaction,  that  are 
collected by the Group from a customer, are also excluded from revenue. The Group recognizes revenue when 
it satisfies a performance obligation by transferring control over a good, service or license to a customer. 

(i) 

Goods and services 

The  Group  principally  generates  revenue  from  (1)  sales  of  goods,  which  are  the  manufacture  or 
purchase and distribution of pharmaceutical products and other consumer health products, and (2) provision of 
services, which are the provision of sales, distribution and marketing services to pharmaceutical manufacturers. 
The Group evaluates whether it is the principal or agent for these contracts. Where the Group obtains control 
of the goods for distribution, it is the principal (i.e. recognizes sales of goods on a gross basis). Where the Group 
does not obtain control of the goods for distribution, it is the agent (i.e. recognizes provision of services on a net 
basis). Control is primarily evidenced by taking physical possession and inventory risk of the goods. 

Revenue from sales of goods is recognized when the customer takes possession of the goods. This 
usually occurs upon completed delivery of the goods to the customer site. The amount of revenue recognized 
is adjusted for expected sales incentives as stipulated in the contract, which are generally issued to customers 
as direct discounts at the point-of-sale or indirectly in the form of rebates. Sales incentives are estimated using 
the expected value method. Additionally, sales are generally made with a limited right of return under certain 
conditions. Revenues are recorded net of provisions for sales discounts and returns. 

Revenue  from  provision  of  services  is  recognized  when  the  benefits  of  the  services  transfer  to  the 
customer over time, which is based on the proportionate value of services rendered as determined under the 
terms of the relevant contract. Additionally, when the amounts that can be invoiced correspond directly with the 
value  to  the  customer  for  performance  completed  to  date,  the  Group  recognizes  revenue  from  provision  of 
services based on amounts that can be invoiced to the customer. 

HUTCHMED (China) Limited 2021 Annual Report  107

 
 
 
 
 
 
 
 
 
 
 
 
 
Deferred  revenue  is  recognized  if  consideration  is  received  in  advance  of  transferring  control  of  the 
goods or rendering of services. Accounts receivable is recognized if the Group has an unconditional right to bill 
the customer, which is generally when the customer takes possession of the goods or services are rendered. 
Payment terms differ by subsidiary and customer, but generally range from 45 to 180 days from the invoice 
date. 

(ii) 

License and collaboration contracts 

The Group’s Oncology/Immunology reportable segment includes revenue generated from license and 
collaboration contracts, which generally contain multiple performance obligations including (1) the license to 
the  commercialization  rights  of  a  drug  compound  and  (2)  the  research  and  development  services  for  each 
specified treatment indication, which are accounted for separately if they are distinct, i.e. if a product or service 
is separately identifiable from other items in the arrangement and if a customer can benefit from it on its own or 
with other resources that are readily available to the customer. 

The transaction price generally includes fixed and variable consideration in the form of upfront payment, 
research and development cost reimbursements, contingent milestone payments and sales-based royalties. 
Contingent  milestone  payments  are  not  included  in  the  transaction  price  until  it  becomes  probable  that  a 
significant reversal of revenue will not occur, which is generally when the specified milestone is achieved. The 
allocation of the transaction price to each performance obligation is based on the relative standalone selling 
prices of each performance obligation determined  at the inception of the contract. The Group estimates the 
standalone selling prices based on the income approach. Control of the license to the drug compounds transfers 
at the inception date of the collaboration agreements and consequently, amounts allocated to this performance 
obligation are generally recognized at a point in time. Conversely, research and development services for each 
specified  indication  are  performed  over  time  and  amounts  allocated  to  these  performance  obligations  are 
generally recognized over time using cost inputs as a measure of progress. The Group has determined that 
research and development expenses provide an appropriate depiction of measure of progress for the research 
and development services. Changes to estimated cost inputs may result in a cumulative catch-up adjustment. 
Royalty  revenues  are  recognized  as  future  sales  occur  as  they  meet  the  requirements  for  the  sales-usage 
based royalty exception. 

Deferred revenue is recognized if allocated consideration is received in advance of the Group rendering 
research  and  development  services  or  earning  royalties  on  future  sales. Accounts  receivable  is  recognized 
based on the terms of the contract and when the Group has an unconditional right to bill the customer, which is 
generally when research and development services are rendered. 

Research and Development Expenses 

Research and development expenses include the following: (i) research and development costs, which 
are  expensed  as  incurred;  (ii)  acquired  in-process  research  and  development  (“IPR&D”)  expenses,  which 
include the initial costs of externally developed IPR&D projects, acquired directly in a transaction other than a 
business combination, that do not have an alternative future use; and (iii) milestone payment obligations for 
externally  developed  IPR&D  projects  incurred  prior  to  regulatory  approval  of  the  product  in  the  in-licensed 
territory,  which  are  accrued  when  the  event  requiring  payment  of  the  milestone  occurs  (milestone  payment 
obligations incurred upon regulatory approval are recorded as other intangible assets). 

Collaborative Arrangements 

The Group enters into collaborative arrangements with collaboration partners that fall under the scope 
of  Accounting  Standards  Codification  (“ASC”)  808,  Collaborative  Arrangements  (“ASC  808”).    The  Group 
records  all  expenditures  for  such  collaborative  arrangements  in  research  and  development  expenses  as 
incurred,  including  payments  to  third  party  vendors  and  reimbursements  to  collaboration  partners,  if  any. 
Reimbursements  from  collaboration  partners  are  recorded  as  reductions  to  research  and  development 
expenses and accrued when they can be contractually claimed. 

Government Grants 

Grants from governments are recognized at their fair values. Government grants that are received in 
advance are deferred and recognized in the consolidated statements of operations over the period necessary 
to  match  them  with  the  costs  that  they  are  intended  to  compensate.  Government  grants  in  relation  to  the 
achievement of stages of research and development projects are recognized in the consolidated statements of 
operations  when  amounts  have  been  received  and  all  attached  conditions  have  been  met.  Non-refundable 
grants  received  without  any  further  obligations  or  conditions  attached  are  recognized  immediately  in  the 
consolidated statements of operations. 

108

 
 
 
 
 
 
 
 
 
 
 
Leases 

In  an  operating  lease,  a  lessee  obtains  control  of  only  the  use  of  the  underlying  asset,  but  not  the 
underlying asset itself. An operating lease is recognized as a right-of-use asset with a corresponding liability at 
the date which the leased asset is available for use by the Group. The Group recognizes an obligation to make 
lease payments equal to the present value of the lease payments over the lease term. The lease terms may 
include options to extend or terminate the lease when it is reasonably certain that the Group will exercise that 
option. 

Lease liabilities include the net present value of the following lease payments: (i) fixed payments; (ii) 
variable lease payments that depend on an index or a rate; and (iii) payments of penalties for terminating the 
lease if the lease term reflects the lessee exercising that option, if any. Lease liabilities exclude the following 
payments that are generally accounted for separately: (i) non-lease components, such as maintenance and 
security  service  fees  and  value  added  tax,  and  (ii)  any  payments  that  a  lessee  makes  before  the  lease 
commencement date. The lease payments are discounted using the interest rate implicit in the lease or if that 
rate cannot be determined, the lessee’s incremental borrowing rate being the rate that the lessee would have 
to pay to borrow the funds in its currency and jurisdiction necessary to obtain an asset of similar value, economic 
environment and terms and conditions. 

An asset representing the right to use the underlying asset during the lease term is recognized that 
consists of the initial measurement of the operating lease liability, any lease payments made to the lessor at or 
before the commencement date less any lease incentives received, any initial direct cost incurred by the Group 
and any restoration costs. 

After commencement of the operating lease, the Group recognizes lease expenses on a straight-line 
basis  over  the  lease  term.  The  right-of-use  asset  is  subsequently  measured  at  cost  less  accumulated 
amortization and any impairment provision. The amortization of the right-of-use asset represents the difference 
between the straight-line lease expense and the accretion of interest on the lease liability each period. The 
interest amount is used to accrete the lease liability and to amortize the right-of-use asset. There is no amount 
recorded as interest expense. 

Payments associated with short-term leases are recognized as lease expenses on a straight-line basis 

over the period of the leases. 

Subleases of right-of-use assets are accounted for similar to other leases. As an intermediate lessor, 
the Group separately accounts for the head-lease and sublease unless it is relieved of its primary obligation 
under the head-lease. Sublease income is recorded on a gross basis separate from the head-lease expenses. 
If the total remaining lease cost on the head-lease is more than the anticipated sublease income for the lease 
term, this is an indicator that the carrying amount of the right-of-use asset associated with the head-lease may 
not be recoverable, and the right-of-use asset will be assessed for impairment. 

Income Taxes 

The Group accounts for income taxes under the liability method. Under the liability method, deferred 
income tax assets and liabilities are determined based on the differences between the financial reporting and 
income tax bases of assets and liabilities and are measured using the income tax rates that will be in effect 
when the differences are expected to reverse. A valuation allowance is recorded when it is more likely than not 
that some of the net deferred income tax asset will not be realized. 

The Group accounts for an uncertain tax position in the consolidated financial statements only if it is 
more  likely  than  not  that  the  position  is  sustainable  based  on  its  technical  merits  and  consideration  of  the 
relevant tax authority’s widely understood administrative practices and precedents. If the recognition threshold 
is met, the Group records the largest amount of tax benefit that is greater than 50 percent likely to be realized 
upon ultimate settlement.  

The Group recognizes interest and penalties for income taxes, if any, under income tax payable on its 

consolidated balance sheets and under other expenses in its consolidated statements of operations. 

Losses per Share 

Basic losses per share is computed by dividing net loss attributable to the Company by the weighted 
average  number  of  outstanding  ordinary  shares  in  issue  during  the  year.  Weighted  average  number  of 
outstanding ordinary shares in issue excludes treasury shares.  

HUTCHMED (China) Limited 2021 Annual Report  109

 
 
 
 
 
 
 
 
 
 
 
 
 
Diluted losses per share is computed by dividing net loss attributable to the Company by the weighted 
average number of outstanding ordinary shares in issue and dilutive ordinary share equivalents outstanding 
during the year. Dilutive ordinary share equivalents include ordinary shares and treasury shares issuable upon 
the exercise or settlement of share-based awards or warrants issued by the Company using the treasury stock 
method. The  computation  of  diluted  losses  per  share  does  not  assume  conversion,  exercise,  or  contingent 
issuance of securities that would have an anti-dilutive effect. 

Segment Reporting 

Operating segments are reported in a manner consistent with the internal reporting provided to the chief 
executive officer who is the Group’s chief operating decision maker. The chief operating decision maker reviews 
the Group’s internal reporting in order to assess performance and allocate resources. 

Profit Appropriation and Statutory Reserves 

The  Group’s  subsidiaries  and  equity  investees  established  in  the  PRC  are  required  to  make 

appropriations to certain non-distributable reserve funds.  

In  accordance  with  the  relevant  laws  and  regulations  established  in  the  PRC,  the  Company’s 
subsidiaries  registered  as  wholly-owned  foreign  enterprise  have  to  make  appropriations  from  their  after-tax 
profits (as determined under generally accepted accounting principles in the PRC (“PRC GAAP”)) to reserve 
funds  including  general  reserve  fund,  enterprise  expansion  fund  and  staff  bonus  and  welfare  fund.  The 
appropriation to the general reserve fund must be at least 10% of the after-tax profits calculated in accordance 
with PRC GAAP. Appropriation is not required if the general reserve fund has reached 50% of the registered 
capital of the company. Appropriations to the enterprise expansion fund and staff bonus and welfare fund are 
made at the respective company’s discretion. For the Group's equity investees, the amount of appropriations to 
these funds are made at the discretion of their respective boards.  

In  addition,  Chinese  domestic  companies  must  make  appropriations  from  their  after-tax  profits  as 
determined  under  PRC  GAAP  to  non-distributable  reserve  funds  including  statutory  surplus  fund  and 
discretionary surplus fund. The appropriation to the statutory surplus fund must be 10% of the after-tax profits 
as determined under PRC GAAP. Appropriation is not required if the statutory surplus fund has reached 50% of 
the registered capital of the company. Appropriation to the discretionary surplus fund is made at the respective 
company’s discretion. 

The use of the general reserve fund, enterprise expansion fund, statutory surplus fund and discretionary 
surplus  fund  is  restricted  to  the  offsetting  of  losses  or  increases  to  the  registered  capital  of  the  respective 
company. The staff bonus and welfare fund is a liability in nature and is restricted to fund payments of special 
bonus to employees and for the collective welfare of employees. All these reserves are not permitted to be 
transferred to the company as cash dividends, loans or advances, nor can they be distributed except under 
liquidation. 

4. Fair Value Disclosures 

The following table presents the Group’s financial instruments by level within the fair value hierarchy under 

ASC 820, Fair Value Measurement: 

As at December 31, 2021 
Cash and cash equivalents 
Short-term investments 
Warrant (Note 20) 

As at December 31, 2020 
Cash and cash equivalents 
Short-term investments 

Fair Value Measurement Using 

Level 1 

Level 2 

Level 3 

Total 

(in US$’000) 

377,542 
634,158 
— 

235,630 
199,546 

— 
— 
2,452 

— 
— 

— 
— 
— 

— 
— 

377,542 
634,158 
2,452 

235,630 
199,546 

Accounts receivable, other receivables, accounts payable and other payables are carried at cost, which 
approximates fair value due to the short-term nature of these financial instruments, and are therefore excluded 
from  the  above  table.  Bank  borrowings  are  floating  rate  instruments  and  carried  at  amortized  cost,  which 
approximates their fair values, and are therefore excluded from the above table. 

110

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
5. Cash and Cash Equivalents and Short-term Investments  

Cash and Cash Equivalents 
Cash at bank and on hand  
Bank deposits maturing in three months or less  

Short-term Investments  

Bank deposits maturing over three months (note) 

December 31, 

2021 

2020 

(in US$’000) 

104,620 
272,922 
377,542 

634,158 
1,011,700 

87,828 
147,802 
235,630 

199,546 
435,176 

Note: The maturities for short-term investment ranged from 91 to 180 days for the year ended December 31, 
2021 and 2020. 

Certain cash and bank balances denominated in RMB, US$ and UK Pound Sterling (“£”) were deposited 
with banks in the PRC. The conversion of these balances into foreign currencies is subject to the rules and 
regulations of foreign exchange control promulgated by the PRC government. Cash and cash equivalents and 
short-term investments were denominated in the following currencies:  

US$ 
RMB  
Hong Kong dollar (“HK$”) 
£ 
Euro 

December 31, 

2021 

2020 

(in US$’000) 

895,935 
53,455 
60,535 
1,090 
685 
1,011,700 

352,162 
64,870 
16,880 
954 
310 
435,176 

6. Accounts Receivable 

Accounts receivable from contracts with customers consisted of the following: 

Accounts receivable—third parties 
Accounts receivable—related parties (Note 24(ii)) 
Allowance for credit losses 
Accounts receivable, net 

December 31, 

2021 

2020 

(in US$’000) 

82,434 
1,166 
(20) 
83,580 

46,743 
1,222 
(95) 
47,870 

Substantially all accounts receivable are denominated in RMB, US$ and HK$ and are due within one year 
from the end of the reporting periods. The carrying values of accounts receivable approximate their fair values 
due to their short-term maturities. 

An aging analysis for accounts receivable—third parties based on the relevant invoice dates is as follows: 

Not later than 3 months 
Between 3 months to 6 months 
Between 6 months to 1 year 
Later than 1 year 
Account receivable—third parties 

December 31, 

2021 

2020 

(in US$’000) 

78,288 
2,867 
78 
1,201 
82,434 

42,434 
3,118 
23 
1,168 
46,743 

HUTCHMED (China) Limited 2021 Annual Report  111

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Movements on the allowance for credit losses: 

As at January 1 
Increase in allowance for credit losses 
Decrease in allowance due to subsequent collection  
Exchange difference 
As at December 31 

2021 

2020 

2019 

95 
16 
(92) 
1 
20 

(in US$’000) 
16 
95 
(18) 
2 
95 

41 
16 
(41) 
—  
16 

7. Other receivables, prepayments and deposits 

Other receivables, prepayments and deposits consisted of the following: 

Dividend receivables (Note 23) 
Value-added tax receivables 
Prepayments 
Deposits 
Amounts due from related parties (Note 24(ii)) 
Leasehold land deposit (Note 12) 
Others  

December 31, 

2021 

2020 

(in US$’000) 

46,387 
16,616 
14,128 
1,255 
1,149 
— 
1,506 
81,041 

— 
14,957 
7,038 
905 
1,142 
930 
2,956 
27,928 

No allowance for credit losses have been made for other receivables, prepayments and deposits for the 

year ended December 31, 2021 and 2020. 

8. Inventories 

Inventories, net of provision for excess and obsolete inventories, consisted of the following: 

Raw materials 
Finished goods 

December 31, 

2021 

2020 

(in US$’000) 

15,837 
19,918 
35,755 

4,502 
15,264 
19,766 

112

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
9. Property, Plant and Equipment 

Property, plant and equipment consisted of the following: 

  Buildings 

Leasehold 
improvements   

Plant and 
equipment 

Furniture 
and fixtures, 
other 
equipment 
and motor 
vehicles 

Construction 
in progress 

Total 

(in US$’000) 

2,372   
—   
—   
—   
60   

16,346   
452   
(275)   
916   
389   

5,643   
24   
(19)   
197   
142   

23,040   
3,189   
(705)   
1,849   
584   

3,050   
19,669   
—   
(2,962)   
213   

50,451 
23,334 
(999) 
— 
1,388 

2,432   

17,828   

5,987   

27,957   

19,970   

74,174 

1,626   
120   
—   
42   

8,652   
2,904   
(223)   
238   

1,747   
574   
(18)   
49   

14,256   
3,244   
(688)   
376   

—   
—   
—   
—   

26,281 
6,842 
(929) 
705 

1,788   

11,571   

2,352   

17,188   

—   

32,899 

644   

6,257   

3,635   

10,769   

19,970   

41,275 

  Buildings 

Leasehold 
improvements   

Plant and 
equipment 

Furniture 
and fixtures, 
other 
equipment 
and motor 
vehicles 

Construction 
in progress 

Total 

(in US$’000) 

2,212   
—   
—   
—   
160   

17,022   
269   
(3,103)   
1,014   
1,144   

4,474   
59   
(3)   
789   
324   

19,571   
2,993   
(1,846)   
913   
1,409   

928   
4,571   
—   
(2,716)   
267   

44,207 
7,892 
(4,952) 
— 
3,304 

2,372   

16,346   

5,643   

23,040   

3,050   

50,451 

1,406   
112   
—   
108   

8,304   
2,701   
(3,051)   
698   

1,155   
484   
(1)   
109   

12,487   
2,646   
(1,815)   
938   

—   
—   
—   
—   

23,352 
5,943 
(4,867) 
1,853 

1,626   

8,652   

1,747   

14,256   

—   

26,281 

746   

7,694   

3,896   

8,784   

3,050   

24,170 

Cost 

As at January 1, 2021 
Additions 
Disposals 
Transfers 
Exchange differences 
As at December 31, 
2021 

Accumulated depreciation 
As at January 1, 2021 
Depreciation 
Disposals 
Exchange differences 
As at December 31, 
2021 

Net book value 

As at December 31, 
2021 

Cost 

As at January 1, 2020 
Additions 
Disposals 
Transfers 
Exchange differences 
As at December 31, 
2020 

Accumulated depreciation 
As at January 1, 2020 
Depreciation 
Disposals 
Exchange differences 
As at December 31, 
2020 

Net book value 

As at December 31, 
2020 

HUTCHMED (China) Limited 2021 Annual Report  113

 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
10. Leases  

Leases consisted of the following: 

Right-of-use assets 
Offices (note) 
Factories 
Warehouse 
Others 

Total right-of-use assets 
Lease liabilities—current 
Lease liabilities—non-current 
Total lease liabilities 

December 31, 

2021 

2020 

(in US$’000) 

10,605 
702 
281 
291 
11,879 
4,917 
7,161 
12,078 

6,789 
945 
197 
85 
8,016 
2,785 
6,064 
8,849 

Note: Includes US$1.4 million right-of-use asset for corporate offices in Hong Kong that is leased through May 
2024 in which the contract has a termination option with 1-month advance notice. The termination option was 
not recognized as part of the right-of-use asset and lease liability as it is uncertain that the Group will exercise 
such option. 

Lease activities are summarized as follows: 

Lease expenses: 

Short-term leases with lease terms equal or less than 12 months 
Leases with lease terms greater than 12 months 

Cash paid on lease liabilities 
Non-cash: Lease liabilities recognized from obtaining right-of-use 

assets 

Non-cash: Lease liabilities changed in relation to modifications and 

terminations 

Year Ended December 31, 

2021 

2020 

(in US$’000) 

106 
4,306 
4,412 
4,954 

7,665 

(33) 

323 
3,400 
3,723 
3,340 

3,098 

2,259 

Lease contracts are typically within a period of 1 to 8 years. The weighted average remaining lease term 
and the weighted average discount rate as at December 31, 2021 was 3.38 years and 3.33% respectively. The 
weighted average remaining lease term and the weighted average discount rate as at December 31, 2020 was 
3.72 years and 3.87% respectively. 

Future lease payments are as follows: 

Lease payments: 

Not later than 1 year 
Between 1 to 2 years 
Between 2 to 3 years 
Between 3 to 4 years 
Between 4 to 5 years 
Later than 5 years 
Total lease payments 
Less: Discount factor 
Total lease liabilities 

114

December 31, 

2021 

(in US$’000) 

5,216 
3,376 
1,882 
679 
680 
795 
12,628 
(550) 
12,078 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
11. Investments in Equity Investees 

Investments in equity investees consisted of the following: 

SHPL 
HBYS (note) 
Other  

December 31, 

2021 

2020 

(in US$’000) 

75,999 
— 
480 
76,479 

79,408 
59,712 
385 
139,505 

Note: On September 28, 2021, the Group completed a transaction to sell its entire investment in HBYS to a third 
party (Note 23). The Group has accounted for the investment in HBYS under the equity method up to September 
28, 2021.  

The equity investees are private companies and there are no quoted market prices available for their shares. 

Summarized financial information for the significant equity investees SHPL and HBYS, both under Other 

Ventures segment, is as follows: 

(i)  Summarized balance sheets 

Current assets 
Non-current assets 
Current liabilities 
Non-current liabilities 
Net assets 
Non-controlling interests 

SHPL  

HBYS 

December 31, 

2021 

2020 

2021 

2020 

(in US$’000) 

190,260   
91,605   
(128,993)   
(7,131)   
145,741   
—   
145,741   

175,965   
93,361   
(109,873)   
(6,739)   
152,714   
—   
152,714   

—   
—   
—   
—   
—   
—   
—   

177,888 
95,731 
(137,179) 
(16,034) 
120,406 
(982) 
119,424 

(ii)  Summarized statements of operations 

Revenue 
Gross profit 
Interest income 
Finance cost 
Profit before taxation 
Income tax expense (note (c)) 
Net income 
Non-controlling interests 
Net income attributable to the 

shareholders of equity 
investee 

SHPL  

HBYS(note (a)) 

2021 

2020 

Year Ended December 31, 
  2021(note (b)) 

2019 

(in US$’000) 

2020 

2019 

  332,648   
  255,089   
1,216   
—   
  105,325   
(15,896)   
  89,429   
—   

276,354   
204,191   
975   
—   
77,837   
(10,833)   
67,004   
—   

272,082   
194,769   
582   
—   
72,324   
(11,015)   
61,309   
—   

209,528   
111,066   
205   
—   
36,715   
(4,840)   
31,875   
(36)   

232,368    215,403 
116,804    115,124 
160 
(16) 
22,926 
(3,634) 
19,292 
505 

271   
(5)   
107,715   
(16,494)   
91,221   
62   

  89,429   

67,004   

61,309   

31,839   

91,283   

19,797 

HUTCHMED (China) Limited 2021 Annual Report  115

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes:  

(a)  In June 2020, HBYS entered into an agreement with the government to return the land use right for a plot 
of  land  in  Guangzhou  to  the  government  (the  “Land  Compensation Agreement”)  for  cash  consideration 
which  aggregated  to  RMB679.5  million  (approximately  US$103.1  million).  In  November  2020,  HBYS 
completed all material obligations as stipulated in the Land Compensation Agreement and recognized land 
compensation  of  RMB569.2  million  (approximately  US$86.1  million).  In  June  2021,  HBYS  received  a 
completion  confirmation  from  the  government  and  became  entitled  to  an  additional  land  compensation 
bonus of RMB110.3 million (approximately US$17.0 million). HBYS recorded a gain before tax of RMB106.8 
million  (approximately  US$16.4  million)  after  deducting  costs  of  RMB3.5  million  (approximately  US$0.6 
million). 

(b)  The summarized statement of operations  for HBYS for the  year ended December 31, 2021  includes  the 
period  when  HBYS  was  the  Group’s  equity  investee  from  January  1,  2021  to  September  28,  2021,  the 
completion date of the divestment. 

(c)  The  main  entities  within  each  of  the  SHPL  and  HBYS  groups  have  been  granted  the  High  and  New 
Technology  Enterprise  (“HNTE”)  status  (the  latest  renewal  of  this  status  covers  the  years  from  2020  to 
2022). These entities were eligible to use a preferential income tax rate of 15% for the year ended December 
31, 2021 on this basis.  

For  the  years  ended  December  31,  2021,  2020  and  2019,  other  equity  investees  had  net  income  of 
approximately  US$41,000,  net  losses  of  approximately  US$194,000  and  net  income  of  approximately 
US$294,000 respectively.  

(iii) Reconciliation of summarized financial information 

Reconciliation of the summarized financial information presented to the carrying amount of investments in 

equity investees is as follows: 

2021 

SHPL 
2020 

2019 

2021 

(in US$’000) 

HBYS 
2020 

2019 

Opening net assets after non-controlling 

interests as at January 1 

  152,714    146,759    131,778    119,424    44,541    121,984 

Impact of change in accounting policy 

(ASC 842—Leases) 

—   

—   

(2)   

—   

—   

(19) 

Net income attributable to the shareholders 

of equity investee 

89,429   

67,004   

61,309   

31,839    91,283   

19,797 

Purchase of additional interests in a 

subsidiary of an equity investee (note) 

Dividends declared 
Other comprehensive income/(loss) 
Closing net assets after non-controlling 

interests as at December 31 

Group’s share of net assets 
Divestment (Note 23) 
Goodwill 
Carrying amount of investments as at 

—   
(99,744)   
3,342   

—   
(72,179)   
11,130   

—   

—   

(347)   
(41,654)    (106,159)    (20,756)   
4,703   

(4,672)   

1,387   

— 
(93,957) 
(3,264) 

  145,741    152,714    146,759   
73,380   
—   
2,846   

76,357   
—   
3,051   

72,871   
—   
3,128   

46,491    119,424   
23,246    59,712   
—   
(23,246)   
—   
—   

44,541 
22,271 
— 
— 

December 31 

75,999   

79,408   

76,226   

—    59,712   

22,271 

Note: During the year ended December 31, 2020, HBYS acquired an additional 30% interest in a subsidiary and 
after the acquisition, it became a wholly owned subsidiary of HBYS. 

SHPL had the following capital commitments: 

Property, plant and equipment 

Contracted but not provided for 

116

December 31, 2021 
(in US$’000) 

155 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
12. Other Non-Current Assets 

Leasehold land (note) 
Goodwill 
Warrant (Note 20) 
Leasehold land deposit (note) 
Long term prepayment 
Other intangible asset 
Deferred issuance cost 

December 31, 

2021 

2020 

(in US$’000) 

13,169 
3,380 
2,452 
1,436 
951 
163 
— 
21,551 

13,121 
3,307 
— 
1,396 
950 
227 
1,171 
20,172 

Note:  In  December  2020,  HUTCHMED  Limited  acquired  a  land  use  right  in  Shanghai  for  consideration  of 
US$12.0 million. In addition, a leasehold land deposit amounting to US$2.3 million was required to be paid to 
the government which is refundable upon reaching specific milestones for the construction of a manufacturing 
plant on the land. US$0.9 million was returned in January 2021 (Note 7) and US$1.4 million was included in 
other non-current assets based on the expected timing of the specific milestones. 

13. Accounts Payable 

Accounts payable—third parties 
Accounts payable—non-controlling shareholders of 

subsidiaries (Note 24(iv)) 

December 31, 

2021 

2020 

(in US$’000) 

39,115 

2,062 
41,177 

26,756 

4,856 
31,612 

Substantially all accounts payable are denominated in RMB and US$ and due within one year from the end 
of the reporting period. The carrying values of accounts payable approximate their fair values due to their short-
term maturities. 

An aging analysis based on the relevant invoice dates is as follows: 

Not later than 3 months 
Between 3 months to 6 months 
Between 6 months to 1 year 
Later than 1 year 

December 31, 

2021 

2020 

(in US$’000) 

35,615 
3,705 
588 
1,269 
41,177 

26,270 
3,364 
782 
1,196 
31,612 

HUTCHMED (China) Limited 2021 Annual Report  117

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
14. Other Payables, Accruals and Advance Receipts 

Other payables, accruals and advance receipts consisted of the following: 

Accrued research and development expenses 
Accrued salaries and benefits 
Accrued administrative and other general expenses 
Accrued capital expenditures  
Accrued selling and marketing expenses 
Deposits 
Amounts due to related parties (Note 24(ii)) 
Deferred government grants 
Others 

15. Bank Borrowings 

Bank borrowings consisted of the following: 

Current 
Non-current 

December 31, 

2021 

2020 

(in US$’000) 

116,134 
41,786 
15,836 
11,343 
8,412 
2,111 
1,915 
314 
12,988 
210,839 

72,697 
21,982 
10,319 
2,736 
5,747 
1,408 
401 
374 
5,619 
121,283 

December 31, 

2021 

2020 

(in US$’000) 

26,905 
— 

— 
26,861 

The weighted average interest rate for outstanding bank borrowings for the years ended December 31, 2021 
and  2020  was  1.08%  per  annum  and  1.89%  per  annum  respectively.  The  carrying  amounts  of  the  Group’s 
outstanding bank borrowings were denominated in HK$.  

(i)  3-year revolving loan facility and 3-year term loan and revolving loan facilities 

In November 2018, the Group through its subsidiary, renewed a 3-year revolving loan facility with a bank in 
the amount of HK$234,000,000 (US$30,000,000) with an interest rate at the Hong Kong Interbank Offered Rate 
(“HIBOR”)  plus  0.85%  per  annum. This  credit  facility  is  guaranteed  by  the  Company.  No  amount  had  been 
drawn from the revolving loan facility and it expired in November 2021. 

In May 2019, the Group through its subsidiary, entered into a separate facility agreement with the bank for 
the  provision  of  additional  unsecured  credit  facilities  in  the  aggregate  amount  of  HK$400,000,000 
(US$51,282,000). The 3-year credit facilities include (i) a HK$210,000,000 (US$26,923,000) term loan facility 
and  (ii)  a HK$190,000,000 (US$24,359,000) revolving loan facility, both with an interest rate at HIBOR plus 
0.85% per annum, and an upfront fee of HK$819,000 (US$105,000) on the term loan. These credit facilities are 
guaranteed by the Company. The term loan was drawn in October 2019 and is due in May 2022. No amount 
has been drawn from the revolving loan facility.  

118

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(ii)  2-year revolving loan facilities 

In August 2018, the Group through its subsidiary, entered into two separate facility agreements with banks 
for the provision of unsecured credit facilities in the aggregate amount of HK$507,000,000 (US$65,000,000). 
The first credit facility was a HK$351,000,000 (US$45,000,000) revolving loan facility, with a term of 2 years and 
an  interest  rate  at  HIBOR  plus  1.35%  per  annum.  The  second  credit  facility  was  a  HK$156,000,000 
(US$20,000,000) revolving loan facility, with a term of 2 years and an interest rate at HIBOR plus 1.35% per 
annum. These credit facilities were guaranteed by the Company. No amount has been drawn from either of the 
revolving loan facilities. Both loan facilities expired in August 2020. 

In August 2020, the Group through its subsidiary, entered into a 2-year revolving loan facility with a bank in 
the  amount  of  HK$117,000,000  (US$15,000,000)  with  an  interest  rate  at  HIBOR  plus  4.5%  per  annum. This 
credit facility is guaranteed by the Company. As at December 31, 2021 and 2020, no amount has been drawn 
from the revolving loan facility.  

(iii) 10-year fixed asset loan facility 

In October 2021, a subsidiary entered into a 10-year fixed asset loan facility agreement with a bank for the 
provision of a secured credit facility in the amount of RMB754,880,000 (US$118,071,000) with an annual interest 
rate at the 5-year China Loan Prime Rate less 0.65%. This credit facility is guaranteed by the immediate holding 
company of the subsidiary and secured by the underlying leasehold land and buildings. As at December 31, 
2021, no amount has been drawn from the fixed asset loan facility. 

The Group’s bank borrowings are repayable as from the dates indicated as follows: 

Not later than 1 year 
Between 1 to 2 years 

December 31, 

2021 

2020 

(in US$’000) 

26,923 
— 
26,923 

— 
26,923 
26,923 

As at December 31, 2021 and 2020, the Group had unutilized bank borrowing facilities of US$157,430,000 

and US$69,359,000 respectively. 

16. Commitments and Contingencies 

The Group had the following capital commitments: 

Property, plant and equipment 

Contracted but not provided for 

The Group does not have any other significant commitments or contingencies. 

December 31, 2021 
(in US$’000) 

44,204 

HUTCHMED (China) Limited 2021 Annual Report  119

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
17. Ordinary Shares 

As at December 31, 2021, the Company is authorized to issue 1,500,000,000 ordinary shares. 

On January 27, 2020, the Company issued 22,000,000 ordinary shares in the form of 4,400,000 ADS for 
gross proceeds of US$110.0 million. On February 10, 2020, the Company issued an additional 1,668,315 ordinary 
shares in the form of 333,663 ADS for gross proceeds of US$8.3 million. Issuance costs totaled US$8.0 million. 

On July 2, 2020 and July 3, 2020, the Company issued (1) aggregate 20,000,000 ordinary shares and (2) 
warrants to a third party for gross proceeds of US$100.0 million through a PIPE. The warrants allowed the third 
party to purchase up to 16,666,670 ordinary shares of the Company within 18 months of the issuance date for 
an  exercise price  of US$6.00  per  ordinary share,  which  have  since expired.  Issuance  costs  totaled US$0.2 
million. 

On November 26, 2020, the Company issued 16,666,670 ordinary shares to a third party for gross proceeds 

of US$100.0 million through a PIPE. Issuance costs totaled US$0.1 million. 

On April 14, 2021, the Company issued 16,393,445 ordinary shares to a third party for gross proceeds of 

US$100.0 million through a PIPE. Issuance costs totaled US$0.1 million. 

On June 30, 2021 and July 15, 2021, the Company issued an aggregate of 119,600,000 ordinary shares in a 
public  offering  on  the  HKEX  with  over-allotment  option  exercised  in  full  for  aggregate  gross  proceeds  of 
US$614.9 million. Issuance costs totaled US$29.7 million. 

Each  ordinary  share  is  entitled  to  one  vote. The  holders  of  ordinary  shares  are  also  entitled  to  receive 
dividends whenever funds are legally available and when declared by the Board of Directors of the Company. 

18. Share-based Compensation 

(i)  Share-based Compensation of the Company 

The Company conditionally adopted a share option scheme on June 4, 2005 (as amended on March 21, 
2007) and such scheme has a term of 10 years. It expired in 2016 and no further share options can be granted. 
Another  share  option  scheme  was  conditionally  adopted  on  April  24,  2015  (the  “Hutchmed  Share  Option 
Scheme”). Pursuant to the Hutchmed Share Option Scheme, the Board of Directors of the Company may, at its 
discretion, offer any employees and directors (including Executive and Non-executive Directors but excluding 
Independent Non-executive Directors) of the Company, holding companies of the Company and any of their 
subsidiaries or affiliates, and subsidiaries or affiliates of the Company share options to subscribe for shares of 
the Company. 

As  at  December  31,  2021,  the  aggregate  number  of  shares  issuable  under  the  Hutchmed  Share  Option 
Scheme was 50,059,198 ordinary shares and the aggregate number of shares issuable under the prior share 
option scheme  which  expired  in  2016 was  705,060  ordinary  shares. The Company will  issue  new  shares  to 
satisfy  share  option  exercises. Additionally,  the  number  of  shares  authorized but  unissued  was  635,469,150 
ordinary shares. 

Share options granted are generally subject to a four-year vesting schedule, depending on the nature and 
the purpose of the grant. Share options subject to the four-year vesting schedule, in general, vest 25% upon 
the first anniversary of the vesting commencement date as defined in the grant letter, and 25% every subsequent 
year. However, certain share option grants may have a different vesting schedule as approved by the Board of 
Directors of the Company. No outstanding share options will be exercisable or subject to vesting after the expiry 
of a maximum of eight to ten years from the date of grant. 

120

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
A summary of the Company’s share option activity and related information is as follows: 

Outstanding at January 1, 2019 
Granted 
Exercised 
Cancelled 
Expired 
Outstanding at December 31, 2019 
Granted 
Exercised 
Cancelled 
Expired 
Outstanding at December 31, 2020 
Granted 
Exercised 
Cancelled 
Expired 
Outstanding at December 31, 2021 
Vested and exercisable at December 

31, 2020 

Vested and exercisable at December 

31, 2021 

Number of 
share options 
18,554,850 
2,315,000 
(329,000) 
(1,012,110) 
(96,180) 
19,432,560 
15,437,080 

(480,780)   
(4,486,200)   
(741,670)   

29,160,990 
10,174,840 

(815,190)   
(1,287,650)   
(42,400)   

37,190,590 

11,529,280 

16,077,770 

Weighted 
average  
exercise price  
in US$ per share 

4.57   
4.12   
0.76   
6.33   
6.51   
4.48   
4.66   
1.23   
5.02   
6.46   
4.49   
5.96   
3.01   
5.50   
5.52   
4.88   

3.74   

4.24   

Weighted 
average 
remaining 
contractual life 
(years) 

7.35 

Aggregate 
intrinsic 
value 
(in US$’000) 
19,277 

6.67   

24,316 

7.21   

53,990 

7.04   

82,377 

4.57   

29,433 

4.91   

46,491 

In estimating the fair value of share options granted, the following assumptions were used in the Polynomial 

model for awards granted in the periods indicated: 

Weighted average grant date fair value of share options (in US$ per 

share) 

Significant inputs into the valuation model (weighted average): 

Exercise price (in US$ per share) 
Share price at effective date of grant (in US$ per share) 
Expected volatility (note (a)) 
Risk-free interest rate (note (b)) 
Contractual life of share options (in years) 
Expected dividend yield (note (c)) 

Notes: 

Year Ended December 31, 

2021 

2.24 

2020 

1.76 

5.96 
5.91 
41.1% 
1.62% 
10 
0% 

4.66 
4.66 
42.6% 
0.59% 
10 
0% 

2019 

1.33 

4.12 
3.98 
38.4% 
0.56% 
10 
0% 

(a)  The Company calculated its expected volatility with reference to the historical volatility prior to the issuances 

of share options. 

(b)  For share options exercisable into ordinary shares, the risk-free interest rates reference the sovereign yield 
of  the  United  Kingdom  because  the  Company’s  ordinary  shares  are  currently  listed  on  AIM  and 
denominated in £. For share options exercisable into ADS, the risk-free interest rates reference the U.S. 
Treasury yield curves because the Company’s ADS are currently listed on the NASDAQ and denominated 
in US$. 

(c)  The Company has not declared or paid any dividends and does not currently expect to do so prior to the 
exercise  of  the  granted  share  options,  and  therefore  uses  an  expected  dividend  yield  of  zero  in  the 
Polynomial model. 

HUTCHMED (China) Limited 2021 Annual Report  121

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
   
 
 
 
   
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Company will issue new shares to satisfy share option exercises. The following table summarizes the 

Company’s share option exercises:  

Cash received from share option exercises 
Total intrinsic value of share option exercises 

Year Ended December 31, 

2021 

2020 

2019 

2,452 
2,999 

(in US$’000) 

593 
2,475 

251 
1,189 

The  Group  recognizes  compensation  expense  on  a  graded  vesting  approach  over  the  requisite  service 
period. The following table presents share-based compensation expense included in the Group’s consolidated 
statements of operations: 

Research and development expenses 
Selling and administrative expenses 
Cost of revenues 

Year Ended December 31, 

2021 

2020 

2019 

8,460 
7,783 
122 
16,365 

(in US$’000) 

4,061 
4,586 
90 
8,737 

6,634 
539 
— 
7,173 

As  at  December  31,  2021,  the  total  unrecognized  compensation  cost  was  US$23,051,000,  and  will  be 

recognized on a graded vesting approach over the weighted average remaining service period of 3.04 years. 

(ii) 

LTIP 

The  Company  grants  awards  under  the  LTIP  to  participating  directors  and  employees,  giving  them  a 
conditional right to receive ordinary shares of the Company or the equivalent ADS (collectively the “Awarded 
Shares”) to be purchased by the Trustee up to a cash amount. Vesting will depend upon continued employment 
of  the  award  holder  with  the  Group  and  will  otherwise  be  at  the  discretion  of  the  Board  of  Directors  of  the 
Company. Additionally, some awards are subject to change based on annual performance targets prior to their 
determination date. 

LTIP awards prior to the determination date 

Performance targets vary by award, and may include targets for shareholder returns, financings, free cash 
flows, revenues, net profit after taxes and the achievement of clinical and regulatory milestones. As the extent 
of achievement of the performance targets is uncertain prior to the determination date, a probability based on 
management’s assessment on the achievement of the performance target has been assigned to calculate the 
amount to be recognized as an expense over the requisite period with a corresponding entry to liability. 

LTIP awards after the determination date 

Upon the determination date, the Company will pay a determined monetary amount, up to the maximum 
cash amount based on the actual achievement of the performance target specified in the award, to the Trustee 
to purchase the Awarded Shares. Any cumulative compensation expense previously recognized as a liability 
will  be  transferred  to  additional  paid-in  capital,  as  an  equity-settled  award.  If  the  performance  target  is  not 
achieved, no Awarded Shares of the Company will be purchased and the amount previously recorded in the 
liability will be reversed through share-based compensation expense. 

122

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Granted awards under the LTIP are as follows: 

Grant date 
August 5, 2019 
October 10, 2019 
April 20, 2020 
April 20, 2020 
April 20, 2020 
April 20, 2020 
August 12, 2020 
August 12, 2020 
March 26, 2021 
September 1, 2021 
September 1, 2021 
October 20, 2021 
December 14, 2021 
December 14, 2021 

Notes:   

Maximum cash amount 
(in US$ millions) 

0.7 
0.1 
5.3 
37.4 
1.9 
0.2 
2.1 
0.3 
57.3 
7.3 
0.5 
1.7 
0.1 
0.1 

Covered 
financial years 
2019 
note (b) 
2019 
2020 
note (b) 
note (c) 
2020 
note (b) 
2021 
2021 
note (b) 
note (b) 
note (b) 
note (c) 

  Performance target 
  determination date 
note (a) 
note (b) 
note (d) 
note (a) 
note (b) 
note (c) 
note (a) 
note (b) 
note (a) 
note (a) 
note (b) 
note (b) 
note (b) 
note (c) 

(a)  The annual performance target determination date is the date of the announcement of the Group’s annual 
results for the covered financial year and vesting occurs two business days after the announcement of the 
Group’s annual results for the financial year falling two years after the covered financial year to which the 
LTIP award relates. 

(b)  This award does not stipulate performance targets and is subject to a vesting schedule of 25% on each of 

the first, second, third and fourth anniversaries of the date of grant. 

(c)  This award does not stipulate performance targets and will be vested on the first anniversary of the date of 

grant. 

(d)  This  award  does  not  stipulate  performance  targets  and  vesting  occurs  two  business  days  after  the 
announcement  of  the  Group’s  annual  results  for  the  financial  year  falling  two  years  after  the  covered 
financial year to which the LTIP award relates.  

The Trustee has been set up solely for the purpose of purchasing and holding the Awarded Shares during 
the vesting period on behalf of the Company using funds provided by the Company. On the determination date, 
if  any,  the  Company  will  determine  the  cash  amount,  based  on  the  actual  achievement  of  each  annual 
performance target, for the Trustee to purchase the Awarded Shares. The Awarded Shares will then be held by 
the Trustee until they are vested. 

HUTCHMED (China) Limited 2021 Annual Report  123

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Trustee’s  assets  include  treasury  shares  and  funds  for  additional  treasury  shares,  trustee  fees  and 
expenses. The number of treasury shares (in the form of ordinary shares or ADS of the Company) held by the 
Trustee were as follows: 

As at January 1, 2019 
Purchased 
Vested 
As at December 31, 2019 
Purchased 
Vested 
As at December 31, 2020 
Purchased 
Vested 
As at December 31, 2021 

Number of 
treasury shares 
1,121,030 
60,430 
(240,150) 
941,310 
3,281,920 
(712,555) 
3,510,675 
4,907,045 
(278,545)   
8,139,175 

Cost 
(in US$’000) 

6,677 
346 
(944) 
6,079 
12,904 
(4,828) 
14,155 
27,309 
(1,450) 
40,014 

Based on the estimated achievement of performance conditions for 2021 financial year LTIP awards, the 
determined monetary amount was US$52,056,000 which is recognized to share-based compensation expense 
over the requisite vesting period to March 2024. 

For the years ended December 31, 2021, 2020 and 2019, US$6,618,000, US$7,038,000 and US$262,000 
of the LTIP awards were forfeited respectively based on the determined or estimated monetary amount as at 
the forfeiture date. 

The following table presents the share-based compensation expenses recognized under the LTIP awards: 

Research and development expenses 
Selling and administrative expenses 
Cost of revenues 

Recorded with a corresponding credit to: 
Liability 
Additional paid-in capital 

Year Ended December 31, 

2021 

2020 

2019 

16,880 
8,451 
294 
25,625 

14,263 
11,362 
25,625 

(in US$’000) 
7,252 
3,552 
101 
10,905 

7,778 
3,127 
10,905 

2,640 
1,779 
— 
4,419 

2,694 
1,725 
4,419 

For the years ended December 31, 2021, 2020 and 2019, US$8,516,000, US$4,092,000 and US$526,000 
were  reclassified  from  liability  to  additional  paid-in  capital  respectively  upon  LTIP  awards  reaching  the 
determination date. As at December 31, 2021 and 2020, US$12,836,000 and US$7,089,000 were recorded as 
liabilities respectively for LTIP awards prior to the determination date. 

As at December 31, 2021, the total unrecognized compensation cost was approximately US$53,152,000, 
which considers expected performance targets and the amounts expected to vest, and will be recognized over 
the requisite periods. 

124

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
19. Revenues 

The following table presents disaggregated revenue, with sales of goods recognized at a point-in-time and 

provision of services recognized over time: 

Goods—Marketed Products  
Goods—Distribution 
Services—Commercialization—Marketed 

Products 

—Collaboration Research and 

Development 

—Research and Development 

Royalties  
Licensing 

Third parties 
Related parties (Note 24(i)) 

Goods—Marketed Products  
Goods—Distribution 
Services—Commercialization—Marketed 

Products 

—Collaboration Research and 

Development 

—Research and Development 

Royalties  

Third parties 
Related parties (Note 24(i)) 

Goods—Marketed Products 
Goods—Distribution 
Services—Commercialization  

—Collaboration Research and 

Development 

—Research and Development 

Royalties  

Third parties 
Related parties (Note 24(i)) 

Year Ended December 31, 2021 

Oncology/
Immunology 

33,937 
— 
27,428 

18,995 

525 
15,064 
23,661 
119,610 

119,085 
525 
119,610 

Other Ventures  

Total 

(in US$’000) 

— 
236,518 
— 

33,937 
236,518 
27,428 

— 

18,995 

— 
— 
— 
236,518 

232,262 
4,256 
236,518 

525 
15,064 
23,661 
356,128 

351,347 
4,781 
356,128 

Year Ended December 31, 2020 

Oncology/
Immunology 

11,329 
— 
3,734 

9,771 

491 
4,890 
30,215 

29,724 
491 
30,215 

Other Ventures  

Total 

(in US$’000) 

— 
197,761 
— 

11,329 
197,761 
3,734 

— 

9,771 

— 
— 
197,761 

192,277 
5,484 
197,761 

491 
4,890 
227,976 

222,001 
5,975 
227,976 

Year Ended December 31, 2019 

Oncology/
Immunology 

Other Ventures  

Total 

(in US$’000) 

8,113 
— 
— 
15,532 

494 
2,653 
26,792 

26,298 
494 
26,792 

— 
175,514 
2,584 
— 

— 
— 
178,098 

170,461 
7,637 
178,098 

8,113 
175,514 
2,584 
15,532 

494 
2,653 
204,890 

196,759 
8,131 
204,890 

HUTCHMED (China) Limited 2021 Annual Report  125

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table presents liability balances from contracts with customers: 

Deferred revenue 

Current—Oncology/Immunology segment (note (a)) 
Current—Other Ventures segment (note (b)) 

Non-current—Oncology/Immunology segment (note (a)) 

Total deferred revenue (note (c) and (d)) 

Notes: 

December 31, 

2021 

2020 

(in US$’000) 

11,078   
1,196   
12,274   
878   
13,152   

1,450 
147 
1,597 
484 
2,081 

(a)  Oncology/Immunology  segment  deferred  revenue  relates  to  invoiced  amounts  for  royalties  which  the 
customer  has  not  yet  completed  the  in-market  sale,  unamortized  upfront  and  milestone  payments  and 
advance consideration received for cost reimbursements which are attributed to research and development 
services that have not yet been rendered as at the reporting date.  

(b)  Other Ventures segment deferred revenue relates to payments in advance from customers for goods that 
have not been transferred and services that have not been rendered to the customer as at the reporting 
date. 

(c)  Estimated deferred revenue to be recognized over time as from the date indicated is as follows: 

Not later than 1 year 
Between 1 to 2 years 
Between 2 to 3 years 
Between 3 to 4 years 

December 31, 

2021 

2020 

(in US$’000) 

12,274 
476 
255 
147 
13,152 

1,597 
211 
205 
68 
2,081 

(d)  As at January 1, 2021, deferred revenue was US$2.1 million, of which US$0.7 million was recognized during 

the year ended December 31, 2021. 

License and collaboration agreement with Eli Lilly 

On October 8, 2013, the Group entered into a licensing, co-development and commercialization agreement 
in China with Eli Lilly and Company (“Lilly”) relating to Elunate (“Lilly Agreement”), also known as fruquintinib, 
a  targeted  oncology  therapy  for  the  treatment  of  various  types  of  solid  tumors.  Under  the  terms  of  the  Lilly 
Agreement,  the  Group  is  entitled  to  receive  a  series  of  payments  up  to  US$86.5  million,  including  upfront 
payments and development and regulatory approval milestones. Development costs after the first development 
milestone  are  shared  between  the  Group  and  Lilly.  Elunate  was  successfully  commercialized  in  China  in 
November 2018, and the Group receives tiered royalties in the range of 15% to 20% on all sales in China.  

In  December  2018,  the  Group  entered  into  various  amendments  to  the  Lilly  Agreement  (the  “2018 
Amendment”). Under the terms of the 2018 Amendment, the Group is entitled to determine and conduct future 
life cycle indications (“LCI”) development of Elunate in China beyond the three initial indications specified in the 
Lilly Agreement and will be responsible for all associated development costs. In return, the Group will receive 
additional regulatory approval milestones of US$20 million for each LCI approved, for up to three LCI or US$60 
million in aggregate, and will increase tiered royalties to a range of 15% to 29% on all Elunate sales in China 
upon  the  commercial  launch  of  the  first  LCI. Additionally,  through  the  2018 Amendment,  Lilly  has  provided 
consent, and freedom to operate, for the Group to enter into joint development collaborations with certain third-
party  pharmaceutical  companies  to  explore  combination  treatments  of  Elunate  and  various  immunotherapy 
agents. The 2018 Amendment also provided the Group rights to promote Elunate in provinces that represent 
30% to 40% of the sales of Elunate in China upon the occurrence of certain commercial milestones by Lilly. 
Such rights were further amended below. 

126

 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In July 2020, the Group entered into an amendment to the Lilly Agreement (the “2020 Amendment”) relating 
to the expansion of the Group’s role in the commercialization of Elunate across all of China. Under the terms of 
the 2020 Amendment, the Group is responsible for providing promotion and marketing services, including the 
development and execution of all on-the-ground medical detailing, promotion and local and regional marketing 
activities, in return for service fees on sales of Elunate made by Lilly. In October 2020, the Group commenced 
such promotion and marketing services. In addition, development and regulatory approval milestones for an 
initial indication under the Lilly Agreement were increased by US$10 million in lieu of cost reimbursement. 

Upfront and cumulative milestone payments according to the Lilly Agreement received up to December 31, 

2021 are summarized as follows: 

Upfront payment 
Development milestone payments achieved 

(in US$’000) 

6,500 
40,000 

The Lilly Agreement has the following performance obligations: (1) the license for the commercialization 
rights to Elunate and (2) the research and development services for the specified indications. The transaction 
price includes the upfront payment, research and development cost reimbursements, milestone payments and 
sales-based royalties. Milestone payments were not included in the transaction price until it became probable 
that  a  significant  reversal  of  revenue  would  not  occur,  which  is  generally  when  the  specified  milestone  is 
achieved. The  allocation  of  the  transaction  price  to  each  performance  obligation  was  based  on  the  relative 
standalone selling prices of each performance obligation determined at the inception of the contract. Based on 
this estimation, proportionate amounts of transaction price to be allocated to the license to Elunate and the 
research  and  development  services  were  90%  and  10%  respectively.  Control  of  the  license  to  Elunate 
transferred at the inception date of the agreement and consequently, amounts allocated to this performance 
obligation  were  recognized  at  inception.  Conversely,  research  and  development  services  for  each  specified 
indication  are  performed  over  time  and  amounts  allocated  are  recognized  over  time  using  the  prior  and 
estimated future development costs for Elunate as a measure of progress. Royalties are recognized as future 
sales occur as they meet the requirements for the sales-usage based royalty exception. 

The 2018 Amendment is a separate contract as it added distinct research and development services for the 
LCIs  to  the  Lilly  Agreement.  The  2020  Amendment  related  to  the  promotion  and  marketing  services  is  a 
separate contract as it added distinct services to the Lilly Agreement. Such promotion and marketing services 
are recognized over time based on amounts that can be invoiced to Lilly. The 2020 Amendment related to the 
additional  development  and  regulatory  approval  milestone  amounts  is  a  modification  as  it  only  affected  the 
transaction price of research and development services for a specific indication under the Lilly Agreement, and 
therefore, such additional milestone amounts will be included in the transaction price accounted under the Lilly 
Agreement once the specified milestones are achieved. 

Revenue recognized under the Lilly Agreement and subsequent amendments is as follows: 

Goods—Marketed Products 
Services—Commercialization—Marketed Products 

—Collaboration Research and Development 

Royalties 

Year Ended December 31, 

2021 

2020 

2019 

15,792 
27,428 
4,491 
10,292 
58,003 

(in US$’000) 

11,329 
3,734 
1,991 
4,890 
21,944 

8,113 
— 
4,005 
2,653 
14,771 

HUTCHMED (China) Limited 2021 Annual Report  127

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
License and collaboration agreement with AstraZeneca 

On December 21, 2011, the Group and AstraZeneca AB (publ) (“AZ”) entered into a global licensing, co-
development, and commercialization agreement for Orpathys (“AZ Agreement”), also known as savolitinib, a 
novel targeted therapy and a highly selective inhibitor of the c-Met receptor tyrosine kinase for the treatment of 
cancer. Under the terms of the AZ Agreement, the Group is entitled to receive a series of payments up to US$140 
million, including upfront payments and development and first-sale milestones. Additionally, the AZ Agreement 
contains possible significant future commercial sale milestones. Development costs for Orpathys in China will 
be shared between the Group and AZ, with the Group continuing to lead the development in China. AZ will lead 
and pay for the development of Orpathys for the rest of the world. Orpathys was successfully commercialized 
in  China  in  July  2021,  and  the  Group  receives  fixed  royalties  of  30%  based  on  all  sales  in  China.  Should 
Orpathys be successfully commercialized outside China, the Group would receive tiered royalties from 9% to 
13% on all sales outside of China.  

In  August  2016  (as  amended  in  December  2020),  the  Group  entered  into  an  amendment  to  the  AZ 
Agreement whereby the Group shall pay the first approximately US$50 million of phase III clinical trial costs 
related to developing Orpathys for renal cell carcinoma (“RCC”), and remaining costs will be shared between 
the Group and AZ. Subject to approval of Orpathys in RCC, the Group would receive additional tiered royalties 
on  all  sales  outside  of  China,  with  the  incremental  royalty  rates  determined  based  on  actual  sharing  of 
development  costs.  In  November  2021,  the  Group  entered  into  an  additional  amendment  which  revised  the 
sharing between the Group and AZ of development costs for Orpathys in China for non-small cell lung cancer, 
as well as adding potential development milestones. 

Upfront and cumulative milestone payments according to the AZ Agreement received up to December 31, 

2021 are summarized as follows: 

Upfront payment 
Development milestone payments achieved 
First-sale milestone payment achieved 

(in US$’000) 

20,000 
25,000 
25,000 

The AZ Agreement  has  the  following  performance  obligations:  (1)  the  license  for  the  commercialization 
rights to Orpathys and (2) the research and development services for the specified indications. The transaction 
price includes the upfront payment, research and development cost reimbursements, milestone payments and 
sales-based royalties. Milestone payments were not included in the transaction price until it became probable 
that  a  significant  reversal  of  revenue  would  not  occur,  which  is  generally  when  the  specified  milestone  is 
achieved. The  allocation  of  the  transaction  price  to  each  performance  obligation  was  based  on  the  relative 
standalone selling prices of each performance obligation determined at the inception of the contract. Based on 
this estimation, proportionate amounts of transaction price to be allocated to the license to Orpathys and the 
research  and  development  services  were  95%  and  5%  respectively.  Control  of  the  license  to  Orpathys 
transferred at the inception date of the agreement and consequently, amounts allocated to this performance 
obligation  were  recognized  at  inception.  Conversely,  research  and  development  services  for  each  specified 
indication  are  performed  over  time  and  amounts  allocated  are  recognized  over  time  using  the  prior  and 
estimated future development costs for Orpathys as a measure of progress. 

Revenue recognized under the AZ Agreement and subsequent amendments is as follows: 

Goods—Marketed Products 
Services—Collaboration Research and Development 
Royalties 
Licensing 

Year Ended December 31, 

2021 

2020 

2019 

6,509 
14,113 
4,772 
23,661 
49,055 

(in US$’000) 

— 
7,780 
— 
— 
7,780 

— 
11,527 
— 
— 
11,527 

128

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
20. In-Licensing arrangement 

On August 7, 2021, the Group and Epizyme, Inc. (“Epizyme”) entered into a license agreement (the “In-
license Agreement”) for tazemetostat, a novel inhibitor of EZH2 that is approved by the U.S. Food and Drug 
Administration for the treatment of certain patients with epithelioid sarcoma and follicular lymphoma. The Group 
will be responsible for the development and commercialization of tazemetostat in the PRC, Hong Kong, Macau 
and Taiwan (the “Territory”) and also holds rights to manufacture tazemetostat for the Territory. The Group also 
received a 4-year warrant, exercisable up to August 7, 2025, to purchase up to 5,653,000 shares of Epizyme 
common stock for an exercise price of US$11.50 per share. 

Under the terms of the In-license Agreement and warrant, the Group paid Epizyme a US$25 million upfront 
payment and is obligated for a series of success-based payments up to US$110 million in development and 
regulatory milestones and up to US$175 million in sales milestones. Success-based payments are recognized 
when the related milestone is achieved. After tazemetostat is commercialized in the Territory, the Group will 
incur tiered royalties based on net sales. As at December 31, 2021, no amounts of development and regulatory 
milestones, sales milestones or royalties had been paid. 

The US$25 million upfront payment was first allocated to the warrant for its initial fair value of US$15 million, 
and  the  remainder  was  allocated  to  the  rights  to  tazemetostat  which  were  expensed  to  research  and 
development expense as in-process research and development. 

The warrant was recorded as a financial asset at fair value with changes to fair value recognized to the 
consolidated statements of operations. As at December 31, 2021, the warrant had not been exercised. For the 
year ended December 31, 2021, a fair value loss of US$12.5 million was recognized to other expenses in the 
consolidated statements of operations. In estimating the fair value of the warrant, the following assumptions 
were used in the Black Scholes model for the dates indicated: 

Fair value of the warrant (in US$’000) 
Significant inputs into the valuation model: 

Exercise price (in US$ per share) 
Share price (in US$ per share) 
Expected volatility (note (a)) 
Risk-free interest rate (note (b)) 
Remaining contractual life of the warrant (in years) 
Expected dividend yield (note (c)) 

Notes: 

August 7,  
2021 
15,000 

  December 31,  

2021 

2,452 

11.50 
6.47 
74.48% 
0.59% 
4.00 
0% 

11.50 
2.50 
72.03% 
1.05% 
3.60 
0% 

(a)  Expected volatility references the historical volatility for the remaining contractual life of the warrant. 

(b)  The risk-free interest rates reference the U.S. Treasury yield curves because Epizyme’s common stock is 

currently listed on the NASDAQ and denominated in US$. 

(c)  Epizyme has not declared or paid any dividends and the Group does not currently expect it to do so within 

the remaining contractual life of the warrant. 

HUTCHMED (China) Limited 2021 Annual Report  129

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
21. Research and Development Expenses 

Research and development expenses are summarized as follows: 

Clinical trial related costs 
Personnel compensation and related costs 
Other research and development expenses 

Year Ended December 31, 

2021 

2020 

2019 

190,051 
91,639 
17,396 
299,086 

(in US$’000) 

105,869 
63,542 
5,365 
174,776 

87,777 
46,246 
4,167 
138,190 

The  Group  has  entered  into  multiple  collaborative  arrangements  under  ASC  808  to  evaluate  the 
combination of the Group’s drug compounds with the collaboration partners’ drug compounds. For the years 
ended December 31,  2021, 2020 and 2019, the Group has incurred research and  development expenses of 
US$18,408,000, US$8,291,000 and US$2,921,000 respectively, related to such collaborative arrangements. 

22. Government Grants 

Government grants in the Oncology/Immunology segment are primarily given in support of R&D activities 
and are conditional upon i) the Group spending a predetermined amount, regardless of success or failure of the 
research and development projects and/or ii) the achievement of certain stages of research and development 
projects being approved by the relevant PRC government authority. They are refundable to the government if 
the conditions, if any, are not met. Government grants in the Other Ventures segment are primarily given to 
promote local initiatives. These government grants may be subject to ongoing reporting and monitoring by the 
government over the period of the grant. 

Government grants, which are deferred and recognized in the consolidated statements of operations over 
the period necessary to match them with the costs that they are intended to compensate, are recognized in 
other payable, accruals and advance receipts (Note 14) and other non-current liabilities. For the years ended 
December 31, 2021, 2020 and 2019, the Group received government grants of US$9,095,000, US$4,724,000 
and US$8,742,000 respectively. 

Government grants were recognized as reductions in the consolidated statements of operations as follows: 

Research and development expenses 
Other income 

Year Ended December 31, 

2021 

2020 

2019 

15,515 
318 
15,833 

(in US$’000) 

1,607 
539 
2,146 

6,133 
780 
6,913 

130

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
23. Gain on divestment of an equity investee 

In March 2021, the Group entered into a sale and purchase agreement (the “SPA”) with a third party to sell 
its entire investment in HBYS with closing subject to regulatory approval in the PRC. On September 28, 2021, 
the Group completed the divestment, for cash consideration of US$159.1 million.  

On May 13, 2021 and September 23, 2021, HBYS had declared dividends to shareholders of US$46.5 million 
and US$59.7 million respectively which were related to prior year undistributed profits and  distributions of a 
land bonus payment. Based on the SPA, the Group is entitled to a portion of such dividends and the third party 
will settle these amounts, net of taxes, after HBYS completes the distribution. As at December 31, 2021, US$46.4 
million of dividends receivable, net of taxes, from the third party was recorded in other receivables (Note 7). 

In addition, the Group and Hutchison Whampoa Enterprises Limited, an affiliate of CK Hutchison Holdings 
Limited (“CK Hutchison”), entered into a license agreement on June 15, 2021, conditional upon the completion 
of the divestment, to grant a continuing right to use the “Hutchison Whampoa” brand by HBYS, and the Group 
agrees to pay HK$12 million (approximately US$1.5 million) per year with aggregate amounts not to exceed 
HK$120 million (approximately US$15.4 million). On September 28, 2021, the Group recorded the present value 
of future branding liability payments of US$12.7 million. As at December 31, 2021, US$1.5 million and US$9.8 
million were included in amounts due to related parties (Note 24(ii)) and other non-current liabilities respectively. 

The gain on divestment of an equity investee was recognized in the consolidated statements of operations 

as follows: 

Proceeds  
Dividend receivables–third party (Note 7) 

Less:  Group’s share of net assets of HBYS (Note 11(iii)) 

Dividend receivables–HBYS 
Withholding tax liability on dividend receivables–HBYS 
Branding liability 
Accumulated other comprehensive income and reserves 
Transaction costs and others 
Gain on divestment of an equity investee 
Less: Capital gain tax 
Less: Gain on divestment of an equity investee attributable to non-controlling 
interests 
Gain on divestment of an equity investee attributable to the Group 

Year Ended December 31, 

2021 
(in US$’000) 

159,118 
46,387 
205,505 
(23,246) 
(52,887) 
2,644 
(12,721) 
1,911 
104 
121,310 
(14,373) 

(24,010) 
82,927 

HUTCHMED (China) Limited 2021 Annual Report  131

 
 
 
 
 
 
 
 
 
 
 
 
 
24. Significant Transactions with Related Parties and Non-Controlling Shareholders of 
Subsidiaries 

The Group has the following significant transactions with related parties and non-controlling shareholders 
of subsidiaries, which were carried out in the normal course of business at terms determined and agreed by the 
relevant parties: 

(i)  Transactions with related parties: 

Sales to: 

Indirect subsidiaries of CK Hutchison 

4,256   

5,484   

7,637 

Revenue from research and development services from: 

Year Ended December 31, 

2021 

2020 

2019 

(in US$’000) 

An equity investee 

Purchases from: 

Equity investees 

Rendering of marketing services from: 

Indirect subsidiaries of CK Hutchison 
An equity investee 

Rendering of management services from: 
An indirect subsidiary of CK Hutchison 

Entered brand license agreement with: 

525   

491   

494 

3,770   

3,347   

2,465 

350   
—   
350   

332   
—   
332   

971   

955   

430 
2,682 
3,112 

931 

— 

An indirect subsidiary of CK Hutchison (note (a)) 

12,721   

—   

(ii)  Balances with related parties included in: 

Accounts receivable—related parties 

Indirect subsidiaries of CK Hutchison (note (b)) 

Other receivables, prepayments and deposits 

Equity investees (note (b)) 

Other payables, accruals and advance receipts 

Indirect subsidiaries of CK Hutchison (note (c) and (e)) 

Other non-current liabilities 

An equity investee (note (d)) 
An indirect subsidiary of CK Hutchison (note (e)) 

December 31, 

2021 

2020 

(in US$’000) 

1,166   

1,222 

1,149   

1,142 

1,915   

736   
9,766   
10,502   

401 

950 
— 
950 

132

 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
   
 
 
 
   
 
 
 
 
   
 
   
   
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
Notes: 

(a)  The  branding  rights  for  HBYS  from  an  indirect  subsidiary  of  CK  Hutchison  was  recognized  in  the 
consolidated statements of operations through the gain on divestment of an equity investee (Note 23). For 
the year ended December 31, 2021, actual cash paid was US$1,538,000. 

(b) Balances with related parties are unsecured, repayable on demand and interest-free. The carrying values 

of balances with related parties approximate their fair values due to their short-term maturities. 

(c)  Amounts due to indirect subsidiaries of CK Hutchison are unsecured, repayable on demand and interest-

bearing if not settled within one month. 

(d)  Other deferred income represents amounts recognized from granting of promotion and marketing rights. 

(e)  As at December 31, 2021, branding liability payable of approximately US$1,538,000 and US$9,766,000 were 
included in amounts due to related parties under other payables, accruals and advance receipts and other 
non-current liabilities respectively (Note 23). 

(iii) Transactions with non-controlling shareholders of subsidiaries: 

Sales 
Purchases 
Dividends declared 

Year Ended December 31, 

2021 

2020 

2019 

41,974   
10,660   
9,894   

(in US$’000) 

36,500 
13,936 
1,462 

27,343 
13,380 
— 

(iv) Balances with non-controlling shareholders of subsidiaries included in:  

Accounts receivable 
Accounts payable 
Other non-current liabilities 

Loan 

December 31, 

2021 

2020 

(in US$’000) 

8,436   
2,062   

6,184 
4,856 

—   

579 

HUTCHMED (China) Limited 2021 Annual Report  133

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
25. Income Taxes 

(i)  Income tax expense 

Current tax 

HK (note (a)) 
PRC (note (b) and (c)) 
U.S. and others (note (d)) 

Total current tax 
Deferred income tax (benefits)/expense 
Income tax expense 

Notes: 

Year Ended December 31, 

2021 

2020 

2019 

(in US$’000) 

310 
15,909 
417 
16,636 
(4,718)   
11,918 

457 
872 
219 
1,548 
3,281 
4,829 

321 
708 
636 
1,665 
1,609 
3,274 

(a)  The Company, three subsidiaries incorporated in the British Virgin Islands and its Hong Kong subsidiaries 
are  subject  to  Hong  Kong  profits  tax.  Under  the  Hong  Kong  two-tiered  profits  tax  rates  regime,  the  first 
HK$2.0 million (US$0.3 million) of assessable profits of qualifying corporations will be taxed at 8.25%, with 
the remaining assessable profits taxed at 16.5%. Hong Kong profits tax has been provided for at the relevant 
rates on the estimated assessable profits less estimated available tax losses, if any, of these entities as 
applicable. 

(b)  Taxation in the PRC has been provided for at the applicable rate on the estimated assessable profits less 
estimated available tax losses, if any, in each entity. Under the PRC Enterprise Income Tax Law (the “EIT 
Law”), the standard enterprise income tax rate is 25%. In addition, the EIT Law provides for a preferential 
tax rate of 15% for companies which qualify as HNTE. HUTCHMED Limited and its wholly-owned subsidiary 
HUTCHMED (Suzhou) Limited (formerly known as “Hutchison MediPharma (Suzhou) Limited”) qualify as a 
HNTE up to December 31, 2022 and 2023 respectively.  

Pursuant to the EIT law, a 10% withholding tax is levied on dividends paid by PRC companies to their foreign 
investors. A lower withholding tax rate of 5% is applicable under the China-HK Tax Arrangement if direct 
foreign investors with at least 25% equity interest in the PRC companies are Hong Kong tax residents, and 
meet  the  conditions  or  requirements  pursuant  to  the  relevant  PRC  tax  regulations  regarding  beneficial 
ownership. Since the equity holders of the equity investees of the Company are Hong Kong incorporated 
companies and Hong Kong tax residents, and meet the aforesaid conditions or requirements, the Company 
has  used  5%  to  provide  for  deferred  tax  liabilities  on  retained  earnings  which  are  anticipated  to  be 
distributed. As at December 31, 2021, 2020 and 2019, the amounts accrued in deferred tax liabilities relating 
to withholding tax on dividends were determined on the basis that 100% of the distributable reserves of the 
equity investees operating in the PRC will be distributed as dividends. 

Pursuant to PRC Bulletin on Issues of Enterprise Income Tax and Indirect Transfers of Assets by Non-PRC 
Resident Enterprises, an indirect transfer of a PRC resident enterprise by a non-PRC resident enterprise, 
via the transfer of an offshore intermediate holding company, shall be subject to PRC withholding tax under 
certain conditions. 

(c)  Current tax in the PRC for the year ended December 31, 2021 includes US$14.4 million  arising from the 
indirect disposal of HBYS (Note 23), calculated at 10% of the excess of the disposal proceeds over the cost 
of acquiring the equity investment in HBYS. 

(d)  The  Company’s  subsidiary  in  the  U.S.  with  operations  primarily  in  New  Jersey  and  New  York  states  is 
subject to U.S. taxes, primarily federal and state taxes, which have been provided for at approximately 21% 
(federal) and 0% to 11.5% (state tax) on the estimated assessable profit over the reporting years. Certain 
income  receivable  by  the  Company  is  subject  to  U.S.  withholding  tax  of  30%.  Two  of  the  Group’s 
subsidiaries are subject to corporate tax in the UK and EU countries at 19% and 20% to 25%, respectively, 
on the estimated assessable profits in relation to their presence in these countries. 

134

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The reconciliation of the  Group’s  reported income tax expense to the theoretical  tax amount that would 
arise using the tax rates of the Company against the Group’s loss before income taxes and equity in earnings 
of equity investees is as follows: 

Loss before income taxes and equity in earnings of equity 

investees 

Tax calculated at the statutory tax rate of the Company 
Tax effects of: 

Different tax rates applicable in different jurisdictions 
Tax valuation allowance 
Preferential tax rate difference 
Preferential tax deduction and credits 
Expenses not deductible for tax purposes 
Utilization of previously unrecognized tax losses 
Withholding tax on undistributed earnings of PRC entities 
Others 

Income tax expense 

(ii)  Deferred tax assets and liabilities 

Year Ended December 31, 

2021 

2020 

2019 

(in US$’000) 

(215,740)   
(35,597)   

(189,734)   
(31,306)   

(141,105) 
(23,282) 

136 
63,975 

(148)   
(29,838)   
8,684 
(186)   
3,153 
1,739 
11,918 

4,025 
46,321 

(154)   
(18,814)   
3,476 

(114)   

3,962 
(2,567)   
4,829 

2,027 
25,498 
(177) 
(5,444)  
4,098 
(285)  
1,894 
(1,055) 
3,274 

The significant components of deferred tax assets and liabilities are as follows:  

Deferred tax assets 

Cumulative tax losses 
Others 

Total deferred tax assets 
Less: Valuation allowance 
Deferred tax assets 
Deferred tax liabilities 

Undistributed earnings from PRC entities 
Others 

Deferred tax liabilities 

December 31, 

2021 

2020 

(in US$’000) 

186,832 
12,269 
199,101 
(189,700)   
9,401 

117,064 
6,829 
123,893 
(122,378) 
1,515 

2,720 
45 
2,765 

4,994 
69 
5,063 

The movements in deferred tax assets and liabilities are as follows: 

As at January 1 
Utilization of previously recognized withholding tax on 

2021 

2020 

2019 

(in US$’000) 

(3,548)   

(2,343)   

(4,256) 

undistributed earnings 

5,148 

2,323 

3,390 

(Charged)/Credited to the consolidated statements of 

operations 
Withholding tax on undistributed earnings of PRC entities 
Deferred tax on amortization of intangible assets 
Deferred tax on temporary differences, tax loss carried 

forward and research tax credits 

Divestment of an equity investee  
Exchange differences 
As at December 31 

(3,153)   
19 

7,852 
370 
(52)   

6,636 

(3,962)   
18 

663 
— 
(247)   
(3,548)   

(1,894) 
18 

267 
— 
132 
(2,343) 

HUTCHMED (China) Limited 2021 Annual Report  135

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
The deferred tax assets and liabilities are offset when there is a legally enforceable right to set off and when 

the deferred income taxes relate to the same fiscal authority. 

The  cumulative  tax  losses  can  be  carried  forward  against  future  taxable  income  and  will  expire  in  the 

following years: 

No expiry date 
2022 
2023 
2024 
2025 
2026 
2027 
2028 
2029 
2030 
2031 

December 31, 

2021 

2020 

(in US$’000) 

60,450   
200   
—   
 4,099    
 39,321    
 52,452    
 67,217    
 117,376    
 191,554    
 265,696    
432,278   
1,230,643   

53,940 
195 
— 
3,998 
38,357 
51,034 
66,555 
114,490 
186,844 
259,163 
— 
774,576 

The Company believes that it is more likely than not that future operations outside the U.S. will not generate 
sufficient taxable income to realize the benefit of the deferred tax assets. Certain of the Company’s subsidiaries 
have had sustained tax losses, which will expire within five years if not utilized in the case of PRC subsidiaries 
(ten  years  for  HNTEs), and  which will not  be  utilized  in  the case  of  Hong  Kong  subsidiaries  as  they  do  not 
generate taxable profits. Accordingly, a valuation allowance has been recorded against the relevant deferred 
tax assets arising from the tax losses. 

A U.S. subsidiary of the Company has approximately US$2.0 million and US$0.6 million U.S. Federal and 
New Jersey state research tax credits which will expire between 2039 and 2041 (Federal) and 2026 and 2028 
(New Jersey) respectively, if not utilized.  

The table below summarizes changes in the deferred tax valuation allowance: 

As at January 1 
Charged to consolidated statements of operations 
Utilization of previously unrecognized tax losses 
Write-off of tax losses 
Others 
Exchange differences 
As at December 31 

2021 

2020 

2019 

122,378   
63,975   
(186)   
—   
(9)   
3,542   
189,700   

(in US$’000) 

69,399   
46,321   
(114)   
—   
—   
6,772   
122,378   

49,021 
25,498 
(285) 
(3,142) 
— 
(1,693) 
69,399 

As at December 31, 2021, 2020 and 2019, the Group did not have any material unrecognized uncertain tax 

positions. 

136

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(iii) Income tax payable 

As at January 1 
Current tax 
Withholding tax upon dividend declaration from PRC 

entities (note (a)) 
Tax paid (note (b)) 
Reclassification from non-current withholding tax 
Reclassification to prepaid tax 
Divestment of an equity investee (Note 23) 
Exchange difference 
As at December 31 

Notes: 

2021 

2020 

2019 

(in US$’000) 

1,120   
16,636   

5,148   
(5,014)   
—   
25   
(2,644)   
275   
15,546   

1,828   
1,548   

2,323   
(5,940)   
812   
485   
—   
64   
1,120   

555 
1,665 

2,581 
(2,970) 
— 
— 
— 
(3) 
1,828 

(a)  The amount for 2019 excludes a non-current withholding tax of US$0.8 million which is included under other 

non-current liabilities. 

(b)  The amount for 2020 is net of the PRC Enterprise Income Tax (“EIT”) refund of US$0.4 million received by 
HSPL. The amount for 2019 excludes the PRC EIT of US$0.3 million prepaid by HSPL which is included 
under other receivables, prepayments and deposits. 

26. Losses Per Share 

(i)  Basic losses per share 

Basic losses per share is calculated by dividing the net loss attributable to the Company by the weighted 
average number of outstanding ordinary shares in issue during the year. Treasury shares held by the Trustee 
are  excluded  from  the  weighted  average  number  of  outstanding  ordinary  shares  in  issue  for  purposes  of 
calculating basic losses per share. 

2021 

Year Ended December 31, 
2020 

2019 

Weighted average number of outstanding ordinary shares in 

issue 

Net loss attributable to the Company (US$’000) 
Losses per share attributable to the Company (US$ per 

792,684,524    697,931,437    665,683,145 
(106,024) 

(194,648)   

(125,730)   

share) 

(0.25)   

(0.18)   

(0.16) 

(ii)  Diluted losses per share 

Diluted losses  per share is  calculated by dividing  net loss attributable  to the Company  by the weighted 
average number of outstanding ordinary shares in issue and dilutive ordinary share  equivalents outstanding 
during the year. Dilutive ordinary share equivalents include shares issuable upon the exercise or settlement of 
share options, LTIP awards and warrants issued by the Company using the treasury stock method. 

For  the  years  ended  December  31,  2021,  2020  and  2019,  the  share  options,  LTIP  awards  and  warrants 
issued by the Company were not included in the calculation of diluted losses per share because of their anti-
dilutive effect. Therefore, diluted losses per share were equal to basic  losses per share for the years ended 
December 31, 2021, 2020 and 2019. 

HUTCHMED (China) Limited 2021 Annual Report  137

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
27. Segment Reporting 

The Group’s operating segments are as follows: 

(i)  Oncology/Immunology: focuses on discovering, developing, and commercializing targeted therapies and 
immunotherapies for the treatment of cancer and immunological diseases. Oncology/Immunology is further 
segregated into two core business areas: 

(a)  R&D:  comprises  research  and  development  activities  covering  drug  discovery,  development, 
manufacturing  and  regulatory  functions  as  well  as  administrative  activities  to  support  research  and 
development operations; and 

(b)  Marketed Products: comprises the sales, marketing, manufacture and distribution of drug developed 

from research and development activities. 

(ii)  Other Ventures: comprises other commercial businesses which include the sales, marketing, manufacture 

and distribution of other prescription drugs and consumer health products.  

The performance of the reportable segments is assessed based on segment operating (loss)/profit. 

The segment information is as follows: 

Year Ended December 31, 2021 

Oncology/Immunology 

R&D 
U.S. and 
Others 

— 
3 

— 

PRC 

43,181 
809 

20 

  Marketed   
  Products   

  Other 
  Ventures 

  Subtotal 

PRC 

  Subtotal 

PRC 

  Unallocated   

Total 

(in US$’000) 

43,181 
812 

  76,429 
— 

  119,610 
812 

  236,518 
282 

— 
982 

356,128 
2,076 

20   

— 

20   

60,597 

— 

60,617 

(143,876) 
— 

(159,770) 
— 

(303,646)   

— 

6,178 
— 

(297,468)    185,240 
— 

— 

(42,303)   
(592)   

(154,531) 
(592) 

22 

7,160 

7,182 

(1,320)   

5,862 

(14,573) 

(3,207) 

(11,918) 

(143,528) 

(152,235) 

(295,763)   

4,032 

(291,731)    142,890 

(45,807)   

(194,648) 

(6,436) 

(197) 

(6,633) 

— 

(6,633) 

(318) 

(239) 

(7,190) 

25,295 

4,321 

29,616 

— 

29,616 

1,056 

327 

30,999 

Revenue from 

external customers 

Interest income 
Equity in earnings of 
equity investees, 
net of tax 

Segment operating 

(loss)/profit 
Interest expense 
Income tax 

credit/(expense) 

Net (loss)/income 

attributable to the 
Company 
Depreciation/ 

amortization 
Additions to non-
current assets 
(other than 
financial 
instruments and 
deferred tax 
assets) 

138

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Oncology/Immunology 

December 31, 2021 

R&D 
U.S. and 
Others 

PRC 

Marketed 
Products   

Other 
Ventures 

  Subtotal 

PRC 

  Subtotal 

PRC 

  Unallocated 

Total 

(in US$’000) 

Total assets 
Property, plant and 

equipment 

Right-of-use assets 
Leasehold land 
Goodwill 
Other intangible 

asset 

Investments in equity 

investees 

166,802 

19,870 

186,672 

35,978 

222,650 

  225,898 

924,113 

  1,372,661 

38,049 
4,798 
13,169 
— 

— 

480 

1,862 
3,768 
— 
— 

— 

— 

39,911 
8,566 
13,169 
— 

— 

480 

— 
— 
— 
— 

— 

— 

39,911 
8,566 
13,169 
— 

746 
1,827 
— 
3,380 

— 

163 

480 

75,999 

618 
1,486 
— 
— 

— 

— 

41,275 
11,879 
13,169 
3,380 

163 

76,479 

Year Ended December 31, 2020 

Oncology/Immunology 

R&D 
U.S. and 
Others 

— 
— 

— 

PRC 

10,262 
461 

(97)  

  Marketed   
  Products   

  Other 
  Ventures 

  Subtotal 

PRC 

  Subtotal 

PRC 

  Unallocated   

Total 

(in US$’000) 

10,262 
461 

  19,953 
— 

30,215 
461 

  197,761 
167 

— 
2,608 

227,976 
3,236 

(97)   

— 

(97)   

79,143 

— 

79,046 

Revenue from 

external customers 

Interest income 
Equity in earnings of 
equity investees, 
net of tax 

Segment operating 

(loss)/profit 
Interest expense 
Income tax 

(119,740) 
— 

(63,482) 
— 

(183,222)   

— 

7,607 
— 

  (175,615)   

83,888 
— 

(18,174) 
(787) 

(109,901) 
(787) 

(824) 

(4,078) 

(4,829) 

— 

73 

(expense)/credit 

(402)  

642 

240 

(167)   

Net (loss)/income 

attributable to the 
Company 
Depreciation/ 

amortization 
Additions to non-
current assets 
(other than 
financial 
instruments and 
deferred tax 
assets) 

(120,096) 

(62,683) 

(182,779)   

7,282 

  (175,497)   

72,785 

(23,018) 

(125,730) 

(5,458) 

(119) 

(5,577)   

— 

(5,577) 

(292) 

(192) 

(6,061) 

22,574 

754 

23,328 

— 

23,328 

817 

1,090 

25,235 

HUTCHMED (China) Limited 2021 Annual Report  139

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Oncology/Immunology 

December 31, 2020 

R&D 
U.S. and  
Others 

PRC 

Marketed 
Products   

Other 
Ventures 

  Subtotal 

PRC 

  Subtotal 

PRC 

  Unallocated   

Total 

(in US$’000) 

Total assets 
Property, plant and 

equipment 

Right-of-use assets 
Leasehold land 
Goodwill 
Other intangible 

asset 

Investments in equity 

investees 

127,637 

9,957 

  137,594 

5,728 

  143,322 

  231,234 

349,562 

724,118 

22,554 
2,782 
13,121 
— 

— 

385 

454 
1,375 
— 
— 

— 

— 

23,008 
4,157 
13,121 
— 

— 

385 

— 
— 
— 
— 

— 

— 

23,008 
4,157 
13,121 
— 

688 
2,582 
— 
3,307 

— 

227 

385 

  139,120 

474 
1,277 
— 
— 

— 

— 

24,170 
8,016 
13,121 
3,307 

227 

139,505 

Year Ended December 31, 2019 

Oncology/Immunology 

R&D 
U.S. and 
Others 

— 
— 

— 

PRC 

16,026 
322 

147 

  Marketed   
  Products   

  Other 
  Ventures 

  Subtotal 

PRC 

  Subtotal 

PRC 

  Unallocated   

Total 

(in US$’000) 

16,026 
322 

  10,766 
— 

26,792 
322 

  178,098 
109 

— 
4,513 

204,890 
4,944 

147 

— 

147 

40,553 

— 

40,700 

(111,518) 
— 
(63) 

(21,785) 
— 
(197) 

(133,303)   

— 
(260)   

5,887 
— 
— 

  (127,416)   

— 
(260) 

45,255 
— 
(939) 

(17,214) 
(1,030) 
(2,075) 

(99,375) 
(1,030) 
(3,274) 

(111,308) 

(21,926) 

(133,234)   

5,872 

  (127,362)   

41,488 

(20,150) 

(106,024) 

(4,448) 

(62) 

(4,510)   

— 

(4,510) 

(264) 

(168) 

(4,942) 

8,602 

1,308 

9,910 

— 

9,910 

2,772 

148 

12,830 

Revenue from 

external customers 

Interest income 
Equity in earnings of 
equity investees, 
net of tax 

Segment operating 

(loss)/profit 
Interest expense 
Income tax expense 
Net (loss)/income 

attributable to the 
Company 
Depreciation/ 

amortization 
Additions to non-
current assets 
(other than 
financial 
instruments and 
deferred tax 
assets) 

Revenue from external customers is after elimination of inter-segment sales. Sales between segments are 
carried out at mutually agreed terms. The amount eliminated attributable to sales between PRC and U.S. and 
others under Oncology/Immunology segment was US$46,891,000, US$19,230,000 and US$8,406,000 for the 
years ended December 31, 2021, 2020, and 2019 respectively.  

There were three customers with aggregate revenue of US$147,111,000, which accounted for over 10% of 
the Group’s revenue for the year ended December 31, 2021. There were two customers with aggregate revenue 
of US$62,493,000, which accounted for over  10% of the Group’s revenue for the year  ended December  31, 
2020. There was one customer with revenue of US$27,343,000, which accounted for over 10% of the Group’s 
revenue for the year ended December 31, 2019.  

Unallocated  expenses  mainly  represent  corporate  expenses  which  include  corporate  employee  benefit 
expenses and the relevant share-based compensation expenses. Unallocated assets mainly comprise cash 
and cash equivalents and short-term investments. 

140

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
A reconciliation of segment operating loss to net loss is as follows: 

Segment operating loss 
Interest expense 
Income tax expense 
Net loss 

2021 

Year Ended December 31, 
2020 

2019 

(154,531)   
(592)   
(11,918)   
(167,041)   

(in US$’000) 

(109,901)   
(787)   
(4,829)   
(115,517)   

(99,375) 
(1,030) 
(3,274) 
(103,679) 

28. Note to Consolidated Statements of Cash Flows 

Reconciliation of net loss for the year to net cash used in operating activities: 

Net loss 
Adjustments to reconcile net loss to net cash used in 

operating activities 
Amortization of finance costs 
Depreciation and amortization 
Gain from purchase of a subsidiary 
Loss on disposals of property, plant and equipment 
Provision for excess and obsolete inventories 
Provision for credit losses  
Share-based compensation expense—share options 
Share-based compensation expense—LTIP 
Equity in earnings of equity investees, net of tax 
Dividends received from SHPL and HBYS 
Changes in right-of-use assets 
Fair value loss on Warrant 
Gain from disposal of HBYS 
Unrealized currency translation (gain)/loss 
Changes in income tax balances 

Changes in working capital 
Accounts receivable 
Other receivables, prepayments and deposits 
Inventories 
Accounts payable 
Other payables, accruals and advance receipts 
Lease liabilities 
Deferred revenue 
Other 

Total changes in working capital 
Net cash used in operating activities 

2021 

Year Ended December 31, 
2020 
(in US$’000) 

2019 

(167,041)   

(115,517)   

(103,679) 

44 
7,190 
— 
70 
(23)   
(76)   

16,365 
25,625 
(60,617)   
49,872 
(3,727)   
12,548 
(121,310)   
(2,505)   
6,904 

(35,634)   
(5,758)   
(16,002)   
9,565 
66,224 
3,079 
11,071 

(87)   

32,458 
(204,223)   

43 
6,061 
— 
85 
65 
77 
8,737 
10,905 
(79,046)   
86,708 
(2,197)   
— 
— 
(6,149)   
(1,111)   

(4,693)   
(9,602)   
(3,623)   
7,651 
37,472 
2,258 
(158)   
(32)   

29,273 
(62,066)   

195 
4,942 
(17) 
17 
316 
(25) 
7,173 
4,419 
(40,700) 
28,135 
224 
— 
— 
1,679 
304 

(271) 
(2,734) 
(4,215) 
(1,664) 
25,953 
(101) 
(709) 
(154) 
16,105 
(80,912) 

HUTCHMED (China) Limited 2021 Annual Report  141

 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
29. Litigation 

From time to time, the Group may become involved in litigation relating to claims arising from the ordinary 
course of business. The Group believes that there are currently no claims or actions pending against the Group, 
the  ultimate  disposition  of  which  could  have  a  material  adverse  effect  on  the  Group’s  results  of  operations, 
financial position or cash flows. However, litigation is subject to inherent uncertainties and the Group’s view of 
these matters may change in the future. When an unfavorable outcome occurs, there exists the possibility of a 
material adverse impact on the Group’s financial position and results of operations for the periods in which the 
unfavorable outcome occurs, and potentially in future periods. 

On May 17, 2019, Luye Pharma Hong Kong Ltd. (“Luye”) issued a notice to the Group purporting to terminate 
a distribution agreement that granted the Group exclusive commercial rights to Seroquel in the PRC for failure 
to meet a pre-specified target. The Group disagrees with this assertion and believes that Luye have no basis 
for termination. As a result, the Group commenced legal proceedings in 2019 in order to seek damages. On 
October 21, 2021 (and further updated in December 2021), the Group was awarded an amount of RMB253.2 
million (equivalent to US$39.6 million) with interest of 5.5% per annum from the date of the award until payment 
and recovery of costs of US$2.2 million (“Award”). Luye is still pursuing further legal proceedings and no Award 
amounts  have  been  received as at  the  issuance date  of  these  consolidated  financial statements.  Hence no 
Award amounts have been recognized and no adjustment has been made to Seroquel-related balances as at 
December  31,  2021.  Such  Seroquel-related  balances  include  accounts  receivable,  long-term  prepayment, 
accounts  payable  and  other  payables  of  US$1.2  million,  US$0.7  million,  US$1.0  million  and  US$1.3  million 
respectively. 

30. Restricted Net Assets 

Relevant PRC laws and regulations permit payments of dividends by the Company’s subsidiaries in the 
PRC only out of their retained earnings, if any, as determined in accordance with PRC accounting standards 
and regulations. In addition, the Company’s subsidiaries in the PRC are required to make certain appropriations 
of net after-tax profits or increases in net assets to the statutory surplus fund prior to payment of any dividends. 
In addition, registered share capital and capital reserve accounts are restricted from withdrawal in the PRC, up 
to the amount of net assets held in each subsidiary. As a result of these and other restrictions under PRC laws 
and regulations, the Company’s subsidiaries in the PRC are restricted in their ability to transfer their net assets 
to the Group in terms of cash dividends, loans or advances, with restricted portions amounting to US$0.1 million 
and US$0.2 million as at December 31, 2021 and 2020 respectively, which excludes the Company’s subsidiaries 
with a shareholders’ deficit. Even though the Group currently does not require any such dividends, loans or 
advances from the PRC subsidiaries, for working capital and other funding purposes, the Group may in the 
future  require  additional  cash  resources  from  the  Company’s  subsidiaries  in  the  PRC  due  to  changes  in 
business conditions, to fund future acquisitions and development, or merely to declare and pay dividends to 
make distributions to shareholders. 

In addition, the Group has certain investments in equity investees in the PRC, where the Group’s equity in 
undistributed earnings amounted to US$54.4 million and US$99.9 million as at December 31, 2021 and 2020 
respectively. 

142

 
 
 
 
 
31. Additional Information: Company Balance Sheets (Parent Company Only) 

Assets 
Current assets 

Cash and cash equivalents 
Short-term investments 
Other receivables, prepayments and deposits 

Total current assets 
Investments in subsidiaries 
Deferred issuance costs 
Total assets 
Liabilities and shareholders’ equity 
Current liabilities 

Other payables, accruals and advance receipts 
Income tax payable 
Total current liabilities 
Other non-current liabilities 
Total liabilities 
Commitments and contingencies 

Company’s shareholders’ equity 

Ordinary shares; $0.10 par value; 1,500,000,000 shares authorized; 

864,530,850 and 727,722,215 shares issued at December 31, 2021 
and 2020 respectively 
Additional paid-in capital 
Accumulated losses 
Accumulated other comprehensive income 

Total Company’s shareholders’ equity 
Total liabilities and shareholders’ equity 

December 31, 

Note 

2021 

2020 

(in US$’000) 

979 
55,128 
934 
57,041 
972,831 
— 
1,029,872 

42,952 
16 
42,968 
11 
42,979 

21 
— 
1,120 
1,141 
506,150 
1,171 
508,462 

24,253 
93 
24,346 
— 
24,346 

86,453 
1,505,196 
(610,328) 
5,572 
986,893 
1,029,872 

72,772 
822,458 
(415,591) 
4,477 
484,116 
508,462 

16 

17 

32. Subsequent Events 

The Group evaluated subsequent events through March 3, 2022, which is the date when the consolidated 

financial statements were issued. 

In  February  2022,  a  US$15  million  milestone  payment  was  triggered  and  receivable  in  relation  to  the 
initiation  of  the  Phase  III  study  for  the  primary  indication  non-small  cell  lung  cancer  pursuant  to  the  AZ 
Agreement. 

33. Dividends 

No dividend has been paid or declared by the Company since its incorporation. 

HUTCHMED (China) Limited 2021 Annual Report  143

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
34. Directors’ Remuneration 

Directors’ remuneration disclosed pursuant to the Listing Rules, Section 383(1)(a), (b), (c) and (f) of the 
Hong Kong Companies Ordinance and Part 2 of the Companies (Disclosure of Information about Benefits of 
Directors) Regulation, is as follows: 

Fees: 
Other remuneration 
Salaries, allowances and benefits in kind 
Pension contributions 
Performance related bonuses 
Share-based compensation expenses (note) 

2021 

Year Ended December 31,  
2020 
(in US$’000) 
848  

883   

2019 

1,160 
93 
2,245 
5,553 
9,051 
9,934 

1,093  
89  
2,005  
3,336  
6,523  
7,371  

848 

1,001 
79 
2,042 
1,911 
5,033 
5,881 

Note: During the years ended December 31, 2021, 2020 and 2019, certain directors were granted share options 
and LTIP awards in respect of their services to the Group, under the share option schemes and LTIP of the 
Company,  further  details  of  which  are  set  out  in  Note  18.  The  share-based  compensation  expenses  were 
recognized in the consolidated statements of operations during the years ended December 31, 2021, 2020 and 
2019. 

(i) 

Independent non-executive directors 

The fees paid to independent non-executive directors were as follows: 

2021 

Year Ended December 31,  
2020 
(in US$’000) 
117  
103  
104  
84  
408  

117   
103 
111 
99 
430 

2019 

117 
103 
104 
84 
408 

Paul Carter  
Karen Ferrante  
Graeme Jack  
Tony Mok 

The share-based compensation expenses of the independent non-executive directors were as follows: 

Paul Carter  
Karen Ferrante  
Graeme Jack  
Tony Mok 

2021 

2019 

Year Ended December 31,  
2020 
(in US$’000) 
73  
73  
73  
73  
292  

91   
91 
91 
91 
364 

— 
— 
— 
— 
— 

There were no other remunerations payable to independent non-executive directors during the years ended 

December 31, 2021, 2020 and 2019. 

144

 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(ii) 

Executive directors and non-executive directors 

Executive directors 
Simon To 
Christian Hogg 
Johnny Cheng 
Wei-guo Su 

Non-executive directors 
Dan Eldar 
Edith Shih 

Executive directors 
Simon To 
Christian Hogg 
Johnny Cheng 
Wei-guo Su 

Non-executive directors 
Dan Eldar 
Edith Shih 

Executive directors 
Simon To 
Christian Hogg 
Johnny Cheng 
Wei-guo Su 

Non-executive directors 
Dan Eldar 
Edith Shih 

Year Ended December 31, 2021 

Salaries, 
allowances and 
benefits in kind  

Pension 
contributions  

Performance 
related 
bonuses 

Fees 

Share-based 
compensation   

Total 

85   
77   
72   
75   
309   

70   
74   
144   
453   

—   
420   
328   
412   
1,160   

—   
—   
—   
1,160   

(in US$’000) 

—   
30   
28   
35   
93   

—   
—   
—   
93   

—   
1,000   
410   
835   
2,245   

—   
—   
—   
2,245   

92   
2,246   
733   
1,934   
5,005   

92   
92   
184   
5,189   

177 
3,773 
1,571 
3,291 
8,812 

162 
166 
328 
9,140 

Year Ended December 31, 2020 

Salaries, 
allowances and 
benefits in kind  

Pension 
contributions  

Performance 
related 
bonuses 

Fees 

Share-based 
compensation   

Total 

(in US$’000) 

—   
30   
27   
32   
89   

—   
—   
—   
89   

—   
897   
372   
736   
2,005   

—   
—   
—   
2,005   

—   
411   
320   
362   
1,093   

—   
—   
—   
1,093   

73   
1,012   
341   
1,472   
2,898   

73   
73   
146   
3,044   

153 
2,425 
1,130 
2,677 
6,385 

143 
143 
286 
6,671 

80 
75 
70 
75 
300 

70 
70 
140 
440 

Year Ended December 31, 2019 

Salaries, 
allowances and 
benefits in kind  

Pension 
contributions  

Performance 
related 
bonuses 

Fees 

Share-based 
compensation   

Total 

(in US$’000) 

—   
29   
26   
24   
79   

—   
—   
—   
79   

—   
936   
365   
741   
2,042   

—   
—   
—   
2,042   

—   
401   
309   
291   
1,001   

—   
—   
—   
1,001   

—   
399   
155   
1,357   
1,911   

—   
—   
—   
1,911   

80 
1,840 
925 
2,488 
5,333 

70 
70 
140 
5,473 

80 
75 
70 
75 
300 

70 
70 
140 
440 

HUTCHMED (China) Limited 2021 Annual Report  145

 
 
 
 
 
 
   
     
 
 
 
   
 
 
   
     
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
     
 
 
 
   
 
 
 
 
 
 
 
 
 
     
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
 
 
 
   
 
 
 
 
 
 
 
 
 
     
 
 
 
   
 
 
 
 
 
 
 
 
 
 
35. Five Highest-Paid Employees 

The  five  highest-paid  employees  during  years  ended  December  31,  2021,  2020  and  2019  included  the 

following number of directors and non-directors: 

Directors 
Non-directors 

Year Ended December 31,  
2020 

2019 

2021 

3 
2 
5 

3  
2  
5  

3 
2 
5 

Details of the remuneration for the years ended December 31, 2021, 2020 and 2019 of the five highest-paid 

employees who are non-directors (the “Non-director Individuals”) were as follows: 

Salaries, allowances and benefits in kind 
Pension contributions 
Performance related bonuses 
Share-based compensation expenses (note) 

2021 

Year Ended December 31,  
2020 
(in US$’000) 
715  
48  
735  
1,104  
2,602  

859 
52 
802 
1,465 
3,178 

2019 

643 
36 
511 
953 
2,143 

Note: During the years ended December 31, 2021, 2020 and 2019, the Non-director Individuals were granted 
share options and LTIP awards in respect of their services to the Group, under the share option schemes and 
LTIP of the Company, further details of which are set out in Note 18. The share-based compensation expenses 
were recognized in the consolidated statements of operations during the years ended December 31, 2021, 2020 
and 2019. 

The number of Non-director Individuals whose remuneration fell within the following bands is as follows: 

HK$7,500,000 to HK$8,000,000 
HK$9,000,000 to HK$9,500,000 
HK$10,000,000 to HK$10,500,000 
HK$12,000,000 to HK$12,500,000 
HK$12,500,000 to HK$13,000,000 

Year Ended December 31,  
2020 

2019 

2021 

— 
— 
— 
1 
1 
2 

—  
—  
2  
—  
—  
2  

1 
1 
— 
— 
— 
2 

During the years ended December 31, 2021, 2020 and 2019, no remuneration was paid by the Group to any 
directors or Non-director Individuals as an inducement to join the Group or as compensation for loss of office. 
Additionally, none of the directors or Non-director Individuals have waived any remuneration during the years 
ended December 31, 2021, 2020 and 2019. 

146

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
36.  Reconciliation  between  U.S.  GAAP  and  International  Financial  Reporting 
Standards  

These consolidated financial statements are prepared in accordance with U.S. GAAP, which differ in certain 
respects  from  International  Financial  Reporting  Standards  (“IFRS”).  The  effects  of  material  differences 
prepared under U.S. GAAP and IFRS are as follows: 

(i) Reconciliation of consolidated statements of operations 

Year Ended December 31, 2021 
IFRS adjustments 

Amounts as 
reported under 
U.S. GAAP 

Lease 
amortization 
(note (a)) 

Issuance 
costs 
(note (b)) 

Capitalization 
of rights 
 (note (c)) 

Divestment 
 of an equity 
investee  
(note (d)) 

Amounts 
under IFRS 

(229,448)  

40   

(in US$’000) 
— 

—   

—   

(229,408) 

(299,086)   
(37,827)   
(89,298)   

(684,445)   

23 
53 
161 

277 

— 
— 
(163)   

(163)   

11,111 
— 
—   

11,111   

— 
— 
—   

  (287,952) 
(37,774) 
(89,300) 

—   

(673,220) 

121,310 

(592)   
(12,643)   

— 
(400)   
9 

—   
—   
—   

(8,733)   

(391)   

—   

—   
—   
—   

—   

11,266    132,576 
(992) 
(12,634) 

—   
—   

—   

(9,124) 

(215,740)   
(11,918)   

(114)  
— 

(163)   
—   

11,111   
—   

11,266   
370   

(193,640) 
(11,548) 

60,617 
(167,041)   

(1)   
(115)   

—   
(163)   

—   
11,111   

(11,636)  
—   

48,980 
(156,208) 

(27,607)   

(2)   

— 

(27)   

— 

(27,636) 

Costs of goods—third parties 
Research and development 
expenses 
Selling expenses 
Administrative expenses 

Total operating expenses 
Gain on divestment of an 

equity investee 
Interest expense 
Other expense 

Total other 
income/(expense) 
Loss before income taxes 
and equity in earnings of 
equity investees 
Income tax expense 
Equity in earnings of equity 

investees, net of tax 

Net loss 
Less: Net income attributable 
to non-controlling interests 
Net loss attributable to the 

Company 

(194,648)   

(117)   

(163)   

11,084 

— 

  (183,844) 

HUTCHMED (China) Limited 2021 Annual Report  147

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Year Ended December 31, 2020 

IFRS adjustments 

Amounts as 
reported under 
U.S. GAAP 

Lease 
amortization 
(note (a)) 

Issuance 
costs 
(note (b)) 

Capitalization 
of rights 
 (note (c)) 

Divestment 
of an equity 
investee 
 (note (d)) 

Amounts 
under IFRS 

Costs of goods—third parties 
Research and development 
expenses 
Selling expenses 
Administrative expenses 

Total operating expenses 
Interest expense 
Other expense 

Total other 
income/(expense) 
Loss before income taxes 
and equity in earnings of 
equity investees 

Equity in earnings of equity 

investees, net of tax 

Net loss 
Less: Net income attributable 
to non-controlling interests 
Net loss attributable to the 

Company 

(178,828)  

29   

(in US$’000) 
— 

(174,776)   
(11,334)   
(50,015)   

(424,644)   
(787)   
(115)   

18 
51 
132 

230 
(237)   
15 

— 
— 
860   

860   
—   
—   

6,934 

(222)   

—   

(189,734)   

79,046 

(115,517)   

(10,213)   

(125,730)   

8 

4 

12 

17 

29 

860   

—   

860   

— 

860 

—   

— 
— 
—   

—   
—   
—   

—   

—   

—   

—   

— 

— 

—   

(178,799) 

— 
— 
—   

  (174,758) 
(11,283) 
(49,023) 

—    (423,554) 
(1,024) 
—   
(100) 
—   

—   

6,712 

—    (188,866) 

—   

79,050 

—    (114,645) 

— 

(10,196) 

— 

  (124,841) 

Year Ended December 31, 2019 
IFRS adjustments 

Amounts as 
reported under 
U.S. GAAP 

Lease 
amortization 
(note (a)) 

Issuance 
costs 
(note (b)) 

Capitalization 
of rights 
 (note (c)) 

(in US$’000) 

Divestment 
 of an equity 
investee 
 (note (d)) 

Amounts 
under IFRS 

Research and development 
expenses 
Administrative expenses 

Total operating expenses 
Interest expense 
Other expense 

Total other 
income/(expense) 
Loss before income taxes 
and equity in earnings of 
equity investees 

Equity in earnings of equity 

investees, net of tax 

Net loss 
Less: Net income attributable 
to non-controlling interests 
Net loss attributable to the 

Company 

(138,190)  
(39,210)   

(351,276)   
(1,030)   
(488)   

31   
192 

223 
(275)   
92 

— 
—   

—   
—   
—   

5,281   

(183)   

—   

(141,105)   

40,700   

(103,679)   

(2,345)   

(106,024)   

40 

(5) 

35 

15 

50 

—   

—   

—   

— 

— 

—   
—   

—   
—   
—   

—   

—   

—   

—   

— 

— 

—   
—   

(138,159) 
(39,018) 

—    (351,053) 
(1,305) 
—   
(396) 
—   

—   

5,098 

—    (141,065) 

—   

40,695 

—    (103,644) 

—   

(2,330) 

—    (105,974) 

148

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(ii) Reconciliation of consolidated balance sheets 

December 31, 2021 
IFRS adjustments 

Amounts as 
reported 
under U.S. 
GAAP 

Lease 
amortization 
(note (a)) 

Issuance 
costs  
(note (b))  

11,879  

(257)  

—  

Capitalization 
of rights  
(note (c)) 
(in US$’000) 
—   

Right-of-use assets 
Investments in equity 
investees 
Other non-current assets 

76,479 
21,551 

(24)  
—   

Total assets 

1,372,661 

(281)   

Other payables, accruals 
and advance receipts 

Total current liabilities 
Total liabilities 

210,839 

311,658 
333,147 

—   

—   
—   

—   
—   
—   

—   

—   
—   

Divestment 
of an equity 
investee 
(note (d)) 

LTIP 
classification 
(note (e)) 

Amounts 
under IFRS 

— 

— 
— 
— 

—   

11,622 

76,455 
32,847 

—   
—   
—    1,383,676 

—   
11,296   

11,296   

—   

—   
—   

— 

— 
—   

(12,836)   

198,003 

(12,836)   
(12,836)  

298,822 
320,311 

Additional paid-in capital  1,505,196 
Accumulated losses 
Accumulated other 

(610,328)   

—   
(233)   

(697)   
697   

—   
11,084   

comprehensive income 

5,572 

(7)   

—   

185   

Total Company’s 

shareholders’ equity 
Non-controlling interests 
Total shareholders’ 
equity 

986,893 
52,621 

(240)  
(41)   

—   
—   

11,269   
27   

1,039,514 

(281)   

—   

11,296   

— 
— 

— 

— 
— 

— 

12,836    1,517,335 
(598,780) 

—   

—   

5,750 

12,836    1,010,758 
52,607 

—   

12,836    1,063,365 

December 31, 2020 
IFRS adjustments 

Amounts as 
reported 
under U.S. 
GAAP 

Lease 
amortization 
(note (a)) 

Issuance 
costs  
(note (b))  

8,016   

(140)  

—  

Capitalization 
of rights  
(note (c)) 
(in US$’000) 
—   

  Divestment 
of an equity 
investee 
(note (d)) 

LTIP 
classification  
(note (e)) 

Amounts 
under IFRS 

Right-of-use assets 
Investments in equity 
investees 
Other non-current assets 

Total assets 

Other payables, accruals 
and advance receipts 

Total current liabilities 
Total liabilities 

Additional paid-in capital 
Accumulated losses 
Accumulated other 

139,505 
20,172 

724,118 

121,283 

158,397 
205,169 

(22)   
—   

(162)   

—   
860   
860   

—   

—   
—   

—   

—   
—   

822,458 
(415,591)   

—   
(116)   

—   
860   

comprehensive income 

4,477 

(4)   

—   

Total Company’s 

shareholders’ equity 
Non-controlling interests 
Total shareholders’ 
equity 

484,116 
34,833 

(120)  
(42)   

860   
—   

518,949 

(162)   

860   

—   
—   

—   

—   

—   
—   

—   
—   

—   

—   
—   

—   

— 

— 
— 
— 

—   

7,876 

—   
—   
—   

139,483 
21,032 

724,816 

— 

— 
—   

(7,089)   

114,194 

(7,089)   
(7,089)  

151,308 
198,080 

— 
— 

— 

— 
— 

— 

7,089   
—   

829,547 
(414,847) 

—   

4,473 

7,089   
—   

491,945 
34,791 

7,089   

526,736 

HUTCHMED (China) Limited 2021 Annual Report  149

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
   
 
 
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
   
 
 
 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
Notes: 

(a) 

Lease amortization 

Under U.S. GAAP, for operating leases, the amortization of right-of-use assets and the interest expense 
element of lease liabilities are recorded together as lease expenses, which results in a straight-line recognition 
effect in the consolidated statements of operations.  

Under IFRS, all leases are accounted for like finance leases where right-of-use assets are generally 
depreciated on a straight-line basis while  lease liabilities  are measured under the effective interest method, 
which results in higher expenses at the beginning of the lease term and lower expenses near the end of the 
lease term.  

(b) 

Issuance costs 

Under U.S. GAAP and IFRS, there are differences in the criteria for capitalization of issuance costs 

incurred in the offering of equity securities.  

(c) 

Capitalization of development and commercial rights 

Under  U.S.  GAAP,  the  acquired  development  and  commercial  rights  do  not  meet  the  capitalization 
criteria as further development is needed as of the acquisition date and there is no alternative future use. Such 
rights  are  considered  as  in-process  research  and  development  and  were  expensed  to  research  and 
development expense. 

Under IFRS, the acquired development and commercial rights were capitalized to intangible assets. 
The recognition criterion is always assumed to be met as the price already reflects the probability that future 
economic benefits will flow to the Group.  

(d) 

Divestment of HBYS 

Under U.S. GAAP, an equity method investment to be divested that does not qualify for discontinued 
operations  reporting  would  not  qualify  for  held-for-sale  classification.  The  investment  in  HBYS  was  not 
presented as a discontinued operation or as an asset classified as held-for-sale after the signing of the SPA in 
March 2021 and therefore, it was accounted for under the equity method until closing on September 28, 2021.  

Under IFRS, an equity method investment may be classified as held-for-sale even if the discontinued 
operations criteria are not met. The investment in HBYS was not presented as a discontinued operation but was 
classified as held-for-sale and therefore equity method accounting was discontinued in March 2021 on the initial 
classification  as  held-for-sale.  Accordingly,  the  reconciliation  includes  a  classification  difference  in  the 
consolidated  statement  of  operations  between  gain  on  divestment  of  an  equity  investee,  equity  earnings  of 
equity investees, net of tax and income tax expense. 

(e) 

LTIP classification 

Under U.S. GAAP, LTIP awards with performance conditions are classified as liability-settled awards 
prior to the determination date as they settle in a variable number of shares based on a determinable monetary 
amount, which is determined upon the actual achievement of performance targets. After the determination date, 
the LTIP awards are reclassified as equity-settled awards. 

Under  IFRS,  LTIP  awards  are  classified  as  equity-settled  awards,  both  prior  to  and  after  the 
determination date, as they  are ultimately  settled in ordinary shares or the equivalent ADS of the Company 
instead of cash.  

150

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
Washington, D.C. 20549 
FORM 20-F 

(Mark one) 

☐   REGISTRATION STATEMENT PURSUANT TO SECTION 12(b) OR (g) OF THE SECURITIES EXCHANGE ACT OF 1934 

☒  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 

For the fiscal year ended December 31, 2021 

OR 

OR 

☐

 TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 

For the transition period from to  

OR 

☐ 

SHELL COMPANY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 

Date of event requiring this shell company report  

Commission file number 001-37710 

HUTCHMED (CHINA) LIMITED 

 (Exact name of Registrant as specified in its charter) 
N/A 
(Translation of Registrant’s name into English) 

Cayman Islands 
(Jurisdiction of incorporation or organization) 

48th Floor, Cheung Kong Center 
2 Queen’s Road Central 
Hong Kong 
+852 2121 8200 
(Address of principal executive offices) 

Christian Lawrence Hogg 
Chief Executive Officer 
Level 18, The Metropolis Tower 
10 Metropolis Drive 
Hunghom, Kowloon  
Hong Kong 
Telephone: +852 2121 8200 
Facsimile: +852 2121 8281 
(Name, telephone, email and/or facsimile number and address of Company contact person) 

Securities registered or to be registered pursuant to Section 12(b) of the Act: 

Title of each class 
American depositary shares, each representing five ordinary shares,  
par value $0.10 per share  
Ordinary shares, par value $0.10 per share* 
Ordinary shares, par value $0.10 per share 
Ordinary shares, par value $0.10 per share 

*Not for trading, but only in connection with the listing of American depositary shares on the Nasdaq Global Select Market 

Securities registered or to be registered pursuant to Section 12(g) of the Act: 

Securities for which there is a reporting obligation pursuant to Section 15(d) of the Act: 

None 
(Title of Class) 

None 
(Title of Class) 

Trading Symbol(s)
HCM 

0013
HCM

Name of each exchange on which registered
Nasdaq Global Select Market 

Nasdaq Global Select Market*
The Stock Exchange of Hong Kong Limited
The AIM Market of the London Stock Exchange

Indicate the number of outstanding shares of each of the issuer’s classes of capital or common stock as of the close of the period covered by the Annual Report: 

864,530,850 ordinary shares were issued and outstanding as of December 31, 2021. 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  

If this report is an annual or transition report, indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934. Note 

 Yes  No 

 Yes  No 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and 
(2) has been subject to such filing requirements for the past 90 days.  

 Yes  No 
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant 
was required to submit such files).  

 Yes  No 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or an emerging growth company. See definition of “large accelerated filer,” “accelerated filer,” and “emerging growth company” in Rule 12b-2 of the 
Exchange Act. 

Large accelerated filer  

Accelerated filer 

Non-accelerated filer 

Emerging growth company ☐

If an emerging growth company that prepares its financial statements in accordance with U.S. GAAP, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards† 
provided pursuant to Section 13(a) of the Exchange Act. ☐ 
†The term “new or revised financial accounting standard” refers to any update issued by the Financial Accounting Standards Board to its Accounting Standards Codification after April 5, 2012. 

Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered 
public accounting firm that prepare or issued its audit report.  

Indicate by check mark which basis of accounting the registrant has used to prepare the financial statements included in this filing: 

U.S. GAAP  

International Financial Reporting Standards as issued 
by the International Accounting Standards Board 

Other  

If “Other” has been checked in response to the previous question, indicate by check mark which financial statement item the registrant has elected to follow.  

If this is an Annual Report, indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). 

 Item 17   Item 18 

(APPLICABLE ONLY TO ISSUERS INVOLVED IN BANKRUPTCY PROCEEDINGS DURING THE PAST FIVE YEARS) 
Indicate by check mark whether the registrant has filed all documents and reports required to be filed by Sections 12, 13 or 15(d) of the Securities Exchange Act of 1934 subsequent to the distribution of securities under a plan confirmed by a court.  

☐ Yes  ☒ No 

 Yes  No 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
HUTCHMED (China) Limited 
Table of Contents 

Introduction 

Cautionary Statement Regarding Forward-Looking Statements 

PART I 

Item 1. 

Identity of Directors, Senior Management and Advisers 

Item 2. 

Offer Statistics and Expected Timetable 

Item 3. 

Key Information 

Item 4. 

Information on the Company 

Item 4A.  Unresolved Staff Comments 

Item 5. 

Operating and Financial Review and Prospects 

Item 6. 

Directors, Senior Management and Employees 

Item 7.  Major Shareholders and Related Party Transactions 

Item 8. 

Financial Information 

Item 9. 

The Offer and Listing 

Item 10.  Additional Information 

Item 11.  Quantitative and Qualitative Disclosures About Market Risk  

Item 12.  Description of Securities Other Than Equity Securities 

PART II 

Item 13.  Defaults, Dividend Arrearages and Delinquencies 

Item 14.  Material Modifications to the Rights of Security Holders and Use Of Proceeds 

Item 15.  Controls and Procedures 

Item 16.  Reserved 

Item 16A.  Audit Committee Financial Experts 

Item 16B.  Code of Ethics 

Item 16C.  Principal Accountant Fees and Services 

Item 16D.  Exemptions From The Listing Standards For Audit Committees 

Item 16E.  Purchases of Equity Securities by the Issuer and Affiliated Purchasers 

Item 16F.  Change In Registrant’s Certifying Accountant 

Item 16G.  Corporate Governance 

Item 16H.  Mine Safety Disclosure 

Item 16I.  Disclosure Regarding Foreign Jurisdictions That Prevent Inspection

PART III 

Item 17. 

Financial Statements 

Item 18. 

Financial Statements 

Item 19.  Exhibits 

SIGNATURES 

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INTRODUCTION 

This annual report on Form 20-F contains our audited consolidated statements of operations data for the years ended December 31, 
2021, 2020 and 2019 and our audited consolidated balance sheet data as of December 31, 2021 and 2020.  Our consolidated financial 
statements have been prepared in accordance with U.S. generally accepted accounting principles, or U.S. GAAP. 

This annual report also includes audited consolidated income statement data for the years ended December 31, 2021, 2020 and 2019 
and the audited consolidated statements of financial position data as of December 31, 2021 and 2020 for our non-consolidated joint 
venture, Shanghai Hutchison Pharmaceuticals, and audited consolidated income statement data for the period from January 1, 2021 to 
September 28, 2021 and the years ended December 31, 2020 and 2019 and the audited consolidated statements of financial position data 
as  of  September  28,  2021  and  December  31,  2020  of  Hutchison  Baiyunshan  when  it  was  our  non-consolidated  joint  venture.  On 
September 28, 2021, we completed the disposal of our entire interest in Hutchison Baiyunshan, which was our non-core and over-the-
counter drug joint venture business. The financial statements of each of Shanghai Hutchison Pharmaceuticals and Hutchison Baiyunshan 
have been prepared in accordance with International Financial Reporting Standards, or IFRS, as issued by the International Accounting 
Standard Board, or IASB. 

Unless  the  context  requires  otherwise,  references  herein  to  the  “company,”  “HUTCHMED,”  “we,”  “us”  and  “our”  refer  to 

HUTCHMED (China) Limited (formerly Hutchison China MediTech Limited) and its consolidated subsidiaries and joint ventures. 

Unless otherwise indicated, references in this annual report to: 

Conventions Used in this Annual Report 

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“ADRs” are to the American depositary receipts, which evidence our ADSs; 

“ADSs” are to our American depositary shares, each of which represents five ordinary shares; 

“China” or “PRC” are to the People’s Republic of China, excluding, for the purposes of this annual report only, Taiwan and 
the special administrative regions of Hong Kong and Macau; 

“CK Hutchison” are to CK Hutchison Holdings Limited, a company incorporated in the Cayman Islands and listed on The 
Stock Exchange of Hong Kong Limited, or the Hong Kong Stock Exchange, and the ultimate parent company of our largest 
shareholder, Hutchison Healthcare Holdings Limited; 

“E.U.” are to the European Union; 

“Guangzhou Baiyunshan” are to Guangzhou Baiyunshan Pharmaceutical Holdings Company Limited, a leading China-based 
pharmaceutical company listed on the Shanghai Stock Exchange and the Hong Kong Stock Exchange; 

“Hain Celestial” are to The Hain Celestial Group, Inc., a Nasdaq-listed, natural and organic food and personal care products 
company; 

“HK$” or “HK dollar” are to the legal currency of the Hong Kong Special Administrative Region; 

“Hutchison Baiyunshan” are to Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited, which was 
our non-consolidated joint venture with Guangzhou Baiyunshan in which we indirectly held a 50% interest through a holding 
company until our disposal of such interest on September 28, 2021 (this interest was previously held through a holding company 
in which we have a 80% interest); 

“HUTCHMED Science Nutrition” (formerly Hutchison Consumer Products Limited) are to HUTCHMED Science Nutrition 
Limited, our wholly owned subsidiary; 

“Hutchison Hain Organic” are to Hutchison Hain Organic Holdings Limited, our joint venture with Hain Celestial in which we 
have a 50% interest; 

3 

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“Hutchison Healthcare” are to Hutchison Healthcare Limited, our wholly owned subsidiary; 

“HUTCHMED  Limited”  (formerly  Hutchison  MediPharma  Limited),  our  subsidiary  through  which  we  operate  our 
Oncology/Immunology operations in which we have a 99.8% interest; 

“HUTCHMED Holdings” are to HUTCHMED Holdings Limited (formerly Hutchison MediPharma Holdings Limited), our 
subsidiary in which we have a 99.8% interest and which is the indirect holding company of HUTCHMED Limited; 

“Hutchison  Sinopharm”  are  to  Hutchison  Whampoa  Sinopharm  Pharmaceuticals  (Shanghai)  Company  Limited,  our  joint 
venture with Sinopharm in which we have a 50.9% interest; 

“ordinary shares” or “shares” are to our ordinary shares, par value $0.10 per share; 

“RMB” or “renminbi” are to the legal currency of the PRC; 

“SEHK” are to The Stock Exchange of Hong Kong; 

“Shanghai Hutchison Pharmaceuticals” are to Shanghai Hutchison Pharmaceuticals Limited, our non-consolidated joint venture 
with Shanghai Pharmaceuticals in which we have a 50% interest; 

“Shanghai Pharmaceuticals” are to Shanghai Pharmaceuticals Holding Co., Ltd., a leading pharmaceutical company in China 
listed on the Shanghai Stock Exchange and the Hong Kong Stock Exchange; 

“Sinopharm” are to Sinopharm Group Co. Ltd., a leading distributor of pharmaceutical and healthcare products and a leading 
supply chain service provider in China listed on the Hong Kong Stock Exchange; 

“U.S.” or “United States” are to the United States of America; 

“$” or “U.S. dollars” are to the legal currency of the United States; and 

“£” or “pound sterling” are to the legal currency of the United Kingdom. 

References in this annual report to our “Oncology/Immunology” operations are to all activities related to oncology/immunology, 
including sales, marketing, manufacturing and research and development with respect to our drugs and drug candidates, and references 
to our “Other Ventures” are to all of our other businesses. 

Our  reporting  currency  is  the  U.S.  dollar.  In  addition,  this  annual  report  also  contains  translations  of  certain  foreign  currency 
amounts into dollars for the convenience of the reader. Unless otherwise stated, all translations of pound sterling into U.S. dollars were 
made at £1.00 to $1.33, all translations of RMB into U.S. dollars were made at RMB6.39 to $1.00 and all translations of HK dollars into 
U.S. dollars were made at HK$7.80 to $1.00, which are the exchange rates used in our audited consolidated financial statements as of 
December 31, 2021. We make no representation that the pound sterling, HK dollar or U.S. dollar amounts referred to in this annual 
report could have been or could be converted into U.S. dollars, pounds sterling or HK dollars, as the case may be, at any particular rate 
or at all. 

Trademarks and Service Marks 

We own or have been licensed rights to trademarks, service marks and trade names for use in connection with the operation of our 
business,  including,  but  not  limited  to,  the  trademarks  “Hutchison”,  “Chi-Med”,  “Hutchison  China  MediTech”,  “HUTCHMED”, 
“Elunate”, “Sulanda”, “Orpathys”, “Tazverik” and the logos used by HUTCHMED Limited. All other trademarks, service marks or 
trade names appearing in this annual report that are not identified as marks owned by us are the property of their respective owners. 

Solely for convenience, the trademarks, service marks and trade names referred to in this annual report are listed without the ®, ™ 
and (sm) symbols, but we will assert, to the fullest extent under applicable law, our applicable rights in these trademarks, service marks 
and trade names. 

4 

CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS 

This  annual  report  contains  forward-looking  statements  made  under  the  “safe  harbor”  provisions  of  the  U.S.  Private  Securities 
Litigation Reform Act of 1995. These statements relate to future events or to our future financial performance and involve known and 
unknown  risks,  uncertainties  and  other  factors  which  may  cause  our  actual  results,  performance  or  achievements  to  be  materially 
different from any future results, performance or achievements  expressed or implied by the forward-looking statements. The words 
“anticipate,”  “assume,”  “believe,”  “contemplate,”  “continue,”  “could,”  “estimate,”  “expect,”  “goal,”  “intend,”  “may,”  “might,” 
“objective,” “plan,” “potential,” “predict,” “project,” “positioned,” “seek,” “should,” “target,” “will,” “would,” or the negative of these 
terms  or  other  similar  expressions  are  intended  to  identify  forward-looking  statements,  although  not all  forward-looking  statements 
contain  these  identifying  words.  These  forward-looking  statements  are  based  on  current  expectations,  estimates,  forecasts  and 
projections about our business and the industry in which we operate and management’s beliefs and assumptions, are not guarantees of 
future  performance  or  development  and  involve  known  and  unknown  risks,  uncertainties  and  other  factors.  These  forward-looking 
statements include statements regarding: 

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the initiation, timing, progress and results of our or our collaboration partners’ pre-clinical and clinical studies, and our research 
and development programs; 

our or our collaboration partners’ ability to advance our drug candidates into, and/or successfully complete, clinical studies; 

the timing of regulatory filings and the likelihood of favorable regulatory outcomes and approvals; 

regulatory developments in China, the United States and other countries; 

the expansion of our oncology drug sales team to support the marketing and sales of our approved drug candidates and the 
ability of this team to effectively develop and execute promotional and marketing activities; 

the timing, progress and results of our commercial launches, the rate and degree of market acceptance and potential market for 
any of our approved drug candidates; 

the pricing and reimbursement of our and our joint ventures’ products and our approved drug candidates; 

our ability to contract on commercially reasonable terms with contract research organizations, or CROs, third-party suppliers 
and manufacturers; 

the scope of protection we are able to establish and maintain for intellectual property rights covering our or our joint ventures’ 
products and our drug candidates; 

the ability of third parties with whom we contract to successfully conduct, supervise and monitor clinical studies for our drug 
candidates; 

estimates of our expenses, future revenues, capital requirements and our needs for additional financing; 

our ability to obtain additional funding for our operations; 

the potential benefits of our collaborations and our ability to enter into future collaboration arrangements; 

the ability and willingness of our collaborators to actively pursue development activities under our collaboration agreements; 

our receipt of milestone or royalty payments, service payments and manufacturing costs pursuant to our strategic alliances with 
AstraZeneca AB (publ), or AstraZeneca, and Lilly (Shanghai) Management Company Limited, or Eli Lilly; 

our financial performance; 

5 

 
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our ability to attract and retain key scientific and management personnel; 

our relationship with our joint venture and collaboration partners; 

developments relating to our competitors and our industry, including competing drug products; 

changes in our tax status or the tax laws in the jurisdictions that we operate;  

developments in our business strategies and business plans; and 

the extent of the impact of the COVID-19 pandemic, including the duration, spread, severity, and any recurrence of the COVID-
19 pandemic, the duration and scope of related government orders and restrictions and the extent of the impact of the COVID-
19 pandemic on the global economy. 

Actual  results  or  events  could  differ  materially  from  the  plans,  intentions  and  expectations  disclosed  in  the  forward-looking 
statements we make. As a result, any or all of our forward-looking statements in this annual report may turn out to be inaccurate. We 
have included important factors in the cautionary statements included in this annual report on Form 20-F, particularly in the section of 
this annual report on Form 20-F titled “Risk Factors,” that we believe could cause actual results or events to differ materially from the 
forward-looking  statements  that  we  make.  We  may  not  actually  achieve  the  plans,  intentions  or  expectations  disclosed  in  our 
forward-looking statements, and you should not place undue reliance on our forward-looking statements. Moreover, we operate in a 
highly competitive and rapidly changing environment in which new risks often emerge. It is not possible for our management to predict 
all risks, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may 
cause actual results to differ materially from those contained in any forward-looking statements we may make. 

You should read this annual report and the documents that we reference herein and have filed as exhibits hereto completely and 
with the understanding that our actual future results may be materially different from what we expect. The forward-looking statements 
contained  herein  are  made  as  of  the  date  of  the  filing  of  this  annual  report,  and  we  do  not  assume  any  obligation  to  update  any 
forward-looking statements except as required by applicable law. 

In addition, this annual report contains statistical data and estimates that we have obtained from industry publications and reports 
generated by third-party market research firms. Although we believe that the publications, reports and surveys are reliable, we have not 
independently verified the data and cannot guarantee the accuracy or completeness of such data. You are cautioned not to give undue 
weight  to  this  data.  Such  data  involves  risks  and  uncertainties  and  are  subject  to  change  based  on  various  factors,  including  those 
discussed above. 

6 

 
 
PART I 

ITEM 1. IDENTITY OF DIRECTORS, SENIOR MANAGEMENT AND ADVISERS 

Not applicable. 

ITEM 2. OFFER STATISTICS AND EXPECTED TIMETABLE 

Not applicable. 

ITEM 3. KEY INFORMATION 

A.    Reserved. 

B.   Capitalization and Indebtedness. 

Not applicable. 

C.   Reasons for the Offer and Use of Proceeds. 

Not applicable. 

D.   Risk Factors. 

HUTCHMED  (China)  Limited  is  a  Cayman  Islands  holding  company  which  conducts  its  operations  in  China  through  its  PRC 
subsidiaries  (our  corporate  group  does  not  include  any  variable  interest  entities).  We  face  various  legal  and  operational  risks  and 
uncertainties as a company with substantial operations in China. The PRC government has significant authority to exert influence on 
the ability of a company with substantial operations in China, like us, to conduct its business, accept foreign investments or be listed on 
a U.S. stock exchange. For example, we face risks associated with regulatory approvals of offshore offerings, anti-monopoly regulatory 
actions, cybersecurity and data privacy, as well as the lack of inspection from the U.S. Public Company Accounting Oversight Board, 
or  PCAOB,  on  our  auditors.  The  PRC  government  may  also  intervene  with  or  influence  our  operations  as  the  government  deems 
appropriate to further regulatory, political and societal goals. The PRC government publishes from time to time new policies that can 
significantly  affect  our  industry  in which we  operate  and we  cannot  rule  out  the possibility  that  it  will  in  the  future further  release 
regulations or policies regarding our industry that could adversely affect our business, financial condition and results of operations. Any 
such action, once taken by the PRC government, could cause the value of our ADSs and ordinary shares to significantly decline or in 
extreme cases, become worthless. 

You should carefully consider all of the information in this annual report before making an investment in the ADSs. Below please 
find a summary of the principal risks and uncertainties we face, organized under relevant headings. In particular, as we are a China-
based company incorporated in the Cayman Islands, you should pay special attention to subsections headed “Item 3. Key Information-
3.D. Risk Factors-Other Risks and Risks Related to Doing Business in China.” 

The following summarizes some, but not all, of the risks provided below. Please carefully consider all of the information discussed 

in this Item 3.D. “Risk Factors” in this annual report for a more thorough description of these and other risks. 

Risks Relating to Our Financial Position and Need for Capital 

  Risks relating to our need for additional funding 

  Risks relating to our existing and future indebtedness 

Risks Relating to Our Oncology/Immunology Operations and Development of Our Drug Candidates 

  Risks relating to our approach to the discovery and development of drug candidates and the lengthy, expensive and uncertain 

clinical development process 

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  Risks relating to expediting regulatory review, obtaining and maintaining regulatory approval and ongoing regulatory review 

for our drug candidates  

  Risks relating to the commercialization of our drug candidates 

  Risks relating to undesirable side effects of our drug candidates 

  Risks relating to competition in discovering, developing and commercializing drugs 

  Risks relating to our collaboration partners with respect to clinical trials, marketing and distribution 

  Risks relating to the expansion of our international operations 

Risks Relating to Sales of Our Internally Developed Drugs and Other Drugs 

  Risks relating to obtaining and maintaining permits and licenses for our and our joint ventures’ pharmaceutical operations in 

China 

  Risks relating to leveraging our Other Ventures’ prescription drug business to commercialize our internally developed drug 

candidates 

  Risks relating to competition in selling our approved, internally developed drugs and drugs of our Other Ventures 

  Risks relating to maintaining and enhancing the brand recognition of our drugs 

  Risks relating to the availability of reimbursement of our drugs, the lack of which could diminish our sales or profitability 

  Risks relating to counterfeit products in China 

  Risks relating to rapid changes in the pharmaceutical industry rendering our products obsolete 

  Risks relating to cultivating or sourcing raw materials  

  Risks relating to adverse publicity of us, our joint ventures or our products  

Risks Relating to Our Dependence on Third Parties 

  Risks relating to disagreements with current or future collaboration partners which we rely on for certain drug development 

activities including the conducting of clinical trials 

  Risks  relating  to  relying  on  third  party  suppliers  for  the  active  pharmaceutical  ingredients  in  our  drug  candidate  and  drug 

products 

  Risks relating to our collaboration partners or our CROs’ failure to comply with regulatory requirements pertaining to clinical 

trials 

  Risks relating to our collaboration partners, principal investigators, CROs and other third-party contractors and consultants 

engaging in misconduct or other improper activities 

  Risks relating to relying on third parties to construct our new manufacturing facility in Shanghai 

  Risks relating to relying on distributors for logistics and distributions services 

8 

  Risks relating to the availability of benefits currently enjoyed by virtue of our association with CK Hutchison 

Other Risks and Risks Relating to Doing Business in China 

  Risks relating to COVID-19 

  Risks relating to compliance with privacy laws, information security policies and contractual obligations related to data privacy 

and security and any information technology or data security failures 

  Risks relating to product liability claims or lawsuits 

  Risks  relating  to  liabilities  under  anti-corruption  laws,  environmental,  health  and  safety  laws  and  laws  relating  to  equity 

incentive plans  

  Risks relating to uncertainties with respect to the PRC legal system, China’s currency exchange limits and PRC government 

tax incentives or treatment 

Risks Relating to Intellectual Property 

  Risks relating to our, our joint ventures and our collaboration partners’ abilities to protect and enforce intellectual property 

rights and maintain confidentiality of trade secrets 

  Risks relating to infringing upon third parties’ intellectual property rights 

Risks Relating to our ADSs 

  Risks relating to being delisted from the Nasdaq if the PCAOB continues to be unable to inspect our independent registered 

public accounting firm 

  Risks relating to our largest shareholder which may limit the ability of other shareholders to influence corporate matters 

You should carefully consider the following risk factors in addition to the other information set forth in this annual report. If any of 
the following risks were actually to occur, our company’s business, financial condition and results of operations prospects could be 
adversely affected and the value of our ADSs would likely suffer. 

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Risks Relating to Our Financial Position and Need for Capital 

We may need substantial additional funding for our product development programs and commercialization efforts. If we are unable 
to raise capital on acceptable terms when needed, we could incur losses and be forced to delay, reduce or eliminate such efforts. 

We expect our expenses to increase significantly in connection with our ongoing activities, particularly as we or our collaboration 
We expect our expenses to increase significantly in connection with our ongoing activities, particularly as we or our collaboration 
partners advance the clinical development of our clinical drug candidates which are currently in active or completed clinical studies in 
partners advance the clinical development of our clinical drug candidates which are currently in active or completed clinical studies in 
various countries. We will incur significant expenses as we continue research and development and initiate additional clinical trials of, 
various countries. We will incur significant expenses as we continue research and development and initiate additional clinical trials of, 
and seek regulatory approval for, these and other future drug candidates. In addition, we have incurred and expect to continue to incur 
and seek regulatory approval for, these and other future drug candidates. In addition, we have incurred and expect to continue to incur 
significant commercialization expenses related to product manufacturing, marketing, sales and distribution in China and the United States 
significant  commercialization expenses  related  to product  manufacturing,  marketing, sales  and distribution  in  China  and  the United 
for  Sulanda  (surufatinib),  our  unpartnered  drug  product  approved  in  China  in  December  2020,  and  any  of  our  other  unpartnered  drug 
States for Sulanda (surufatinib), our unpartnered drug product approved in China in December 2020, and any of our other unpartnered 
candidates  that  may  be  approved  in  the  future.  In  particular,  the  costs  that  may  be  required  for  the  manufacture  of  any  drug  candidate 
drug candidates that may be approved in the future. In particular, the costs that may be required for the manufacture of any drug candidate 
that  receives  regulatory  approval  may  be  substantial  as  we  may  have  to  modify  or  increase  the  production  capacity  at  our  current 
that  receives  regulatory  approval  may  be  substantial  as  we  may  have  to  modify  or  increase  the  production  capacity  at  our  current 
manufacturing  facilities  or  contract  with  third-party  manufacturers.  We  may  also  incur  expenses  as  we  create  additional  infrastructure, 
manufacturing facilities or contract with third-party manufacturers. We may also incur expenses as we create additional infrastructure, 
such  as  our  new  manufacturing  facility  under  construction  in  Shanghai,  and  expand  our  U.S.-based  clinical  and  commercial  team  to 
such as our new manufacturing facility under construction in Shanghai, and expand our U.S.-based clinical and commercial team to 
support our operations at our U.S. subsidiaries, HUTCHMED International Corporation (formerly Hutchison MediPharma International 
support our operations at our U.S. subsidiaries, HUTCHMED International Corporation (formerly Hutchison MediPharma International 
Inc. and Hutchison MediPharma (US) Inc.) and HUTCHMED US Corporation. Accordingly, we may need to obtain substantial funding 
Inc. and Hutchison MediPharma (US), Inc.) and HUTCHMED US Corporation. Accordingly, we may need to obtain substantial funding 
in  connection  with  our  continuing  operations  through  public  or  private  equity  offerings,  debt  financings,  collaborations  or  licensing 
in connection with our continuing operations through public or private equity offerings, debt financings, collaborations or licensing 
arrangements or other sources. If we are unable to raise capital when needed or on attractive terms, we could incur losses and be forced 
arrangements or other sources. If we are unable to raise capital when needed or on attractive terms, we could incur losses and be forced 
to delay, reduce or eliminate our research and development programs or any future commercialization efforts.
to delay, reduce or eliminate our research and development programs or any future commercialization efforts. 

Our net cash used in operating activities was $80.9 million, $62.1 million and $204.2 million for the years ended December 31, 
2019, 2020 and 2021, respectively.  We believe, however, that our expected cash flow from operations, including dividends from our 
Other  Ventures  and  milestone  and  other  payments  from  our  collaboration  partners,  our  cash  and  cash  equivalents  and  short-term 
investments as well as our unutilized bank facilities as of December 31, 2021, will enable us to fund our operating expenses, debt service 
and capital expenditure requirements for at least the next 12 months.  We have based this estimate on assumptions that may prove to be 
wrong, and we could use our capital resources sooner than we currently expect.  Our future capital requirements will depend on many 
factors, including: 

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the number and development requirements of the drug candidates we pursue; 

the scope, progress, timing, results and costs of researching and developing our drug candidates, and conducting pre-clinical 
and clinical trials; 

the cost, timing and outcome of regulatory review of our drug candidates; 

the cost and timing of commercialization activities, including product manufacturing, marketing, sales and distribution, for our 
drug candidates for which we have received regulatory approval; 

the amount and timing of any milestone or royalty payments, service payments and reimbursement of manufacturing costs from 
our collaboration partners, with whom we cooperate with respect to the development and potential commercialization of certain 
of our drug candidates; 

the cash received from commercial sales of drug candidates for which we have received regulatory approval; 

our ability to establish and maintain strategic partnerships, collaboration, licensing or other arrangements and the financial 
terms of such agreements; 

the cost, timing and outcome of preparing, filing and prosecuting patent applications, maintaining and enforcing our intellectual 
property rights and defending any intellectual property-related claims; 

our headcount growth and associated costs, particularly as we expand our clinical and commercialization activities in the United 
States and Europe; and 

10 

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the costs of operating as a public company listed in Hong Kong, the United States and United Kingdom. 

Identifying  potential  drug  candidates  and  conducting  pre-clinical  testing  and  clinical  trials  is  a  time-consuming,  expensive  and 
uncertain process that may take years to complete, and our commercial revenue will be derived from sales of products that will not be 
commercially available unless and until we receive regulatory approval. We may never generate the necessary data or results required 
for certain drug candidates to obtain regulatory approval, and even if approved, they may not achieve commercial success. Accordingly, 
we will need to continue to rely on financing to achieve our business objectives. Adequate financing may not be available to us on 
acceptable terms, or at all. 

Raising capital may cause dilution to our shareholders, restrict our operations or require us to relinquish rights to technologies or 
drug candidates. 

We expect to finance our cash needs in part through cash flow from our operations, including dividends from our Other Ventures, 
and we may also rely on raising capital through a combination of public or private equity offerings, debt financings and/or license and 
development agreements with collaboration partners. In addition, we may seek capital due to favorable market conditions or strategic 
considerations, even if we believe we have sufficient funds for our current or future operating plans. To the extent that we raise capital 
through the sale of equity or convertible debt securities (including potential further listings on other stock exchanges), the ownership 
interest of our shareholders may be materially diluted, and the terms of such securities could include liquidation or other preferences 
that adversely affect the rights of our existing shareholders. Debt financing and preferred equity financing, if available, may involve 
agreements that include restrictive covenants that limit our ability to take specified actions, such as incurring additional debt, making 
capital expenditures or declaring dividends. Additional debt financing would also result in increased fixed payment obligations. 

In addition, if we raise funds through collaborations, strategic partnerships or marketing, distribution or licensing arrangements with 
third parties, we may have to relinquish valuable rights to our technologies, future revenue streams, research programs or drug candidates 
or grant licenses on terms that may not be favorable to us. We may also lose control of the development of drug candidates, such as the 
pace and scope of clinical trials, as a result of such third-party arrangements. If we are unable to raise funds through equity or debt 
financings when needed, we may be required to delay, limit, reduce or terminate our product development or future commercialization 
efforts or grant rights to develop and market drug candidates that we would otherwise prefer to develop and market ourselves. 

Our existing and any future indebtedness could adversely affect our ability to operate our business. 

Our outstanding indebtedness combined with current and future financial obligations and contractual commitments, including any 
additional indebtedness beyond our current facilities with HSBC, Deutsche Bank AG and Bank of China could have significant adverse 
consequences, including: 

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requiring us to dedicate a portion of our cash resources to the payment of interest and principal, and prepayment and repayment 
fees and penalties, thereby reducing money available to fund working capital, capital expenditures, product development and 
other general corporate purposes; 

increasing our vulnerability to adverse changes in general economic, industry and market conditions; 

subjecting us to restrictive covenants that may reduce our ability to take certain corporate actions or obtain further debt or 
equity financing; 

limiting our flexibility in planning for, or reacting to, changes in our business and the industry in which we compete; and 

placing us at a competitive disadvantage compared to our competitors that have less debt or better debt servicing options. 

We intend to satisfy our current and future debt service obligations with our existing cash and cash equivalents and short-term 
investments. Nevertheless, we may not have sufficient funds, and may be unable to arrange for financing, to pay the amounts due under 
our existing debt. Failure to make payments or comply with other covenants under our existing debt instruments could result in an event 
of default and acceleration of amounts due. 

11 

We  have  historically  incurred  significant  net  operating  cash  outflows,  and  may  continue  to  experience  net  cash  outflow  from 
operating activities. 

Investment in biopharmaceutical drug development is highly speculative. It entails substantial upfront expenditures and significant 
risk  that  a  drug  candidate  might  fail  to  gain  regulatory  approval  or  become  commercially  viable.  We  continue  to  incur  significant 
expenses related to our ongoing operations. For a detailed discussion of our net cash used in operating activities, see Item 5.B. “Operating 
and Financial Review and Prospects”, “Liquidity and Capital Resources.” We expect to incur significant expenses, particularly research 
and development expenses, for the foreseeable future as we expand our development of, and seek regulatory approvals for, our drug 
candidates. Typically, it takes many years to develop one new drug from the drug discovery stage to the time it is available for treating 
patients.  Our  ability  to  improve  our  cash  flow  depends  on  a  number  of  variables,  including  the  number  and  scope  of  our  drug 
development programs and the associated costs of those programs, the cost of commercializing any approved products, our ability to 
generate revenues and the timing and amount of milestones and other payments we make or receive through arrangements with third 
parties. Our failure to generate positive cash flow from operations may adversely affect our ability to raise capital, maintain our research 
and development efforts, expand our business or continue our operations. There is no assurance that we will be able to generate sufficient 
net cash inflows from operating activities, which could have adverse effects on our long-term viability. 

We face risks with our short-term investments and in collecting our accounts receivables. 

Our short-term investments are bank deposits with maturities of more than three months but less than one year. Our short-term 
investments were $199.5 million and $634.2 million as of December 31, 2020 and 2021, respectively, and are placed with major financial 
institutions. These investments may earn yields substantially lower than expected. Failure to realize the benefits we expected from these 
investments may materially and adversely affect our business and financial results. To date, we have experienced no loss or lack of 
access  to  our  invested  cash  or  cash  equivalents;  however,  we  can  provide  no  assurance  that  access  to  our  invested  cash  and  cash 
equivalents will not be impacted by adverse conditions in the financial and credit markets. 

Our accounts receivable balance, net of allowance for credit losses, totaled $47.9 million and $83.6 million as of December 31, 
2020 and 2021, respectively. We have policies and procedures in place to ensure that sales are made to customers with an appropriate 
credit history. We perform periodic credit evaluations of our customers and monitor risk factors and forward-looking information, such 
as country risk, when determining credit limits for customers. However, there can be no assurance such policies and procedures will 
effectively  limit  our  credit  risk  and  enable  us  to  avoid  losses,  which  could  adversely  affect  our  financial  condition  and  results  of 
operations. In addition, amounts due to us are not covered by collateral or credit insurance. If we fail to collect all or part of such accounts 
receivable in a timely manner, or at all, our financial condition may be materially and adversely affected. 

Risks Relating to Our Oncology/Immunology Operations and Development of Our Drug Candidates 

Historically, our in-house research and development division, which is included in our Oncology/Immunology operations, has not 
generated significant profits or has operated at a net loss. Our future profitability is dependent on the successful commercialization 
of our drug candidates. 

To  date,  fruquintinib,  surufatinib  and  savolitinib  (marketed  as  Elunate,  Sulanda  and  Orpathys,  respectively)  are  our  only  drug 
candidates  that  have  been  approved  for  sale.  We  do  not  expect  our  Oncology/Immunology  operations  to  be  significantly  profitable 
unless and until we generate substantial revenues from Elunate, Sulanda and Orpathys and can successfully commercialize our other 
drug products.  We expect to incur significant sales and marketing costs as we prepare to commercialize our drug candidates. 

12 

 
 
Successful commercialization of our drug candidates is subject to many risks.  Elunate is marketed in collaboration with our partner, 
Eli  Lilly.  Beginning  in  October  2020,  we  assumed  responsibility  for  the  development  and  execution  of  all  on-the-ground  medical 
detailing, promotion and local and regional marketing activities for Elunate in China. Sulanda is marketed by us without the support of 
a collaboration partner. Orpathys is marketed in collaboration with our partner, AstraZeneca. Elunate, Sulanda and Orpathys are the first 
innovative oncology drugs we, as an organization, have commercialized, and there is no guarantee that we will be able to successfully 
commercialize them or any of our other drug candidates for their approved indications. There are numerous examples of failures to meet 
expectations of market potential, including by pharmaceutical companies with more experience and resources than us. There are many 
factors that could cause the commercialization of Elunate, Sulanda, Orpathys or our other drug products to be unsuccessful, including a 
number of factors that are outside our control. In the case of Elunate, for example, the third-line metastatic colorectal cancer, or mCRC, 
patient population in China may be smaller than we estimate or physicians may be unwilling to prescribe, or patients may be unwilling 
to take, Elunate for a variety of reasons. Additionally, any negative development for fruquintinib, surufatinib or savolitinib in clinical 
development in additional indications, or in regulatory processes in other jurisdictions, may adversely impact the commercial results 
and potential of Elunate, Sulanda or Orpathys in China and globally. Thus, significant uncertainty remains regarding the commercial 
potential of Elunate, Sulanda and Orpathys. 

We may not achieve profitability after generating revenues from Elunate, Sulanda and/or Orpathys or our other drug candidates, if 
ever.  If  the  commercialization  of  Elunate,  Sulanda,  Orpathys  and/or  our  other  drug  candidates  is  unsuccessful  or  perceived  as 
disappointing, our stock price could decline significantly and the long-term success of the product and our company could be harmed. 

All  of  our  drug  candidates,  other  than  fruquintinib,  surufatinib  and  savolitinib  for  approved  indications  in  China,  are  still  in 
development. If we are unable to obtain regulatory approval and ultimately commercialize our drug candidates, or if we experience 
significant delays in doing so, our business will be materially harmed. 

All of our drug candidates are still in development, including fruquintinib, surufatinib and savolitinib which have been approved in 
China for the treatment of third-line mCRC, non-pancreatic neuroendocrine tumors (NETs) and advanced pancreatic NETs, and non-
small cell lung cancer, or NSCLC, respectively, but are still in development in the United States and other jurisdictions for these and 
other indications. 

Although we receive certain payments from our collaboration partners, including upfront payments and payments for achieving 
certain development, regulatory or commercial milestones, for certain of our drug candidates, our ability to generate revenue from our 
drug candidates is dependent on their receipt of regulatory approval for and successful commercialization of such products, which may 
never occur. Each of our drug candidates in development will require additional pre-clinical and/or clinical trials, regulatory approval 
in multiple jurisdictions, manufacturing supply, substantial investment and significant marketing efforts before we generate any revenue 
from product sales. The success of our drug candidates will depend on several factors, including the following: 

 

 

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 

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 

 

 

successful completion of pre-clinical and/or clinical trials; 

successful enrollment in, and completion of, clinical trials; 

receipt  of  regulatory  approvals  from  applicable  regulatory  authorities  for  planned  clinical  trials,  future  clinical  trials,  drug 
registrations or post-approval trials; 

successful  completion  of  all  safety  studies  required  to  obtain  regulatory  approval  and/or  fulfillment  of  post-approval 
requirements in the United States, China and other jurisdictions for our drug candidates; 

adapting  our  commercial  manufacturing  capabilities  to  the  specifications  for  our  drug  candidates  for  clinical  supply  and 
commercial manufacturing; 

obtaining and maintaining patent and trade secret protection or regulatory exclusivity for our drug candidates; 

launching commercial sales of our drug candidates, if and when approved, whether alone or in collaboration with others; 

acceptance of the drug candidates, if and when approved, by patients, the medical community and third-party payors; 

13 

 

 

 

effectively competing with other therapies; 

obtaining and maintaining healthcare coverage and adequate reimbursement; 

enforcing and defending intellectual property rights and claims; and 

  maintaining a continued acceptable safety profile of the drug candidates following approval. 

If we do not achieve one or more of these factors in a timely manner or at all, we could experience significant delays or an inability 

to successfully commercialize our drug candidates, which would materially harm our business. 

Our primary approach to the discovery and development of drug candidates focuses on the inhibition of kinases, some of which are 
unproven. 

A primary focus of our research and development efforts is on identifying kinase targets for which drug compounds previously 
developed by others affecting those targets have been unsuccessful due to limited selectivity, off-target toxicity and other problems. We 
then work to engineer drug candidates which have the potential to have superior efficacy, safety and other features as compared to such 
prior  drug  compounds.  We  also  focus  on  developing  drug  compounds  with  the  potential  to  be  global  best-in-class/next-generation 
therapies for validated kinase targets. 

Even if we are able to develop compounds that successfully target the relevant kinases in pre-clinical studies, we may not succeed 
in demonstrating safety and efficacy of the drug candidates in clinical trials. Even if we are able to demonstrate safety and efficacy of 
compounds in certain indications in certain jurisdictions, we may not succeed in demonstrating the same in other indications or same 
indications in other jurisdictions. As a result, our efforts may not result in the discovery or development of drugs that are commercially 
viable or are superior to existing drugs or other therapies on the market. While the results of pre-clinical studies, early-stage clinical 
trials as well as clinical trials in certain indications have suggested that certain of our drug candidates may successfully inhibit kinases 
and may have significant utility in several cancer indications, potentially in combination with other cancer drugs, chemotherapy and 
immunotherapies, we have not yet demonstrated efficacy and safety for many of our drug candidates in later stage clinical trials. 

We may expend our limited resources to pursue a particular drug candidate or indication and fail to capitalize on drug candidates 
or indications that may be more profitable or for which there is a greater likelihood of success. 

Because we have limited financial and managerial resources, we must limit our research programs to specific drug candidates that 
we identify for specific indications. As a result, we may forego or delay pursuit of opportunities with other drug candidates or for other 
indications that later prove to have greater commercial potential. Our resource allocation decisions may cause us to fail to capitalize on 
viable commercial drugs or profitable market opportunities. In addition, if we do not accurately evaluate the commercial potential or 
target market for a particular drug candidate, we may relinquish valuable rights to that drug candidate through collaboration, licensing 
or other royalty arrangements when it would have been more advantageous for us to retain sole development and commercialization 
rights to such drug candidate. 

The regulatory approval processes of the U.S. Food and Drug Administration, or FDA, National Medical Products Administration 
of China, or NMPA, and comparable authorities are lengthy, time consuming and inherently unpredictable, and if we are ultimately 
unable to obtain regulatory approval for our drug candidates, our ability to generate revenue will be materially impaired. 

Our drug candidates and the activities associated with their development and commercialization, including their design, testing, 
manufacture, safety, efficacy, recordkeeping, labeling, storage, approval, advertising, promotion, sale, distribution, import and export, 
are  subject  to  comprehensive  regulation  by  the  FDA,  NMPA  and  other  regulatory  agencies  in  the  United  States  and  China  and  by 
comparable regulatory authorities in other countries. Securing regulatory approval requires the submission of extensive pre-clinical and 
clinical  data  and  supporting  information  to  the  various  regulatory  authorities  for  each  therapeutic  indication  to  establish  the  drug 
candidate’s safety and efficacy. Securing regulatory approval also requires the submission of information about the drug manufacturing 
process to, and inspection of manufacturing facilities by, the relevant regulatory authority. Our drug candidates may not be effective, 
may be only moderately effective or may prove to have undesirable or unintended side effects, toxicities or other characteristics that 
may preclude our obtaining regulatory approval or prevent or limit commercial use. 

14 

The process of obtaining regulatory approvals in the United States, China and other countries is expensive, may take many years if 
additional clinical trials are required, if approval is obtained at all, and can vary substantially based upon a variety of factors, including 
the  type,  complexity  and  novelty  of  the  drug  candidates  involved.  Changes  in  regulatory  approval  policies  during  the  development 
period, changes in or the enactment of additional statutes or regulations, or changes in regulatory review for each submitted New Drug 
Application,  or  NDA,  pre-market  approval  or  equivalent  application  types,  may  cause  delays  in  the  approval  or  rejection  of  an 
application.  The  FDA,  NMPA  and  comparable  regulatory  authorities  in  other  countries  have  substantial  discretion  in  the  approval 
process  and  may  refuse  to  accept  any  application  or  may  decide  that  our  data  are  insufficient  for  approval  and  require  additional 
pre-clinical, clinical or other studies. Our drug candidates could be delayed in receiving, or fail to receive, regulatory approval for many 
reasons, including the following: 

 

the FDA, NMPA or comparable regulatory authorities may disagree with the number, design, size, conduct or implementation 
of our clinical trials; 

  we  may  be  unable  to  demonstrate  to  the  satisfaction  of  the  FDA,  NMPA  or  comparable  regulatory  authorities  that  a  drug 

candidate is safe and effective for its proposed indication; 

 

the  results  of  clinical  trials  may  not  meet  the  level  of  statistical  significance  required  by  the  FDA,  NMPA  or  comparable 
regulatory authorities for approval; 

  we may be unable to demonstrate that a drug candidate’s clinical and other benefits outweigh its safety risks; 

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 

the FDA, NMPA or comparable regulatory authorities may disagree with our interpretation of data from pre-clinical studies or 
clinical trials; 

the data collected from clinical trials of our drug candidates may not be sufficient to support the submission of an NDA or other 
submission or to obtain regulatory approval in the United States or elsewhere; 

the FDA, NMPA or comparable regulatory authorities may fail to approve the manufacturing processes for our clinical and 
commercial supplies; 

the approval policies or regulations of the FDA, NMPA or comparable regulatory authorities may significantly change in a 
manner rendering our clinical data insufficient for approval; 

the FDA, NMPA or comparable regulatory authority may prioritize treatments for emerging health crises, such as COVID-19, 
resulting in delays for our drug candidates; 

the FDA, NMPA or comparable regulatory authorities may restrict the use of our products to a narrow population; and 

our collaboration partners or CROs that are retained to conduct the clinical trials of our drug candidates may take actions that 
materially and adversely impact the clinical trials. 

In addition, even if we were to obtain approval, regulatory authorities may approve any of our drug candidates for fewer or more 
limited indications than we request, may not approve the price we intend to charge for our drugs, may grant approval contingent on the 
performance of costly post-marketing clinical trials, or may approve a drug candidate with a label that does not include the labeling 
claims  necessary  or  desirable  for  the  successful  commercialization  of  that  drug  candidate.  Any  of  the  foregoing  scenarios  could 
materially harm the commercial prospects for our drug candidates. 

Furthermore, even though the NMPA has granted approval for fruquintinib and surufatinib for use in third-line mCRC and NET 
patients,  respectively,  and  approval  for  savolitinib  for  lung  cancer  with  Met  exon  14  skipping  alterations,  we  are  still  subject  to 
substantial, ongoing regulatory requirements.  See “—Even if we receive regulatory approval for our drug candidates, we are subject to 
ongoing obligations and continued regulatory review, which may result in significant additional expense.” 

15 

If the FDA, NMPA or another regulatory agency revokes its approval of, or if safety, efficacy, manufacturing or supply issues arise 
with, any therapeutic that we use in combination with our drug candidates, we may be unable to market such drug candidate or may 
experience significant regulatory delays or supply shortages, and our business could be materially harmed. 

We are currently developing combination therapies using our savolitinib, fruquintinib, surufatinib and other drug candidates with 
various immunotherapies, targeted therapies and/or other therapies. For example, we are currently developing savolitinib in combination 
with immunotherapy (Imfinzi) and targeted therapy (Tagrisso). However, we did not develop and we do not manufacture or sell Imfinzi, 
Tagrisso or any other therapeutic we use in combination with our drug candidates.  We may also seek to develop our drug candidates in 
combination with other therapeutics in the future. 

If  the  FDA,  NMPA  or  another  regulatory  agency  revokes  its  approval,  or  does  not  grant  approval,  of  any  of  these  and  other 
therapeutics we use in combination with our drug candidates, we will not be able to market our drug candidates in combination with 
such therapeutics. If safety or efficacy issues arise with these or other therapeutics that we seek to combine with our drug candidates in 
the future, we may experience significant regulatory delays, and we may be required to redesign or terminate the applicable clinical 
trials. In addition, if manufacturing or other issues result in a supply shortage of these or any other combination therapeutics, we may 
not be able to complete clinical development of savolitinib, fruquintinib, surufatinib and/or any other of our drug candidates on our 
current timeline or at all. 

Even if one or more of our drug candidates were to receive regulatory approval for use in combination with a therapeutic, we would 
continue  to  be  subject  to  the  risk  that  the FDA, NMPA or  another  regulatory  agency  could  revoke its  approval  of  the  combination 
therapeutic, or that safety, efficacy, manufacturing or supply issues could arise with one of these combination therapeutics.  This could 
result in Orpathys, Elunate, Sulanda or one of our other products being removed from the market or being less successful commercially. 

We  face  substantial  competition,  which  may  result  in  others  discovering,  developing  or  commercializing  drugs  before  or  more 
successfully than we do. 

The development and commercialization of new drugs is highly competitive. We face competition with respect to our current drug 
candidates, and will face competition with respect to any drug candidates that we may seek to develop or commercialize in the future, 
from  major  pharmaceutical  companies,  specialty  pharmaceutical  companies  and  biotechnology  companies  worldwide.  There  are  a 
number of large pharmaceutical and biotechnology companies that currently market drugs or are pursuing the development of therapies 
in the field of kinase inhibition for cancer and other diseases. Some of these competitive drugs and therapies are based on scientific 
approaches that are the same as or similar to our approach, and others are based on entirely different approaches. Potential competitors 
also include academic institutions, government agencies and other public and private research organizations that conduct research, seek 
patent  protection  and  establish  collaborative  arrangements  for  research,  development,  manufacturing  and  commercialization. 
Specifically,  there  are  a  large  number  of  companies  developing  or  marketing  treatments  for  cancer  and  immunological  diseases, 
including many major pharmaceutical and biotechnology companies. 

Many of the companies against which we are competing or against which we may compete in the future have significantly greater 
financial resources and expertise in research and development, manufacturing, pre-clinical testing, conducting clinical trials, obtaining 
regulatory approvals and marketing approved drugs than we do. Mergers and acquisitions in the pharmaceutical, biotechnology and 
diagnostic industries may result in even more resources being concentrated among a smaller number of our competitors. Smaller or 
early-stage  companies  may also prove  to be  significant competitors, particularly  through collaborative  arrangements  with  large  and 
established  companies.  These  competitors  also  compete  with  us  in  recruiting  and  retaining  qualified  scientific  and  management 
personnel  and  establishing  clinical  trial  sites  and  patient  registration  for  clinical  trials,  as  well  as  in  acquiring  technologies 
complementary to, or necessary for, our programs. 

16 

Our commercial opportunity could be reduced or eliminated if our competitors develop and commercialize drugs that are safer, 
more  effective,  have  fewer  or  less  severe  side  effects,  are  more  convenient  or  are  less  expensive  than  any  drugs  that  we  or  our 
collaborators may develop. Our competitors also may obtain FDA, NMPA or other regulatory approval for their drugs more rapidly than 
we  may  obtain  approval  for  ours,  which  could  result  in  our  competitors  establishing  a  strong  market  position  before  we  or  our 
collaborators are able to enter the market. The key competitive factors affecting the success of all of our drug candidates, if approved, 
are likely to be their efficacy, safety, convenience, price, the level of generic competition and the availability of reimbursement from 
government and other third-party payors. 

Clinical development involves a lengthy and expensive process with an uncertain outcome. 

There is a risk of failure for each of our drug candidates. It is difficult to predict when or if any of our drug candidates will prove 
effective and safe in humans or will receive regulatory approval. Before obtaining regulatory approval from regulatory authorities for 
the sale of any drug candidate, we or our collaboration partners must complete pre-clinical studies and then conduct extensive clinical 
trials to demonstrate the safety and efficacy of our drug candidates in humans. Clinical testing is expensive, difficult to design and 
implement and can take many years to complete. The outcomes of pre-clinical development testing and early clinical trials may not be 
predictive of the success of later clinical trials, and interim results of a clinical trial do not necessarily predict final results. Moreover, 
pre-clinical and clinical data are often susceptible to varying interpretations and analyses, and many companies that have believed their 
drug candidates performed satisfactorily in pre-clinical studies and clinical trials have nonetheless failed to obtain regulatory approval 
of their drug candidates. Our current or future clinical trials may not be successful. 

Commencing each of our clinical trials is subject to finalizing the trial design based on ongoing discussions with the FDA, NMPA 
or other regulatory authorities. The FDA, NMPA and other regulatory authorities could change their position on the acceptability of our 
trial designs or clinical endpoints, which could require us to complete additional clinical trials or impose approval conditions that we do 
not currently expect. Successful completion of our clinical trials is a prerequisite to submitting an NDA or analogous filing to the FDA, 
NMPA or other regulatory authorities for each drug candidate and, consequently, the ultimate approval and commercial marketing of 
our drug candidates. We do not know whether any of our clinical trials will begin or be completed on schedule, if at all. 

We and our collaboration partners may incur additional costs or experience delays in completing our pre-clinical or clinical trials, 
or ultimately be unable to complete the development and commercialization of our drug candidates. 

We and our collaboration partners, including AstraZeneca, Eli Lilly, BeiGene Ltd., or BeiGene, Inmagene Biopharmaceuticals Co. 
Ltd.,  or  Inmagene,  Innovent  Biologics  (Suzhou)  Co.,  Inc.,  or  Innovent,  Genor  Biopharma  Co.  Ltd.,  or  Genor,  Shanghai  Junshi 
Biosciences Co. Ltd., or Junshi and Epizyme, Inc., or Epizyme, may experience delays in completing our pre-clinical or clinical trials, 
and numerous unforeseen events could arise during, or as a result of, future clinical trials, which could delay or prevent us from receiving 
regulatory approval, including: 

 

regulators,  institutional  review  boards,  or  IRBs,  ethics  committees  or  the  China  Human  Genetic  Resources  Administration 
Office may not authorize us or our investigators to commence or conduct a clinical trial at a prospective trial site; 

  we may experience delays in reaching, or we may fail to reach, agreement on acceptable terms with prospective trial sites and 
prospective CROs, who conduct clinical trials on behalf of us and our collaboration partners, the terms of which can be subject 
to extensive negotiation and may vary significantly among different CROs and trial sites; 

 

 

 

clinical trials may produce negative or inconclusive results, and we or our collaboration partners may decide, or regulators may 
require us or them, to conduct additional clinical trials or we may decide to abandon drug development programs; 

the number of patients required for clinical trials of our drug candidates may be larger than we anticipate, enrollment in these 
clinical  trials  may  be  slower  than  we  anticipate  or  participants  may  drop  out  of  these  clinical  trials  or  fail  to  return  for 
post-treatment follow-up at a higher rate than we anticipate; 

third-party contractors used in our clinical trials may fail to comply with regulatory requirements or meet their contractual 
obligations in a timely manner, or at all, or may deviate from the clinical trial protocol or drop out of the trial, which may 
require that we or our collaboration partners add new clinical trial sites or investigators; 

17 

  we or our collaboration partners may elect to, or regulators, IRBs or ethics committees may require that we or our investigators, 
suspend or terminate clinical research for various reasons, including non-compliance with regulatory requirements or a finding 
that the participants are being exposed to unacceptable health risks; 

 

 

 

the cost of clinical trials of our drug candidates may be greater than we anticipate; 

the supply or quality of our drug candidates, companion diagnostics, if any, or other materials necessary to conduct clinical 
trials of our drug candidates may be insufficient or inadequate; and 

our drug candidates may have undesirable side effects or unexpected characteristics, causing us or our investigators, regulators, 
IRBs or ethics committees to suspend or terminate the trials, or reports may arise from pre-clinical or clinical testing of other 
cancer therapies that raise safety or efficacy concerns about our drug candidates. 

We  could  encounter  regulatory  delays  if  a  clinical  trial  is  suspended  or  terminated  by  us  or  our  collaboration  partners,  by,  as 
applicable, the IRBs of the institutions in which such trials are being conducted, by the Data Safety Monitoring Board, which is an 
independent  group  of  experts  that  is  formed  to  monitor  clinical  trials  while  ongoing,  or  by  the  FDA,  NMPA  or  other  regulatory 
authorities. Such authorities may impose a suspension or termination due to a number of factors, including: a failure to conduct the 
clinical trial in accordance with regulatory requirements or the applicable clinical protocols, inspection of the clinical trial operations or 
trial site by the FDA, NMPA or other regulatory authorities that results in the imposition of a clinical hold, unforeseen safety issues or 
adverse side effects, failure to demonstrate a benefit from using a drug, changes in governmental regulations or administrative actions 
or lack of adequate funding to continue the clinical trial. Many of the factors that cause a delay in the commencement or completion of 
clinical trials may also ultimately lead to the denial of regulatory approval of our drug candidates. Further, the FDA, NMPA or other 
regulatory authorities may disagree with our clinical trial design and our interpretation of data from clinical trials, or may change the 
requirements for approval even after it has reviewed and commented on the design for our clinical trials. 

If we or our collaboration partners are required to conduct additional clinical trials or other testing of our drug candidates beyond 
those that are currently contemplated, if we or our collaboration partners are unable to successfully complete clinical trials of our drug 
candidates  or  other  testing,  if  the  results  of  these  trials  or  tests  are  not  positive  or  are  only  modestly  positive  or  if  there  are  safety 
concerns, we may: 

 

 

 

 

 

be delayed in obtaining regulatory approval for our drug candidates; 

not obtain regulatory approval at all; 

obtain approval for indications or patient populations that are not as broad as intended or desired; 

be subject to post-marketing testing requirements; or 

have the drug removed from the market after obtaining regulatory approval. 

Our drug development costs will also increase if we experience delays in testing or regulatory approvals. We do not know whether 
any of our  clinical  trials will  begin  as  planned, will need  to be restructured  or will be  completed on schedule, or at  all.  Significant 
pre-clinical study or clinical trial delays also could allow our competitors to bring products to market before we do and impair our ability 
to successfully commercialize our drug candidates and may harm our business and results of operations. Any delays in our clinical 
development programs may harm our business, financial condition and prospects significantly. 

18 

If we or our collaboration partners experience delays or difficulties in the enrollment of patients in clinical trials, the progress of 
such clinical trials and our receipt of necessary regulatory approvals could be delayed or prevented. 

We  or  our  collaboration  partners  may  not  be  able  to  initiate  or  continue  clinical  trials  for  our  drug  candidates  if  we  or  our 
collaboration partners are unable to locate and enroll a sufficient number of eligible patients to participate in these trials as required by 
the FDA, NMPA or similar regulatory authorities. In particular, we and our collaboration partners have designed many of our clinical 
trials, and expect to design future trials, to include some patients with the applicable genomic alteration that causes the disease with a 
view to assessing possible early evidence of potential therapeutic effect. Genomically defined diseases, however, may have relatively 
low prevalence, and it may be difficult to identify patients with the applicable genomic alteration. In addition, for many of our trials, we 
focus on enrolling patients who have failed their first or second-line treatments, which limits the total size of the patient population 
available for such trials. The inability to enroll a sufficient number of patients with the applicable genomic alteration or that meet other 
applicable criteria for our clinical trials would result in significant delays and could require us or our collaboration partners to abandon 
one or more clinical trials altogether. 

In addition, some of our competitors have ongoing clinical trials for drug candidates that treat the same indications as our drug 
candidates, and patients who would otherwise be eligible for our clinical trials may instead enroll in clinical trials of our competitors’ 
drug candidates. 

Patient enrollment may be affected by other factors including: 

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the severity of the disease under investigation; 

the total size and nature of the relevant patient population; 

the design and eligibility criteria for the clinical trial in question; 

the availability of an appropriate genomic screening test/companion diagnostic; 

the perceived risks and benefits of the drug candidate under study; 

the efforts to facilitate timely enrollment in clinical trials; 

the patient referral practices of physicians; 

the availability of competing therapies which are undergoing clinical trials; 

the ability to monitor patients adequately during and after treatment;  

the proximity and availability of clinical trial sites for prospective patients ; and 

the impact of the COVID-19 pandemic, including but not limited to the duration and scope of related government orders and 
restrictions. 

Enrollment delays in our clinical trials may result in increased development costs for our drug candidates, which could cause the 

value of our company to decline and limit our ability to obtain financing. 

19 

Our drug candidates may cause undesirable side effects that could delay or prevent their regulatory approval, limit the commercial 
profile of an approved label, or result in significant negative consequences following regulatory approval, if any. 

Undesirable side effects caused by our drug candidates could cause us or our collaboration partners to interrupt, delay or halt clinical 
trials or could cause regulatory authorities to interrupt, delay or halt our clinical trials and could result in a more restrictive label or the 
delay or denial of regulatory approval by the FDA, NMPA or other regulatory authorities. In particular, as is the case with all oncology 
drugs,  it  is  likely  that  there  may  be  side  effects,  for  example,  hand-foot  syndrome,  associated  with  the  use  of  certain  of  our  drug 
candidates. Results of our trials could reveal a high and unacceptable severity and prevalence of these or other side effects. In such an 
event, our trials could be suspended or terminated and the FDA, NMPA or comparable regulatory authorities could order us to cease 
further development of or deny approval of our drug candidates for some or all targeted indications. The drug-related side effects could 
affect patient recruitment or the ability of enrolled patients to complete the trial or result in potential product liability claims. Any of 
these occurrences may harm our business, financial condition and prospects significantly. 

Further, our drug  candidates could  cause undesirable  side  effects related  to  off-target  toxicity.  Many of  the  currently  approved 
tyrosine kinase inhibitors or TKIs have been associated with off-target toxicities because they affect multiple kinases. While we believe 
that the kinase selectivity of our drug candidates has the potential to significantly improve the unfavorable adverse off-target toxicity 
issues, if patients were to experience off-target toxicity, we may not be able to achieve an effective dosage level, receive approval to 
market, or achieve the commercial success we anticipate with respect to any of our drug candidates, which could prevent us from ever 
generating revenue or achieving profitability. Many compounds that initially showed promise in early-stage testing for treating cancer 
have later been found to cause side effects that prevented further development of the compound. 

Clinical trials assess a sample of the potential patient population. With a limited number of patients and duration of exposure, rare 
and severe side effects of our drug candidates may only be uncovered with a significantly larger number of patients exposed to the drug 
candidate. If our drug candidates receive regulatory approval and we or others identify undesirable side effects caused by such drug 
candidates (or any other  similar  drugs) after  such  approval,  a number  of  potentially  significant negative  consequences  could result, 
including: 

 

 

regulatory authorities may withdraw or limit their approval of such drug candidates; 

regulatory authorities may require the addition of labeling statements, such as a “boxed” warning or a contra-indication; 

  we may be required to create a medication guide outlining the risks of such side effects for distribution to patients; 

  we may be required to change the way such drug candidates are distributed or administered, conduct additional clinical trials 

or change the labeling of the drug candidates; 

 

regulatory authorities may require a Risk Evaluation and Mitigation Strategy, or REMS, plan to mitigate risks, which could 
include  medication  guides,  physician  communication  plans,  or  elements  to  assure  safe  use,  such  as  restricted  distribution 
methods, patient registries and other risk minimization tools; 

  we may be subject to regulatory investigations and government enforcement actions; 

  we may decide to remove such drug candidates from the marketplace; 

  we could be sued and held liable for injury caused to individuals exposed to or taking our drug candidates; and 

 

our reputation may suffer. 

Any of these events could prevent us from achieving or maintaining market acceptance of the affected drug candidates and could 
substantially increase the costs of commercializing our drug candidates, if approved, and significantly impact our ability to successfully 
commercialize our drug candidates and generate revenue. 

20 

We and our collaboration partners have conducted and intend to conduct additional clinical trials for certain of our drug candidates 
at sites outside the United States, and the FDA may not accept data from trials conducted in such locations or may require additional 
U.S.-based trials. 

We  and  our  collaboration  partners  have  conducted,  currently  are  conducting  and  intend  in  the  future  to  conduct,  clinical  trials 
outside  the  United  States,  particularly  in  China  where  our  Oncology/Immunology  operations  are  headquartered  as  well  as  in  other 
jurisdictions such as Australia, Japan, South Korea, the U.K, and various European countries. 

Although the FDA may accept data from clinical trials conducted outside the United States, acceptance of these data is subject to 
certain conditions imposed by the FDA. For example, the clinical trial must be well designed and conducted by qualified investigators 
in accordance with current good clinical practices, or GCPs, including review and approval by an independent ethics committee and 
receipt of informed consent from trial patients. The trial population must also adequately represent the U.S. population, and the data 
must be applicable to the U.S. population and U.S. medical practice in ways that the FDA deems clinically meaningful. Generally, the 
patient population for any clinical trial conducted outside of the United States must be representative of the population for which we 
intend to seek approval in the United States. In addition, while these clinical trials are subject to applicable local laws, FDA acceptance 
of the data will be dependent upon its determination that the trials also comply with all applicable U.S. laws and regulations. There can 
be no assurance that the FDA will accept data from trials conducted outside of the United States. If the FDA does not accept the data 
from our clinical trials conducted outside the United States, it would likely result in the need for additional clinical trials, which would 
be costly and time-consuming and delay or permanently halt our ability to develop and market these or other drug candidates in the 
United States. 

In addition, there are risks inherent in conducting clinical trials in jurisdictions outside the United States including: 

 

 

regulatory and administrative requirements of the jurisdiction where the trial is conducted that could burden or limit our ability 
to conduct our clinical trials; 

foreign exchange fluctuations; 

  manufacturing, customs, shipment and storage requirements; 

 

 

cultural differences in medical practice and clinical research; and 

the risk that patient populations in such trials are not considered representative as compared to patient populations in the United 
States and other markets. 

If we are unable to obtain and/or maintain priority review by the NMPA, fast track designation by the FDA, or another expedited 
registration pathway for our drug candidates, the time and cost we incur to obtain regulatory approvals may increase. Even if we 
receive such approvals, they may not lead to a faster development, review or approval process. 

Under  the Opinions on Priority  Review  and Approval for  Encouraging  Drug  Innovation,  the NMPA  may grant priority  review 
approval to (i) certain drugs with distinctive clinical value, including innovative drugs not sold within or outside China, (ii) new drugs 
with  clinical  treatment  advantages  for  AIDS  and  other  rare  diseases,  and  (iii)  drugs  which  have  been  concurrently  filed  with  the 
competent  drug  approval  authorities  in  the  United  States  or  E.U.  for  marketing  authorization  and  passed  such  authorities’  onsite 
inspections  and  are  manufactured  using  the  same  production  line  in  China.  Priority  review  provides  a  fast  track  process  for  drug 
registration. We have received priority review status for a number of our drug candidates, including for example fruquintinib for the 
treatment of advanced colorectal cancer, or CRC, savolitinib for the treatment of NSCLC and surufatinib for the treatment of advanced 
NET. We anticipate that we may seek priority review for certain of our other drug candidates in the future. 

21 

In the United States, if a drug is intended for the treatment of a serious or life-threatening condition and the drug demonstrates the 
potential to address unmet medical needs for this condition, we may apply for fast track designation by the FDA. The FDA has broad 
discretion whether or not to grant this designation, so even if we believe a particular drug candidate is eligible for this designation, we 
cannot be sure that the FDA would decide to grant it. We have sought and will likely continue to seek fast track designation for some 
of our drug candidates. For example, in April 2020, the FDA granted fast track designation to surufatinib for both the non-pancreatic 
and pancreatic neuroendocrine tumor development programs. Even if we receive fast track designation for a drug candidate, we may 
not experience a faster development process, review or approval compared to conventional FDA procedures. The FDA may withdraw 
fast track designation if it believes that the designation is no longer supported by data from our clinical development program. 

A failure to obtain and/or maintain priority review, fast track designation or any other form of expedited development, review or 
approval for our drug candidates would result in a longer time period to commercialization of such drug candidate, could increase the 
cost of development of such drug candidate and could harm our competitive position in the marketplace. In addition, even if we obtain 
priority  review,  there  is  no  guarantee  that  we  will  experience  a  faster  review  or  approval  compared  to  non-accelerated  registration 
pathways or that a drug candidate will ultimately be approved for sale. 

Although we have obtained orphan drug designation for surufatinib for the treatment of pancreatic NETs in the United States, we 
may not be able to obtain or maintain the benefits associated with orphan drug status, including market exclusivity. 

Under the Orphan Drug Act, the FDA may designate a drug as an orphan drug if it is intended to treat a rare disease or condition, 
which is generally defined as affecting fewer than 200,000 individuals in the United States. We have obtained orphan drug designation 
from the FDA for surufatinib for the treatment of pancreatic NETs. Generally, if a drug with an orphan drug designation subsequently 
receives the first marketing approval for the indication for which it has such designation, the drug may be entitled to a seven-year period 
of marketing exclusivity, which precludes the FDA from approving another marketing application for the same molecule for the same 
indication for that time period. We can provide no assurance that another drug will not receive marketing approval prior to our product 
candidates. Orphan drug exclusivity may be lost if the FDA determines that the request for designation was materially defective or if 
the manufacturer is unable to assure sufficient quantity of the drug to meet the needs of patients with the rare disease or condition. In 
addition, even after a drug is granted orphan exclusivity and approved, the FDA can subsequently approve another drug for the same 
condition before the expiration of the seven-year exclusivity period if the FDA concludes that the later drug is clinically superior in that 
it is shown to be safer, more effective or makes a major contribution to patient care. 

Even if we receive regulatory approval for our drug candidates, we are subject to ongoing obligations and continued regulatory 
review, which may result in significant additional expense. 

If the FDA, NMPA or a comparable regulatory authority approves any of our drug candidates, we will continue to be subject to 
extensive  and  ongoing  regulatory  requirements.  For  example,  even  though  the  NMPA  has  granted  approval  of  fruquintinib,  the 
manufacturing processes, labeling, packaging, distribution, adverse event reporting, storage, advertising, promotion and recordkeeping 
for  fruquintinib  continue  to  be  subject  to  the  NMPA’s  oversight.  These  requirements  include  submissions  of  safety  and  other 
post-marketing information and reports, registration, as well as continued compliance with current good manufacturing processes. 

Any regulatory approvals that we receive for our drug candidates may also be subject to limitations on the approved indicated uses 
for which the drug may be marketed or to the conditions of approval, or contain requirements for potentially costly post-marketing 
testing, including post-approval testing, sometimes referred to as Phase IV clinical trials, and surveillance to monitor the safety and 
efficacy of the drug. In addition, regulatory policies may change or additional government regulations may be enacted that could prevent, 
limit or delay regulatory approval of our drug candidates. If we are slow or unable to adapt to changes in existing requirements or the 
adoption of new requirements or policies, or if we are not able to maintain regulatory compliance, we may lose any regulatory approval 
that we may have obtained, which would adversely affect our business, prospects and ability to achieve or sustain profitability. 

22 

We may be subject to penalties if we fail to comply with regulatory requirements or experience unanticipated problems with any of 
our drugs that receive regulatory approval. 

Once a drug is approved by the FDA, NMPA or a comparable regulatory authority for marketing, it is possible that there could be 
a  subsequent  discovery  of  previously  unknown  problems  with  the  drug,  including  problems  with  third-party  manufacturers  or 
manufacturing processes, or failure to comply with regulatory requirements. If any of the foregoing occurs with respect to our drug 
products, it may result in, among other things: 

 

 

 

 

 

restrictions on the marketing or manufacturing of the drug, withdrawal of the drug from the market, or drug recalls; 

fines, warning letters or holds on clinical trials; 

refusal by the FDA, NMPA or comparable regulatory authority to approve pending applications or supplements to approved 
applications filed by us, or suspension or revocation of drug license approvals; 

drug seizure or detention, or refusal to permit the import or export of drugs; and 

injunctions or the imposition of civil or criminal penalties. 

Any government investigation of alleged violations of law could require us to expend significant time and resources and could 
generate negative publicity. If we or our collaborators are not able to maintain regulatory compliance, regulatory approval that has been 
obtained may be lost and we may not achieve or sustain profitability, which would adversely affect our business, prospects, financial 
condition and results of operations. 

The incidence and prevalence for target patient populations of our drug candidates are based on estimates and third-party sources. 
If the market opportunities for our drug candidates are smaller than we estimate or if any approval that we obtain is based on a 
narrower definition of the patient population, our revenue and ability to achieve profitability will  be adversely affected, possibly 
materially. 

Periodically, we make estimates regarding the incidence and prevalence of target patient populations for particular diseases based 
on  various  third-party  sources  and  internally  generated  analysis  and  use  such  estimates  in  making  decisions  regarding  our  drug 
development strategy, including determining indications on which to focus in pre-clinical or clinical trials. 

These estimates may be inaccurate or based on imprecise data. For example, the total addressable market opportunity will depend 
on, among other things, their acceptance by the medical community and patient access, drug pricing and reimbursement. The number 
of patients in the addressable markets may turn out to be lower than expected, patients may not be otherwise amenable to treatment with 
our drugs, or new patients may become increasingly difficult to identify or gain access to, all of which would adversely affect our results 
of operations and our business. 

Our future success depends on our ability to retain key executives and to attract, retain and motivate qualified personnel. 

We are highly dependent on the expertise of the members of our research and development team, as well as the other principal 
members of our management, including Christian Lawrence Hogg, our Chief Executive Officer and director, and Weiguo Su, Ph.D., 
our Chief Scientific Officer and director. Although we have entered into employment agreements with our executive officers, each of 
them may terminate their employment with us at any time with three months’ prior written notice. We do not maintain “key person” 
insurance for any of our executives or other employees. 

23 

Recruiting and retaining qualified management, scientific, clinical, manufacturing and sales and marketing personnel will also be 
critical to our success. The loss of the services of our executive officers or other key employees could impede the achievement of our 
research, development and commercialization objectives and seriously harm our ability to successfully implement our business strategy. 
Furthermore, replacing executive officers and key employees may be difficult and may take an extended period of time because of the 
limited number of individuals in our industry with the breadth of skills and experience required to successfully develop, gain regulatory 
approval of and commercialize drugs. Competition to hire from this limited pool is intense, and we may be unable to hire, train, retain 
or  motivate  these  key  personnel  on  acceptable  terms  given  the  competition  among  numerous  pharmaceutical  and  biotechnology 
companies for similar personnel. We also experience competition for the hiring of scientific and clinical personnel from universities and 
research institutions. Failure to succeed in clinical trials may make it more challenging to recruit and retain qualified scientific personnel. 

We have expanded our footprint and operations in the United States, and we intend to expand our international operations further 
in the future, but we may not achieve the results that we expect. 

In early 2018, we opened our first office in the United States.  While we have been involved in clinical and non-clinical development 
in North America and Europe for over a decade, the activities conducted by our U.S. office will significantly broaden and scale our non-
Asian clinical development and international operations.  We have significantly expanded, and intend to continue to expand, our U.S. 
clinical team to support our increasing clinical activities in the United States, Europe, Japan and Australia.  In preparation for a potential 
approval of Sulanda in the United States in 2022, we have built a team of more than 30 personnel covering supply chain, market access, 
marketing, sales and commercial operation activities.  Conducting our business in multiple countries subjects us to a variety of risks and 
complexities  that  may  materially  and  adversely  affect our  business, results  of  operations,  financial  condition  and growth prospects, 
including, among other things: 

 

 

 

 

 

 

 

the increased complexity and costs inherent in managing international operations; 

diverse regulatory, financial and legal requirements, and any future changes to such requirements, in one or more countries 
where we are located or do business; 

country-specific tax, labor and employment laws and regulations; 

applicable trade laws, tariffs, export quotas, custom duties or other trade restrictions and any changes to them; 

challenges inherent in efficiently managing employees in diverse geographies, including the need to adapt systems, policies, 
benefits and compliance programs to differing labor and other regulations; 

changes in currency rates; and 

regulations relating to data security and the unauthorized use of, or access to, commercial and personal information. 

As a result of our growth, our business and corporate structure has become more complex. There can be no assurance that we will 
effectively  manage  the  increased  complexity  without  experiencing  operating  inefficiencies  or  control  deficiencies.  Significant 
management time and effort is required to effectively manage the increased complexity of our company, and our failure to successfully 
do so could have a material adverse effect on our business, financial condition, results of operations and growth prospects. 

24 

We may be restricted from transferring our scientific data abroad. 

On March 17, 2018, the General Office of the State Council promulgated the Measures for the Management of Scientific Data, or 
the Scientific Data Measures, which provides a broad definition of scientific data and relevant rules for the management of scientific 
data.  According  to  the  Scientific  Data  Measures,  enterprises  in  China  must  seek  governmental  approval  before  any  scientific  data 
involving a state secret may be transferred abroad or to foreign parties. Further, any researcher conducting research funded at least in 
part by the Chinese government is required to submit relevant scientific data for management by the entity to which such researcher is 
affiliated before such data may be published in any foreign academic journal. Given that the term state secret is not clearly defined in 
the Scientific Data Measures, if and to the extent our research and development of drug candidates will be subject to the Scientific Data 
Measures and any subsequent laws as required by the relevant government authorities, we cannot assure you that we can always obtain 
relevant approvals for sending scientific data (such as the results of our pre-clinical studies or clinical trials conducted within China) 
abroad or to our foreign partners in China. The PRC Personal Information Protection Law, effective November 2021, provides that 
where a personal information processor needs to provide personal information outside the territory of the PRC due to business or other 
needs, it shall meet any of the following conditions: (i) it shall pass the security evaluation organized by the Cyberspace Administration 
of China (“CAC”) in accordance with the provisions of Article 40 thereof, (ii) it shall have been certified by a specialized agency for 
protection of personal information in accordance with the provisions of the CAC, (iii) it shall enter into a contract with the overseas 
recipient under the standard contract formulated by the CAC, specifying the rights and obligations of both parties, or (iv) it shall meet 
other conditions prescribed by laws, administrative regulations or the CAC. If we are unable to obtain necessary approvals or meet the 
necessary requirements in a timely manner, or at all, our research and development of drug candidates may be hindered, which may 
materially  and  adversely  affect  our  business,  results  of  operations,  financial  conditions  and  prospects.  If  the  relevant  government 
authorities consider the transmission of our scientific data to be in violation of the requirements under the Scientific Data Measures, we 
may be subject to fines and other administrative penalties imposed by those government authorities. 

If  we  expand  our  existing  compassionate-use  program  or  participate  in  additional  compassionate-use  programs,  discrepancies 
among the regulations in different countries may lead to increased risk of adverse drug reactions and serious adverse events arising 
from the use of our drug candidates. 

Compassionate-use programs are regulatory programs that facilitate access to investigational drugs for the treatment of patients 
with  serious  or  immediately  life-threatening  diseases  or  conditions  that  lack  therapeutic  alternatives.  Currently,  there  is  no  unified 
approach or standard practice to regulate compassionate-use programs or access to investigational drugs across countries. In China, the 
PRC Drug Administration Law provides that drugs in clinical trials intended for the treatment of serious life-threatening diseases without 
existing effective treatments may, upon review and informed consent, be administered to patients with the same conditions within the 
institution conducting the clinical trials, provided that such drugs may be beneficial as indicated by medical observation and such practice 
is  in  conformity  with  ethical  principles.  In  the  United  States,  compassionate-use  programs  are  limited  to  patients  who  have  a  life-
threatening disease or serious disease or condition, who may gain access to an investigational medical product for treatment outside of 
clinical  trials  when no  comparable or  satisfactory  alternative  therapy options  are  available. Additionally,  the  U.S.  Right  to  Try Act 
provides a separate pathway for patients with a life-threatening disease or condition who have exhausted all other treatment options and 
who  are  unable  to  participate  in  clinical  trials  to  access  investigational  drugs  that  have  passed  Phase  I  clinical  trials  under  a  more 
expedited process. 

The regulatory discrepancy for compassionate-use programs among countries may lead to uneven patient entry criteria and protocols 
for compassionate use programs. This may create increased risk of serious adverse events because of enrolled patients’ advanced disease 
or comorbidities. In addition, because the products in compassionate-use programs are investigational drugs, many of which are still in 
experimental stages, patients in compassionate-use program may exhibit adverse drug reactions from using these products. We currently 
have named patient programs in Hong Kong for compassionate use of fruquintinib and surufatinib and an expanded access program in 
the United States for compassionate use of surufatinib. Although we have enrolled a limited number of patients in each of our current 
programs, we may be subject to the risk of enrolled patients exhibiting adverse drug reactions or serious adverse events being produced 
from the use of our drug products, particularly if we expand such programs or establish or participate in additional compassionate-use 
programs. Such occurrences can potentially lead to clinical holds of our ongoing clinical trials or complicate the determination of the 
safety profile of a drug candidate under regulatory review for commercial marketing, or expose us to tort liability. 

25 

Risks Relating to Sales of Our Internally Developed Drugs and Other Drugs 

Pharmaceutical companies in China are required to comply with extensive regulations and hold a number of permits and licenses 
to carry on their business. Our and our joint ventures’ ability to obtain and maintain these regulatory approvals is uncertain, and 
future government regulation may impose additional burdens on our operations. 

The pharmaceutical industry in China is subject to extensive government regulation and supervision.  The regulatory framework 
addresses all aspects of operations in the pharmaceutical industry, including approval, production, distribution, advertising, licensing 
and  certification  requirements  and  procedures,  periodic  renewal  and  reassessment  processes,  registration  of  new  drugs  and 
environmental protection.  Violation of applicable laws and regulations may materially and adversely affect our business.  In order to 
manufacture and distribute pharmaceutical products in China, we and our joint ventures are required to, among other things: 

 

 

 

 

obtain a pharmaceutical manufacturing permit for each production facility from the NMPA; 

obtain a drug registration certificate, which includes a drug approval number, from the NMPA for each drug manufactured by 
us; 

obtain a pharmaceutical distribution permit from the NMPA; and 

renew the pharmaceutical manufacturing permits, the pharmaceutical distribution permits, drug registration certificates, among 
other requirements. 

If we or our joint ventures are unable to obtain or renew such permits or any other permits or licenses required for our or their 
operations, we will not be able to engage in the manufacture and distribution of our products and our business may be adversely affected. 

The regulatory framework regarding the pharmaceutical industry in China is subject to change and amendment from time to time. 
Any such change or amendment could materially and adversely impact our business, financial condition and results of operations. The 
PRC government has introduced various reforms to the Chinese healthcare system in recent years and may continue to do so, with an 
overall objective to expand basic medical insurance coverage and improve the quality and reliability of healthcare services. Specific 
upcoming regulatory and policy changes remain uncertain. The implementing measures to be issued may not be sufficiently effective to 
achieve the stated goals and, as a result, we may not be able to benefit from such reform to the level we expect, if at all. Moreover, the 
reform could give rise to regulatory developments, such as more burdensome administrative procedures, which may have an adverse 
effect on our business and prospects. 

For further information regarding government regulation in China and other jurisdictions, see Item 4.B. “Business Overview—
Regulation—Government  Regulation  of  Pharmaceutical  Product  Development  and  Approval,”  “Business  Overview—Regulation—
Coverage and Reimbursement” and “Business Overview—Regulation—Other Healthcare Laws.” 

26 

As a significant portion of the operations of our Other Ventures is conducted through joint ventures, we are dependent on the success 
of our joint ventures, our receipt of dividends or other payments from our joint ventures for cash to fund our operations, and our 
investments in our joint ventures are subject to liquidity risk.   

We are party to a joint venture agreement with Shanghai Pharmaceuticals, relating to our non-consolidated joint venture namely, 
Shanghai Hutchison Pharmaceuticals, which forms part of the operations of our Other Ventures. Our equity in earnings of such non-
consolidated joint venture, net of tax, was $30.7 million, $33.5 million and $44.7 million for the years ended December 31, 2019, 2020 
and 2021, respectively, as recorded in our consolidated financial statements. As such, our results of operations and financial performance 
have been, and will continue to be, affected by the financial performance of such joint venture as well as any other equity investees we 
have or may have in the future. We may also be required to recognize an impairment charge in our consolidated financial statements if 
there is a decline in the fair market value of our investments in such businesses below their carrying amounts for whatever reason that 
is determined to be other-than-temporary. Furthermore, we have consolidated joint ventures with each of Sinopharm and Hain Celestial 
which accounted for substantially all of our Other Ventures’ consolidated revenue for the years ended December 31, 2019, 2020 and 
2021. 

As a result, our ability to fund our operations and pay our expenses or to make future dividend payments, if any, is largely dependent 
on the earnings of our joint ventures and the payment of those earnings to us in the form of dividends. Payments to us by our joint 
ventures  will  be  contingent  upon  our  joint  ventures’  earnings  and  other  business  considerations  and  may  be  subject  to  statutory  or 
contractual restrictions. Each joint venture’s ability to distribute dividends to us is subject to approval by their respective boards of 
directors, which in the case of Shanghai Hutchison Pharmaceuticals is comprised of an equal number of representatives from each party. 
Furthermore, our ability to promptly sell one or more of our interests in our joint ventures in response to changing corporate strategy or 
economic, financial and investment conditions is limited. The market for such investments can be affected by various factors, such as 
general economic and market conditions, availability of financing, interest rates and investor demand, many of which are beyond our 
control. If we determine to sell any of our joint venture investments, we cannot predict if we will be successful or whether any price or 
other terms offered by a prospective purchaser would be acceptable to us.  

Operationally, our  joint venture partners have  certain  responsibilities  and/or  certain  rights  to  exercise  control  or  influence over 
operations and decision-making under the joint venture arrangements. Therefore, the success of our joint ventures depends on the efforts 
and abilities of our joint venture parties. For example, we appoint the general managers of Hutchison Sinopharm and Shanghai Hutchison 
Pharmaceuticals  pursuant  to  the  respective  joint  venture  agreements  governing  these  entities  and  therefore  oversee  the  day-to-day 
management of these joint ventures. However, we still rely on our joint venture partners Sinopharm and Shanghai Pharmaceuticals to 
provide certain distribution and logistics services. See “—Risks Relating to Our Dependence on Third Parties—Joint ventures form an 
important part of our Other Ventures, and our ability to manage and develop the businesses conducted by these joint ventures depends 
in part on our relationship with our joint venture partners” for more information. 

We may not be successful in building a commercial sales team to successfully manufacture, sell and market our approved drugs, 
and we may not be able to generate any revenue from such products. 

We have leveraged our experience operating our prescription drugs business to commercialize certain of our approved, internally 
developed drug candidates in China. We must adapt our know-how to build a specific oncology and/or immunology focused sales and 
marketing team. As of December 31, 2021, we had an oncology commercial team with about 630 staff in China and about 30 staff in 
the United States to support the commercialization of Elunate, Sulanda, Orpathys and our other drug candidates, if approved. There are 
risks involved in establishing an in-house oncology commercial team. For example, recruiting and/or training a sales force to detail our 
approved drug candidates is time consuming and could delay any drug launch. Factors that may inhibit our efforts to commercialize our 
drug candidates include: 

 

 

 

our inability to recruit and retain adequate numbers of effective sales and marketing personnel; 

our inability to effectively manage the expansion of our operations and train additional qualified personnel in the relevant areas 
of oncology and/or immunology; 

the inability of our sales personnel to obtain access to physicians or educate adequate numbers of physicians who then prescribe 
any future drugs; and 

27 

 

the lack of complementary drugs to be offered by our sales personnel, which may put us at a competitive disadvantage relative 
to companies with more extensive product lines. 

In such case, our business, results of operations, financial condition and prospects will be materially and adversely affected. 

We face substantial competition in selling our approved, internally developed drugs and the drugs of our Other Ventures. 

The marketed drugs developed and sold by our Oncology/Immunology operations and the prescription drugs business which is part 
of our Other Ventures’ operations face substantial competition in the pharmaceutical industry in China, which is characterized by a 
number  of  established,  large  pharmaceutical  companies,  as  well  as  smaller  emerging  pharmaceutical  companies,  engaged  in  the 
development,  production,  marketing  or  sales  of  prescription  drugs,  in  particular  cardiovascular  drugs.  The  identities  of  the  key 
competitors with respect to drugs sold by our Oncology/Immunology and Other Ventures operations vary by product and, in certain 
cases,  competitors  have  greater  financial  resources  than  us  and  may  elect  to  focus  these  resources  on  developing,  importing  or  in-
licensing  and  marketing  products  in  the  PRC  that  are  substitutes  for  our  products  and  may  have  broader  sales  and  marketing 
infrastructure with which to do so.   

Such drugs may compete against products that have lower prices, superior performance, greater ease of administration or other 
advantages  compared  to  our  products.  In  some  circumstances,  price  competition  may  drive  our  competitors  to  conduct  illegal 
manufacturing processes to lower their manufacturing costs. Increased competition may result in price reductions, reduced margins and 
loss of market share, whether achieved by either legal or illegal means, any of which could materially and adversely affect our profit 
margins. We and our joint ventures may not be able to compete effectively against current and future competitors. 

If we are not able to maintain and enhance brand recognition of our drugs to maintain a competitive advantage, our reputation, 
business and operating results may be harmed. 

We believe that market awareness of our products sold through our Oncology/Immunology and Other Ventures operations, which 
include our joint ventures’ branded products, such as Shang Yao, and the brands of third-party products which are distributed through 
our joint ventures, has contributed significantly to our success.  We also believe that maintaining and enhancing such brands is critical 
to maintaining our competitive advantage.  Although the sales and marketing staff of such businesses will continue to further promote 
such  brands  to  remain  competitive,  they  may  not  be  successful.    If  we  or  our  joint  ventures  are  unable  to  further  enhance  brand 
recognition and increase awareness of such products, or are compelled to incur excessive marketing and promotion expenses in order to 
maintain brand awareness, our business and results of operations may be materially and adversely affected.  Furthermore, our results of 
operations could be adversely affected if the Shang Yao brand, or the brands of any other products, or our reputation, are impaired by 
certain actions taken by our joint venture partners, distributors, competitors or relevant regulatory authorities. 

Reimbursement  may  not  be  available  for  the  products  currently  sold  through  our  Oncology/Immunology  and  Other  Ventures 
operations  or  our  drug  candidates  in  China,  the  United  States  or  other  countries,  which  could  diminish  our  sales  or  affect  our 
profitability. 

The regulations that govern pricing and reimbursement for pharmaceuticals vary widely from country to country. Some countries 
require approval of the sale price of a drug before it can be marketed. In many countries, the pricing review period begins after regulatory 
approval is granted. In some foreign markets, pharmaceutical pricing remains subject to continuing governmental control even after 
initial approval is granted. Furthermore, once marketed and sold, government authorities and third-party payors, such as private health 
insurers and health maintenance organizations, decide which medications they will pay for and establish reimbursement levels. Adverse 
pricing reimbursement levels may hinder market acceptance of our drug candidates or other products sold by us. 

28 

In China, for example, the Ministry of Human Resources and Social Security of the PRC or provincial or local human resources 
and social security authorities, together with other government authorities, review the inclusion or removal of drugs from the Medicines 
Catalogue  for  the  National  Basic  Medical  Insurance,  Labor  Injury  Insurance  and  Childbirth  System  in  China,  or  the  National 
Reimbursement Drug List, or NRDL, or provincial or local medical insurance catalogues for the National Medical Insurance Program, 
and the category under which a drug will be classified, both of which affect the amounts reimbursable to program participants for their 
purchases of those medicines. These determinations are made based on a number of factors, including price and efficacy. Depending on 
the category under which a drug is classified in the provincial medicine catalogue, a National Medical Insurance Program participant 
residing in that province can be reimbursed for the full cost of Category A medicine and for the majority of the cost of a Category B 
medicine. In some instances, if the price range designated by the local or provincial government decreases, it may adversely affect our 
business  and  could  reduce  our  total  revenue,  and  if  our  revenue  falls  below  production  costs,  we  may  stop  manufacturing  certain 
products.  In  November  2019  and  January  2022,  Elunate  and  Sulanda  were  added  to  China’s  NRDL  as  a  Category  B  medicine, 
respectively. 

In addition, in order to access certain local or provincial-level markets, our joint ventures are periodically required to enter into 
competitive bidding processes for She Xiang Bao Xin (the best-selling product of our Shanghai Hutchison Pharmaceuticals joint venture) 
and  other  products  with  a  pre-defined  price  range.  The  competitive  bidding  in  effect  sets  price  ceilings  for  those  products,  thereby 
limiting our profitability. 

In the United States, there have been and continue to be a number of legislative initiatives to contain healthcare costs which may 
affect reimbursement rates of our drug candidates if approved. For example, in March 2010, the Patient Protection and Affordable Care 
Act, as amended by the Health Care and Education Reconciliation Act, or the Affordable Care Act, was passed, which substantially 
changed  the way health  care is  financed by  both governmental  and  private  insurers.  The Affordable Care Act,  among other  things, 
established a new Medicare Part D coverage gap discount program, in which, effective 2019, manufacturers must agree to offer 70% 
point-of-sale discounts off negotiated prices of applicable brand drugs to eligible beneficiaries during their coverage gap period as a 
condition for the manufacturer’s outpatient drugs to be covered under Medicare Part D. In addition, other legislative changes have been 
proposed and adopted in the United States since the Affordable Care Act was enacted. 

Modifications to or repeal of all or certain provisions of the Affordable Care Act had been expected based on statements made by 
former President Trump and certain members of Congress. However, President Biden has indicated that his healthcare policy will build 
on the Affordable Care Act and that his administration will prioritize comprehensive drug pricing reform. We cannot predict the ultimate 
content, timing or effect of any changes to the Affordable Care Act or other federal and state reform efforts. Several U.S. states have 
also enacted laws to control drug pricing or require manufacturers to disclose information about drug pricing. There is no assurance that 
federal or state health care reform will not adversely affect our future business and financial results. We expect that additional U.S. state 
and  federal  healthcare  reform  measures  will  be  adopted  in  the  future,  any  of  which  could  limit  the  amounts  that  federal  and  state 
governments will pay for healthcare products and services, which could result in reduced demand for our drug candidates or additional 
pricing  pressures.  We  expect  that  the  pharmaceutical  industry  will  experience  pricing  pressures  due  to  the  increasing  influence  of 
managed care (and related implementation of managed care strategies to control utilization), consolidation in drug distribution industry, 
additional  federal  and  state  legislative  and  regulatory  proposals  to  regulate  pricing  of  drugs,  limit  coverage  of  drugs  or  reduce 
reimbursement for drugs, public scrutiny and recent regulatory initiatives to control the price of pharmaceuticals through government 
negotiations of drug prices in Medicare Part D and, eventually Medicare Part B, and importation of cheaper products from abroad. 

Moreover, eligibility for reimbursement in the United States does not imply that any drug will be paid for in all cases or at a rate 
that covers our costs, including research, development, manufacture, sale and distribution. Interim U.S. reimbursement levels for new 
drugs, if applicable, may also not be sufficient to cover our costs and may not be made permanent. Reimbursement rates may vary 
according to the use of the drug and the clinical setting in which it is used, may be based on reimbursement levels already set for lower 
cost  drugs  and  may  be  incorporated  into  existing  payments  for  other  services.  Net  prices  for  drugs  may  be  reduced  by  mandatory 
discounts  or  rebates  required  by  U.S.  government  healthcare  programs  or  private  payors  and  by  any  future  relaxation  of  laws  that 
presently restrict imports of drugs from countries where they may be sold at lower prices than in the United States. Third-party payors 
in the United States often rely upon Medicare coverage policy and payment limitations in setting their own reimbursement policies. Our 
inability to promptly obtain coverage and profitable payment rates from both government-funded and private payors for any approved 
drugs that we develop could have a material adverse effect on our operating results, our ability to raise capital needed to commercialize 
drugs and our overall financial condition. 

29 

Sales  of our generic  prescription drugs  sold  through our  Other  Ventures  rely  on  the  ability  to  win  tender bids for  the medicine 
purchases of hospitals in China. 

Our prescription drugs business markets to hospitals in China that may make bulk purchases of a medicine only if that medicine is 
selected under a government-administered tender process that was initiated in 2018 and aimed at driving consolidation in the fragmented 
generic  prescription  drug  market  in  China.  Pursuant  to  this  process,  major  cities  bulk-buy  certain  generic  drugs  together,  forcing 
companies to bid for contracts and driving down prices. The process was later expanded nationwide to cover more cities and drugs. This 
process, which only applies to generic prescription drugs, may reduce our Other Ventures’ product portfolio as some of our third-party 
generic drug partners may fail to win bids. 

Periodically, a bidding process is organized on a provincial or municipal basis. Whether a drug manufacturer is invited to participate 
in the tender depends on the level of interest that hospitals have in purchasing this drug. The interest of a hospital in a medicine is 
evidenced by: 

 

 

the inclusion of this medicine on the hospital’s formulary, which establishes the scope of drug physicians at this hospital may 
prescribe to their patients, and 

the willingness of physicians at this hospital to prescribe a particular drug to their patients. 

We believe that effective marketing efforts are critical in making and keeping hospitals interested in purchasing the prescription 
drugs sold through our Other Ventures so that we and our joint ventures are invited to submit the products to the tender. Even if we and 
our  joint  ventures  are  invited  to  do  so,  competitors  may  be  able  to  substantially  reduce  the  price  of  their  products  or  services.  If 
competitors are able to offer lower prices, our and our joint ventures’ ability to win tender bids during the hospital tender process will 
be materially affected, and could reduce our total revenue or decrease our profit. 

Counterfeit products could negatively impact our revenue, brand reputation, business and results of operations. 

Our products are subject to competition from counterfeit products, especially counterfeit pharmaceuticals which are manufactured 
without proper licenses or approvals and are fraudulently mislabeled with respect to their content and/or manufacturer. Counterfeiters 
may illegally manufacture and market products under our or our joint venture’s brand names, the brand names of the third-party products 
we or they sell, or those of our or their competitors. Counterfeit pharmaceuticals are generally sold at lower prices than the authentic 
products  due  to  their  low production  costs,  and  in  some cases  are very  similar  in  appearance  to  the authentic  products.  Counterfeit 
pharmaceuticals may or may not have the same chemical content as their authentic counterparts. If counterfeit pharmaceuticals illegally 
sold under our or our joint ventures’ brand names or the brand names of third-party products we or they sell result in adverse side effects 
to  consumers,  we  or  our  joint  ventures  may  be  associated  with  any  negative  publicity  resulting  from  such  incidents.  In  addition, 
consumers may buy counterfeit pharmaceuticals that are in direct competition with products sold through our Oncology/Immunology 
and Other Ventures operations, which could have an adverse impact on our revenue, business and results of operations. The proliferation 
of counterfeit pharmaceuticals in China and globally may grow in the future. Any such increase in the sales and production of counterfeit 
pharmaceuticals in China, or the technological capabilities of the counterfeiters, could negatively impact our revenue, brand reputation, 
business and results of operations. 

Rapid changes in the pharmaceutical industry may render our Other Ventures’ products or our internally developed drugs and drug 
candidates obsolete. 

Future  technological  improvements  by  our  competitors  and  continual  product  developments  in  the  pharmaceutical  market  may 
render our and our joint ventures’ existing products, our or their third-party licensed products or our drug candidates obsolete or affect 
our viability and competitiveness. Therefore, our future success will largely depend on our and our joint ventures’ ability to: 

 

 

 

improve existing products; 

develop innovative drug candidates; 

diversify the product and drug candidate portfolio; 

30 

 

 

license diverse third-party products; and 

develop new and competitively priced products which meet the requirements of the constantly changing market. 

If we or our joint ventures fail to respond to this environment by improving our existing products, licensing new third-party products 
or developing new drug candidates in a timely fashion, or if such new or improved products do not achieve adequate market acceptance, 
our business and profitability may be materially and adversely affected. 

Certain  of  our  joint  ventures’  principal  products  involve  the  cultivation  or  sourcing  of  key  raw  materials  including  botanical 
products, and any quality control or supply failure or price fluctuations could adversely affect our ability to manufacture our products 
and/or could materially and adversely affect our operating results. 

The key raw materials used in the manufacturing process of certain of our joint ventures’ principal products are medicinal herbs 
whose properties are related to the regions and climatic conditions in which they are grown. Access to quality raw materials and products 
necessary for the manufacture of our products is not guaranteed. We rely on materials sourced from third-party growers and suppliers. 
The availability, quality and prices of these raw materials are dependent on and closely affected by weather conditions and other seasonal 
factors which have an impact on the yields of the harvests each year. The quality, in some instances, also depends on the operations of 
third-party growers or suppliers. There is a risk that such growers or suppliers sell or attempt to sell us or our joint ventures raw materials 
which are not authentic. If there is any supply interruption for an indeterminate period of time, our joint ventures may not be able to 
identify and obtain alternative supplies that comply with our quality standards in a timely manner. Any supply disruption could adversely 
affect  our  ability  to  satisfy  demand  for  our  products,  and  materially  and  adversely  affect  our  product  sales  and  operating  results. 
Moreover, any use by us or our joint ventures of unauthentic materials illegally sold to us by third-party growers or suppliers in our or 
our joint ventures’ products may result in adverse side effects to the consumers, negative publicity, or product liability claims against 
us or our joint ventures, any of which may materially and adversely affect our operating results. 

The prices of necessary raw materials and products may be subject to price fluctuations according to market conditions, and any 
sudden increases in demand in the case of a widespread illness such as COVID-19, SARS, MERS or avian flu may impact the costs of 
production.  Raw  material  price  fluctuations  could  increase  the cost  to  manufacture  our  products  and  adversely  affect  our  operating 
results. 

Adverse publicity associated with our company, our joint ventures or our or their products or third-party licensed products or similar 
products manufactured by our competitors could have a material adverse effect on our results of operations. 

Sales  of  our  and  our  joint  ventures’  products  are  highly  dependent  upon  market  perceptions  of  the  safety  and  quality  of  such 
products, including proprietary products and third-party products we and they distribute. Concerns over the safety of biopharmaceutical 
products manufactured in China could have an adverse effect on the reputation of our industry and the sale of such products, including 
products manufactured or distributed by us and our joint ventures. 

We and our joint ventures could be adversely affected if any of our or our joint ventures’ products, third-party licensed products or 
any similar products manufactured by other companies prove to be, or are alleged to be, harmful to patients. Any negative publicity 
associated with severe adverse reactions or other adverse effects resulting from patients’ use or misuse of our and our joint ventures’ 
products or any similar products manufactured by other companies could also have a material adverse impact on our results of operations. 
We and our joint ventures have not, to date, experienced any significant quality control or safety problems. If in the future we or our 
joint ventures become involved in incidents of the type described above, such problems could severely and adversely impact our financial 
position and reputation. 

31 

We are dependent on our joint ventures’ production facilities in Shanghai, China, our manufacturing facility in Suzhou, China and 
third-party manufacturing facilities for the manufacture of the principal products of our joint ventures and our own drug candidates 
and products. 

The  principal  products  sold  by  our  Other  Ventures  are  mainly  produced  or  expected  to  be  produced  at  our  joint  ventures’ 
manufacturing  facilities  in  Shanghai,  China.  Our  commercial  supplies  of  Elunate  and  Sulanda  sold  by  our  Oncology/Immunology 
operations are manufactured at our manufacturing facility in Suzhou, China. We outsourced the manufacturing of active pharmaceutical 
ingredients and finished product of Orpathys to a third-party manufacturer based in Shanghai, China. Until construction of our new 
manufacturing facility in Shanghai is completed and it receives the requisite government approvals, we have no back-up manufacturing 
facility  for  fruquintinib  and  surufatinib,  and  our  ability  to  produce  such  drugs  will  be  negatively  impacted  if  we  experience  any 
significant  production  problems  at  our  Suzhou  facility.  A  significant  disruption  at  our,  our  joint  ventures’  and/or  our  contract 
manufacturer’s  facilities,  even on  a  short-term basis,  could  impair our  and/or  our  joint  ventures’  ability  to  timely  produce  and  ship 
products, which could have a material adverse effect on our business, financial position and results of operations.  

Our, our joint ventures’ and our contract manufacturer’s manufacturing operations are vulnerable to interruption and damage from 
natural and other types of disasters, including earthquake, fire, floods, environmental accidents, power loss, communications failures 
and similar events. If any disaster were to occur, our ability to operate our, our joint ventures’ or our contract manufacturer’s business 
at these facilities would be materially impaired. In addition, the nature of our production and research activities could cause significant 
delays in our programs and make it difficult for us to recover from a disaster or switch to other contract manufacturers. We and our joint 
ventures maintain insurance for business interruptions to cover some of our potential losses; however, such disasters could still disrupt 
our operations and thereby result in substantial costs and diversion of resources. 

In addition, our, our joint ventures’ and our contract manufacturer’s production process requires a continuous supply of electricity. 
We and they have encountered power shortages historically due to restricted power supply to industrial users during summers when the 
usage of electricity is high and supply is limited or as a result of damage to the electricity supply network. Because the duration of those 
power shortages was brief, they had no material impact on our or their operations. Interruptions of electricity supply could result in 
lengthy production shutdowns, increased costs associated with restarting production and the loss of production in progress. Any major 
suspension or termination of electricity or other unexpected business interruptions could have a material adverse impact on our business, 
financial condition and results of operations. 

We may engage in strategic transactions, including acquisitions, investments, joint ventures or divestitures that may have an adverse 
effect on our business. If we engage in a strategic transaction, there is no assurance that the transaction will be consummated. 

We may pursue transactions as part of our business strategy, including continuing to actively evaluate non-core assets divestment 
opportunities. For instance, on March 24, 2021, we entered into a sale and purchase agreement with GL Mountrose Investment Two 
Limited, a company controlled and managed by GL Capital Group, to sell our entire investment in Hutchison Baiyunshan. The sale was 
completed  on  September  28,  2021.  We  are  also  considering  divesting  other  non-core  businesses  in  our  Other  Ventures  segment, 
including  Shanghai  Hutchison  Pharmaceuticals.  For  more  information,  please  refer  to  Item  4.A.  “History  and  Development  of  the 
Company”, “Disposal of Hutchison Baiyunshan.” 

Acquisitions  and  investments  involve  numerous  risks  such  as  difficulties  in  finding  suitable  partners  or  acquisition  candidates, 
difficulties in obtaining financing on favorable terms, if at all, the assumption of certain known and unknown liabilities of acquired 
companies and difficulties in integrating operations, services, products and personnel. Divestitures also involve numerous risks. Any 
divestiture could result in a dilutive impact to our future earnings and significant write-offs, including those related to goodwill and 
other intangible assets, which could have a material adverse effect on our results of operations and financial condition. Divestitures 
could involve additional risks, including difficulties in the separation of operations, services, products and personnel, the diversion of 
management’s attention from other business concerns, the disruption of our business and the potential loss of key employees. 

We may not complete strategic transactions in a timely manner, on a cost-effective basis, or at all, and we may not realize the 
expected benefits of any transaction. We may not be successful in managing these or any other significant risks that we encounter if we 
engage  in  a  strategic  transaction.  If  we  are  not  successful  in  managing  the  risks,  uncertainties  and  potential  disruptions,  a  strategic 
transaction could have a negative impact on our business, results of operations or financial position. 

32 

Risks Relating to Our Dependence on Third Parties 

Disagreements or disputes with our current or future collaboration partners, the amendment of any collaboration agreement or the 
termination of any collaboration arrangement, could cause delays in our product development and materially and adversely affect 
our business. 

Our collaborations, including those with our oncology drug partners AstraZeneca and Eli Lilly and our in-licensing arrangement 
with Epizyme, and any future collaborations that we enter into may not be successful. Disagreements or disputes between parties to a 
collaboration arrangement regarding issues such as clinical development and commercialization, intellectual property ownership and 
transfer, clinical supply of drug candidates or products, cost allocation and other matters can lead to delays in the development process 
or commercializing the applicable drug candidate and, in some cases, termination of the collaboration arrangement. In addition, we or 
our partners may seek to amend the terms of one or more our collaboration agreements to adjust, among other things, the respective 
roles of our company and our collaboration partners as circumstances change. Our interests may not always be aligned with those of our 
collaboration partners, for instance, we are much smaller than our collaboration partners and because they or their affiliates may sell 
competing products. This may result in potential conflicts between our collaborators and us on matters that we may not be able to resolve 
on favorable terms or at all. 

Collaborations with pharmaceutical or biotechnology companies and other third parties, including our existing agreements with 
AstraZeneca and Eli Lilly, are often terminable by the other party for any reason with certain advance notice. Any such termination or 
expiration would adversely affect us financially and could harm our business reputation. For instance, in the event one of the strategic 
alliances with a current collaborator is terminated, we may require significant time and resources to secure a new collaboration partner, 
if we are able to secure such an arrangement at all. As noted in the following risk factor, establishing new collaboration arrangements 
can be challenging and time-consuming. The loss of existing or future collaboration arrangements would not only delay or potentially 
terminate the possible development or commercialization of products we may derive from our technologies, but it may also delay or 
terminate our ability to test specific target candidates. 

We rely on our collaborations with third parties for certain of our drug development activities, and, if we are unable to establish new 
collaborations when desired on commercially attractive terms or at all, we may have to alter our development and commercialization 
plans. 

Certain of our drug development programs and the potential commercialization of certain drug candidates rely on collaborations, 
such as savolitinib with AstraZeneca and fruquintinib with Eli Lilly. In addition, we recently entered into collaborations with BeiGene, 
Inmagene and Epizyme in 2020, 2021 and 2021, respectively. In the future, we may decide to collaborate with additional pharmaceutical 
and biotechnology companies for the development and potential commercialization of our other drug candidates. 

We face significant competition in seeking appropriate collaborators. Whether we reach a definitive agreement for collaboration 
will depend, among other things, upon our assessment of the collaborator’s resources and expertise, the terms and conditions of the 
proposed collaboration and the proposed collaborator’s evaluation of a number of factors. Those factors may include the design or results 
of clinical trials, the likelihood of approval by the FDA, NMPA or similar regulatory authorities outside the United States and China, 
the potential market for the subject drug candidate, the costs and complexities of manufacturing and delivering such drug candidate to 
patients, the potential of competing drugs, the existence of uncertainty with respect to our ownership of technology, which can exist if 
there is a challenge to such ownership without regard to the merits of the challenge and industry and market conditions generally. The 
collaborator may also consider alternative drug candidates or technologies for similar indications that may be available to collaborate 
on and whether such collaboration could be more attractive than the one with us for our drug candidate. The terms of any additional 
collaboration or other arrangements that we may establish may not be favorable to us. 

We  may  also  be  restricted  under  existing  collaboration  agreements  from  entering  into  future  agreements  on  certain  terms  with 
potential  collaborators.  Collaborations  are  complex  and  time-consuming  to  negotiate  and  document.  In  addition,  there  have  been  a 
significant number of recent business combinations among large pharmaceutical companies that have resulted in a reduced number of 
potential future collaborators. 

33 

 
 
We may not be able to negotiate additional collaborations on a timely basis, on acceptable terms, or at all. If we are unable to do 
so, we may have to curtail the development of the drug candidate for which we are seeking to collaborate, reduce or delay its development 
program or one or more of our other development programs, delay its potential commercialization or reduce the scope of any sales or 
marketing activities, or increase our expenditures and undertake development or commercialization activities at our own expense. If we 
elect to increase our expenditures to fund development or commercialization activities on our own, we may need to obtain additional 
capital, which may not be available to us on acceptable terms or at all. If we do not have sufficient funds, we may not be able to further 
develop our drug candidates or bring them to market and generate drug revenue. 

The  third-party  vendors  upon  whom  we  rely  for  the  supply  of  the  active  pharmaceutical  ingredients  used  in  some  of  our  drug 
candidates and drug products are our sole source of supply, and the loss of any of these suppliers could significantly harm our 
business. 

The active pharmaceutical ingredients used in some of our drug candidates and products are supplied to us from third-party vendors. 
Our ability to successfully develop our drug candidates, and to supply our commercial drugs in quantities sufficient to meet the market 
demand, depends in part on our ability to obtain the active pharmaceutical ingredients for these drugs in accordance with regulatory 
requirements  and  in  sufficient  quantities  for  commercialization  and  clinical  testing.  We  currently  obtain  active  pharmaceutical 
ingredients  for  each  of  our  drug  candidates  from  a  limited  number  of  suppliers.  For  example,  a  single  supplier  based  in  Shanghai 
manufactures and provides us active pharmaceutical ingredient for savolitinib. In the event any of our current suppliers of such active 
pharmaceutical ingredient cease operations for any reason, it may lead to an interruption in our production and supply of the product. 

For all of our drug candidates and products, we aim to identify and qualify a manufacturer to provide such active pharmaceutical 
ingredient prior to submission of an NDA to the FDA and/or NMPA. We are not certain, however, that our current supply arrangements 
will be able to meet our demand, either because of the nature of our agreements with third party suppliers, our limited experience with 
third party suppliers or our relative importance as a customer to those suppliers. It may be difficult for us to assess third party vendors’ 
ability to timely meet our demand in the future based on past performance. While our suppliers have generally met our demand on a 
timely basis in the past, they may subordinate our needs in the future to their other customers. 

Establishing additional or replacement suppliers for the active pharmaceutical ingredients used in our drug candidates and products, 
if required, may not be accomplished quickly. If we are able to find a replacement supplier, such alternative arrangements would need 
to be qualified and may require additional regulatory approval, which could result in further delay. While we seek to maintain adequate 
inventory of the active pharmaceutical ingredients used in our drug candidates and products, any interruption or delay in the supply of 
components or materials, or our inability to obtain such active pharmaceutical ingredient from alternate sources at acceptable prices in 
a timely manner could impede, delay, limit or prevent our development and commercialization efforts, which could harm our business, 
results of operations, financial condition and prospects. 

We and our collaborators rely, and expect to continue to rely, on third parties to conduct certain of our clinical trials for our drug 
candidates. If these third parties do not successfully carry out their contractual duties, comply with regulatory requirements or meet 
expected deadlines, we may not be able to obtain regulatory approval for or commercialize our drug candidates and our business 
could be harmed. 

We do not have the ability to independently conduct large-scale clinical trials. We and our collaboration partners rely, and expect 
to continue to rely, on medical institutions, clinical investigators, contract laboratories and other third parties, such as CROs, to conduct 
or otherwise support certain clinical trials for our drug candidates. Nevertheless, we and our collaboration partners (as applicable) will 
be  responsible  for  ensuring  that  each  clinical  trial  is  conducted  in  accordance  with  the  applicable  protocol,  legal  and  regulatory 
requirements and scientific standards, and reliance on CROs will not relieve us of our regulatory responsibilities. For any violations of 
laws and regulations during the conduct of clinical trials for our drug candidates, we could be subject to warning letters or enforcement 
action that may include civil penalties up to and including criminal prosecution. 

Although we or our collaboration partners design the clinical trials for our drug candidates, CROs conduct most of the clinical trials. 
As a result, many important aspects of our development programs, including their conduct and timing, are outside of our direct control. 
Our reliance on third parties to conduct clinical trials results in less control over the management of data developed through clinical 
trials than would be the case if we were relying entirely upon our own staff. Communicating with outside parties can also be challenging, 
potentially leading to mistakes as well as difficulties in coordinating activities. Outside parties may: 

 

have staffing difficulties; 

34 

 

 

 

 

fail to comply with contractual obligations; 

experience regulatory compliance issues; 

undergo changes in priorities or become financially distressed; or 

form relationships with other entities, some of which may be our competitors. 

These factors may materially and adversely affect the willingness or ability of third parties to conduct our and our collaboration 

partners’ clinical trials and may subject us or them to unexpected cost increases that are beyond our or their control. 

If any of our and our collaboration partners’ relationships with these third-party CROs terminate, we or they may not be able to 
enter into arrangements with alternative CROs on reasonable terms or at all. If CROs do not successfully carry out their contractual 
duties or obligations or meet expected deadlines, if they need to be replaced or if the quality or accuracy of the clinical data they obtain 
is compromised due to the failure to adhere to our clinical protocols, regulatory requirements or for other reasons, any clinical trials 
such CROs are associated with may be extended, delayed or terminated, and we may not be able to obtain regulatory approval for or 
successfully commercialize our drug candidates. As a result, we believe that our financial results and the commercial prospects for our 
drug candidates in the subject indication would be harmed, our costs could increase and our ability to generate revenue could be delayed. 

We, our collaboration partners or our CROs may fail to comply with the regulatory requirements pertaining to clinical trials, which 
could result in fines, adverse publicity and civil or criminal sanctions. 

We, our collaboration partners and our CROs are required to comply with regulations for conducting, monitoring, recording and 
reporting the results of clinical trials to ensure that the data and results are scientifically credible and accurate, and that the trial patients 
are  adequately  informed  of  the  potential  risks  of  participating  in  clinical  trials  and  their  rights  are  protected.  These  regulations  are 
enforced by the FDA, the NMPA and comparable foreign regulatory authorities for any drugs in clinical development. In the United 
States, the FDA regulates GCP through periodic inspections of clinical trial sponsors, principal investigators and trial sites. If we, our 
collaboration partners or our CROs fail to comply with applicable GCPs, the clinical data generated in our clinical trials may be deemed 
unreliable and the FDA or comparable foreign regulatory authorities may require additional clinical trials before approving the marketing 
applications  for  the  relevant  drug  candidate.  We  cannot  assure  you  that,  upon  inspection,  the  FDA  or  other  applicable  regulatory 
authority will determine that any of the future clinical trials for our drug candidates will comply with GCPs. In addition, clinical trials 
must  be  conducted  with  drug  candidates  produced  under  applicable  manufacturing  regulations.  Our  failure  or  the  failure  of  our 
collaboration partners or CROs to comply with these regulations may require us or them to repeat clinical trials, which would delay the 
regulatory approval process and could also subject us to enforcement action. We are also required to register applicable clinical trials 
and  post  certain  results  of  completed  clinical  trials  on  a  U.S.  government-sponsored  database,  ClinicalTrials.gov,  within  certain 
timeframes. Failure to do so can result in fines, adverse publicity and civil sanctions. 

Our  collaboration  partners,  principal  investigators,  CROs  and  other  third-party  contractor  and  consultants  may  engage  in 
misconduct or other improper activities. 

We are exposed to the risk that collaboration partners, principal investigators, CROs and other third-party contractor and consultants 
may engage in fraudulent or other illegal activity with respect to our business. Their misconduct could include intentional, reckless 
and/or negligent conduct or unauthorized activity that violates NMPA, FDA or other regulations, including but not limited to those laws 
requiring  the  reporting  of  true,  complete  and  accurate  information.  In  addition,  sales,  marketing  and  business  arrangements  in  the 
healthcare industry are subject to extensive laws and regulations intended to prevent fraud, kickbacks, self-dealing and other abusive 
practices. These laws and regulations may restrict or prohibit a wide range of insurance, pricing, discounting, marketing and promotion, 
sales  commission,  customer  incentive  programs  and  other  business  arrangements.  We  may  not  be  able  to  identify  and  deter  such 
misconduct, and the precautions we take to detect and prevent this activity may not be effective in controlling unknown or unmanaged 
risks  or  losses  or  in  protecting  us  from  governmental  investigations  or  other  actions  or  lawsuits  stemming  from  a  failure  to  be  in 
compliance with such laws or regulations. If any such actions are instituted against us, our collaboration partners, principal investigators, 
CROs and other third-party contractor and consultants, and we and/or such other parties are not successful in defending ourselves or 
asserting  our  rights,  those  actions  could  have  a  significant  impact  on  our  business,  including  the  imposition  of  civil,  criminal  and 
administrative penalties, damages, monetary fines, contractual damages, reputational harm, diminished profits and future earnings and 
disruption of our operations. 

35 

Joint ventures form an important part of our Other Ventures, and our ability to manage and develop the businesses conducted by 
these joint ventures depends in part on our relationship with our joint venture partners. 

We are party to joint venture agreements with each of Shanghai Pharmaceuticals, Sinopharm and Hain Celestial, which together 
form  a  major  portion  of  our  Other  Ventures.  Under  these  arrangements,  our  joint  venture  partners  have  certain  operational 
responsibilities and/or certain rights to exercise control or influence over operations and decision-making. 

Our  equity  interests  in  these  operating  companies do not  provide  us with  the  unilateral  ability  to  control  actions which require 
shareholder approval. In addition, under the joint venture contracts for these entities, the consent of the directors nominated by our joint 
venture partners is required for the passing of resolutions in relation to certain matters concerning the operations of these companies. As 
a  result,  although  we  participate  in  the  management  and  nominate  the  management  and  run  the  day-to-day  operations  of  our  joint 
ventures, Hutchison Sinopharm, Hutchison Hain Organic and Shanghai Hutchison Pharmaceuticals, we may not be able to secure the 
consent of our joint venture partners to pursue activities or strategic objectives that are beneficial to or that facilitate our overall business 
strategies. Furthermore, disagreements or disputes which arise between us and our joint venture partners may potentially require legal 
action to resolve and hinder the smooth operation of our Other Ventures or adversely affect our financial condition, results of operations 
and prospects. 

We are relying on third parties to construct our new manufacturing facility in Shanghai. Any delays in completing and receiving 
regulatory approvals for our new Shanghai facility, or any disruptions to the third parties’ performance of their obligations, could 
reduce or restrict our production capacity for the drug candidates used in our clinical trials or our commercial supply for any drug 
candidates which are approved. 

We are contracting with third parties to construct our new manufacturing facility in Shanghai.  The new facility is expected to be a 
55,000 square meter large-scale facility with a production capacity estimated to be five times that of our existing manufacturing plant 
in Suzhou.  The first phase will be primarily for small molecule production, with production capacity expected to be able to produce 
250 million tablets and capsules per year. The second phase is expected to include expansion into large molecule production. Third 
parties will be responsible for the construction of the buildings, including the production lines and other production facilities within such 
buildings. 

We cannot assure you that we will not experience any disruptions to the third parties’ performance of their obligations, and there 
could  be  delays  in  completing  and  receiving  regulatory  approvals  for  our  new  manufacturing  facility.    If  the  construction  of  our 
manufacturing facility or our production lines encounter unanticipated delays or incur additional expenses than expected, if regulatory 
evaluation  and/or  approval  of  our  new  manufacturing  facility  is  delayed,  or  if  our  third  party  contracts  are  terminated  or  adversely 
affected,  our  manufacturing  capacity  of  our  drug  candidates  may  be  limited,  which  would  delay  or  limit  our  development  and 
commercialization activities and our opportunities for growth.  Cost overruns associated with constructing or maintaining our Shanghai 
facility could also require us to raise additional funds from other sources. Any disruption that impedes our ability to manufacture our 
drug  candidates  in  a  timely  manner  could  materially  adversely  affect  our  business,  financial  condition,  results  of  operations  and 
prospects. 

We and our joint ventures rely on our distributors for logistics and distribution services. 

We and our joint ventures rely on distributors to perform certain operational activities, including invoicing, logistics and delivery 
of the products we and they market to the end customers. Because we and our joint ventures rely on third-party distributors, we have 
less  control  than  if we handled distribution  logistics directly  and  can  be  adversely  impacted by  the  actions  of  our distributors. Any 
disruption  of  our  distribution  network,  including  failure  to  renew  existing  distribution  agreements  with  desired  distributors,  could 
negatively affect our ability to effectively sell our products and materially and adversely affect the business, financial condition and 
results of operations of us and our joint ventures. 

36 

There is no assurance that the benefits currently enjoyed by virtue of our association with CK Hutchison will continue to be available. 

Historically, we have relied on the reputation and experience of, and support provided by, our founding shareholder, a wholly owned 
subsidiary of CK Hutchison, to advance our joint ventures and collaborations in China and elsewhere. CK Hutchison is interested in 
approximately 38.46% of our total outstanding share capital as of March 1, 2022. We believe that CK Hutchison group’s reputation in 
China has given us an advantage in negotiating collaborations and obtaining opportunities. 

We also benefit from sharing certain services with the CK Hutchison group including, among others, legal and regulatory services, 
company secretarial support services, tax and internal audit services, participation in the CK Hutchison group’s pension, medical and 
insurance plans, participation in the CK Hutchison group’s procurement projects with third-party vendors/suppliers, other staff benefits 
and staff training services, company functions and activities and operation advisory and support services. We pay a management fee to 
an affiliate of CK Hutchison for the provision of such services. In each of the years ended December 31, 2019, 2020 and 2021, we paid 
a management fee of approximately $0.9 million, $1.0 million and $1.0 million respectively. In addition, we benefit from the fact that 
two retail chains affiliated with the CK Hutchison group, PARKnSHOP and Watsons, sell certain of our Other Ventures’ products in 
their stores throughout Hong Kong and in other Asian countries. For the years ended December 31, 2019, 2020 and 2021, sales of our 
products to members of the CK Hutchison group amounted to $7.6 million, $5.5 million and $4.3 million, respectively. 

Our business also depends on certain intellectual property rights licensed to us by the CK Hutchison group. See “—Risks Relating 
to Intellectual Property—We and our joint ventures are dependent on trademark and other intellectual property rights licensed from 
others. If we lose our licenses for any of our products, we or our joint ventures may not be able to continue developing such products or 
may be required to change the way we market such products” for more information on risks associated with such intellectual property 
licensed to us. 

There can be no assurance the CK Hutchison group will continue to provide the same benefits or support that they have provided 
to our business historically. Such benefit or support may no longer be available to us, in particular, if CK Hutchison’s ownership interest 
in our company significantly decreases in the future. 

Other Risks and Risks Relating to Doing Business in China 

The COVID-19 pandemic and other adverse public health developments could materially and adversely affect our business. 

In December 2019, an outbreak of a novel strain of coronavirus (COVID-19) was reported and has since spread around the world. 
In March 2020, the World Health Organization declared the COVID-19 outbreak a global pandemic. In response to the pandemic, many 
governments around the world have implemented a variety of measures to reduce the spread of COVID-19, including travel restrictions 
and bans, instructions to residents to practice social distancing, quarantine advisories, shelter-in-place orders and required closures of 
non-essential businesses. The COVID-19 pandemic has negatively impacted the global economy, disrupted global supply chains, and 
created significant volatility and disruption of financial markets.   

The continued COVID-19 pandemic and other adverse public health developments could adversely impact our operations, given 
the impact they may have on the manufacturing and supply chain, our sales and marketing and clinical trial operations and those of our 
collaboration partners, and the ability to advance our research and development activities and pursue development of any of our drug 
candidates, each of which could have an adverse impact on our business and our financial results.  For instance, our clinical studies have 
encountered some limitations to patient visits for screening, treatment and clinical assessment, and our prescription drug sales teams 
have seen some short-term limitations on conducting normal operations. Although COVID-19 did not impact our research, our clinical 
studies or commercial activities in any material manner in 2021, certain regulatory inspections of our manufacturing facilities in China 
by the U.S. FDA have, however, been postponed due to travel restrictions. We will continue to closely work with regulators and monitor 
the evolving situation. The ultimate impact of the current COVID-19 pandemic, or any other adverse public health development, is 
highly uncertain and will depend on future developments that cannot be predicted with confidence, such as the duration of the outbreak 
and the effectiveness of actions to contain and treat COVID-19.  Although we do not expect any material impact on our long-term 
activity, we do not yet know the full extent of potential delays or impacts on our business, our clinical trials, our research programs, 
healthcare systems or the global economy as a whole, which could have a material adverse effect on our business, financial condition 
and results of operations and cash flows. 

37 

We are subject to stringent privacy laws, information security policies and contractual obligations related to data privacy and security, 
and we may be exposed to risks related to our management of the medical data of subjects enrolled in our clinical trials and other 
personal or sensitive information. 

We routinely receive, collect, generate, store, process, transmit and maintain medical data, treatment records and other personal 
details of the subjects enrolled in our clinical trials, along with other personal or sensitive information. As such, we are subject to the 
relevant local, state, national and international data protection and privacy laws, directives regulations, and standards that apply to the 
collection, use, retention, protection, disclosure, transfer and other processing of personal data in the various jurisdictions in which we 
operate and conduct our clinical trials. We are also subject to contractual obligations regarding the processing of personal data. Legal 
requirements regarding data protection and privacy continue to evolve and may result in ever-increasing public scrutiny and escalating 
levels  of  enforcement  and  sanctions  and  increased  costs  of  compliance.  Failure  to  comply  with  any  of  these  laws  could  result  in 
enforcement action against us, including investigations, civil and criminal enforcement action, fines, imprisonment of company officers 
and public censure, claims for damages by customers and other affected individuals, damage to our reputation and loss of goodwill, any 
of which could have a material adverse effect on our business, financial condition, results of operations or prospects. 

Data protection and privacy laws and regulations generally require clinical trial sponsors and operators and their personnel to protect 
the privacy of their enrolled subjects and prohibit unauthorized disclosure of personal information. We have established procedures to 
protect the confidentiality of medical records and personal data of subjects enrolled in our clinical trials. Access to clinical trial data has 
been strictly limited to authorized personnel only according to the relevant rules and regulations. External parties involved in clinical 
trials are also required to comply with all relevant data protection and confidentiality requirements. Data are to be used only for the 
intended use, as agreed by the patients and consistent with the patients’ informed consent form. While we have adopted security policies 
and measures to protect our proprietary data and patients’ privacy, personal patient information could be subject to leaks caused by 
hacking  activities,  human  error,  employee  misconduct  or  negligence  or  system  breakdown.  We  also  cooperate  with  third  parties 
including collaboration partners, principal investigators, hospitals, CROs and other third-party contractor and consultants for our clinical 
trials and operations. Any leakage or abuse of patient data by our third-party partners may be perceived by the patients as a result of our 
failure. Furthermore, any change in applicable laws and regulations could affect our ability to use medical data and subject us to liability 
for the use of such data for previously permitted purposes. Any failure or perceived failure by us to prevent information security breaches 
or to comply with privacy policies or privacy-related legal obligations, or any compromise of information security that results in the 
unauthorized release or transfer of personally identifiable information or other patient data, could cause our customers to lose trust in us 
and could expose us to legal claims. 

There are numerous U.S. federal and state laws and regulations relating to the privacy and security of personal information. In 
particular, regulations promulgated pursuant to the Health Insurance Portability and Accountability Act of 1996, or HIPAA, as amended, 
establish  privacy  and  security  standards  that  limit  the  use  and  disclosure  of  individually  identifiable  health  information  (known  as 
“protected  health  information”),  require  the  implementation  of  administrative,  physical  and  technological  safeguards  to  protect  the 
privacy  of  protected  health  information  and  ensure  the  confidentiality,  integrity  and  availability  of  electronic  protected  health 
information, and create breach reporting obligations in cases of certain unauthorized uses or disclosures. Determining whether protected 
health  information  has  been  handled  in  compliance  with  applicable  privacy  standards  and  our  contractual  obligations  can  require 
complex factual and statistical analyses and may be subject to changing interpretations.  Although we take measures to protect sensitive 
data from unauthorized access, use or disclosure, and whenever possible contractually require third-party partners to do the same, our 
information technology and infrastructure and those of our third-party partners may be vulnerable to attacks by hackers or viruses or 
breached  due  to  employee  error,  malfeasance  or  other  malicious  or  inadvertent  disruptions.  Any  such  breach  or  interruption  could 
compromise those networks and the information stored there could be accessed by unauthorized parties, manipulated, publicly disclosed, 
lost or stolen. Any such access, breach, or other loss of information relating to our information technology and infrastructure or that of 
our third-party partners may subject us to liability including legal claims or proceedings and liability under federal or state laws that 
protect the privacy of personal information, such as HIPAA, the Health Information Technology for Economic and Clinical Health 
(“HITECH”) Act, and regulatory penalties. If we or a third-party partner suffers a breach, we may need to send breach notifications to 
affected individuals and, if 500 or more individuals were affected, also notify the Secretary of the Department of Health and Human 
Services.  Breach  notifications  may  separately  be  required  under  applicable  state  breach  notification  laws,  which  may  include 
notifications to affected individuals, and for extensive breaches, to the media, credit reporting agencies, and/or State Attorneys General. 
Such notices could harm our reputation and our ability to compete and could potentially attract enforcement scrutiny from governmental 
authorities. 

38 

Regulatory authorities in China have implemented and are considering a number of legislative and regulatory proposals concerning 
data protection. The PRC Cyber Security Law, which became effective in June 2017, created China’s first national-level data protection 
for “network operators,” which may include all organizations in China that provide services over the internet or another information 
network.  The PRC  Data  Security  Law, which  took  effect in  September 2021,  provides  for  a  security  review procedure  for  the  data 
activities that may affect national security. The PRC Personal Information Protection Law, which took effect from November 2021, 
provides the circumstances under which a personal information processor could process personal information and the requirements for 
such  circumstances.  The  PRC  Personal  Information  Protection  Law  clarifies  the  scope  of  application,  the  definition  of  personal 
information and sensitive personal information, the legal basis of personal information processing and the basic requirements of notice 
and  consent.  The  Measures  for  Cybersecurity  Review,  which  took  effect  on  February  15,  2022,  provides  that  critical  information 
infrastructure operators that purchase network products and services and online platform operators engaging in data processing activities 
that affect or may affect national security shall be subject to the cybersecurity review. The Measures for Cybersecurity Review further 
elaborates the factors to be considered when assessing the national security risks of the relevant activities, including, among others: (i) 
the risk of core data, important data, or a large amount of personal information being stolen, leaked, destroyed, and illegally used or 
transferred out of the country, and (ii) the risk of critical information infrastructure, core data, important data, or a large amount of 
personal  information  being  affected,  controlled,  or  maliciously  used  by  foreign  governments  after  listing.  Drafts  of  some  of  these 
measures have now been published, including the Data Security Management Measures (Draft for Comments) published in May 2019, 
the Measures on Security Assessment for Individual Information Cross-border Transfer (Draft for Comments) in June 2019, and the 
Measures on Security Assessment of Cross-border Data Transfer (Draft for Comments) in October 2021, which may, upon enactment, 
require  security  review  before  transferring  human  health-related  data  out  of  China.  In  addition,  certain  industry-specific  laws  and 
regulations affect the collection and transfer of personal data in China. For example, the Regulations of the PRC on the Administration 
of Human Genetic Resources, or HGR Regulations, which became effective and implemented on July 1, 2019, stipulates that use of 
Chinese  human  genetic  resources,  or  HGR,  for  the  purposes  of  carrying  out  collaborative  international  scientific  research  shall  be 
approved by the administrative department of science and technology under the State Council, with which the two parties shall file the 
type,  quantity  and  usage  of  the  human  genetic  resources,  to  be  used  before  clinical  trials.  However,  no  approval  is  required  for 
“international  collaboration  in  clinical  trials”  that  do  not  involve  the  export  of  HGR  materials;  the  two  parties  to  the  international 
collaboration shall file the type, quantity and usage of the HGR to be used with the administrative department of science and technology 
under the State Council before clinical trials. The PRC Biosecurity Law, which took effect on April 15, 2021, stipulates that foreign 
organizations and individuals, as well as institutions they establish or are the actual controllers of, must not collect or preserve HGR 
within the territory of China and must not provide China’s HGR to overseas. It is possible that these laws may be interpreted and applied 
in  a  manner  that  is  inconsistent  with  our  practices,  potentially  resulting  in  confiscation  of  HGR  samples  and  associated  data  and 
administrative fines, penalties and negative publicity. 

Our clinical trial programs may implicate European data privacy laws, including the General Data Protection Regulation, or the 
GDPR,  and  local  laws  further  implementing  or  supplementing  the  GDPR.  The  GDPR  implements  more  stringent  operational 
requirements for processors and controllers of personal data including requirements for such companies to be able to ensure and be able 
to demonstrate compliance with the GDPR. If our or our third-party partners’ privacy or data security measures fail to comply with the 
GDPR requirements, we may be subject to litigation, regulatory investigations, enforcement notices requiring us to change the way we 
use personal data and/or fines of up to 20 million Euros or up to 4% of the total worldwide annual turnover of the preceding financial 
year, whichever is higher. In addition to statutory enforcement, non-compliance can lead to compensation claims by affected individuals, 
negative publicity and a potential loss of business. We are also subject to European laws on personal data export, as we may transfer 
personal data from the E.U. (or U.K.) to other jurisdictions which are not considered by the European Commission to offer “adequate” 
protection of personal data (such as Hong Kong or the United States). Following the Schrems II decision of the European Court of 
Justice in 2020, there has been intensified focus on exports of personal data which do not meet the high standards of protection expected 
by the E.U. Certain supervisory authorities in the E.U. have now begun to take enforcement action in this area, ordering restrictions on 
certain transfers of personal data to third countries such as the United States. These changes could require us to make operational changes 
and could increase costs and may lead to governmental enforcement actions, litigation, fines and penalties or adverse publicity that could 
have an adverse effect on our business. 

39 

Complying  with  all  applicable  laws, regulations,  standards  and  obligations relating  to data privacy,  security,  and  transfers  may 
cause us to incur substantial operational costs or require us to modify our data processing practices and processes. Non-compliance 
could result  in  proceedings  against us by  data  protection authorities, governmental  entities  or  others,  including  class  action privacy 
litigation in certain jurisdictions, which would subject us to significant fines, penalties, judgments and negative publicity. In addition, if 
our practices are not consistent or viewed as not consistent with legal and regulatory requirements, including changes in laws, regulations 
and  standards  or  new  interpretations  or  applications  of  existing  laws,  regulations  and  standards,  we  may  become  subject  to  audits, 
inquiries, whistleblower complaints, adverse media coverage, investigations, loss of export privileges, severe criminal or civil sanctions 
and reputational damage. Any of the foregoing could have a material adverse effect on our competitive position, business, financial 
conditions, results of operations and prospects. 

Product liability claims or lawsuits could cause us, our collaborators or our joint ventures to incur substantial liabilities. 

We,  our  collaborators  and  our  joint  ventures  face  an  inherent  risk  of  product  liability  exposure  related  to  the  use  of  our  drug 
candidates in clinical trials, sales of our or our joint ventures’ products or the products we or they license from third parties. If we, our 
collaborators and our joint ventures cannot successfully defend against claims that the use of such drug candidates in our clinical trials 
or any products sold by us or our joint ventures, including fruquintinib, surufatinib, savolitinib and/or any of our drug candidates which 
receive regulatory approval, caused injuries, we, our collaborators and our joint ventures could incur substantial liabilities. Regardless 
of merit or eventual outcome, liability claims may result in: 

 

 

decreased demand for our and our joint ventures’ products; 

significant negative media attention and reputational damage; 

  withdrawal of clinical trial participants; 

 

 

 

 

significant costs to defend the related litigation; 

substantial monetary awards to trial participants or patients; 

loss of revenue; and 

the inability to commercialize any drug candidates that we may develop. 

Our principal insurance policies cover product liability for fruquintinib, surufatinib, savolitinib, certain prescription drugs and health 
supplements, property loss due to accidents or natural disasters and adverse events in clinical trials.  Existing PRC laws and regulations 
do not require us, our collaborators or our joint ventures to have, nor do we or they, maintain liability insurance to cover product liability 
claims except with respect to fruquintinib, surufatinib, savolitinib, certain prescription drugs and health supplements, and liability with 
respect to our oncology and immunology clinical trials. Any litigation might, result in substantial costs and diversion of resources. While 
we maintain liability insurance for clinical trials and products, this insurance may not fully cover our potential liabilities.  Inability to 
obtain sufficient insurance coverage at an acceptable cost or otherwise to protect against potential product liability claims could prevent 
or inhibit the commercialization of products that we or our collaborators develop. 

40 

 
We and our joint ventures may be exposed to liabilities under the U.S. Foreign Corrupt Practices Act, or FCPA, U.S. healthcare 
fraud and abuse laws, the Bribery Act 2010 of the United Kingdom, or U.K. Bribery Act, and Chinese anti-corruption laws, and any 
determination that we have violated these laws could have a material adverse effect on our business or our reputation. 

In the day-to-day conduct of our business, we and our joint ventures are in frequent contact with persons who may be considered 
government officials under applicable anti-corruption, anti-bribery and anti-kickback laws, which include doctors at public hospitals in 
China and elsewhere. Therefore, we and our joint ventures are subject to risk of violations under the FCPA, the U.K. Bribery Act, and 
other laws in the countries where we do business. We and our joint ventures have operations in China, agreements with third parties in 
China, and we and our joint ventures make most of our sales in China. The PRC laws and regulations also strictly prohibit bribery of 
government officials.  Our and our joint ventures’ activities in China create the risk of unauthorized payments or offers of payments by 
the directors, employees, representatives, distributors, consultants or agents of our company or our joint ventures, even though they may 
not always be subject to our control. It is our policy to implement safeguards to discourage these practices by our and our joint ventures’ 
employees  and  third  parties.  We  have  implemented  and  adopted  policies  designed  by  the  R&D-based  Pharmaceutical  Association 
Committee, an industry association representing approximately 40 global biopharmaceutical companies, to ensure compliance by us and 
our joint ventures and our and their directors, officers, employees, representatives, distributors, consultants and agents with the anti-
corruption laws and regulations. We cannot assure you, however, that our existing safeguards are sufficient or that our or our joint 
ventures’ directors, officers, employees, representatives, distributors, consultants and agents have not engaged and will not engage in 
conduct for which we may be held responsible, nor can we assure you that our business partners have not engaged and will not engage 
in conduct that could materially affect their ability to perform their contractual obligations to us or even result in our being held liable 
for such conduct. Violations of the FCPA, the U.K. Bribery Act or Chinese anti-corruption laws may result in severe criminal or civil 
sanctions, and we may be subject to other liabilities, which could have a material adverse effect on our business, reputation, financial 
condition, cash flows and results of operations. 

If we begin to commercialize products in the United States and secure governmental reimbursement of our products, we also will 
be subject to the risk of violating U.S. federal and state healthcare fraud and abuse laws, including the Anti-Kickback Statute and the 
False Claims Act.  These laws broadly prohibit providing or receiving kickbacks in connection with government-reimbursed healthcare 
items  or  services,  as  well  submitting  or  causing  the  submission  of  false  or  fraudulent  claims  to  government  healthcare  programs. 
Violations of these laws may result in severe criminal or civil sanctions and other administrative sanctions, which could have a material 
adverse effect on our business, reputation, financial condition, cash flows and results of operations. 

Ensuring that our and our joint ventures’ future business arrangements with third parties comply with applicable laws could also 
involve substantial costs. It is possible that governmental authorities will conclude that our business practices do not comply with current 
or future statutes, regulations or case law involving applicable fraud and abuse or other healthcare laws and regulations. If our or our 
joint ventures’ operations were found to be in violation of any of these laws or any other governmental regulations that may apply to us, 
we may be subject to significant civil, criminal and administrative penalties, damages, fines, disgorgement, individual imprisonment 
and exclusion from government funded healthcare programs, any of which could substantially disrupt our operations. If the physicians, 
hospitals or other providers or entities with whom we and our joint ventures do business are found not to be in compliance with applicable 
laws, they may also be subject to criminal, civil or administrative sanctions, including exclusions from government funded healthcare 
programs. 

41 

 
 
If we or our joint ventures fail to comply with environmental, health and safety laws and regulations, we or they could become subject 
to fines or penalties or incur costs that could have a material adverse effect on the success of our business. 

We and our joint ventures are subject to numerous environmental, health and safety laws and regulations, including those governing 
laboratory procedures and the handling, use, storage, treatment and disposal of hazardous materials and wastes. Our operations involve 
the use of hazardous and flammable materials, including chemical materials. Our operations also produce hazardous waste products. 
We and our joint ventures are therefore subject to PRC laws and regulations concerning the discharge of waste water, gaseous waste 
and solid waste during our manufacturing processes. We and our joint ventures are required to establish and maintain facilities to dispose 
of waste and report the volume of waste to the relevant government authorities, which conduct scheduled or unscheduled inspections of 
our  facilities  and  treatment  of  such  discharge.  We  and  our  joint  ventures  may  not  at  all  times  comply  fully  with  environmental 
regulations.  Any  violation  of  these  regulations  may  result  in  substantial  fines,  criminal  sanctions,  revocations  of  operating  permits, 
shutdown of our facilities and obligation to take corrective measures. We and our joint ventures generally contract with third parties for 
the disposal of these materials and waste. We and our joint ventures cannot eliminate the risk of contamination or injury from these 
materials. In the event of contamination or injury resulting from the use of hazardous materials, we and/or our joint ventures could be 
held  liable  for  any  resulting  damages,  and  any  liability  could  exceed  our  resources.  We  and/or  our  joint  ventures  also  could  incur 
significant costs associated with civil or criminal fines and penalties. 

Although  we  and  our  joint  ventures  maintain  workers’  compensation  insurance  to  cover  costs  and  expenses  incurred  due  to 
on-the-job  injuries  to  our  employees  and  third-party  liability  insurance  for  injuries  caused  by  unexpected  seepage,  pollution  or 
contamination, this insurance may not provide adequate coverage against potential liabilities. Furthermore, the PRC government may 
take steps towards the adoption of more stringent environmental regulations. Due to the possibility of unanticipated regulatory or other 
developments, the amount and timing of future environmental expenditures may vary substantially from those currently anticipated. If 
there  is  any unanticipated  change  in  the  environmental  regulations, we  and  our  joint ventures  may need  to  incur substantial  capital 
expenditures  to  install,  replace,  upgrade  or  supplement  our  equipment  or  make  operational  changes  to  limit  any  adverse  impact  or 
potential adverse impact on the environment in order to comply with new environmental protection laws and regulations. If such costs 
become prohibitively expensive, we may be forced to cease certain aspects of our or our joint ventures’ business operations. 

We  rely  significantly  on  information  technology  and  any  failure,  inadequacy,  interruption  or  security  lapse  of  that  technology, 
including any cybersecurity incidents, could harm our ability to operate our business effectively. 

We  are  heavily  dependent  on  critical,  complex  and  interdependent  information  technology  systems,  including  internet-based 
systems,  to  support  our  business  processes.  Our  information  technology  system  security  is  continuously  reviewed,  maintained  and 
upgraded in response to possible security breach incidents. Despite the implementation of these measures, our information technology 
systems  and  those  of  third  parties  with  which  we  contract  are  vulnerable  to  damage  from  external  or  internal  security  incidents, 
breakdowns, malicious intrusions, cybercrimes, including State-sponsored cybercrimes, malware, misplaced or lost data, programming 
or human errors or other similar events. System failures, accidents or security breaches could cause interruptions in our operations and 
could result in inappropriately accessed, tampered with, modified or stolen scientific data or a material disruption of our clinical activities 
and business operations, in addition to possibly requiring substantial expenditures of resources to remedy. Such event could significantly 
harm our Oncology/Immunology operations, including resulting in the loss of clinical trial data which could result in delays in our 
regulatory approval efforts and significantly increase our costs to recover or reproduce the data. Such events could also lead to the loss 
of important information such as trade secrets or other intellectual property and could accelerate the development or manufacturing of 
competing products by third parties. To the extent that any disruption or security breach were to result in a loss of, or damage to, our 
data or applications, or inappropriate disclosure of confidential or proprietary information, we could incur liability and our research and 
development programs and the development of our drug candidates could be delayed. 

We have granted, and may continue to grant, options, long-term incentive scheme (“LTIP”) awards and other types of awards under 
our Option Schemes, our LTIP and the HUTCHMED Holdings Option Schemes, or collectively the Schemes, which may result in 
increased share-based compensation expenses and give rise to potential employment related disputes. 

We and HUTCHMED Holdings have adopted the Schemes for the purpose of granting share-based compensation awards to certain 
management, Directors, employees and other eligible grantees as a means to retain, incentivize, reward, remunerate, compensate and/or 
provide  benefits  to  eligible  grantees.  We  recognized  share-based  compensation  expenses  of  $11.6  million,  $19.6  million  and  $42.0 
million for the years ended December 31, 2019, 2020 and 2021, respectively, in our consolidated financial statements in accordance 
with U.S. GAAP. 

42 

We believe the granting of share-based compensation is of significant importance to our ability to attract and retain key personnel 
and employees, and we will continue to grant share-based compensation in the future. As a result, our expenses associated with share-
based  compensation  may  increase, which  may have  an  adverse  effect  on  our results  of  operations. We  may  re-evaluate  the  vesting 
schedules, exercise price or other key terms applicable to the grants under our currently effective Schemes from time to time, which 
may result in a substantial change in our share-based compensation expenses in the reporting periods. In addition, we could in the future 
become involved in disputes or legal proceedings with our employees or former employees on employment related matters (including 
disputes on the entitlement of options, awards and other share-based compensation or in connection with the employees’ incentive or 
compensation arrangements). If such disputes or legal proceedings arise, there can be no assurance that we will prevail in them, and in 
any event defending against these disputes or legal proceedings could cause us to incur legal and other costs. Any adverse outcome of 
these disputes or legal proceedings could have a material adverse effect on our reputation, business and results of operations. 

For more information on the Schemes, please refer to Item 6.B. “Directors, Senior Management and Employees,” “Compensation,” 

“Equity Compensation Schemes and Other Benefit Plans.” 

The PRC’s economic, political and social conditions, as well as governmental policies, could affect the business environment and 
financial markets in China, our ability to operate our business, our liquidity and our access to capital. 

Substantially all of our and our joint ventures’ business operations are conducted in China. Accordingly, our results of operations, 
financial condition and prospects are subject to economic, political and legal developments in China to a significant degree. China’s 
economy differs from the economies of developed countries in many respects, including with respect to the amount of government 
involvement, level of development, growth rate, control of foreign exchange and allocation of resources. While the PRC economy has 
experienced  significant  growth  in  the  past  30 years,  growth  has  been  uneven  across  different  regions  and  among  various  economic 
sectors of China. The PRC government has implemented various measures to encourage economic development and guide the allocation 
of resources. Some of these measures benefit the overall PRC economy, but may have a negative effect on us or our joint ventures. For 
example, our financial condition and results of operations may be adversely affected by government control over capital investments or 
changes in tax regulations that are applicable to us or our joint ventures. More generally, if the business environment in China deteriorates 
from the perspective of domestic or international investors, our or our joint ventures’ business in China may also be adversely affected. 

Uncertainties with respect to the PRC legal system and changes in laws, regulations and policies in China could materially and 
adversely affect us. 

We conduct a substantial portion of our business through our subsidiaries and joint ventures in China. PRC laws and regulations 
govern our and their operations in China. Our subsidiaries and joint ventures are generally subject to laws and regulations applicable to 
foreign  investments  in  China,  which  may  not  sufficiently  cover  all  of  the  aspects  of  our  or  their  economic  activities  in  China.  In 
particular, some laws, particularly with respect to drug price reimbursement, are relatively new, and because of the limited volume of 
published judicial decisions and their non-binding nature, the interpretation and enforcement of these laws and regulations are uncertain. 
Furthermore, recent regulatory reform in the China pharmaceutical industry will limit the number of distributors allowed between a 
manufacturer and each hospital to one, which may limit the rate of sales growth of Hutchison Sinopharm in future periods. In addition, 
the  implementation  of  laws  and  regulations  may  be  in  part  based  on  government  policies  and  internal  rules  that  are  subject  to  the 
interpretation and discretion of different government agencies (some of which are not published on a timely basis or at all) that may 
have a retroactive effect. As a result, we may not be aware of our, our collaboration partners’ or our joint ventures’ violation of these 
policies and rules until sometime after the violation. In addition, any litigation in China, regardless of outcome, may be protracted and 
result in substantial costs and diversion of resources and management attention. 

For further information regarding government regulation in China and other jurisdictions, see Item 4.B. “Business Overview—
Regulation—Government  Regulation  of  Pharmaceutical  Product  Development  and  Approval—PRC  Regulation  of  Pharmaceutical 
Product  Development  and  Approval,”  “Business  Overview—Regulation—Coverage  and  Reimbursement—PRC  Coverage  and 
Reimbursement” and “Business Overview—Regulation—Other Healthcare Laws—Other PRC Healthcare Laws.” 

43 

 
 
Restrictions on currency exchange may limit our ability to receive and use our revenue effectively. 

Substantially all of our revenue is denominated in renminbi, which currently is not a freely convertible currency. A portion of our 
revenue may be converted into other currencies to meet our foreign currency obligations, including, among others, payments of dividends 
declared, if any, in respect of our ordinary shares or ADSs. Under China’s existing foreign exchange regulations, our subsidiaries and 
joint ventures are able to pay dividends in foreign currencies or convert renminbi into other currencies for use in operations without 
prior  approval  from  the  PRC  State  Administration  of  Foreign  Exchange,  or  the  SAFE,  by  complying  with  certain  procedural 
requirements.  However,  we  cannot  assure  you  that  the  PRC  government  will  not  take  future  measures  to  restrict  access  to  foreign 
currencies for current account transactions. 

Our PRC subsidiaries’ and joint ventures’ ability to obtain foreign exchange is subject to significant foreign exchange controls and, 
in the case of amounts under the capital account, requires the approval of and/or registration with PRC government authorities, including 
the SAFE. In particular, if we finance our PRC subsidiaries or joint ventures by means of foreign debt from us or other foreign lenders, 
the amount is not allowed to exceed either the cross-border financing risk weighted balance calculated based on a formula by the PBOC 
or the difference between the amount of total investment and the amount of the registered capital. Further, such loans must be filed with 
and registered with the SAFE or their local branches and the National Development and Reform Commission (if applicable). If we 
finance our PRC subsidiaries or joint ventures by means of additional capital contributions, the amount of these capital contributions 
must first be filed with the relevant government approval authority. These limitations could affect the ability of our PRC subsidiaries 
and joint ventures to obtain foreign exchange through debt or equity financing. 

Our business benefits from certain PRC government tax incentives. Any changes to, or our PRC subsidiaries/joint ventures failing 
to continuously meet the criteria for these incentives could have a material adverse effect on our operating results by significantly 
increasing our tax expenses. 

Certain of our PRC subsidiaries and a joint venture have been granted High and New Technology Enterprise, or HNTE, status by 
the relevant PRC authorities.  This status allows the relevant enterprise to enjoy a reduced Enterprise Income Tax, or EIT, rate at 15% 
on its taxable profits.  For the duration of its HNTE grant, the relevant PRC enterprise must continue to meet the relevant HNTE criteria 
or else the 25% standard EIT rate will be applied from the beginning of the calendar year when the enterprise fails to meet the relevant 
criteria.  If the rules for such incentives are amended, it would be uncertain whether any criteria as amended can be met, in which case 
the higher EIT rate may apply resulting in increased tax burden which will impact our business, financial condition, results of operations 
and growth prospects. 

We may be treated as a resident enterprise for PRC Tax purposes under China’s Enterprise Income Tax Law and Implementation 
Rules, or the EIT Law, and our global income may therefore be subject to PRC income tax. 

China’s EIT Law defines the term “de facto management bodies” as “bodies that substantially carry out comprehensive management 
and control on the business operation, employees, accounts and assets of enterprises.” Under the EIT Law, an enterprise incorporated 
outside of China whose “de facto management bodies” are located in China is considered a “resident enterprise” and will be subject to 
a uniform 25% EIT rate on its global income. On April 22, 2009, China’s State Administration of Taxation, or the SAT, in the Notice 
Regarding the Determination of Chinese-Controlled Offshore-Incorporated Enterprises as PRC Tax Resident Enterprises on the Basis 
of De Facto Management Bodies, or Circular 82, further specified certain criteria for the determination of what constitutes “de facto 
management bodies.” If all of these criteria are met, the relevant foreign enterprise may be regarded to have its “de facto management 
bodies” located in China and therefore be considered a resident enterprise in China. These criteria include: (i) the enterprise’s day-to-day 
operational management is primarily exercised in China; decisions relating to the enterprise’s financial and human resource matters are 
made or subject to approval by organizations or personnel in China; (ii) the enterprise’s primary assets, accounting books and records, 
company seals, and board and shareholders’ meeting minutes are located or maintained in China; and (iii) 50% or more of voting board 
members or senior executives of the enterprise habitually reside in China. Although Circular 82 only applies to foreign enterprises that 
are  majority-owned  and  controlled  by  PRC  enterprises,  not  those  owned  and  controlled  by  foreign  enterprises  or  individuals,  the 
determining criteria set forth in Circular 82 may be adopted by the PRC tax authorities as the test for determining whether the enterprises 
are PRC tax residents, regardless of whether they are majority-owned and controlled by PRC enterprises. 

Except for our PRC subsidiaries and joint ventures incorporated in China, we believe that none of our entities incorporated outside 
of China is a PRC resident enterprise for PRC tax purposes. However, the tax resident status of an enterprise is subject to determination 
by the PRC tax authorities, and uncertainties remain with respect to the interpretation of the term “de facto management body.” 

44 

If we are treated as a PRC tax resident, dividends distributed by us to our non-PRC shareholders and ADS holders or any gains 
realized by non-PRC shareholders and ADS holders from the transfer of our shares or ADSs may be subject to PRC tax. 

Under the EIT Law, dividends payable by a PRC enterprise to its foreign investor who is a non-PRC resident enterprise, as well as 
gains on transfers of shares of a PRC enterprise by such a foreign investor will generally be subject to a 10% withholding tax, unless 
such non-PRC resident enterprise’s jurisdiction of tax residency has an applicable tax treaty with the PRC that provides for an exemption 
or a reduced rate of withholding tax. 

If the PRC tax authorities determine that we should be considered a PRC resident enterprise for EIT purposes, any dividends payable 
by us to our non-PRC resident enterprise shareholders or ADS holders, as well as gains realized by such investors from the transfer of 
our shares or ADSs may be subject to a 10% withholding tax, unless an exemption or reduced rate is available under an applicable tax 
treaty. Furthermore, if we are considered a PRC resident enterprise for EIT purposes, it is unclear whether our non-PRC individual 
shareholders (including our ADS holders) would be subject to any PRC tax on dividends or gains obtained by such non-PRC individual 
shareholders. If any PRC tax were to apply to dividends or gains realized by non-PRC individuals, it would generally apply at a rate of 
up to 20% unless a reduced rate is available under an applicable tax treaty. If dividends payable to our non-PRC resident shareholders, 
or gains from the transfer of our shares or ADSs by such shareholders are subject to PRC tax, the value of your investment in our shares 
or ADSs may decline significantly. 

There is uncertainty regarding the PRC withholding tax rate that will be applied to distributions from our PRC subsidiaries and joint 
ventures to their respective Hong Kong immediate holding companies, which could have a negative impact on our business. 

The EIT Law provides that a withholding tax at the rate of 10% is applicable to dividends payable by a PRC resident enterprise to 
investors who are “non-resident enterprises” (i.e., that do not have an establishment or place of business in the PRC or that have such 
establishment or place of business but the relevant dividend is not effectively connected with the establishment or place of business). 
However, pursuant to Article 10.2(1), or the Article, of the Arrangement between the Mainland of China and the Hong Kong Special 
Administrative Region for the Avoidance of Double Taxation and the Prevention of Fiscal Evasion with respect to Taxes on Income, or 
the  Arrangement,  withholding  tax  at  a  reduced  rate  of  5%  may  be  applicable  to  dividends  payable  by  PRC  resident  enterprises  to 
beneficial owners of the dividends that are Hong Kong tax residents if certain requirements are met. There is uncertainty regarding 
whether the PRC tax authorities will consider us to be eligible to the reduced tax rate. If the Article is deemed not to apply to dividends 
payable by our PRC subsidiaries and joint ventures to their respective Hong Kong immediate holding companies that are ultimately 
owned by us, the withholding tax rate applicable to us will be the statutory rate of 10% instead of 5% which may potentially impact our 
business, financial condition, results of operations and growth prospects. 

We may be treated as a resident enterprise for U.K. corporate tax purposes, and our global income may therefore be subject to U.K. 
corporation tax. 

U.K. resident companies are taxable in the United Kingdom on their worldwide profits. A company incorporated outside of the 
United Kingdom would be regarded as a resident if its central management and control resides in the United Kingdom. The place of 
central management and control generally means the place where the high-level strategic decisions of a company are made. 

We are an investment holding company incorporated in the Cayman Islands and are admitted to trading on the AIM market of the 
London Stock Exchange or the AIM market. Our central management and control resides in Hong Kong, and therefore we believe that 
we are not a U.K. resident for corporate tax purposes. However, the tax resident status of a non-resident entity could be challenged by 
the U.K. tax authorities. 

If the U.K. tax authorities determine that we are a U.K. tax resident, our profits will be subject to U.K. Corporation Tax rate at 19%, 
subject to the potential availability of certain exemptions related to dividend income and capital gains. This may have a material adverse 
effect on our financial condition and results of operations. 

45 

 
 
Any failure to comply with PRC regulations regarding our employee equity incentive plans may subject the PRC plan participants 
or us to fines and other legal or administrative sanctions, which could adversely affect our business, financial condition and results 
of operations. 

In February 2012, the SAFE promulgated the Notices on Issues Concerning the Foreign Exchange Administration for Domestic 
Individuals Participating in Stock Incentive Plans of Overseas Publicly Listed Companies. Based on this regulation, PRC residents who 
are granted shares or share options by a company listed on an overseas stock market under its employee share option or share incentive 
plan are required to register with the SAFE or its local counterparts by following certain procedures. We and our employees who are 
PRC residents and individual beneficial owners who have been granted shares or share options have been subject to these rules due to 
our listing on the AIM market, Nasdaq and SEHK. We have registered the option schemes and the share incentive plan and will continue 
to assist our employees to register their share options or shares. However, any failure of our PRC individual beneficial owners and 
holders of share options or shares to comply with the SAFE registration requirements in the future may subject them to fines and legal 
sanctions and may, in rare instances, limit the ability of our PRC subsidiaries to distribute dividends to us. 

In addition, the SAT has issued circulars concerning employee share options or restricted shares. Under these circulars, employees 
working in the PRC who exercise share options, or whose restricted shares vest, will be subject to PRC individual income tax. The PRC 
subsidiaries of an overseas listed company have obligations to file documents related to employee share options or restricted shares with 
relevant tax authorities and to withhold individual income tax of those employees related to their share options or restricted shares. 
Although the PRC subsidiaries currently withhold individual income tax from the PRC employees in connection with their exercise of 
share options, if they fail to report and pay the tax withheld according to relevant laws, rules and regulations, the PRC subsidiaries may 
face sanctions imposed by the tax authorities or other PRC government authorities. 

We may be involved in litigation, legal disputes, claims or administrative proceedings which could be costly and time-consuming to 
resolve. 

We may become subject, from time to time, to legal proceedings and claims that arise in the ordinary course of business or pursuant 
to governmental or regulatory enforcement activity. Any litigation or proceeding to which we become a party might result in substantial 
costs and divert management’s attention and resources. Furthermore, any litigation, legal disputes, claims or administrative proceedings 
which are initially not of material importance may escalate and become important to us due to a variety of factors, such as changes in 
the facts and circumstances of the cases, the likelihood of loss, the monetary amount at stake and the parties involved. Our insurance 
might not cover claims brought against us, provide sufficient payments to financially cover all of the costs to resolve such claims or 
continue to be available on terms acceptable to us. 

The political relationships between China and other countries may affect our business operations. 

We  conduct  our  business  primarily  through  our  subsidiaries  and  joint  ventures  in  China,  but  we  also  have  significant  clinical 
operations in the United States and other foreign jurisdictions.  As a result, China’s political relationships with the United States and 
other jurisdictions may affect our business operations. There can be no assurance that our clinical trial participants or customers will not 
alter their perception of us or their preferences as a result of adverse changes to the state of political relationships between China and 
the relevant foreign jurisdictions. Any tensions and political concerns between China and the relevant foreign jurisdictions may adversely 
affect our business, financial condition, results of operations, cash flows and prospects. 

46 

 
 
Risks Relating to Intellectual Property 

If we, our joint ventures or our collaboration partners are unable to protect our or their products and drug candidates through 
intellectual property rights, our competitors may compete directly against us or them. 

Our success depends, in part, on our, our joint venture partners’ and our collaboration partners’ ability to protect our and our joint 
ventures’ and our collaboration partners’ products and drug candidates from competition by establishing, maintaining and enforcing our 
or their intellectual property rights.  We, our joint ventures and our collaboration partners seek to protect the products and technology 
that  we  and  they  consider  commercially  important  by  filing  PRC  and  international  patent  applications,  relying  on  trade  secrets  or 
pharmaceutical regulatory protection or employing a combination of these methods.  As of December 31, 2021, we had 270 issued 
patents, including 21 Chinese patents, 24 U.S. patents and 14 European patents, 184 patent applications pending in the above major 
market  jurisdictions,  and  13  pending  Patent  Cooperation  Treaty,  or  PCT,  patent  applications  relating  to  the  drug  candidates  of  our 
Oncology/Immunology  operations.  For  more  details,  see  Item  4.B.  “Business  Overview—Patents  and  Other  Intellectual  Property.” 
Patents may become invalid and patent applications may not be granted for a number of reasons, including known or unknown prior art, 
deficiencies  in  the patent  application or  the  lack of  originality of  the  technology.   In addition,  the PRC  and  the  United  States have 
adopted the “first-to-file” system under which whoever first files an invention patent application will be awarded the patent.  Under the 
first-to-file system, third parties may be granted a patent relating to a technology which we invented.  Furthermore, the terms of patents 
are finite.  The patents we hold and patents to be issued from our currently pending patent applications generally have a twenty-year 
protection period starting from the date of application. 

We, our joint ventures and/or our collaboration partners may become involved in patent litigation against third parties to enforce 
our or their patent rights, to invalidate patents held by such third parties, or to defend against such claims. A court may refuse to stop 
the other party from using the technology at issue on the grounds that our or our joint ventures’ patents do not cover the third-party 
technology in question. Further, such third parties could counterclaim that we or our joint ventures infringe their intellectual property or 
that  a  patent  we,  our  joint  ventures  or  our  collaboration  partners  have  asserted  against  them  is  invalid  or  unenforceable.  In  patent 
litigation, defendant counterclaims challenging the validity, enforceability or scope of asserted patents are commonplace. In addition, 
third parties may initiate legal proceedings against us or our intellectual property to assert such challenges to our intellectual property 
rights. 

The outcome of any such proceeding is generally unpredictable. Grounds for a validity challenge could be an alleged failure to meet 
any  of  several  statutory  requirements,  including  lack  of  novelty,  obviousness  or  non-enablement.  Patents  may  be  unenforceable  if 
someone connected with prosecution of the patent withheld relevant information or made a misleading statement during prosecution. It 
is possible that prior art of which we, our joint ventures or our collaboration partners and the patent examiner were unaware during 
prosecution exists, which could render our or their patents invalid. Moreover, it is also possible that prior art may exist that we, our joint 
ventures or our collaboration partners are aware of but do not believe is relevant to our or their current or future patents, but that could 
nevertheless be determined to render our patents invalid. The cost to us or our joint ventures of any patent litigation or similar proceeding 
could be substantial, and it may consume significant management time. We and our joint ventures do not maintain insurance to cover 
intellectual property infringement. 

An adverse result in any litigation proceeding could put one or more of our or our joint ventures’ patents at risk of being invalidated 
or interpreted narrowly. If a defendant were to prevail on a legal assertion of invalidity or unenforceability of our patents covering one 
of our or our joint ventures’ products or our drug candidates, we could lose at least part, and perhaps all, of the patent protection covering 
such product or drug candidate. Competing drugs may also be sold in other countries in which our or our joint ventures’ patent coverage 
might not exist or be as strong. If we lose a foreign patent lawsuit, alleging our or our joint ventures’ infringement of a competitor’s 
patents,  we  could  be  prevented  from  marketing  our  drugs  in  one  or  more  foreign  countries.  Any  of  these  outcomes  would  have  a 
materially adverse effect on our business. 

47 

 
 
Intellectual property and confidentiality legal regimes in China may not afford protection to the same extent as in the United States 
or  other  countries.  Implementation  and  enforcement  of  PRC  intellectual  property  laws  may  be  deficient  and  ineffective.  Policing 
unauthorized use of proprietary technology is difficult and expensive, and we or our joint ventures may need to resort to litigation to 
enforce or defend patents issued to us or them or to determine the enforceability, scope and validity of our proprietary rights or those of 
others. The experience and capabilities of PRC courts in handling intellectual property litigation varies, and outcomes are unpredictable. 
Further,  such  litigation  may  require  a  significant  expenditure of  cash  and  may divert  management’s  attention from  our  or  our  joint 
ventures’ operations, which could harm our business, financial condition and results of operations. An adverse determination in any 
such litigation could materially impair our or our joint ventures’ intellectual property rights and may harm our business, prospects and 
reputation. 

Developments in patent law could have a negative impact on our business. 

From  time  to  time,  authorities  in  the  United  States,  China  and  other  government  authorities  may  change  the  standards  of 

patentability, and any such changes could have a negative impact on our business. 

For example, in the United States, the Leahy-Smith America Invents Act, or the America Invents Act, which was signed into law 
in 2011, includes a number of significant changes to U.S. patent law. These changes include a transition from a “first-to-invent” system 
to a “first-to-file” system, changes to the way issued patents are challenged, and changes to the way patent applications are disputed 
during the examination process. As a result of these changes, patent law in the United States may favor larger and more established 
companies that have greater resources to devote to patent application filing and prosecution. The U.S. Patent and Trademark Office, or 
USPTO, has developed regulations and procedures to govern the full implementation of the America Invents Act, and many of the 
substantive changes to patent law associated with the America Invents Act, and, in particular, the first-to-file provisions became effective 
on March 16, 2013. Substantive changes to patent law associated with the America Invents Act, including continually developing case 
law, may affect our ability to obtain patents, and if obtained, to enforce or defend them. Accordingly, it is not clear what, if any, impact 
the America Invents Act will have on the cost of prosecuting our or our joint ventures’ patent applications and our or their ability to 
obtain patents based on our or our joint ventures’ discoveries and to enforce or defend any patents that may issue from our or their patent 
applications, all of which could have a material adverse effect on our business. 

If we are unable to maintain the confidentiality of our and our joint ventures’ trade secrets, the business and competitive position of 
ourselves and our joint ventures may be harmed. 

In  addition  to  the  protection  afforded  by  patents  and  the  PRC’s  State  Secret  certification,  we  and  our  joint  ventures  rely  upon 
unpatented  trade  secret  protection,  unpatented  know-how  and  continuing  technological  innovation  to  develop  and  maintain  our 
competitive position. We seek to protect our and our joint ventures’ proprietary technology and processes, in part, by entering into 
confidentiality agreements with our and their collaborators, scientific advisors, employees and consultants, and invention assignment 
agreements  with  our  and  their  consultants  and  employees.  We  and  our  joint  ventures  may  not  be  able  to  prevent  the  unauthorized 
disclosure or use of our or their technical know-how or other trade secrets by the parties to these agreements, however, despite the 
existence  generally  of  confidentiality  agreements  and  other  contractual  restrictions.  If  any  of  the  collaborators,  scientific  advisors, 
employees and consultants who are parties to these agreements breaches or violates the terms of any of these agreements, we and our 
joint ventures may not have adequate remedies for any such breach or violation, and we could lose our trade secrets as a result. Enforcing 
a claim that a third-party illegally obtained and is using our or our joint ventures’ trade secrets, like patent litigation, is expensive and 
time consuming, and the outcome is unpredictable. In addition, courts in China and other jurisdictions outside the United States are 
sometimes less prepared or willing to protect trade secrets. 

Our and our joint ventures’ trade secrets could otherwise become known or be independently discovered by our or their competitors. 
For example, competitors could purchase our drugs and attempt to replicate some or all of the competitive advantages we derive from 
our development efforts, willfully infringe our intellectual property rights, design around our protected technology or develop their own 
competitive technologies that fall outside of our intellectual property rights. If any of our or our joint ventures’ trade secrets were to be 
lawfully obtained or independently developed by a competitor, we and our joint ventures would have no right to prevent them, or others 
to whom they communicate it, from using that technology or information to compete against us or our joint ventures. If our or our joint 
ventures’  trade  secrets  are  unable  to  adequately  protect  our  business  against  competitors’  drugs,  our  competitive  position  could  be 
adversely affected, as could our business. 

48 

We and our joint ventures are dependent on trademark and other intellectual property rights licensed from others. If we lose our 
licenses for any of our products, we or our joint ventures may not be able to continue developing such products or may be required 
to change the way we market such products. 

We and our joint ventures are parties to licenses that give us or them rights to third-party intellectual property that are necessary or 
useful  for  our  or  our  joint  ventures’  businesses.    In  particular,  the  “Hutchison,”  “Chi-Med”,  “Hutchison  China  MediTech”  and 
“HUTCHMED” brands, among others, have been licensed to us by Hutchison Whampoa Enterprises Limited, an affiliate of our largest 
shareholder, Hutchison Healthcare Holdings Limited.  Hutchison Whampoa Enterprises Limited grants us a royalty-free, worldwide 
license  to  such  brands.  For  more  details,  please  see  “Item  7.  Major  Shareholders  and  Related  Party  Transactions—Related  Party 
Transactions—Relationship with CK Hutchison—Intellectual property licensed by the CK Hutchison group.”  Under the terms of our 
brand license agreement, Hutchison Whampoa Enterprises Limited has the right to terminate the license if, among other things, we 
commit a material breach of the agreement, or within any twelve-month period the aggregate direct or indirect shareholding in our 
company held by CK Hutchison is reduced to less than 35%, 30% or 20%. Furthermore, the trademarks of Elunate and Orpathys are 
licensed to us in China by our collaboration partner Eli Lilly and AstraZeneca, respectively. 

In some cases, our licensors have retained the right to prosecute and defend intellectual property rights licensed to us or our joint 
ventures. We depend in part on the ability of our licensors to obtain, maintain and enforce intellectual property protection for such 
licensed intellectual property. Such licensors may not successfully maintain their intellectual property, may determine not to pursue 
litigation against other companies that are infringing on such intellectual property, or may pursue litigation less aggressively than we or 
our joint ventures would. Without protection for the intellectual property we or our joint ventures license, other companies might be 
able to offer substantially identical products or branding, which could adversely affect our competitive business position and harm our 
business prospects. 

If our or our joint ventures’ products or drug candidates infringe the intellectual property rights of third parties, we and they may 
incur substantial liabilities, and we and they may be unable to sell these products. 

Our commercial success depends significantly on our and our joint ventures’ ability to operate without infringing the patents and 
other proprietary rights of third parties. In the PRC, invention patent applications are generally maintained in confidence until their 
publication  18 months  from  the  filing  date.  The  publication  of  discoveries  in  the  scientific  or  patent  literature  frequently  occurs 
substantially later than the date on which the underlying discoveries were made and invention patent applications are filed. Even after 
reasonable  investigation,  we  may  not  know  with  certainty  whether  any  third-party  may  have  filed  a  patent  application  without  our 
knowledge while we or our joint ventures are still developing or producing that product. While the success of pending patent applications 
and applicability of any of them to our or our joint ventures’ programs are uncertain, if asserted against us or them, we could incur 
substantial costs and we or they may have to: 

 

 

 

obtain licenses, which may not be available on commercially reasonable terms, if at all; 

redesign products or processes to avoid infringement; and 

stop producing products using the patents held by others, which could cause us or them to lose the use of one or more of our or 
their products. 

To date, we and our joint ventures have not received any material claims of infringement by any third parties. If a third-party claims 

that we or our joint ventures infringe its proprietary rights, any of the following may occur: 

  we or our joint ventures may have to defend litigation or administrative proceedings that may be costly whether we or they win 

or lose, and which could result in a substantial diversion of management resources; 

  we or our joint ventures may become liable for substantial damages for past infringement if a court decides that our technology 

infringes a third-party’s intellectual property rights; 

 

a court may prohibit us or our joint ventures from producing and selling our or their product(s) without a license from the 
holder of the intellectual property rights, which may not be available on commercially acceptable terms, if at all; and 

49 

  we or our joint ventures may have to reformulate product(s) so that it does not infringe the intellectual property rights of others, 

which may not be possible or could be very expensive and time consuming. 

Any costs incurred in connection with such events or the inability to sell our or our joint ventures’ products may have a material 

adverse effect on our business and results of operations. 

We,  our  joint  ventures  and  our  collaboration  partners  may  not  be  able  to  effectively  enforce  our  intellectual  property  rights 
throughout the world. 

Filing, prosecuting and defending patents on our or our joint venture’s products or drug candidates in all countries throughout the 
world would be prohibitively expensive. The requirements for patentability may differ in certain countries, particularly in developing 
countries. Moreover, our, our joint ventures’ or our collaboration partners’ ability to protect and enforce our or their intellectual property 
rights may be adversely affected by unforeseen changes in foreign intellectual property laws. Additionally, the patent laws of some 
foreign countries do not afford intellectual property protection to the same extent as the laws of the United States. Many companies have 
encountered  significant  problems  in  protecting  and  defending  intellectual  property  rights  in  certain  foreign  jurisdictions.  The  legal 
systems of some countries, particularly developing countries, may not favor the enforcement of patents and other intellectual property 
rights. This could make it difficult for us or our joint ventures to stop the infringement of our or their patents or the misappropriation of 
our or their other intellectual property rights. For example, many foreign countries have compulsory licensing laws under which a patent 
owner must grant licenses to third parties. Consequently, we may not be able to prevent third parties from practicing our or our joint 
ventures’ inventions throughout the world. Competitors may use our or our joint ventures’ technologies in jurisdictions where we or 
they have not obtained patent protection to develop their own drugs and, further, may export otherwise infringing drugs to territories 
where we or our joint ventures have patent protection, if our, our joint ventures’ or our collaboration partners’ ability to enforce our or 
their patents to stop infringing activities is inadequate. These drugs may compete with our drug candidates, and our patents or other 
intellectual property rights may not be effective or sufficient to prevent them from competing. 

Proceedings to enforce our or our joint ventures’ patent rights in foreign jurisdictions, whether or not successful, could result in 
substantial costs and divert our or their efforts and resources from other aspects of our and their businesses. While we intend to protect 
our intellectual property rights in the major markets for our drug candidates, we cannot ensure that we will be able to initiate or maintain 
similar efforts in all jurisdictions in which we may wish to market our drug candidates. Furthermore, as AstraZeneca is responsible for 
enforcing our intellectual property rights with respect to savolitinib on our behalf, we may be unable to ensure that such rights are 
enforced or maintained in all jurisdictions. Accordingly, our efforts to protect the intellectual property rights of our drug candidates in 
such countries may be inadequate. 

We and our joint ventures may be subject to damages resulting from claims that we or they, or our or their employees, have wrongfully 
used  or  disclosed  alleged  trade  secrets  of  competitors  or  are  in  breach  of  non-competition  or  non-solicitation  agreements  with 
competitors. 

We and our joint ventures could in the future be subject to claims that we or they, or our or their employees, have inadvertently or 
otherwise used or disclosed alleged trade secrets or other proprietary information of former employers or competitors. Although we try 
to  ensure  that  our  and  our  joint  ventures’  employees  and  consultants  do  not  improperly  use  the  intellectual  property,  proprietary 
information, know-how or trade secrets of others in their work for us or our joint ventures, we or our joint ventures may in the future be 
subject to claims that we or they caused an employee to breach the terms of his or her non-competition or non-solicitation agreement, 
or that we, our joint ventures, or these individuals have, inadvertently or otherwise, used or disclosed the alleged trade secrets or other 
proprietary information of a former employer or competitor. Litigation may be necessary to defend against these claims. Even if we and 
our joint ventures are successful in defending against these claims, litigation could result in substantial costs and could be a distraction 
to management. If our or our joint ventures’ defenses to these claims fail, in addition to requiring us and them to pay monetary damages, 
a court could prohibit us or our joint ventures from using technologies or features that are essential to our or their products or our drug 
candidates, if such technologies or features are found to incorporate or be derived from the trade secrets or other proprietary information 
of the former employers. An inability to incorporate such technologies or features would have a material adverse effect on our business, 
and may prevent us from successfully commercializing our drug candidates. In addition, we or our joint ventures may lose valuable 
intellectual property rights or personnel as a result of such claims. Moreover, any such litigation or the threat thereof may adversely 
affect our or our joint ventures’ ability to hire employees or contract with independent sales representatives. A loss of key personnel or 
their work product could hamper or prevent our ability to commercialize our drug candidates, which would have an adverse effect on 
our business, results of operations and financial condition. 

50 

Patent terms may be inadequate to protect the competitive position of our drug candidates for an adequate amount of time, and the 
absence of patent  linkage, patent  term  extension and data  and  market  exclusivity  for  NMPA-approved pharmaceutical  products 
could increase the risk of early generic competition for our drug candidates in China.  

In the United States, the Drug Price Competition and Patent Term Restoration Act of 1984, generally referred to as the Hatch-
Waxman Amendments, and similar legislation in the E.U. and certain other countries, provides the opportunity for limited patent term 
extension. The Hatch-Waxman Amendments permit a patent-term extension of up to five years to reflect patent term lost during certain 
portions of product development and the FDA regulatory review process. However, a patent term extension cannot extend the remaining 
term of a patent beyond a total of 14 years from the date of drug approval; only one patent may be extended and only those claims 
covering the approved drug, a method for using it, or a method for manufacturing it may be extended. The application for the extension 
must be submitted prior to the expiration of the patent for which extension is sought. A patent that covers multiple products for which 
approval is sought can only be extended in connection with one of the approvals. Depending upon the timing, duration and specifics of 
any FDA marketing approval process for any drug candidates we may develop, one or more of our U.S. patents may be eligible for 
limited patent term extension under the Hatch-Waxman Amendments. However, we may not be granted an extension because of, for 
example,  failing  to  exercise  due  diligence  during  the  testing  phase  or  regulatory  review  process,  failing  to  apply  within  applicable 
deadlines, failing to apply prior to expiration of relevant patents, or otherwise failing to satisfy applicable requirements. Moreover, the 
applicable period or the scope of patent protection afforded could be less than we request. In addition, to the extent we wish to pursue 
patent term extension based on a patent that we in-license from a third party, we would need the cooperation of that third party. If we 
fail to obtain patent term extensions or if the term of any such extension is less than we request, our competitors may obtain approval of 
competing products following our patent expiration, and thus our revenue could be reduced. Further, if this occurs, our competitors may 
take advantage of our investment in development and trials by referencing our clinical and pre-clinical data and launch their product 
earlier than might otherwise be expected, and our competitive position, business, financial condition, results of operations and prospects 
could be materially adversely affected. 

The Hatch-Waxman Amendments also include a process for patent linkage, pursuant to which the FDA will stay approval of certain 
follow-on applications during the pendency of litigation between the follow-on applicant and the patent holder or licensee, generally for 
a period of 30 months. Moreover, the Hatch-Waxman Amendments provide for statutory exclusivities that can prevent submission or 
approval of certain follow-on marketing applications. For example, federal law provides a five-year period of exclusivity within the 
United  States  to  the  first  applicant  to  obtain  approval  of  a  new  chemical  entity  and  three  years  of  exclusivity  protecting  certain 
innovations to previously approved active ingredients where the applicant was required to conduct new clinical investigations to obtain 
approval for the modification. Similarly, the U.S. Orphan Drug Act provides seven years of market exclusivity for certain drugs to treat 
rare  diseases,  where  the  FDA  designates  the  drug  candidate  as  an  orphan  drug  and  the  drug  is  approved  for  the  designated  orphan 
indication. See “Risks Relating to Our Oncology/Immunology Operations and Development of Our Drug Candidates—Although we 
have obtained orphan drug designation for surufatinib for the treatment of pancreatic NETs in the United States, we may not be able to 
obtain or maintain the benefits associated with orphan drug status, including market exclusivity.” 

Chinese regulators have set forth a framework for integrating patent linkage and data exclusivity into the China regulatory regime, 
as  well  as  for  establishing  a  pilot  program  for  patent  term  extension.  To  be  implemented,  this  framework  will  require  adoption  of 
regulations.  On  October  17,  2020,  the  Standing  Committee  of  the  National  People’s  Congress  published  the  Patent  Law  of  PRC 
(Amended in 2020), which came into effect on June 1, 2021, or the Amended Patent Law. The Amended Patent Law provides that, 
among other things, the owner of the patent for an innovative new drug that has been granted the marketing authorization in China is 
entitled to request the Patent Administration Department under the State Council to grant a patent term extension of up to five years, in 
order to compensate the time required for the regulatory approval for the commercialization of such innovative new drug, provided that 
the patent term of such innovative new drug shall not exceed a total of 14 years. Furthermore, the PRC government entered into the 
Economic and Trade Agreement Between the Government of the People’s Republic of China and the Government of the United States 
of America with the U.S. government in January 2020 which provides that the owner of the patent for an innovative new drug that has 
been granted the marketing authorization in China is entitled to request a patent term extension of up to five years, provided that the 
patent term of such innovative new drug shall not exceed a total of 14 years from the date of marketing approval in China. If we are 
unable to obtain patent term extension, or the term of any such extension is less than that we request, our competitors or other third 
parties may obtain approval of competing products following our patent expiration. Any of the foregoing could have a material adverse 
effect on our competitive position, business, financial condition, results of operations and prospects. 

51 

Risks Relating to Our ADSs 

The Public Company Accounting Oversight Board, or the PCAOB, is currently unable to inspect our auditor in relation to their 
audit work performed for our financial statements and the inability of the PCAOB to conduct inspections over our auditor deprives 
our investors with the benefits of such inspections. 

Our auditor, the independent registered public accounting firm that issues the audit report included elsewhere in this annual report, 
as an auditor of companies that are traded publicly in the United States and a firm registered with the Public Company Accounting 
Oversight Board, or the PCAOB, is subject to laws in the United States pursuant to which the PCAOB conducts regular inspections to 
assess its compliance with the applicable professional standards. Since our auditor is located in China, a jurisdiction where the PCAOB 
has been unable to conduct inspections without the approval of the Chinese authorities, our auditor is not currently inspected by the 
PCAOB. 

This lack of the PCAOB inspections in China prevents the PCAOB from fully evaluating audits and quality control procedures of 
our independent registered public accounting firm. As a result, we and investors in our ordinary shares are deprived of the benefits of 
such PCAOB inspections. The inability of the PCAOB to conduct inspections of auditors in China makes it more difficult to evaluate 
the effectiveness of our independent registered public accounting firm’s audit procedures or quality control procedures as compared to 
auditors outside of China that are subject to the PCAOB inspections, which could cause investors and potential investors in our stock to 
lose confidence in our audit procedures and reported financial information and the quality of our financial statements. 

Our ADSs may be delisted and our ADSs and shares prohibited from trading in the over-the-counter market under the Holding 
Foreign  Companies  Accountable  Act, or  the  HFCAA,  if  the  PCAOB  is unable  to  inspect  or  fully  investigate auditors  located  in 
China. On December 16, 2021, PCAOB issued the HFCAA Determination Report, according to which our auditor is subject to the 
determinations that the PCAOB is unable to inspect or investigate completely. Under the current law, delisting and prohibition from 
over-the-counter trading in the U.S. could take place in 2024. If this happens there is no certainty that we will be able to list our ADS 
or shares on a non-U.S. exchange or that a market for our shares will develop outside of the U.S. The delisting of our ADSs, or the 
threat of their being delisted, may materially and adversely affect the value of your investment. 

As part of a continued regulatory focus in the United States on access to audit and other information currently protected by national 
law, in particular China’s, the Holding Foreign Companies Accountable Act, or the HFCAA has been signed into law on December 18, 
2020. The HFCAA states if the SEC determines that we have filed audit reports issued by a registered public accounting firm that has 
not been subject to inspection for the PCAOB for three consecutive years beginning in 2021, the SEC shall prohibit our shares or ADS 
from being traded on a national securities exchange or in the over-the-counter trading market in the U.S. Accordingly, under the current 
law this could happen in 2024. 

52 

On December 2, 2021, the SEC adopted final amendments to its rules implementing the HFCAA (the “Final Amendments”). The 
Final Amendments include requirements to disclose information, including the auditor name and location, the percentage of shares of 
the issuer owned by governmental entities, whether governmental entities in the applicable foreign jurisdiction with respect to the auditor 
has a controlling financial interest with respect to the issuer, the name of each official of the Chinese Communist Party who is a member 
of the board of the issuer, and whether the articles of incorporation of the issuer contains any charter of the Chinese Communist Party. 
The Final Amendments also establish procedures the SEC will follow in identifying issuers and prohibiting trading by certain issuers 
under the HFCAA. 

On  December  16,  2021,  PCAOB  issued  the  HFCAA  Determination  Report,  according  to  which  our  auditor  is  subject  to  the 

determinations that the PCAOB is unable to inspect or investigate completely. 

The HFCAA or other efforts to increase U.S. regulatory access to audit information could cause investor uncertainty for affected 
issuers, including us, and the market price of the ADSs could be adversely affected. Additionally, whether the PCAOB will be able to 
conduct inspections of our auditor before the issuance of our financial statements on Form 20-F for the year ending December 31, 2023 
which is due by April 30, 2024, or at all, is subject to substantial uncertainty and depends on a number of factors out of our control. If 
we are unable to meet the PCAOB inspection requirement in time, we could be delisted from the Nasdaq Stock Market and our ADSs 
will not be permitted for trading “over-the-counter” either. Such a delisting would substantially impair your ability to sell or purchase 
our ADSs when you wish to do so, and the risk and uncertainty associated with delisting would have a negative impact on the price of 
our ADSs. Also, such a delisting would significantly affect our ability to raise capital on terms acceptable to us, or at all, which would 
have a material adverse impact on our business, financial condition, and prospects. 

The  potential  enactment  of  the  Accelerating  Holding  Foreign  Companies  Accountable  Act  would  decrease  the  number  of  non-
inspection years from three years to two, thus reducing the time period before our ADSs may be prohibited from over-the-counter 
trading or delisted. If this bill were enacted, our ADS could be delisted from the exchange and prohibited from over-the-counter 
trading in the United States. in 2023. 

On June 22, 2021, the U.S. Senate passed a bill known as the Accelerating Holding Foreign Companies Accountable Act, or the 
HFCAA, to amend Section 104(i) of the Sarbanes-Oxley Act of 2002 (15 U.S.C. 7214(i)) to prohibit securities of any registrant from 
being listed on any of the U.S. securities exchanges or traded over-the-counter if the auditor of the registrant’s financial statements is 
not subject to PCAOB inspection for two consecutive years, instead of three consecutive years as currently enacted in the HFCAA. 

On February 4, 2022, the U.S. House of Representatives passed the America Competes Act of 2022 which includes the exact same 
amendments as the bill passed by the Senate. The America Competes Act however includes a broader range of legislation not related to 
the HFCAA in response to the U.S. Innovation and Competition Act passed by the Senate in 2021. The U.S. House of Representatives 
and U.S. Senate will need to agree on amendments to these respective bills to align the legislation and pass their amended bills before 
the president of the United States can sign into law. It is unclear when the U.S. Senate and U.S. House of Representatives will resolve 
the differences in the U.S. Innovation and Competition Act and the America Competes Act of 2022 bills currently passed, or when the 
U.S. President will sign on the bill to make the amendment into law, or at all. 

In the case that the bill becomes the law, it will reduce the time period before our ADSs could be delisted from the exchange and 

prohibited from over-the-counter trading in the U.S. from 2024 to 2023. 

The listings of our shares in multiple venues may adversely affect the liquidity and value of them. 

Our ADSs continue to be listed on Nasdaq, and our shares continue to be admitted to trading on the AIM. Our shares were listed 
on the SEHK in June 2021. The listing of the shares on the AIM and the SEHK, and the ADSs on Nasdaq, may reduce the liquidity of 
these securities in one or each of these markets and may adversely affect the development of an active trading market for the shares in 
each of these markets. The price of the shares could also be adversely affected by trading on Nasdaq. Similarly, the price of the ADSs 
could also be adversely affected by trading on the AIM and the SEHK. We may also seek further listings on other stock exchanges such 
as the Shanghai Stock Exchange, which could further affect the liquidity and value of the shares and the ADSs. Furthermore, the shares 
trade on the SEHK largely in electronic book-entry form. However, the ADSs are backed by physical ordinary share certificates, and 
the depositary for our ADS program is unable to accept book-entry interests into its custody in order to issue ADSs. As a result, if a 
holder of the shares wishes to deposit the shares into the ADS program and hold ADSs for trading on Nasdaq or vice versa, the issuance 
and cancellation process may be longer than if the depositary could accept such book-entry interests. 

53 

Our largest shareholder owns a significant percentage of our ordinary shares, which may limit the ability of other shareholders to 
influence corporate matters. 

As of March 1, 2022, Hutchison Healthcare Holdings Limited owned approximately 38.46% of our ordinary shares. Accordingly, 
Hutchison Healthcare Holdings Limited can influence the outcome of any corporate transaction or other matter submitted to shareholders 
for approval and the interests of Hutchison Healthcare Holdings Limited may differ from the interests of our other shareholders.  Under 
our Articles of Association, certain matters, such as amendments to our amended and restated Memorandum and Articles of Association, 
require the approval of not less than three-fourths of votes cast by such shareholders as, being entitled so to do, vote in person (or, in the 
case of such shareholders as are corporations, by their respective duly authorized representative) or by proxy. Therefore, Hutchison 
Healthcare Holdings Limited’s approval will be required to achieve any such threshold.  In addition, Hutchison Healthcare Holdings 
Limited has and will continue to have a significant influence over the management and the strategic direction of our company. 

Substantial future sales or perceived potential sales of our ADSs, ordinary shares or other equity or equity-linked securities in the 
public market could cause the price of our ADSs to decline significantly. 

Sales of our ADSs, ordinary shares or other equity or equity-linked securities in the public market, or the perception that these sales 
could occur, could cause the market price of our ADSs to decline significantly. All of our ordinary shares represented by ADSs are 
freely transferable by persons other than our affiliates without restriction or additional registration under the Securities Act of 1933, or 
the  Securities Act. The ordinary  shares held by our  affiliates  are  also  available for  sale,  subject  to volume  and other restrictions as 
applicable under Rules 144 and 701 under the Securities Act, under sales plans adopted pursuant to Rule 10b5-1 or otherwise. 

We have filed with the SEC registration statements on Form F-3, commonly referred to as a “shelf registration,” that permit us to 
sell any number of ADSs in a registered offering at our discretion.  We have completed registered offerings raising aggregate gross 
proceeds of approximately $537.9 million under such shelf registration statements.  Furthermore, our largest shareholder has completed 
registered secondary offerings raising aggregate gross proceeds of approximately $310.4 million for it as a selling shareholder under a 
shelf registration statement. In addition, we completed our initial public offering in Hong Kong and global offering of our ordinary 
shares in 2021, raising aggregate gross proceeds of approximately $614.9 million, including $80.2 million through the fulfillment of the 
over-allotment. We may decide to conduct future offerings from time to time, and such sales could cause the price of our ADSs to 
decline significantly. 

In connection with the issuance of ordinary shares in private placements in 2020 and 2021, we agreed to provide three shareholders 
Form F-3 registration rights.  Registration of the ordinary shares held by such shareholders may result in these shares becoming freely 
tradable without restriction under the Securities Act immediately upon the effectiveness of the registration. Sales of these shares, or the 
perception that such sales could occur, could cause the price of our ADSs to decline. In addition, any changes in the investment strategies 
or philosophies of our major shareholders may lead to the sale of our ADSs and other securities, which could cause the price of our 
ADSs to decline. 

We may be at a risk of securities litigation. 

Historically, securities litigation, particularly class action lawsuits brought in the United States, have often been brought against a 
company  following  a decline  in  the  market  price of  its  securities.  This risk  is  especially relevant  for us  because biotechnology  and 
biopharmaceutical companies have experienced significant share price volatility in recent years. If we were to be sued, it could result in 
substantial costs and a diversion of management’s attention and resources, which could harm our business. 

If securities analysts do not publish research or reports about our business or if they publish negative evaluations of our business, 
the price of our ADSs could decline. 

The trading market for our ADSs will rely in part on the research and reports that industry or financial analysts publish about us or 
our business. We may not be able to maintain continuous research coverage by industry or financial analysts. If one or more of the 
analysts covering our business downgrade their evaluations of our stock, the price of our stock could decline. If one or more of these 
analysts cease to cover our stock, we could lose visibility in the market for our stock, which in turn could cause our stock price to decline. 

54 

As a foreign private issuer, we are not subject to certain U.S. securities law disclosure requirements that apply to a domestic U.S. 
issuer, which may limit the information publicly available to our shareholders. 

As a foreign private issuer we are not required to comply with all of the periodic disclosure and current reporting requirements of 
the Exchange Act and therefore there may be less publicly available information about us than if we were a U.S. domestic issuer. For 
example, we are not subject to the proxy rules in the United States, and disclosure with respect to our annual general meetings will be 
governed by the AIM Rules for Companies, or the AIM Rules, listing rules in Hong Kong and Cayman Islands requirements. In addition, 
our  officers,  directors  and  principal  shareholders  are  exempt  from  the  reporting  and  “short-swing”  profit  recovery  provisions  of 
Section 16 of the Exchange Act and the rules thereunder. Therefore, our shareholders may not know on a timely basis when our officers, 
directors and principal shareholders purchase or sell our ordinary shares or ADSs. 

As a foreign private issuer, we are permitted to adopt certain home country practices in relation to corporate governance matters 
that  differ  significantly  from  Nasdaq  corporate  governance  listing  standards.  These  practices  may  afford  less  protection  to 
shareholders than they would enjoy if we complied fully with corporate governance listing standards. 

As a foreign private issuer, we are permitted to take advantage of certain provisions in the Nasdaq listing rules that allow us to 
follow Cayman Islands law for certain governance matters.  Certain corporate governance practices in the Cayman Islands may differ 
significantly from corporate governance listing standards as, except for general fiduciary duties and duties of care, Cayman Islands law 
has no corporate governance regime which prescribes specific corporate governance standards.  We intend to continue to follow Cayman 
Islands corporate governance practices in lieu of the corporate governance requirements of the Nasdaq Global Select Market in respect 
of  the  following:  (i)  the  majority  independent  director  requirement  under  Section  5605(b)(1)  of  the  Nasdaq  listing  rules,  (ii)  the 
requirement under Section 5605(d) of the Nasdaq listing rules that a remuneration committee comprised solely of independent directors 
governed by a remuneration committee charter oversee executive compensation and (iii) the requirement under Section 5605(e) of the 
Nasdaq listing rules that director nominees be selected or recommended for selection by either a majority of the independent directors 
or a nominations committee comprised solely of independent directors.  Cayman Islands law does not impose a requirement that our 
board of directors consist of a majority of independent directors, nor does Cayman Islands law impose specific requirements on the 
establishment  of  a  remuneration  committee  or  nominating  committee  or  nominating  process.    Therefore,  our  shareholders  may  be 
afforded  less  protection  than  they  otherwise  would  have  under  corporate  governance  listing  standards  applicable  to  U.S.  domestic 
issuers. We have voluntarily complied with the Corporate Governance Code contained in Appendix 14 of the Rules Governing the 
Listing of Securities on SEHK. See Item 6.C.  “Board Practice—Hong Kong Corporate Governance Code” for more details. 

We may in the future lose our foreign private issuer status under U.S. securities laws, which could result in significant additional 
costs and expenses. 

We are a foreign private issuer as defined in the Securities Act, and therefore, we are not required to comply with all of the periodic 
disclosure and current reporting requirements of the Exchange Act. The determination of foreign private issuer status is made annually 
on the last business day of an issuer’s most recently completed second fiscal quarter, and, accordingly, the next determination will be 
made with respect to us on June 30, 2022. We would lose our foreign private issuer status if, for example, more than 50% of our ordinary 
shares are directly or indirectly held by residents of the United States on June 30, 2022 and we fail to meet additional requirements 
necessary to maintain our foreign private issuer status. If we lose our foreign private issuer status on this date, we will be required to file 
with the SEC periodic reports and registration statements on U.S. domestic issuer forms beginning on January 1, 2023, which are more 
detailed and extensive than the forms available to a foreign private issuer. We will also have to mandatorily comply with U.S. federal 
proxy requirements, and our officers, directors and principal shareholders will become subject to the short-swing profit disclosure and 
recovery  provisions  of  Section  16  of  the  Exchange  Act.  In  addition,  we  will  lose  our  ability  to  rely  upon  exemptions  from  certain 
corporate governance requirements under the Nasdaq listing rules. As a U.S.-listed public company, should we lose our foreign private 
issuer status, we will incur significant additional legal, accounting and other expenses that we would not incur as a foreign private issuer. 

Fluctuations in the value of the renminbi may have a material adverse effect on your investment. 

The value of the renminbi against the U.S. dollar and other currencies fluctuates and is affected by, among other things, changes in 
China’s and international political and economic conditions and the PRC government’s fiscal and currency policies. Since 1994, the 
conversion of renminbi into foreign currencies, including U.S. dollars, has been based on rates set by the PBOC, which are set daily 
based on the previous business day’s inter-bank foreign exchange market rates and current exchange rates on the world financial markets. 
It is expected that China may further reform its exchange rate system in the future. 

55 

Significant revaluation of the renminbi may have a material adverse effect on your investment. For example, to the extent that we 
need to convert U.S. dollars into renminbi for our operations, appreciation of the renminbi against the U.S. dollar would have an adverse 
effect on the renminbi amount we would receive from the conversion. Conversely, if we decide to convert our renminbi into U.S. dollars, 
appreciation of the U.S. dollar against the renminbi would have a negative effect on the U.S. dollar amount available to us. Appreciation 
or depreciation in the value of the renminbi relative to the U.S. dollar would affect our financial results reported in U.S. dollar terms 
regardless  of  any  underlying  change  in  our  business  or  results of  operations.  In  addition,  our  operating  transactions  and  assets  and 
liabilities in the PRC are mainly denominated in renminbi. Such amounts are translated into U.S. dollars for purpose of preparing our 
consolidated  financial  statements,  with  translation  adjustments  reflected  in  accumulated  other  comprehensive  income/(loss)  in 
shareholders’ equity. We recorded a foreign currency translation loss of $4.3 million, a foreign currency translation gain of $9.5 million 
and a foreign currency translation gain of $3.0 million for the years ended December 31, 2019, 2020 and 2021, respectively. 

Very limited hedging options are available in China to reduce our exposure to exchange rate fluctuations. To date, we have not 
entered into any hedging transactions in an effort to reduce our exposure to foreign currency exchange risk. While we may decide to 
enter into hedging transactions in the future, the availability and effectiveness of these hedges may be limited and we may not be able 
to  adequately  hedge  our  exposure  or  at  all.  In  addition,  our  currency  exchange  losses  may  be  magnified  by  PRC  exchange  control 
regulations that restrict our ability to convert renminbi into foreign currency. 

We do not currently intend to pay dividends on our securities, and, consequently, your ability to achieve a return on your investment 
will depend on appreciation in the price of the ADSs. 

We have never declared or paid any dividends on our ordinary shares. We currently intend to invest our future earnings, if any, to 
fund our growth. Therefore, you are not likely to receive any dividends on your ADSs at least in the near term, and the success of an 
investment in ADSs will depend upon any future appreciation in its value. Consequently, investors may need to sell all or part of their 
holdings of ADSs after price appreciation, which may never occur, to realize any future gains on their investment. There is no guarantee 
that the ADSs will appreciate in value or even maintain the price at which our shareholders have purchased the ADSs. 

The trading prices for our ADSs may be volatile which could result in substantial losses to you. 

The market price of our ADSs has been volatile.  From March 17, 2016 to March 1, 2022, the closing sale price of our ADSs ranged 

from a high of $43.94 to a low of $11.26 per ADS. 

The market price for our ADSs is likely to be highly volatile and subject to wide fluctuations in response to factors, including the 

following: 

 

 

 

 

 

 

 

 

announcements of competitive developments; 

regulatory developments affecting us, our customers or our competitors; 

announcements regarding litigation or administrative proceedings involving us; 

actual or anticipated fluctuations in our period-to-period operating results; 

changes in financial estimates by securities research analysts; 

additions or departures of our executive officers; 

release or expiry of lock-up or other transfer restrictions on our outstanding ordinary shares or ADSs; and 

sales or perceived sales of additional ordinary shares or ADSs. 

In addition, the securities markets have from time to time experienced significant price and volume fluctuations that are not related 
to the operating performance of particular companies. Prolonged global capital markets volatility may affect overall investor sentiment 
towards our ADSs, which would also negatively affect the trading prices for our ADSs. 

56 

The triple listing of our ordinary shares and the ADSs may adversely affect the liquidity and value of the ADSs. 

Our ordinary shares are listed on the AIM market and on the SEHK.  The triple listing of our ordinary shares and the ADSs may 
dilute the liquidity of these securities in one or more of these markets and may adversely affect the development of an active trading 
market for the ADSs in the United States or shares in Hong Kong and the United Kingdom.  The price of the ADSs could also be 
adversely affected by trading in our ordinary shares on the AIM market and the SEHK. 

Fluctuations in the exchange rate between the U.S. dollar, Hong Kong dollar and the pound sterling may increase the risk of holding 
the ADSs. 

Our share price is quoted on the SEHK and AIM market in Hong Kong dollar and pence sterling, respectively, while the ADSs 
trade on Nasdaq in U.S. dollars.  Fluctuations in the exchange rate between the U.S. dollar, Hong Kong dollar and the pound sterling 
may result in temporary differences between the value of the ADSs and the value of our ordinary shares, which may result in heavy 
trading by investors seeking to exploit such differences.  In addition, as a result of fluctuations in the exchange rate between the U.S. 
dollar, Hong Kong dollar and the pound sterling, the U.S. dollar equivalent of the proceeds that a holder of the ADSs would receive 
upon the sale in Hong Kong of any ordinary shares or in the United Kingdom of any ordinary shares withdrawn from the depositary and 
the dollar equivalent of any cash dividends paid in Hong Kong dollar or pound sterling on our shares represented by the ADSs could 
also decline. 

Securities traded on the AIM market or on the SEHK may carry or be perceived to carry a higher risk than shares traded on other 
exchanges and may impact the value of your investment. 

Our ordinary shares are currently traded on the AIM market and on the SEHK.  Investment in equities traded on AIM and the SEHK 
may be perceived by some to carry a higher risk than an investment in equities quoted on exchanges, such as the New York Stock 
Exchange or the Nasdaq. You should be aware that the value of our ordinary shares may be influenced by many factors, some of which 
may be specific to us and some of which may affect AIM-listed or Hong Kong-listed companies generally, including the depth and 
liquidity of the market, our performance, a large or small volume of trading in our ordinary shares, legislative changes and general 
economic, political or regulatory conditions, and that the prices may be volatile and subject to extensive fluctuations. Therefore, the 
market price of our ordinary shares underlying the ADSs may not reflect the underlying value of our company. 

The depositary for our ADSs gives us a discretionary proxy to vote our ordinary shares underlying your ADSs if you do not vote at 
shareholders’ meetings, except in limited circumstances, which could adversely affect your interests. 

Under the deposit agreement for the ADSs, the depositary gives us a discretionary proxy to vote our ordinary shares underlying 

your ADSs at shareholders’ meetings if you do not vote, unless: 

  we do not wish a discretionary proxy to be given; 

  we are aware or should reasonably be aware that there is substantial opposition as to a matter to be voted on at the meeting; or 

 

a matter to be voted on at the meeting would materially and adversely affect the rights of shareholders. 

The effect of this discretionary proxy is that you cannot prevent our ordinary shares underlying your ADSs from being voted, absent 
the situations described above, and it may make it more difficult for shareholders to influence the management of our company. Holders 
of our ordinary shares are not subject to this discretionary proxy. 

57 

 
 
Holders of ADSs have fewer rights than shareholders and must act through the depositary to exercise their rights. 

Holders of our ADSs do not have the same rights as our shareholders and may only exercise the voting rights with respect to the 
underlying ordinary shares in accordance with the provisions of the deposit agreement.  Under our amended and restated Memorandum 
and Articles of Association, an annual general meeting shall be called by notice with not less than 21 clear days, and all other general 
meetings (including an extraordinary general meeting) shall be called by notice with not less than 14 clear days.  When a general meeting 
is convened, you may not receive sufficient notice of a shareholders’ meeting to permit you to withdraw the ordinary shares underlying 
your ADSs to allow you to vote with respect to any specific matter.  If we ask for your instructions, we will give the depositary notice 
of any such meeting and details concerning the matters to be voted upon at least 30 days in advance of the meeting date and the depositary 
will send a notice to you about the upcoming vote and will arrange to deliver our voting materials to you.  The depositary and its agents, 
however, may not be able to send voting instructions to you or carry out your voting instructions in a timely manner.  We will make all 
reasonable efforts to cause the depositary to extend voting rights to you in a timely manner, but we cannot assure you that you will 
receive the voting materials in time to ensure that you can instruct the depositary to vote the ordinary shares underlying your ADSs.  
Furthermore, the depositary will not be liable for any failure to carry out any instructions to vote, for the manner in which any vote is 
cast or for the effect of any such vote.  As a result, you may not be able to exercise your right to vote and you may lack recourse if your 
ADSs are not voted as you request.  In addition, in your capacity as an ADS holder, you will not be able to call a shareholders’ meeting. 

You may not receive distributions on our ADSs or any value for them if such distribution is illegal or if any required government 
approval cannot be obtained in order to make such distribution available to you. 

Although we do not have any present plan to pay any dividends, the depositary of our ADSs has agreed to pay to you the cash 
dividends or other distributions it or the custodian receives on ordinary shares or other deposited securities underlying our ADSs, after 
deducting its fees and expenses and any applicable taxes and governmental charges. You will receive these distributions in proportion 
to the number of ordinary shares your ADSs represent. However, the depositary is not responsible if it decides that it is unlawful or 
impractical to make a distribution available to any holders of ADSs. For example, it would be unlawful to make a distribution to a holder 
of ADSs if it consists of securities whose offering would require registration under the Securities Act but is not so properly registered 
or distributed under an applicable exemption from registration. The depositary may also determine that it is not reasonably practicable 
to distribute certain property. In these cases, the depositary may determine not to distribute such property. We have no obligation to 
register  under  the  U.S.  securities  laws  any  offering  of  ADSs,  ordinary  shares,  rights  or  other  securities  received  through  such 
distributions. We also have no obligation to take any other action to permit the distribution of ADSs, ordinary shares, rights or anything 
else to holders of ADSs. This means that you may not receive distributions we make on our ordinary shares or any value for them if it 
is illegal or impractical for us to make them available to you. These restrictions may cause a material decline in the value of our ADSs. 

Your right to participate in any future rights offerings may be limited, which may cause dilution to your holdings. 

We may from time to time distribute rights to our shareholders, including rights to acquire our securities. However, we cannot make 
rights available to you in the United States unless we register the rights and the securities to which the rights relate under the Securities 
Act or an exemption from the registration requirements is available. Also, under the deposit agreement, the depositary bank will not 
make  rights  available  to  you  unless  either  both  the  rights  and  any  related  securities  are  registered  under  the  Securities  Act,  or  the 
distribution  of  them  to  ADS  holders  is  exempted  from  registration  under  the  Securities  Act.  We  are  under  no  obligation  to  file a 
registration statement with respect to any such rights or securities or to endeavor to cause such a registration statement to be declared 
effective. Moreover, we may not be able to establish an exemption from registration under the Securities Act. If the depositary does not 
distribute the rights, it may, under the deposit agreement, either sell them, if possible, or allow them to lapse. Accordingly, you may be 
unable to participate in our rights offerings and may experience dilution in your holdings. 

58 

 
 
If we are classified as a passive foreign investment company, U.S. investors could be subject to adverse U.S. federal income tax 
consequences. 

The rules governing passive foreign investment companies, or PFICs, can have adverse effects for U.S. investors for U.S. federal 
income tax purposes. The tests for determining PFIC status for a taxable year depend upon the relative values of certain categories of 
assets  and  the  relative  amounts  of  certain  kinds  of  income.  As  discussed  in  “Taxation—Material  U.S.  Federal  Income  Tax 
Considerations,” we do not believe that we are currently a PFIC. Notwithstanding the foregoing, the determination of whether we are a 
PFIC depends on particular facts and circumstances (such as the valuation of our assets, including goodwill and other intangible assets) 
and may also be affected by the application of the PFIC rules, which are subject to differing interpretations. The fair market value of 
our assets is expected to depend, in part, upon (1) the market price of our ordinary shares and ADSs and (2) the composition of our 
income and assets, which will be affected by how, and how quickly, we spend any cash that is raised in any financing transaction. In 
light of the foregoing, no assurance can be provided that we are not currently a PFIC or that we will not become a PFIC in any future 
taxable year. Furthermore, if we are treated as a PFIC, then one or more of our subsidiaries may also be treated as PFICs. 

If we are or become a PFIC, and, if so, if one or more of our subsidiaries are treated as PFICs, U.S. holders of our ordinary shares 
and ADSs would be subject to adverse U.S. federal income tax consequences, such as ineligibility for any preferential tax rates on capital 
gains or on actual or deemed dividends, interest charges on certain taxes treated as deferred, and additional reporting requirements under 
U.S. federal income tax laws and regulations. Whether U.S. holders of our ordinary shares or ADSs make (or are eligible to make) a 
timely qualified electing fund, or QEF, election or a mark-to-market election may affect the U.S. federal income tax consequences to 
U.S. holders with respect to the acquisition, ownership and disposition of our ordinary shares and ADSs and any distributions such U.S. 
holders may receive. We do not, however, expect to provide the information regarding our income that would be necessary in order for 
a U.S. holder to make a QEF election if we are classified as a PFIC. Investors should consult their own tax advisors regarding all aspects 
of the application of the PFIC rules to our ordinary shares and ADSs. 

You may have difficulty enforcing judgments obtained against us. 

We are a company incorporated under the laws of the Cayman Islands, and substantially all of our assets are located outside the 
United States. Substantially all of our current operations are conducted in the PRC. In addition, most of our directors and officers are 
nationals and residents of countries other than the United States. A substantial portion of the assets of these persons are located outside 
the United States. As a result, it may be difficult for you to effect service of process within the United States upon these persons. It may 
also be difficult for you to enforce in U.S. courts judgments obtained in U.S. courts based on the civil liability provisions of the U.S. 
federal securities laws against us and our officers and directors, all of whom are not residents in the United States and whose assets are 
located outside the United States. In addition, there is uncertainty as to whether the courts of the Cayman Islands or the PRC would 
recognize or enforce judgments of U.S. courts against us or such persons predicated upon the civil liability provisions of the securities 
laws of the United States or any state. 

You may be subject to limitations on transfers of your ADSs. 

Your ADSs are transferable on the books of the depositary. However, the depositary may close its transfer books at any time or 
from time to time when it deems expedient in connection with the performance of its duties. In addition, the depositary may refuse to 
deliver, transfer or register transfers of ADSs generally when our books or the books of the depositary are closed, or at any time if we 
or the depositary deems it advisable to do so because of any requirement of law or of any government or governmental body, or under 
any provision of the deposit agreement, or for any other reason. 

59 

 
 
It may be difficult for overseas regulators to conduct investigations or collect evidence within China. 

Shareholder claims or regulatory investigation that are common in the United States generally are difficult to pursue as a matter of 
law or practicality in China. For example, in China, there are significant legal and other obstacles to providing information needed for 
regulatory investigations or litigation initiated outside China. Although the authorities in China may establish a regulatory cooperation 
mechanism  with  the  securities  regulatory  authorities  of  another  country  or  region  to  implement  cross-border  supervision  and 
administration, such cooperation with the securities regulatory authorities in the Unities States may not be efficient in the absence of 
mutual and practical cooperation mechanisms. Furthermore, according to Article 177 of the PRC Securities Law, or Article 177, which 
became effective in March 2020, no overseas securities regulator is allowed to directly conduct investigations or evidence collection 
activities within the territory of the PRC. While detailed interpretations of or implementation rules under Article 177 have yet to be 
promulgated, the inability for an overseas securities regulator to directly conduct investigations or evidence collection activities within 
China may further increase difficulties you may face in protecting your interests. 

We are a Cayman Islands company.  As judicial precedent regarding the rights of shareholders under Cayman Islands law is different 
from U.S. law, English law or Hong Kong law, shareholders may have different shareholder rights than they would have under U.S. 
law, English law or Hong Kong law and may face difficulties in protecting your interests. 

We are an exempted company with limited liability incorporated in the Cayman Islands.  Our corporate affairs are governed by our 
Articles of Association (as may be further amended from time to time), the Companies Act (as amended) of the Cayman Islands and the 
common law of the Cayman Islands.  The rights of shareholders to take action against the directors, actions by minority shareholders 
and the fiduciary responsibilities of our directors are to a large extent governed by the common law of the Cayman Islands.  This common 
law is derived in part from comparatively limited judicial precedent in the Cayman Islands as well as from English common law, which 
has persuasive, but not binding, authority on a court in the Cayman Islands.  The laws of the Cayman Islands relating to the protection 
of the interests of minority shareholders differ in some aspects from those in the United States, the United Kingdom and Hong Kong. 
Such differences mean that the remedies available to our minority shareholders may be different from those they would have under the 
laws of United States, the United Kingdom, Hong Kong or other jurisdictions. In addition, some states in the United States, such as 
Delaware, have more fully developed and judicially interpreted bodies of corporate law than the Cayman Islands. 

In addition, as a Cayman Islands exempted company, our shareholders have no general rights under Cayman Islands law to inspect 
corporate records and accounts or to obtain copies of lists of shareholders of these companies with the exception that the shareholders 
may request a copy of the Articles of Association.  Our directors have discretion under our Articles of Association to determine whether 
or  not,  and  under  what  conditions,  our  corporate  records  may  be  inspected  by  our  shareholders,  but  are  not  obliged  to  make  them 
available to our shareholders.  This may make it more difficult for you to obtain the information needed to establish any facts necessary 
for a shareholder motion or to solicit proxies from other shareholders in connection with a proxy contest.  As a Cayman Islands company, 
we may not have standing to initiate a derivative action in U.S. federal courts, English courts or Hong Kong courts.  As a result, you 
may be limited in your ability to protect your interests if you are harmed in a manner that would otherwise enable you to sue in U.S. 
federal courts, English courts or Hong Kong courts.  In addition, shareholders of Cayman Islands companies may not have standing to 
initiate a shareholder derivative action in U.S. federal courts, English courts or Hong Kong courts. 

Most of our directors and executive officers reside outside of the United States and a substantial portion of their assets are located 
outside of the United States. As a result, it may be difficult or impossible for you to bring an action against us or against these individuals 
in the United States in the event that you believe that your rights have been infringed under the securities laws of the United States or 
otherwise. In addition, some of our operating subsidiaries are incorporated in China. To the extent our directors and executive officers 
reside in China or their assets are located in China, it may not be possible for investors to effect service of process upon us or our 
management inside China. Even if you are successful in bringing an action, the laws of the Cayman Islands and China may render you 
unable to enforce a judgment against our assets or the assets of our directors and officers. There is no statutory recognition in the Cayman 
Islands of judgments obtained in the United States, Hong Kong or China, although the courts of the Cayman Islands will generally 
recognize and enforce a non-penal judgment of a foreign court of competent jurisdiction without retrial on the merits subject to certain 
conditions. 

As a result of all of the above, public shareholders may have more difficulty in protecting their interests in the face of actions taken 
by management, members of the board of directors or controlling shareholders than they would as public shareholders of an English 
company, a U.S. company or a Hong Kong company. 

60 

 
We cannot assure you that our ordinary shares will remain listed on the AIM or the SEHK or our ADSs will remain listed on Nasdaq. 

Although it is currently intended that our ordinary shares and ADSs will remain listed on the AIM, the SEHK and Nasdaq, as 
applicable, there is no guarantee of the continued listing of our securities on any of these exchanges. We may decide at some point in 
the future to delist voluntarily (subject to the applicable regulatory requirements) from one or more of these exchanges, or we may be 
delisted involuntarily if, among other factors, we do not continue to satisfy the listing requirements of the applicable exchange or comply 
with applicable law. For example, we could be delisted from the Nasdaq if the PCAOB continues to be unable to inspect our independent 
registered public accounting firm for three consecutive years. The AIM Rules for companies provide that a voluntary cancellation of 
admission to AIM is conditional upon the consent of not less than 75% of votes cast by its shareholders at a general meeting unless the 
London Stock Exchange otherwise agrees. Circumstances where the London Stock Exchange might otherwise agree that shareholder 
consent at a general meeting is not required would include the situation where the AIM securities are already admitted to trading on an 
“AIM Designated Market” (which includes Nasdaq) to enable shareholders to trade their AIM securities in the future. The SEHK rules 
allow an issuer whose primary listing is on SEHK and which has an alternative listing on another stock exchange to withdraw its listing 
with  the  prior  approval  of  shareholders  by  ordinary  resolution  obtained  at  a  duly  convened  meeting  of  the  shareholders  and  the 
satisfaction of other requirements.  SEHK may also cancel the listing of any securities that have been suspended from trading for a 
continuous period of 18 months. We cannot predict the effect a delisting of our shares on the SEHK or AIM market or our ADSs on 
Nasdaq would have on the market price of our shares and/or ADSs. We may also seek further listings on other stock exchanges such as 
the Shanghai Stock Exchange. However, there is no assurance that we would proceed with a listing and if we do proceed, that a listing 
would materialize. 

The characteristics of the Hong Kong, U.S. and U.K. capital markets are different. 

The SEHK,  Nasdaq  and  the AIM have different  trading  hours,  trading  characteristics (including  trading  volume  and  liquidity), 
trading and listing rules, market regulations, and investor bases (including different levels of retail and institutional participation). As a 
result of these differences, the trading prices of the shares and the ADSs might not be the same, even allowing for currency differences. 
Circumstances peculiar to the U.S. capital markets could materially and adversely affect the price of the shares. Because of the different 
characteristics of the Hong Kong, U.S. and U.K. equity markets, the historical market prices of our securities may not be indicative of 
the performance of the shares. 

We are subject to Hong Kong, Nasdaq and AIM listing and regulatory requirements concurrently. 

As we are listed on the SEHK, the Nasdaq and the AIM, we are required to comply with the listing rules (where applicable) and 
other regulatory regimes of each stock exchange, unless otherwise agreed by the relevant regulators. We may also seek further listings 
on other stock exchanges such as the Shanghai Stock Exchange. Accordingly, we may incur additional costs and resources in complying 
with the requirements of each stock exchange. 

ITEM 4. INFORMATION ON THE COMPANY 

A.    History and Development of the Company. 

HUTCHMED  (China)  Limited  (formerly  Hutchison  China  MediTech  Limited)  was  incorporated  in  the  Cayman  Islands  on 
December 18, 2000 as an exempted company with limited liability under the Companies Act, Cap 22 (Act 3 of 1961, as consolidated 
and  revised)  of  the  Cayman  Islands.  Our  company  was  founded  by  a  wholly  owned  subsidiary  of  CK  Hutchison,  a  multinational 
conglomerate with operations in over 50 countries. CK Hutchison is the ultimate parent company of our largest shareholder Hutchison 
Healthcare Holdings Limited. 

We launched our novel drug research and development operations in 2002 with the establishment of our subsidiary HUTCHMED 
Limited, which is focused on discovering, developing and marketing drugs for the treatment of cancer and immunological diseases. 
Twelve of our in-house discovered drug candidates have entered clinical trials around the world and three have so far been approved for 
sale. Since 2001, we have also developed drug marketing and distribution platforms in China, which primarily focus on prescription 
drug and consumer health products through several joint ventures and subsidiary companies and are included in our Other Ventures. 

We listed our ordinary shares on the AIM market in 2006, ADSs on the Nasdaq Global Select Market in 2016 and our ordinary 

shares on the SEHK in 2021. 

61 

 
 
 
 
 
 
On March 4, 2021 we announced the consolidation of the two corporate identities that we have used since our inception. Hutchison 
China MediTech, or Chi-Med, has been used as our group identity, while Hutchison MediPharma has been the identity of our novel 
drug research and development operations under which our oncology products have been developed and are now being marketed. The 
brand HUTCHMED immediately replaced Chi-Med as our abbreviated name, and we changed our group company name at our Annual 
General Meeting in April 2021 from Hutchison China MediTech Limited to HUTCHMED (China) Limited. 

On April 14, 2021, we completed the sale of $100 million of ordinary shares at a price of $6.10 per share via a private placement 

to Pachytene Limited, an investment holding company wholly owned by Baring Asia Private Equity Fund VII. 

In June 2021, we sold a total of 104,000,000 ordinary shares in our initial public offering on the SEHK, raising gross proceeds of 
approximately $534.7 million. In July 2021, the over-allotment option of our initial public offering on the SEHK was fully exercised, 
and we sold a total of 15,600,000 ordinary shares, raising gross proceeds of approximately $80.2 million. 

On September 28, 2021, we disposed of our entire investment in Hutchison Baiyunshan, our non-core and non-consolidated over-
the-counter drug joint venture business, to GL Mountrose Investment Two Limited, a company controlled and managed by GL Capital 
Group. GL Capital Group is an investment firm that focuses on buyout and growth opportunities in China’s healthcare industry. As our 
focus is the discovery and development of novel therapies in oncology and immunology, the sale of our interest in Hutchison Baiyunshan 
allows us to focus resources on our primary aim of accelerating investment in our Oncology/Immunology assets. We are also considering 
divesting other non-core businesses in our Other Ventures segment, including Shanghai Hutchison Pharmaceuticals. 

Our principal executive offices are located at 48th Floor, Cheung Kong Center, 2 Queen’s Road Central, Hong Kong. Our telephone 
number at that address is +852 2121 8200. The address of our registered office in the Cayman Islands is P.O. Box 309, Ugland House, 
Grand Cayman, KY1-1104, Cayman Islands. 

See Item 5.B. “Liquidity and Capital Resources” for details on our capital expenditures for the years ended December 31, 2019, 

2020 and 2021. 

We are subject to the informational requirements of the Exchange Act and are required to file reports and other information with 
the SEC.  The SEC maintains a website at www.sec.gov that contains reports, proxy and information statements, and other information 
regarding registrants that make electronic filings with the SEC using its EDGAR system. We also make available on our website’s 
investor relations page, free of charge, our annual report and the text of our reports on Form 6-K, including any amendments to these 
reports, as well as certain other SEC filings, as soon as reasonably practicable after they are electronically filed with or furnished to the 
SEC. The address for our investor relations page is www.hutch-med.com/shareholder-information. The information contained on our 
website is not incorporated by reference in this annual report. 

B.    Business Overview. 

Overview 

We are a global commercial-stage biopharmaceutical company focused on the discovery, development and commercialization of 
targeted therapies and immunotherapies for the treatment of patients with cancer and immunological diseases. Our company started in 
China  in  2000  and  has  since  developed  fully  integrated  capabilities  and  expanded  oncology  and  immunology  drug  development 
operations globally.  Our operational achievements and capabilities to date include: 

Broad  pipeline  of  differentiated  targeted  therapies  and  immunotherapies  built  for  the  global  market.  We  have  a  pipeline  of 
differentiated drug candidates covering both novel and validated targets, including MET, VEGFR, FGFR, CSF-1R, PI3Kδ, Syk, EZH2, 
IDH, ERK, BTK, and EGFR. The aim of our research is to develop drugs with high selectivity and superior safety profiles, a key benefit 
of which is that our drug candidates have the potential to be effectively paired with other oncology and immunology therapies at effective 
dosages with fewer side effects. 

62 

Commercially  launching  products  while  continuing  to  discover  new  assets.  In  China,  we  have  launched  three  of  our  internally 
developed drugs, Elunate (fruquintinib), Sulanda (surufatinib) and Orpathys (savolitinib), to patients. All three drugs are in late-stage 
development outside of China, with the most advanced being surufatinib for which an NDA submission to the United States FDA is 
under review. Our marketing authorization application for surufatinib for the treatment of NETs to the European Medicines Agency, or 
EMA, is also under review. In addition, we have ten additional drug candidates that have entered earlier stages of clinical development 
(Phase I/Ib and Phase Ib/II proof of concept studies) and one advanced pre-clinical drug candidate.  

Comprehensive  global  in-house  discovery  and  development  capabilities.  We  have  a  comprehensive  drug  discovery  and 
development operation covering chemistry, biology, pharmacology, toxicology, chemistry and manufacturing controls for clinical and 
commercial supply, clinical and regulatory and other functions. It is led by a team of approximately 820 scientists, who have created 
one of the broadest global clinical pipelines among our peer oncology and immunology focused biotechnology companies. Currently, 
we  are  conducting  and  planning  over  40  different  clinical  studies  in  oncology  patients  globally,  including  over  a  dozen  Phase  III 
registration and Phase II registration-intent studies underway.  

Fast expanding and productive international organization. Our U.S. and European teams of approximately 130 mainly consisting 
of  clinical,  regulatory  and  commercial  staff  significantly  broadened  our  international  operations,  particularly  in  the  United  States, 
Europe,  Japan  and  Australia.  This  team  has  established  a  productive  track  record  since  it  was  established  in  2018,  including  the 
submission and acceptance of a rolling U.S. NDA filing for surufatinib, initiation and full enrollment of a large global randomized 
controlled study for fruquintinib, and ongoing U.S. and European Phase I and II trials for our drug candidates sovleplenib, amdizalisib, 
HMPL-306 and HMPL-760. The FDA granted surufatinib two fast track designations as well as an orphan drug designation for NETs. 
Fruquintinib has also received FDA fast track designation, for late stage colorectal cancer (CRC). Furthermore, we are now building a 
commercial  team  in  the  United  States,  having  recruited  a  team  of  over  30  personnel,  to  support  the  potential  upcoming  launch  of 
surufatinib in the United States. 

Long-standing drug marketing and distribution experience to support the realization of in-house oncology innovations in China. 
We have built large-scale and profitable drug marketing and distribution capabilities through our Other Ventures operations, which 
primarily manufacture, market and distribute prescription drugs in China. Our 20-year track record and deep institutional knowledge of 
the drug marketing and distribution process are being leveraged to bring our in-house oncology innovations to patients. We have built 
and continue to expand our in-house oncology drug sales team of about 630 persons to support the commercialization of Elunate, Sulanda 
and our other innovative drugs, if approved, throughout China. Our oncology drug sales team covers over 2,500 oncology hospitals and 
over 29,000 oncology physicians in China, a network that we estimate represents over 90% of oncology drug sales in China. 

Our Strategies 

Our vision is to be a global leader in the discovery, development and commercialization of targeted therapies and immunotherapies 

for the treatment of patients with cancer and immunological diseases. Key elements of our strategy are to: 

Realize the global potential of our oncology drug candidates 

Our first wave of innovation, surufatinib (unpartnered), fruquintinib (partnered in China with Eli Lilly) and savolitinib (partnered 
globally with AstraZeneca), are either commercialized, under review for marketing authorization or in registrational studies in multiple 
jurisdictions. In tandem with our ongoing progression of such drugs, we will continue to invest in the future with our deep pipeline of 
unpartnered  next  wave  of  oncology  assets  for  which  we  own  all  rights  globally  and  have  significant  flexibility  in  driving  their 
development.  We  intend  to  accelerate  our  global  drug  development  by  leveraging  our  advanced  clinical  trial  data  from  China  and 
selectively conduct clinical trials concurrently in China and other jurisdictions so that the programs progress in parallel globally. To 
broaden and scale our international operations and support the increasing clinical activities in the United States and Europe, we plan to 
continue significantly expanding our clinical teams in those geographies. 

63 

Continue designing and creating molecules to develop into medicines with specific and differentiated characteristics for the 
benefit of patients 

We  believe  our  world-class  drug  discovery  engine  is  our  key  competitive  advantage.  We  strive  to  create  differentiated  novel 
oncology and immunology treatments with global potential. Our drug discovery team has utilized our expertise in advanced medicinal 
chemistry to develop next-generation TKI that have both high selectivity and superior pharmacokinetic properties. Equally importantly, 
we will continue to design chemical and biologic drug candidates with profiles that allow them to be used in innovative combinations 
with other selective inhibitors, chemotherapy agents and immunotherapies. Such combination therapies enable treatment of cancer via 
multiple pathways and modalities simultaneously, which has the potential to significantly improve treatment outcomes. 

We plan to continue to build out our global pipeline of self-discovered drug candidates by advancing a rich pipeline of early-stage 
drug candidates, which include small molecule drugs targeting new pathways such as MAPK and biologics addressing novel targets 
designed for use in combination with our small molecules, as well as potentially a broad range of third-party therapies. 

Build and scale our marketing and commercialization capabilities globally 

We  plan  to  leverage  our  long-standing  drug  marketing  and  distribution  know-how  and  infrastructure  to  support  our  innovative 
oncology product launches, focusing in particular on the Chinese and U.S. markets. We have a 20-year track record of marketing and 
selling products in China. We aim to grow our in-house oncology drug sales team in China of about 630 persons to about 700 persons 
by the end of 2023. Outside of China, we intend to commercialize our products, if approved, in the United States where we have already 
begun  to  build  our  own  sales  team.  In  Europe,  Japan  and  other  major  markets,  we  will  look  to  form  collaborations  with  leading 
biopharmaceutical companies and/or contract sales organizations to fully realize the value of our assets. We will also continue to scale 
our manufacturing capacity to support the sales of our approved drugs, including through the expansion of our existing Suzhou facility 
production team and the ongoing construction of our new plant in Shanghai, which will provide a five-fold increase in our existing 
production capacity. 

Identify  global  business  development  and  strategic  acquisition  opportunities  to  complement  our  internal  research  and 
development activities 

We  plan  to  explore  opportunities  to  access  complementary  drug  candidates  and/or  acquire  interests  in  other  biopharmaceutical 
companies to supplement our in-house research and development capabilities and to enhance our current drug candidate pipeline. We 
will also continue to seek in-licensing opportunities in China, with a focus on drug candidates with the potential to both complement 
our  existing  drug  pipeline  and  have  synergistic  effects  with  each  other,  such  as  Tazverik  from  Epizyme.  In  addition,  we  expect  to 
progress some of our drug candidates by pursuing business development opportunities with other biopharmaceutical companies both in 
China  and  globally  such  as  our  collaboration  with  BeiGene  to  evaluate  combining  surufatinib  and  fruquintinib  with  its  anti-PD-1 
antibody tislelizumab for the treatment of various solid tumor cancers. We will also continue to work with our partners, AstraZeneca 
and Eli Lilly, to optimize the potential of our drug candidates savolitinib (globally with AstraZeneca) and fruquintinib (in China with 
Eli Lilly). 

Capitalize  on  regulatory  reforms  currently  underway  in  China  aimed  at  addressing  existing  unmet  medical  needs  and 
improving the health of its people 

We  believe  the  Chinese oncology market, which  comprises  approximately  a  quarter  of  the global  oncology patient  population, 
represents a substantial and fast-growing market opportunity. Over the past decade, the PRC government has endeavored to foster an 
innovative biopharmaceutical ecosystem, and in the last few years, the pace of reforms has accelerated with a clear focus on providing 
Chinese patients access to world-class oncology therapies through expanded insurance reimbursement and reduced time for clinical 
trials and drug approvals. As a result, the oncology drug market in China is growing rapidly. Having invested in drug innovation in 
China for about 20 years, beginning at a time when almost no other domestic companies were involved in innovative oncology research, 
we believe we are well positioned to capture this market opportunity.  

64 

Oncology Commercial Operations 

Surufatinib – Sulanda in China 

We received approval from the NMPA for Sulanda as a treatment for patients with advanced non-pancreatic NETs in December 
2020 and advanced pancreatic NETs in June 2021. During 2021, we introduced Sulanda through a campaign of local, regional and 
national launch events involving approximately 12,000 healthcare professionals.  We have also confirmed a total of approximately 50 
investigator-initiated  studies  in  a  broad  range  of  exploratory  solid  tumor  indications  all  of  which  are  expected  to  gradually  expand 
awareness of Sulanda in China. In 2021, we used means-test early access and patient access programs to help patients afford Sulanda, 
and we estimate approximately 4,800 new patients were treated. By the end of 2021, Sulanda prescriptions had been written in more 
than 30 provinces in China.  Total in-market sales of Sulanda were $11.6 million in 2021, and in January 2022, Sulanda was included 
on China’s NRDL, making it available in all public hospitals in China. There are an estimated approximately 34,000 new patients of 
advanced NETs per year in China and were potentially over 300,000 patients living with NET in China in 2021.  

65 

 
 
Fruquintinib – Elunate in China 

We received approval from the NMPA for Elunate as a treatment for metastatic colorectal cancer, or mCRC, in September 2018. 
At the end of 2018, our collaboration partner Eli Lilly commenced commercial sales of Elunate, targeting the more than 80,000 mCRC 
third-line patients in China each year.  In January 2020, Elunate was included on China’s NRDL, and is therefore now available in 
public  hospitals  throughout  China,  paving  the  way  to  significantly  broaden  access  for  advanced  CRC  patients  and  rapidly  build 
penetration in China over the coming years. In October 2020, we took over the development and execution of all on-the-ground medical 
detailing, promotion and local and regional marketing responsibilities in China through an amendment to our collaboration terms with 
Eli Lilly. Since taking on these commercial responsibilities, we have deployed our oncology drug sales force to market Elunate. We are 
quickly expanding hospital pharmacy listings, one of the most important factors affecting broad-scale adoption of Elunate in China, 
which now total over 400. 

Driven in part by the inclusion of Elunate on the 2020 NRDL and our assumption of responsibility for detailing, promoting and 
marketing the drug in China in October 2020, total in-market sales of Elunate by Eli Lilly, as provided to us by Eli Lilly, increased by 
111% to $71.0 million for the year ended December 31, 2021 compared to $33.7 million for the year ended December 31, 2020.  We 
recognize revenue for royalties and manufacturing costs and, since October 1, 2020, additional service payments in association with our 
expanded role in the commercialization of Elunate paid to us by Eli Lilly. Subject to meeting pre-agreed sales targets, Eli Lilly will pay 
us an estimated total of 70% to 80% of Elunate in-market sales in the form of royalties, manufacturing costs and service payments. In 
2021, we recorded $53.5 million  in revenue  for  Elunate, equal  to  75.4%  of  in-market  sales.  Following negotiations  with  the  China 
National Healthcare Security Administration, Elunate continues to be included in the NRDL for a new two-year term starting in January 
2022.  For this renewal, we agreed to a discount of 5% relative to the 2021 NRDL price. 

During 2021, our medical marketing and affairs teams conducted about 4,800 educational/scientific events for Elunate in China. 

Savolitinib – Orpathys in China 

On June 22, 2021, Orpathys became the first-in-class selective MET inhibitor to be approved in China. Our partner, AstraZeneca, 
then launched Orpathys in mid-July 2021, less than three weeks after its conditional approval by the NMPA for patients with MET exon 
14  skipping  alteration  NSCLC.  We  are  responsible  for  manufacturing  and  all  other  marketing  authorization  holder,  or  MAH, 
responsibilities, and our commercial collaboration partner AstraZeneca is responsible for the commercialization of Orpathys. In return 
for  these  commercial  rights,  AstraZeneca  pays  us  a  30%  royalty  on  all  sales,  various  development  and  commercial  milestones  and 
manufacturing fees. 

More than a third of the world’s lung cancer patients are in China and, among those with NSCLC, approximately 2-3% have tumors 
with MET exon 14 skipping alterations, representing an approximate incidence of 13,000 new patients per year in China. Importantly 
also, MET plays a role in multiple other solid tumors, with an estimated total incidence of 120,000 new patients per year in China. In-
market sales of Orpathys since its launch in July 2021, as provided to us by AstraZeneca, were $15.9 million showing rapid initial self-
pay uptake for being the first-in-class selective MET inhibitor in China. These in-market sales also resulted in a $25.0 million first sale 
milestone payment from AstraZeneca to us and $11.3 million in revenues recognized by us from manufacturing fees and royalties in 
2021. Since mid-2021, the progress made in the research, development and commercialization of savolitinib has triggered a total of $40 
million in milestone payments from AstraZeneca to us. We estimate that approximately 1,900 new patients were treated with Orpathys 
in 2021. 

AstraZeneca introduced a patient access program in late 2021 which subsidizes the use of Orpathys through progressive disease. 
Following negotiations with the China National Healthcare Security Administration, we and AstraZeneca declined inclusion in the 2022 
NRDL, a position that will be reassessed for potential 2023 inclusion. 

66 

 
 
International Clinical Drug Development (Outside China)  

Seven of our oncology drug candidates are in development outside China. Our fast expanding international organization, led mainly 
from the United States, is developing these candidates. We completed the rolling submission of our first U.S. NDA in April 2021, for 
surufatinib, and this NDA was accepted by the FDA in June 2021 subject to certain clinical site inspections by the FDA. The EMA also 
validated and accepted our marketing authorization application for surufatinib for advanced NETs in July 2021, and we completed the 
120 day assessment and are now entering the later stages of MAA review. For savolitinib in combination with Tagrisso in EGFR TKI 
refractory NSCLC, we conducted an end of phase 2 meeting with the FDA. We also completed clinical trial applications in the United 
States, Europe and Japan for the SAFFRON study, a global pivotal Phase III of savolitinib and Tagrisso in patients with NSCLC who 
have progressed following Tagrisso treatment due to MET amplification or overexpression. In addition to the SAFFRON study, which 
we are preparing to initiate in mid-2022, we continue to evaluate the possibility of using the ongoing SAVANNAH study as the basis 
for U.S. accelerated approval. Among other progress we have made, enrollment was completed for fruquintinib in a fourteen-country 
global Phase III study, the FRESCO-2 study, in CRC which is expected to read-out later in 2022, and positive and differentiated proof-
of-concept data was presented for amdizalisib.  

The following table summarizes the status of our international clinical drug portfolio’s development as of the date of the filing of 

this annual report: 

Program Investigational treatment

Disease

Target patient

Study 
name

Sites

Dose (cid:31)inding /
safety run-in

Proof-of-concept

Registration

Savoli(cid:31)nib + Tagrisso

Savoli(cid:31)nib + Tagrisso

NSCLC

NSCLC

2L/3L EGFRm; Tagrisso ref.; MET+ 

SAVANNAH Global

2L/3L EGFRm; Tagrisso ref.; MET+ 

SAFFRON

Global

*

**

Savolitinib
MET

Savoli(cid:31)nib + Imfinzi (PD-L1)

Papillary RCC

Savoli(cid:31)nib + Imfinzi (PD-L1)

Papillary RCC

MET+

All

SAMETA

Global

CALYPSO UK/Spain

***

Savoli(cid:31)nib + Imfinzi (PD-L1)

Clear cell RCC

VEGFR TKI refractory

CALYPSO UK/Spain

***

Gastric cancer

MET+

VIKTORY

S Korea

***

Refractory

NET 

NET 

NET 

US

EU

JP

US/EU

(Bridging)

NDA under review

MMA under review

Colorectal cancer

Refractory

FRESCO-2 US/EU/JP

Savoli(cid:31)nib

Surufa(cid:31)nib

Surufa(cid:31)nib

Surufa(cid:31)nib

Fruquin(cid:31)nib

Fruquin(cid:31)nib

Surufatinib
VEGFR 1/2/3; 
FGFR 1;
CSF-1R

Fruquintinib
VEGFR 1/2/3

Surufa(cid:31)nib + (cid:31)slelizumab (PD-1)

Solid tumors

Breast cancer

Fruquin(cid:31)nib + (cid:31)slelizumab (PD-1)

TN breast cancer, EMC

Fruquin(cid:31)nib + (cid:31)slelizumab (PD-1)

Solid tumors

Amdizalisib
(HMPL-689)
PI3Kδ

Amdizalisib

Amdizalisib

Sovleplenib 
(HMPL-523)
Syk

Sovleplenib

Sovleplenib

HMPL-306
IDH 1/2

HMPL-306

HMPL-306

HMPL-760 HMPL-760

Indolent NHL, PTCL

Healthy volunteers

Indolent NHL

Indolent NHL

Solid tumors

Heme. malignancies

B-Cell NHL

US

US

S Korea

US/EU

Australia

Australia

US/EU

US/EU

US/EU

US/EU

**

* Phase II registration-intent study subject to regulatory discussion; ** In planning; *** Investigator-initiated trials (IIT) 

67 

 
 
 
 
Note:  NDA  =  New  Drug  Application;  MAA  =  Marketing  Authorization  Application;  MET  =  mesenchymal  epithelial  transition 
receptor;  NSCLC  =  non-small  cell  lung  cancer;  EGFRm  =  epidermal  growth  factor  receptor  mutation;  RCC  =  renal  cell 
carcinoma; VEGFR = vascular endothelial growth factor receptor; TKI = tyrosine kinase inhibitor; FGFR 1 = fibroblast growth 
factor receptor 1; CSF-1R = colony stimulating factor-1 receptor; NET = neuroendocrine tumors; TN = triple negative; EMC 
= endometrial cancer; PI3Kδ = Phosphatidylinositol-3-Kinase delta; NHL = Non-Hodgkin’s Lymphoma; PTCL = peripheral 
T-cell lymphoma; Syk = spleen tyrosine kinase; IDH 1/2 = isocitrate dehydrogenase 1/2; BTK = Bruton’s tyrosine kinase.  

Savolitinib – selective MET inhibitor in late-stage clinical development as a monotherapy and in combination therapies in global 
partnership with AstraZeneca 

Savolitinib, which has been approved in China for the treatment of patients with locally advanced or metastatic NSCLC, is a potent 
and selective small molecule inhibitor of the MET receptor tyrosine kinase, an enzyme which has been shown to function abnormally 
in many types of solid tumors. We designed savolitinib through chemical structure modification to specifically address kidney toxicity, 
the primary issue that halted development of several other selective MET inhibitors. In clinical trials to date in over 1,500  patients 
globally, savolitinib has shown promising signs of clinical efficacy in patients with multiple types of MET gene alterations in lung 
cancer, kidney cancer and gastric cancer with an acceptable safety profile. 

We  are  currently  testing  savolitinib  in  global  partnership  with  AstraZeneca,  both  as  a  monotherapy  and  in  combination  with 
immunotherapy  and  targeted  therapy. Most  notably, MET-amplification is  a  major mechanism  for  acquired  resistance  to both first-
generation EGFR TKIs as well as third-generation EGFR TKIs like Tagrisso. Savolitinib has been studied extensively in these patients 
in the TATTON and SAVANNAH studies. Final results from the TATTON study were presented at World Conference on Lung Cancers, 
or WCLC, in January 2021, and initial results from SAVANNAH are in preparation for submission to a scientific conference in 2022.  
The successful results led to the initiation and planning of three Phase III studies: SACHI and SANOVO were initiated in China in 2021, 
and the global, pivotal Phase III study, the SAFFRON study, is planned to commence enrollment in mid-2022. In addition to a planned 
Phase III study, we continue to evaluate the possibility of using data from the TATTON and SAVANNAH studies to seek accelerated 
approval in the United States. 

Proof-of-concept studies of savolitinib in kidney cancer (as a monotherapy as well as in combination with a PD-L1 inhibitor) and 
gastric cancer (as a monotherapy as well as in combinations with chemotherapy) have demonstrated positive results, with subsequent 
clinical development ongoing or in planning. For example, we initiated a global Phase III pivotal trial (SAMETA) in October 2021 for 
savolitinib in combination with Imfinzi, AstraZeneca’s anti-PD-L1 antibody durvalumab, in MET positive patients with papillary renal 
cell carcinoma or PRCC, a form of kidney cancer. Savolitinib opportunities are also continuing to be explored in multiple other MET-
driven tumor settings via investigator-initiated studies including CRC. 

Surufatinib—unique angio-immuno kinase inhibitor with NDA submission completed in the United States and MAA in Europe; 
potential first VEGFR/FGFR/CSF-1R inhibitor for all advanced NETs 

Surufatinib, which has been approved in China for the treatment of advanced NETs, is a novel, oral angio-immuno kinase, small 
molecule  inhibitor  that  selectively  inhibits  the  tyrosine  kinase  activity  associated  with  VEGFR  and  FGFR,  which  both  inhibit 
angiogenesis,  and  colony  stimulating  factor-1  receptor,  or  CSF-1R,  which  regulates  tumor-associated  macrophages,  promoting  the 
body’s immune response against tumor cells.  Its unique dual mechanism of action may be very suitable for possible combinations with 
other immunotherapies. We believe surufatinib is potentially the first VEGFR/FGFR/CSF-1R inhibitor for all advanced NETs. 

In the United States, the FDA granted orphan drug designation to surufatinib for the treatment of pancreatic NETs in November 
2019 and granted fast track designations for the treatment of both pancreatic NETs and non-pancreatic NETs in April 2020. In May 
2020, we reached an agreement with the FDA that the completed SANET-ep (non-pancreatic NET) and SANET-p (pancreatic NET) 
studies in China, along with existing data from surufatinib in U.S. non-pancreatic and pancreatic NET patients, could form the basis to 
support an NDA submission. Pharmacokinetic and safety data from U.S. Phase Ib neuroendocrine tumor cohorts demonstrated similar 
profiles of surufatinib between Chinese and U.S. patients. 

We completed a U.S. NDA submission in April 2021 for surufatinib for the treatment of pancreatic and non-pancreatic NETs. This 
is our first NDA in the United States, and it was accepted by the FDA in June 2021. The related clinical site inspections and pre-approval 
inspections of our manufacturing facilities are ongoing. The data package has also been used to file a marketing authorization application, 
to the EMA, based on scientific advice from the EMA Committee for Medicinal Products for Human Use, or CHMP. The EMA has 
validated and accepted our marketing authorization application in July 2021. 

68 

We  have  various  additional  clinical  trials  of  surufatinib  ongoing  as  a  single  agent,  as  well  as  in  combination  with  checkpoint 
inhibitors. In March 2021, we dosed the first patient in a combination study of surufatinib with tislelizumab, an anti-PD-1 antibody 
being developed by BeiGene, in the United States and Europe, and we expect to submit the data from this study for presentation in late 
2022. In September 2021, we dosed our first patient in a registration-enabling bridging study in Japan to support the registration of 
surufatinib in the treatment of patients with advanced NETs. In addition, we believe surufatinib has potential in a number of other tumor 
types such as CRC, small cell lung cancer, gastric cancer and soft tissue sarcoma. 

Surufatinib is the first oncology medicine that we have launched in China and expanded development globally without the support 

of a development partner. We own all rights to surufatinib globally. 

Fruquintinib—selective VEGFR 1, 2 and 3 inhibitor with the best selectivity for its targets in global Phase III development 

Fruquintinib, which has been approved in China for the treatment of advanced mCRC, is a highly selective and potent oral inhibitor 
of vascular endothelial growth factor or VEGF receptors, known as VEGFR 1, 2 and 3.  We believe that fruquintinib has the potential 
to become a selective small molecule VEGFR 1, 2 and 3 inhibitor for many types of solid tumors that has the highest selectivity, and 
we are currently studying fruquintinib in CRC, gastric cancer, breast cancer and other solid tumor types.  Fruquintinib was designed to 
improve  kinase  selectivity  to  minimize  off-target  toxicities,  improve  tolerability  and  provide  more  consistent  target  coverage.    The 
tolerability  in  patients  to  date,  along  with  fruquintinib’s  low  potential  for  drug-drug  interaction  based  on  pre-clinical  assessment, 
suggests that it may be highly suitable for combinations with other anti-cancer therapies. 

Building  on  the  data  collected  from  our  successful  Phase  III  trial  in  China,  known  as  the  FRESCO  study,  which  supported 
fruquintinib’s approval in China, we initiated FRESCO-2, a large randomized controlled study of fruquintinib in the United States, 
Europe, Japan and Australia. The first patient was dosed in September 2020, and the study enrolled over 690 patients in over 150 sites 
in 14 countries. The FDA granted fast track designation for the development of fruquintinib for the treatment of patients with mCRC in 
June 2020.  The FDA has acknowledged the totality of the fruquintinib clinical data, including the FRESCO-2 study, if positive, the 
prior positive Phase III FRESCO study demonstrating improvement in overall survival, or OS, that led to fruquintinib approval for 
metastatic CRC in China in 2018 and additional completed and ongoing supporting studies in metastatic CRC, could support a future 
NDA for the treatment of patients with third-line and above mCRC. The EMA and Japanese Pharmaceuticals and Medical Devices 
Agency  or  PMDA  have  reviewed  and  endorsed  the  FRESCO-2  study  design.  Preliminary  data  of  U.S.  Phase  I/Ib  CRC  cohorts 
demonstrated encouraging efficacy in patients refractory or intolerant to Stivarga and Lonsurf. 

We are conducting and planning global combination studies of fruquintinib with BeiGene’s anti-PD-1 antibody tislelizumab for the 
treatment of various solid tumor cancers, including an ongoing Phase Ib/II study in advanced, refractory triple negative breast cancer or 
advanced endometrial cancer. 

Fruquintinib  is  being  commercialized  and  developed  in  partnership  with  Eli  Lilly  in  China,  where  we  are  responsible  for 
development, manufacturing, on-the-ground medical detailing, promotion and local and regional marketing activities.  We own all rights 
to fruquintinib outside of China. 

Amdizalisib (HMPL-689)—novel, highly selective PI3Kδ inhibitor with potential in hematological cancer 

Amdizalisib  is  a  novel,  highly  selective  and  potent  small  molecule  inhibitor  targeting  the  isoform  PI3Kδ.    In  pre-clinical 
pharmacokinetic studies, amdizalisib’s pharmacokinetic properties have been found to be favorable with good oral absorption, moderate 
tissue distribution and low clearance.  Amdizalisib is also expected to have low risk of drug accumulation and drug-drug interaction and 
is highly potent, particularly at the whole blood level. Amdizalisib received Breakthrough Therapy Designation from the CDE of the 
NMPA  in  China  for  the  treatment  of  refractory  follicular  lymphoma  in  September  2021.  The  NMPA  grants  Breakthrough  Therapy 
Designation to new drugs that treat life-threatening diseases or serious conditions for which there are no effective treatment options, and 
where  clinical  evidence  demonstrates  significant  advantages  over  existing  therapies.  Drug  candidates  with  Breakthrough  Therapy 
Designation may be considered for conditional approval and priority review when submitting an NDA. 

We have early-stage clinical trials of amdizalisib ongoing and preliminary evidence suggests that amdizalisib may perform in the 
clinic as designed.  Based on extensive Phase I/Ib proof-of-concept clinical data in China and Australia on amdizalisib, we have opened 
18  U.S.  and  European  sites  for  a  Phase  I/Ib  study  with  patient  enrollment  underway,  focusing  on  advanced  relapsed  or  refractory 
lymphoma. We have initiated the dose expansion portion of the Phase I study in the United States and Europe in the second half of 2021 
in multiple types of non-Hodgkin’s lymphoma. 

69 

We own all rights to amdizalisib globally. 

Sovleplenib (HMPL-523)—potentially the first selective Syk inhibitor for hematological cancer 

Sovleplenib is a novel, highly selective, oral, small molecule inhibitor targeting the spleen tyrosine kinase, or Syk, for the treatment 
of  hematological  cancers  and  certain  chronic  immune  diseases.    Syk  is  a  major  component  in  B-cell  receptor  signaling  and  is  an 
established therapeutic target in multiple subtypes of B-cell lymphomas.  Because B-cell malignancies are heterogeneous and patients 
commonly experience relapse despite current therapies, there is a need for new therapies. 

We have various clinical trials of sovleplenib ongoing.  We have multiple sites in the United States and Europe for a Phase I/Ib 
study with patient enrollment underway, focusing on advanced relapsed or refractory lymphoma and are close to establishing our Phase 
II dose. 

We own all rights to sovleplenib globally. 

HMPL-306—potentially  the  first  dual  inhibitor  of  IDH1  and  IDH2  with  applications  in  hematological  malignancies  and  solid 

tumors 

HMPL-306 is a novel small molecule dual-inhibitor of isocitrate dehydrogenase 1 and 2, or IDH 1 and 2, enzymes.  IDH1 and IDH2 
mutations have been implicated as drivers of certain hematological malignancies and solid tumors, particularly among acute myeloid 
leukemia patients. We initiated two international Phase I studies, one for AML and the other for solid tumors, with the first patient dosed 
in the United States in March 2021. 

We own all rights to HMPL-306 globally. 

HMPL-760—an  investigational,  highly  selective,  third-generation  oral  inhibitor  of  BTK  with  improved  potency  versus  first 
generation BTK inhibitors against both wild type & C481S mutant enzymes 

We initiated a Phase I study in patients with advanced hematological malignancies in China in January 2022. We are also initiating 
an international Phase I study in patients with advanced hematological malignancies in the United States. We own all rights to HMPL-
760 globally. 

China Clinical Drug Development 

We are the MAH of three internally discovered and developed innovative oncology medicines, Orpathys, Sulanda and Elunate. We 
have additional drug candidates in earlier stage clinical development (Phase I/Ib and Phase Ib/II proof-of-concept studies) and several 
advanced pre-clinical drug candidates. Our four submitted China NDAs were classified by the NMPA as Category 1. If submitted for 
approval, all of our drug candidates are expected to be classified as Category 1, as they are innovative drugs that have not been marketed 
inside or outside of China.  

70 

The following table summarizes the status of our China clinical programs as of the date of the filing of this annual report. 

Proof-of-concept  Registration 
Marketed 

Marketed 
Marketed 

Marketed 

Program  Investigational treatment 

Dose (cid:9)inding / 
safety run-in 

Study 

  SANET-p

Disease 

Target patient 

 ≥3L; chemotherapy refractory 
 2L 

 MET Exon 14 skipping  
 NSCLC 
 Savoli(cid:24)nib 
 Naïve MET+ & EGFRm NSCLC 
 NSCLC 
 Savoli(cid:24)nib + Tagrisso 
 2L EGFR TKI ref. NSCLC; MET+ 
 NSCLC 
 Savoli(cid:24)nib + Tagrisso 
 2L; MET+ 
 Gastric cancer 
 Savoli(cid:24)nib 
 Pancrea(cid:21)c NET 
 All 
 Surufa(cid:25)nib 
 Non-Pancrea(cid:21)c NET   All 
 Surufa(cid:25)nib 
 NEC 
 Surufa(cid:25)nib + Tuoyi (PD-1) 
 ESCC 
 Surufa(cid:25)nib + Tuoyi (PD-1) 
 GC, SCLC 
 Surufa(cid:25)nib + Tuoyi (PD-1) 
 BTC, Sarcoma 
 Surufa(cid:25)nib + Tuoyi (PD-1) 
 TC, EMC, NSCLC 
 Surufa(cid:25)nib + Tuoyi (PD-1) 
 Colorectal cancer 
 Fruquin(cid:25)nib 
 Gastric cancer 
 Fruquin(cid:25)nib + Taxol 
 EMC 
 Fruquin(cid:25)nib + Tyvyt (PD-1) 
 CRC 
 Fruquin(cid:25)nib + Tyvyt (PD-1) 
 Fruquin(cid:24)nib + Tyvyt (PD-1) 
 RCC, HCC 
 GI tumors 
 Fruquin(cid:24)nib + Tyvyt (PD-1) 
 Fruquin(cid:24)nib + (cid:4)slelizumab (PD-1)   Solid tumors 
 Amdizalisib 
 Amdizalisib 
 Amdizalisib 
 Amdizalisib 
 Sovleplenib 
 Sovleplenib 
 Sovleplenib 
 Tazemetostat ** 
 Tazemetostat ** 
 Note: Tazemetostat developed by Epizyme. Approved in the U.S. for ES and FL as a monotherapy.  HUTCHMED rights are for Greater China – bridging study being planned. 
 HMPL-306 

 FL 
 MZL 
 MCL, DLBCL 
 CLL/SLL, HL 
 All  
 ITP 
 B-cell malignancies   All 
 All 
 wAIHA 
 Relapsed/Refractory 
 FL 
 FL 
 3L 
 Heme. malignancies   
 B-Cell NHL 

name  Sites 
China    
SANOVO  China    
China    
SACHI 
China    
China    
  SANET-ep  China    
SURTORI- 01  China    
China    
China    
China    
China    
China    
FRESCO 
FRUTIGA  China    
China    
China    
China    
China    
China    
China    
China    
China    
China    
ESLIM-01  China    
China    
China    * 
China    * 
China    * (Bridging) 
China    
China          
China    
China                    
China    
China          

 Mul(cid:4)ple combos 

 IHCC 
 Solid tumors 
 Solid tumors 
 Solid tumors, TGCT   

 HMPL-453 
 HMPL-453 
 HMPL-295 

 HMPL-653 

 HMPL-760 

SYMPHONY-1

Savolitinib 

MET 

Surufatinib     

 VEGFR 1/2/3;  
CSF-1R 

FGFR 1;  

Fruquintinib      

VEGFR 1/2/3 

Amdizalisib 
(HMPL-689)          

PI3Kδ 

Sovleplenib 
(HMPL-523)           

Syk 

Tazemetostat  

EZH2 

HMPL-306 
IDH 1/2 
HMPL-760 
BTK, 3G 

HMPL-453           

FGFR 1/2/3 
HMPL-295 
ERK, MAPK pathway 
HMPL-653 
CSF-1R 

* In planning; ** development in collaboration with Epizyme 

71 

 
  
                   
                                       
                                       
  
                                       
 
                   
                   
 
                                       
 
 
                                       
 
 
                                       
 
  
                                       
 
  
                                       
 
                   
                                       
 
 
                                       
 
  
                                       
 
 
                                       
 
  
                                       
 
 
 
                                       
 
  
  
                                       
 
 
                                       
 
 
                                       
  
  
                                       
 
                                       
  
                                       
  
                                       
 
 
                                      
 
                                       
 
 
 
 
                                       
 
 
 
 
 
   
 
 
                                       
 
 
 
 
                                       
 
 
 
 
 
         
 
                                       
 
 
 
                                       
 
                                       
 
 
 
 
 
                                       
 
 
 
 
 
 
                                       
 
 
 
                                       
 
 
 
 
 
   
 
 
                                       
Note:  MET = mesenchymal epithelial transition receptor; NSCLC = non-small cell lung cancer; EGFRm = epidermal growth factor 
receptor mutation; TKI = tyrosine kinase inhibitor; VEGFR = vascular endothelial growth factor receptor; FGFR 1 = fibroblast 
growth  factor  receptor  1;  CSF-1R  =  colony  stimulating  factor-1  receptor;  NET  =  neuroendocrine  tumors;  NEC  = 
neuroendocrine carcinoma; ESCC = esophageal cancer; GC = gastric cancer; SCLC = small cell lung cancer; BTC = biliary 
tract cancer; TC = thyroid cancer; EMC = endometrial cancer; CRC = colorectal cancer; RCC = renal cell carcinoma; HCC = 
hepatocellular carcinoma; GI = gastrointestinal; PI3Kδ = Phosphatidylinositol-3-Kinase delta; FL = follicular lymphoma; MZL 
= marginal zone lymphoma; MCL = mantle cell lymphoma; DLBCL = diffuse large B cell lymphoma; CLL/SLL = chronic 
lymphocytic leukemia/small lymphocytic lymphoma; HL = Hodgkin’s lymphoma; Syk = spleen tyrosine kinase; ITP = immune 
thrombocytopenic purpura; wAIHA = warm autoimmune hemolytic anemia; EZH2 = enhancer of zeste homolog 2; IHCC = 
intrahepatic cholangiocarcinoma; IDH 1/2 = isocitrate dehydrogenase 1/2; ERK = extracellular-signal-regulated kinase; MAPK 
pathway  =  RAS-RAF-MEK-ERK  signaling  cascade;  BTK  =  Bruton’s  tyrosine  kinase;  TGCT  =  Tenosynovial  Giant  Cell 
Tumors. 

Savolitinib – commercially launched as Orpathys and first selective MET inhibitor in China 

In June 2021, the NMPA approved savolitinib for marketing for the treatment of NSCLC with MET exon 14 skipping alterations, 
making savolitinib the first-in-class selective MET inhibitor in China. This approval follows a priority review designation by the NMPA 
and is the first regulatory approval globally for this oral, potent and selective MET TKI. The approval by the NMPA was based on 
positive results from a Phase II trial conducted in China in patients with NSCLC with this mutation, including patients with the more 
aggressive pulmonary sarcomatoid carcinoma subtype. Savolitinib demonstrated effective anti-tumor activity based on an independent 
review of objective response rate or ORR and disease control rate or DCR. The approval is conditional upon successful completion of 
a confirmatory study in this patient population. The results reviewed by the NMPA when it approved savolitinib were also published in 
The Lancet Respiratory Medicine. 

In 2021, we initiated several new trials in a variety of indications, including for example, SAMETA, a global Phase III pivotal study 
of savolitinib with Imfinzi in MET-driven, unresearchable and locally advanced or metastatic PRCC, and a confirmatory China Phase 
IIIb post-approval study of savolitinib monotherapy in MET exon 14 skipping alteration patients. In the same year, we also presented 
CALYPSO Phase II study data in MET-drive patients for savolitinib in combination with Imfinzi at the 2021 American Society of 
Clinical Oncology, or ASCO, annual meeting and the final Phase II data for the TATTON study at 2020 WCLC annual meeting.  

In 2022, we plan to submit for presentation the SAVANNAH Phase II study for the savolitinib plus Tagrisso combination in NSCLC 
patients harboring EGFR mutation and MET amplification or overexpression. SAVANNAH has informed the regulatory, biomarker 
and dose regimen strategy for the China Phase III studies SANOVO and SACHI, and the global Phase III study in planning. We also 
plan to initiate a global, pivotal Phase III study for the savolitinib plus Tagrisso combination in mid-2022, in patients with NSCLC who 
have progressed following Tagrisso treatment due to MET amplification. 

Surufatinib—commercially  launched  as  Sulanda  in  China  in  advanced  NETs;  first  VEGFR/FGFR/CSF-1R  inhibitor  for  all 

advanced NETs 

Surufatinib was approved by the NMPA in December 2020 for the treatment of non-pancreatic NETs and is now being marketed 
by us in China under the brand name Sulanda. This NMPA approval of surufatinib was based on results from the SANET-ep study, a 
Phase III trial in patients with advanced non-pancreatic NETs conducted in China. The positive results of this trial were highlighted in 
an oral presentation at the 2019 ESMO Congress and published in The Lancet Oncology in September 2020.  In June 2021, surufatinib 
was approved by the NMPA for the treatment of advanced pancreatic NETs. This NMPA approval of surufatinib was based on results 
from the SANET-p study, a Phase III trial in patients with advanced pancreatic NETs conducted in China. The positive results of this 
trial were highlighted in an oral presentation at the 2020 ESMO Congress and published in The Lancet Oncology in September 2020. 
Sulanda was included in the NRDL starting January 2022, thereby broadening access to patients with advanced NETs in China. Our in-
house oncology drug sales team is now responsible for the marketing and commercialization of surufatinib throughout China for such 
indications.  In  2021,  we  initiated,  among  others,  the  SURTORI-01  Phase  III  trial  in  NEC  patients  in  China,  the  first  pivotal  study 
combining surufatinib and toripalimab.  

In 2021, we presented NEC cohort and gastric and gastroesophageal junction cancers cohort data from the China Phase II study of 
surufatinib plus  Tuoyi  at  the 2021 ASCO  and updated data  at  ESMO Immuno-Oncology  Congress 2021  annual meetings.  We  also 
presented encouraging data from the subgroup analysis by Ki-67 and baseline CgA of the Phase III monotherapy study in pancreatic 
NET (SANET-p) and Phase II study for surufatinib monotherapy in BTC patients at the 2021 ASCO annual meeting. 

72 

Fruquintinib – commercially launched as Elunate in China in CRC in November 2018; potential VEGFR 1, 2 and 3 inhibitor with 

the best selectivity for many solid tumors 

Fruquintinib was first commercially launched in China, marketed by our partner Eli Lilly, in November 2018 for the treatment of 
advanced  CRC.  In  January  2020  (and  subsequently  extended  for  another  two-year  term  starting  in  January  2022),  fruquintinib  was 
included on the NRDL thereby broadening access by advanced CRC patients in China. Since launch, Eli Lilly has deployed a dedicated 
team  of  over  140  oncology  commercial  personnel  to  market  fruquintinib  in  China.  Since  October  1,  2020,  we  have  taken  over 
development and execution of all on-the-ground medical detailing, promotion and local and regional marketing activities for fruquintinib 
in China, using our in-house oncology drug sales team supported by our long-standing drug marketing and distribution platforms. Subject 
to meeting pre-agreed sales targets, Eli Lilly will pay us an estimated total of 70% to 80% of Elunate in-market sales in the form of 
royalties, manufacturing costs and service payments. 

We believe that fruquintinib is a VEGFR 1, 2 and 3 inhibitor with the best selectivity and could be considered for development in 
China in many solid tumor indications in which VEGFR inhibitors have been approved globally. To this end, since 2018, we have 
assumed all planning, execution and decision-making responsibilities for life cycle indication development of fruquintinib in China. 

In addition to its commercial launch in CRC in China, we have made progress with fruquintinib in various other cancer indications, 
including the FRUTIGA study in China, a pivotal Phase III study in approximately 700 patients to evaluate the efficacy and safety of 
fruquintinib in combination with Taxol, a chemotherapy medication, compared with Taxol monotherapy for second-line treatment of 
advanced gastric cancer in patients who had failed first-line chemotherapy. We expect to complete enrollment of the study in 2022.  

We are conducting Phase Ib/II dose expansion studies in China of fruquintinib with Tyvyt, a PD-1 monoclonal antibody being 
developed by Innovent, in different tumor types, including HCC, endometrial cancer, RCC and CRC. Furthermore, we intend to conduct 
studies of fruquintinib in combination with BeiGene’s tislelizumab for the treatment of various solid tumor cancers in China. At the 
2021  ASCO  annual  meeting,  encouraging  preliminary  Phase  I/Ib  results  were  presented  for  fruquintinib  in  combination  with  two 
different PD-1 inhibitors: Tyvyt and geptanolimab. 

Amdizalisib—novel, highly selective PI3Kδ inhibitor with potential in hematological cancer 

Our Phase I dose escalation study on amdizalisib in China has been completed, and a recommended Phase II dose was selected.  
Amdizalisib was well tolerated, exhibiting dose-proportional pharmacokinetics, a manageable toxicity profile, and single-agent clinical 
activity in relapsed/refractory B-cell lymphoma patients.  Our Phase Ib expansion study in China is ongoing in multiple sub-categories 
of indolent non-Hodgkin’s lymphoma. In April 2021, we commenced a registration-intent Phase II trial of amdizalisib a highly selective 
and potent PI3Kδ inhibitor in China in patients with relapsed or refractory follicular lymphoma and marginal zone lymphoma, two 
subtypes of non-Hodgkin’s lymphoma. 

Sovleplenib—potentially the first selective Syk inhibitor for hematological diseases  

Data  from  an  extensive  Phase  I/Ib  dose  escalation  and  expansion  study  (covering  more  than  200  patients)  on  sovleplenib  has 
encouraged us to initiate exploratory studies in China on multiple indolent non-Hodgkin’s lymphoma sub-categories, including chronic 
lymphocytic 
lymphoma,  Waldenstrom’s 
follicular 
macroglobulinemia and mantle cell lymphoma.   

lymphoma,  marginal  zone 

leukemia/small 

lymphocytic 

lymphoma, 

Furthermore, in August 2019 we commenced a Phase I study of sovleplenib in China for the treatment of immune thrombocytopenia, 
an autoimmune disorder characterized by low platelet count and an increased bleeding risk.  Based on the encouraging data from Phase 
Ib study of sovleplenib in adult patients with immune thrombocytopenia, we commenced a Phase III study in the same indication and 
dosed  the  first  patient  in  October  2021.  In  January  2022,  sovleplenib  received  the  Breakthrough  Therapy  Designation  in  China  for 
treatment of primary immune thrombocytopenia. 

73 

Tazemetostat 

In August 2021, we entered into a strategic collaboration with Epizyme, Inc. to research, develop, manufacture and commercialize 
tazemetostat (Tazverik) in Greater China, including mainland China, Hong Kong, Macau and Taiwan. Tazemetostat is an inhibitor of 
EZH2 developed by Epizyme that is approved by the FDA for the treatment of certain epithelioid sarcoma and follicular lymphoma 
patients. It received accelerated approval from the FDA based on ORR and DOR in January and June 2020 for epithelioid sarcoma and 
follicular lymphoma, respectively. We plan to develop and seek approval for tazemetostat in various hematological and solid tumors, 
including  epithelial  sarcoma,  follicular  lymphoma  and  diffuse  large  b-cell  lymphoma  in  Greater  China.  We  are  participating  in 
Epizyme’s SYMPHONY-1 (EZH-302) study, leading it in Greater China. We and Epizyme also intend to conduct additional global 
studies jointly. 

HMPL-306—potentially  the  first  dual  inhibitor  of  IDH1  and  IDH2  with  applications  in  hematological  malignancies  and  solid 

tumors 

A Phase I trial in China was initiated in July 2020, in patients of relapsed or refractory hematological malignancies with an IDH1 

and/or IDH2 mutation.  Multiple sites have been initiated and we aim to establish the Phase II dose in mid-2022. 

HMPL-760—highly potent, selective, and reversible inhibitor with long target engagement against BTK 

In  January  2022,  we  initiated  a  Phase  I  trial  in  China  in  patients  with  previously  treated  chronic  lymphocytic  leukemia/small 
lymphocytic lymphoma or other types of non-Hodgkin lymphoma, including patients treated with a prior regimen containing a BTK 
inhibitor,  whose  disease  carries  either  wild-type  BTK  or  acquired  resistance  to  first  generation  BTK  inhibitors  due  to  additional 
mutations to BTK. An initial dose escalation stage to determine the maximum tolerated dose and/or the RP2D is planned, to be followed 
by a dose expansion phase where patients will receive HMPL‑760 to further evaluate the safety, tolerability, and clinical activity at the 
RP2D. Approximately 100 patients are expected to be enrolled. 

HMPL-453—highly selective FGFR 1/2/3 inhibitor with potential in solid tumors 

Aberrant FGFR signaling is associated with tumor growth, promotion of angiogenesis, as well as resistance to anti-tumor therapies.  
A Phase II study is ongoing in patients with advanced intrahepatic cholangiocarcinoma, or IHCC, with FGFR2 fusion that had failed at 
least one line of systemic therapy.  IHCC is a cancer that develops within the bile ducts, the second most common primary hepatic 
malignancy after hepatocellular carcinoma.  Approximately 10-15% of IHCC patients have tumors that harbor FGFR2 fusion. We also 
initiated a Phase Ib/II study of HMPL-453 in combination with chemotherapies or toripalimab for advanced solid tumors in China in 
January 2022. 

HMPL-295 – an investigative and highly selective small molecule inhibitor of ERK in the MAPK pathway with the potential to 

address intrinsic or acquired resistance from upstream mechanisms such as RAS-RAF-MEK 

HMPL-295, a novel ERK inhibitor, is our tenth in-house discovered small molecule oncology drug candidate. ERK is a downstream 
component  of  the  RAS-RAF-MEK-ERK  signaling  cascade  (MAPK  pathway).  This  is  our  first  of  multiple  candidates  in  discovery 
targeting the MAPK pathway. A China Phase I study of HMPL-295 as a monotherapy has been initiated in July 2021. 

HMPL-653—CSF-1R inhibitor 

HMPL-653 is a novel, highly selective, and potent CSF-1R inhibitor designed to target CSF-1R driven tumors as a monotherapy or 

in combination with other drugs. A China Phase I initiated in January 2022. 

74 

Discovery Research & Pre-clinical Development  

We have built a drug discovery engine based in China, which has already produced a pipeline of 17 differentiated clinical and late 
pre-clinical stage drug candidates covering both novel and validated targets of which two are now marketed and one is under review for 
approval. We strive to create differentiated novel oncology and immunology treatments with global potential.  These include furthering 
both small molecule and biologic therapies which address aberrant genetic drivers and cancer cell metabolism; modulate tumor immune 
microenvironment;  and  target  immune  cell  checkpoints.    We  design  drug  candidates  with  profiles  that  enable  them  to  be  used  in 
innovative combinations with other therapies, such as chemotherapy, immunotherapy and other targeted therapies in order to attack 
disease simultaneously through multiple modalities and pathways. We believe that this approach can significantly improve treatment 
outcomes for patients. In addition to our clinical-stage assets, we have another novel oncology drug candidate in late pre-clinical stage, 
namely HMPL-A83, targeting solid tumors and hematological malignancies. 

Beyond  these  clinical  and  pre-clinical  stage  candidates,  we  continue  to  conduct  research  into  discovering  new  types  of  drug 
candidates,  including  among  others,  small  molecules  addressing  cancer-related  apoptosis,  cell  signaling,  epigenetics  and  protein 
translation; biologic drug candidates including bispecific antibodies; and novel technologies including antibody-drug conjugates and 
heterobifunctional small molecules. 

Manufacturing 

Our  manufacturing  facility  in  Suzhou  complies  with  applicable  GMP  standards,  providing  supplies  of  our  drug  candidates  for 
clinical trials and Elunate and Sulanda for commercial sale. We plan to continue to invest resources in the Suzhou facility, expanding 
the production team in phases. At the end of 2020, we commenced construction of a large-scale manufacturing plant for innovative 
drugs in Shanghai. The Shanghai factory will be our largest manufacturing facility, with a production capacity estimated to be five times 
that of our manufacturing plant in Suzhou. 

The first phase will be primarily for small molecule production, while the second phase is expected to include expansion into large 
molecule production. The Shanghai factory is designed to increase our novel drug product manufacturing capacity by over five-fold, 
and we plan to complete the small molecule equipment installation in late 2022, with GMP compliance targeted for late 2023. 

Currently, our commercial supplies of Elunate and Sulanda sold by our Oncology/Immunology operations are manufactured at our 
manufacturing  facility  in  Suzhou,  China.  Our  commercial  supplies  of  Orpathys  are  outsourced  and  manufactured  by  a  third-party 
manufacturer  based  in  Shanghai,  China.  We  have  completed  the  manufacturing  process  studies  for  amdizalisib  and  sovleplenib  in 
preparation for potential NDA submissions. 

Other Ventures 

In  addition  to  our  Oncology/Immunology  operations,  our  Other  Ventures  include  large-scale  drug  marketing  and  distribution 
platforms  covering  about  290  cities  and  towns  in  China  with  approximately  2,900  manufacturing  and  commercial  personnel  as  of 
December 31, 2021.  Built over the past 20 years, it primarily focuses on prescription drug and consumer health products mainly through: 
(i) Shanghai Hutchison Pharmaceuticals, a non-consolidated joint venture with a commercial team of over 2,200 staff managing the 
medical detailing and marketing of a range of own-brand prescription drug products and (ii) Hutchison Sinopharm, a consolidated joint 
venture  focused  on  providing  commercial  services  for  our  own  marketed  drugs,  as  well  as  marketing  third-party  prescription  drug 
products and our science-based infant nutrition products. Hutchison Baiyunshan, a former non-consolidated joint venture focused on 
the manufacturing, marketing and distribution of primarily own-brand OTC drugs, was also a part of our Other Ventures’ operations 
before its disposal in September 2021. 

Net income attributable to our company from our Other Ventures totaled $41.5 million, $72.8 million and $142.9 million for the 
years ended December 31, 2019, 2020 and 2021, respectively, and are remitted to our group through dividend payments primarily from 
our non-consolidated joint ventures mentioned above.  In 2021, dividends of an aggregate amount of $103.0 million were declared from 
these joint ventures to our group, with aggregate dividends declared to our group since inception of over $400 million. 

75 

The following table summarizes the status of our clinical programs as of the date of the filing of this annual report: 

Program Investigational treatment

Disease

Target patient

Study 
name

Sites

Dose (cid:9)inding /
safety run-in

Proof-of-concept Registration

Our Clinical Pipeline 

Marketed

NDA under review

MMA under review

Marketed

Marketed

Marketed

Savolitinib
MET

Surufatinib
VEGFR 1/2/3; 
FGFR 1;
CSF-1R

Savoli(cid:25)nib

Savoli(cid:25)nib

Savoli(cid:25)nib + Tagrisso

Savoli(cid:25)nib + Tagrisso

Savoli(cid:25)nib

Surufa(cid:25)nib

Surufa(cid:25)nib

Surufa(cid:25)nib

Savoli(cid:25)nib + Tagrisso

Savoli(cid:25)nib + Tagrisso

NSCLC

NSCLC

2L/3L EGFRm; Tagrisso ref.; MET+ 

SAVANNAH

Global

2L/3L EGFRm; Tagrisso ref.; MET+ 

SAFFRON

Global

*

**

Savoli(cid:25)nib + Imfinzi (PD-L1)

Papillary RCC

Savoli(cid:25)nib + Imfinzi (PD-L1)

Papillary RCC

MET+

All

SAMETA

Global

CALYPSO

UK/Spain

***

Savoli(cid:25)nib + Imfinzi (PD-L1)

Clear cell RCC

VEGFR TKI refractory

CALYPSO

UK/Spain

***

Gastric cancer

MET+

VIKTORY

S Korea

***

NSCLC

NSCLC

NSCLC

MET Exon 14 skipping 

Naïve MET+ & EGFRm NSCLC

SANOVO

2L EGFR TKI ref. NSCLC; MET+

SACHI

Gastric cancer

2L; MET+

NET 

NET 

NET 

Refractory

Refractory

China

China

China

China

US

EU

JP

US/EU

China

China

(Bridging)

SANET-p

SANET-ep

SURTORI-01

China

China

China

China

China

Surufa(cid:25)nib + (cid:31)slelizumab (PD-1)

Solid tumors

Surufa(cid:25)nib

Surufa(cid:25)nib

Pancrea(cid:31)c NET

Non-Pancrea(cid:31)c NET

All

All

Surufa(cid:25)nib + Tuoyi (PD-1)

Surufa(cid:25)nib + Tuoyi (PD-1)

NEC

ESCC

Surufa(cid:25)nib + Tuoyi (PD-1)

GC, SCLC

Surufa(cid:25)nib + Tuoyi (PD-1)

BTC, Sarcoma

Surufa(cid:26)nib + Tuoyi (PD-1)

TC, EMC, NSCLC

Fruquin(cid:26)nib

Fruquin(cid:26)nib

Breast cancer

Colorectal cancer

Refractory

FRESCO-2

US/EU/JP

Fruquin(cid:26)nib + (cid:31)slelizumab (PD-1)

TN breast cancer, EMC

Fruquin(cid:26)nib + (cid:31)slelizumab (PD-1)

Solid tumors

Fruquintinib
VEGFR 1/2/3

Fruquin(cid:26)nib

Colorectal cancer

≥3L; chemotherapy refractory

FRESCO

Fruquin(cid:25)nib + Taxol

Gastric cancer

2L

FRUTIGA

Fruquin(cid:25)nib + Tyvyt (PD-1)

Fruquin(cid:25)nib + Tyvyt (PD-1)

Fruquin(cid:25)nib + Tyvyt (PD-1)

Fruquin(cid:25)nib + Tyvyt (PD-1)

EMC

CRC

RCC, HCC

GI tumors

Fruquin(cid:25)nib + (cid:30)slelizumab (PD-1)

Solid tumors

Amdizalisib
(HMPL-689)
PI3Kδ

Amdizalisib

Amdizalisib

Amdizalisib

Amdizalisib

Amdizalisib

Amdizalisib

Sovleplenib

Sovleplenib

Sovleplenib 
(HMPL-523)           

Sovleplenib

Syk

Sovleplenib

Sovleplenib

Tazemetostat
EZH2

Tazemetostat ****

Tazemetostat ****

Indolent NHL, PTCL

Healthy volunteers

FL

MZL

MCL, DLBCL

CLL/SLL, HL

Indolent NHL

Indolent NHL

ITP

B-cell malignancies

wAIHA

FL

FL

All 

All

All

ESLIM-01

Relapsed/Refractory

SYMPHONY-1

3L

US

US

S Korea

China

China

China

China

China

China

China

US/EU

Australia

China

China

China

China

Australia

US/EU

China

China

China

China

China

**

**

** (Bridging)

Note: Tazemetostat developed by Epizyme. Approved in the U.S. for ES and FL as a monotherapy. HUTCHMED rights are for Greater China – bridging study being planned.

HMPL-306
IDH 1/2

HMPL-760
BTK, 3G

HMPL-453 
FGFR 1/2/3

HMPL-295
ERK, MAPK pathway

HMPL-653
CSF-1R

HMPL-306

HMPL-306

HMPL-306

HMPL-760

HMPL-760

HMPL-453

HMPL-453

HMPL-295

Solid tumors

Heme. malignancies

Heme. malignancies

B-Cell NHL

B-Cell NHL

IHCC

Solid tumors

Mul(cid:31)ple combos

Solid tumors

HMPL-653

Solid tumors, TGCT

Global

China

US/EU

US/EU

China

US/EU

China

China

China

China

China

76 

 
 
* Phase II registration-intent study subject to regulatory discussion; ** In planning; 

*** Investigator-initiated trials (IIT); **** development in collaboration with Epizyme 

Note:  NDA  =  New  Drug  Application;  MAA  =  Marketing  Authorization  Application;  MET  =  mesenchymal  epithelial  transition 
receptor;  NSCLC  =  non-small  cell  lung  cancer;  EGFRm  =  epidermal  growth  factor  receptor  mutation;  RCC  =  renal  cell 
carcinoma; VEGFR = vascular endothelial growth factor receptor; TKI = tyrosine kinase inhibitor; FGFR 1 = fibroblast growth 
factor  receptor  1;  CSF-1R  =  colony  stimulating  factor-1  receptor;  NET  =  neuroendocrine  tumors;  NEC  =  neuroendocrine 
carcinoma; ESCC = esophageal cancer; GC = gastric cancer; SCLC = small cell lung cancer; BTC = biliary tract cancer; TC = 
thyroid cancer; EMC = endometrial cancer; TN = triple negative; CRC = colorectal cancer; HCC = hepatocellular carcinoma; 
GI = gastrointestinal; PI3Kδ = Phosphatidylinositol-3-Kinase delta; NHL = Non-Hodgkin’s Lymphoma; PTCL = peripheral 
T-cell lymphoma; FL = follicular lymphoma; MZL = marginal zone lymphoma; MCL = mantle cell lymphoma; DLBCL = 
diffuse large B cell lymphoma; CLL/SLL = chronic lymphocytic leukemia/small lymphocytic lymphoma; HL = Hodgkin’s 
lymphoma; Syk = spleen tyrosine kinase; ITP = immune thrombocytopenic purpura; wAIHA = warm autoimmune hemolytic 
anemia; EZH2 = enhancer of zeste homolog 2; IHCC = intrahepatic cholangiocarcinoma; IDH ½ = isocitrate dehydrogenase 
1/2; ERK = extracellular-signal-regulated kinase; MAPK pathway = RAS-RAF-MEK-ERK signaling cascade; BTK = Bruton’s 
tyrosine kinase; TGCT = Tenosynovial Giant Cell Tumors. 

The following is a summary of the clinical pipeline for our drug candidates, many of which are being investigated against multiple 

indications. 

1.  Savolitinib (HMPL-504), MET Inhibitor 

Savolitinib is a potent and selective inhibitor of MET, an enzyme which has been shown to function abnormally in many types of 
solid tumors. We designed savolitinib to address human metabolite-related renal toxicity, the primary issue that halted development of 
several other selective MET inhibitors. In clinical studies to date, savolitinib has shown promising signs of clinical efficacy in patients 
with MET  gene  alterations  in  NSCLC,  PRCC,  CRC,  gastric  cancer  and prostate  cancer with  an  acceptable  safety profile.  In global 
partnership with AstraZeneca, savolitinib has been studied in over 1,500 patients to date, both as a monotherapy and in combinations. 
For more information regarding our partnership with AstraZeneca, see “—Overview of Our Collaborations—AstraZeneca.” 

Mechanism of Action 

MET is a signaling pathway that has specific roles in normal mammalian growth and development.  However, the MET pathway 
has also been shown to function abnormally in a range of different cancers, primarily through MET gene amplification, overexpression 
and gene mutations.  The aberrant activation of MET has been demonstrated to be highly correlated in many cancer indications, including 
kidney, lung, gastric, colorectal, esophageal and brain cancer.  It plays a major role in cancer pathogenesis (i.e., the development of the 
cancer), including tumor growth, survival, invasion, metastasis, the suppression of cell death as well as tumor angiogenesis. 

MET also plays a role in drug resistance in many tumor types.  For instance, MET gene amplification has been found in NSCLC 
and CRC following anti-EGFR treatment, leading to drug resistance.  Furthermore, MET dysregulation is considered to play a role in 
the immunosuppression and pathogenesis of kidney cancer. 

Savolitinib Research Background 

First  generation  selective  MET  inhibitors  previously  discovered  by  multinational  pharmaceutical  companies  had  positive  pre-
clinical data that supported their high MET selectivity and pharmacokinetic and toxicity profiles, but did not progress very far due to 
kidney toxicity.  The issue appeared to be that certain metabolites of earlier compounds had dramatically reduced solubility and appeared 
to  crystalize  in  the kidney,  resulting  in obstructive  toxicity.   With  this understanding, we designed  our  compound, savolitinib  (also 
known as AZD6094 and HMPL-504, formerly known as volitinib), differently while preserving high MET inhibition properties across 
multiple types of MET aberrations.  Savolitinib has not shown any renal toxicity to date and does not appear to carry the same metabolite 
problems  as  the  earlier  selective  MET  compounds  based  on  studies  in  over  1,500  patients  conducted  by  AstraZeneca  in  global 
partnership with the company. 

77 

Savolitinib Pre-clinical Evidence 

In pre-clinical trials, savolitinib demonstrated strong in vitro activity against MET, affecting its downstream signaling targets and 
thus blocking the related cellular functions effectively, including proliferation, migration, invasion, scattering and the secretion of VEGF 
that plays a pivotal role in tumor angiogenesis. 

One of our key areas of focus in our pre-clinical trials is to achieve superior selectivity on a number of kinases.  A commonly used 
quantitative measure of selectivity is through comparing enzyme IC50, which represents the concentration of a drug that is required for 
50% inhibition of the target kinase in vitro and the plasma concentration required for obtaining 50% of a maximum effect in vivo.  High 
selectivity is achieved with a very low IC50 for the target cells, and a very high IC50 for the healthy cells (approximately 100 times higher 
than for the target cells).  IC50 is measured in nM (nano-mole, a microscopic unit of measurement for the number of small molecules 
required to deliver the desired inhibitory effect). 

In the MET enzymatic assay, savolitinib showed potent activity with IC50 of 5 nM.  In a kinase selectivity screening with 274 
kinases, savolitinib had potent activity against the MET Y1268T mutant (comparable to the wild-type), weaker activity against other 
MET mutants and almost no activity against all other kinases.  Savolitinib was found to be approximately 1,000 times more potent to 
MET  than  the  next  non-MET  kinase.    Similarly,  in  cell-based  assays  measuring  activity  against  MET  phosphorylation,  savolitinib 
demonstrated potent activity in both ligand-independent (gene amplified) and ligand-dependent (overexpressed) cells with IC50 at low 
nanomolar  levels.    In  target  related  tumor  cell  function  assays,  savolitinib  showed  high  potency  with  IC50  of  less  than  10  nM.  
Furthermore, savolitinib demonstrated cytotoxicity only on tumor cells that were MET gene amplified or MET overexpressed.  In other 
cells, inhibition measurements demonstrated that IC50 amounts were over 30,000 nM, which is thousands of times higher than the IC50 
on MET tumor cells. 

The data above suggest that (i) savolitinib has potent activity against tumor cell lines with MET gene amplification in the absence 
of hepatocyte growth factor, or HGF, indicating that there is HGF-independent MET activation in these cells; (ii) savolitinib has potent 
activity in tumor cell lines with MET overexpressed, but only in the presence of HGF, indicating HGF-dependent MET activation; and 
(iii) savolitinib has no activity in tumor cell lines with low MET overexpression/gene amplification, suggesting that savolitinib has 
strong kinase selectivity. 

Savolitinib Clinical Development 

As discussed below, we have tested, and are currently testing, savolitinib in partnership with AstraZeneca in multiple indications, 

both as a monotherapy and in combination with other targeted therapies. 

78 

 
 
Non-small Cell Lung Cancer 

We have two ongoing studies, which subject to positive clinical outcome, are designed to support NDA submission in NSCLC. The 

table below shows a summary of the clinical trials that we have recently completed and underway for savolitinib in NSCLC patients. 

Current and Recent Clinical Trials of Savolitinib in NSCLC 

Treatment 
Savolitinib 
monotherapy 

Savolitinib 
monotherapy 

Sponsors/Partners   
HUTCHMED  MET exon 

Name, Line, Patient Focus 

Sites 
China

14 skipping alterations

Phase 
II 
Registration

Status/Plan 

Approved 
and launched 

HUTCHMED 

MET exon 
14 skipping alterations 

China

III 
Confirmator

y

Ongoing 

NCT # 
NCT02897479

NCT04923945

Savolitinib + Tagrisso  AstraZeneca 

and 
HUTCHMED 

SAVANNAH: 2L/3L  
EGFRm+; Tagrisso 
refractory; MET+

Globa

l

II 
Registration-
intent

Savolitinib + Tagrisso    AstraZeneca 

and
HUTCHMED 

Savolitinib + Tagrisso    AstraZeneca 

SAFFRON:2L/3L 
EGFRm+; 
Tagrisso refractory; 
MET+ 
SACHI: 2L EGFR TKI 
refractory NSCLC; 

and 
HUTCHMED  MET+ 

Global

III 

Ongoing. Data has   NCT03778229
supported 
progression 
into Phase IIIs 

In planning, 
Intend to initiate in 
mid-2022 

NCT05261399

China

III 

Ongoing 

NCT0501560
8

Savolitinib + Tagrisso 

AstraZeneca 
and
HUTCHMED  & MET+

SANOVO: Naïve 
patients with EGFRm 

China

III 

Ongoing 

NCT05009836

Notes:     Global = more than two countries; 2L = second line; 3L = third line; and refractory = resistant to prior treatment. 

Savolitinib Monotherapy 

More than one third of the world’s lung cancer patients are in China and, among those with NSCLC, approximately 2-3% have 
tumors  with  MET  exon  14  skipping  alterations,  representing  an  approximate  incidence  of  13,000  new  patients  per  year  in  China. 
Importantly also, MET plays a role in multiple other solid tumors, with an estimated total incidence of 120,000 new patients per year in 
China.  

Phase II study of savolitinib monotherapy in NSCLC patients with MET exon 14 alteration (Status: Approved and launched; NCT02897479). 

We  have  completed  a  70-patient  Phase  II  registration-intent  study  in  China  of  savolitinib  as  a  monotherapy  for  MET  exon  14 

skipping NSCLC patients who have progressed following prior systemic therapy, or unable to receive chemotherapy. 

79 

 
 
 
 
 
 
 
 
 
At the ASCO annual meeting in June 2020, we presented interim data on 70 treated patients, of which 61 patients were efficacy 
evaluable at the data cut-off date of March 31, 2020.  The overall data were encouraging, with efficacy in line with other selective MET 
inhibitors, despite the inclusion of patients with a more aggressive subtype (36% with pulmonary sarcomatoid carcinoma) and with 
tolerable safety.  Efficacy measurements included the objective response rate, or ORR, (the percentage of patients in the study who show 
either  partial  response  (tumor  measurement  reduction  of  greater  than  30%)  or  complete  response),  disease  control  rate,  median 
progression-free survival or PFS and median OS. 

At subsequent data cut-off date of August 3, 2020, in the 61 evaluable patients, ORR was 49.2% and disease control rate was 93.4%.  
Median duration of response was 8.3 months (95% confidence interval: 5.3-16.6).  In the full analysis set of 70 patients, median PFS 
was  6.8  months  (95%  confidence  interval:  4.2-9.6).    Median  OS  was  12.5  months  (95%  confidence  interval:  10.5-23.6).    A  95% 
confidence interval means that there is a 95% chance that the results will be within the stated range. CTC grade 3 or above TEAEs, with 
greater than 5% incidence related to savolitinib treatment were peripheral edema (9%), increased aspartate aminotransferase (13%) and 
increased  alanine  aminotransferase  (10%).    Clinical  data  demonstrated  an  acceptable  safety  profile  with  an  adverse  events-related 
discontinuations rate of 14.3%. 

Results from this study were published in The Lancet Respiratory Medicine and formed the basis for an NDA filing, which was 
approved by the NMPA in June 2021.  The approval is conditional upon successful completion of a Phase III confirmatory study in the 
same patient population, which is expected to enroll approximately 160 patients from about 40 sites. 

Phase II Study of Savolitinib Monotherapy Showing Effect in MET Exon 14 Alteration NSCLC Patients 

Pa

esponse

Stable disease

Progressive disease

Notes:  N = number of patients; ORR = objective response rate; DCR = disease control rate; and CI = confidence interval. 

Source:  Lu S, Fang J et al. Phase II study of savolitinib in patients (pts) with pulmonary sarcomatoid carcinoma (PSC) and other types 
of non-small cell lung cancer (NSCLC) harboring MET exon 14 skipping mutations (METex14+). Journal of Clinical Oncology 
2020 38:15_suppl, 9519-9519. 

80 

 
 
 
 
Savolitinib and Tagrisso Combination 

In 2015, AstraZeneca received FDA approval for Tagrisso, its drug for the treatment of T790M+ EGFRm+, TKI-resistant NSCLC.  
A drug with this type of activity is known as a third-generation EGFR inhibitor. In 2018, Tagrisso’s label was expanded to include 
previously untreated patients with EGFRm+ NSCLC. In December 2020, Tagrisso’s label was further expanded to include adjuvant 
therapy after tumor resection in EGFRm+ NSCLC patients.  Tagrisso has been established as a new standard of care in the treatment of 
EGFRm+ NSCLC and has now been approved in over 80 countries.  Understanding the mechanism of acquired resistance following 
Tagrisso treatment is a key clinical question to inform the next treatment choice.  A portion of EGFRm+ TKI-resistant patients and a 
portion of T790M+ EGFRm+ TKI-resistant patients progress because of MET gene amplification. 

At the ESMO Congress in 2018, AstraZeneca presented the first results on the acquired resistance spectrum detected in patient 
plasma samples after progression in the first-line (FLAURA) and second-line T790M (AURA3) Phase III studies.  MET amplification 
was among the most frequent mechanisms of acquired resistance to Tagrisso, with 15% of patients in the FLAURA study and 19% of 
patients  in  the  AURA3  study  exhibiting  MET  amplification  after  treatment  with  Tagrisso.    Ongoing  research  with  tissue  (biopsy) 
samples will further elucidate the incidence of MET and other mechanisms in the development of resistance to EGFR inhibitors. 

Data  presented  in  June  2017  at  the  ASCO  by  the  Harvard  Medical  School  and  Massachusetts  General  Hospital  Cancer  Center 
showed  that  about  30%  (7/23  patients)  of Tagrisso-resistant  third-line NSCLC  patients  harbored MET  gene  amplification based on 
analysis of tissue samples.  This third-line patient population was generally heavily pre-treated and highly complex from a molecular 
analysis standpoint, with the study showing that more than half of the MET gene amplification patients also harbored additional genetic 
alterations, including EGFR gene amplification and K-Ras mutations. 

As discussed in more detail below, we and AstraZeneca are studying savolitinib in combination with Tagrisso as a treatment choice 
for patients who have developed a resistance to TKI (primarily Tagrisso). The acceptance and uptake of Tagrisso indicates that the 
market potential for savolitinib in Tagrisso-resistant, NSCLC could be material. 

TATTON study: Phase Ib/II expansion studies of savolitinib in combination with Tagrisso in NSCLC EGFRm+ inhibitor refractory 
patients (Status: complete; NCT02143466). 

The TATTON study is a global exploratory Phase I/Ib study in NSCLC aiming to recruit patients with MET gene amplification 
who had progressed after prior treatment with EGFR inhibitors to support a decision on global Phase II/III registration strategy.  This 
followed the completion of TATTON Part A, a Phase I study that established that a savolitinib and Tagrisso combination could be safe 
and well tolerated and also demonstrated preliminary signs of efficacy.  In 11 evaluable patients who were MET positive, the ORR was 
55% with a disease control rate of 100%. 

As of data cut-off on March 4, 2020, a total of over 220 patients had received the savolitinib plus the Tagrisso combination treatment 
across six TATTON treatment arms, Parts A, B1, B2, B3, C and D.  Final analysis for the B and D parts of the study were most recently 
presented at the 2020 WCLC Worldwide Virtual Event held in January 2021, and interim data (data cut-off on March 29, 2019) were 
previously published in The Lancet Oncology in February 2020.  As summarized below, the combination demonstrated an encouraging 
anti-tumor activity and an acceptable risk-benefit profile, regardless of dose. 

First and second-generation EGFRm+ inhibitor refractory patients with acquired resistance driven by MET amplification 

TATTON Part B2 tested patients who were T790M negative with no prior third-generation EGFR TKI treatment.  Of the 51 patients 
who received treatment (48 efficacy evaluable), 33 patients had confirmed responses (65% of treated patients; 69% of evaluable patients) 
with 45 patients experiencing disease control (88% of treated patients; 94% of evaluable patients).  The median PFS was 9.1 months 
(95% confidence interval: 5.5-12.8 months).  Pooled CTC grade 3 or above TEAEs in Part B of the study with greater than 5% incidence 
independent  of  causality  were  decreased  neutrophil  count  (7%),  increased  aspartate  aminotransferase  (6%),  increased  alanine 
aminotransferase (5%), and pneumonia (5%). 

TATTON Part B3 tested patients who were T790M positive with no prior third-generation EGFR TKI treatment.  Of the 18 patients 
who received treatment, 12 patients had confirmed responses (67%) with 18 patients experiencing disease control (100%).  The median 
PFS was 11.1 months (95% confidence interval: 4.1 months – 22.1 months). 

81 

 
In late 2017, the TATTON Part D study was initiated to study Tagrisso combined with a lower savolitinib dose (300 mg once daily) 
in  the  context  of  maximizing  long-term  tolerability  of  the  combination  for  patients  who  could  be  in  poor  condition  and/or  on  the 
combination for long periods of time.  Of the 42 patients who received treatment (40 efficacy evaluable), 26 patients had confirmed 
responses (62% of all patients; 65% of evaluable patients) with 39 patients experiencing disease control (93% of all patients; 98% of 
evaluable patients).  The median PFS was 9.0 months (95% confidence interval: 5.6-12.7 months).  CTC grade 3 or above TEAEs in 
Part  D  of  the  study  with  greater  than  5%  incidence  independent  of  causality  were  pneumonia  (10%),  drug  hypersensitivity  (7%), 
pulmonary embolism (5%), diarrhea (5%), myalgia (5%) and generalized edema (5%).  Overall the combination regimen of savolitinib 
300 mg and Tagrisso was tolerable.  In Part D of the study, there was lower incidence of grade ≥ 3 AEs and SAEs as compared to Part 
B. The TATTON Part D study demonstrated that a lower dose did not impair clinical efficacy, while maintaining a better tolerability
profile.  The results led to the selection of the 300 mg savolitinib plus 80 mg Tagrisso combination dose for the SAVANNAH study,
and  two  additional  cohorts  of  savolitinib  300  mg  twice  daily  dose  (BID)  and  600  mg  once  daily  dose  (QD)  plus  80  mg  Tagrisso
combination doses are recruiting, as discussed below.

Tagrisso  or  another  experimental  third-generation  EGFRm  TKI  refractory  patients  with  acquired  resistance  driven  by  MET 
amplification 

The  TATTON  Part  B1  study  also  enrolled  NSCLC  patients  that  had  progressed  after  treatment  with  a  third-generation  EGFR 
inhibitor as a result of MET gene amplification acquired resistance.  These patients were recruited prior to the April 2018 FDA approval 
of Tagrisso as a first-line treatment and the January 2019 update to the National Comprehensive Cancer Network guidelines that state 
that Tagrisso is the preferred first-line treatment for patients with EGFR mutation regardless of pre-treatment T790M mutation status. 

Savolitinib in combination with Tagrisso from the TATTON Part B1 study showed promising data.  Of the 69 patients that had 
progressed on Tagrisso monotherapy and harbored MET amplification (60 patients were efficacy evaluable), there were 23 patients with 
confirmed responses (33% of all patients; 38% of evaluable patients) with 52 patients experiencing disease control (75% of all patients; 
87% of evaluable patients).  The median PFS was 5.5 months (95% confidence interval: 4.1-7.7 months). 

The savolitinib and Tagrisso combination is being studied in second line setting as one of several treatment arms in the ORCHARD 
study.  ORCHARD  is  a  global,  phase  II,  open-label,  multi-centre,  biomarker-directed  platform  study  in  adult  patients  with  locally 
advanced/metastatic EGFRm NSCLC whose disease has progressed on first-line Tagrisso monotherapy.  Initial results from interim 
analysis demonstrated preliminary activities of this combination in Tagrisso refractory patients. Of the 20 patients enrolled, 17 were 
evaluable for confirmed response analysis at data cut-off, with an ORR of 41% (7/17). Safety profile was consistent with the known 
profiles of Tagrisso and savolitinib, and no new safety signals were identified. 

82 

Savolitinib plus Tagrisso combination showing effect in EGFR refractory patients who are either Tagrisso refractory (ORCHARD, 
TATTON Part B1) or Tagrisso naïve (TATTON Parts B2, B3, D) 

(n=51)

(n=18)

(n=42)

Notes:  [1] Data cut-off as of January 21, 2021; [2] Data cut-off as of March 4, 2020; [3] Most patients were enrolled to Part 

B1, B2, B3 on 600 mg savolitinib, prior to weight-based dosing implementation, but following a protocol amendment 
in response to a safety signal of hypersensitivity, the final 21 patients enrolled in Part B were dosed with savolitinib by 
body weight as follows: patients who weighed ≤55 kg (n=8) received 300 mg daily and those weighing >55 kg (n=13) 
received 600 mg daily; Best response data are for patients who had an opportunity to have two follow-up scans; 

* 80% CI; CI = confidence interval; n = number of patients; 2L = second line; 2L+ = second line above; NR = not

reached; ORR = objective response rate; DoR = duration of response; PFS = progression free survival; and EGFR-TKI
= epidermal growth factor receptor tyrosine kinase; neg. = negative; pos. = positive

Source:  [1] Yu H.A. et al.  “ORCHARD osimertinib + savolitinib interim analysis: A biomarker-directed phase II platform study in 
patients (pts) with advanced non-small cell lung cancer (NSCLC) whose disease has progressed on first-line (1L) osimertinib” 
Presented at the 2021 European Society for Medical Oncology (ESMO) Virtual Congress on September 13, 2021. Presentation 
#1239P. 

[2] Han  JY,  Sequist  LV,  Ahn  MJ,  et  al.  Osimertinib  +  savolitinib  in  patients  with  EGFRm  MET-amplified/overexpressed
NSCLC:  Phase  Ib  TATTON  Parts  B  and  D  final  analysis.  Poster  presented  at:  2021  World  Conference  on  Lung  Cancer
Singapore; January 28-21, 2021; Virtual. https://bit.ly/3cl7QRE

83 

SAVANNAH  study:  Phase  II  study  of  savolitinib  in  combination  with  Tagrisso  in  NSCLC  Tagrisso-refractory  EGFRm+  patients 
(Status: ongoing; NCT03778229). 

Based on the encouraging results of the multiple TATTON studies, we and AstraZeneca have initiated a global Phase II study of 
savolitinib in combination with Tagrisso in EGFRm+ NSCLC patients with MET gene amplification who have progressed following 
first or second-line Tagrisso therapy.  The SAVANNAH study is a single-arm study in North and South America, Europe and Asia. We 
plan to submit results for presentation at a scientific conference in 2022. In addition to the global Phase III currently under preparation 
to commence enrollment in mid-2022, we continue to evaluate the possibility of using the SAVANNAH study as the basis for U.S. 
accelerated approval. 

The SAVANNAH Study Design:  Addressing Tagrisso Resistance Through Combination Therapies 

2L+ LOCALLY ADVANCED / 
METASTATIC EGFRM+ 
NSCLC PATIENTS
  Progression on 1L or 2L TAGRISSO;
  No prior chemo or immunotherapy;

(central FISH/IHC or pre-existing local 
NGS);

  No prior MET inhibitor therapy;
  Stable/asymptomatic CNS mets. 

permitted;

  ECOG performance status 0-1.

Enrolled

Savolitinib 300mg QD
+ TAGRISSO® 80mg QD

PRIMARY ENDPOINT
  300mg QD ORR

Enrolling

Savolitinib 300mg BID
+ TAGRISSO® 80mg QD

SECONDARY ENDPOINTS
  300mg QD

 ORR by MET FISH+ / IHC+; 
PFS; DoR; OS
 Safety

  300mg BID & 600mg QD

Enrolling

Savolitinib 600mg QD
+ TAGRISSO® 80mg QD

OS)
 Safety / tolerability

Notes:    1L = first line; 2L = second line; 2L+ = second line and above; EGFRM+ = epidermal growth factor receptor mutation positive; 
ECOG  =  Eastern  Cooperative  Oncology  Group;  BID  =  twice  daily;  QD  =  once  daily;  FISH  (+)  =  fluorescence  in  situ 
hybridization ( positive ); IHC (+) = immunohistochemistry ( positive ); ORR = objective response rate; PFS = progression 
free survival; DoR = duration of response; OS = overall survival; and MET = mesenchymal epithelial transition receptor. 

Source:   HUTCHMED. 

SANOVO study: China Phase III study of combination with Targrisso in naïve NSCLC patients with EGFR mutant and MET positive 
(Status: ongoing; NCT05009836). 

We have initiated SANOVO, a China Phase III study of savolitinib in combination with AstraZeneca’s third-generation, irreversible 
epidermal  growth  factor  receptor  TKI,  Targrisso  as  a  first-line  treatment  in  certain  NSCLC  patients  whose  tumors  harbor  EGFR 
mutations and overexpress MET. The Phase III trial is a blinded, randomized, controlled study in previously untreated patients with 
locally advanced or metastatic NSCLC with activating EGFR mutations and MET overexpression. The study will evaluate Targrisso in 
combination with savolitinib comparing to Targrisso alone, a standard of care treatment option for these patients.  The primary endpoint 
of the study is median progression free survival as assessed by investigators. Other endpoints include median progression-free survival 
assessed by an independent review committee, median overall survival, ORR, duration of response, disease control rate, time to response 
and safety. The first patient was dosed in September 2021. 

84 

SACHI study: China Phase III study of combination with Targrisso in 2L EGFR TKI refractory, MET amplified NSCLC patients (Status: 
ongoing; NCT05015608). 

We have initiated SACHI, a China Phase III study of savolitinib in combination with Tagrisso.  The Phase III trial is a multi-center, 
open-label, randomized, controlled study in patients with locally advanced or metastatic EGFR mutation-positive NSCLC with MET 
amplification  after disease progression  on EGFR  inhibitor  therapy.  The  study  will  evaluate  the  efficacy  and  safety of  savolitinib  in 
combination with Tagrisso, compared to platinum-based doublet-chemotherapy (pemetrexed plus cisplatin or carboplatin), the standard 
of care treatment option in this setting. The primary endpoint of the study is median PFS as assessed by investigators. Other endpoints 
include median PFS assessed by an independent review committee, median overall survival, ORR, duration of response, disease control 
rate, time to response, and safety. The first patient was dosed in November 2021. 

85 

Kidney Cancer 

The table below shows a summary of the clinical trials that we have recently completed or are underway for savolitinib in kidney 
cancer patients. 

Current and Recent Clinical Trials of Savolitinib in Kidney Cancer 

Treatment 
Savolitinib + Imfinzi 

Sponsors/Partners 

AstraZeneca and HUTCHMED 

Savolitinib + Imfinzi 

Savolitinib + Imfinzi 

Queen Mary University of 
London, Vall d’Hebron Institute of 
Oncology, AstraZeneca 
Queen Mary University of 
London, Vall d’Hebron Institute of 
Oncology, AstraZeneca 

CALYPSO: Clear cell 
RCC; VEGFR TKI 
refractory

     Name, Line, Patient Focus    
SAMETA: MET-driven, 
unresectable and locally 
advanced or metastatic 
PRCC
CALYPSO: PRCC 

Sites 

Global 

Phase 
III 

Status/Plan 

Ongoing 

NCT # 
NCT05043090

U.K./Spain

U.K./Spain

II 

II 

Data updated at 
ASCO 2021 

NCT02819596

Ongoing 

NCT02819596

Notes:    PRCC  =  papillary  renal  cell  carcinoma;  RCC  =  renal  cell  carcinoma;  VEGFR  TKI  refractory  =  resistant  to  prior  VEGFR 
tyrosine  kinase  inhibitor  treatment;  Global  =  more  than  two  countries;  PFS  =  progression-free  survival;  and  MET  = 
mesenchymal epithelial transition receptor. 

MET is a key genetic driver in RCC, and emerging evidence suggests that combining immunotherapies with a MET inhibitor could 
enhance anti-tumor activity. PRCC is a subtype of kidney cancer, representing about 15% of patients, with no treatments approved for 
patients with tumors that harbor MET-driven alterations.   

During an Australian Phase I study, our investigators noted positive outcomes among PRCC patients with a strong correlation to 
MET gene amplification status.  Out of a total of eight PRCC patients in our Australia Phase I study who were treated with various 
doses of savolitinib, three achieved confirmed partial responses.  A further three of these eight PRCC patients achieved stable disease, 
which means patients without partial response but with a tumor measurement increase of less than 20%.  This aggregate ORR of 38% 
was very encouraging for PRCC, which has no effective approved treatments.  These responses were also durable as demonstrated by a 
patient who has been on the therapy for over 30 months and had tumor measurement reduction of greater than 85%.  Importantly, the 
level of tumor response among these PRCC patients correlated closely with the level of MET gene amplification.  The patients with 
consistent MET gene amplification across the whole tumor responded most to savolitinib, and with those patients with the highest level 
of MET gene amplification responding most to the treatment. 

Savolitinib and Immunotherapy Combinations 

Immunotherapy combinations are rapidly changing the treatment landscape in kidney cancer.  Immune checkpoints such as PD-L1 
are sometimes used by cancer cells to avoid being attacked by the immune system.  As such, drugs that target these checkpoints are 
being developed or marketed as cancer treatments.  Imfinzi is an anti-PD-L1 antibody owned by AstraZeneca.  Anti-PD-L1 antibodies 
have been associated with clinical benefits in metastatic RCC, and MET dysregulation has been considered to play an important role in 
PRCC pathogenesis (including in our savolitinib Phase I and Phase II monotherapy studies) and is a mechanism of resistance against 
kinase inhibitors in clear cell RCC.  Moreover, it is believed that the MET signaling pathway has a complex interplay with the immune 
system, including correlation with PD-L1 expression, immune suppression through angiogenesis and many other facets of the immune 
system.  Our CALYPSO study discussed below aims to explore and potentially confirm this interplay. 

CALYPSO study: Phase II study of savolitinib in combination with Imfinzi in both PRCC and clear cell RCC patients (Status: dose 
expansion ongoing; NCT02819596). 

The CALYPSO study is an investigator-initiated open-label Phase II study of savolitinib in combination with Imfinzi.  The study 
is evaluating the safety and efficacy of the savolitinib and Imfinzi combination in both PRCC and clear cell RCC patients at sites in the 
U.K. and Spain. 

86 

 
 
 
 
Interim results of the PRCC cohort of the CALYPSO study were most recently presented at the 2021 ASCO annual meeting and 
showed encouraging efficacy across all patients, both MET+ and MET-. In the 41 patients who were selected regardless of PD-L1 or 
MET status, ORR was 29% (12/41), while median PFS was 4.9 months (95% confidence interval: 2.5-10.0 months). Median OS was 
14.1 months (95% confidence interval: 7.3-30.7 months). For the 14 patients whose tumors are MET-driven, ORR was 57% (8/14), 
median PFS was 10.5 months (95% confidence interval: 2.9-15.7), and median OS was 27.4 months (95% confidence interval: 7.3-NR). 
Tolerability was consistent with established single agent safety profiles. In the analysis previously presented at ASCO’s Genitourinary 
Cancers Symposium in 2020, there were 13 treatment related CTC grade 3 or above TEAEs that occurred in more than three patients, 
with edema (10%), nausea (5%) and transaminitis (5%) being most frequent. We and AstraZeneca continue to explore development of 
the savolitinib-Imfinzi combination in PRCC patients. 

SAMETA study: Phase III in combination with Imfinzi PD-L1 inhibitor in MET-driven, unresectable and locally advanced or metastatic 
PRCC (Status: ongoing; NCT05043090) 

The Phase III trial is an open-label, randomized, controlled study in treatment-naïve patients with MET-driven, unresectable and 
locally advanced or metastatic PRCC, to evaluate the efficacy and safety of savolitinib in combination with Imfinzi compared to single 
agent Imfinzi or single agent Sutent, an oral multi-kinase inhibitor considered as the standard of care treatment option in PRCC. The 
primary endpoint of the study is median PFS. Other endpoints include median OS, ORR, duration of response, 6-months and 12-months 
DCR, time to second progression, safety, pharmacokinetics and quality of life. The first patient was dosed in October 2021. 

Gastric Cancer 

The table below shows a summary of our clinical trial for savolitinib in gastric cancer patients. 

Clinical Trials of Savolitinib in Gastric Cancer 

Treatment 
Savolitinib monotherapy 

Sponsors/Partners 

  HUTCHMED and 

    Name, Line, Patient Focus    
   VIKTORY: Gastric cancer 

Sites 

   China / South 

Samsung Medical Center 

(MET amplification) 

Korea 

Savolitinib monotherapy 

  HUTCHMED 

   2L+ gastric cancer with 
MET amplification 

   China 

     Phase 
Ib/II 

Status/Plan 
   Completed. Support 

decision to progress into 
Phase II registration 
intent study  

   Ongoing 

II 
registration 
intent

NCT # 

   NCT01985555/ 
NCT02449551 

   NCT04923932 

Phase Ib/II study of savolitinib monotherapy in MET amplified gastric cancer in China (Status: completed; NCT01985555) 

Preliminary results of the China study were presented at the 2017 Chinese Society of Clinical Oncology, or CSCO, for the efficacy 
evaluable MET gene amplified patients. Based on confirmed and unconfirmed partial responses, the ORR was 43% (3/7) and disease 
control rate was 86% (6/7), with ORR of 14% (3/22) and disease control rate of 41% (9/22) among the overall efficacy evaluable aberrant 
MET set of patients with MET amplification (n=7) and MET overexpression (n=15). As of the data cut-off, the longest duration of 
treatment was in excess of two years. Savolitinib monotherapy was determined to be safe and well tolerated in patients with advanced 
gastric  cancer.  CTC  grade  3  or  above  TEAEs  with  greater  than  5%  incidence  included  abnormal  hepatic  function  in  13%  (4/31), 
gastrointestinal bleeding or decreased appetite in 10% (3/31 each), and diarrhea or gastrointestinal perforation in 6% (2/31 each). This 
China study concluded that savolitinib monotherapy demonstrated promising anti-tumor efficacy in gastric cancer patients with MET 
gene amplification and that the potential benefit to these patients warranted further exploration, with enrollment continuing. 

87 

 
 
  
 
 
 
 
 
    
    
    
  
  
 
VIKTORY Phase II study of savolitinib in MET amplified gastric cancer in South Korea (Status: completed; NCT02449551) 

The VIKTORY study is a biomarker-based, Phase II umbrella trial in gastric cancer conducted by the Samsung Medical Center in 
South  Korea.  Patients  were  allocated  to  one  of  12  biomarker-driven  arms,  based  on  a  master  screening  protocol  with  tissue-based 
molecular  analyses.  Patients  that  tested  positive  for  MET  amplification  or  overexpression  were  treated  with  either  savolitinib 
monotherapy or a combination of savolitinib and Taxotere. A total of 715 gastric cancer patients were successfully sequenced and MET 
amplification was observed in 3.5% of these patients (25/715). Of the 10 associated clinical trials under the VIKTORY umbrella, the 
highest ORR was observed in the MET amplification arm in patients treated with savolitinib monotherapy, which reported an ORR of 
50%  (10/20,  95%  confidence  interval:  28.0-71.9)  and  met  pre-specified  6-week  PFS  rates.  While  the  savolitinib  and  Taxotere 
combination was well tolerated, the VIKTORY study investigators decided to stop enrollment in the two combination cohorts in order 
to direct patients to the savolitinib monotherapy arm of the VIKTORY study as discussed above. 

The VIKTORY study investigators have concluded that encouraging clinical efficacy of savolitinib in MET-amplified gastric cancer 

warrants further study. 

Phase  II  study  of  savolitinib  with  potential  for  registration  intent  in  2L+  gastric  cancer  with  MET  amplification  (Status:  ongoing; 
NCT04923932) 

This Phase II registration-intent study is a two-stage and single-arm study to evaluate the efficacy, safety and pharmacokinetics of 
savolitinib in locally advanced or metastatic GC or GEJ patients whose disease progressed after at least one line of standard therapy. 
The  primary  endpoint  is  ORR  as  assessed  by  an  independent  review  committee.  Other  endpoints  include  12-week  and  6-month 
progression-free survival rates, median progression-free survival, duration of response, disease control rate, median overall survival, 
safety, pharmacokinetics and quality of life.  The first patient was dosed in July 2021.  Subject to the results of the first stage of this 
study, we will discuss with the CDE of NMPA the appropriate approach and necessary criteria for registration. 

Partnership with AstraZeneca 

In  December  2011,  we  entered  into  a  global  licensing,  co-development,  and  commercialization  agreement  for  savolitinib  with 
AstraZeneca. As noted above, given the complexity of many of the signal transduction pathways and resistance mechanisms in oncology, 
the  industry  is  increasingly  studying  combinations  of  targeted  therapies  (TKI,  monoclonal  antibodies  and  immunotherapies)  and 
chemotherapy as potentially the best approach to treating this complex and constantly mutating disease. Based on savolitinib’s clinical 
progress as a highly selective MET inhibitor in a number of cancers, in August 2016, December 2020 and November 2021, we and 
AstraZeneca  amended  our  global  licensing,  co-development,  and  commercialization  agreement  for  savolitinib.  We  believe  that 
AstraZeneca’s portfolio of proprietary targeted therapies is well suited to be used in combinations with savolitinib, and we are studying 
combinations with Tagrisso (EGFRm+, T790M+) and Imfinzi (PD-L1). These combinations of multiple global first-in-class compounds 
are difficult to replicate, and we believe represent a significant opportunity for us and AstraZeneca. For more information regarding our 
partnership with AstraZeneca, see “—Overview of Our Collaborations—AstraZeneca.” 

2.

Surufatinib (HMPL-012), VEGFR 1, 2 and 3, FGFR1 and CSF-1R Inhibitor

Surufatinib  is  a  novel,  oral  angio-immuno  kinase  inhibitor  that  selectively  inhibits  the  tyrosine  kinase  activity  associated  with
VEGFR and FGFR, both of which have been shown to be involved in tumor angiogenesis, and CSF-1R, which plays a key role in 
regulating tumor-associated macrophages, promoting the body’s immune response against tumor cells. Surufatinib has been studied in 
clinical trials with around 1,200 patients to date, both as a monotherapy and in combinations, and is approved in China. We currently 
retain all rights to surufatinib worldwide. 

Initial approvals for surufatinib in China are for the treatment of advanced NET patients. NETs present in the body’s organ system 
with fragmented epidemiology.  Surufatinib’s ability to inhibit angiogenesis, block the accumulation of tumor associated macrophages 
and  promote  infiltration  of  effector  T  cells  into  tumors  could  help  improve  the  anti-tumor  activity  of  PD-1  antibodies.  Several 
combination studies with PD-1 antibodies have shown promising data. 

88 

Mechanism of Action 

Both VEGFR and FGFR signaling pathways can mediate tumor angiogenesis.  CSF-1R plays an important role in the functions of 
macrophages.  Recently, the roles in increasing tumor immune evasion of VEGFR, FGFR in regulation of T cells, tumor-associated 
macrophages and myeloid-derived suppressor cells have been demonstrated.  Therefore, blockade of tumor angiogenesis and tumor 
immune evasion by simultaneously targeting VEGFR 1, 2 and 3, FGFR1 and CSF-1R kinases may represent a promising approach for 
oncology therapy. 

Surufatinib Pre-clinical Evidence 

Surufatinib inhibited VEGFR 1, 2, and 3, FGFR1 and CSF-1R kinases with IC50 in a range of 1 nM to 24 nM.  It also strongly 
blocked VEGF-induced VEGFR2 phosphorylation in HEK293 cells and CSF-1R phosphorylation in RAW264.7 cells with an IC50 of 
2 nM and 79 nM, respectively.  Surufatinib also reduced VEGF- or FGF-stimulated human umbilical vein endothelial cell proliferation 
with an IC50 < 50 nM.  In animal studies, a single oral dose of surufatinib inhibited VEGF-stimulated VEGFR2 phosphorylation in lung 
tissues  of  nude  mice  in  an  exposure-dependent  manner.  Furthermore,  elevation  of  FGF23  levels  in  plasma  24  hours  post  dosing 
suggested suppression of FGFR signaling. 

Surufatinib  demonstrated  potent  tumor  growth  inhibition  in  multiple  human  xenograft  models  and  decreased  cluster  of 
differentiation  31  expression  remarkably,  suggesting  strong  inhibition  on  angiogenesis  through  VEGFR  and  FGFR  signaling.    In  a 
syngeneic murine colon cancer model, surufatinib demonstrated moderate tumor growth inhibition after single-agent treatment.  Flow 
cytometry  and  immunohistochemistry  analysis  revealed  an  increase  of  certain  T  cells  and  a  significant  reduction  in  certain  tumor-
associated macrophages, including CSF-1R mutation positive tumor-associated macrophages in tumor tissue, indicating surufatinib has 
a strong effect on CSF-1R.  Interestingly, a combination of surufatinib with a PD-L1 antibody resulted in enhanced anti-tumor effect.  
These results suggested that surufatinib has a strong effect in modulating angiogenesis and cancer immunity. 

89 

Surufatinib Clinical Trials 

We currently have various clinical trials of surufatinib as a monotherapy and in combination with checkpoint inhibitors ongoing or 

expected to begin in the near term.  

Neuroendocrine Tumors 

Neuroendocrine tumors begin in the specialized cells of the body’s neuroendocrine system.  Cells have traits of both hormone-
producing endocrine cells and nerve cells.  Neuroendocrine tumors are found throughout the body’s organ system and have complex 
and fragmented epidemiology with about 65-75% of NETs originating in the gastrointestinal tract and pancreas, 25-35% in the lung or 
bronchus, and a further 20-30% in other organs or unknown origins. 

In China, there are an estimated approximately 34,000 new patients of advanced NETs per year and were potentially over 300,000 

patients living with NET in China in 2021.  

NETs can be functional, releasing hormones and peptides that cause symptoms like diarrhea and flushing, or non-functional with 
no symptoms.  Early-stage NETs, which are often functional, can be treated with somatostatin analogue subcutaneous injections, which 
are approved and reimbursed in China and alleviate symptoms and slow NET growth, but have limited tumor reduction efficacy. 

Advanced  NETs  grow  more  quickly.    In  China,  Sutent  is  approved  in  pancreatic  NET  while  Afinitor,  an  mTOR  inhibitor,  is 
approved in non-functional NETs in the pancreas, lung and gastrointestinal tract.  These approvals, however, cover only about half of 
advanced neuroendocrine tumor patients. 

The table below shows a summary of the clinical trials that we have completed or are in planning for surufatinib in neuroendocrine 
cancer patients. Our Phase Ib study in planning for the U.S. and Europe will also include expansion cohorts to explore surufatinib in 
patients with BTC and sarcoma. 

Clinical Trials of Surufatinib in NETs 

Treatment 
Surufatinib 
monotherapy 
Surufatinib 
monotherapy 

Surufatinib 
monotherapy(1) 

Surufatinib 
monotherapy 
Surufatinib 
monotherapy 

  Sponsors/Partners      Name, Line, Patient Focus 
HUTCHMED 

SANET-ep: Non-pancreatic 
NET 
SANET-p: Pancreatic NET 

HUTCHMED 

HUTCHMED 

NETs 

HUTCHMED 

NETs 

Sites 

China 

China 

U.S. 

Europe 

Phase 
III 

Status/Plan 
Approved and launched 

III 

Ib 

II 

Approved and launched; 
subgroup analysis presented at 
ASCO 2021 
FDA accepted NDA (June 
2021); updated Ib data presented 
at ASCO 2021 
EMA accepted MAA (July 
2021)
Ongoing. Reg-enabling study 

NCT # 
NCT02588170

NCT02589821

NCT02549937

NCT04579679

NCT05077384

HUTCHMED 

NETs 

Japan 

Bridging

Notes: 

(1) 
track designation for our pancreatic and non-pancreatic NET development programs in April 2020. 

FDA granted surufatinib orphan drug designation for the treatment of pancreatic NETs in November 2019 and fast 

NET = neuroendocrine tumor. 

90 

 
 
SANET-ep study: Phase III study of surufatinib monotherapy in non-pancreatic NETs (Status: completed and product launched in China; 
NCT02588170) 

In  2015,  we  initiated  the  SANET-ep  study,  which  is  a  Phase  III  study  in  China  in  patients  with  grade  1  and  2  advanced  non-
pancreatic NETs. In this study, patients were randomized at a 2:1 ratio to receive either an oral dose of 300 mg of surufatinib or a placebo 
once daily on a 28-day treatment cycle. The primary endpoint was PFS, with secondary endpoints including ORR, disease control rate, 
time to response, duration of response, OS, safety and tolerability. 

A 198-patient interim analysis was conducted on SANET-ep in mid-2019, leading the independent data monitoring committee, or 
IDMC, to determine that it had met the pre-defined primary endpoint of PFS and should be stopped early. The positive results of this 
trial were highlighted in an oral presentation at the 2019 European Society for Medical Oncology Congress, and subsequently published 
in  The  Lancet  Oncology  in  September  2020.  Median  PFS  per  investigator  assessment  was  9.2  months  for  patients  treated  with 
surufatinib, as compared to 3.8 months for patients in the placebo group (HR 0.334; 95% CI: 0.223, 0.499; p<0.0001). Efficacy was also 
supported by a blinded independent image review committee assessment. Surufatinib was well-tolerated in this study and the safety 
profile  was  consistent  with  observations  in prior  clinical  studies.  CTC grade  3  or  above  TEAEs  in  this  study  with greater  than  5% 
incidence were hypertension (36%), proteinuria (19%) and anemia (7%). 

SANET-ep Clearly Succeeded in Meeting Primary Endpoint of PFS 

Number at risk
(number censored)
Surufatinib
Placebo

)

%

(

l
a
v
i
v
r
u
s

e
e
r
f
-
n
o
i
s
s
e
r
g
o
r
P

100

90

80

70

60

50

40

30

20

10

0

0

Surufatinib
Placebo
HR 0.334 (95% CI 0.223–0.499); p<0.0001

2

4

6

8

10

12

14

16

18

20

22

24

26

28

30

32

Time (months)

129 (0)
69 (0)

100 (16)
43 (11)

83 (24)
25 (15)

63 (31)
16 (16)

46 (36)
10 (16)

37 (36)
6 (17)

25 (42)
6 (17)

13 (47)
4 (17)

13 (47)
4 (17)

8 (49)
1 (18)

7 (49)
0 (18)

7 (49)
··

4 (50)
··

3 (50)
··

2 (51)
··

2 (51)
··

0 (52)
··

91 

 
 
Notes:  P-value  is  obtained  from  the  stratified  one-sided  log-rank  test;  Hazard  ratio  is  obtained  from  stratified  Cox  model;  CI  = 

confidence interval; and HR = hazard ratio. 

Source:  Xu J, Shen L, Zhou Z, et al. Surufatinib in advanced extrapancreatic neuroendocrine tumours (SANET-ep): a randomised, 
double-blind, placebo-controlled, phase 3 study. Lancet Oncol. 2020;21(11):1500-1512. doi:10.1016/S1470-2045(20)30496-
4. 

In late 2020, surufatinib was granted approval for drug registration by the NMPA for the treatment of non-pancreatic NET and 
launched in mid-January 2021 within three weeks of approval.  We believe the benefits of surufatinib as a monotherapy to patients with 
non-pancreatic NETs in China could be significant as compared to the minimal treatment alternatives currently available to them. 

SANET-p study: Phase III study of surufatinib monotherapy in pancreatic NETs (Status: completed and product launched in China for 
treatment of pancreatic NETs; NCT02589821) 

In 2016, we initiated the SANET-p study, which is a Phase III study in China in patients with low- or intermediate-grade, advanced 
pancreatic NETs.  In this study, patients are randomized at a 2:1 ratio to receive either an oral dose of 300 mg of surufatinib or a placebo 
once daily on a 28-day treatment cycle.  The primary endpoint is PFS, with secondary endpoints including ORR, disease control rate, 
time to response, duration of response, OS, safety and tolerability. 

In early 2020, an interim analysis was conducted on SANET-p, leading the IDMC to recommend that the study stop early as the 
pre-defined primary endpoint of PFS had already been met.  Investigator-assessed median PFS was 10.9 months for patients treated with 
surufatinib, as compared to 3.7 months for patients in the placebo group (HR 0.491; 95% CI: 0.319-0.755; p=0.0011). ORRs were 19.2% 
for the efficacy evaluable patients in the surufatinib group versus 1.9% for the placebo group, with a DCR of 80.8% versus 66.0%, 
respectively. Most patients in the trial had Grade 2 disease with heavy tumor burden, including liver metastasis and multiple organ 
involvement. Efficacy was also supported by blinded independent image review committee assessment, with a median PFS of 13.9 
months  for  surufatinib  as  compared  to  4.6  months  for  placebo  (HR  0.339;  95%  CI  0.209-0.549;  p<0.0001).  The  safety  profile  of 
surufatinib  was  manageable  and  consistent  with  observations  in  prior  studies.  Treatment  was  well  tolerated  for  most  patients,  with 
discontinuation rates as a result of TEAEs of 10.6% in the surufatinib group as compared to 6.8% in the placebo group. CTC grade 3 or 
above TEAEs in this study with greater than 5% incidence were hypertension (38%), proteinuria (10%) and hypertriglyceridemia (7%). 

SANET-p Clearly Succeeded in Meeting Primary Endpoint of PFS 

Surufatinib
Placebo
HR for progression or death 0.49 (95% CI 0.32–0.76); p=0.0011

)

%

(

l
a
v
i
v
r
u
s

e
e
r
f
-
n
o
i
s
s
e
r
g
o
r
P

100

90

80

70

60

50

40

30

20

10

0

Number at risk
(number censored)
Surufatinib
Placebo

0

2

4

6

8

10

12

14

16

18

20

22

24

26

28

30

32

34

36

Time (months)

113 (0) 79 (27) 61 (33) 50 (36) 43 (39) 33 (42) 25 (44) 20 (45) 19 (45) 13 (45) 8 (50)
59 (0)

33 (10) 20 (11) 12 (14) 10 (15) 9 (15)

5 (53) 4 (54) 2 (55)
5 (17) 4 (17) 4 (17) 4 (17) 4 (17) 3 (17)

6 (17)

6 (17)

6 (17)

8 (50)

2 (55)
1 (56) 1 (56) 1 (57)
3 (17) 3 (17) 2 (18) 0 (20)

92 

 
 
 
 
 
Notes:  P-value  is  obtained  from  the  stratified  one-sided  log-rank  test;  Hazard  ratio  is  obtained  from  stratified  Cox  model;  CI  = 

confidence interval; and HR = hazard ratio. 

Source:  Xu J, Shen L, Bai C, et al. Surufatinib in advanced pancreatic neuroendocrine tumours (SANET-p): a randomised, double-

blind, placebo-controlled, phase 3 study. Lancet Oncol. 2020;21(11):1489-1499. doi:10.1016/S1470-2045(20)30493-9. 

Surufatinib was granted approval for drug registration by the NMPA for the treatment of advanced pancreatic NET and launched 
in June 2021. We believe the benefits of surufatinib as a monotherapy to patients with pancreatic NETs in China could be significant as 
compared to the alternatives currently available to them. We believe that surufatinib is currently the only approved targeted therapy that 
can address and treat all subtypes of NETs. 

Global development of surufatinib in NET: U.S. NDA and EU MAA under review 

The U.S. NDA and EU MAA are supported by data from two positive Phase III studies of surufatinib in patients with pancreatic 
and extra-pancreatic NET in China (SANET-p and SANET-ep both previously reported in The Lancet Oncology), and a surufatinib 
Phase Ib study conducted in U.S. NET patients (N=107 for safety and N=67 for efficacy). 

In June 2021, the U.S. FDA accepted our filing of the NDA for surufatinib for the treatment of pancreatic and extra-pancreatic 
(non-pancreatic) NETs.  Surufatinib received fast track designation in April 2020 for the treatment of pancreatic and extra-pancreatic 
NET.  Orphan Drug Designation for pancreatic NET was also granted in November 2019. In addition, we have initiated an expanded 
access program in the United States for compassionate use by patients with NET with limited therapeutic options.  Regulatory clearance 
of this program has been granted by the U.S. FDA and this program is open for site activation. 

U.S. FDA NDA review, as well as the clinical site inspections and pre-approval inspections of our manufacturing facilities, are 
ongoing. The PDUFA goal date for the FDA’s completion of review is April 30, 2022. Timing of completion of the NDA review is 
subject  to  FDA  scheduling  limitations  which  are  contingent  on  COVID–19  travel restrictions  and  security  requirements for foreign 
visitors. Remaining inspections must be completed before regulatory action can be taken. 

We have also submitted the EMA MAA for surufatinib, which was validated and accepted in July 2021, for the treatment of both 
pancreatic and non-pancreatic NET.  The 120-day assessment has been completed, and we are now entering the later stages of MAA 
review.  In addition, we initiated a registration-enabling bridging study in NET patients in Japan in September 2021. 

Phase Ib study of surufatinib monotherapy in heavily pretreated progressive NETs (Status: ongoing; NCT02549937) 

We are conducting a multi-center, open-label, Phase Ib clinical study to evaluate the safety, tolerability and pharmacokinetics of 
surufatinib in U.S. patients, which has established the U.S. recommended Phase II dose, or RP2D, to be 300 mg, the same as that in 
China.  At the 2021 ASCO annual meeting, preliminary data presented from the two NET cohorts in the ongoing U.S. Phase Ib trial for 
surufatinib demonstrated efficacy comparable to China data in heavily pretreated patients, including Afinitor and Sutent, with pancreatic 
or non-pancreatic NETs.  The safety profile was also consistent with the larger pool of surufatinib safety data. As of June 30, 2020, 16 
patients with pancreatic NET were treated for a median of 8.5 months (range 2-23) and 16 patients with non-pancreatic NET were 
treated for a median of 8 months (range of 2-15). All 32 patients have pretreated progressive NETs (median prior lines of treatment: 3; 
range 1-8). Confirmed response was observed in 18.8% of pancreatic, NET, and disease control was observed in 87.5% of patients. In 
the non-pancreatic NET cohort, confirmed response was observed in 6.3% of the patients and disease control was observed in 93.8% of 
patients. Median PFS was 11.5 months for patients in both cohorts (95% confidence interval: 6.5-17.5). 

93 

US Phase Ib: Encouraging Preliminary Efficacy in Afinitor and Sutent Refractory/Intolerant NET 

surufatinib
everolimus
sunitinib
Other Tx

8

12

10

24

3

3
2

X
15

3

11

2
3

2

5

7
8
36

18

7

8
24

12
4

10

12

8
15
6
6
3

4
7
8

11
9
18

X

X

2
2
1
3
2
6

6

X
X
X
6
14

2
3
1

36

12

24

32

12

3

22

5

12

36

-48

-36

-24

-12

0

24
22

12

12

6

24

PR

uPR

X
X
X

(n=3)

(n=1)

Treatment ongoing (n=5)

Rx stop – AE (n=1)

Rx stop – PD (n=7)

Rx stop – Other (n=3)

PR

uPR
X

4
12

6
18
6

X

4

13

12
12

PR
X

PR

12

3
24

48

8

X

8

X

36

48

60

72

84

Months since treatment of 
everolimus (AFINITOR®) or sunitinib (SUTENT®)

Notes:  Data cut-off as of April 21, 2020. PR = partial response; AE = adverse event; PD = progressive disease; Rx = treatment; Tx = 

treatment; and n = number of patients. 

Source:  Dasari, et al. Efficacy and safety of surufatinib in United States (US) patients (pts) with neuroendocrine tumors (NETs).  Journal 

of Clinical Oncology 2020 38:15_suppl, 4610-4610. 

Bridging study of surufatinib monotherapy in heavily pretreated progressive NETs (Status: ongoing; NCT05077384) 

In September 2021, we initiated a Japan registration-enabling bridging study for surufatinib to support the registration of surufatinib 
in the treatment of patients with advanced NETs. Based on dialogue with the PMDA, it was agreed that the surufatinib Japanese NDA 
for the treatment of advanced NETs include results from a pivotal study to be conducted in Japan, to complement the registration data 
package supporting the NDA to the U.S. FDA and the MAA to the EMA. 

This Japan study is a two-stage, open label study of surufatinib where approximately 34 patients are expected to be recruited. In 
part 1 of the study, the safety and tolerability of surufatinib 300mg once daily after 28 days of treatment will be assessed in patients with 
relapsed/refractory non-hematological malignancies; pharmacokinetics and anti-tumor activity of surufatinib are secondary endpoints. 
In Part 2 of the study, efficacy will be assessed in patients with locally advanced or metastatic NETs; the primary outcome measure is 
ORR. The secondary outcome measures include DCR, PFS, DoR, safety, and pharmacokinetics. 

94 

 
 
 
Biliary Tract Cancer 

BTC (also known as cholangiocarcinoma) is a heterogeneous group of rare malignancies arising from the biliary tract epithelia. 
Gemzar, a type of chemotherapy, is the currently approved first-line therapy for BTC patients, with median survival of less than 12 
months for patients with unresectable or metastatic disease at diagnosis. As a result, this is an unmet medical need for patients who have 
progressed on chemotherapy. There is currently no standard of care for these patients. Surufatinib may offer a new targeted treatment 
option in this tumor type. The table below shows a summary of the clinical studies that we have conducted for surufatinib in BTC 
patients. Based on the emerging data from our Phase II cohort of the surufatinib combination plus Tuoyi in BTC, we are now prioritizing 
the combination over surufatinib monotherapy for further development. 

Clinical Trials of Surufatinib in BTC 

Treatment 
Surufatinib monotherapy 

HUTCHMED 

Sponsors/Partners 

    Name, Line, Patient Focus  

BTC 

BTC

Sites 
China 

Phase 
Ib/IIa 

Status/Plan 

  Completed; data 
presented at 
ASCO 2021 

NCT # 
NCT02966821

China

IIb

  Completed 

NCT03873532

Surufatinib monotherapy 

  HUTCHMED 

Notes:   Chemotherapy refractory = resistant to prior chemotherapy treatment; and BTC = biliary tract cancer. 

Phase Ib/IIa surufatinib monotherapy in chemotherapy refractory BTC – China (Status: completed; NCT02966821) 

In early 2017, we began a Phase Ib/IIa proof-of-concept study in patients with BTC.  Preliminary efficacy led us to begin the Phase 

II/III study discussed below. 

At the 2021 ASCO annual meeting, results of this study were disclosed. Surufatinib demonstrated moderate efficacy and favorable 
tolerability profile. After 16 weeks of treatment, 46% of the patients did not experience progression of their disease. Median PFS was 
3.7 months and median OS was 6.9 months. The most common Grade 3 or higher treatment-related adverse events were blood bilirubin 
increase (21%), hypertension (18%), and proteinuria (13%). 

Phase IIb study of surufatinib monotherapy in second line BTC – China (Status: completed; NCT03873532) 

In March 2019, based on preliminary Phase Ib/IIa data, we initiated a registration-intent Phase IIb/III study comparing surufatinib 
with capecitabine in patients with unresectable or metastatic BTC.  Enrollment for the Phase IIb portion (80 patients) of this study was 
completed in late 2020. 

Surufatinib Combinations with Checkpoint Inhibitors 

Surufatinib’s ability to inhibit angiogenesis, block the accumulation of tumor associated macrophages and promote infiltration of 

effector T cells into tumors, could help improve the anti-tumor activity of PD-1 antibodies.  

The table below shows a summary of the clinical trials that we have underway or in planning for surufatinib in combination with 

checkpoint inhibitors. 

95 

 
Clinical Trials of Surufatinib with Checkpoint Inhibitors 

Treatment 
Surufatinib and Tuoyi (PD-1) 
Surufatinib and Tuoyi (PD-1) 

Sponsors/Partners 

Name, Line, Patient Focus 

Sites 

HUTCHMED and Junshi 
HUTCHMED and Junshi 

SURTORI-01: neuroendocrine carcinoma China
China 
Neuroendocrine neoplasms  

Phase 
III 
II 

Surufatinib and Tuoyi (PD-1) 
Surufatinib and Tuoyi (PD-1) 

HUTCHMED and Junshi 
HUTCHMED and Junshi 

BTC
Gastric cancer 

Surufatinib and Tuoyi (PD-1) 
Surufatinib and Tuoyi (PD-1) 

HUTCHMED and Junshi 
HUTCHMED and Junshi 

Thyroid cancer
Small cell lung cancer  

Surufatinib and Tuoyi (PD-1) 
Surufatinib and Tuoyi (PD-1) 
Surufatinib and Tuoyi (PD-1) 

HUTCHMED and Junshi 
HUTCHMED and Junshi 
HUTCHMED and Junshi 

Soft tissue sarcoma
Endometrial cancer
Esophageal cancer 

China
China 

China
China 

China
China
China 

II 
II 

II 
II 

II 
II 
II 

Surufatinib and Tuoyi (PD-1) 
Surufatinib and tislelizumab (PD-1) 

HUTCHMED and Junshi 
HUTCHMED and BeiGene 

NSCLC
Solid tumors

China
U.S./ Europe 

II 
Ib/II 

Status/Plan 

Ongoing
Ongoing; data 
presented at 
ASCO 2021 and 
ESMO IO 2021.
Ongoing
Ongoing; data 
presented at 
ASCO 2021 and 
updated at ESMO 
IO 2021
Ongoing
Ongoing; data 
presented at 
ESMO IO 2021
Ongoing
Ongoing
Ongoing; data 
presented at 
ESMO IO 2021.
Ongoing
Ongoing

NCT # 
NCT05015621
NCT04169672

NCT04169672
NCT04169672

NCT04169672
NCT04169672

NCT04169672
NCT04169672
NCT04169672

NCT04169672
NCT04579757

In late 2018, we entered into a global collaboration with Junshi to evaluate the combination of surufatinib with Tuoyi.  We completed 
a Phase I dose-finding study and presented the data at the AACR Conference in April 2020.  The data showed that surufatinib plus Tuoyi 
were well tolerated with no unexpected safety signals observed.  At the recommend Phase 2 dose, a DCR of 100% and ORR of 63.6% 
were reported for 11 efficacy evaluable patients, with 2 unconfirmed partial responses.  Surufatinib plus Tuoyi showed encouraging 
antitumor activity in patients with advanced solid tumors.  A Phase II China study is enrolling approximately 260 patients in nine solid 
tumor indications, including NENs, BTC, gastric cancer, thyroid cancer, small cell lung cancer, soft tissue sarcoma, endometrial cancer, 
esophageal cancer and NSCLC.  In 2021, we presented encouraging preliminary data on several of these surufatinib-Tuoyi combination 
cohorts at CSCO and ESMO IO. These have led to the initiation of the first Phase III trial combining surufatinib with a PD-1 antibody, 
the SURTORI-01 study in NEC, and we are currently considering further registration studies in gastric cancer, small cell lung cancer 
and esophageal cancer. 

NEC (subset of NENs) cohort – At the 2021 CSCO annual meeting, we presented data, with a cutoff date of July 30, 2021 for all 
21 enrolled NEC patients that were efficacy evaluable.  Average duration of treatment was 4.9 months (range 1-19) and median OS was 
10.3 months (95% CI: 9.1-not reached). The median PFS was 4.14 months (95% CI: 1.5-5.5) and median DoR was 4.1 months (95% 
CI:  3.0-not  reached).  The  confirmed  ORR  was  23.8%  (95%  CI:  8.2-47.2)  and  DCR  was  71.4%  (95%  CI:  47.8-88.7).    All  patients 
experienced treatment-related adverse events, including 9 (42.9%) who experienced grade 3 or above treatment-related adverse events. 
1 (4.8%) patient reported treatment-related serious adverse events. Hyperglycemia (3 patients, 14.3%), hypertension (2 patients, 9.5%) 
and hypertriglyceridemia (2 patients, 9.5%) were the most commonly (more than one patient) reported grade 3 or above treatment-
related adverse events. No treatment-related adverse events led to treatment discontinuation or treatment-related deaths. 

In September 2021, we initiated a Phase III study to evaluate the combination compared with Folfiri to treat patients with advanced 
NEC who have progression of disease or intolerable toxicity after previous first-line chemotherapy. It is a randomized, controlled, open-
label, multi-center study where approximately 200 patients are expected to be enrolled. For the study group, all patients will receive 
study treatment in a 21-day cycle. The primary outcome measure is OS. We are the sponsor and responsible for the study’s execution. 
We and Junshi Biosciences are jointly funding the study. 

At the 2021 ASCO annual meeting, encouraging preliminary data were disclosed for the surufatinib and Tuoyi combination in the 
NEC and GC cohorts. For the 20 patients in the NEC cohort who received an average of 5 cycles of treatments and are efficacy evaluable, 
ORR was 20% while DCR was 70%. Median PFS was 3.9 months (95% confidence interval: 1.3-NR). Grade 3 or higher treatment-
related adverse events occurred in 33% of patients. Median duration of treatment for the GC cohort was 3 months, with 15 patients 
efficacy evaluable at the time of the analysis. For these 15 patients, confirmed ORR was 13% and an additional 20% of patients had 
unconfirmed OR. DCR was 73% and median PFS was 3.7 months (95% confidence interval: 1.4-NR). Grade 3 or higher treatment-
related adverse events occurred in 14% of patients.  

96 

 
In 2022, we plan to initiate SURTORI-02, a Phase III study of surufatinib in combination with Tuoyi in esophageal cancer in China. 
We also plan to submit further Phase II data for presentation from the surufatinib and Tuoyi combination for biliary tract, esophageal, 
small cell lung cancers and sarcoma cohorts in 2022.  

In addition, in May 2020, we entered into a global clinical collaboration agreement to evaluate the safety, tolerability and efficacy 
of combining surufatinib with BeiGene’s anti-PD-1 antibody, tislelizumab, for the treatment of various solid tumor cancers in the United 
States, Europe, China and Australia.  In March 2021, we dosed the first patient in an open-label, Phase Ib/II study of surufatinib in 
combination with tislelizumab in the United States and Europe,  evaluating the safety, tolerability, pharmacokinetics and efficacy in 
patients with advanced solid tumors, including CRC, NET, small cell lung cancer, gastric cancer and soft tissue sarcoma.  The dose 
finding phase of the study is now complete, and the expansion phase is ongoing.  

Surufatinib Exploratory Development 

In China, we support an investigator initiated trial, or IIT, program for surufatinib, with about 50 IITs in various solid tumor settings 
being  conducted  for  both  combination  and  single  agent  regimens.    These  trials  explore  and  answer  important  medical  questions  in 
addition to our own company-sponsored clinical trials. 

Overview of Sulanda Commercial Launch 

Surufatinib capsules, sold under the brand name Sulanda, were approved for marketing in China by the NMPA in December 2020 
and June 2021 for the treatment of advanced non-pancreatic NETs and pancreatic NETs, respectively. In 2021, Sulanda was sold as a 
self-pay drug whereby patients paid for treatment out-of-pocket. We used means-test early access and patient access programs to help 
patients afford Sulanda, and we estimate that approximately 4,800 new patients were treated. Following negotiations with the China 
National Healthcare Security Administration, Sulanda was included on China’s NRDL at a 52% discount on our main 50mg dosage 
form, relative to the 2021 self-pay price, for two years starting on January 1, 2022. 

During 2021, we introduced Sulanda through a campaign of local, regional and national launch events involving approximately 
12,000  healthcare  professionals.    We  have  also  confirmed  a  total  of  around  50  investigator-initiated  studies  in  a  broad  range  of 
exploratory solid tumor indications all of which are expected to gradually expand awareness of Sulanda in China. 

3.    Fruquintinib (HMPL-013), VEGFR 1, 2 and 3 Inhibitor 

Fruquintinib is a VEGFR inhibitor that we believe is highly differentiated due to its superior kinase selectivity compared to other 
small molecule VEGFR inhibitors, which can be prone to excessive off-target toxicities.  Fruquintinib’s selectivity on VEGFR 1, 2 and 
3 results in fewer off-target toxicities, thereby allowing for better target coverage, as well as possible use in combination with other 
agents such as chemotherapies, targeted therapies and immunotherapies. 

We believe these are meaningful points of differentiation compared to other approved small molecule VEGFR inhibitors such as 
Sutent, Nexavar and Stivarga, and can potentially significantly expand the use and market potential of fruquintinib.  Consequently, we 
believe that fruquintinib has the potential to become a global small molecule VEGFR inhibitor with the best selectivity for many types 
of solid tumors. 

We received full approval for launch of fruquintinib (under the brand name Elunate) in CRC in September 2018.  In partnership 
with Eli Lilly, we launched fruquintinib in China in late November 2018.  Elunate is indicated for the treatment of patients with mCRC 
that have been previously treated with fluoropyrimidine, oxaliplatin and irinotecan, including those who have previously received anti-
VEGF, therapy and/or anti-EGFR therapy (Ras wild type).  We manufacture all commercial supplies of Elunate in our factory in Suzhou 
and have expanded our role in the commercialization of Elunate since October 1, 2020.  For more information regarding the Elunate 
product launch, see “—Overview of Elunate Commercial Launch.” 

97 

Mechanism of Action 

During the development of cancer, tumors at an advanced stage can secrete large amounts of VEGF, a protein ligand, to stimulate 
formation of excessive vasculature (angiogenesis) around the tumor in order to provide greater blood flow, oxygen, and nutrients to fuel 
the rapid growth of the tumor.  Since essentially all solid tumors require angiogenesis to progress beyond a few millimeters in diameter, 
VEGFR drugs have demonstrated benefits in a wide variety of tumor types.  VEGF and other ligands can bind to three VEGF receptors, 
VEGFR 1, 2 and 3, each of which has been shown to play a role in angiogenesis.  Therefore, inhibition of the VEGF/VEGFR signaling 
pathway can act to stop the growth of the vasculature around the tumor and thereby starve the tumor of the nutrients and oxygen it needs 
to grow rapidly. 

This therapeutic strategy has been well validated with several first-generation VEGF inhibitors having been approved globally since 
2005 and 2006.  These include both small molecule multi-kinase inhibitor drugs such as Nexavar and Sutent as well as monoclonal 
antibodies such as Avastin.  The success of these drugs validated VEGFR inhibition as a new class of therapy for the treatment of cancer. 

Fruquintinib Pre-clinical Evidence 

Pre-clinical trials have demonstrated that fruquintinib is a highly selective VEGFR 1, 2 and 3 inhibitor with high potency and low 
cell toxicity at the enzymatic and cellular levels.  In a kinase selectivity screening, fruquintinib was found to be approximately 250 times 
more selective to VEGFR 3 than to the next non-VEGFR kinase. 

As a result of off-target side effects, existing VEGFR inhibitors are often unable to be dosed high enough to completely inhibit 
VEGFR, the intended target.  In addition, the complex off-target toxicities resulting from inhibition of multiple signaling pathways are 
often difficult to manage in clinical practice.  Combining such drugs with chemotherapy can lead to severe toxicities that can cause more 
harm than benefit to patients.  To date, the first generation VEGFR TKI have been rarely used in combination with other therapies, 
thereby limiting their potential.  Because of the potency and selectivity of fruquintinib, we believe that it has the potential to be safely 
combined with other oncology drugs, which could significantly expand its clinical potential. 

Fruquintinib Clinical Trials 

Colorectal Cancer 

The table below shows a summary of the clinical trials we have recently completed, are underway or are in planning for fruquintinib 
in  CRC  patients.  We  have  two  additional  trials  in  progress  for  fruquintinib  in  CRC  in  combination  with  a  checkpoint  inhibitor  as 
discussed in more detail below under “— Fruquintinib Combinations with Checkpoint Inhibitors.” 

Current Clinical Trials of Fruquintinib in CRC 

Treatment 
Fruquintinib monotherapy  HUTCHMED and Eli Lilly    FRESCO: �3L CRC; 

    Name, Line, Patient Focus    

Sponsors/Partners 

Sites 

China 

Fruquintinib monotherapy (1) HUTCHMED 

Fruquintinib monotherapy  HUTCHMED 

chemotherapy refractory
FRESCO-2:  mCRC  

CRC, TN & 
HR+/HER2- breast 
cancer

U.S./Europe/
Japan/Australia
U.S.

    Phase     

Status/Plan 
III     Approved and 
 launched 
III     Fully enrolled 

NCT # 
NCT02314819

NCT04322539

Ib     Ongoing 

NCT03251378

Notes:   (1) 

The FDA granted fast track designation for the development of fruquintinib for the treatment of patients with mCRC 

in June 2020. 

CRC = colorectal cancer; ≥3L= third line or above; refractory = resistant to prior treatment ; TN = triple-negative; HR+ = 
hormone receptor-positive; and HER2 = human epidermal growth factor receptor 2. 

98 

 
FRESCO  study;  Phase  III  study  of  fruquintinib  monotherapy  in  third-line  CRC  (Status:  completed  and  product  launched; 
NCT02314819) 

In 2014, we initiated the FRESCO study, which is a randomized, double-blind, placebo-controlled, multi-center, Phase III pivotal 
trial in China in patients with locally advanced or mCRC who had failed at least two prior systemic antineoplastic therapies, including 
fluoropyrimidine, Eloxatin and Camptosar. No drugs had been approved in third-line CRC in China with best supportive care being the 
general standard of care. This study followed a Phase II proof-of-concept trial in third-line CRC that met its primary endpoint of PFS in 
2014. 

Enrollment  was  completed  in  May  2016,  and  519  patients  were  screened.  The  intent-to-treat  population  of  416  patients  was 
randomized at a 2:1 ratio to receive either: 5 mg of fruquintinib orally once daily, on a three-weeks-on/one-week-off cycle, plus best 
supportive care (278 patients) or placebo plus best supportive care (138 patients). Randomization was stratified for prior anti-VEGF 
therapy and K-RAS gene status. The trial concluded in January 2017. 

In June 2017, we presented the results of the FRESCO study in an oral presentation at the ASCO annual meeting. Results showed 
that FRESCO met all primary and secondary endpoints including significant improvements in OS and PFS with a manageable safety 
profile and lower off-target toxicities compared to other targeted therapies. The primary endpoint of median OS was 9.30 months (95% 
confidence interval: 8.18-10.45 months) in the fruquintinib group versus 6.57 months (95% confidence interval: 5.88-8.11 months) in 
the placebo group, with a hazard ratio of 0.65 (95% confidence interval: 0.51-0.83; two-sided p<0.001). The secondary endpoint of 
median  PFS  was  3.71  months  (95%  confidence  interval:  3.65-4.63  months)  in  the  fruquintinib  group  versus  1.84  months  (95% 
confidence interval: 1.81-1.84 months) in the placebo group, with a hazard ratio of 0.26 (95% confidence interval: 0.21-0.34; two-sided 
p<0.001). Significant benefits were also seen in other secondary endpoints. The disease control rate in the fruquintinib group was 62% 
versus 12% for placebo (p<0.001), while the ORR based on confirmed responses was 5% versus 0% for placebo (p=0.012). 

99 

We have not performed a head-to-head clinical trial of fruquintinib versus Stivarga. While it is difficult to directly evaluate and 
compare clinical results across separate trials, data from the FRESCO study compare favorably to the data from the CONCUR study, a 
Phase III study of Stivarga monotherapy in CRC conducted in Asia, and the CORRECT study, a global Phase III study of Stivarga in 
CRC.  In particular, in the Chinese patient subgroup of the CONCUR study, Stivarga had a disease control rate of 46% versus 7% in the 
placebo group.  Median PFS was 2.0 months in the Stivarga group versus 1.7 months in the placebo group, and median OS was 8.4 
months in the Stivarga group versus 6.2 months in the placebo group.  In the CORRECT study, Stivarga had a disease control rate of 
41% versus 15% in the placebo group.  Median PFS was 1.9 months in the Stivarga group versus 1.7 months for the placebo group, and 
median OS was 6.4 months in the Stivarga group versus 5.0 months in the placebo group. 

In terms of safety, results showed that fruquintinib had a manageable safety profile with lower off-target toxicities compared to 
Stivarga, the other VEGFR TKI approved for third-line CRC. Of particular interest was that the CTC grade 3 or above hepatotoxicity 
was similar for the fruquintinib group as compared to the placebo group, which was in contrast to Stivarga which was markedly higher 
and often difficult to manage in the Chinese patient population in the CONCUR study. Adverse events led to dose interruptions in 69% 
of patients in the Chinese patient subgroup of the CONCUR study, compared to 35% in the FRESCO study. The most frequently reported 
fruquintinib-related CTC grade 3 or above TEAEs included hypertension (21%), hand-foot skin reaction (11%), proteinuria (3%) and 
diarrhea (3%), all possibly associated with VEGFR inhibition. No other CTC grade 3 or above TEAEs exceeded 2% in the fruquintinib 
population, including hepatic function adverse events such as elevations in bilirubin (1%), alanine aminotransferase (<1%) or aspartate 
aminotransferase (<1%). 

In  terms  of  tolerability,  dose  interruptions  or  reductions  occurred  in  only  35%  and  24%  of  patients  in  the  fruquintinib  arm, 
respectively, and only 15% of patients discontinued treatment of fruquintinib due to adverse events versus 6% for placebo. The FRESCO 
study was published in the Journal of the American Medical Association in June 2018. 

Subgroup analysis 

In June 2018, a further subgroup analysis of data from the FRESCO Phase III study was presented at the ASCO annual meeting. 
This analysis explored possible effects of prior target therapy on the efficacy and safety of fruquintinib by analyzing the subgroups of 
patients with prior target therapy and those without prior target therapy. 

Results showed that the benefits of fruquintinib were generally consistent across all subgroups.  Among a total of 278 fruquintinib-
treated patients, 111 had received prior target therapy while 55 of the 138 placebo-treated patients had received prior target therapy.  In 
the prior target therapy subgroup, fruquintinib significantly prolonged OS and PFS.  Median OS was 7.69 months for patients treated 
with fruquintinib versus 5.98 months for placebo (hazard ratio = 0.63; p = 0.012).  Median PFS was 3.65 months for patients treated 
with fruquintinib versus 1.84 months for placebo (hazard ratio = 0.24; p < 0.001). 

Among these 278 patients, the results showed that a subgroup of 84 patients who had received prior anti-VEGF treatment also 
benefited from fruquintinib.  In this subgroup, the median OS was 7.20 months for fruquintinib versus 5.91 months for placebo (hazard 
ratio = 0.68; p=0.066) and the median PFS was 3.48 months for fruquintinib versus 1.84 months for placebo (hazard ratio = 0.24; p < 
0.001). 

In the subgroup of 250 patients without prior targeted therapies, the median OS was 10.35 months for 167 patients treated with 
fruquintinib versus 6.93 months for 83 patients treated with placebo (hazard ratio = 0.63; p = 0.003), and the median PFS for patients 
treated with fruquintinib was 3.81 months versus 1.84 months for placebo (hazard ratio = 0.28; p < 0.001). 

Additional data showed that there were no observed cumulative CTC grade 3 or above TEAEs in the subgroup of patients with 
prior target therapy.  The CTC grade 3 or above TEAEs rates of fruquintinib were similar in the subgroups with prior target therapy 
(61.3%) and without prior target therapy (61.1%).  This subgroup analysis is consistent with the previously reported results from the 
FRESCO study’s intent-to-treat population. 

The results of this analysis showed that fruquintinib had clinically meaningful benefits in third-line mCRC patients regardless of 

prior target therapy without observed cumulative toxicity. 

100 

Quality-adjusted survival analysis 

At the 2018 ASCO Annual Meeting, an analysis was presented that aimed to compare the quality-adjusted survival between the 
two arms of the FRESCO study using quality-adjusted time without symptoms or toxicity, or Q-TWiST, methodology and to investigate 
the Q-TWiST benefit of fruquintinib treatment among subgroups. Q-TWiST is a tool to evaluate relative clinical benefit-risk from a 
patient’s perspective and has been widely used in oncology treatment assessment. The survival time for each patient was divided into 
three portions: time with CTC grade 3 or above toxicity before progression, time without symptoms or CTC grade 3 or above toxicity, 
and time from progression or relapse until death or end of follow-up. 

Patients treated with fruquintinib had longer Q-TWiST periods compared to patients treated with placebo. Q-TWiST benefits were 
observed regardless of prior lines of chemotherapy and prior anti-VEGF or anti-EGFR targeted therapy. The relative improvement of 
Q-TWiST with fruquintinib represents a clinically important quality-of-life benefit for mCRC patients. 

Supported by data  from  the successful  FRESCO  study, we  submitted  an  NDA  for fruquintinib  in  June 2017. Fruquintinib was 
subsequently awarded priority review status by the NMPA in view of its clinical value in September 2017, and in September 2018, the 
NMPA  approved  fruquintinib  for  the  treatment  of  patients  with  advanced  CRC  and  was  launched  in  November  2018.  For  more 
information regarding the Elunate product launch, see “—Overview of Elunate Commercial Launch.” 

Phase III study of fruquintinib monotherapy in mCRC – Global (Status: enrollment completed; NCT04322539) 

We initiated a global Phase III registration study, known as the FRESCO-2 study, in refractory metastatic CRC. The first patient 
was dosed in September 2020 in the United States and the enrollment was completed in December 2021, where 691 patients from over 
150 sites in 14 countries were enrolled. 

The U.S. FDA has acknowledged the totality of the fruquintinib clinical data, including the FRESCO-2 study (if positive), the prior 
positive Phase III FRESCO study demonstrating improvement in OS that led to fruquintinib approval for metastatic CRC in China in 
2018, and additional completed and ongoing supporting studies in metastatic CRC, could potentially support an NDA for the treatment 
of patients with metastatic CRC in the third-line setting. The EMA and PMDA have reviewed and endorsed the FRESCO-2 study design. 
The primary endpoint of the study is OS.  

We expect to report outcome of this study in the second half of 2022 when the event-driven primary endpoint, OS, is reached. If 
positive, we plan to initiate a simultaneous submission program to apply for fruquintinib marketing authorization with the U.S. FDA, 
the EMA and the PMDA. 

Phase Ib study of fruquintinib monotherapy in metastatic colorectal and breast cancers – U.S. (Status: ongoing; NCT03251378) 

We are conducting a multi-center, open-label, Phase Ib clinical study to evaluate the safety, tolerability and pharmacokinetics of 
fruquintinib in U.S. patients, which has established the U.S. RP2D to be 5 mg, the same as that in China.  This dose is being further 
evaluated in patients with mCRC and breast cancers. 

Preliminary  efficacy  and  safety  data  of  fruquintinib  in  patients  with  refractory,  metastatic  CRC  were  presented  at  the  ASCO 
Gastrointestinal Cancers Symposium in early 2022. In patients who had progressed on all standard therapies, including Lonsurf and/or 
Stivarga, the DCR was 68.3% and the median duration of treatment was 19.3 weeks.  In patients who had not received Lonsurf or 
Stivarga, the DCR was 57.5% and the median duration of treatment was 14.1 weeks.  The safety profile in both patient populations was 
consistent with what has previously been reported. 

Gastric Cancer 

Advanced gastric cancer is a major medical need, particularly in Asian populations, with limited treatment options for patients who 
have failed first-line standard chemotherapy with 5-fluorouracil and platinum doublets.  The table below shows a summary of the clinical 
study we have underway for fruquintinib in gastric cancer patients. 

101 

Clinical Trials of Fruquintinib in Gastric Cancer 

Treatment 
Fruquintinib and Taxol 

Sponsors/Partners 
HUTCHMED and Eli Lilly 

    Name, Line, Patient Focus     Sites 
China 

FRUTIGA: 2L gastric 
cancer 

Phase
III 

Status/Plan 

Ongoing; completed 
second interim 
analysis 

NCT # 
NCT03223376

Notes:    2L = second line. 

FRUTIGA study: Phase III study of fruquintinib in combination with Taxol in gastric cancer (second-line) (Status: Completed second 
interim analysis; NCT03223376) 

In October 2017, we initiated the FRUTIGA study, a pivotal Phase III clinical trial of fruquintinib in combination with Taxol for 
the  treatment  in  advanced  gastric  or  gastroesophageal  junction  adenocarcinoma  patients  in  China.  This  randomized,  double-blind, 
placebo-controlled, multi-center trial is being conducted in patients with advanced gastric cancer who have progressed after first-line 
standard chemotherapy. All subjects will receive fruquintinib or placebo combined with paclitaxel. Patients will be randomized at a 1:1 
ratio and stratified according to factors such as stomach versus gastroesophageal junction tumors and ECOG performance status, a scale 
established  by  the  Eastern  Cooperative  Oncology  Group  which  determines  ability  of  patient  to  tolerate  therapies  in  serious  illness, 
specifically for chemotherapy. The study is expected to enroll approximately 700 patients. Its co-primary endpoints are PFS and OS. 

In June 2020, the IDMC of the FRUTIGA study completed a second planned interim data review and, based on the preset criteria, 
the IDMC and Joint Steering Committees recommended that the trial continue with a sample size increase to ~700 patients. We expect 
to complete enrollment of FRUTIGA in 2022. 

Fruquintinib Combinations with Checkpoint Inhibitors 

The  table  below  shows  a  summary of  the clinical  trials  we have  ongoing  and  in planning for  fruquintinib  in  combination with 

checkpoint inhibitors. 

Treatment 
Fruquintinib and  
Tyvyt (PD- 

1) 

Fruquintinib and  
Tyvyt (PD-1) 

Fruquintinib and  
Tyvyt (PD- 

1) 

Fruquintinib and 
Tyvyt (PD-1) 

1) 

Fruquintinib and  
Tyvyt (PD- 
Fruquintinib and 
tislelizumab (PD-1) 
Fruquintinib and 
tislelizumab (PD-1) 

Clinical Trials of Fruquintinib with Checkpoint Inhibitors 

Sponsors/Partners 

     Name, Line, Patient Focus  

Sites 

Phase 

Chinese PLA General 
Hospital and Innovent 

CRC 

China 

II  

HUTCHMED and Innovent  Hepatocellular carcinoma   China 

Ib/II 

HUTCHMED and Innovent  Endometrial cancer 

China 

HUTCHMED and Innovent  RCC 

China 

Ib/II 

    Status/Plan    
Ongoing; 
data 
presented 
at ASCO 
2021
Ongoing; 
data 
presented 
at CSCO 
2021
Ongoing; 
Ib data 
presented 
at CSCO 
2021
Ongoing; 
data at 
CSCO 
2021
Ongoing 

NCT # 
NCT04179084

NCT03903705

NCT03903705

NCT03903705

NCT03903705

II 
registration-
intent 

Ib/II 

Ib/II 

U.S. 

Ongoing 

NCT04577963

Korea / China  Ib/II 

Ongoing 

NCT04716634

HUTCHMED and Innovent  Gastrointestinal tumors 

China 

HUTCHMED and BeiGene 

BeiGene and HUTCHMED 

TN breast cancer & 
endometrial cancer
Solid tumors 

102 

 
 
Notes:    CRC = colorectal cancer; NSCLC = non-small cell lung cancer. 

In November 2018, we entered into two collaboration agreements to evaluate the safety, tolerability and efficacy of fruquintinib in 
combination with checkpoint inhibitors.  These include a global collaboration with Innovent to evaluate the combination of fruquintinib 
with  Innovent’s  Tyvyt,  a  PD-1  monoclonal  antibody  approved  in  China,  and  a  collaboration  in  China  with  Genor  to  evaluate  the 
fruquintinib  combination  with  geptanolimab,  a  PD-1  monoclonal  antibody  being  developed  by  Genor.    We  are  now  approaching 
completion of the Phase I dose-finding study in China of fruquintinib in combination with Tyvyt, with the Phase I dose-expansion study 
already underway in five solid tumor indications.  Phase Ib studies of fruquintinib in combination with geptanolimab in second-line 
CRC and NSCLC are ongoing. In 2022, we plan to initiate Phase III studies of fruquintnib plus Tyvyt combination in HCC, RCC and 
endometrial cancer in China. 

Advanced endometrial cancer registration-intent cohort  

Platinum-based systemic chemotherapy is the standard first-line treatment for advanced endometrial cancer. However, patients who 
progress following first-line chemotherapy have limited treatment options, and the prognosis remains poor. As disclosed at CSCO 2021, 
as of the data cutoff date of August 31, 2021, 35 patients were enrolled (NCT03903705), including 7 treatment-naïve and 28 pretreated 
patients. Of them, 29 were efficacy evaluable, 4 were treatment-naïve and 25 were pretreated. All 4 treatment-naïve patients experienced 
confirmed tumor response, for ORR of 100% (95% CI: 39.8-100.0), and median PFS was not reached. Among the 25 pretreated patients, 
the confirmed ORR was 32.0% (95% CI: 14.9-53.5), DCR was 92.0% (95% CI: 74.0-99.0) and the median PFS was 6.9 months (95% 
CI: 4.1-NR). Among the 19 proficient mismatch repair (pMMR) patients in the pretreated cohort, the confirmed ORR was 36.8% (95% 
CI: 16.3-61.6), DCR was 94.7% (95% CI: 74.0-99.9), median PFS was 6.9 months (95% CI: 4.1-NR), and the median OS was not 
reached. Among the 35 enrolled patients, treatment-related adverse events of grade 3 or above that occurred in more than 10% of patients 
were hypertension (4 patients, 11.4%) and proteinuria (4 patients, 11.4%). 5 (14.3%) patients reported treatment-related serious adverse 
events.  

Following discussion with the NMPA in late 2021, the cohort is now targeting to enroll over 130 patients to meet the requirements 

to be a single-arm, registration-intent Phase II study. 

CRC registration strategy for mCRC under discussion  

Encouraging  preliminary  data  presented  at  ASCO  2021  for  fruquintinib  in  combination  with  two  PD-1  inhibitors,  Tyvyt  and 
geptanolimab, in advanced CRC showed a five-fold increase in ORR and a doubling of median PFS as compared to the FRESCO study 
for fruquintinib as a monotherapy. 

In the Tyvyt combination study (NCT04179084), 44 patients were enrolled into the CRC cohort, 22 of whom received the RP2D. 
ORR was 23% for all patients and 27% for those who received the RP2D. DCR was 86% for all patients and 96% for those who received 
the RP2D. Median PFS was 5.6 months for all patients, and 6.9 months for those who received the RP2D. Median OS was 11.8 months 
for all patients.  

In the geptanolimab combination study (NCT03977090), for the 15 patients in the CRC cohort ORR was 26.7% (including 1 patient 
with unconfirmed PR) and 33% in the group that received the RP2D. DCR for all evaluable patients was 80% and median PFS was 7.3 
months (95% CI: 1.9-NR). Grade 3 treatment-related adverse events occurred in 47% of patients, and no incidences of grade 4 or 5 
treatment-related adverse events were observed.  

Tislelizumab combinations (NCT04577963 & NCT04716634) 

In August 2021, we initiated an open-label, multi-center, non-randomized Phase Ib/II study in the U.S. to assess fruquintinib in 
combination  with  tislelizumab  in  patients  with  locally  advanced  triple  negative  breast  cancer  or  advanced  endometrial  cancer.  In 
addition, a Phase II study in China and Korea for fruquintinib in combination with tislelizumab was initiated and is being led by BeiGene 
for the treatment of advanced or metastatic, unresectable gastric cancer, CRC or NSCLC. 

Fruquintinib Exploratory Development 

We are conducting multiple Phase Ib expansion cohorts in the United States to explore fruquintinib in CRC and breast cancer.  In 

China, there are about 40 ongoing investigator-initiated studies in various solid tumor settings. 

103 

Overview of Elunate Commercial Launch 

Fruquintinib capsules, sold under the brand name Elunate, were approved for marketing in China by the NMPA in September 2018 
and  commercially  launched  in  late  November  2018.  We  also  received  marketing  approval  for  Elunate  in  Macau  in  February  2022. 
Elunate is for the treatment of patients with mCRC that have been previously treated with fluoropyrimidine, oxaliplatin and irinotecan, 
including those who have previously received anti-VEGF therapy and/or anti-EGFR therapy (RAS wild type). 

Starting on January 1, 2020, Elunate was included on China’s NRDL at a 63% discount to its initial retail price for two years, paving 
the way to significantly broaden access for advanced CRC patients and rapidly build penetration in China over the coming years. The 
inclusion was renewed pursuant to which we agreed to a discount of 5% relative to the 2021 NRDL price, and Elunate will continue to 
be included in the NRDL starting January 2022 for another two years. 

The revenues we generate from Elunate are comprised of royalty revenue, revenue from the sales of Elunate to Eli Lilly which we 
manufacture and sell at cost and, starting in October 2020, revenue from promotion and marketing services.  In 2019, we generated 
$10.8 million in total revenue from Elunate, of which $2.7 million was royalty revenue and $8.1 million was revenue from sales to Eli 
Lilly.  In 2020, we generated $20.0 million in total revenue from Elunate, of which $4.9 million was royalty revenue, $11.3 million was 
revenue from sales of goods primarily to Eli Lilly and $3.8 million was revenue from promotion and marketing services to Eli Lilly. In 
2021, we generated $53.5 million in total revenue from Elunate, of which $10.3 million was royalty revenue, $15.8 million was revenue 
from sales of goods primarily to Eli Lilly and $27.4 million was revenue from promotion and marketing services to Eli Lilly. 

Partnership with Eli Lilly 

In  October  2013,  we  entered  into  a  license  and  collaboration  agreement  with  Eli  Lilly  in  order  to  accelerate  and  broaden  our 
fruquintinib development program in China. As a result, we were able to quickly expand the clinical development of fruquintinib into 
indications with unmet medical needs in China including CRC and gastric cancer, as discussed above. In December 2018, we amended 
our  license  and  collaboration  agreement  with  Eli  Lilly.  This  amendment  gives  us,  among  other  things,  all  planning,  execution  and 
decision making responsibilities for life cycle indication development of fruquintinib in China. Support from Eli Lilly has also helped 
us to establish our own manufacturing (formulation) facility in Suzhou, China, which now produces clinical and commercial supplies 
of fruquintinib. In July 2020, we reached an agreement with Eli Lilly to take over development and execution of all on-the-ground 
medical detailing, promotion and local and regional marketing activities for Elunate in China starting on October 1, 2020. Under the 
terms of the new agreement, we will share gross profits linked to sales target performance. Subject to meeting pre-agreed sales targets, 
Eli Lilly will pay us an estimated total of 70% to 80% of Elunate in-market sales in the form of royalties, manufacturing costs and 
service payments. 

For more information regarding our partnership with Eli Lilly, see “—Overview of Our Collaborations—Eli Lilly.” 

4.    Amdizalisib (HMPL-689), PI3Kδ Inhibitor 

Amdizalisib is a novel, highly selective oral inhibitor targeting the isoform PI3Kδ, a key component in the B-cell receptor signaling 
pathway.  Amdizalisib’s  pharmacokinetic  properties  have  been  found  to  be  favorable  with  good  oral  absorption,  moderate  tissue 
distribution and low clearance in pre-clinical studies. We also expect that amdizalisib will have low risk of drug accumulation and drug-
drug interactions. In 2021, registration-intent studies for amdizalisib were initiated and Breakthrough Therapy Designation was granted 
for relapse or refractory follicular lymphoma in China. 

Mechanism of Action 

Targeting the B-cell signaling pathway is emerging as a potential means to treat both hematological cancer and immunological 
diseases. Inhibiting different kinases found along the B-cell signaling pathway has proven to have clinical efficacy in hematological 
cancers, with breakthrough therapies having been recently approved by the FDA. 

The high efficacy and successful approvals of Bruton’s tyrosine kinase, or BTK, inhibitors and PI3Kδ inhibitors are evidence that 

modulation of the B-cell signaling pathway is critical for the effective treatment of B-cell malignancies. 

Class  I  phosphatidylinositide-3-kinases,  or PI3Ks,  are  lipid  kinases  that,  through  a  series  of  intermediate  processes, control  the 

activation of several important signaling proteins including the serine/threonine kinase AKT.   

104 

There are multiple sub-families of PI3K kinases, and PI3Kδ is a lipid kinase that, through a series of intermediate processes, controls 
the activation of several important signaling proteins, including the serine/threonine kinase B, or AKT.  In most cells, AKT is a key 
PI3Kδ affector that regulates cell proliferation, carbohydrate metabolism, cell motility and apoptosis and other cellular processes.  Upon 
an antigen binding to B-cell receptors, PI3Kδ can be activated through the Lyn and Syk signaling cascade. 

Aberrant  B-cell  function  has  been  observed  in  multiple  immunological  diseases  and  B-cell  mediated  malignancies.    Therefore, 
PI3Kδ is considered to be a promising target for drugs that aim to prevent or treat hematologic cancer, autoimmunity and transplant 
organ rejection and other related inflammation diseases. 

Amdizalisib Pre-clinical Evidence 

Compared to other PI3Kδ inhibitors, amdizalisib shows higher potency and selectivity. 

Enzyme Selectivity (IC50, in nM) of amdizalisib Versus Competing PI3Kδ Inhibitors; This Shows amdizalisib is Approximately Five-
fold More Potent than Zydelig on Whole Blood Level and, unlike Copiktra, does not Inhibit PI3K- 

Enzyme IC50 (nM) 
PI3Kδ 
PI3Kγ (fold vs. PI3Kδ) 
PI3Kα (fold vs. PI3Kδ) 
PI3Kδ human whole blood CD63+ 
PI3Kβ (fold vs. PI3Kδ) 

Source:  Company. 

Amdizalisib Clinical Development 

HMPL‑689 

Zydelig 

Copiktra 

Aliqopa 

0.8 (n = 3)
114 (142x)
>1,000 (>1,250x)
3
87 (109x)

1 
2 (2x)

2
104 (52x) 
866 (433x)    143 (143x)
14
293 (147x) 

   15 

8 (8x)

0.7
6.4 (9x)
0.5 (1x)
n/a
3.7 (5x)

The table below shows a summary of the clinical studies for amdizalisib. 

Clinical Trials of Amdizalisib 

Treatment 
Amdizalisib monotherapy  HUTCHMED 

    Sponsors/Partners    

Amdizalisib monotherapy  HUTCHMED 

Amdizalisib monotherapy  HUTCHMED 

Amdizalisib monotherapy  HUTCHMED 

Name, Line, Patient Focus 
Indolent non-Hodgkin's lymphoma 
PTCL 
Relapsed/refractory follicular 
lymphoma 

Relapsed/refractory marginal zone 
lymphoma 
Indolent non-Hodgkin's lymphoma 

Sites 

China 

China 

China 

U.S./
Europe

Phase 
Ib 

II registration-
intent 

II registration-
intent
I/Ib 

Status/Plan 
Ongoing; expansion data 
presented at ESMO 2021
Ongoing: initiated in April 
2021. Breakthrough 
Therapy Designation
Ongoing: initiated in April 
2021 
Dose expansion portion 
initiated in the second half 
of 2021 

NCT # 
NCT03128164

NCT04849351

NCT04849351

NCT03786926

Phase Ib study of amdizalisib in patients with Indolent non-Hodgkin’s lymphoma in China (Status: ongoing; NCT03128164) 

Our Phase I/Ib study of amdizalisib in China has successfully established a Phase II dose and has now expanded into multiple sub-

categories of indolent non-Hodgkin’s lymphoma. 

In December 2020, we presented preliminary results from a Phase I dose escalation study of amdizalisib in Chinese patients with 
relapsed/refractory lymphoma at the American Society of Hematology (ASH) Annual Meeting.  A total of 56 patients were enrolled 
resulting in an ORR of 51.9% (27/52) and complete response rate of 11.5% (6/52) in efficacy evaluable patients.  The median time to 
response  and  duration  of  response  were  1.8  months  (1.8-1.9)  and  9.2  months  (3.9-NR),  respectively.    One  patient  with  follicular 
lymphoma who achieved complete response (per post hoc independent radiologic review) was on treatment for over 19 months.  In the 
nine efficacy evaluable patients treated with the RP2D of 30mg QD orally, efficacy was encouraging with an ORR of 100% (4/4) in 
follicular lymphoma, 100% in marginal zone lymphoma (2/2) and 67% (2/3) in diffuse large B cell lymphoma. 

105 

 
 
 
Phase 1 Dose Escalation Study: Promising Amdizalisib Single-agent Clinical Activity in Relapsed/refractory B-cell Lymphoma 

CLL/SLL DLBCL

FL

HL

MCL

MZL

Patients 

5mg QD

10mg QD

20mg QD

30mg QD

2.5mg QD

5mg QD

7.5mg QD

10mg QD

40mg QD

PR

+80%

+60%

+40%

+20%

0%

-20%

-40%

-60%

-80%

-100%

Intent-to-treat population (n=56)

Best Response

Complete Response, %
Partial  Response, %
%,esaesiDelbatS
Progressive Disease, %
Overall Response Rate
Clinical Benefit Rate

Time on Treatment
Time to Response
Duration of Response

11 (4-22)
37 
43
11
48% (35-62)
82% (70-91)

5.6 months (0.7–23.2)
1.8 months (1.8–1.9)
9.2 months (3.9–NR)

Progression Free Survival

10.1 months (5.5–15.7)

etarSFPraey-1

)75–72(%04

Notes:   CLL = chronic lymphocytic leukemia; SLL = small lymphocytic lymphoma; DLBCL = diffuse large B-cell lymphoma; FL = 
follicular lymphoma; HL = Hodgkin’s lymphoma; MCL = mantle cell lymphoma; MZL = marginal zone lymphoma; BID = 
twice daily; QD = once daily; PR = partial response; n = number of patients; PFS = progression free survival; and NA = not 
available. 

Source:  Cao JN, et al. “Results from a Phase 1 Dose Escalation Study of Amdizalisib, a Selective Oral Phosphoinositide 3-Kinase-
Delta  Inhibitor,  in  Chinese  Patients  with  relapsed/refractory  (R/R) Lymphoma.”  Presented at the  62nd American Society 
of Hematology (ASH) Annual Meeting and Exposition on December 5, 2020. Abstract #1135. 

Amdizalisib  was  well  tolerated  at  the  RP2D  exhibiting  dose-proportional  pharmacokinetics  and  a  manageable  toxicity  profile.  
Grade 3 or more non-hematologic TEAEs occurring in more than two patients were pneumonia, rash, hypertension, and increased lipase.  
Grade 3 or more hematologic TEAEs occurring in more than two patients were neutropenia, and no Grade 5 TEAEs were reported. 

In ESMO 2021, we presented results from the Phase Ib study. In the efficacy evaluable population of 76 patients, the median time 
of follow-up was 5.6 months (95% CI: 5.5-8.3). Objective response rate was 53.9%, completed response rate was 11.8%, and clinical 
benefit rate was 76.3%. Median duration of response was not reached, and 6-months duration of response rate was 84.5% (95% CI: 
62.9-94.1). Median time to response was 1.9 months (95% CI: 1.8-1.9). Amdizalisib showed promising single-agent clinical activity in 
patients with relapsed/refractory B-cell lymphoma, with high objective response rate and complete response rates noted particularly for 
follicular lymphoma patients. 

In the 22 follicular lymphoma patients with efficacy evaluable, the median time of follow-up was 8.3 months (95% CI: 2.0-11.0). 
Objective response rate was 81.8%, complete response rate was 36.4% and clinical benefit rate was 90.9%. Median time to response 
was 1.8 months (95% CI: 1.8-1.9), 1-year duration of response was 59.7%, and progression-free survival rate was 75.8%. 77% of the 
patients remain on therapy. 

106 

Phase Ib Study of Amdizalisib in Chinese Patients with Relapsed/Refractory Lymphoma: 
Phase Ib Study of Amdizalisib in Chinese Patients with Relapsed/Refractory Lymphoma: 
Best response of target lesion (N=76) 
Best response of target lesion (N=76)

FL
n=22

MZL
n=14

CLL/SLL
n=3

MCL
n=8

DLBCL
n=29

CR

PR

PD

SD

100

75

50

25

0

-25

-50

-75

-100

PD

PD

SD

SD

PR

PR

CR

SD

SD

SD

SD

SD

SD

SD

PR

PR

PD

SD

PR

PR

CR

PR

PR

PR
PR

CR PR
CR
PR

CR

PR

PR

PR

CR

PR

PR

CR
CR

CR
CR

CR
CR

CR

PR

PR

PR

PR

PR

PR
PR

2

PR

2

PD-PD-PD-PD-PD-PD-PD-

PD

PD PD

PD
PD

PD
PD

PD SD

SD

PR

PR
PR

PR
PR

SD SD SD SD

SD

PR

PR

PR
PR

PD

PD

PR PR

PR

PR
PR

1

0

0

0

1

1

2

2

1

0

0

0

1

1

2

0

0

1

0

0

0

0

0

0

0

0

1

0

0

0

0

2

0

0

2

0

2

6

-

0

4

-

0

4

7

-

0

-

0

7

7

-

0

-

0

1

-

0

1

5

4

3

-

0

-

0

-

0

-

0

2

4

-

0

-

0

2

1

-

2

-

0

4

3

-

0

-

0

2

-

0

2

-

0

4

-

0

3

-

0

6

-

0

7

-

0

4

-

0

3

-

0

9

-

0

8

-

0

4

-

0

4

-

0

4

-

0

1

-

0

3

-

0

4

-

0

3

-

0

4

-

0

1

-

0

0

3

3

0

0

0

0

0

0

4

1

2

0

0

1

3

3

0

2

3

2

4

0

0

3

4

0

0

4

4

2

0

2

3

0

6

4

9

1

3

2

3

5

1

3

1

2

1

7

2

6

6

1

1

2

9

0

2

3

5

2

4

1

9

1

6

4

7

7

4

0

6

8

0

4

4

-

0

-

0

0

3

-

0

0

2

1

0

1

0

1

2

1

-

0

5

-

0

4

-

2

6

-

0

3

-

0

6

-

2

1

-

0

0

9

0

2

4

0

8

8

3

7

0

1

1

0

3

-

0

0

0

0

1

1

1

1

2

1

0

0

1

1

1

2

0

2

0

0

0

1

1

0

0

2

1

0

2

0

2

2

-

0

3

2

-

2

-

0

6

6

-

0

-

2

9

4

-

0

-

0

9

-

0

8

-

0

8

-

0

2

2

-

0

-

2

9

-

0

1

-

0

3

4

2

4

4

9

7

4

2

1

-

0

-

0

-

0

-

0

-

0

-

2

-

2

-

0

-

0

-

0

2

3

-

0

-

0

1

-

0

2

-

0

3

-

0

2

0

0

0

0

0

0

0

0

0

0

0

0

1

4

0

1

4

4

0

0

4

1

0

0

3

1

1

0

4

2

6

2

5

2

1

6

3

5

9

3

3

3

1

2

2

0

2

1

1

4

9

6

5

3

1

3

2

Notes:   Data cut-off as of June 15, 2021. Target lesion SPD (sum of the product of perpendicular diameters) increased more over 100%.  
Efficacy  evaluable  population:  received  at  least  one  tumor  assessment.    FL  =  follicular  lymphoma;  MZL  =  marginal  zone 
lymphoma; CLL/SLL = chronic lymphocytic leukemia / small lymphocytic lymphoma; MCL = mantle cell lymphoma; DLBCL 
= diffuse large B cell lymphoma; n = number of patients; CR = complete response; PR = partial response; PD = progressive 
disease; SD = stable disease; ORR = objective response rate; CBR = clinical benefit rate (CR + PR + SD) 

Source:  CaoJN,  et  al.  “A  phase Ib  study  result  of  HMPL-689,  a  PI3Kδ  inhibitor,  in  Chinese  patients  with  relapsed/refractory 
lymphoma.” Presented at the 2021 European Society for Medical Oncology (ESMO) Virtual Congress on September 20, 2021. 
Presentation #833O 

Amdizalisib was well tolerated and demonstrated a manageable safety profile.  The most frequent treatment-emergent adverse event 
was neutrophil count decreased (28.9%), and most frequent, non-hematologic, Grade 3 or above treatment-emergent adverse events 
were pneumonia (13.3%) and rash (5.6%). All liver enzyme elevation was mild to moderate (Grade 1-2). Grade 3 diarrhea was low 
(2.2%) and there were no colitis cases as of the data cut-off.  Treatment discontinuation rate due to adverse events was 5.6%. 

Phase  II  registration-intent  study  of  amdizalisib  in  patients  with  relapsed/refractory  follicular  lymphoma  and  relapsed/refractory 
marginal zone lymphoma in China (Status: enrolling; NCT04849351) 

Based  on  the  highly  promising  preliminary  results  from  the  above  Phase  Ib  expansion  study,  in  April  2021,  we  commenced  a 
registration-intent Phase II trial of amdizalisib in China in patients with relapsed or refractory follicular lymphoma and marginal zone 
lymphoma,  two  subtypes  of  non-Hodgkin’s  lymphoma.  The  clinical  trial  is  a  multi-center,  single-arm,  open-label  clinical  study  to 
evaluate the efficacy and safety of amdizalisib once a day oral monotherapy in approximately 100 patients with relapsed/refractory 
follicular lymphoma and approximately 80 patients with relapsed/refractory marginal zone lymphoma. Relapsed/refractory is defined 
when  a  patient  has  not  achieved  response  (complete  response  or  partial  response)  after  the  latest  line  of  systemic  treatment,  or  has 
progressive disease or relapse after achieving response. The primary endpoint is ORR, with secondary endpoints including CR rate, 
PFS, TTR and duration of response. The trial is being conducted in over 35 sites in China. 

107 

 
 
 
Phase I/Ib study of amdizalisib in patients with Indolent non-Hodgkin’s lymphoma in the United States and Europe (Status: enrolling; 
NCT03786926) 

In August 2019, we initiated an international Phase I/Ib study of amdizalisib in patients with relapsed or refractory lymphoma.  The 
international clinical study, with 17 sites in the United States and Europe, is a multi-center, open-label, two-stage study, including dose 
escalation and expansion, investigating the effects of amdizalisib administered orally to patients with relapsed or refractory lymphoma.  
The primary outcome measures are safety and tolerability.  Secondary outcomes include pharmacokinetic measurements and preliminary 
efficacy such as ORR. 

5.    Sovleplenib (HMPL-523), Syk Inhibitor 

The  result  of  our  over  six-year  program  of  discovery  and  pre-clinical  work  against  Syk  is  sovleplenib,  a  highly  selective  Syk 
inhibitor with a unique pharmacokinetic profile which provides for higher drug exposure in the tissue than on a whole blood level.  We 
designed sovleplenib intentionally to have high tissue distribution because it is in the tissue that the B-cell activation associated with 
rheumatoid arthritis and lupus occurs most often.  Furthermore, and somewhat counter intuitively, in hematological cancer the vast 
majority of cancer cells nest in tissue, with a small proportion of cancer cells releasing and circulating in the blood where they cannot 
survive for long.  We assessed that an effective small molecule Syk inhibitor would need to have superior tissue distribution. 

In January 2022, the Center for Drug Evaluation of the NMPA granted Breakthrough Therapy Designation to sovleplenib for the 

treatment of chronic adult primary immune thrombocytopenia patients who have received at least one prior therapy. 

Mechanism of Action 

Syk is a key kinase upstream to PI3Kδ and BTK within the B-cell signaling pathway and therefore thought to be an important target 

for modulating B-cell signaling. 

Syk, a target for autoimmune diseases 

The central role of Syk in signaling processes is not only in cells of immune responses but also in cell types known to be involved 
in the expression of tissue pathology in autoimmune, inflammatory and allergic diseases.  Therefore, interfering with Syk could represent 
a  possible  therapeutic  approach  for  treating  these  disorders.    Indeed,  several  studies  have  highlighted  Syk  as  a  key  player  in  the 
pathogenesis of a multitude of diseases, including rheumatoid arthritis, systemic lupus erythematosus and multiple sclerosis. 

Syk, a target for oncology 

In  hematological  cancer,  we  believe  Syk  is  a  high  potential  target.    In  hematopoietic  cells,  Syk  is  recruited  to  the  intracellular 
membrane by activated membrane receptors like B-cell receptors or another receptor called Fc and then binds to the intracellular domain 
of the receptors.  Syk is activated after being phosphorylated by certain kinases and then further induces downstream intracellular signals 
including B-cell linker, PI3Kδ, BTK and Phospholipase C-y2 to regulate B-cell proliferation, growth, differentiation, homing, survival, 
maturation, and immune responses.  Syk not only involves the regulation of lymphatic cells but also signal transduction of non-lymphatic 
cells such as mast cells, macrophages, and basophils, resulting in different immunological functions such as degranulation to release 
immune active substances, leading to immunological reaction and disease.  Therefore, regulating B-cell signal pathways through Syk is 
expected to be effective for treating lymphoma. 

Syk  is  upstream  of  both  BTK  and  PI3Kδ,  and  we  believe  it  could  deliver  the  same  outcome  as  inhibitors  of  BTK  and  PI3Kδ, 

assuming no unintentional toxicities are derived from Syk inhibition. 

108 

Sovleplenib Research Background 

The threshold of safety for a Syk inhibitor in chronic disease is extremely high, with no room for material toxicity.  The failure of 
Tavalisse in a global Phase III registration study in rheumatoid arthritis provided important insights for us in the area of toxicity.  While 
Tavalisse clearly showed patient benefit in rheumatoid arthritis, a critical proof-of-concept for Syk modulation, it also caused high levels 
of hypertension which is widely believed to be due to the high levels of off-target kinase insert domain receptor inhibition.  In addition, 
Tavalisse has also been shown to strongly inhibit the Ret kinase, and in pre-clinical trials it was demonstrated that inhibition of the Ret 
kinase was associated with developmental and reproductive toxicities. 

The requirement for Syk kinase activity in inflammatory responses was first evaluated with Tavalisse, which was co-developed by 
AstraZeneca/Rigel Pharmaceuticals, Inc.  In 2013, AstraZeneca announced results from pivotal Phase III clinical trials that Tavalisse 
statistically significantly improved ACR20 (a 20% improvement from baseline based on the study criteria) response rates of patients 
inadequately  responding  to  conventional  disease-modifying  anti-rheumatic  drugs  and  a  single  anti-TNFα  (a  key  pro-inflammatory 
cytokine  involved  in  rheumatoid  arthritis  pathogenesis)  antagonist  at  24  weeks,  but  failed  to  demonstrate  statistical  significance  in 
comparison  to  placebo  at 24  weeks.  As  a  result, AstraZeneca decided not  to proceed.  Rigel  Pharmaceuticals  subsequently  chose  to 
develop Tavalisse for immune thrombocytopenia instead, for which it was approved by the FDA in 2018 and the EMA in 2020. 

Tavalisse was also in trials for B-cell lymphoma and T-cell lymphoma.  It demonstrated some clinical efficacy in diffused large B-
cell lymphoma patients with an ORR of 22%.  Entospletinib has features of high potency and good selectivity toward kinases.  However, 
while the Phase II study discussed above showed that it had significant efficacy in patients with chronic lymphocytic leukemia and small 
lymphocytic lymphoma, its poor solubility and permeability into intestinal epithelial cells resulted in unsatisfactory oral absorption and 
a great variation of individual drug exposure.  In addition, entospletinib shows some inhibition of the CYP3A4, CYP2D6, and CYP1A2 
enzymes involved in the metabolism of certain drugs, and therefore their inhibition could increase the risk of drug-to-drug interaction 
when used in combined therapy. 

Sovleplenib Pre-clinical Evidence 

The safety profile of sovleplenib was evaluated in multiple in vitro and in vivo pre-clinical trials under good laboratory practice 
guidelines and found to be well tolerated following single dose oral administration.  Toxic findings were seen in repeat dose animal 
safety evaluations in rats and dogs at higher doses and found to be reversible.  These findings can be readily monitored in the clinical 
trials  and  fully  recoverable  upon  drug  withdrawal.    The  starting  dose  in  humans  was  suggested  to  be  5  mg.    This  dose  level  is 
approximately 5% of the human equivalent dose extrapolated from the pre-clinical “no observed adverse event levels,” which is below 
the 10% threshold recommended by FDA guidelines. 

109 

Sovleplenib Clinical Trials 

As discussed below, we currently have various clinical trials of sovleplenib ongoing in Australia, the United States, Europe and 
China  as  a  monotherapy.  We  plan  to  complete  U.S.  IND  and  initiate  Phase  I  study  in  the  United  States  in  patients  with  immune 
thrombocytopenia purpura in 2022. The table below shows a summary of the clinical trials that we currently have for sovleplenib. 

Treatment 
Sovleplenib monotherapy 

     Sponsors/Partners    

Name, Line, Patient Focus 

Sites 

HUTCHMED 

ESLM-01: Immune thrombocytopenia 

China 

Phase 
III 

Current Clinical Trials of Sovleplenib 

Sovleplenib monotherapy 

HUTCHMED 

Immune thrombocytopenia purpura 

China 

I/Ib 

Sovleplenib monotherapy 

HUTCHMED 

Indolent non-Hodgkin's lymphoma 

Australia 

Ib 

Sovleplenib monotherapy 

HUTCHMED 

Indolent non-Hodgkin's lymphoma 

U.S./ Europe

I/Ib 

Sovleplenib monotherapy 
Sovleplenib monotherapy 

HUTCHMED 
HUTCHMED 

Multiple sub-types of B-cell malignancies China
China
wAIHA 

I/Ib
II

Status/Plan 
Ongoing: initiated 
in October 2021. 
Breakthrough 
Therapy 
Designation 
Completed: data 
presented at ASH 
2021 
Active, not 
recruiting 
Ongoing; 
preliminary data 
presented at ASH 
2021 
Completed 
In planning 

NCT # 
NCT05029635 

NCT03951623 

NCT02503033 

NCT03779113 

NCT02857998
N/A

Phase I/Ib study of sovleplenib in patients with immune thrombocytopenia (Status: ongoing; NCT03951623) 

In  mid-2019,  we  initiated  a  Phase  I  study  of  sovleplenib  in  patients  with  immune  thrombocytopenia  purpura.    Immune 
thrombocytopenia  purpura  is  an  autoimmune  disorder  characterized  by  low  platelet  count  and  an  increased  bleeding  risk.    Despite 
availability of several treatments with differing mechanisms of action, a significant proportion of patients develop resistance to treatment 
and are prone to relapse.  In addition, there is a significant population of patients who have limited sensitivity to currently available 
agents and are in need of a new approach to treatment. 

The  study  is  a  randomized,  double-blinded,  placebo-controlled  Phase  Ib  clinical  trial  investigating  the  safety,  tolerability, 
pharmacokinetics  and  preliminary  efficacy  of  sovleplenib  in  adult  patients  with  immune  thrombocytopenia  purpura.    The  primary 
endpoint is the number of patients with any adverse event.  The secondary endpoints are maximum plasma concentration, area under 
the concentration-time curve in a selected time interval, and rate of clinical remission at week eighty.  The trial is comprised of a dose 
escalation stage and a dose expansion stage.  Approximately 50 to 60 patients are expected to be enrolled. Encouraging results from the 
Phase Ib study were presented at the ASH 2021 annual meeting. 

As of the data cutoff date, 34 patients had received sovleplenib and 11 received placebo. Among 16 patients who received the RP2D 
of 300mg once daily, 11 (68.8%) experienced response (defined by at least one incident of platelet count being ≥ 50x10⁹/L in the initial 
8-week double blinded phase of the study), compared to one placebo patient (9.1%). One additional patient at the RP2D experienced
response during the subsequent 16-week open-label phase of the study, and all four placebo patients that crossed over to receive treatment
at RP2D after the initial 8-week double blinded phase experienced response. In total, 16 out of 20 patients (80%) experienced response
during both phases of the study. Durable response (defined as platelet count being ≥ 50x10⁹/L in at least 4 out of 6 last scheduled visits)
was reported in 8 out of 20 patients (40%) who received RP2D in both phases of the study.

Safety data were presented for all 41 patients (31 sovleplenib, 10 placebo). The median duration of treatment was 142 days (range: 
23-170). No patients discontinued treatment due to treatment-related adverse event, and no cases of treatment-related serious adverse
events  were  reported.  There  were  30  patients  (73%)  who  experienced  treatment-related  adverse  events,  including  3  (7.3%)  who
experienced grade 3 or above treatment-related adverse events, one of whom received the RP2D. No treatment-related adverse events
of grade 3 or above occurred in more than one patient.

110 

 
 
Phase Ib Study of Sovleplenib in Adult Patients with Primary Immune Thrombocytopenia 

Phase Ib Study of Sovleplenib in Adult Patients with Primary Immune Thrombocytopenia

Notes:   Data cut-off as of September 30, 2021. Overall Response was defined as at least one incident of platelet count being ≥ 50×109/L 
in the initial 8-week double blinded phase of the study. Durable Response was defined as platelet count being ≥ 50×109/L in at 
least 4 out of 6 last scheduled visits. 

*The 300mg QD cohort includes 4 patients who, after receiving placebo in the first 8 weeks of double blind treatment, received
sovleplenib 300mg QD in a 16-week open-label treatment period. QD= once daily

Source:  Yang  R,  et  al.  “Safety,  Pharmacokinetics  and  Preliminary  Efficacy  of  HMPL-523  in  Adult  Patients  with  Primary  Immune 
Thrombocytopenia: A Randomized, Double-Blind and Placebo-Controlled Phase Ib Study.” Presented at the 63rd American 
Society of Hematology (ASH) Annual Meeting and Exposition on December 11, 2021. Abstract #149895. 

Phase III study of sovleplenib in patients with immune thrombocytopenia (Status: ongoing; NCT05029635) 

Based on encouraging data from the Phase Ib study of sovleplenib in adult patients with immune thrombocytopenia, we initiated a 
Phase III study of sovleplenib in October 2021.  The study is a randomized, double blinded, placebo-controlled Phase III clinical trial 
evaluating the efficacy and safety of sovleplenib in treating adult patients with ITP. The primary endpoint of the study is the durable 
response rate. Secondary and exploratory endpoints include ORR, incidence of treatment emergent adverse events, and patient quality 
of life improvement. Approximately 180 patients are expected to be enrolled. Sovleplenib received Breakthrough Therapy Designation 
in China in January 2022. 

Phase I/Ib studies in multiple subtypes of B-cell malignancies (Status: ongoing; NCT02503033/NCT02857998) 

Our Phase I/Ib dose escalation and expansion studies in Australia and China have now enrolled over 200 patients in a broad range 

of hematological cancers and have identified indications of interest for future development. 

Phase I/Ib study of sovleplenib in indolent non-Hodgkin’s lymphoma (Status: enrolling; NCT03779113) 

Based on extensive proof-of-concept clinical data in China and Australia, we have initiated a Phase I/Ib study in the United States 
and Europe. We presented preliminary results from this study at the ASH 2021 annual meeting, which support progressing sovleplenib 
into the ongoing dose expansion phase of the study to evaluate its safety and efficacy in multiple subtypes of B-cell and T-cell lymphoma 
at the RP2D of 700mg. 

6. Tazemetostat, EZH2 Inhibitor

Tazemetostat is an inhibitor of EZH2 developed by Epizyme that is approved by the U.S. FDA for the treatment of certain epithelioid
sarcoma and follicular lymphoma patients. It received accelerated approval from the FDA based on ORR and DoR in January and June 
2020 for epithelioid sarcoma and follicular lymphoma, respectively. Tazemetostat is currently marketed as Tazverik in the United States. 
We entered into a strategic collaboration with Epizyme pursuant to which we received a license to research, develop, manufacture and 
commercialize Tazemetostat in Greater China, including mainland China, Hong Kong, Macau and Taiwan. 

111 

We  plan  to  seek  approval  for  tazemetostat  in  various  hematological  and  solid  tumors,  including  epithelial  sarcoma,  follicular 
lymphoma and diffuse large b-cell lymphoma (DLBCL) in Greater China. We are participating in Epizyme’s SYMPHONY-1 (EZH-
302) study, leading it in Greater China. The parties also intend to conduct additional global studies jointly. Tazemetostat’s mechanism
of  action  is  highly  complementary  and  potentially  synergistic  with  HUTCHMED’s  portfolio  of  cancer  drug  candidates.  We  will
generally be responsible for funding all clinical trials of tazemetostat in Greater China including the portion of global trials conducted
there. We are responsible for the research, manufacturing and commercialization of tazemetostat in Greater China.

Mechanism of Action 

EZH2 is one member of a class of histone methyltransferases (“HMTs”). It catalyzes the methylation of histone H3 at lysine 27 
(H3K27) which controls expression of various genes and in turn plays a role in the normal physiology of many cell types. Dysregulation 
of EZH2 has been seen in a wide range of cancers and is associated with poor clinical prognosis and outcomes. Tazemetostat inhibits 
EZH2 which allows transcription of genes involved in functions such as cell cycle control and terminal differentiation and thus inhibits 
cancer cell proliferation. 

Tazemetostat Clinical Trials 

The table below shows a summary of the clinical trials that we have recently underway for tazemetostat. 

Clinical Trials of Tazemetostat 

Treatment 
Tazemetostat and R² (lenalidomide and 
rituximab) 

     Sponsors/Partners     Name, Line, Patient Focus 
SYMPHONY-1: 2L follicular 
lymphoma 

HUTCHMED / 
Epizyme 

Sites 

Global 

Phase 
III 

Tazemetostat monotherapy 

HUTCHMED 

Relapsed/refractory 3L+ 
follicular lymphoma 

China  

Tazemetostat combinations 

HUTCHMED 

Indolent lymphoma combinations China 

II 
registration-
intent 
(bridging) 
II 

Status/Plan 
HUTCHMED is 
leading China 
portion of global 
Phase III trial
In planning 

NCT # 
NCT04224493

Pending 

In planning

N/A

SYMPHONY-1  is  a  global,  multicenter,  randomized,  double-blind,  active-controlled,  3-stage,  biomarker-enriched,  Phase  Ib/III 
study of tazemetostat in combination with R² (lenalidomide and rituximab) in patients with relapsed or refractory follicular lymphoma 
after at least one prior line of therapy.  Epizyme conducted the Phase Ib portion of the study in 2021, which determined the recommended 
Phase  III  dose  (“RP3D”)  and  also  demonstrated  potential  efficacy  in  second-line  follicular  lymphoma.    The  safety  profile  of  the 
combination was consistent with the previously reported safety information in the U.S. prescribing information for both Tazverik and 
R², respectively.  

In the Phase III portion of the trial, approximately 500 patients are randomly assigned to receive the RP3D of tazemetostat + R² or 
placebo + R². The study will also include a maintenance arm with tazemetostat or placebo following the first year of treatment with 
tazemetostat + R² or placebo + R². We anticipate the first patient enrollment in the first half of 2022 in the China Phase III portion of 
SYMPHONY-1. 

We intend to initiate a bridging study in follicular lymphoma to support China registration as well as several combination studies 

of Tazemetostat with HUTCHMED assets. 

7. HMPL-306, IDH1 and 2 Inhibitor

HMPL-306 is a novel small molecule dual-inhibitor of IDH1 and 2 enzymes.  IDH1 and IDH2 mutations have been implicated as

drivers of certain hematological malignancies and solid tumors, particularly among acute myeloid leukemia patients. 

112 

 
 
Mechanism of Action 

IDHs are critical metabolic enzymes that help to break down nutrients and generate energy for cells. When mutated, IDH creates a 
molecule that alters the cell’s genetic programming and prevents cells from maturing, 2-hydroxyglutarate (“2-HG”). Reduction in 2-HG 
levels can be used as a marker of target engagement by an IDH inhibitor. IDH1 or IDH2 mutations are common genetic alterations in 
various types of blood and solid tumors, including acute myeloid leukemia, with approximately 20% of patients having mutant IDH 
genes,  myelodysplastic  syndrome 
intrahepatic 
cholangiocarcinoma.  Mutant  IDH  isoform  switching,  either  from  cytoplasmic  mutant  IDH1  to  mitochondrial  mutant  IDH2,  or  vice 
versa, is a mechanism of acquired resistance to IDH inhibition in acute myeloid leukemia and cholangiocarcinoma. 

(MDS),  myeloproliferative  neoplasms 

low-grade  glioma  and 

(MPNs), 

Cytoplasmic  mutant  IDH1  and  mitochondrial  mutant  IDH2  have  been  known  to  switch  to  the  other  form  when  targeted  by  an 
inhibitor  of  IDH1  mutant  alone  or  IDH2  mutant  alone.  By  targeting  both  IDH1  and  IDH2  mutations,  HMPL-306  could  potentially 
provide therapeutic benefits in cancer patients harboring either IDH mutation and may address acquired resistance to IDH inhibition 
through isoform switching. 

Currently, the FDA has approved one drug for IDH1 mutation and one drug for IDH2 mutation, but no dual inhibitor targeting both 

IDH1 and IDH2 mutants has been approved. 

HMPL-306 Clinical Trials 

The table below shows a summary of the clinical trials that we have recently underway or in planning for HMPL-306. 

Clinical Trials of HMPL-306 

Treatment 
HMPL-306 monotherapy    HUTCHMED 

Sponsors/Partners 

     Name, Line, Patient Focus      Sites 
   Hematological 
malignancies 

   China   

I 

     Phase 

Status/Plan 

NCT # 

   Ongoing: 
close to 
establishing 
the RP2D, 
dose 
expansion in 
mid-2022 
  Ongoing: 

initiated in 
March 2021. 
Dose 
expansion 
phase is 
expected to 
start in mid-
2022 
   Ongoing: 

initiated in 
May 2021 

   NCT04272957

  NCT04762602

   NCT04764474

HMPL-306 monotherapy    HUTCHMED 

  Solid tumors including 

  U.S.   

I 

but not limited to 
gliomas, 
chondrosarcomas or 
cholangiocarcinomas  

HMPL-306 monotherapy    HUTCHMED 

   Hematological 
malignancies 

   U.S 

I 

Phase I HMPL-306 monotherapy–China (Status: ongoing; NCT04272957) 

In July 2020, we initiated our Phase I development in China.  This is a multi-center study to evaluate the safety, pharmacokinetics, 
pharmacodynamics and efficacy of HMPL-306 in patients of relapsed or refractory hematological malignancies with an IDH1 and/or 
IDH2 mutation. We plan to submit presentation data from the dose escalation portion of the study in China in mid-2022. 

113 

 
 
 
 
 
 
 
     
    
  
 
Phase I HMPL-306 monotherapy in solid tumors–U.S. and Europe (Status: ongoing; NCT04762602) 

In March 2021, we initiated our Phase I development in the United States and Europe. This is a multi-center study to evaluate the 
safety,  tolerability  pharmacokinetics,  pharmacodynamics  and  preliminary  efficacy  of  HMPL-306  in solid  tumors,  including  but  not 
limited to gliomas, chondrosarcomas or cholangiocarcinomas. We plan to initiate the dose expansion portion of the study in relapsed or 
refractory solid tumors in mid-2022. 

Phase I HMPL-306 monotherapy in hematological malignancies–U.S. and Europe (Status: ongoing; NCT04764474) 

In the United States, IND applications for solid tumors and hematologic malignancies were cleared in October 2020. In May 2021, 

we dosed the first patient with IDHm+ hematological malignancies. 

8.    HMPL-760, BTK Inhibitor 

HMPL-760  is  an  investigational,  non-covalent,  third-generation  BTK  inhibitor.  It  is  a  highly  potent,  selective,  and  reversible 

inhibitor with long target engagement against BTK, including wild-type and C481S-mutated BTK. 

Mechanism of Action 

BTK is a key component of the B-cell receptor signaling pathway and is an important regulator of cell proliferation and cell survival 
in  various  lymphomas.  The  abnormal  activation  of  B-cell  receptor  signaling  is  closely  related  to  the  development  of  B-cell  type 
hematological cancers, which represent approximately 85% of all NHL cases. BTK is considered a validated target for drugs that aim 
to treat certain hematological cancers, however C481S mutation of BTK is a known resistance mechanism for first and second generation 
BTK inhibitors. 

HMPL-760 Clinical Trials 

The table below shows a summary of the clinical trials that we have recently underway or in planning for HMPL-760. 

Clinical Trials of HMPL-760 

Treatment 
HMPL-760 
monotherapy 
HMPL-760 
monotherapy 

  Sponsors/Partners   Name, Line, Patient Focus 
   HUTCHMED     CLL, SLL, other

Sites 

China

   HUTCHMED     CLL, SLL, other

U.S.

   NHL 

Phase 
I

I

Status/Plan 

NCT # 

 Ongoing: initiated NCT05190068
 in January 2022
 Initiating 

NCT05176691

  NHL 

We  currently  retain  all  rights  to HMPL-760  worldwide. We have  an ongoing Phase I  study  in  China  and  are  in  the process  of 
initiating a Phase I study in the United States. Both of these are multi-center and open-label studies to evaluate the safety, tolerability, 
pharmacokinetics,  pharmacodynamics  and  preliminary  efficacy  profile  of  HMPL-760  in  patients  with  previously  treated  chronic 
lymphocytic leukemia/small lymphocytic lymphoma or other types of non-Hodgkin lymphoma. 

9.    HMPL-453, FGFR Inhibitor 

Mechanism of Action 

FGFR belongs to a subfamily of receptor tyrosine kinases.  Four different FGFRs (FGFR1-4) and at least 18 ligand FGFs constitute 
the  FGF/FGFR  signaling  system.    Activation  of  the  FGFR  pathway  through  the  phosphorylation  of  various  downstream  molecules 
ultimately leads to increased cell proliferation, migration and survival.  FGF/FGFR signaling regulates a wide range of basic biological 
processes,  including  tissue  development,  angiogenesis,  and  tissue  regeneration.    Given  the  inherent  complexity  and  critical  roles  in 
physiological processes, dysfunction in the FGF/FGFR signaling leads to a number of developmental disorders and is consistently found 
to be a driving force in cancer.  Deregulation of the FGFR can take many forms, including receptor amplification, activating mutations, 
gene fusions, and receptor isoform switching, and the molecular alterations are found at relatively low frequencies in most tumors.  The 
incidence of FGFR aberrance in various cancer types is listed in the table below. 

114 

 
 
 
 
 
 
 
 
 
 
 
   
   
  
 
 
 
Common FGFR Alterations in Certain Tumor Types 

FGFR1 

FGFR2 

FGFR3 

Gene amplification 

Gene translocation 

   Lung squamous (n/a)
   Glioblastoma (n/a)

   Lung squamous (7-15%) 
   H&N squamous (10-17%) 
   Esophageal squamous (9%)     Myeloproliferative syndrome (n/a)
   Breast (10-15%) 
   Gastric (5-10%) 
   Breast (5-10%) 
   Bladder (3%) 
  Salivary adenoid cystic (n/a)  Lung squamous (3%)
  Glioblastoma (3-7%)
  Breast (1%) 
  Myeloma (15-20%)

   Breast (n/a)
   Intra-hepatic biliary tract cancer (14%) Endometrial (12-14%)
Lung squamous (5%) 
   Breast (n/a)
Bladder (60-80% NMIBC; 15-20% MIBC)
   Bladder (3-6%)
Cervical (5%) 

Gene mutation 

Gastric (4%) 
Pilocytic astrocytoma (5-8%)

Notes:   H&N = head and neck; NMIBC = non-muscle invasive bladder cancer; MIBC = muscle invasive bladder cancer; and n/a = 

data not available. 

Source:  M. Touat et al., “Targeting FGFR Signaling in Cancer,” Clinical Cancer Research (2015); 21(12); 2684-94. 

HMPL-453 Research Background 

We noted a growing body of evidence has demonstrated the oncogenic potential of FGFR aberrations in driving tumor growth, 
promoting angiogenesis, and conferring resistance mechanisms to oncology therapies.  Targeting the FGF/FGFR signaling pathway has 
therefore attracted attention from biopharmaceutical companies and has become an important exploratory target for new anti-tumor 
target therapies. 

The  main  FGFR  on-target  toxicities  observed  to  date  in  these  compounds  are  all  mild  and  manageable,  including 
hyperphosphatemia, nail and mucosal disorder, and reversible retinal pigmented epithelial detachment.  However, there are still many 
challenges in the development of FGFR-directed therapies.  Uncertainties include the screening and stratifying of patients who are most 
likely to benefit from FGFR targeted therapy.  Intra-tumor heterogeneity observed in FGFR amplified cancer may compromise the anti-
tumor  activity.  In  addition,  the  low  frequency  of  specific  FGFR  molecular  aberrance  in  each  cancer  type  may  hinder  clinical  trial 
enrollment. 

HMPL-453 Pre-clinical Evidence 

HMPL-453 is a highly selective and potent, small molecule that targets FGFR 1/2/3 with an IC50 in the low nanomolar range.  Its 
good selectivity was revealed in the screening against 292 kinases.  HMPL-453 exhibited strong anti-tumor activity that correlated with 
target inhibition in tumor models with abnormal FGFR activation. 

HMPL-453 has  good  pharmacokinetic  properties  characterized by rapid absorption following oral  dosing,  good bioavailability, 
moderate tissue distribution and moderate clearance in all pre-clinical animal species.  HMPL-453 was found to have little inhibitory 
effect on major cytochrome P450 enzymes, indicating low likelihood of drug-to-drug interaction issues. 

HMPL-453 Clinical Development 

The table below shows a summary of the clinical trials that we have recently completed and underway for HMPL-453. 

115 

 
 
 
 
 
 
 
     
     
    
 
 
 
 
 
 
 
 
 
 
Clinical Trials of HMPL-453 

Treatment 
HMPL-453 
monotherapy 

HMPL-453 with 
chemotherapies  
HMPL-453 with 
Tuoyi (PD-1)  

      Sponsors/Partners       Name, Line, Patient Focus      
  HUTCHMED 

  2L Cholangiocarcinoma 

Sites 
  China 

     Phase     
II 

  Ongoing. ~10-15% of 

Status/Plan 

NCT # 

(IHCC with FGFR 
fusion) 

  HUTCHMED 

  Advanced solid tumors 

  China 

   HUTCHMED 

  Advanced solid tumors 

   China 

IHCC pts’ tumors harbor 
FGFR2 fusion 
I/II    Ongoing; initiated in 
January 2022 
I/II     Ongoing; initiated in 
January 2022 

  NCT04353375 

  NCT05173142 

   NCT05173142 

Phase II HMPL-453 monotherapy in advanced IHCC–China (Status: ongoing; NCT04353375) 

In  September  2020,  we  initiated  a  Phase  II,  single-arm,  multi-center,  open-label  study,  evaluating  the  efficacy,  safety  and 
pharmacokinetics of HMPL-453 in patients with advanced IHCC with FGFR2 fusion that had failed at least one line of systemic therapy.  
IHCC  is  a  cancer  that  develops  within  the  bile  ducts,  the  second  most  common  primary  hepatic  malignancy  after  hepatocellular 
carcinoma.  Approximately 10-15% of IHCC patients have tumors that harbor FGFR2 fusion. 

Phase  Ib/II  HMPL-453  in  combination  with  chemotherapies  or  toripalimab  in  advanced  solid  tumors–China  (Status:  ongoing; 
NCT05173142) 

In January 2022, we initiated a Phase Ib/II, multi-center, two-stage, open-label clinical trial of HMPL-453 in combination with 
chemotherapy  or  the  anti-PD-1  therapy,  toripalimab,  to  evaluate  the  safety,  tolerability,  pharmacokinetics  and  preliminary  efficacy 
profile of HMPL-453 combination therapy in patients with specific advanced or metastatic solid tumors. The first stage of the study is 
a dose escalation phase to determine the dose limiting toxicity (DLT) and recommended Phase II dose of HMPL-453 in combination 
with chemotherapy (gemcitabine and cisplatin) or toripalimab. The second stage of the study is a dose expansion phase in solid tumor 
patients with either gastric cancer, intrahepatic cholangiocarcinoma, or urothelial carcinoma, harboring specific FGFR gene alterations. 
Each solid tumor cohort will be treated with a specific combination of HMPL‑453 and a chemotherapy or anti-PD-1 therapy to further 
evaluate the preliminary efficacy, safety and tolerability at the recommended Phase II dose. 

10.    HMPL-295, ERK Inhibitor 

HMPL-295, a novel ERK inhibitor, is our tenth in-house discovered small molecule oncology drug candidate. ERK is a downstream 
component  of  the  RAS-RAF-MEK-ERK  signaling  cascade  (MAPK  pathway).  This  is  our  first  of  multiple  candidates  in  discovery 
addressing the MAPK pathway. 

Mechanism of Action 

RAS-MAPK pathway is dysregulated in human diseases, particularly cancer, in which mutations or nongenetic events hyperactivate 
the  pathway  in  more  than 50%  of  cancers. Activating  mutations  in  RAS  genes occur  in  more  than  30% of  cancers.  RAS  and  RAF 
mutations predict worse clinical prognosis in a wide variety of tumor types, mediate resistance to targeted therapies, and decrease the 
response to the approved standards of care, namely, targeted therapy and immunotherapy. On the MAPK pathway, KRAS inhibitors are 
under  clinical  evaluation,  and  acquired  resistance  develops  for  RAF/MEK  targeted  therapies.  ERK  inhibition  has  the  potential  to 
overcome or avoid the intrinsic or acquired resistance from the inhibition of RAS, RAF and MEK upstream mechanisms. 

HMPL-295 Clinical Trials 

The table below shows a summary of the clinical trial that we have underway for HMPL-295. 

116 

 
 
 
 
 
 
    
 
 
  
 
Clinical Trial of HMPL-295 

Treatment 
HMPL-295 
monotherapy 

  Sponsors/Partners   Name, Line, Patient Focus 
   HUTCHMED 

   Solid tumors 

China

Sites 

Phase 
I

Status/Plan 

NCT # 

Ongoing: initiated in NCT04908046
July 2021 

We currently retain all rights to HMPL-295 worldwide. We initiated our Phase I development in China in July 2021. This is a multi-
center and open-label study to evaluate the safety, tolerability, pharmacokinetics and preliminary efficacy profile of HMPL-295, and to 
determine the maximum tolerated dose and RP2D in patients with advanced malignant solid tumors. 

11.    HMPL-653, CSF-1R Inhibitor 

HMPL-653 is an investigational novel, highly selective, and potent CSF-1R inhibitor designed to target malignant driven tumors as 

a monotherapy or in combination with other drugs. 

Mechanism of Action 

CSF-1R is usually expressed on the surface of macrophages and can promote growth and differentiation of macrophages. Studies 
have  shown  that  blocking  the  CSF-1R  signaling  pathway  could  effectively  modulate  the  tumor  microenvironment,  relieve  tumor 
immunosuppression, and synergize with other anti-cancer therapies such as immune checkpoint inhibitors to achieve tumor inhibition. 
It has been demonstrated in several clinical studies that CSF-1R inhibitors could treat tenosynovial giant cell tumors and treat a variety 
of malignancies combined with immuno-oncology or other therapeutic agents. 

HMPL-653 Clinical Trials 

The table below shows a summary of the clinical trial that we have recently underway for HMPL-653. 

Clinical Trial of HMPL-653 

Treatment 
HMPL-653 
monotherapy 

     Sponsors/Partners    Name, Line, Patient Focus    
   HUTCHMED     Solid tumors & 

Sites 

China

Phase 
I

  tenosynovial giant
  cell tumors 

NCT # 
NCT05190068

Status/Plan 
Ongoing: initiated in
January 2022, ~110
patients expected to be
enrolled 

We currently retain all rights to HMPL-653 worldwide. We initiated our Phase I development in China in January 2022, and the 
study is a multi-center, open-label and single-armed study to evaluate the safety, tolerability, pharmacokinetics and preliminary efficacy 
of HMPL-653 in patients with advanced or metastatic solid tumors and tenosynovial giant cell tumors. We expect to enroll around 110 
patients in this study. 

12.    Epitinib and theliatinib, EGFR Inhibitors 

Our strategy has been to create targeted therapies in the EGFR area that would go beyond the already approved EGFRm+ patient 
population to address certain areas of unmet medical needs that represent market opportunities, including: (i) brain metastasis and/or 
primary brain tumors with EGFRm+, which we seek to address with epitinib; and (ii) tumors with EGFR gene amplification or EGFR 
overexpressed, which we seek to address with theliatinib. 

Epitinib  (also  known  as  HMPL-813)  is  a  potent  and  selective  oral  EGFR  inhibitor  designed  to  optimize  brain  penetration.  A 
significant portion of patients with EGFR activating mutations go on to develop brain metastasis. Patients with brain metastasis suffer 
from poor prognosis and low quality of life with limited treatment options. EGFR inhibitors have revolutionized the treatment of NSCLC 
with EGFR activating mutations. However, many approved EGFR inhibitors cannot penetrate the blood-brain barrier effectively, leaving 
the majority of patients with primary brain tumors or brain metastasis without an effective targeted therapy. 

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Furthermore, tumors with wild-type EGFR activation, for instance through gene amplification or protein over-expression, are less 
sensitive to many EGFR tyrosine kinase inhibitors due to sub-optimal binding affinity. Theliatinib (also known as HMPL-309) is a novel 
oral EGFR inhibitor that has been designed with strong affinity to the wild-type EGFR kinase and has demonstrated five to ten times 
the potency than Tarceva in pre-clinical trials. This holds importance because tumors with wild-type EGFR activation have been found 
to be less sensitive to current EGFR inhibitors and is notable in certain cancer types such as esophageal cancer, where 15-28% have 
EGFR gene amplification and 50-70% have EGFR overexpressed. As a result, we believe that theliatinib could potentially be more 
effective than existing EGFR tyrosine kinase inhibitor products and benefit patients with tumor types with a high incidence of wild-type 
EGFR activation.  

We have completed Phase I and II trials for both epitinib (NSCLC with brain metastases; glioblastoma) and theliatinib (solid tumors; 
esophageal cancer) and have observed efficacy. However, we have decided not to continue their development as monotherapies at this 
time. 

Our Research and Development Approach 

Our core research and development philosophy is to take a holistic approach to the treatment of cancer and immunological diseases, 
through multiple modalities and mechanisms, including targeted therapies, immunotherapies and other pathways. A primary objective 
of our research efforts has been to develop next generation drug candidates with: 

 

 

 

 

unique selectivity to limit target-based toxicity; 

high potency to optimize the dose selection with the objective to lower the required dose and thereby limit compound-based 
toxicity; 

chemical structures deliberately engineered to improve drug exposure in the targeted tissue; and 

ability to be combined with other therapeutic agents, including targeted therapies, immunotherapies and chemotherapies. 

We have built a drug discovery engine, with which we strive to create differentiated novel oncology and immunology treatments 
with global potential. These include furthering both small molecule and biologic therapies which address aberrant genetic drivers and 
cancer cell metabolism; modulate tumor immune microenvironment; and target immune cell checkpoints. We design drug candidates 
with profiles that enable them to be used in innovative combinations with other therapies, such as chemotherapy, immunotherapy and 
other targeted therapy in order to attack disease simultaneously through multiple modalities and pathways. We believe that this approach 
can significantly improve treatment outcomes for patients. 

We believe our ability to successfully develop innovative drug candidates through our Oncology/Immunology operations will be 
the primary factor affecting our long-term competitiveness, as well as our future growth and development. Creating high quality global 
first-in-class or best-in-class drug candidates requires a significant investment of resources over a prolonged period of time, and a core 
part  of  our  strategy  is  to  continue  making  sustained  investments  in  this  area.  As  a  result  of  this  commitment,  our  pipeline  of  drug 
candidates has been steadily advancing and expanding, with thirteen clinical-stage drug candidates. See “– Our Clinical Pipeline” for 
more details. 

Beyond these clinical candidates, we continue to conduct research into discovering new types of drug candidates, including among 
others, small molecules addressing cancer-related apoptosis, cell signaling, epigenetics and protein translation; biologic drug candidates 
including bispecific antibodies; and novel technologies including antibody-drug conjugates and heterobifunctional small molecules. 

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Our Collaborations 

Collaborations and joint ventures with corporate partners have provided us with significant funding and access to our partners’ 
scientific, development, regulatory and commercial capabilities. Our current oncology collaborations focus on savolitinib (collaboration 
with AstraZeneca) and fruquintinib (collaboration with Eli Lilly). When we entered into these collaborations, we had already conducted 
the discovery research and early clinical development of each drug candidate and, following our agreements, continued to conduct the 
clinical development and manage the engagement with regulatory authorities in China up to and including filing the NDAs with the 
NMPA. Our collaboration partners fund a significant portion of our research and development costs for drug candidates developed in 
collaboration with them. In addition, we receive upfront payments upon our entry into these collaboration arrangements and upon the 
achievement  of  certain  development  milestones  for  the  relevant  drug  candidate.  We  have  received  upfront  payments,  equity 
contributions and milestone payments totaling approximately $183.5 million mainly from our collaborations with AstraZeneca and Eli 
Lilly as of December 31, 2021. In return, our collaboration partners are entitled to a significant proportion of any future revenue from 
our drug candidates developed in collaboration with them, as well as a degree of influence over the clinical development process for 
such  drug  candidates.  In  addition,  we  have  entered  into  other  clinical  collaborations  for  combination  studies  of  fruquintinib  and 
surufatinib  with  drug  candidates  belonging  to  BeiGene,  Innovent  and/or  Junshi.  We  also  have  an  immunology  collaboration  with 
Inmagene with respect to four novel pre-clinical drug candidates discovered by us and an in-licensing collaboration with Epizyme with 
respect to tazemetostat. 

AstraZeneca 

In  2008,  our  in-house  teams  started  research  on  MET  inhibitors,  subsequently  discovering  our  drug  candidate,  savolitinib,  and 
conducting its pre-clinical development in-house. In 2011, we submitted applications for clinical development and initiated Phase I 
clinical trials. In December 2011, we entered into an agreement with AstraZeneca under which we granted to AstraZeneca co-exclusive, 
worldwide  rights  to  develop,  and  exclusive  worldwide  rights  to  manufacture  and  commercialize  savolitinib  for  all  diagnostic, 
prophylactic and therapeutic uses. In August 2016, December 2020 and November 2021, we and AstraZeneca amended the terms of the 
agreement. We refer to this agreement, including the amendments thereto, as the AstraZeneca Agreement.  

AstraZeneca paid $20.0 million upon execution of the AstraZeneca Agreement and agreed to pay royalties and additional amounts 
upon  the  achievement  of  development  and  sales  milestones.  Under  the  original  terms  of  the  AstraZeneca  Agreement,  we  and 
AstraZeneca agreed to share the development costs for savolitinib in China, with AstraZeneca being responsible for the development 
costs for savolitinib in the rest of the world.  With respect to certain clinical trials, we subsequently agreed with AstraZeneca on sharing 
development costs. As of December 31, 2021, we had received $49.9 million in milestone payments in addition to approximately $57.1 
million  in  reimbursements  for  certain  development  costs.  We  may  potentially  receive  future  clinical  development  and  first  sales 
milestones payments for clinical development and initial sales of savolitinib, plus significant further milestone payments based on sales.  
Subject to approval of savolitinib in treating PRCC, under the amended AstraZeneca Agreement, AstraZeneca is obligated to pay us 
increased  tiered  royalties  from  14%  to  18%  annually  on  all  sales  made  of  any  product  outside  of  China,  which  represents  a  five 
percentage point increase over the original terms, subject to a potential downward adjustment on such point increase based on the amount 
of  any  contribution  by  AstraZeneca  to  the  Phase  III  development  in  patients  with  such  indication.  After  total  aggregate  additional 
royalties have reached five times our contribution to the Phase III development in patients with such indication, this royalty will step 
down over a two-year period, to an ongoing royalty rate of 10.5% to 14.5%.  AstraZeneca is also obligated to pay us a fixed royalty of 
30% on all sales made of any product in China. 

Development and collaboration under this agreement are overseen by a joint steering committee that is comprised of three of our 
senior representatives as well as three senior representatives from AstraZeneca.  AstraZeneca is responsible for the development of 
savolitinib and all regulatory matters related to this agreement in all countries and territories other than China, and we are responsible 
for  the  development  of  savolitinib  and  all  regulatory  matters  related  to  this  agreement  in  China.  Since  entering  the  AstraZeneca 
Agreement, we have continued to lead the development of savolitinib in China. 

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Subject to earlier termination, the AstraZeneca Agreement will continue in full force and effect on a country-by-country basis as 
long as any collaboration product is being developed or commercialized. The AstraZeneca Agreement is terminable by either party upon 
a breach that is uncured, upon the occurrence of bankruptcy or insolvency of either party, or by mutual agreement of the parties. The 
AstraZeneca Agreement may also be terminated by AstraZeneca for convenience with 180 days’ prior written notice. Termination for 
cause by us or AstraZeneca or for convenience by AstraZeneca will have the effect of, among other things, terminating the applicable 
licenses granted by us. Termination for convenience by AstraZeneca will have the effect of obligating AstraZeneca to grant to us all of 
its rights to regulatory approvals and other rights necessary to commercialize savolitinib. Termination by AstraZeneca for convenience 
will not have the effect of terminating any license granted by AstraZeneca to us. 

Eli Lilly 

In 2007, our in-house research into VEGFR inhibitors led to the discovery of our drug candidate, fruquintinib. We conducted pre-
clinical development in-house and initiated a Phase I clinical trial in 2010. In October 2013, we entered into an agreement with Eli Lilly 
whereby we granted Eli Lilly an exclusive license to develop, manufacture and commercialize fruquintinib for all uses in China and 
Hong Kong. In December 2018, following the commercial launch of fruquintinib in China, we and Eli Lilly amended the terms of the 
agreement and further amended the terms of the agreement in July 2020.  We refer to this agreement, including the amendments thereto, 
as the Eli Lilly Agreement. 

Subsequent to the entering of the Eli Lilly Agreement, we continued to lead the development of fruquintinib, including all clinical 
trial development. Eli Lilly reimbursed us for a majority of the development costs and provided input over the course of the development 
of  fruquintinib.  Development,  collaboration  and  manufacture  of  the  products  under  this  agreement  are  overseen  by  a  joint  steering 
committee comprised of equal numbers of representatives from each party. 

Eli Lilly paid a $6.5 million upfront fee following the execution of the Eli Lilly Agreement in 2013, and agreed to pay royalties and 
additional amounts upon the achievement of development and regulatory approval milestones.  As of December 31, 2021, Eli Lilly had 
paid us $37.2 million in milestone payments in addition to approximately $57.7 million in reimbursements for certain development 
costs. 

We could potentially receive future milestone payments for the achievement of development and regulatory approval milestones in 
China. Additionally, Eli Lilly is obligated to pay us tiered royalties from 15% to 20% annually on sales made of fruquintinib in China 
and Hong Kong, the rate to be determined based upon the dollar amount of sales made for all products in that year. Under the terms of 
our 2018 amendment, upon the first commercial launch of fruquintinib in China in a new life cycle indication, these tiered royalties 
increased to 15% to 29%. Under the terms of our 2020 amendment, we and Eli Lilly share gross profits linked to sales target performance. 
Subject to meeting pre-agreed sales targets, Eli Lilly will pay us an estimated total of 70% to 80% of Elunate in-market sales in the form 
of royalties, manufacturing costs and service payments. 

Under the terms of our 2018 amendment, we are entitled to determine and conduct future life cycle indication development of 
fruquintinib in China beyond the three initial indications specified in the original Eli Lilly Agreement. After the 2018 amendment, we 
assumed responsibility for all development activities and costs for fruquintinib in China in new life cycle indications, and we have the 
liberty to collaborate with third-parties to explore combination therapies of fruquintinib with various immunotherapy agents. Under the 
terms of our 2020 amendment, we took over development and execution of all on-the-ground medical detailing, promotion and local 
and regional marketing activities for Elunate in China. 

We are responsible in consultation with Eli Lilly for the supply of, and have the right to supply, all clinical and commercial supplies 
for fruquintinib pursuant to an agreed strategy for manufacturing.  For the term of the Eli Lilly Agreement, such supplies will be provided 
by us at a transfer price that accounts for our cost of goods sold. 

The Eli Lilly Agreement is terminable by either party for breach that is uncured.  The Eli Lilly Agreement is also terminable by Eli 
Lilly  for  convenience  with  120  days’  prior  written  notice  or  if  there  is  a  major  unexpected  safety  issue  with  respect  to  a  product.  
Termination by either us or Eli Lilly for any reason will have the effect of, among other things, terminating the applicable licenses 
granted by us, and will obligate Eli Lilly to transfer to us all regulatory materials necessary for us to continue development efforts for 
fruquintinib. 

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BeiGene 

In May 2020, we entered into a clinical collaboration agreement with BeiGene to evaluate the safety, tolerability and efficacy of 
combining surufatinib and fruquintinib with BeiGene’s anti-PD-1 antibody tislelizumab, for the treatment of various solid tumor cancers, 
in the United States, Europe, China and Australia. Under the terms of the agreement, we and BeiGene each plan to explore development 
of the combination of surufatinib with tislelizumab or fruquintinib with tislelizumab in different indications and regions. We have agreed 
to provide mutual drug supply and other support. 

Inmagene 

In January 2021, we and Inmagene entered into a strategic partnership to further develop four novel pre-clinical drug candidates 
(HMPL-A28, HMPL-727, HMPL-662 and HMPL-958) discovered by us for the potential treatment of multiple immunological diseases. 
We will work together to move the drug candidates towards IND submission. If successful, Inmagene will then move the drug candidates 
through global clinical development. 

Under the terms of the agreement, we have granted Inmagene exclusive options to four drug candidates solely for the treatment of 
immunological diseases. If Inmagene exercises an option, it will have the right to further develop, manufacture and commercialize that 
specific drug candidate worldwide, while we retain first right to co-commercialization in China. For each of the drug candidates, we 
will be entitled to development milestones of up to $95 million and up to $135 million in commercial milestones, as well as up to double-
digit royalties upon commercialization. 

Epizyme 

In  August 2021, we  entered into  a  licensing  agreement with  Epizyme pursuant  to which we obtained  a  co-exclusive  license  to 
develop, an exclusive license to commercialize and a co-exclusive license to manufacture tazemetostat in China, Hong Kong, Taiwan 
and Macau for all therapeutic and palliative uses in epithelioid sarcoma, follicular lymphoma (second line and third line), diffuse large 
b-cell lymphoma and any other indications that are approved according to the terms of the licensing agreement. 

To date, we have paid Epizyme a $25.0 million upfront payment. We may be required to pay an additional aggregate amount of up 
to $110 million in development and regulatory milestone payments and up to an additional $175 million in sales milestone payments. 
Epizyme  is  also  eligible  to receive,  across  up  to eight potential  indications,  certain  tiered royalties (from  mid-teen  to  low-twenties-
percentage) based on annual net sales of tazemetostat in the licensed territory. In addition, we received a four-year warrant to acquire 
up to $65 million of Epizyme shares at a price of $11.50 per share. 

We have the right to manufacture the licensed product for development and commercialization in the licensed territory and are 
generally  responsible  for  funding  all  clinical  trials  of  tazemetostat,  including  the  portion  of  global  trials  conducted  in  the  licensed 
territory. The agreement with Epizyme will remain in effect until, on a licensed product-by-licensed product basis, the expiration of the 
royalty term for each licensed product in the licensed territory. We have the right to terminate the agreement for convenience at any 
time, subject to a certain notice period. Either party has the right to terminate the agreement if the other party or its affiliates challenge 
its patents. In addition, either party may terminate the agreement with written notice for the other party’s material breach, subject to a 
certain cure period, or for the other party’s bankruptcy or insolvency. 

Other Collaborations 

In October and November 2018, we entered into multiple collaborations to evaluate combinations of fruquintinib and surufatinib.  
These include a global collaboration with Innovent to evaluate the combination of fruquintinib with Tyvyt and a global collaboration 
with Junshi to evaluate the combination of surufatinib with Tuoyi.  In September 2019, we expanded our global collaboration agreement 
with Innovent to evaluate the safety and efficacy of Tyvyt in combination with surufatinib. 

Other Ventures is our large-scale, profitable drug marketing and distribution platform covering about 290 cities and towns in China 
with approximately 2,900 manufacturing and commercial personnel as of December 31, 2021.  Built over the past 20 years, it has been 
focused on the sale of prescription drug products and consumer health products conducted through the following entities: 

Other Ventures 

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Shanghai Hutchison Pharmaceuticals 

Shanghai  Hutchison  Pharmaceuticals,  our  non-consolidated  joint  venture,  primarily  engages  in  the  manufacture  and  sale  of 
prescription drug products originally contributed by our joint venture partner, as well as third-party prescription drugs with a focus on 
cardiovascular medicine. Shanghai Hutchison Pharmaceuticals’ proprietary products are sold under the “Shang Yao” brand, literally 
meaning “Shanghai pharmaceuticals,” a trademark that has been used for over 50 years in the pharmaceutical retail market, primarily in 
Eastern China. In early 2019, Shanghai Hutchison Pharmaceuticals was awarded the 2018 State Scientific and Technological Progress 
Award – Second Prize, which was presented by President Xi Jinping, Premier Li Keqiang and other state leaders of the PRC at the 
National Science and Technology Awards Ceremony. This award was one of only two such awards given that year to studies in the 
botanical drug industry. 

Its key product is She Xiang Bao Xin pills, a vasodilator for the long-term treatment of coronary artery and heart disease and for 
rapid control and prevention of acute angina pectoris, a form of chest pain. There are over one million deaths due to coronary artery 
disease per year in China. She Xiang Bao Xin pill is the third largest botanical prescription drug in this indication in China, with market 
share in 2021 of 19.6% (2020 of 18.2%) nationally and 43.6% (2020: 47.5%) in Shanghai. She Xiang Bao Xin pills’ sales represented 
92% of all Shanghai Hutchison Pharmaceuticals sales in 2021. 

She Xiang Bao Xin pills were first approved in 1983 and subsequently enjoyed 22 proprietary commercial protections under the 
prevailing regulatory  system  in  China.    In 2005,  Shanghai  Hutchison  Pharmaceuticals  was  able  to  attain  “Confidential  State  Secret 
Technology” status protection, as certified by China’s Ministry of Science and Technology and State Secrecy Bureau, which extended 
proprietary protection in China until late 2016.  The Science and Technology Commission of Shanghai Municipality has subsequently 
extended  such  protection.  Shanghai  Hutchison  Pharmaceuticals  holds  an  invention  patent  in  China  covering  its  formulation,  which 
extends  proprietary  protection  through  2029.    She  Xiang  Bao  Xin  pill  is  one  of  less  than  two  dozen  proprietary  prescription  drugs 
represented on China’s National Essential Medicines List, which means that all Chinese state-owned health care institutions are required 
to carry it. She Xiang Bao Xin pill is fully reimbursed in all of China. 

Shanghai Hutchison Pharmaceuticals manufactures its products at its 78,000 square meter production facility located in Feng Pu 
district outside the center of Shanghai. Shanghai Hutchison Pharmaceuticals holds 74 drug product manufacturing licenses, of which 17 
are  included  in  the  National  Essential  Medicines  List,  and  three  are  in  active  production.  The  factory  is  operated  by  over  530 
manufacturing staff. 

As of December 31, 2021, Shanghai Hutchison Pharmaceuticals had a commercial team of about 2,200 medical sales representatives 
allowing for the promotion and scientific detailing of our products not just in hospitals in provincial capitals and medium-sized cities, 
but also in the majority of county-level hospitals in China. Shanghai Hutchison Pharmaceuticals, through its GSP-certified subsidiary, 
sells its products and its third-party licensed prescription drugs directly to distributors who on-sell such products to hospitals and clinics, 
pharmacies and other retail outlets in their respective areas, as well as to other local distributors. As of December 31, 2021, Shanghai 
Hutchison Pharmaceuticals engaged a group of approximately 550 primary distributors to cover China. These primary distributors in 
turn used over 2,000 secondary distributors to work directly with hospitals, on a local level, to manage logistics. Shanghai Hutchison 
Pharmaceuticals’ own prescription drugs sales representatives promote its products to doctors and purchasing managers in hospitals, 
clinics and pharmacies as part of its marketing efforts. 

Hutchison Sinopharm 

Hutchison  Sinopharm  is  our  consolidated  joint  venture  with  Sinopharm.    Based  in  Shanghai,  Hutchison  Sinopharm  focuses  on 
providing  logistics  services  to,  and  distributing  and  marketing  prescription  drugs  in  China.    As  of  December  31,  2021,  Hutchison 
Sinopharm had a dedicated team of over 130 commercial staff focused on two key areas of operation—a commercial team that markets 
approximately 1,100 third-party prescription drug and other products directly to about 700 public and private hospitals in the Shanghai 
region and through a network of approximately 50 distributors to cover all other provinces in China, and a second commercial team that 
markets our Zhi Ling Tong infant nutrition brand through a network of over 32,000 promoters in over 7,700 outlets in China. 

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Starting  in  2015,  Hutchison  Sinopharm  had  been  the  exclusive  marketing  agent  for  Seroquel  tablets  in  China.    In  June  2018, 
AstraZeneca  sold  and  licensed  its  rights  to  Seroquel  to  Luye  Pharma  Group,  Ltd.,  including  its  rights  in  China.    The  terms  of  our 
agreement with AstraZeneca were assigned to Luye Pharma Hong Kong Ltd., or Luye Pharma HK.  In May 2019, we received a notice 
from Luye Pharma HK purporting to terminate our agreement.  We believe that Luye Pharma HK had no basis for termination and 
commenced confidential legal proceedings to seek damages. In December 2021, the Hong Kong International Arbitration Centre made 
a final award in favor of Hutchison Sinopharm against Luye Pharma Hong Kong in the amount of RMB253.2 million plus costs we 
incurred in the legal proceedings and interest. We expect the award to be paid in 2022. We did not have any revenue from the distribution 
of Seroquel for the years ended December 31, 2019, 2020 and 2021. 

In 2019, we began building an in-house oncology commercial sales and marketing team at Hutchison Sinopharm to support the 
launch of certain of our innovative oncology drugs.  By December 31, 2021, this team had grown to over 630 commercial sales and 
marketing staff. 

In 2021, a substantial portion of Hutchison Sinopharm’s sales were made directly to hospitals and clinics, with the remaining sales 
being  made  through  distributors.  As  of  December  31,  2021,  Hutchison  Sinopharm  had  approximately  740  customers  of  which 
approximately 6% were distributors, and the revenue generated from these distributors accounted for approximately 26% of the revenue 
of Hutchison Sinopharm for the year ended December 31, 2021. 

Hutchison Baiyunshan 

Hutchison Baiyunshan was our non-consolidated joint venture until we disposed of our interest in it in September 2021. It focused 
primarily on the manufacture, marketing and distribution of over-the-counter pharmaceutical products, including Banlangen granules 
for the treatment of viral flu, fever, and respiratory tract infections and Fu Fang Dan Shen tablets for the treatment of chest congestion 
and angina pectoris. 

Hutchison Hain Organic 

Hutchison Hain Organic is a consolidated joint venture with Hain Celestial, a Nasdaq-listed, natural and organic food and personal 
care products company.  Hutchison Hain Organic distributes a broad range of over 500 imported organic and natural products.  Pursuant 
to its joint venture agreement, Hutchison Hain Organic has rights to manufacture, market and distribute Hain Celestial’s products within 
nine Asian territories. We believe the key strategic product for Hutchison Hain Organic is Earth’s Best organic baby products, a leading 
brand in the United States. Hutchison Hain Organic’s other products are distributed to hypermarkets, specialty stores and other retail 
outlets in Hong Kong, China and across seven other territories in Asia mainly through third-party local distributors, including retail 
chains owned by affiliates of CK Hutchison. 

Hutchison Healthcare 

Hutchison Healthcare is our wholly owned subsidiary and is primarily engaged in the manufacture and sale of health supplements.  
Hutchison Healthcare’s major product is Zhi Ling Tong DHA capsules, a health supplement made from algae DHA oil for the promotion 
of brain and retinal development in babies and young children, which is distributed by Hutchison Sinopharm. 

The  majority  of  Hutchison  Healthcare’s  products  are  contract  manufactured  at  a  dedicated  and  certified  manufacturing  facility 

operated by a third party. 

HUTCHMED Science Nutrition 

HUTCHMED Science Nutrition is our wholly owned subsidiary that is primarily engaged in the distribution of third-party consumer 

products in Asia. 

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Oncology/Immunology Competition  

Competition 

The  biotechnology  and  pharmaceutical  industries  are  highly  competitive.    While  we  believe  that  our  highly  selective  drug 
candidates, experienced development team and chemistry-focused scientific approach provide us with competitive advantages, we face 
potential  competition  from  many  different  sources,  including  major  pharmaceutical,  specialty  pharmaceutical  and  biotechnology 
companies.  Any drug candidates that we successfully develop and commercialize will compete with existing drugs and/or new drugs 
that may become available in the future. 

We compete in the segments of the pharmaceutical, biotechnology and other related markets that address inhibition of key biological 
pathways  in  cancer  and  immunological  diseases.    There  are  other  companies  working  to  develop  kinase  inhibitors  and  monoclonal 
antibodies as targeted therapies for cancer and immunological diseases.  These companies include divisions of large pharmaceutical 
companies and biotechnology companies of various sizes.   

Many of our competitors, either alone or with their strategic partners, have substantially greater financial, technical and human 
resources than we do and significantly greater experience in the discovery and development of drug candidates, obtaining regulatory 
approvals of products and the commercialization of those products.  Accordingly, our competitors may be more successful than we may 
be in obtaining approval for drugs and achieving widespread market acceptance.  Our competitors’ drugs may be more effective, or 
more  effectively  marketed  and  sold,  than  any  drug  we  may  commercialize  and  may  render  our  drug  candidates  obsolete  or  non-
competitive before we can recover the expenses of developing and commercializing any of our drug candidates.  We anticipate that we 
will face intense and increasing competition as new drugs enter the market and advanced technologies become available. 

Below is a summary of existing therapies and therapies currently under development that may become available in the future which 

may compete with each of our clinical-stage drug candidates. 

Savolitinib 

While there are currently no approved selective MET inhibitors on the market in China, two selective MET inhibitors are on the 
market in the US and Japan: Tepmetko (tepotinib) and Tabrecta (capmatinib) are approved for MET exon 14 skipping NSCLC with 
additional programs underway focused on lung cancer. Market Authorization Applications for Tabrecta and Tepmetko are both under 
review by the European Medicines Agency (EMA) for use in the treatment of MET exon 14 skipping NSCLC. Other selective MET 
inhibitors in development include telisotuzumab vedotin (in Phase II for advanced solid tumors, including NSCLC), elzovantinib (TPX-
0022,  in  Phase  I/II  development  for  advanced  solid  tumors),  AMG  337  (in  Phase  II  for  advanced  or  metastatic  clear  cell  sarcoma 
harboring the EWSR1-ATF1 gene fusion), and glumetinib (in Phase I/II in China for advanced solid tumors, including MET-altered 
NSCLC). Sym-015 is a bi-specific antibody that binds to non-overlapping epitopes on the extracellular domain of the Met receptor 
tyrosine kinase (in Phase IIa development). 

Approved  compounds  that  inhibit  MET  as  well  as  other  kinases  include  Xalkori  (crizotinib)  (ALK,  ROS1  and  MET  inhibitor 
marketed for NSCLC) and Cabometyx (cabozantinib) (VEGFR/MET/Ret inhibitor approved for RCC and liver cancer as well as in 
development for genitourinary cancers).  Amivantamab (JNJ-61186372) (EGFR/MET bi-specific antibody) is approved for NSCLC 
harboring EGFR exon 20 insertion mutation and in late-stage development for EGFRm+ NSCLC. 

Surufatinib 

Sutent (VEGFR inhibitor) and Afinitor (mTOR inhibitor) have been approved for the treatment of pancreatic NETs.  Somatuline 
Depot (Lanreotide) is a growth hormone release inhibitor that has been approved for the treatment of gastroenteropancreatic NETs.  
Sandostatin (octreotide) is a growth hormone and insulin-like growth factor-1 inhibitor that has also been approved for NETs.  Lutathera 
(Lu-dotatate), a somatostatin receptor targeting radiotherapy, has been approved by the FDA for the treatment of somatostatin receptor 
positive gastroenteropancreatic NETs.  Furthermore, small molecules, monoclonal antibodies and radiotherapies are being developed 
for  the  treatment  of  NETs.    Compounds  undergoing  development  for  NETs  include  Inlyta  (axitinib,  tyrosine  kinase  inhibitor),  and 
Vargatef (nintedanib, a tyrosine kinase inhibitor).  Cometriq (an additional brand name for cabozantinib) has been marketed for thyroid 
cancer and is being studied for NETs.  In addition, Avastin is an anti-VEGF monoclonal antibody being studied for NETs. 

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Fruquintinib 

Approved VEGF inhibitors on the market for the treatment of CRC include Avastin (anti-VEGF monoclonal antibody), Cyramza 
(anti-VEGFR2 monoclonal antibody), Stivarga (VEGFR/TIE2 inhibitor) and Zaltrap (ziv-aflibercept) (VEGF inhibitor).  Cyramza is 
additionally approved for the treatment of NSCLC, gastric cancer, and a certain type of liver cancer. Avastin is approved for NSCLC 
and nintedanib is approved for the treatment of lung disease associated with fibrosis (under the name Ofev) as well asadeno-NSCLC in 
Europe (under the name Vargatef). Other VEGFR inhibitors being developed for the treatment of NSCLC include Cabometyx, Lenvima 
(lenvatinib), lucitanib and Caprelsa. VEGFR inhibitors being developed for the treatment of gastric cancer include dovitinib, telatinib 
and Stivarga. In China, Aitan (apatinib) has been approved for the treatment of third-line gastric cancer and Focus-V (anlotinib) has 
been approved for the treatment of third-line NSCLC. 

Sovleplenib and Amdizalisib 

There has been extensive research on oral small-molecule Syk inhibitors due to the major unmet medical need in inflammation and 
oncology. However, many Syk inhibitors have failed in the development stage due to their off-target toxicity as a result of lower kinase 
selectivity and possibly poor pharmacokinetic properties. The only small molecule drug candidate targeting Syk specifically has been 
approved to date is Tavalisse for the treatment of chronic immune thrombocytopenia. Lanraplenib (GS-9876) is a Syk inhibitor that has 
been studied for autoimmune diseases, but not currently in active development for autoimmune diseases. Syk inhibitors currently in 
clinical  studies  for  hematological  cancers  include  entospletinib  (AML  harboring  NPM1c  or  FLT3  mutations),  lanraplenib  and 
cerdulatinib (lymphoma). 

Currently there are three PI3K inhibitors approved and on the market.  In February 2021, Ukoniq (umbralisib) was approved for 
the treatment of relapsed or refractory marginal zone lymphoma and follicular lymphoma, although the FDA is currently investigating 
possible  increased  risk  of  death  associated  with  umbralisib.    Aliqopa  (copanlisib,  pan-PI3K  inhibitor)  was  approved  for  relapsed 
follicular lymphoma as a monotherapy and is being studied in combination with rituximab as well as rituximab and chemotherapy in 
NHL. Copiktra (duvelisib, PI3K-δ/γ dual inhibitor) is currently approved for relapsed/refractory chronic lymphocytic leukemia/small 
lymphocytic lymphoma as a monotherapy. In January 2022, Incyte announced that it is withdrawing its NDA for parsaclisib due to the 
investment required to complete a post marketing confirmatory study within the timeframe required by the FDA. In addition, several 
drug candidates that inhibit PI3Kδ are in clinical development for hematological cancers, including zandelisib (ME-401), ACP 319 and 
YY-20394. 

Tazemetostat 

The  most  common  treatments  for  follicular  lymphoma  are  chemotherapies,  usually  combined  with  the  monoclonal  antibody 
Rituxan, or Gazyva, which is an antibody that acts against the same target as Rituxan, CD20. While Rituxan and a number of other 
widely used anti-cancer agents are labeled broadly for follicular lymphoma, no therapies are approved specifically for the treatment of 
tumors associated with EZH2 activating mutations. There are a number of companies currently evaluating investigational agents in the 
relapsed and refractory follicular lymphoma patient setting. 

In  the  relapsed  and  refractory  follicular  lymphoma  patient  setting,  both  current  and  near-term  competition  exists.  Current 
competition includes CD20 combinations along with multiple PI3K inhibitors. Near term competition includes companies currently 
evaluating investigational agents with varying mechanisms of action. 

Other than tazemetostat, there are no therapies which have been approved specifically for the treatment of epithelioid sarcoma. 
Epithelioid sarcoma, an INI1-negative tumor, is typically treated with surgical resection when it presents as localized disease. When 
epithelioid sarcoma recurs or metastasizes, it may be treated with systemic chemotherapy or investigational agents because, other than 
tazemetostat, there are no approved systemic therapies specifically indicated for this disease. To the best of our knowledge there are no 
competitive  products  in  development  specifically  for  epithelioid  sarcoma.  However,  we  are  aware  of  several  clinical  trials  run  by 
competitors that recruit patients with soft tissue sarcoma, which is inclusive of epithelioid sarcoma. 

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HMPL-306 

Tilbsovo (ivosidenib) is an approved therapy that specifically inhibits IDH1 while Idhifa (enasidenib) is an approved therapy that 
specifically inhibits IDH2.  To date, there are no approved therapies that inhibit both IDH1 and IDH2, which could be advantageous in 
deferring resistance to therapy. A pan-IDH inhibitor, vorasidenib, is currently in late stage development for glioma. An IDH 1/2 inhibitor, 
LY3410738, is in Phase 1 development for both hematological malignancies and solid tumors. Other IDH1 inhibitors in development 
include olutasidenib (FT-2102), BAY1436032, and DS-1001b. 

HMPL-760 

Approved  first  and  second  generation  BTK  inhibitors  include  Imbruvica,  Calquence,  Tirabrutinib,  Brukinsa  and  orelabrutinib. 
Rolling NDA submission started for pirtobruntinib in mantle cell lymphoma in December 2021. Nemtabrutinib, orelabrutinib, TG-1701 
and JNJ-64264681 are in development for cancer. A number of other BTK inhibitors, such as evobrutinib, remibrutinib, tolebrutinib, 
rilzabrutinib, SAR444727 and fenebrutinib, are in development for immunological diseases. 

HMPL-453 

To date, Balversa, Pemazyre and Truseltiq are the only approved therapies that specifically target the FGFR signaling pathway. 
Late-stage studies are underway for futibatinib and derazantinib.  Additionally, a FGFR specific monoclonal antibody, bemarituzumab, 
is in Phase III development for gastric cancer and gastroesophageal junction (GEJ) adenocarcinoma. Several small molecule FGFR TKI 
are in clinical trials for solid tumors, including AZD4547, rogaratinib, fisogatinib (BLU-554), famitinib, Debio 1347, E7090, ICP-192, 
ICP-105, ASP5878, FGF401, RLY-4008 and HH185. 

HMPL-295 

To date, no ERK inhibitor drug has been approved. A number of ERK inhibitors, including BVD-523, LY3214996 and LLT462, 

among others are being developed in clinical settings as a single agent and/or in combination with various therapeutical agents. 

HMPL-653 

Turalio is the only FDA approved CSF-1R inhibitor drug and currently there is no CSF-1R inhibitors approved in China. CSF-1R 
inhibitors in development globally include axatilimab, BLZ945, vimseltinib, AMB-05X, NMS-03592088, ARRY-382, JNJ-40346527, 
emactuzumab, AMG820 and IMC-CS4. 

Other Ventures Competition 

Our Other Ventures operations which focus on prescription drugs compete in the pharmaceutical industry in China, which is highly 
competitive  and  is  characterized  by  a  number  of  established,  large  pharmaceutical  companies,  as  well  as  some  smaller  emerging 
pharmaceutical companies.  This business faces competition from other pharmaceutical companies in China engaged in the development, 
production, marketing or sales of prescription drugs, in particular cardiovascular drugs.   

The  barrier  to  entry  for  the  PRC  pharmaceutical  industry  primarily  relates  to  regulatory  requirements  in  connection  with  the 
production of pharmaceutical products and new product launches. The identities of the key competitors with respect to our prescription 
drugs business vary by product, and, in certain cases, different competitors that have greater financial resources than us may elect to 
focus these resources on developing, importing or in-licensing and marketing products in the PRC that are substitutes for our products 
and may have broader sales and marketing infrastructure with which to do so. 

We  believe  that  we  compete  primarily  on  the  basis  of  brand  recognition,  pricing,  sales  network,  promotion  activities,  product 
efficacy, safety and reliability.  We believe our Other Ventures’ continued success will depend on our business’s capability to: maintain 
profitability  of  its  products,  obtain  and  maintain  regulatory  approvals,  develop  drug  candidates  with  market  potential,  maintain  an 
efficient operational model, apply technologies to production lines, attract and retain talented personnel, maintain high quality standards, 
and effectively market and promote the products sold by our prescription drugs business.   

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Our  Other  Ventures  operations  which  focus  on  consumer  health  products  competes  in  a  highly  fragmented  market  in  Asia, 
particularly in our primary market in China.  We believe that this business competes primarily on the basis of brand recognition, pricing, 
sales network, promotion activities, product safety and reliability.  We believe our continued success will depend on our business’s 
capability  to:  successfully  market  and  distribute  in-licensed  products  such  as  Earth’s  Best  infant  formula,  maintain  an  efficient 
operational model, attract and retain talented personnel, maintain high quality standards, and effectively market and promote the products 
sold by our business. 

Patents and Other Intellectual Property 

Our commercial success depends in part on our ability to obtain and maintain proprietary or intellectual property protection for our 
Oncology/Immunology drugs and drug candidates, our Other Ventures’ products and other know-how. Our policy is to seek to protect 
our proprietary and intellectual property position by, among other methods, filing patent applications in various jurisdictions related to 
our proprietary technology, inventions and improvements that are important to the development and implementation of our business. 
We  also  rely  on  trade  secrets,  know-how  and  continuing  technological  innovation  to  develop  and  maintain  our  proprietary  and 
intellectual property position. 

Patents 

We and our joint ventures file patent applications directed to our Oncology/Immunology drugs and drug candidates and our Other 
Ventures’ products in an effort to establish intellectual property positions with regard to new small molecule compounds and/or extracts 
of natural herbs, their compositions as well as their medical uses in the treatment of diseases. In relation to our Oncology/Immunology 
operations, we also file patent applications directed to crystalline forms, formulations, processes, key intermediates, and secondary uses 
as clinical trials for our drug candidates evolve. We file such patent applications in major market jurisdictions, including but not limited 
to the United States, Europe, Japan and China. 

Our Oncology/Immunology Patents 

As of December 31, 2021, we had 270 issued patents, including 21 Chinese patents, 24 U.S. patents and 14 European patents, 184 
patent applications pending in the above major market jurisdictions, and 13 pending PCT patent applications relating to the drugs and 
drug candidates of our Oncology/Immunology operations. The intellectual property portfolios for our most advanced drug candidates 
are summarized below. With respect to most of the pending patent applications covering our drug candidates, prosecution has yet to 
commence. Prosecution is a lengthy process, during which the scope of the claims initially submitted for examination by the relevant 
patent office is often significantly narrowed by the time when they issue, if they issue at all. We expect this to be the case for our pending 
patent applications referred to below. 

Savolitinib—The intellectual property portfolio for savolitinib contains two patent families. 

The first patent family for savolitinib is directed to novel small molecule compounds as well as methods of treating cancers with 
such compounds. As of December 31, 2021, we owned 56 patents in this family, including patents in China, the United States, Europe 
and Japan, each expiring in 2030, and we also had 11 patent applications pending in various other jurisdictions.   

The second patent family is directed to the method for the preparation of savolitinib. As of December 31, 2021, we had 17 patent 
applications pending in this family in various jurisdictions, including China, the United States, Europe, and Japan, each of which, if 
issued, would have an expiration date in 2039. This patent family is co-owned by us and AstraZeneca. 

Our collaboration partner AstraZeneca is responsible for maintaining and enforcing the intellectual property portfolio for savolitinib. 

Surufatinib—The intellectual property portfolio for surufatinib contains nine patent families. 

The  first  patent  family  for  surufatinib  is  directed  to  novel  small  molecule  compounds  as  well  as  methods  of  treating  tumor 
angiogenesis-related disorders with such compounds. As of December 31, 2021, in this patent family we owned one Chinese patent 
expiring in 2027 and 12 patents in various other jurisdictions, including the United States expiring in 2031, and Europe and Japan, each 
expiring in 2028. As of December 31, 2021, we also had one patent application pending in Brazil. 

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The second patent family is directed to the crystalline forms of surufatinib as well as methods of treating tumor angiogenesis-related 
disorders with such forms. As of December 31, 2021, in this patent family we owned two patents in China expiring in 2029 and 2030, 
respectively, and we owned 15 patents in other jurisdictions, including the United States expiring in 2031 and Europe expiring in 2030. 
As of December 31, 2021, we also had one patent application pending in Brazil. 

The third patent family is directed to the formulation of a micronized active pharmaceutical ingredient used in surufatinib as well 
as methods of treating tumor angiogenesis-related disorders with such formulation. As of December 31, 2021, we owned 11 patents in 
this  family  in  various  jurisdictions,  including  China,  Europe  and  Japan,  each  of  which  will  expire  in  2036.  We  also  had  8  patent 
applications pending in various other jurisdictions, each of which, if issued, would have an expiration date in 2036. 

The fourth patent family is directed to clinical indications of surufatinib. With respect to this patent family, we had one patent 

application pending in Japan, which, if issued, would have an expiration date in 2036. 

The fifth patent family is subject to confidential review by the patent authorities. With respect to this family, we had one patent 

application pending in China, which, if issued, would have an expiration date in 2040. 

The sixth patent family is directed to the pharmaceutical combinations of toripalimab and surufatinib. With respect to this family, 
we had one PCT and one Taiwan applications pending, each of which, if issued, would have an expiration date in 2041. This patent 
family is co-owned by us and Shanghai Junshi Biosciences Co., Ltd. 

The seventh patent family is subject to confidential review by the patent authorities. With respect to this family, we had one patent 

application pending in the United States, which, if issued, would have an expiration date in 2041. 

The eighth and ninth patent families are each subject to confidential review by the patent authorities. With respect to each of these 

families, we had one patent application pending in China, which, if issued, would have an expiration date in 2041. 

Fruquintinib—The intellectual property portfolio for fruquintinib contains six patent families. 

The  first  patent  family  for  fruquintinib  is  directed  to  novel  small  molecule  compounds  as  well  as  methods  of  treating  tumor 
angiogenesis-related disorders with such compounds. As of December 31, 2021, we owned three U.S. patents, one Chinese patent and 
one Taiwanese patent in this family, each of which will expire in 2028. We also owned 15 patents in other jurisdictions including Europe 
and Japan, each of which will expire in 2029. As of December 31, 2021, we also had one patent application pending in Brazil.   

The second patent family is directed to crystalline forms of fruquintinib as well as methods of treating tumor angiogenesis-related 
disorders with such forms. As of December 31, 2021, we owned 22 patents in this family in various jurisdictions, including the United 
States,  China,  Europe  and  Japan,  each  of  which  will  expire  in  2035,  and  we  had  5  patent  applications  pending  in  various  other 
jurisdictions. 

The third patent family is directed to the method of preparing one of the critical intermediates used in the manufacturing process of 

fruquintinib. With respect to this patent family, we had one patent in China expiring in 2034. 

The fourth patent family is directed to the pharmaceutical composition of fruquintinib. As of December 31, 2021, we had 7 patent 
applications pending in this patent family in various jurisdictions, including China, the United States, Europe and Japan, each of which, 
if issued, would have an expiration date in 2039. 

The fifth patent family is directed to the pharmaceutical combinations of geptanolimab and fruquintinib. With respect to this family, 
we  had  one  patent  application  pending  in  China,  which,  if  issued,  would  have  an  expiration  date  in  2040.  We  also  had  one  PCT 
application pending in this family, which, if issued, would have an expiration date in 2041. This patent family is co-owned by us and 
Genor Biopharma Co. Ltd. 

The sixth patent family is directed to the pharmaceutical combinations of sintilimab and fruquintinib. With respect to this family, 
we had one PCT and one Taiwan application pending, each of which, if issued, would have an expiration date in 2041. This patent 
family is co-owned by us and Innovent Biologics (Suzhou) Co. Ltd. 

Sovleplenib—The intellectual property portfolio for sovleplenib contains two patent families. 

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The first patent family is directed to novel small molecule compounds as well as methods of treating cancers, inflammatory diseases, 
allergic diseases, cell-proliferative diseases, and immunological diseases with such compounds. As of December 31, 2021, we owned 
24 patents in this family in various jurisdictions, including the United States, China, Europe and Japan, each of which will expire in 
2032. As of December 31, 2021, we also had one patent application pending in India. 

The second patent family is directed to the salts of sovleplenib as well as crystalline forms thereof. As of December 31, 2021, we 
had 24 patent applications pending in this patent family in various jurisdictions, including China, the United States, Europe and Japan, 
each of which, if issued, would have an expiration date in 2038. 

Amdizalisib—The intellectual property portfolio for amdizalisib contains three patent families. 

The first patent family is directed to novel small molecule compounds as well as uses of such compounds. As of December 31, 
2021, we owned 25 patents in this family in various jurisdictions, including the United States, Europe, China and Japan, each of which 
will expire in 2035. As of December 31, 2021, we also had two patent applications pending in this family in Argentina and Brazil. 

The second patent family is directed to crystalline forms of amdizalisib. As of December 31, 2021, we had 23 patent applications 
pending in this family in various jurisdictions, including China, the United States, Europe and Japan, each of which, if issued, would 
have an expiration date in 2039. 

The third patent family is directed to the method of preparing one of the critical intermediates used in the manufacturing process of 

amdizalisib. With respect to this patent family, we had one patent in China expiring in 2038. 

Tazemetostat — The intellectual property portfolio for Tazemetostat is licensed from Epizyme, Inc. 

We entered into a licensing agreement with Epizyme pursuant to which we obtained a co-exclusive license to develop, an exclusive 
license  to  commercialize  and  a  co-exclusive  license  to  manufacture  tazemetostat  in  China,  Hong  Kong,  Taiwan  and  Macau  for  all 
therapeutic and palliative uses in epithelioid sarcoma, follicular lymphoma (second line and third line), diffuse large B-cell lymphoma 
and any other indications that are approved according to the terms of the licensing agreement. For more details, please see “—Our 
Collaborations—Epizyme.” 

HMPL-306 — The intellectual property portfolio for HMPL-306 contains one patent family. 

The patent family is directed to novel small molecule compounds as well as methods of treating cancers with the compounds. As 
of December 31, 2021, we had 24 patent applications pending in this patent family in various jurisdictions, including China, the United 
States, Europe and Japan, each of which, if issued, would have an expiration date in 2038. 

HMPL-760 — The intellectual property portfolio for HMPL-760 contains one patent family.  

The patent family is directed to novel small molecule compounds as well as methods of treating cancers, inflammatory diseases or 
auto-immune diseases with such compounds. As of December 31, 2021, in this patent family we had PCT, the United States, Argentina 
and Taiwan applications pending, each of which, if issued, would have an expiration date in 2041.  

HMPL-453 — The intellectual property portfolio for HMPL-453 contains two patent families. 

The first patent family is directed to novel small molecule compounds as well as methods of treating cancers with the compounds. 
As of December 31, 2021, we owned 22 patents in this family in various jurisdictions, including China, Europe, Japan and the United 
States,  each  of  which  will  expire  in  2034.  As  of  December  31,  2021,  we  had  three  patent  applications  pending  in  various  other 
jurisdictions. 

The second patent family is directed to the salts of HMPL-453. With respect to this family, we had PCT, Argentina and Taiwan 

applications pending, each of which, if issued, would have an expiration date in 2040. 

HMPL-295 — The intellectual property portfolio for HMPL-295 contains one patent family.  

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The patent family is directed to novel small molecule compounds as well as methods of treating cancers or auto-immune diseases 
with such compounds. As of December 31, 2021, in this patent family we had 23 patent applications pending in various jurisdictions, 
including China, the United States, Europe and Japan, each of which, if issued, would have an expiration date in 2040.  

HMPL-653 — The intellectual property portfolio for HMPL-653 contains one patent family.  

The patent family is directed to novel small molecule compounds as well as methods of treating cancers, inflammatory diseases or 
auto-immune  diseases  with  such  compounds.  As  of  December  31,  2021,  in  this  patent  family  we  had  PCT,  Argentina  and  Taiwan 
applications pending, each of which, if issued, would have an expiration date in 2041.  

Epitinib—The intellectual property portfolio for epitinib contains two patent families.  

The first patent family is directed to novel small molecule compounds as well as methods of treating cancers with such compounds. 
As of December 31, 2021, we owned two patents in China and Taiwan expiring in 2028, one patent in the United States expiring in 
2031 and 14 patents in other jurisdictions, including Europe, each expiring in 2029.  

The second patent family is directed to the salts and solvates of epitinib and crystalline forms thereof, as well as methods of treating 
cancers with such forms. As of December 31, 2021, we had one patent application pending in this family in China, which, if issued, 
would have an expiration date in 2038.  

Theliatinib—The intellectual property portfolio for theliatinib contains two patent families.  

The first patent family is directed to novel small molecule compounds as well as methods of treating cancers with such compounds. 
As of December 31, 2021, we owned 19 patents in this family in various jurisdictions, including China and Japan, each of which will 
expire in 2031.  

The second patent family is directed to the salts and solvates of theliatinib and crystalline forms thereof. With respect to this family, 

we had one Chinese application pending, which, if issued, would have an expiration date in 2038. 

Other Ventures Patents 

As of December 31, 2021, our joint venture Shanghai Hutchison Pharmaceuticals had 60 issued patents and 37 pending patent 

applications in China, including patents for its key prescription products described below. 

She Xiang Bao Xin Pills.  As of December 31, 2021, Shanghai Hutchison Pharmaceuticals held an invention patent in China directed 
to the formulation of the She Xiang Bao Xin pill.  Under PRC law, invention patents are granted for new technical innovations with 
respect to products or processes.  Invention patents in China have a maximum term of 20 years.  This patent will expire in 2029.  The 
“Confidential  State  Secret  Technology”  status  protection  on  the  She  Xiang  Bao  Xin  pill  technology  held  by  Shanghai  Hutchison 
Pharmaceuticals, as certified by China’s Ministry of Science and Technology and State Secrecy Bureau, is currently active. 

Danning Tablets.  As of December 31, 2021, Shanghai Hutchison Pharmaceuticals also held an invention patent in China directed 

to the formulation of the Danning tablet.  This patent will expire in 2027. 

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Patent Term 

The term of a patent depends upon the laws of the country in which it is issued. In most jurisdictions, a patent term is 20 years from 
the earliest filing date of a non-provisional patent application. In the United States, a patent’s term may be lengthened by patent term 
adjustment,  which  compensates  a  patentee  for  administrative  delays  by  the  USPTO  in  examining  and  granting  a  patent,  or  may  be 
shortened if a patent is terminally disclaimed over an earlier filed patent. The term of a patent that covers a drug or biological product 
may also be eligible for patent term extension when FDA approval is granted, provided statutory and regulatory requirements are met. 
In the future, if and when our drug candidates receive approval by the FDA or other regulatory authorities, we expect to apply for patent 
term extensions on issued patents covering those drugs, depending upon the length of the clinical trials for each drug and other factors. 
There  can  be  no  assurance  that  any  of  our  pending  patent  applications  will  be  issued  or  that  we  will  benefit  from  any  patent  term 
extension. 

As with other pharmaceutical companies, our or our joint ventures’ ability to maintain and solidify our proprietary and intellectual 
property position for our drugs and drug candidates or our or their products and technologies will depend on our or our joint ventures’ 
success in obtaining effective patent claims and enforcing those claims if granted. However, our or our joint ventures’ pending patent 
applications and any patent applications that we or they may in the future file or license from third parties may not result in the issuance 
of patents.  We also cannot predict the breadth of claims that may be allowed or enforced in our or our joint ventures’ patents. Any 
issued patents that we may receive in the future may be challenged, invalidated or circumvented.  For example, we cannot be certain of 
the priority of filing covered by pending third-party patent applications. If third parties prepare and file patent applications in the United 
States, China or other markets that also claim technology or therapeutics to which we or our joint ventures have rights, we or our joint 
ventures may have to participate in interference proceedings, which could result in substantial costs to us, even if the eventual outcome 
is  favorable  to  us,  which  is  highly unpredictable.    In  addition,  because of  the  extensive  time  required  for  clinical  development  and 
regulatory review of a drug candidate we may develop, it is possible that, before any of our drug candidates can be commercialized, any 
related patent may expire or remain in force for only a short period following commercialization, thereby limiting protection such patent 
would afford the respective product and any competitive advantage such patent may provide. 

Trade Secrets 

In addition to patents, we and our joint ventures rely upon unpatented trade secrets and know-how and continuing technological 
innovation  to  develop  and  maintain  our  or  their  competitive  position.  We  and  our  joint  ventures  seek  to  protect  our  proprietary 
information,  in  part,  by  executing  confidentiality  agreements  with  our  collaborators  and  scientific  advisors,  and  non-competition, 
non-solicitation, confidentiality, and invention assignment agreements with our employees and consultants. We and our joint ventures 
have also executed agreements requiring assignment of inventions with selected scientific advisors and collaborators. The confidentiality 
agreements  we  and  our  joint  ventures  enter  into  are  designed  to  protect  our  or  our  joint  ventures’  proprietary  information  and  the 
agreements or clauses requiring assignment of inventions to us or our joint ventures, as applicable, are designed to grant us or our joint 
ventures, as applicable, ownership of technologies that are developed through our or their relationship with the respective counterpart. 
We cannot guarantee, however, that these agreements will afford us or our joint ventures adequate protection of our or their intellectual 
property and proprietary information rights. 

Trademarks and Domain Names 

We  conduct  our  business  using  trademarks  with  various  forms  of  the  “Hutchison”,  “Chi-Med”,  “Hutchison  China  MediTech”, 
“HUTCHMED”, “Elunate”, “Sulanda”, “Orpathys” and “Tazverik” brands, the logos used by HUTCHMED Limited, as well as domain 
names incorporating some or all of these trademarks. In April 2006, we entered into a brand license agreement (as amended and restated 
on June 15, 2021) with Hutchison Whampoa Enterprises Limited, an indirect wholly-owned subsidiary of CK Hutchison, pursuant to 
which we have been granted a non-exclusive, non-transferrable, royalty-free right to use the “Hutchison”, “Hutchison China MediTech”, 
“Chi-Med”, “HUTCHMED” trademarks, domain names and other intellectual property rights owned by the CK Hutchison group in 
connection with the operation of our business worldwide. See “Connected Transactions” for further details. The Elunate and Orpathys 
trademarks are licensed to us in China by our collaboration partners Eli Lilly and AstraZeneca, respectively. The trademarks for the 
HUTCHMED Limited logo and “Sulanda” are owned by us. The Tazverik trademark is licensed to us in China, Hong Kong, Taiwan 
and Macau by our collaboration partner Epizyme. 

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In addition, our joint ventures seek trademark protection in China for their products.  As of December 31, 2021, our joint venture 
Shanghai Hutchison Pharmaceuticals owned a total of 12 trademarks in China related to products sold by it.  For example, the name 
“Shang  Yao”  is  a  registered  trademark  of  Shanghai  Hutchison  Pharmaceuticals  in  China  for  certain  uses  including  pharmaceutical 
preparations. 

Raw Materials and Supplies 

Raw materials and supplies are ordered based on our or our joint ventures’ respective sales plans and reasonable order forecasts and 
are generally available from our or our joint ventures’ own cultivation operations and various third-party suppliers in quantities adequate 
to meet our needs. We typically order raw materials on short-term contract or purchase order basis and do not enter into long-term 
dedicated capacity or minimum supply arrangements. 

For our Oncology/Immunology operations, the active pharmaceutical ingredient used in our drug candidates are supplied to us from 
third-party vendors.  Our ability to successfully develop our drug candidates, and to ultimately supply our commercial drugs in quantities 
sufficient to meet the market demand, depends in part on our ability to obtain the active pharmaceutical ingredients for these drugs in 
accordance with regulatory requirements and in sufficient quantities for commercialization and clinical testing. 

We generally aim to identify and qualify one or more manufacturers to provide such active pharmaceutical ingredients prior to 
submission of an NDA to the FDA and/or NMPA.  We contract with a single supplier to manufacture and supply us with the active 
pharmaceutical  ingredient for  fruquintinib  for  commercial  purposes  and are  in  the  process  of  engaging  a  second  supplier. We have 
already validated the second supplier’s cGMP production processes and the application for this second supplier has been approved by 
the NMPA. We also contract with a single supplier to manufacture and supply us with the active pharmaceutical ingredient for surufatinib 
for commercial purposes. We contracted with a single supplier to provide active pharmaceutical ingredient and finished product for 
savolitinib. We manage the risk of price fluctuations and supply disruptions of active pharmaceutical ingredients by purchasing them in 
bulk quantities as these ingredients have a relatively long shelf life. Other than the foregoing, we do not currently have arrangements in 
place for a contingent or second-source supply of the active pharmaceutical ingredients for fruquintinib, surufatinib or savolitinib in the 
event any of our current suppliers of such active pharmaceutical ingredients or finished product cease their operations for any reason, 
which may lead to an interruption in our production and operations. However, to date, while we have experienced price fluctuations 
associated  with  our  raw  materials,  we  have  not  experienced  any  material  disruptions  in  the  supply  of  the  active  pharmaceutical 
ingredients or the other raw materials we and our joint venture partners use. See Item 3.D. “Risk Factors—Certain of our joint venture 
parties principal products involve the cultivation or sourcing of key raw materials including botanical products, and any quality control 
or  supply  failure  or  price  fluctuations  could  adversely  affect  our  ability  to  manufacture  our  products  and/or  could  materially  and 
adversely affect our operating results.” 

Quality Control and Assurance 

We  have  our  own  independent  quality  control  system  and  devote  significant  attention  to  quality  control  for  the  designing, 
manufacturing and testing of our products.  We have established a strict quality control system in accordance with the NMPA regulations.  
Our laboratories fully comply with the Chinese manufacturing guidelines and are staffed with highly educated and skilled technicians 
to ensure quality of all batches of product release.  We monitor in real time our operations throughout the entire production process, 
from inspection of raw and auxiliary materials, manufacture, delivery of finished products, clinical testing at hospitals, to ethical sales 
tactics.  Our quality assurance team is also responsible for ensuring that we are in compliance with all applicable regulations, standards 
and internal policies.  Our senior management team is actively involved in setting quality policies and managing internal and external 
quality performance of our company and our joint venture Shanghai Hutchison Pharmaceuticals. 

Customers and Suppliers 

For the years ended December 31, 2019, 2020 and 2021, we generated revenue of $75.7 million, $102.3 million and $188.9 million 
from our five largest customers, respectively. For the years ended December 31, 2019, 2020 and 2021, revenue from our five largest 
customers represented approximately 37%, 45% and 53% of our total revenue, respectively, and revenue from our largest customer in 
those periods represented approximately 13%, 16% and 16% of our revenue in the same periods, respectively. Save for Sinopharm, our 
five largest customers were independent third parties and none of our directors or their close associates or, to the knowledge of our 
directors, any shareholders who owned more than 5% of our issued ordinary shares had any interest in any of our five largest customers 
as of the date of the filing of this annual report. 

132 

In 2019, 2020 and 2021, Sinopharm, which jointly owns Hutchison Sinopharm with us, was one of our five largest customers. Sales 
to Sinopharm and/or its associates contributed 14%, 16% and 12% of our revenue in 2019, 2020 and 2021, respectively. Purchases from 
Sinopharm and/or its associates contributed less than 1% of our total purchases in 2019, 2020 and 2021, respectively.  

For the years ended December 31, 2019, 2020 and 2021, the total purchases from our five largest suppliers were $46.8 million, 
$58.0 million and $100.6 million, respectively. For the years ended December 31, 2019, 2020 and 2021, our purchases from our five 
largest suppliers represented 28% of our total purchases. Save for Shanghai Hutchison Pharmaceuticals and Hain Celestial, all of our 
five  largest  suppliers were  independent  third  parties  and none of our directors or  their  close  associates  or,  to  the knowledge  of our 
directors, any shareholder who owned more than 5% of our issued ordinary shares had any interest in any of our five largest suppliers 
as of the date of the filing of this annual report.  

Contract Research Organizations 

Although we or our collaboration partners design the clinical trials for our drug candidates, CROs conduct most of the clinical trials. 
Our agreements with CROs are usually structured as master service agreements which set out the services to be performed, payment 
schedule, term and confirmation that all intellectual rights arising out of or made in performance of the services are owned by us. We 
and our collaboration partners work with major global and Chinese CROs. 

Certificates and Permits 

HUTCHMED (Suzhou) Limited (formerly Hutchison MediPharma (Suzhou) Limited) holds a pharmaceutical manufacturing permit 

issued by its local regulatory authority expiring on September 13, 2025.  It also complies with applicable GMP standards.  

Hutchison Sinopharm holds a pharmaceutical trading license issued by its local regulatory authority expiring on July 30, 2024.  
Hutchison Sinopharm also holds a good supply practice, or GSP, certificate issued by its local regulatory authority which expires on 
July 30, 2024. 

Shanghai Hutchison Pharmaceuticals holds a pharmaceutical manufacturing permit from its local regulatory authorities expiring on 

December 31, 2025.  

Shanghai Shangyao Hutchison Whampoa GSP Company Limited, a subsidiary of Shanghai Hutchison Pharmaceuticals, holds a 
pharmaceutical trading license from its local regulatory authority expiring on November 17, 2024.  It also holds a GSP certificate issued 
by its local regulatory authority expiring on November 17, 2024. 

Regulations 

This section sets forth a summary of the most significant rules and regulations affecting our business activities in China and the 

United States. 

Government Regulation of Pharmaceutical Product Development and Approval 

PRC Regulation of Pharmaceutical Product Development and Approval 

Since China’s entry to the World Trade Organization in 2001, the PRC government has made significant efforts to standardize 

regulations, develop its pharmaceutical regulatory system and strengthen intellectual property protection. 

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Regulatory Authorities 

In the PRC, the NMPA is the authority that monitors and supervises the administration of pharmaceutical products and medical 
appliances and equipment as well as cosmetics. The NMPA’s predecessor, the State Drug Administration, or the SDA, was established 
on August 19, 1998 as an organization under the State Council to assume the responsibilities previously handled by the Ministry of 
Health of the PRC, or the MOH, the State Pharmaceutical Administration Bureau of the PRC and the State Administration of Traditional 
Chinese Medicine of the PRC. The SDA was replaced by the State Food and Drug Administration, or the SFDA, in March 2003 and 
was later reorganized into the China Food and Drug Administration, or the CFDA, in March 2013. On March 17, 2018, the First Session 
of the Thirteenth National People’s Congress approved the State Council Institutional Reform Proposal, according to which the duties 
of the CFDA were consolidated into the State Administration for Market Regulation, or the SAMR, and the NMPA was established 
under the management and supervision of the SAMR. 

The primary responsibilities of the NMPA include: 

  monitoring  and  supervising  the  administration  of  pharmaceutical  products,  medical  appliances  and  equipment  as  well  as 

cosmetics in the PRC; 

 

 

 

formulating  administrative  rules  and  policies  concerning  the  supervision  and  administration  of  cosmetics  and  the 
pharmaceutical industry; evaluating, registering and approving of new drugs, generic drugs, imported drugs and traditional 
Chinese medicine; 

undertaking  the  standard,  registration,  quality  and  post  marketing  risk  management  of  pharmaceutical  products,  medical 
appliances and equipment as well as cosmetics; and 

examining, evaluating and supervising the safety of pharmaceutical products, medical appliances and equipment as well as that 
of cosmetics. 

The MOH is an authority at the ministerial level under the State Council and is primarily responsible for national public health.  
Following the establishment of the SFDA in 2003, the MOH was put in charge of the overall administration of national health in the 
PRC excluding the pharmaceutical industry.  In March 2008, the State Council placed the SFDA under the management and supervision 
of the MOH.  The MOH performs a variety of tasks in relation to the health industry such as establishing social medical institutes and 
producing professional codes of ethics for public medical personnel.  The MOH is also responsible for overseas affairs, such as dealings 
with overseas companies and governments.  In 2013, the MOH and the National Population and Family Planning Commission were 
integrated into the National Health and Family Planning Commission of the PRC, or the NHFPC.  On March 17, 2018, the First Session 
of  the  Thirteenth  National  People’s  Congress  approved  the  State  Council  Institutional  Reform  Proposal,  according  to  which  the 
responsibilities of NHFPC and certain other governmental authorities are consolidated into the National Health Commission, or the 
NHC, and the NHFPC shall no longer be maintained.  The responsibilities of the NHC include organizing the formulation of national 
drug policies, the national essential medicine system and the National Essential Medicines List and drafting the administrative rules for 
the procurement, distribution and use of national essential medicines. 

Healthcare System Reform 

The  PRC  government  has  promulgated  several  healthcare  reform  policies  and  regulations  to  reform  the  healthcare  system.  On 
March 17,  2009,  the  Central  Committee  of  the  PRC  Communist  Party  and  the  State  Council  jointly  issued  the  Guidelines  on 
Strengthening the Reform of Healthcare System. On March 18, 2009, the State Council issued the Implementation Plan for the Recent 
Priorities of the Healthcare System Reform (2009-2011). On July 22, 2009, the General Office of the State Council issued the Five Main 
Tasks of Healthcare System Reform in 2009. 

Highlights of these healthcare reform policies and regulations include the following: 

  The overall objective of the reform is to establish a basic healthcare system to cover both urban and rural residents and provide 
the Chinese people with safe, effective, convenient and affordable healthcare services. The PRC government aims to extend 
basic medical insurance coverage to at least 90% of the country’s population by 2011 and increase the amount of subsidies on 
basic medical insurance for urban residents and rural cooperative medical insurance to RMB120 ($18.32) per person per year 
by 2010. By 2020, a basic healthcare system covering both urban and rural residents should be established. 

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  The reforms aim to promote orderly market competition and improve the efficiency and quality of the healthcare system to 
meet the various medical needs of the Chinese population. From 2009, basic public healthcare  services such as preventive 
healthcare, maternal and child healthcare and health education will be provided to urban and rural residents. In the meantime, 
the reforms also encourage innovations by pharmaceutical companies to eliminate low-quality and duplicative products. 

  The five key tasks of the reform from 2009 to 2011 are as follows: (1) to accelerate the formation of a basic medical insurance 
system; (2) to establish a national essential drug system; (3) to establish a basic healthcare service system; (4) to promote equal 
access to basic public healthcare services; and (5) to promote the reform of public hospitals. 

Drug Administration Laws and Regulations 

The PRC Drug Administration Law as promulgated by the Standing Committee of the National People’s Congress in 1984 and the 
Implementing Measures of the PRC Drug Administration Law as promulgated by the MOH in 1989 have laid down the legal framework 
for  the  establishment  of  pharmaceutical  manufacturing  enterprises,  pharmaceutical  trading  enterprises  and  for  the  administration  of 
pharmaceutical products including the development and manufacturing of new drugs and medicinal preparations by medical institutions. 
The PRC Drug Administration Law also regulates the packaging, trademarks and the advertisements of pharmaceutical products in the 
PRC. 

Certain revisions to the PRC Drug Administration Law took effect on December 1, 2001.  They were formulated to strengthen the 
supervision  and  administration  of  pharmaceutical  products,  and  to  ensure  the  quality  and  the  safety  of  pharmaceutical  products  for 
human use.  The revised PRC Drug Administration Law applies to entities and individuals engaged in the development, production, 
trade,  application,  supervision  and  administration  of  pharmaceutical  products.    It  regulates  and  prescribes  a  framework  for  the 
administration of pharmaceutical manufacturers, pharmaceutical trading companies, and medicinal preparations of medical institutions 
and the development, research, manufacturing, distribution, packaging, pricing and advertisements of pharmaceutical products. 

The PRC Drug Administration Law was later amended on December 28, 2013 and April 24, 2015 by the Standing Committee of 
the National People’s Congress. It provides the basic legal framework for the administration of the production and sale of pharmaceutical 
products in China and covers the manufacturing, distributing, packaging, pricing and advertising of pharmaceutical products. 

On  August  26,  2019,  the  Standing  Committee  of  the  National  People’s  Congress  promulgated  the  amended  PRC  Drug 
Administration Law, which took effect on December 1, 2019.  The amendment brought a series of changes to the drug supervision and 
administration system,  including but not  limited  to  the  clarification of  the  MAH  system,  pursuant  to  which  the MAH  shall  assume 
responsibilities for non-clinical studies, clinical trials, manufacturing and marketing, post-marketing studies, monitoring, reporting and 
handling of adverse reactions of the drug.  The amendment also stipulated that the PRC supports the innovation of drugs with clinical 
value and specific or special effects on human diseases, encourages the development of drugs with new therapeutic mechanisms and 
promotes the technological advancement of such drugs. 

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According to the PRC Drug Administration Law, no pharmaceutical products may be produced without a pharmaceutical production 
license. A manufacturer of pharmaceutical products must obtain a pharmaceutical production license from one of NMPA’s provincial 
level branches in order to commence production of pharmaceuticals. Prior to granting such license, the relevant government authority 
will inspect the manufacturer’s production facilities, and decide whether the sanitary conditions, quality assurance system, management 
structure and equipment within the facilities have met the required standards. 

The PRC Drug Administration Implementation Regulations promulgated by the State Council took effect on September 15, 2002 
and were later amended on February 6, 2016 and March 2, 2019 to provide detailed implementation regulations for the revised PRC 
Drug Administration Law. With respect to the latest revision of the PRC Drug Administration Law, promulgated on August 26, 2019 
and effective on December 1, 2019, there are no corresponding revised PRC Drug Administration Implementation Regulations. 

Examination and Approval of New Medicines 

On January 22, 2020, the NMPA promulgated the Administrative Measures on the Registration of Pharmaceutical Products, or the 
Registration Measures, which became effective on July 1, 2020. According to the Registration Measures, an applicant who has obtained 
a drug registration certificate shall be a drug MAH. The approval process for medicines seeking marketing authorization mainly consists 
of the following steps: 

 

 

upon the completion of pharmaceutical, pharmacological and toxicological research and related activities, an application for 
clinical trial will be submitted to the Center for Drug Evaluation of the NMPA, or the Center for Drug Evaluation, for review. 
The Center for Drug Evaluation will organize pharmacists, medical personnel and other professionals to review the application 
for clinical trial. A decision on approval or non-approval of the application for clinical trial of drugs will be made within 60 
working days from acceptance of the application, and the applicant shall be notified of the examination and approval result 
through  the  website  of  the  Center  for  Drug  Evaluation.  If  the  applicant  is  not  notified  within  the  stipulated  period,  the 
application shall be deemed approved. The applicant who is approved to conduct clinical trial shall act as the sponsor for the 
clinical trial; 

if the application for clinical trial is approved, the sponsor shall, prior to conducting subsequent phases of the clinical trial, 
formulate a corresponding program for the clinical trial, carry out the clinical trial after the review and approval by the Ethics 
Committee, and submit the corresponding program for clinical trial and supporting materials on the website of the Center for 
Drug Evaluation. The applicant may proceed with the relevant clinical research (which is generally conducted in three phases 
for a new medicine under the Registration Measures) at institutions with appropriate qualification: 

  Phase I refers to the preliminary clinical trial for clinical pharmacology and body safety. It is conducted to observe 
the  human  body  tolerance  for  new  medicine  and  pharmacokinetics,  so  as  to  provide  a  basis  for  determining  the 
prescription plan. 

  Phase I or II refers to the stage of preliminary evaluation of clinical effectiveness. The purpose is to preliminarily 
evaluate the clinical effectiveness and safety of the medicine used on patients with targeted indication, as well as to 
provide a basis for determining the Phase III clinical trial research plan and the volume under the prescription plan. 

  Phase III is a clinical trial stage to verify the clinical effectiveness. The purpose is to test and determine the clinical 
effectiveness and safety of the medicine used on patients with targeted indication, to evaluate the benefits and risks 
thereof and, eventually, to provide sufficient basis for review of the medicine registration application. 

  Phase IV refers to the stage of surveillance and research after the new medicines is launched. The purpose is to observe 
the clinical effectiveness and adverse effects of the medicine over a much larger patient population and longer time 
period than in Phase I to III clinical trials, and evaluate the benefits and risks when it is administered to general or 
special patient population in larger prescription volume; 

 

the sponsor shall submit a safety update report during the research and development period on the website of the NMPA on a 
regular basis. The safety update report during the research and development period shall be submitted once a year, and within 
two months of every full year after the clinical drug trial is approved. The NMPA may require the sponsor to adjust the reporting 
period if deemed necessary; 

136 

 

 

 

 

after (i) completing relevant pharmaceutical, pharmacological and toxicological research, clinical drug trials, and other research 
supporting  the  marketing  registration  of  a  medicine,  (ii)  determining  medicine  quality  standards,  (iii)  completing  the 
verification of commercial scale manufacturing process, and (iv) making preparations for drug registration inspections, the 
applicant shall file the application for drug marketing authorization with the Center for Drug Evaluation; 

the  Center  for  Drug  Evaluation  will  organize  pharmaceutical,  medical  and  other  professionals  to  review  accepted  drug 
marketing authorization applications in accordance with relevant requirements; 

upon acceptance of an application for drug registration, the Center for Drug Evaluation will conduct a preliminary examination 
within 40 working days from acceptance of the application; if there is a need to conduct an examination of manufacturing 
premises for drug registration, the Center for Drug Evaluation will notify the Centre for Food and Drug Inspection of the NMPA 
to organize an examination, provide the relevant materials required, and simultaneously notify the applicant as well as the 
provincial drug administrative authorities where the applicant or the manufacturing enterprise is located. The Centre for Food 
and Drug Inspection of the NMPA shall in principle complete the examination 40 working days before expiry of the review 
period, and give feedback to the Center for Drug Evaluation on the status and findings etc. of the examinations; and  

if the application is approved through the comprehensive review process, the drug shall be approved for marketing and a drug 
registration certificate shall be issued. The drug registration certificate will state the approval number for the drug, the holder 
of the certificate, and information of the manufacturing enterprise. A drug registration certificate for non-prescription drugs 
will also state the non-prescription drug category. 

Any applicant who is not satisfied with the Center for Drug Evaluation’s decision to deny an application during the application of 
the drug registration period can appeal within 15 working days after it is notified by the Center for Drug Evaluation of such decision.  
Upon  termination  for  examination  and  approval  of  the  application  for  drug  registration,  if  the  applicant  is  dissatisfied  with  the 
administrative licensing decision, the applicant may apply for administrative review or file an administrative lawsuit. 

In  accordance  with  the  Provisions  on  the  Administration  of  Special  Examination  and  Approval  of  Registration  of  New  Drugs 
promulgated by the NMPA, issued and effective on January 7, 2009, an NDA that meets certain requirements as specified below will 
be handled with priority in the review and approval process, so-called “green-channel” approval.  In addition, the applicant is entitled 
to  provide  additional  materials  during  the  review  period  besides  those  requested  by  the  NMPA,  and  will  have  access  to  enhanced 
communication channels with the NMPA. 

Applicants for the registration of the following new drugs are entitled to request priority treatment in review and approval: (i) active 
ingredients  and  their  preparations  extracted  from  plants,  animals  and  minerals,  and  newly  discovered  medical  materials  and  their 
preparations that have not been sold in the China market, (ii) chemical drugs and their preparations and biological products that have 
not been approved for sale at its origin country or abroad, (iii) new drugs with obvious clinical treatment advantages for such diseases 
as  AIDS,  therioma,  and  rare  diseases,  and  (iv) new  drugs  for  diseases  that  have  not  been  treated  effectively.  Under  category (i)  or 
(ii) above, the applicant for drug registration may apply for special examination and approval when applying for the clinical trial of new 
drugs;  under  category (iii)  or  (iv) above,  the  applicant  may  only  apply  for  special  examination  and  approval  when  applying  for 
manufacturing. 

In addition, on July 7, 2020, the NMPA released the Priority Review and Approval Procedures for Drug Marketing Authorizations 
(for Trial Implementation), which further clarified that a fast track process for drug registration will be available to the following drugs 
with distinctive clinical value: (i) (a) drugs in urgent clinical demand and in shortage and (b) innovative drugs and modified new drugs 
for  prevention  and  treatment  of  serious  infectious  diseases,  rare  diseases  and  other  diseases;  (ii)  new  varieties,  dosage  forms  and 
specifications of children’s drugs that conform to children’s physiological characteristics; (iii) (a) vaccines that are in urgent need for 
disease  prevention  and  control  and  (b)  innovative  vaccines;  (iv)  drugs  that  have  been  included  in  the  procedures  for  Breakthrough 
Therapy Designation; (v) drugs that are subject to conditional approval; and (vi) other drugs which the NMPA deems applicable. It also 
specified  that  fast  track  status  would  be  given  to  clinical  trial  applications  for  drugs  with  patent  expiry  within  three  years  and 
manufacturing authorization applications for drugs with patent expiry within one year.  Concurrent applications for new drug clinical 
trials which are already approved in the United States or E.U. are also eligible for fast track NMPA approval. 

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Drug Technology Transfer Regulations 

On August 19, 2009, the NMPA promulgated the Administrative Regulations for Technology Transfer Registration of Drugs to 
standardize the registration process of drug technology transfer, which includes application for, and evaluation, examination, approval 
and monitoring of, drug technology transfer. Drug technology transfer refers to the transfer of drug production technology by the owner 
to a drug manufacturer and the application for drug registration by the transferee according to the provisions in the new regulations. 
Drug technology transfer includes new drug technology transfer and drug production technology transfer. 

Conditions for the application for new drug technology transfer 

Applications for new drug technology transfer may be submitted prior to the expiration date of the monitoring period of the new 

drugs with respect to: 

 

 

drugs with new drug certificates only; or 

drugs with new drug certificates and drug approval numbers. 

For  drugs  with  new  drug  certificates  only  and  not  yet  in  the  monitoring  period,  or  drug  substances  with  new  drug  certificates, 
applications for new drug technology transfer should be submitted prior to the respective expiration date of the monitoring periods for 
each drug registration category set forth in the new regulations and after the issue date of the new drug certificates. 

Conditions for the application of drug production technology transfer 

Applications for drug production technology transfer may be submitted if: 

 

the transferor holds new drug certificates or both new drug certificates and drug approval numbers, and the monitoring period 
has expired or there is no monitoring period; 

  with  respect  to  drugs  without  new  drug  certificates,  both  the  transferor  and  the  transferee  are  legally  qualified  drug 
manufacturing enterprises, one of which holds over 50% of the equity interests in the other, or both of which are majority-
owned subsidiaries of the same drug manufacturing enterprise; 

  with  respect  to  imported  drugs  with  imported  drug  licenses,  the  original  applicants  for  the  imported  drug  registration  may 

transfer these drugs to local drug manufacturing enterprises. 

Application for, and examination and approval of, drug technology transfer 

Applications  for  drug  technology  transfer  should  be  submitted  to  the  provincial  drug  administration.  If  the  transferor  and  the 
transferee  are  located  in  different  provinces,  the  provincial  drug  administration  where  the  transferor  is  located  should  provide 
examination  opinions.  The  provincial  drug  administration  where  the  transferee  is  located  is  responsible  for  examining  application 
materials for technology transfer and organizing inspections on the production facilities of the transferee.  Medical examination institutes 
are responsible for testing three batches of drug samples. 

The Center for Drug Evaluation should further review the application materials, provide technical evaluation opinions and form a 
comprehensive  evaluation  opinion  based  on  the  site  inspection  reports  and  the  testing  results  of  the  samples.  The  NMPA  should 
determine whether to approve the application according to the comprehensive evaluation opinion of the Center for Drug Evaluation.  An 
approval letter of supplementary application and a drug approval number will be issued to qualified applications.  An approval letter of 
clinical trials will be issued when necessary.  For rejected applications, a notification letter of the examination opinions will be issued 
with the reasons for rejection. 

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Permits and Licenses for Manufacturing and Registration of Drugs 

Production Licenses 

To manufacture pharmaceutical products in the PRC, a pharmaceutical manufacturing enterprise must first obtain a Pharmaceutical 
Manufacturing Permit issued by the relevant pharmaceutical administrative authorities at the provincial level where the enterprise is 
located. Among other things, such a permit must set forth the permit number, the name, legal representative and registered address of 
the enterprise, the site and scope of production, issuing institution, date of issuance and effective period. 

Each Pharmaceutical Manufacturing Permit issued to a pharmaceutical manufacturing enterprise is effective for a period of five 
years.  The  enterprise  is  required  to  apply  for  renewal  of  such  permit  within  six  months  prior  to  its  expiry  and  will  be  subject  to 
reassessment by the issuing authorities in accordance with then prevailing legal and regulatory requirements for the purposes of such 
renewal. 

Business Licenses 

In addition to a Pharmaceutical Manufacturing permit, the manufacturing enterprise must also obtain a business license from the 
administrative bureau of industry and commerce at the local level. The name, legal representative and registered address of the enterprise 
specified in the business license must be identical to that set forth in the Pharmaceutical Manufacturing Permit. 

Registration of Pharmaceutical Products 

All pharmaceutical products that are produced in the PRC must bear a registration number issued by the NMPA, with the exception 
of  Chinese herbs  and  Chinese  herbal medicines  in  soluble  form. The medicine  manufacturing  enterprises  must obtain  the medicine 
registration number before manufacturing any medicine. 

Good Manufacturing Practices 

The Guidelines on Good Manufacturing Practices, as amended in 1998 and 2010, or the Guidelines, took effect on August 1, 1999 
and set the basic standards for the manufacture of pharmaceuticals. These Guidelines cover issues such as the production facilities, the 
qualification of the personnel at the management level, production plant and facilities, documentation, material packaging and labeling, 
inspection, production management, sales and return of products and customers’ complaints. On October 23, 2003, the NMPA issued 
the  Notice  on  the  Overall  Implementation  and  Supervision  of  Accreditation  of  Good  Manufacturing  Practice  Certificates  for 
Pharmaceuticals, which required all pharmaceutical manufacturers to apply for the GMP certificates by June 30, 2004. Those enterprises 
that failed to obtain the GMP certificates by December 31, 2004 would have their Pharmaceutical Manufacturing Permit revoked by the 
drug  administrative  authorities  at  the  provincial  level.  On  October  24,  2007,  the  NMPA  issued  Evaluation  Standard  on  Good 
Manufacturing Practices which became effective on January 1, 2008. On December 1, 2019, per the Announcement of the NMPA on 
Issues Concerning the Implementation of the PRC Drug Administration Law, GMP certificates were abolished, though manufacturers 
remain  to  be  obligated  to  operate  in  accordance  with  the  applicable  requirements  of  the  Guidelines.  The  Notice  of  the  NMPA  on 
Promulgation of the Administrative Measures for Drug Inspection (for Trial Implementation), or Trial Drug Inspection Measures, was 
released and effective on May 24, 2021, which regulates the inspection, investigation, evidence collection and disposal and other actions 
carried out by medical products administrative authorities with respect to the manufacturing, distribution and use of drugs. The Trial 
Drug Inspection Measures stipulate that where an application for a pharmaceutical manufacturing permit is filed for the first time, on-
site inspection shall be carried out in accordance with the applicable requirements of the Guidelines. Where an application for re-issuance 
of a pharmaceutical manufacturing permit is filed, a compliance inspection may be carried out if necessary based on the principles of 
risk  management,  taking  into  consideration  the  enterprise’s  compliance  with  the  laws  and  regulations  on  drug  administration,  the 
Guidelines, and the running of quality control systems. 

Marketing Authorization Holder System 

In  May  2016,  the  State  Council  announced  the  piloting  of  the  MAH  system  in  ten  provinces  in  China,  where  the  market 
authorization/drug  license  holders  are  no  longer  required  to  be  the  actual  manufacturers.    The  MAH  system  will  allow  for  more 
flexibilities in contract manufacturing arrangements. 

139 

Under the authorization of the Standing Committee of the National People’s Congress, the State Council issued the Pilot Plan for 
the Drug MAH Mechanism on May 26, 2016, providing a detailed pilot plan for the MAH system in ten provinces in China.  Under the 
MAH system, domestic drug research and development institutions and individuals in the pilot regions are eligible to be holders of drug 
registrations without having to become drug manufacturers.  The MAHs may engage contract manufacturers for manufacturing, provided 
that the contract manufacturers are licensed and are also located within the pilot regions.  Drugs that qualify for the MAH system include: 
(1) new drugs (including biological products for curative uses of Class I, Class VII and biosimilars under the Administration of Drug 
Registration) approved after the implementation of the MAH system; (2) generic drugs approved as Category 3 or 4 drugs under the 
Reform Plan for Registration Category of Chemical Medicine issued by the NMPA on March 4, 2016; (3) previously approved generics 
that have passed equivalence assessments against their original drugs; and (4) previously approved drugs whose licenses were held by 
drug manufacturers originally located within the pilot regions but have moved out of the pilot regions due to corporate mergers or other 
reasons. 

On August 15, 2017, the NMPA issued the Circular on the Matters Relating to Promotion of the Pilot Program for the Drug MAH 
System, clarifying that the MAH shall be responsible for managing the whole manufacturing and marketing chain and the whole life 
cycle  of  drugs  and  shall  assume  full  legal  liabilities  for  the  non-clinical  drug  study,  clinical  trials,  manufacturing,  marketing  and 
distribution and adverse drug reaction monitoring. The MAH is permitted to entrust several drug manufacturers under the drug quality 
management  system  established  by  the  MAH.  The  MAH  shall  submit  a  report  of  drug  manufacturing,  marketing,  prescription, 
techniques, pharmacovigilance, quality control measures and certain other matters to the NMPA within 20 working days after the end 
of each year. 

On December 1, 2019, the latest amendment of Drug Administration Law came into effect, marking the success of the pilot work, 
and the MAH system has become a national system.  Pursuant to the latest amendment, the legal representative and the key person-in-
charge of a drug MAH shall be fully responsible for the quality of drugs. 

Administrative Protection for New Drugs 

The Administrative Measures Governing the Production Quality of Pharmaceutical Products, or the Administrative Measures for 
Production, provides detailed guidelines on practices governing the production of pharmaceutical products.  A manufacturer’s factory 
must meet certain criteria in the Administrative Measures for Production, which include: institution and staff qualifications, production 
premises and facilities, equipment, hygiene conditions, production management, quality controls, product operation, maintenance of 
sales records and manner of handling customer complaints and adverse reaction reports. 

Distribution of Pharmaceutical Products 

According  to  the  PRC  Drug  Administration  Law  and  its  implementing  regulations  and  the  Measures  for  the  Supervision  and 
Administration of Circulation of Pharmaceuticals, a manufacturer of pharmaceutical products in the PRC can only engage in the trading 
of the pharmaceutical products that the manufacturer has produced itself. In addition, such manufacturer can only sell its products to: 

  wholesalers and distributors holding Pharmaceutical Distribution Permits; 

 

other holders of Pharmaceutical Manufacturing Permits; or 

  medical practitioners holding Medical Practice Permits. 

A pharmaceutical manufacturer in the PRC is prohibited from selling its products to end-users, or individuals or entities other than 

holders of Pharmaceutical Distribution Permits, the Pharmaceutical Manufacturing Permits or the Medical Practice Permits. 

The  granting  of  a  Pharmaceutical  Distribution  Permit  to  wholesalers  shall  be  subject  to  approval  of  the  provincial  level  drug 
regulatory authorities, while the granting of a retailer permit shall be subject to the approval of the drug regulatory authorities above the 
county level.  Unless otherwise expressly approved, no pharmaceutical wholesaler may engage in the retail of pharmaceutical products, 
nor may pharmaceutical retailers engage in wholesaling. 

A pharmaceutical distributor shall satisfy the following requirements: 

 

personnel with pharmaceutical expertise as qualified according to law; 

140 

 

 

 

business site, facilities, warehousing and sanitary environment compatible to the pharmaceutical products being distributed; 

quality management system and personnel compatible to the pharmaceutical products being distributed; and 

rules and regulations to ensure the quality of the pharmaceutical products being distributed. 

Operations of pharmaceutical distributors shall be conducted in accordance with the Pharmaceutical Operation Quality Management 

Rules. 

Pharmaceutical distributors must keep true and complete records of any pharmaceutical products purchased, distributed or sold with 
the  generic  name  of  such  products,  specification,  approval  code,  term,  manufacturer,  purchasing  or  selling  party,  price  and  date  of 
purchase or sale. A pharmaceutical distributor must keep such record at least until one year after the expiry date of such products and in 
any case, such record must be kept for no less than three years. Penalties may be imposed for any violation of record-keeping. 

Pharmaceutical distributors can only distribute pharmaceutical products obtained from those with a Pharmaceutical Manufacturing 

Permit and a Pharmaceutical Distribution Permit. 

On December 26, 2016, the Medical Reform Office of the State Council, the National Health and Family Planning Commission, 
the NMPA and other five government authorities promulgated the “Two-Invoice System” Opinions, which became effective on the 
same date. On April 25, 2017, the General Office of the State Council further promulgated the Notice on Issuing the Key Working Tasks 
for Deepening the Reform of Medicine and Health System in 2017. According to these rules, a two-invoice system is encouraged to be 
gradually adopted for drug procurement. The two-invoice system generally requires a drug manufacturer to issue only one invoice to its 
distributor followed by the distributor issuing a second invoice directly to the end customer hospital. Only one distributor is permitted 
to distribute drug products between the manufacturer and the hospital. The system also encourages manufacturers to sell drug products 
directly to hospitals. Public medical institutions are required to adopt the two-invoice system, and its full implementation nationwide is 
targeted for 2018. As of the date of the filing of this annual report, the relevant local rules with respect to the “Two-Invoice System” 
have been promulgated in some provinces and municipal cities in the PRC, and the reform is still in progress. Private medical institutions 
are  encouraged  but  not  yet  required  to  adopt  the  two-invoice  system.  Pharmaceutical  manufacturers  and  distributors  who  fail  to 
implement the two-invoice system may be disqualified from attending future bidding events or providing distribution for hospitals and 
blacklisted for drug procurement practices. These rules aim to consolidate drug distribution and reduce drug prices. The impact on our 
company is that Shanghai Hutchison Pharmaceuticals was required to restructure its distribution and logistics network and Hutchison 
Sinopharm began to shift its prior Seroquel distribution model to a fee-for-service model.  For more details, please refer to Item 4.B. 
“Business Overview—Other Ventures.” 

Foreign Investment and “State Secret” Technology Drugs 

The interpretation of certain PRC laws and regulations governing foreign investment and “state secret” technology is uncertain.  
Under  the  Special  Administrative  Measures  (Negative  List)  for  Foreign  Investment  Access,  or  the  Negative  List,  published  by  the 
MOFCOM and the China National Development and Reform Commission or the NDRC.  Under the Catalogue, “manufacturing of 
modern  Chinese  medicines  with  confidential  proprietary  formula”  has  been  deemed  prohibited  for  any  foreign  investment.    The 
technology and know-how of the She Xiang Bao Xin pill is classified as “state secret” technology by China’s Ministry of Science and 
Technology, or the MOST, and the National Administration for the Protection of State Secrets, or NAPSS. 

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There are currently no PRC laws or regulations or official interpretations, and therefore there can be no assurance, as to whether 
the use of “state secret” technology constitutes the “manufacturing of Chinese medicines with confidential proprietary formula” under 
the  Negative  List.  However,  under  the  Rules  on  Confidentiality  of  Science  and  Technology  promulgated  by  the  State  Science  and 
Technology  Commission  (the  predecessor  of  the  MOST  and  the  NAPSS)  on  January  6,  1995,  cooperation  with  foreign  parties  or 
establishing joint ventures with foreign parties in respect of state secret technology is expressly allowed, provided that such cooperation 
has been duly approved by the relevant science and technology authorities.  The establishment of Shanghai Hutchison Pharmaceuticals 
as a sino-foreign joint venture, including the re-registration of licenses for She Xiang Bao Xin pills in its name, was approved by the 
local  counterpart  of  the  MOFCOM  and  the  Shanghai  Drug  Administration  in  2001.  Subsequently,  the  “Confidential  State  Secret 
Technology” status protection for She Xiang Bao Xin pills was also granted in 2005 to Shanghai Hutchison Pharmaceuticals as a sino-
foreign joint venture by the MOST and NAPSS. Consequently, we believe Shanghai Hutchison Pharmaceuticals is in compliance with 
all applicable PRC laws and regulations governing foreign investment and “state secret” technology. Moreover, we believe that our 
other  joint  ventures  and  wholly-foreign  owned  enterprises  in  the  PRC  are  also  in  compliance  with  all  applicable  PRC  laws  and 
regulations governing foreign investment. 

U.S. Regulation of Pharmaceutical Product Development and Approval 

In the United States, the FDA regulates drugs under the Federal Food, Drug, and Cosmetic Act, or FDCA, and the Public Health 
Service Act, or PHSA, and their implementing regulations.  The process of obtaining approvals and the subsequent compliance with 
appropriate federal, state and local rules and regulations requires the expenditure of substantial time and financial resources.  Failure to 
comply with the applicable U.S. regulatory requirements at any time during the product development process, approval process or after 
approval may subject an applicant and/or sponsor to a variety of administrative or judicial sanctions, including refusal by FDA to approve 
pending applications, withdrawal of an approval, imposition of a clinical hold, issuance of warning letters and other types of enforcement 
correspondence, product recalls, product seizures, total or partial suspension of production or distribution, injunctions, fines, refusals of 
government contracts, restitution, disgorgement of profits, or civil or criminal investigations and penalties brought by FDA and the U.S. 
Department  of  Justice, or  DOJ, or  other  governmental  entities.    Drugs  are  also  subject  to  other federal,  state  and local  statutes  and 
regulations. 

Our drug candidates must be approved by the FDA through the NDA process before they may be legally marketed in the United 

States. The process required by the FDA before a drug may be marketed in the United States generally involves the following: 

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completion of extensive pre-clinical studies, sometimes referred to as pre-clinical laboratory tests, pre-clinical animal studies 
and formulation studies all performed in compliance with applicable regulations, including the FDA’s good laboratory practice 
regulations; 

submission to the FDA of an IND application which must become effective before human clinical trials may begin and must 
be updated annually; 

IRB approval before each clinical trial may be initiated; 

performance of adequate and well-controlled human clinical trials in accordance with study protocols, the applicable GCPs and 
other  clinical  trial-related  regulations,  to  establish  the  safety  and  efficacy  of  the  proposed  drug  product  for  its  proposed 
indication; 

preparation and submission to the FDA of an NDA; 

a determination by the FDA within 60 days of its receipt of an NDA whether the NDA is acceptable for filing; if the FDA 
determines that the NDA is not sufficiently complete to permit substantive review, it may request additional information and 
decline to accept the application for filing until the information is provided; 

in-depth review of the NDA by FDA, which may include review by a scientific advisory committee; 

satisfactory  completion  of  an  FDA  pre-approval  inspection  of  the  manufacturing  facility  or  facilities  at  which  the  active 
pharmaceutical ingredient and finished drug product are produced to assess compliance with the FDA’s cGMP; 

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potential FDA audit of the pre-clinical and/or clinical trial sites that generated the data in support of the NDA; 

payment of user fees and FDA review and approval of the NDA prior to any commercial marketing or sale of the drug in the 
United States; and 

compliance with any post-approval requirements, such as REMS and post-approval studies required by FDA. 

Pre-clinical Studies 

The data required to support an NDA is generated in two distinct development stages: pre-clinical and clinical. For new chemical 
entities, or NCEs, the pre-clinical development stage generally involves synthesizing the active component, developing the formulation 
and determining the manufacturing process, evaluating purity and stability, as well as carrying out non-human toxicology, pharmacology 
and drug metabolism studies in the laboratory, which support subsequent clinical testing. The conduct of the pre-clinical tests must 
comply  with  federal  regulations,  including  good  laboratory  practices.  The  sponsor  must  submit  the  results  of  the  pre-clinical  tests, 
together with manufacturing information, analytical data, any available clinical data or literature and a proposed clinical protocol, to the 
FDA as part of the IND. An IND is a request for authorization from the FDA to administer an investigational drug product to humans. 
The central focus of an IND submission is on the general investigational plan and the protocol(s) for human trials. The IND automatically 
becomes effective 30 days after receipt by the FDA, unless the FDA raises concerns or questions regarding the proposed clinical trials 
and places the IND on clinical hold within that 30-day time period. In such a case, the IND sponsor must resolve with the FDA any 
outstanding  concerns  or  questions  before  the  clinical  trial  can  begin.  Some  long-term  pre-clinical  testing,  such  as  animal  tests  of 
reproductive adverse events and carcinogenicity, may continue after the IND is submitted. The FDA may also impose clinical holds on 
a drug candidate at any time before or during clinical trials due to safety concerns or non-compliance. Accordingly, submission of an 
IND does not guarantee the FDA will allow clinical trials to begin, or that, once begun, issues will not arise that could cause the trial to 
be suspended or terminated. 

Clinical Studies 

The  clinical  stage  of  development  involves  the  administration  of  the  drug  product  to  human  subjects  or  patients  under  the 
supervision of qualified investigators, generally physicians not employed by or under the trial sponsor’s control, in accordance with 
GCPs,  which  include  the  requirement  that,  in  general,  all  research  subjects  provide  their  informed  consent  in  writing  for  their 
participation in any clinical trial. Clinical trials are conducted under written study protocols detailing, among other things, the objectives 
of the clinical trial, dosing procedures, subject selection and exclusion criteria, and the parameters to be used to monitor subject safety 
and assess efficacy. Each protocol, and any subsequent amendments to the protocol, must be submitted to the FDA as part of the IND. 
Further, each clinical trial must be reviewed and approved by each institution at which the clinical trial will be conducted. An IRB is 
charged  with  protecting  the  welfare  and  rights  of  trial  participants  and  considers  such  items  as  whether  the  risks  to  individuals 
participating in the clinical trials are minimized and are reasonable in relation to anticipated benefits. The IRB also reviews and approves 
the informed consent form that must be provided to each clinical trial subject or his or her legal representative and must monitor the 
clinical trial until completed. There are also requirements governing the reporting of ongoing clinical trials and completed clinical trial 
results to public registries. For example, information about certain clinical trials must be submitted within specific timeframes to the 
National Institutes of Health for public dissemination on their ClinicalTrials.gov website. 

Clinical trials are generally conducted in three sequential phases that may overlap or be combined, known as Phase I, Phase II and 

Phase III clinical trials. 

  Phase I: In a standard Phase I clinical trial, the drug is initially introduced into a small number of subjects who are initially 
exposed to a range of doses of the drug candidate. The primary purpose of these clinical trials is to assess the metabolism, 
pharmacologic action, appropriate dosing, side effect tolerability and safety of the drug. 

  Phase Ib: Although Phase I clinical trials are not intended to treat disease or illness, a Phase Ib trial is conducted in 
patient  populations  who  have  been  diagnosed  with  the  disease  for  which  the  study  drug  is  intended.  The  patient 
population  typically  demonstrates  a  biomarker,  surrogate,  or  other  clinical  outcome  that  can  be  assessed  to  show 
“proof-of-concept.” In a Phase Ib study, proof-of-concept typically confirms a hypothesis that the current prediction 
of a biomarker, surrogate or other outcome benefit is compatible with the mechanism of action of the study drug. 

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Phase I/II: A Phase I and Phase II trial for the same treatment is combined into a single study protocol. The drug is
administered  first  to  determine  a  maximum  tolerable  dose,  and  then  additional  patients  are  treated  in  the  Phase II
portion of the study to further assess safety and/or efficacy.

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Phase II: The drug is administered to a limited patient population to determine dose tolerance and optimal dosage required to
produce  the  desired  benefits.  At  the  same  time,  safety  and  further  pharmacokinetic  and  pharmacodynamic  information  is
collected, as well as identification of possible adverse effects and safety risks and preliminary evaluation of efficacy.

Phase  III:  The  drug  is  administered  to  an  expanded  number  of  patients,  generally  at  multiple  sites  that  are  geographically
dispersed, in well-controlled clinical trials to generate enough data to demonstrate the efficacy of the drug for its intended use,
its safety profile, and to establish the overall benefit/risk profile of the drug and provide an adequate basis for drug approval
and  labeling  of  the  drug  product.  Phase  III  clinical  trials  may  include  comparisons  with  placebo  and/or  other  comparator
treatments. The duration of treatment is often extended to mimic the actual use of a drug during marketing. Generally, two
adequate and well-controlled Phase III clinical trials are required by the FDA for approval of an NDA. A pivotal study is a
clinical study that adequately meets regulatory agency requirements for the evaluation of a drug candidate’s efficacy and safety
such that it can be used to justify the approval of the drug. Generally, pivotal studies are also Phase III studies but may be Phase
II  studies  if  the  trial  design provides  a well-controlled  and  reliable  assessment of  clinical  benefit,  particularly  in  situations
where there is an unmet medical need.  Phase IV clinical trials are conducted after initial regulatory approval, and they are used
to collect additional information from the treatment of patients in the intended therapeutic indication or to meet other regulatory
requirements. In certain instances, FDA may mandate the performance of Phase IV clinical trials.

Progress reports detailing the results of the clinical trials must be submitted at least annually to the FDA, and more frequently if 
serious adverse events occur. Written IND safety reports must be submitted to the FDA and the investigators for serious and unexpected 
adverse events or any finding from tests in laboratory animals that suggests a significant risk to human subjects. The FDA, the IRB, or 
the clinical trial sponsor may suspend or terminate a clinical trial at any time on various grounds, including a finding that the research 
subjects or patients are being exposed to an unacceptable health risk. The FDA will typically inspect one or more clinical sites to assure 
compliance with GCPs and the integrity of the clinical data submitted. Similarly, an IRB can suspend or terminate approval of a clinical 
trial at its institution, or an institution it represents, if the clinical trial is not being conducted in accordance with the IRB’s requirements 
or  if  the  drug  has  been  associated  with  unexpected  serious  harm  to  patients.  Additionally,  some  clinical  trials  are  overseen  by  an 
independent group of qualified experts organized by the clinical trial sponsor, known as a data safety monitoring board or committee. 
This group provides authorization for whether or not a trial may move forward at designated check points based on access to certain 
data  from  the  trial.  Concurrent  with  clinical  trials,  companies  usually  complete  additional  animal  studies  and  must  also  develop 
additional information about the chemistry and physical characteristics of the drug as well as finalize a process for manufacturing the 
drug  in  commercial  quantities  in  accordance  with  cGMP  requirements.  The  manufacturing  process  must  be  capable  of  consistently 
producing  quality  batches  of  the  drug  candidate  and,  among  other  things,  cGMPs  impose  extensive  procedural,  substantive  and 
recordkeeping requirements to ensure and preserve the long-term stability and quality of the final drug product. Additionally, appropriate 
packaging must be selected and tested and stability studies must be conducted to demonstrate that the drug candidate does not undergo 
unacceptable deterioration over its shelf life. 

NDA Submission and FDA Review Process 

Following trial completion, trial results and data are analyzed to assess safety and efficacy. The results of pre-clinical studies and 
clinical  trials  are  then  submitted  to  the  FDA  as  part  of  an  NDA,  along  with  proposed  labeling  for  the  drug,  information  about  the 
manufacturing process and facilities that will be used to ensure drug quality, results of analytical testing conducted on the chemistry of 
the drug, and other relevant information. The NDA is a request for approval to market the drug and must contain adequate evidence of 
safety  and  efficacy,  which  is  demonstrated  by  extensive  pre-clinical  and  clinical  testing.  The  application  includes  both  negative  or 
ambiguous results of pre-clinical and clinical trials as well as positive findings. Data may come from company-sponsored clinical trials 
intended  to  test  the  safety  and  efficacy  of  a  use  of  a  drug,  or  from  a  number  of  alternative  sources,  including  studies  initiated  by 
investigators. To support regulatory approval, the data submitted must be sufficient in quality and quantity to establish the safety and 
efficacy of the investigational drug product to the satisfaction of the FDA. Under federal law, the submission of most NDAs is subject 
to the payment of an application user fees; a waiver of such fees may be obtained under certain limited circumstances. FDA approval of 
an NDA must be obtained before a drug may be offered for sale in the United States. 

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In addition, under the Pediatric Research Equity Act of 2003, or PREA, an NDA or supplement to an NDA must contain data to 
assess the safety and efficacy of the drug for the claimed indications in all relevant pediatric subpopulations and to support dosing and 
administration for each pediatric subpopulation for which the drug is safe and effective. The FDA may grant deferrals for submission 
of data or full or partial waivers. 

Under the Prescription Drug User Fee Act, or PDUFA, as amended, each NDA must be accompanied by an application user fee. 
The FDA adjusts the PDUFA user fees on an annual basis. According to the FDA’s fee schedule, effective through September 30, 2021, 
the user fee for an application requiring clinical data, such as an NDA, is $2,875,842. PDUFA also imposes a program fee for prescription 
human drugs $336,432. Fee waivers or reductions are available in certain circumstances, including a waiver of the application fee for 
the first application filed by a small business. Additionally, no user fees are assessed on NDAs for products designated as orphan drugs, 
unless the product also includes a non-orphan indication. The FDA reviews all NDAs submitted before it accepts them for filing and 
may request additional information rather than accepting an NDA for filing. The FDA conducts a preliminary review of an NDA within 
60 days of receipt and informs the sponsor by the 74th day after FDA’s receipt of the submission to determine whether the application 
is sufficiently complete to permit substantive review. Once the submission is accepted for filing, the FDA begins an in-depth review of 
the NDA. Under the goals and policies agreed to by the FDA under PDUFA, the FDA has 10 months from the filing date in which to 
complete its initial review of a standard NDA and respond to the applicant, and six months from the filing date for a “priority review” 
NDA. The FDA does not always meet its PDUFA goal dates for standard and priority review NDAs, and the review process is often 
significantly extended by FDA requests for additional information or clarification. 

After the NDA submission is accepted for filing, the FDA reviews the NDA to determine, among other things, whether the proposed 
drug is safe and effective for its intended use, and whether the drug is being manufactured in accordance with cGMP to assure and 
preserve the drug’s identity, strength, quality and purity. The FDA may refer applications for drugs or drug candidates that present 
difficult questions of safety or efficacy to an advisory committee, typically a panel that includes clinicians and other experts, for review, 
evaluation and a recommendation as to whether the application should be approved and under what conditions. The FDA is not bound 
by the recommendations of an advisory committee, but it considers such recommendations carefully when making decisions. The FDA 
may re-analyze the clinical trial data, which can result in extensive discussions between the FDA and us during the review process. 

Before approving an NDA, the FDA will conduct a pre-approval inspection of the manufacturing facilities for the new drug to 
determine whether they comply with cGMPs. The FDA will not approve the drug unless it determines that the manufacturing processes 
and  facilities  are  in  compliance  with  cGMP  requirements  and  adequate  to  assure  consistent  production  of  the  drug  within  required 
specifications. In addition, before approving an NDA, the FDA may also audit data from clinical trials to ensure compliance with GCP 
requirements.  After  the  FDA  evaluates  the  application,  manufacturing  process  and  manufacturing  facilities  where  the  drug  product 
and/or its active pharmaceutical ingredient will be produced, it may issue an approval letter or a Complete Response Letter. An approval 
letter authorizes commercial marketing of the drug with specific prescribing information for specific indications. A Complete Response 
Letter indicates that the review cycle of the application is complete and the application is not ready for approval. A Complete Response 
Letter usually describes all of the specific deficiencies in the NDA identified by the FDA. The Complete Response Letter may require 
additional clinical data and/or an additional pivotal clinical trial(s), and/or other significant, expensive and time-consuming requirements 
related to clinical trials, pre-clinical studies or manufacturing. If a Complete Response Letter is issued, the applicant may either resubmit 
the NDA, addressing all of the deficiencies identified in the letter, or withdraw the application. Even if such data and information is 
submitted, the FDA may ultimately decide that the NDA does not satisfy the criteria for approval. Data obtained from clinical trials are 
not always conclusive and the FDA may interpret data differently than we interpret the same data. 

If a drug receives regulatory approval, the approval may be limited to specific diseases and dosages or the indications for use may 
otherwise  be  limited.  Further,  the  FDA  may  require  that  certain  contraindications,  warnings  or  precautions  be  included  in  the drug 
labeling or may condition the approval of the NDA on other changes to the proposed labeling, development of adequate controls and 
specifications, or a commitment to conduct post-market testing or clinical trials and surveillance to monitor the effects of approved 
drugs. For example, the FDA may require Phase IV testing which involves clinical trials designed to further assess a drug’s safety and 
effectiveness and may require testing and surveillance programs to monitor the safety of approved drugs that have been commercialized. 
The FDA may also place other conditions on approvals including the requirement for a REMS to ensure that the benefits of a drug or 
biological product outweigh its risks. If the FDA concludes a REMS is needed, the sponsor of the NDA must submit a proposed REMS. 
The FDA will not approve the NDA without an approved REMS, if required. A REMS could include medication guides, physician 
communication  plans,  or  elements  to  assure  safe  use,  such  as  restricted  distribution  methods,  patient  registries  and  other  risk 
minimization tools. Any of these limitations on approval or marketing could restrict the commercial promotion, distribution, prescription 
or dispensing of drugs. Drug approvals may be withdrawn for non-compliance with regulatory standards or if problems occur following 
initial marketing. 

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Section 505(b)(2) NDAs 

NDAs for most new drug products are based on two full clinical studies which must contain substantial evidence of the safety and 
efficacy of the proposed new product. These applications are submitted under Section 505(b)(1) of the FDCA. The FDA is, however, 
authorized to approve an alternative type of NDA under Section 505(b)(2) of the FDCA, which authorizes FDA to approve an NDA 
based on safety and effectiveness data that were not developed by the applicant. Section 505(b)(2) allows the applicant to rely, in part, 
on  the  FDA’s  previous  findings  of  safety  and  efficacy  for  a  similar  product,  or  published  literature.  Specifically,  Section 505(b)(2) 
applies to NDAs for a drug for which the investigations relied upon to show that the drug is safe and effective for the intended use “were 
not conducted by or for the applicant and for which the applicant has not obtained a right of reference or use from the person by or for 
whom the investigations were conducted.” 

Section 505(b)(2)  authorizes  NDAs  filed  under  Section 505(b)(2)  may  provide  an  alternate  and  potentially  more  expeditious 
pathway to FDA approval for new or improved formulations or new uses of previously approved products. If the 505(b)(2) applicant 
can establish that reliance on the FDA’s previous approval is scientifically appropriate, the applicant may eliminate the need to conduct 
certain  pre-clinical  or  clinical  studies  of  the  new  product.  The  FDA  may  also  require  companies  to  perform  additional  studies  or 
measurements to support the change from the approved product. The FDA may then approve the new drug candidate for all or some of 
the  label  indications  for  which  the  referenced  product  has  been  approved,  as  well  as  for  any  new  indication  sought  by  the 
Section 505(b)(2) applicant. 

Abbreviated New Drug Applications for Generic Drugs 

In 1984, with passage of the Drug Price Competition and Patent Term Restoration Act of 1984, commonly referred to as the Hatch-
Waxman Act, Congress authorized the FDA to approve generic drugs that are the same as drugs previously approved by the FDA under 
the NDA provisions of the statute.  To obtain approval of a generic drug, an applicant must submit an abbreviated new drug application, 
or  ANDA,  to  the  agency.    In  support  of  such  applications,  a  generic  manufacturer  may  rely  on  the  pre-clinical  and  clinical  testing 
previously conducted for a drug product previously approved under an NDA, known as the reference listed drug, or RLD. 

Specifically, in order for an ANDA to be approved, the FDA must find that the generic version is identical to the RLD with respect 
to the active ingredients, the route of administration, the dosage form, and the strength of the drug.  At the same time, the FDA must 
also determine that the generic drug is “bioequivalent” to the innovator drug.  Under the statute, a generic drug is bioequivalent to a 
RLD if “the rate and extent of absorption of the drug do not show a significant difference from the rate and extent of absorption of the 
listed drug.” The Generic Drug User Fee Act (GDUFA), as reauthorized, sets forth performance goals for the FDA to review standard 
ANDA’s  within  10  months  of  their  submission,  and  priority  ANDA’s  within  8  months  of  their  submission  if  they  satisfy  certain 
requirements. 

Upon approval of an ANDA, the FDA indicates that the generic product is “therapeutically equivalent” to the RLD and it assigns a 
therapeutic equivalence rating to the approved generic drug in its publication “Approved Drug Products with Therapeutic Equivalence 
Evaluations,” also referred to as the “Orange Book.” Physicians and pharmacists consider an “AB” therapeutic equivalence rating to 
mean that a generic drug is fully substitutable for the RLD. In addition, by operation of certain state laws and numerous health insurance 
programs, FDA’s designation of an “AB” rating often results in substitution of the generic drug without the knowledge or consent of 
either the prescribing physician or patient. 

Special FDA Expedited Review and Approval Programs 

The FDA has various programs, including fast track designation, accelerated approval, priority review and Breakthrough Therapy 
Designation, that are intended to expedite or simplify the process for the development and FDA review of drugs that are intended for 
the treatment of serious or life threatening diseases or conditions and demonstrate the potential to address unmet medical needs.  The 
purpose of these programs is to provide important new drugs to patients earlier than under standard FDA review procedures.  While 
these pathways can reduce the time it takes for the FDA to review an NDA, they do not guarantee that a product will receive FDA 
approval.    In  addition,  the  Right  to  Try  Act  of  2018  established  a  new  regulatory  pathway  to  increase  access  to  unapproved, 
investigational treatments for patients diagnosed with life-threatening diseases or conditions who have exhausted approved treatment 
options and who are unable to participate in a clinical trial. 

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Fast Track Designation 

To be eligible for a fast track designation, the FDA must determine, based on the request of a sponsor, that a drug is intended to 
treat a serious or life threatening disease or condition for which there is no effective treatment and demonstrates the potential to address 
an unmet medical need for the disease or condition.  Under the fast track program, the sponsor of a drug candidate may request the FDA 
to  designate  the  product  for a  specific  indication  as  a  fast  track  product  concurrent  with  or  after  the filing  of  the IND for the drug 
candidate.  The FDA must make a fast track designation determination within 60 days after receipt of the sponsor’s request. 

In addition to other benefits, such as the ability to use surrogate endpoints and have greater interactions with the FDA, the FDA 
may initiate review of sections of a fast track product’s NDA before the application is complete.  This rolling review is available if the 
applicant provides, and the FDA approves, a schedule for the submission of the remaining information and the applicant pays applicable 
user fees.  However, the FDA’s time period goal for reviewing a fast track application does not begin until the last section of the NDA 
is submitted.  A fast track drug also may be eligible for accelerated approval and priority review.  In addition, the fast track designation 
may be withdrawn by the FDA if it believes that the designation is no longer supported by data emerging in the clinical trial process. 

Priority Review 

The FDA may give a priority review designation to drugs that offer major advances in treatment, or provide a treatment where no 
adequate therapy exists.  A priority review means that the goal for the FDA to review an application is six months, rather than the 
standard review of 10 months under current PDUFA guidelines.  These 6- and 10-month review periods are measured from the “filing” 
date rather than the receipt date for NDAs for new molecular entities, which typically adds approximately two months to the timeline 
for review and decision from the date of submission.  Most products that are eligible for fast track designation are also likely to be 
considered appropriate to receive a priority review. 

Breakthrough Therapy Designation 

Under the provisions of the new Food and Drug Administration Safety and Innovation Act, or FDASIA, enacted by Congress in 
2012, a sponsor can request designation of a drug candidate as a “breakthrough therapy,” typically by the end of the drug’s Phase II 
trials. A breakthrough therapy is defined as a drug that is intended, alone or in combination with one or more other drugs, to treat a 
serious or life-threatening disease or condition, and preliminary clinical evidence indicates that the drug may demonstrate substantial 
improvement over existing therapies on one or more clinically significant endpoints, such as substantial treatment effects observed early 
in  clinical  development.  Drugs  designated  as  breakthrough  therapies  are  also  eligible  for  accelerated  approval.  For  breakthrough 
therapies, the FDA may take certain actions, such as intensive and early guidance on the drug development program, that are intended 
to expedite the development and review of an application for approval. 

Accelerated Approval 

FDASIA  also  codified  and  expanded  on  FDA’s  accelerated  approval  regulations,  under  which  FDA  may  approve  a  drug  for  a 
serious or life-threatening illness that provides meaningful therapeutic benefit over existing treatments based on a surrogate endpoint 
that is reasonably likely to predict clinical benefit, or on an intermediate clinical endpoint that can be measured earlier than irreversible 
morbidity or mortality, that is reasonably likely to predict an effect on irreversible morbidity or mortality or other clinical benefit. A 
surrogate endpoint is a marker that does not itself measure clinical benefit but is believed to predict clinical benefit. This determination 
takes into account the severity, rarity or prevalence of the disease or condition and the availability or lack of alternative treatments. As 
a condition of approval, the FDA may require a sponsor of a drug receiving accelerated approval to perform Phase IV or post-marketing 
studies to verify and describe the predicted effect on irreversible morbidity or mortality or other clinical endpoint, and the drug may be 
subject to accelerated withdrawal procedures. All promotional materials for drug candidates approved under accelerated regulations are 
subject to prior review by the FDA. 

Even if a product qualifies for one or more of these programs, the FDA may later decide that the product no longer meets the 
conditions for qualification or decide that the time period for the FDA review or approval will not be shortened.  Furthermore, fast track 
designation, priority review, accelerated approval and Breakthrough Therapy Designation, do not change the standards for approval and 
may not ultimately expedite the development or approval process. 

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Pediatric Trials 

Under PREA, an NDA or supplement thereto must contain data that are adequate to assess the safety and effectiveness of the drug 
product for the claimed indications in all relevant pediatric subpopulations, and to support dosing and administration for each pediatric 
subpopulation for which the product is safe and effective.  With the enactment of FDASIA, a sponsor who is planning to submit a 
marketing application for a drug that includes a new active ingredient, new indication, new dosage form, new dosing regimen or new 
route of administration must also submit an initial Pediatric Study Plan, or PSP, within sixty days of an end-of-Phase II meeting or as 
may be agreed between the sponsor and the FDA.  The initial PSP must include an outline of the pediatric study or studies that the 
sponsor plans to conduct, including study objectives and design, age groups, relevant endpoints and statistical approach, or a justification 
for not including such detailed information, and any request for a deferral of pediatric assessments or a full or partial waiver of the 
requirement to provide data from pediatric studies along with supporting information.  The FDA and the sponsor must reach agreement 
on the PSP.  A sponsor can submit amendments to an agreed-upon initial PSP at any time if changes to the pediatric plan need to be 
considered based on data collected from pre-clinical studies, early phase clinical trials, and/or other clinical development programs.  The 
law requires the FDA to send a non-compliance letters to sponsors who do not submit their pediatric assessments as required. 

Under the Best Pharmaceuticals for Children Act, or BPCA, certain therapeutic candidates may obtain an additional six months of 
exclusivity if the sponsor submits information requested by the FDA, relating to the use of the active moiety of the product candidate in 
children. Although the FDA may issue a written request for studies on either approved or unapproved indications, it may only do so 
where  it  determines  that  information  relating  to  that  use  of  a  product  candidate  in  a  pediatric  population,  or  part  of  the  pediatric 
population, may produce health benefits in that population. 

FDASIA  permanently  reauthorized  PREA  and  BPCA,  modifying  some  of  the  requirements  under  these  laws,  and  established 
priority review vouchers for rare pediatric diseases.  Pursuant to the Consolidated Appropriations Act of 2021, the FDA’s authority to 
award rare pediatric  disease vouchers has been  extended  until  September 30, 2024,  and until  September 30, 2026  for products  that 
receive rare pediatric disease designation by September 30, 2024. 

Orphan Drug Designation and Exclusivity 

Under the Orphan Drug Act, the FDA may designate a drug product as an “orphan drug” if it is intended to treat a rare disease or 
condition (generally meaning that it affects fewer than 200,000 individuals in the United States, or more in cases in which there is no 
reasonable expectation that the cost of developing and making a drug product available in the United States for treatment of the disease 
or condition will be recovered from sales of the product). A company must request orphan product designation before submitting an 
NDA.  If  the  request  is  granted,  the  FDA  will  disclose  the  identity  of  the  therapeutic  agent  and  its  potential  use.  Orphan  product 
designation does not convey any advantage in or shorten the duration of the regulatory review and approval process, but the product 
will be entitled to orphan product exclusivity, meaning that the FDA may not approve any other applications for the same product for 
the same indication for seven years, except in certain limited circumstances. Competitors may receive approval of different products for 
the indication for which the orphan product has exclusivity and may obtain approval for the same product but for a different indication.  
If a drug or drug product designated as an orphan product ultimately receives regulatory approval for an indication broader than what 
was designated in its orphan product application, it may not be entitled to exclusivity. The 21st Century Cures Act, which became law 
in December 2016, expanded the types of studies that qualify for orphan drug grants. Orphan drug designation also may qualify an 
applicant for federal and possibly state tax credits relating to research and development costs. 

Post-Marketing Requirements 

Following approval of a new drug, a pharmaceutical company and the approved drug are subject to continuing regulation by the 
FDA,  including,  among  other  things,  monitoring  and  recordkeeping  activities,  reporting  to  the  applicable  regulatory  authorities  of 
adverse experiences with the drug, providing the regulatory authorities with updated safety and efficacy information, drug sampling and 
distribution requirements, and complying with applicable promotion and advertising requirements. 

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Prescription drug advertising is subject to federal, state and foreign regulations.  In the United States, the FDA regulates prescription 
drug promotion, including standards for direct-to-consumer advertising, restrictions on promoting drugs for uses or in patient populations 
that  are  not  described  in  the  drug’s  approved  labeling  (known  as  “off-label  use”),  limitations  on  industry-sponsored  scientific  and 
educational activities, and requirements for promotional activities involving the internet.  Although physicians may legally prescribe 
drugs for off-label uses, manufacturers may not market or promote such off-label uses.  Prescription drug promotional materials must 
be submitted to the FDA in conjunction with their first use.  Modifications or enhancements to the drug or its labeling or changes of the 
site of manufacture are often subject to the approval of the FDA and other regulators, which may or may not be received or may result 
in  a  lengthy  review  process.    Any  distribution  of  prescription  drugs  and  pharmaceutical  samples  also  must  comply  with  the  U.S. 
Prescription Drug Marketing Act, a part of the FDCA. 

In the United States, once a drug is approved, its manufacture is subject to comprehensive and continuing regulation by the FDA.  
The FDA regulations require that drugs be manufactured in specific approved facilities and in accordance with cGMP. Applicants may 
also  rely  on  third  parties  for  the  production  of  clinical  and  commercial  quantities  of  drugs,  and  these  third  parties  must  operate  in 
accordance with cGMP regulations. cGMP regulations require among other things, quality control and quality assurance as well as the 
corresponding maintenance of records and documentation and the obligation to investigate and correct any deviations from cGMP. Drug 
manufacturers  and  other  entities  involved  in  the  manufacture  and  distribution  of  approved  drugs  are  required  to  register  their 
establishments with the FDA and certain state agencies, and are subject to periodic unannounced inspections by the FDA and certain 
state agencies for compliance with cGMP and other laws. Accordingly, manufacturers must continue to expend time, money, and effort 
in  the  area  of  production  and  quality  control  to  maintain  cGMP  compliance.  These  regulations  also  impose  certain  organizational, 
procedural and documentation requirements with respect to manufacturing and quality assurance activities. NDA holders using third-
party contract manufacturers, laboratories or packagers are responsible for the selection and monitoring of qualified firms, and, in certain 
circumstances, qualified suppliers to these firms. These firms and, where applicable, their suppliers are subject to inspections by the 
FDA at any time, and the discovery of violative conditions, including failure to conform to cGMP, could result in enforcement actions 
that interrupt the operation of any such facilities or the ability to distribute drugs manufactured, processed or tested by them. Discovery 
of problems with a drug after approval may result in restrictions on a drug, manufacturer, or holder of an approved NDA, including, 
among other things, recall or withdrawal of the drug from the market, and may require substantial resources to correct. 

The FDA also may require Phase IV testing, risk minimization action plans and post-marketing surveillance to monitor the effects 
of an approved drug or place conditions on an approval that could restrict the distribution or use of the drug. Discovery of previously 
unknown problems with a drug or the failure to comply with applicable FDA requirements can have negative consequences, including 
adverse  publicity,  judicial  or  administrative  enforcement,  warning  letters  from  the  FDA,  mandated  corrective  advertising  or 
communications with doctors, and civil or criminal penalties, among others. Newly discovered or developed safety or effectiveness data 
may require changes to a drug’s approved labeling, including the addition of new warnings and contraindications, and also may require 
the  implementation  of  other  risk  management  measures.  Also,  new  government  requirements,  including  those  resulting  from  new 
legislation, may be established, or the FDA’s policies may change, which could delay or prevent regulatory approval of our drugs under 
development. 

Other U.S. Regulatory Matters 

Manufacturing, sales, promotion and other activities following drug approval are also subject to regulation by numerous regulatory 
authorities in addition to the FDA, including, in the United States, the Department of Justice, Centers for Medicare & Medicaid Services, 
other divisions of the Department of Health and Human Services, the Drug Enforcement Administration for Controlled Substances, the 
Consumer  Product  Safety  Commission,  the  Federal  Trade  Commission,  the  Occupational  Safety  &  Health  Administration,  the 
Environmental Protection Agency and state and local governments.  In the United States, sales, marketing and scientific/educational 
programs must also comply with state and federal fraud and abuse laws.  Pricing and rebate programs must comply with the Medicaid 
rebate requirements of the U.S. Omnibus Budget Reconciliation Act of 1990 and more recent requirements in the Affordable Care Act.  
If drugs are made available to authorized users of the Federal Supply Schedule of the General Services Administration, additional laws 
and requirements apply.  The handling of any controlled substances must comply with the U.S. Controlled Substances Act and Controlled 
Substances Import and Export Act.  Drugs must meet applicable child-resistant packaging requirements under the U.S. Poison Prevention 
Packaging Act.  Manufacturing, sales, promotion and other activities are also potentially subject to federal and state consumer protection 
and unfair competition laws. 

The distribution of pharmaceutical drugs is subject to additional requirements and regulations, including extensive record-keeping, 

licensing, storage and security requirements intended to prevent the unauthorized sale of pharmaceutical drugs. 

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The  failure  to  comply  with  regulatory  requirements  subjects  firms  to  possible  legal  or  regulatory  action.  Depending  on  the 
circumstances, failure to meet applicable regulatory requirements can result in criminal prosecution, fines or other penalties, injunctions, 
recall or seizure of drugs, total or partial suspension of production, denial or withdrawal of product approvals, or refusal to allow a firm 
to enter into supply contracts, including government contracts. In addition, even if a firm complies with FDA and other requirements, 
new information regarding the safety or efficacy of a product could lead the FDA to modify or withdraw product approval. Prohibitions 
or restrictions on sales or withdrawal of future products marketed by us could materially affect our business in an adverse way. 

Changes in regulations, statutes or the interpretation of existing regulations could impact our business in the future by requiring, for 
example:  (i) changes  to  our  manufacturing  arrangements;  (ii) additions  or  modifications  to  product  labeling;  (iii) the  recall  or 
discontinuation of our products; or (iv) additional record-keeping requirements. If any such changes were to be imposed, they could 
adversely affect the operation of our business. 

U.S. Patent Term Restoration and Marketing Exclusivity 

Depending upon the timing, duration and specifics of the FDA approval of our drug candidates, some of our U.S. patents may be 
eligible for limited patent term extension under the Hatch-Waxman Act. The Hatch-Waxman Act permits a patent restoration term of 
up to five years as compensation for patent term lost during product development and the FDA regulatory review process. However, 
patent term restoration cannot extend the remaining term of a patent beyond a total of 14 years from the product’s approval date. The 
patent term restoration period is generally one-half the time between the effective date of an IND and the submission date of an NDA 
plus the time between the submission date of an NDA and the approval of that application. Only one patent applicable to an approved 
drug  is  eligible  for  the  extension  and  the  application  for  the  extension  must  be  submitted  prior  to  the  expiration  of  the  patent.  The 
USPTO, in consultation with the FDA, reviews and approves the application for any patent term extension or restoration. In 2018, the 
FDA advanced policies aimed at promoting drug competition and patient access to generic drugs, such as issuing guidance about making 
complex generic drugs and the circumstances in which approval of a generic product application may be delayed. 

Marketing exclusivity provisions under the FDCA can also delay the submission or the approval of certain marketing applications. 
The  FDCA provides  a  five-year period of  non-patent  marketing  exclusivity  within  the  United  States  to  the  first  applicant  to obtain 
approval of an NDA for a NCE. A drug is a NCE if the FDA has not previously approved any other new drug containing the same active 
moiety, which is the molecule or ion responsible for the action of the drug substance. During the exclusivity period, the FDA may not 
accept for review an ANDA, or a 505(b)(2) NDA submitted by another company for another drug based on the same active moiety, 
regardless of whether the drug is intended for the same indication as the original innovator drug or for another indication, where the 
applicant does not own or have a legal right of reference to all the data required for approval. However, an application may be submitted 
after four years if it contains a certification of patent invalidity or non-infringement to one of the patents listed with the FDA by the 
innovator NDA holder. Specifically, the applicant must certify with respect to each relevant patent that: the required patent information 
has not been filed; the listed patent has expired; the listed patent has not expired, but will expire on a particular date and approval is 
sought after patent expiration, or the listed patent is invalid, unenforceable or will not be infringed by the new product. A certification 
that the new product will not infringe the already approved product’s listed patents or that such patents are invalid or unenforceable is 
called a Paragraph IV certification. If the applicant does not challenge the listed patents or indicate that it is not seeking approval of a 
patented method of use, the ANDA application will not be approved until all the listed patents claiming the referenced product have 
expired.  If  the  ANDA  applicant  has  provided  a  Paragraph IV  certification  to  the  FDA,  the  applicant  must  also  send  notice  of  the 
Paragraph IV certification to the NDA and patent holders once the ANDA has been accepted for filing by the FDA. The NDA and patent 
holders may then initiate a patent infringement lawsuit in response to the notice of the Paragraph IV certification. The filing of a patent 
infringement lawsuit within 45 days after the receipt of a Paragraph IV certification automatically prevents the FDA from approving the 
ANDA  until  the  earlier  of  30 months  after  the  receipt  of  the  Paragraph IV  notice,  expiration  of  the  patent,  or  a  decision  in  the 
infringement  case  that  is  favorable  to  the  ANDA  applicant.  To  the  extent  that  the  Section 505(b)(2)  applicant  relies  on  prior  FDA 
findings of safety and efficacy, the applicant is required to certify to the FDA concerning any patents listed for the previously approved 
product in the Orange Book to the same extent that an ANDA applicant would. 

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The  FDCA  also  provides  three  years  of  marketing  exclusivity  for  an  NDA,  or  supplement  to  an  existing  NDA  if  new  clinical 
investigations,  other  than  bioavailability  studies,  that  were  conducted  or  sponsored  by  the  applicant  are  deemed  by  the  FDA  to  be 
essential  to  the  approval  of  the  application,  for  example  new  indications,  dosages  or  strengths  of  an  existing  drug.  This  three-year 
exclusivity covers only the modification for which the drug received approval on the basis of the new clinical investigations and does 
not  prohibit  the  FDA  from  approving  ANDAs  for  drugs  containing  the  active  agent  for  the  original  indication  or  condition  of  use. 
Five-year and three-year exclusivity will not delay the submission or approval of a full NDA. However, an applicant submitting a full 
NDA would be required to conduct or obtain a right of reference to all of the pre-clinical studies and adequate and well-controlled 
clinical trials necessary to demonstrate safety and effectiveness. Orphan drug exclusivity, as described above, may offer a seven-year 
period of marketing exclusivity, except in certain circumstances. Pediatric exclusivity is another type of regulatory market exclusivity 
in the United States. Pediatric exclusivity, if granted, adds six months to existing exclusivity periods and patent terms. This six-month 
exclusivity, which runs from the end of other exclusivity protection or patent term, may be granted based on the voluntary completion 
of a pediatric trial in accordance with an FDA-issued “Written Request” for such a trial. 

Rest of the World Regulation of Pharmaceutical Product Development and Approval 

For other countries outside of China and the United States, such as countries in Europe, Latin America or other parts of Asia, the 
requirements governing the conduct of clinical trials, drug licensing, pricing and reimbursement vary from country to country. In all 
cases the clinical trials must be conducted in accordance with GCP requirements and the applicable regulatory requirements and ethical 
principles. 

If we fail to comply with applicable foreign regulatory requirements, we may be subject to, among other things, fines, suspension 

or withdrawal of regulatory approvals, product recalls, seizure of products, operating restrictions and criminal prosecution. 

PRC Coverage and Reimbursement 

Coverage and Reimbursement 

Historically, most of Chinese healthcare costs have been borne by patients out-of-pocket, which has limited the growth of more 
expensive pharmaceutical products.  However, in recent years the number of people covered by government and private insurance has 
increased. According to the PRC National Healthcare Security Administration, as of December 31, 2020, approximately 1.4 billion 
employees and residents in China were enrolled in the national medical insurance program, with participation rates remaining steadily 
above 95%. The PRC government has announced a plan to give every person in China access to basic healthcare by year 2020. In 2020, 
total income of the National Basic Medical Insurance Fund (including maternity insurance) reached RMB2,484.6 billion, an increase of 
1.7% over the previous year and accounting for about 2.4% of GDP. 

Reimbursement under the National Medical Insurance Program 

The National Medical Insurance Program was adopted pursuant to the Decision of the State Council on the Establishment of the 
Urban Employee Basic Medical Insurance Program issued by the State Council on December 14, 1998, under which all employers in 
urban  cities  are  required  to  enroll  their  employees  in  the  basic  medical  insurance  program  and  the  insurance  premium  is  jointly 
contributed by the employers and employees. The State Council promulgated Guiding Opinions of the State Council about the Pilot 
Urban Resident Basic Medical Insurance on July 10, 2007, under which urban residents of the pilot district, rather than urban employees, 
may voluntarily join Urban Resident Basic Medical Insurance. The State Council expected the Pilot Urban Resident Basic Medical 
Insurance to cover the whole nation by 2010. 

Participants of the National Medical Insurance Program and their employers, if any, are required to contribute to the payment of 
insurance premiums on a monthly basis. Program participants are eligible for full or partial reimbursement of the cost of medicines 
included in the NRDL. The Notice Regarding the Tentative Measures for the Administration of the Scope of Medical Insurance Coverage 
for  Pharmaceutical  Products  for  Urban  Employees,  jointly  issued  by  several  authorities  including  the  Ministry  of  Labor  and  Social 
Security and the MOF, among others, on May 12, 1999, provides that a pharmaceutical product listed in the NRDL must be clinically 
needed, safe, effective, reasonably priced, easy to use, available in sufficient quantity, and must meet the following requirements: 

 

 

it is set forth in the Pharmacopoeia of the PRC; 

it meets the standards promulgated by the NMPA; and 

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 

if imported, it is approved by the NMPA for import. 

Factors that affect the inclusion of a pharmaceutical product in the NRDL include whether the product is consumed in large volumes 
and commonly prescribed for clinical use in the PRC and whether it is considered to be important in meeting the basic healthcare needs 
of the general public. 

The PRC Ministry of Labor and Social Security, together with other government authorities, has the power to determine inclusion 
of medicines in the NRDL (also referred to as the “Drug Catalog”), which is divided into two parts, Category A and Category B. Per 
the Notice on the “National Basic Medical Insurance, Work Injury Insurance and Maternity Insurance Drug Catalog (2021)” issued by 
the National Healthcare Security Administration and the Ministry of Labor and Social Security, local authorities are required to strictly 
implement the Drug Catalog (2021) and must not adjust the defined payment conditions and the classification of drugs in the Drug 
Catalog. 

Patients  purchasing  medicines  included  in  Category  A  of  the  NRDL  are  entitled  to  reimbursement  of  the  entire  amount  of  the 
purchase price. Patients purchasing medicines included in Category B of the NRDL are required to pay a certain percentage of the 
purchase price and obtain reimbursement for the remainder of the purchase price. The percentage of reimbursement for Category B 
medicines differs from region to region in the PRC. 

The total amount of reimbursement for the cost of medicines, in addition to other medical expenses, for an individual participant 
under the National Medical Insurance Program in a calendar year is capped at the amounts in such participant’s individual account under 
such program. The amount in a participant’s account varies, depending on the amount of contributions from the participant and his or 
her employer. 

National Essential Medicines List 

On  August  18,  2009,  MOH  and  eight  other  ministries  and  commissions  in  the  PRC  issued  the  Provisional  Measures  on  the 
Administration of the National Essential Medicines List, which was later amended in 2015, and the Guidelines on the Implementation 
of the Establishment of the National Essential Medicines System, which aim to promote essential medicines sold to consumers at fair 
prices  in  the  PRC  and  ensure  that  the  general  public  in  the  PRC  has  equal  access  to  the  drugs  contained  in  the  National  Essential 
Medicines List.  MOH promulgated the National Essential Medicines List (Catalog for the Basic Healthcare Institutions) on August 18, 
2009, and promulgated the revised National Essential Medicines List on March 13, 2013 and September 30, 2018.  According to these 
regulations, basic healthcare institutions funded by government, which primarily include county-level hospitals, county-level Chinese 
medicine hospitals, rural clinics and community clinics, shall store up and use drugs listed in the National Essential Medicines List. Per 
the Opinions of the General Office of the State Council on Improving the National Essential Medicines System, issued and effective on 
September 13, 2018, with respect to the qualifying drugs on the National Essential Medicines List, the medical insurance department 
shall prioritize their inclusion in the NDRL and adjust their classifications as Category A or B, respectively, in accordance with the 
stipulated procedures. 

Price Controls 

According  to  the  PRC  Drug  Administration  Law  and  the  Implementing  Measures  of  the  PRC  Drug  Administration  Law, 
pharmaceutical  products  are  subject  to  a  directive  pricing  system  or  to  be  adjusted  by  the  market.    Per  the  Notice  of  the  National 
Healthcare Security Administration on issuing the “Opinions on Doing a Good Job in the Current Drug Price Management”, or the 
Notice on Current Drug Price Management, effective on November 26, 2019, government guidance prices are to be implemented for 
narcotic drugs and Class I psychotropic drugs, while prices of other drugs are to be determined by the market.   Government guidance 
prices refer to prices as fixed by business operators according to benchmark prices and ranges of the prices as set by the government 
department in charge of pricing or other related departments.  According to the Pricing Catalogue Initiated by the Central Government 
(2020 Edition), which was promulgated by the NDRC and effective on May 1, 2020, the National Healthcare Security Administration 
shall be responsible for setting prices of narcotic drugs and Class I psychotropic drugs. 

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Further,  pursuant  to  the  Notice  Regarding  Further  Improvement  of  the  Order  of  Market  Price  of  Pharmaceutical  Products  and 
Medical Services, or the Market Price Notice, jointly promulgated by the NDRC, the State Council Legislative Affairs Office and the 
State Council Office for Rectifying, the MOH, the NMPA, the MOFCOM, the MOF and Ministry of Labor and Social Security on May 
19,  2006,  the  PRC  government  exercises  price  control  over  pharmaceutical  products  included  in  the  NRDL  and  made  an  overall 
adjustment of their prices by reducing the retail price of certain overpriced pharmaceutical products and increasing the retail price of 
certain  underpriced  pharmaceutical  products  in  demand  for  clinical  use  but  that  have  not  been  produced  in  large  quantities  by 
manufacturers due to their low retail price level.  In particular, the retail price charged by hospitals at the county level or above may not 
exceed 115% of the procurement cost of the relevant pharmaceutical products or 125% for Chinese herbal pieces. The Market Price 
Notice has been abolished per the NDRC Decision to Abolish Standardized Pricing Directories, effective May 20, 2021. 

On February 9, 2015, the General Office of the State Council issued the Guiding Opinion on Enhancing Consolidated Procurement 
of Pharmaceutical Products by Public Hospitals, or the Opinion. The Opinion encourages public hospitals to consolidate their demands 
and to play a more active role in the procurement of pharmaceutical products. Hospitals are encouraged to directly settle the prices of 
pharmaceutical products with manufacturers. Consolidated procurement of pharmaceutical products should facilitate hospital reform, 
reduce patient costs, prevent corrupt conducts, promote fair competition and induce the healthy growth of the pharmaceutical industry. 
According to the Opinion, provincial tendering processes will continue to be used for the pricing of essential drugs and generic drugs 
with significant demands, and transparent multi-party price negotiation will be used for some patented drugs and exclusive drugs. 

On April 26, 2014, the NDRC issued the Notice on Issues concerning Improving the Price Control of Low Price Drugs, or the Low 
Price Drugs Notice, together with the Low Price Drug List, or LPDL. According to the Low Price Drugs Notice, for drugs with relatively 
low average daily costs within the current government-guided pricing scope (low price drugs), the maximum retail prices set by the 
government were cancelled. Within the standards of average daily costs, the specific purchase and sale prices are fixed by the producers 
and operators based on the drug production costs, market supply and demand and market competition. The standards of average daily 
costs of low price drugs were determined by the NDRC in consideration of the drug production costs, market supply and demand and 
other factors and based on the current maximum retail prices set by the government (or the national average bid-winning retail prices 
where the government does not set the maximum retail prices) and the average daily dose calculated according to the package insert. 
Under the Low Price Drugs Notice, the standards for the daily cost of low price chemical pharmaceuticals and of low price traditional 
Chinese medicine pharmaceuticals were less than RMB3.0 ($0.46) per day and RMB5.0 ($0.76) per day respectively. The Low Price 
Drugs Notice has been abolished per the NDRC Decision to Abolish Standardized Pricing Directories, effective May 20, 2021. 

On  May  4,  2015,  the  NDRC,  the  National  Health  and  Family  Planning  Commission,  the  NMPA,  MOFCOM  and  three  other 
departments issued Opinions on Promoting Drug Pricing Reform.  Under these opinions, beginning on June 1, 2015, the restrictions on 
the prices of the drugs that were subject to government pricing were cancelled except for narcotic drugs and Class I psychotropic drugs 
which remained subject to maximum factory prices and maximum retail prices set by the NDRC, and following the November 2019 
Notice on Current Drug Price Management, narcotic drugs and Class I psychotropic drugs prices have transitioned towards government 
guidance prices. The medical insurance regulatory authority now has the power to prescribe the standards, procedures, basis and methods 
of the payment for drugs paid by medical insurance funds.  The prices of patented drugs are set through transparent and public negotiation 
among multiple parties.  The prices for blood products not listed in the NRDL, immunity and prevention drugs that are purchased by 
the Chinese government in a centralized manner, and AIDS antiviral drugs and contraceptives provided by the Chinese government for 
free, are set through a tendering process.  Except as otherwise mentioned above, the prices for other drugs may be determined by the 
manufacturers and the operators on their own on the basis of production or operation costs and market supply and demand. 

Centralized Procurement and Tenders 

The Guiding Opinions concerning the Urban Medical and Health System Reform, promulgated on February 21, 2000, aim to provide 
medical services with reasonable price and quality to the public through the establishment of an urban medical and health system. One 
of the measures used to realize this aim is the regulation of the purchasing process of pharmaceutical products by medical institutions. 
Accordingly, the MOH and other relevant government authorities have promulgated a series of regulations and releases in order to 
implement the tender requirements. 

According to the Notice on Issuing Certain Regulations on the Trial Implementation of Centralized Tender Procurement of Drugs 
by Medical Institutions promulgated on July 7, 2000 and the Notice on Further Improvement on the Implementation of Centralized 
Tender Procurement of Drugs by Medical Institutions promulgated on August 8, 2001, medical institutions established by county or 
higher level government are required to implement centralized tender procurement of drugs. 

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The MOH promulgated the Working Regulations of Medical Institutions for Procurement of Drugs by Centralized Tender and Price 
Negotiations (for Trial Implementation), or the Centralized Procurement Regulations, on March 13, 2002, and promulgated Sample 
Document for Medical Institutions for Procurement of Drugs by Centralized Tender and Price Negotiations (for Trial Implementation), 
or the Centralized Tender Sample Document in November 2001, as amended in 2010, to implement the tender process requirements and 
ensure the requirements are followed uniformly throughout the country. The Centralized Tender Regulations and the Centralized Tender 
Sample Document provide rules for the tender process and negotiations of the prices of drugs, operational procedures, a code of conduct 
and standards or measures of evaluating bids and negotiating prices. On January 17, 2009, the MOH, the NMPA and other four national 
departments  jointly  promulgated  the  Opinions  on  Further  Regulating  Centralized  Procurement  of  Drugs  by  Medical  Institutions. 
According to the notice, public medical institutions owned by the government at the county level or higher or owned by state-owned 
enterprises  (including  state-controlled  enterprises)  shall  purchase  pharmaceutical  products  through  centralized  procurement.  Each 
provincial government shall formulate its catalogue of drugs subject to centralized procurement. Specifically, the procurement could be 
achieved through public tendering, online bidding, centralized price negotiations and online competition platform. Except for drugs in 
the National Essential Medicines List (the procurement of which shall comply with the relevant rules on the National Essential Medicines 
List), certain pharmaceutical products which are under the national government’s special control and traditional Chinese medicines, in 
principle, all drugs used by public medical institutions shall be covered by the catalogue of drugs subject to centralized procurement. 
On  July  7,  2010,  the  MOH  and  six  other  ministries  and  commissions  jointly  promulgated  the  Working  Regulations  of  Medical 
Institutions for Centralized Procurement of Drugs to further regulate the centralized procurement of drugs and clarify the code of conduct 
of the parties in centralized drug procurement. 

The  centralized  tender  process  takes  the  form  of  public  tender  operated  and  organized  by  provincial  or  municipal  government 
agencies in principle is conducted once every year in all provinces and cities in China.  Drug manufacturing enterprises, in principle, 
shall bid directly for the centralized tender process.  Certain related parties, however, may be engaged to act as bidding agencies.  Such 
intermediaries  are  not  permitted  to  engage  in  the  distribution  of  drugs  and  must  have  no  conflict  of  interest  with  the  organizing 
government agencies.  The bids are assessed by a committee composed of pharmaceutical experts who will be randomly selected from 
a database of experts approved by the relevant government authorities.  The committee members assess the bids based on a number of 
factors, including but not limited to, bid price, product quality, clinical effectiveness, qualifications and reputation of the manufacturer, 
and after-sale services.  Only pharmaceuticals that have won in the centralized tender process may be purchased by public medical 
institutions funded by government in the relevant region. 

4+7 Quality Consistency Evaluation 

On November 15, 2018, China’s Joint Procurement Office published its Paper on Centralized Drug Procurement in “4+7 Cities,” 
known as the 4+7 Quality Consistency Evaluation process, or 4+7 QCE.  The 4+7 QCE initiative is aimed at driving consolidation in 
the fragmented generic drug market in China.  The 4+7 QCE initiative began as a pilot program in 11 cities:  Beijing, Tianjin, Shanghai, 
Chongqing,  Shenyang,  Dalian,  Xiamen,  Guangzhou,  Shenzhen,  Chengdu  and  Xi’an.    Under  this  pilot  program,  the  public  medical 
institutions in these 11 cities bulk-buy certain generic drugs together, forcing companies to bid for contracts and driving down prices. 
The 4+7 QCE initiative has expanded nationwide and now covers more varieties of drugs.  On September 1, 2019, the Joint Procurement 
Office published its Paper on Centralized Drug Procurement in Alliance Areas (GY-YD2019-1), such areas covering 25 provinces and 
regions  across  China.    On  December  29,  2019,  the  Joint  Procurement  Office  published  its  Paper  on  Nationwide  Centralized  Drug 
Procurement  (GY-YD2019-2),  promoting  procurement  nationwide,  and  on  January  13,  2020,  the  National  Healthcare  Security 
Administration, the NHC, the NMPA, the Ministry of Industrial and Information Technology and the Logistics Support Department of 
the Central Military Commission promulgated the Notice on the Commencement of the Second Batch of State Organized Centralized 
Drug Procurement and Use, which states that the second batch of national organization of centralized procurement and use of drugs 
would not be carried out in selected areas but nationwide. 

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U.S. Coverage and Reimbursement 

Successful sales of our products or drug candidates in the U.S. market, if approved, will depend, in part, on the extent to which our 
drugs  will  be  covered  by  third-party  payors,  such  as  government  health  programs,  commercial  insurance  and  managed  healthcare 
organizations.  Patients who are provided with prescriptions as part of their medical treatment generally rely on such third-party payors 
to reimburse all or part of the costs associated with their prescriptions and therefore adequate coverage and reimbursement from such 
third-party payors are critical to new product success.  These third-party payors are increasingly reducing reimbursements for medical 
drugs and services.  Additionally, the containment of healthcare costs has become a priority of federal and state governments, and the 
prices of drugs have been a focus in this effort.  The U.S. government, state legislatures and foreign governments have shown significant 
interest  in  implementing  cost-containment  programs,  including  price  controls,  restrictions  on  reimbursement,  requirements  for 
substitution of generic drugs, and pricing transparency requirements.  Adoption of price controls and cost-containment measures, and 
adoption of more restrictive policies in jurisdictions with existing controls and measures, could further limit our net revenue and results.  
Decreases in third-party reimbursement for our drug candidates, if approved, or a decision by a third-party payor to not cover our drug 
candidates could reduce physician usage of such drugs and have a material adverse effect on our sales, results of operations and financial 
condition. 

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003, or the MMA, established the Medicare Part D 
program to provide a voluntary prescription drug benefit to Medicare beneficiaries. Under Part D, Medicare beneficiaries may enroll in 
prescription drug plans offered by private entities that provide coverage of outpatient prescription drugs. Unlike Medicare Part A and 
B, Part D coverage is not standardized. Part D prescription drug plan sponsors are not required to pay for all covered Part D drugs, and 
each drug plan can develop its own drug formulary that identifies which drugs it will cover and at what tier or level. However, Part D 
prescription  drug  formularies  must  include  drugs  within  each  therapeutic  category  and  class  of  covered  Part D  drugs,  though  not 
necessarily  all  the  drugs  in  each  category  or  class.  Any  formulary  used  by  a  Part D  prescription  drug  plan  must  be  developed  and 
reviewed by a pharmacy and therapeutic committee. Medicare payment for some of the costs of prescription drugs may increase demand 
for drugs for which we receive regulatory approval. However, any negotiated prices for our drugs covered by a Part D prescription drug 
plan will likely be lower than the prices we might otherwise obtain. Moreover, while the MMA applies only to drug benefits for Medicare 
beneficiaries, private payors often follow Medicare coverage policy and payment limitations in setting their own payment rates. Any 
reduction in payment that results from the MMA may result in a similar reduction in payments from non-governmental payors. 

The American Recovery and Reinvestment Act of 2009 provides funding for the federal government to compare the effectiveness 
of different treatments for the same illness. The plan for the research was published in 2012 by the U.S. Department of Health and 
Human Services, the Agency for Healthcare Research and Quality and the National Institutes for Health, and periodic reports on the 
status of the research and related expenditures are made to Congress. Although the results of the comparative effectiveness studies are 
not intended to mandate coverage policies for public or private payors, if third-party payors do not consider a drug to be cost-effective 
compared to other available therapies, they may not cover such drugs as a benefit under their plans or, if they do, the level of payment 
may not be sufficient. 

The Affordable Care Act, enacted in March 2010, has had a significant impact on the health care industry.  The Affordable Care 
Act expanded coverage for the uninsured while at the same time containing overall healthcare costs.  With regard to pharmaceutical 
products, the Affordable Care Act, among other things, addressed a new methodology by which rebates owed by manufacturers under 
the Medicaid Drug Rebate Program are calculated for drugs that are inhaled, infused, instilled, implanted or injected, increased the 
minimum  Medicaid  rebates  owed  by  manufacturers  under  the  Medicaid  Drug  Rebate  Program  and  extended  the  rebate  program  to 
individuals enrolled in Medicaid managed care organizations, established annual fees and taxes on manufacturers of certain branded 
prescription drugs, and created a new Medicare Part D coverage gap discount program, in which, beginning in 2019, manufacturers 
must agree to offer 70% point-of-sale discounts off negotiated prices of applicable brand drugs to eligible beneficiaries during their 
coverage gap period, as a condition for the manufacturer’s outpatient drugs to be covered under Medicare Part D.  The Bipartisan Budget 
Act of 2018 made certain changes to Medicare Part D coverage, including changing the date when the Medicare Part D coverage gap is 
eliminated from 2020 to 2019, sunsetting the exclusion of biosimilars from the Medicare Part D coverage gap discount program in 2019 
and reallocating responsibility for discounted pricing under the Medicare Part D coverage gap discount program from third-party payors 
to pharmaceutical companies.  In December 2017, Congress also repealed the “individual mandate,” which was an Affordable Care Act 
requirement that individuals obtain healthcare insurance coverage or face a penalty.  This repeal could affect the total number of patients 
who have coverage from third-party payors that reimburse for use of our products. In July 2021, the U.S. Supreme Court dismissed a 
constitutional challenge to the Affordable Care Act brought by a group of Republican attorneys general seeking to invalidate the law in 
its entirety because of Congress’s repeal of the individual mandate. 

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On December 14, 2018, a U.S. District Court judge in Texas ruled that the Affordable Care Act is unconstitutional in its entirety 
because of Congress’s repeal of the individual mandate.  On December 18, 2019, the U.S. Court of Appeals for the Fifth Circuit affirmed 
the portion of the district court’s ruling declaring the individual mandate unconstitutional and remanded for the district court to conduct 
analysis in the first instance on which provisions of the statute are severable from it and thus remain intact.  The U.S. Supreme Court 
agreed to hear the case and a decision is expected by the Spring of 2021. 

In addition, other legislative and regulatory changes have been proposed and adopted in the United States since the Affordable Care 
Act was enacted that affect reimbursement for prescription drugs.  On August 2, 2011, the Budget Control Act of 2011 among other 
things,  created  measures  for  spending  reductions  by  Congress.    A  Joint  Select  Committee  on  Deficit  Reduction,  tasked  with 
recommending a targeted deficit reduction of at least $1.2 trillion for the years 2013 through 2021, was unable to reach required goals, 
thereby triggering the legislation’s automatic reduction to several government programs.  This includes aggregate reductions to Medicare 
payments  to  providers  of  up  to  2%  per  fiscal  year,  started  in  April  2013.    Section  4408  of  the  CARES  Act  temporarily  suspended 
Medicare  sequestration during  the  period of May  1, 2020  through December 31, 2021,  while  extending  the Medicare  sequestration 
sunset date through 2030.  On January 2, 2013, President Obama signed into law the American Taxpayer Relief Act of 2012, which 
among other things, also reduced Medicare payments to several providers, including hospitals, imaging centers and cancer treatment 
centers, and increased the statute of limitations period for the government to recover overpayments to providers from three to five years. 

Regulations adopted by the Centers for Medicare & Medicaid Services or CMS grant Medicare Part B plans authority to apply new 
cost control measures to steer patients toward lower-priced drug products prior to covering non-preferred, more expensive products.  
This could potentially have the result of reducing coverage of our products under Medicare Part B. 

In addition, other proposed legislative and regulatory changes could affect reimbursement for prescription drugs. In January 2017, 
the Medicare Prescription Drug Price Negotiation Act was proposed in Congress, which would require the government to negotiate 
Medicare prescription drug prices with pharmaceutical companies. In October 2017, a similar bill, the Medicare Drug Price Negotiation 
Act of 2017 was proposed in Congress.  In November 2017, the CMS announced a Final Rule that would adjust the applicable payment 
rate as necessary for certain separately payable drugs and biologicals acquired under the 340B Program from average sales price plus 
6% to average sales price minus 22.5%. Congress and the U.S. administration continue to evaluate other proposals that could affect 
third-party reimbursement for our drug candidates, if approved.   

In October 2020, the U.S. Department of Health and Human Services and the FDA issued a final rule and guidance concerning two 
new pathways for importing lower-cost drugs into the United States. The final rule allows certain prescription drugs to be imported from 
Canada, and the guidance describes procedures for drug manufacturers to facilitate the importation of FDA-approved drugs and biologics 
manufactured abroad and originally intended for sale in a foreign country into the United States.   

In  November  2020,  the  Department  of  Health  and  Human  Services,  under  the  outgoing  Trump  administration,  issued  a  rule 
eliminating the safe harbor shielding Medicare Part D rebates to pharmacy benefit managers from the Anti-Kickback Statute. In response 
to litigation brought by a trade association on behalf of pharmacy benefit managers, the Biden administration agreed to delay the rule’s 
effective date until January 1, 2023. On November 15, 2021, President Biden signed into law the Infrastructure Investment and Jobs 
Act, which imposed a moratorium until January 1, 2026 at the earliest on the rule removing rebates from safe harbor protection under 
the Anti-Kickback Statute. 

In November 2021, the U.S. House of Representatives passed the Build Back Better Act.  Under this Act, the federal government 
would  be  permitted  to  negotiate  prices  for  certain  Medicare  Part  B  and  Part  D  drugs,  and  manufacturers  would  be  required  to  pay 
Medicare rebates for some Part B and many Part D drugs if their prices increased faster than inflation.  To date, the U.S. Senate has not 
passed the Act, and it is unclear whether the Act or component parts of the Act will ultimately be enacted.  Such legislative and regulatory 
changes could have the effect of lowering the level of coverage or reimbursement for our products. 

Rest of the World Coverage and Reimbursement 

In some foreign countries, the proposed pricing for a drug must be approved before it may be lawfully marketed.  The requirements 
governing drug pricing vary widely from country to country.  For example, the E.U. provides options for its member states to restrict 
the  range  of  medicinal  drugs  for  which  their  national  health  insurance  systems  provide  reimbursement  and  to  control  the  prices  of 
medicinal drugs for human use.  A member state may approve a specific price for the medicinal drug or it may instead adopt a system 
of direct or indirect controls on the profitability of our company placing the medicinal drug on the market.  Historically, drugs launched 
in the E.U. do not follow price structures of the United States and generally tend to be significantly lower. 

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Other PRC Healthcare Laws 

Advertising of Pharmaceutical Products 

Other Healthcare Laws 

In accordance with the Interim Administrative Measures for the Censorship of Advertisements for Drugs, Medical Devices, Health 
Food and Formula Food for Special Medical Purposes effective from March 1, 2020, the State Administration for Market Regulation is 
responsible for organizing and guiding the censorship of advertisements for drugs, medical devices, health foods and formula foods for 
special medical purposes. Any advertisement for drugs, medical devices, health food or formula food for special medical purposes shall 
indicate the advertisement approval number in a prominent position. The validity period of the advertisement approval number for drugs, 
medical devices, health food and formula food for special medical purposes shall be consistent with the shortest period of validity of the 
product registration certificate, record-filing certificate, or production license. Where no period of validity is prescribed in the product 
registration certificate, record-filing certificate or production license, the period of validity of the advertisement approval number shall 
be two years. 

Packaging of Pharmaceutical Products 

According to the Measures for The Administration of Pharmaceutical Packaging, effective on September 1, 1988, pharmaceutical 
packaging must comply with the provisions of the national standard and professional standard.  If there are no standards, the enterprise 
can formulate its own standard after obtaining the approval of the provincial level drug administration or bureau of standards.  The 
enterprise shall reapply to the relevant authorities if it needs to change the packaging standard.  Drugs without packing must not be sold 
in PRC (except for drugs needed by the army). 

Labor Protection 

Under the Labor Law of the PRC, effective on January 1, 1995 and subsequently amended on August 27, 2009 and December 29, 
2018, the Labor Contract Law of the PRC, effective on January 1, 2008 and subsequently amended on December 28, 2012, and the 
Implementing  Regulations  of  the  Labor  Contract  Law  of  the  PRC,  effective  on  September 18,  2008,  employers  must  establish  a 
comprehensive management system to protect the rights of their employees, including a system governing occupational health and safety 
to  provide  employees  with  occupational  training  to  prevent  occupational  injury,  and  employers  are  required  to  truthfully  inform 
prospective employees of the job description, working conditions, location, occupational hazards and status of safe production as well 
as remuneration and other conditions as requested by the Labor Contract Law of the PRC. 

Pursuant to the Law of Manufacturing Safety of the People’s Republic of China effective on November 1, 2002 and subsequently 
amended on December 1, 2014 and September 1, 2021, manufacturers must establish a comprehensive management system to ensure 
manufacturing safety in accordance with applicable laws and regulations.  Manufacturers not meeting relevant legal requirements are 
not permitted to commence their manufacturing activities. 

Pursuant to the Administrative Measures for Production effective on March 1, 2011, manufacturers of pharmaceutical products are 
required to establish production safety and labor protection measures in connection with the operation of their manufacturing equipment 
and manufacturing process. 

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Pursuant to applicable PRC laws, rules and regulations, including the Social Insurance Law which became effective on July 1, 2011 
and subsequently amended on December 29, 2018, the Interim Regulations on the Collection and Payment of Social Security Funds 
which  became  effective  on  January  22,  1999  and  subsequently  amended  on  March  24,  2019,  the  Interim  Measures  concerning  the 
Maternity Insurance which became effective on January 1, 1995 and the Regulations on Work-related Injury Insurance which became 
effective on January 1, 2004 and were subsequently amended on December 20, 2010, employers are required to contribute, on behalf of 
their  employees,  to  a number  of  social  security  funds,  including funds for  basic pension  insurance,  unemployment  insurance, basic 
medical insurance, work-related injury insurance, and maternity insurance.  If an employer fails to make social insurance contributions 
timely and in full, the social insurance collecting authority will order the employer to make up outstanding contributions within the 
prescribed time period and impose a late payment fee at the rate of 0.05% per day from the date on which the contribution becomes due. 
If such employer fails to make social insurance registration, the social insurance collecting authority will order the employer to correct 
within the prescribed time period.  The relevant administrative department may impose a fine equivalent to three times the overdue 
amount and management personnel who are directly responsible can be fined RMB500 ($76.43) to RMB3,000 ($458.02) if the employer 
fails to correct within the prescribed time period. 

Commercial Bribery 

Medical production and operation enterprises involved in criminal, investigation or administrative procedure for commercial bribery 
will be listed in the Adverse Records of Commercial Briberies by provincial health and family planning administrative department.  
Pursuant  to  the  Provisions  on  the  Establishment  of  Adverse  Records  of  Commercial  Briberies  in  the  Medicine  Purchase  and  Sales 
Industry enforced on March 1, 2014 by the National Health and Family Planning Commission, if medical production and operation 
enterprises are listed into the Adverse Records of Commercial Briberies for the first time, their production shall not be purchased by 
public medical institutions, and medical and health institutions receiving financial subsidies in local provincial regions for a period of 
two years following the publication of the Adverse Records, and public medical institutions, and medical and health institutions receiving 
financial subsidies in other provinces shall lower their rating in bidding or purchasing process.  If medical production and operation 
enterprises are listed into the Adverse Records of Commercial Briberies twice or more times in five years, their production may not be 
purchased by public medical institutions, and medical and health institutions receiving financial subsidies nationwide in two years from 
public of the record. 

As advised by our PRC legal advisor, from a PRC law perspective, a pharmaceutical company will not be penalized by the relevant 
PRC government authorities merely by virtue of having contractual relationships with distributors or third-party promoters who are 
engaged in bribery activities, so long as such pharmaceutical company and its employees are not utilizing the distributors or third-party 
promoters for the implementation of, or acting in conjunction with them in, the prohibited bribery activities. In addition, a pharmaceutical 
company is under no legal obligation to monitor the operating activities of its distributors and third-party promoters, and will not be 
subject to penalties or sanctions by relevant PRC government authorities as a result of failure to monitor their operating activities. 

Product Liability 

In addition to the strict new drug approval process, certain PRC laws have been promulgated to protect the rights of consumers and 
to strengthen the control of medical products in the PRC.  Under current PRC law, manufacturers and vendors of defective products in 
the PRC may incur liability for loss and injury caused by such products. Pursuant to the Civil Code of the PRC, or the PRC Civil Code, 
promulgated on May 28, 2020 and effective on January 1, 2021, a defective product which causes property damage or physical injury 
to any person may subject the manufacturer or vendor of such product to civil liability for such damage or injury. 

On  February 22,  1993,  the  Product  Quality  Law  of  the  PRC,  or  the  Product  Quality  Law,  was  promulgated  aiming  to  define 
responsibilities for product quality, to protect the legitimate rights and interests of the end-users and consumers and to strengthen the 
supervision and control of the quality of products. The Product Quality Law was amended by the Ninth National People’s Congress on 
July 8,  2000  and  was  later  amended  by  the  Eleventh  National  People’s  Congress  on  August 27,  2009  and  the  Thirteenth  National 
People’s  Congress  on  December 29,  2018.  Pursuant  to  the  amended  Product  Quality  Law,  manufacturers  who  produce  defective 
products may be subject to civil or criminal liability and have their business licenses revoked. 

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The Law of the PRC on the Protection of the Rights and Interests of Consumers was promulgated on October 13, 1993 and was 
amended on October 25, 2013 to protect consumers’ rights when they purchase or use goods and accept services. All business operators 
must  comply  with  this  law  when  they  manufacture  or  sell  goods  and/or  provide  services  to  customers.  Under  the  amendment  on 
October 25, 2013, all business operators shall pay high attention to protect the customers’ privacy which they obtain during the business 
operation. In addition, in extreme situations, pharmaceutical product manufacturers and operators may be subject to criminal liabilities 
under applicable laws of the PRC if their goods or services lead to the death or injuries of customers or other third parties. 

Pursuant to the PRC Civil Code, if damages to other persons are caused by defective products that are resulted from the fault of a 
third party such as the parties providing transportation or warehousing, the producers and the sellers of the products have the right to 
recover their respective losses from such third parties.  If defective products are identified after they have been put into circulation, the 
producers or the sellers shall take remedial measures such as issuance of warning, and recall of products, etc. in a timely manner.  The 
producers or the sellers shall be liable under tort if they cause damages due to their failure to take remedial measures in a timely manner 
or have not made efforts to take remedial measures, thus causing damages.  If the products are produced and sold with known defects, 
causing deaths or severe damage to the health of others, the infringed party shall have the right to claim respective punitive damages in 
addition to compensatory damages. 

Other PRC National and Provincial-Level Laws and Regulations 

We are subject to changing regulations under many other laws and regulations administered by governmental authorities at the 
national, provincial and municipal levels, some of which are or may become applicable to our business. Our hospital customers are also 
subject to a wide variety of laws and regulations that could affect the nature and scope of their relationships with us. 

For example, regulations control the confidentiality of patients’ medical information and the circumstances under which patient 
medical  information  may  be  released  for  inclusion  in  our  databases,  or  released  by  us  to  third  parties.  These  laws  and  regulations 
governing both the disclosure and the use of confidential patient medical information may become more restrictive in the future. 

We also comply with numerous additional state and local laws relating to matters such as safe working conditions, manufacturing 
practices,  environmental  protection  and  fire  hazard  control.  We  believe  that  we  are  currently  in  compliance  with  these  laws  and 
regulations; however, we may be required to incur significant costs to comply with these laws and regulations in the future. Unanticipated 
changes  in  existing regulatory  requirements  or  adoption of  new requirements  could  therefore have  a  material  adverse  effect  on our 
business, results of operations and financial condition. 

Other U.S. Healthcare Laws 

We may also be subject to healthcare regulation and enforcement by the U.S. federal government and the states where we may 
market our drug candidates, if approved. These laws include, without limitation, state and federal anti-kickback, fraud and abuse, false 
claims, privacy and security and physician sunshine laws and regulations. 

Anti-Kickback Statute 

The federal Anti-Kickback Statute prohibits, among other things, any person from knowingly and willfully offering, soliciting, 
receiving or providing remuneration, directly or indirectly, to induce either the referral of an individual, for an item or service, or the 
purchase or order of a good or service, for which payment may be made under federal healthcare programs such as the Medicare and 
Medicaid programs.  The majority of states also have anti-kickback laws, which establish similar prohibitions and in some cases may 
apply to items or services reimbursed by any third-party payor, including commercial insurers.  The Anti-Kickback Statute is subject to 
evolving interpretations.  In the past, the government has enforced the Anti-Kickback Statute to reach large settlements with healthcare, 
pharmaceutical, and biotechnology companies based on a range of financial arrangements with physicians and other healthcare industry 
entities.  A person or entity does not need to have actual knowledge of the Anti-Kickback Statute or specific intent to violate it in order 
to  have  committed  a  violation.    Violations  of  the  Anti-Kickback  Statute  can  result  in  criminal,  civil,  or  administrative  liability.    In 
addition, the government may assert that a claim including items or services resulting from a violation of the federal Anti-Kickback 
Statute constitutes a false or fraudulent claim for the purposes of the federal False Claims Act. 

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False Claims 

Additionally, the civil False Claims Act prohibits knowingly presenting or causing the presentation of a false, fictitious or fraudulent 
claim for payment to the U.S. government. Actions under the False Claims Act may be brought by the U.S. Attorney General or as a qui 
tam action by a private individual in the name of the government. Analogous state law equivalents may apply and may be broader in 
scope than the federal requirements. Violations of the False Claims Act can result in very significant monetary penalties and treble 
damages. The federal government is using the False Claims Act, and the accompanying threat of significant liability, in its investigation 
and prosecution of pharmaceutical and biotechnology companies throughout the United States, for example, in connection with the 
violations of the Anti-Kickback Statute, the promotion of products for unapproved uses and other sales and marketing practices. The 
government has obtained multi-million and multi-billion dollar settlements under the False Claims Act in addition to individual criminal 
convictions and corporate resolutions under applicable criminal statutes. Given the significant size of actual and potential settlements, 
it is expected that the government will continue to devote substantial resources to investigating healthcare providers’ and manufacturers’ 
compliance with applicable fraud and abuse laws. 

The federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, also created new federal criminal statutes that 
prohibit, among other actions, knowingly and willfully executing, or attempting to execute, a scheme to defraud any healthcare benefit 
program,  including  private  third-party  payors,  knowingly  and  willfully  embezzling  or  stealing  from  a  healthcare  benefit  program, 
willfully obstructing a criminal investigation of a healthcare offense, and knowingly and willfully falsifying, concealing or covering up 
a  material  fact  or  making  any  materially  false,  fictitious  or  fraudulent  statement  in  connection  with  the  delivery  of  or  payment  for 
healthcare  benefits,  items or services.  Similar  to  the federal Anti-Kickback  Statute,  a person or  entity  does not need  to have  actual 
knowledge of the statute or specific intent to violate it in order to have committed a violation. 

Payments to Physicians 

There has also been a recent trend of increased federal and state regulation of payments made to physicians and other healthcare 
providers. The Affordable Care Act, among other things, imposes new reporting requirements on drug manufacturers for payments made 
by them to physicians and teaching hospitals, as well as ownership and investment interests held by physicians and their immediate 
family members. Failure to submit required information may result in civil monetary penalties of up to an aggregate of $150,000 per 
year (or up to an aggregate of $1 million per year for “knowing failures”), for all payments, transfers of value or ownership or investment 
interests that are not timely, accurately and completely reported in an annual submission. Drug manufacturers were required to begin 
collecting data on August 1, 2013 and submit reports to the government by March 31, 2014 and June 30, 2014, and the 90th day of each 
subsequent  calendar  year.  Certain  states  also  mandate  implementation  of  compliance  programs,  impose  restrictions  on  drug 
manufacturer marketing practices and/or require the tracking and reporting of gifts, compensation and other remuneration to physicians. 
The federal government has begun to impose penalties on companies that fail to appropriately report required information. 

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Data Privacy and Security 

We may also be subject to data privacy and security regulation by both the federal government and the states in which we conduct 
our business. HIPAA, as amended by the Health Information Technology and Clinical Health Act, or HITECH, and their respective 
implementing regulations, including the final omnibus rule published on January 25, 2013, imposes specified requirements relating to 
the privacy, security and transmission of individually identifiable health information. Among other things, HITECH makes HIPAA’s 
privacy  and  security  standards  directly  applicable  to  “business  associates,” defined  as  independent  contractors  or  agents of  covered 
entities that create, receive, maintain or transmit protected health information in connection with providing a service for or on behalf of 
a  covered  entity.  HITECH  also  increased  the  civil  and  criminal  penalties  that  may  be  imposed  against  covered  entities,  business 
associates and possibly other persons, and gave state attorneys general new authority to file civil actions for damages or injunctions in 
federal courts to enforce the federal HIPAA laws and seek attorney’s fees and costs associated with pursuing federal civil actions. In 
addition, state laws govern the privacy and security of personal health information in certain circumstances, many of which differ from 
each other in significant ways, thus complicating compliance efforts. 

PRC Regulation of Foreign Currency Exchange, Offshore Investment and State-Owned Assets 

PRC Foreign Currency Exchange 

Foreign currency exchange regulation in China is primarily governed by the following rules: 



Foreign Currency Administration Rules (1996), as last amended on August 5, 2008, or the Exchange Rules; and

 Administration Rules of the Settlement, Sale and Payment of Foreign Exchange (1996), or the Administration Rules.

Under the Exchange Rules, the renminbi is convertible for current account items, including the distribution of dividends, interest 
payments, trade and service-related foreign exchange transactions.  Conversion of renminbi for capital account items, such as direct 
investment, loan, security investment and repatriation of investment, however, is still subject to the SAFE’s scrutiny. 

Under the Administration Rules, foreign-invested enterprises may only buy, sell and/or remit foreign currencies at those banks 
authorized to conduct foreign exchange business after providing valid commercial documents and, in the case of capital account item 
transactions, obtaining approval from the SAFE. Capital investments by foreign-invested enterprises outside of China are also subject 
to limitations, which include approvals by the MOFCOM, the SAFE and the NDRC. 

Pursuant to the Circular on Further Improving and Adjusting the Direct Investment Foreign Exchange Administration Policies, or 
Circular 59, promulgated by the SAFE on November 19, 2012 and became effective on December 17, 2012, approval is not required 
for the opening of and payment into foreign exchange accounts under direct investment, for domestic reinvestment with legal income 
of  foreign  investors  in  China.  Circular  59  also  simplified  the  capital  verification  and  confirmation  formalities  for  Chinese  foreign-
invested enterprises and the foreign capital and foreign exchange registration formalities required for the foreign investors to acquire 
the  equities  of  Chinese  party  and  other  items.  Circular  59  further  improved  the  administration  on  exchange  settlement  of  foreign 
exchange capital of Chinese foreign-invested enterprises. 

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Foreign Exchange Registration of Offshore Investment by PRC Residents 

In July 2014, the SAFE issued the Notice on Relevant Issues Concerning Foreign Exchange Administration for PRC Residents to 
Engage  in  Offshore  Investment  and  Financing  and  Round  Trip  Investment  via  Special  Purpose  Vehicles,  or  Circular  37,  and  its 
implementation  guidelines,  which  abolishes  and  supersedes  the  SAFE’s  Circular  on  Relevant  Issues  Concerning  Foreign  Exchange 
Administration  for  PRC  Residents  to  Engage  in  Financing  and  Round  Trip  Investment  via  Overseas  Special  Purpose  Vehicles,  or 
Circular 75. Pursuant to Circular 37 and its implementation guidelines, PRC residents (including PRC institutions and individuals) must 
register with local branches of the SAFE in connection with their direct or indirect offshore investment in an overseas special purpose 
vehicle, or SPV, directly established or indirectly controlled by PRC residents for the purposes of offshore investment and financing 
with their legally owned assets or interests in domestic enterprises, or their legally owned offshore assets or interests. Such PRC residents 
are also required to amend their registrations with the SAFE when there is a significant change to the SPV, such as changes of the PRC 
individual resident’s increase or decrease of its capital contribution in the SPV, or any share transfer or exchange, merger, division of 
the SPV. Failure to comply with the registration procedures set forth in Circular 37 may result in restrictions being imposed on the 
foreign exchange activities of the relevant onshore company, including the payment of dividends and other distributions to its offshore 
parent or affiliate, the capital inflow from the offshore entities and settlement of foreign exchange capital, and may also subject relevant 
onshore company or PRC residents to penalties under PRC foreign exchange administration regulations. 

In February 2012, the SAFE promulgated the Notices on Issues Concerning the Foreign Exchange Administration for Domestic 
Individuals  Participating  in  Stock  Incentive  Plans  of  Overseas  Publicly  Listed  Companies.    Based  on  this  regulation,  directors, 
supervisors, senior management and other employees of domestic subsidiaries or branches of a company listed on an overseas stock 
market who are PRC citizens or who are non-PRC citizens residing in China for a continuous period of not less than one year, subject 
to a few exceptions, are required to register with the SAFE or its local counterparts by following certain procedures if they participate 
in any stock incentive plan of the company listed on an overseas stock market.  Foreign exchange income received from the sale of 
shares or dividends distributed by the overseas listed company may be remitted into a foreign currency account of such PRC citizen or 
be exchanged into renminbi.  Our PRC citizen employees who have been granted share options have been subject to these rules due to 
our admission to trading on the AIM market and the listing of our ADSs on Nasdaq. 

Regulation on Investment in Foreign-invested Enterprises 

Pursuant to PRC law, the registered capital of a limited liability company is the total capital contributions subscribed for by all the 
shareholders as registered with the company registration authority. A foreign-invested enterprise also has a total investment limit that is 
approved by or filed with the MOFCOM or its local counterpart by reference to both its registered capital and expected investment scale. 
The difference between the total investment limit and the registered capital of a foreign-invested enterprise or the cross-border financing 
risk weighted balance calculated based on a formula by the PBOC represents the foreign debt financing quota to which it is entitled 
(i.e., the maximum amount of debt which the company may borrow from a foreign lender). A foreign-invested enterprise is required to 
obtain approval from or file with the MOFCOM or its local counterpart for any increases to its total investment limit. In accordance 
with these regulations, we and our joint venture partners have contributed financing to our PRC subsidiaries and joint ventures in the 
form of capital contributions up to the registered capital amount and/or in the form of shareholder loans up to the foreign debt quota. 
According to the financing needs  of our PRC subsidiaries and joint ventures, we and our joint venture partners have requested and 
received approvals from the government authorities for increases to the total investment limit for certain of our PRC subsidiaries and 
joint ventures from time to time. As a result, these regulations have not had a material impact to date on our ability to finance such 
entities. 

Regulation on Dividend Distribution 

The principal regulations governing distribution of dividends paid by wholly foreign-owned enterprises include: 

  Company Law of the PRC (1993), as amended in 1999, 2004, 2005, 2013 and 2018; 

  Foreign Investment Law of the PRC; and 

 

Implementation Rules for the Foreign Investment Law. 

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  Under  these  laws  and  regulations,  foreign-invested  enterprises  in  China  may  pay  dividends  only  out  of  their  accumulated 
profits, if any, determined in accordance with PRC accounting standards and regulations. In addition, a wholly foreign-owned 
enterprise in China is required to set aside at least 10.0% of its after-tax profit based on PRC accounting standards each year to 
its general reserves until the accumulative amount of such reserves reach 50.0% of its registered capital. These reserves are not 
distributable as cash dividends. The board of directors of a foreign-invested enterprise has the discretion to allocate a portion 
of its after-tax profits to staff welfare and bonus funds, which may not be distributed to equity owners except in the event of 
liquidation. 

Filings and Approvals Relating to State-Owned Assets 

Pursuant to applicable PRC state-owned assets administration laws and regulations, incorporating a joint venture that will have 
investments of assets that are both state-owned and non-state-owned, investing in an entity that was previously owned by a state-owned 
enterprise and restructuring an enterprise ultimately owned by the general public require the performance of an assessment of the relevant 
state-owned assets and the filing of the assessment results with the competent state-owned assets administration, finance authorities or 
other regulatory authorities and, if applicable, the receipt of approvals from such authorities. 

Our joint venture partners were required to perform a state-owned asset assessment when Shanghai Hutchison Pharmaceuticals and 
Hutchison  Baiyunshan  were  incorporated  and  our  joint  venture  partners  contributed  state-owned  assets,  and  when  we  invested  in 
Hutchison Sinopharm, which was previously wholly-owned by Sinopharm, a state-owned enterprise.  In addition, Hutchison Sinopharm 
was required to perform a state-owned asset assessment when Hutchison Sinopharm restructured from an enterprise ultimately owned 
by the general public into a limited liability enterprise. In all four instances, our joint venture partners have informed us that they or 
Hutchison Sinopharm have duly filed the relevant state-owned asset assessment results with, and obtained the requisite approvals from, 
the relevant governmental authorities as required by the foregoing laws and regulations.  Accordingly, we believe that such joint ventures 
are in full compliance with all applicable laws and regulations governing the administration and restructuring of state-owned assets, 
although we are currently unable to obtain copies of certain filing and approval documents from our joint venture partners due to their 
internal confidentiality constraints.  We have not received any notice of warning or been subject to any penalty or other disciplinary 
action from the relevant governmental authorities with respect to the applicable laws and regulations governing the administration and 
restructuring of state-owned assets. 

163 

C. Organizational Structure

The chart below shows our organizational structure, including our principal subsidiaries and joint ventures, as of March 1, 2022.

Notes: 

(1) Employees  and  former  employees  of  HUTCHMED  Limited  hold  the  remaining  0.2%  shareholding  in  HUTCHMED  Holdings

Limited.

(2) Held  through  HUTCHMED  Investment  (HK)  Limited  (formerly  Hutchison  MediPharma  (HK)  Investment  Limited),  a  100.0%
subsidiary of HUTCHMED Holdings Limited. HUTCHMED Limited’s revenue generated by sales of, and royalties, manufacturing
costs and services fees paid in connection with, our current and future internally developed drug candidates are allocated to the
Oncology/Immunology operations.

(3) Our Other Ventures also include Hutchison Hain Organic Holdings Limited, a consolidated joint venture with The Hain Celestial
Group, Inc., which wholly-owns Hutchison Hain Organic (Hong Kong) Limited and Hutchison Hain Organic (Guangzhou) Limited.

(4) Held  through  our  100.0%  subsidiary  Shanghai  HUTCHMED  Investment  (HK)  Limited  (formerly  Shanghai  Hutchison  Chinese
Medicine (HK) Investment Limited).  Shanghai Pharmaceuticals Holding Co., Limited is the other 50.0% joint venture partner.

(5) Sinopharm Group Co. Limited is the other 49.0% joint venture partner.

D. Property, Plants and Equipment

We are headquartered in Hong Kong where we have our main administrative offices.

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We rent and operate a 4,968 square meter manufacturing facility that complies with applicable GMP standards for fruquintinib and 
surufatinib in Suzhou, Jiangsu Province in Eastern China, and own a 5,024 square meter facility in Shanghai which houses research and 
development  operations.  We  lease  9,080  square  meters  of  office  and  lab  space  in  Shanghai  which  houses  HUTCHMED  Limited’s 
management and staff. In 2020, we entered into a 50-year land use rights agreement for a 28,771 square meter site in Shanghai. We have 
commenced construction of an almost 55,000 square meter large-scale manufacturing facility for innovative drugs on the site. We plan 
to install small molecule equipment in late 2022, with GMP compliance targeted for late 2023. The Shanghai factory will be our largest 
manufacturing  facility,  with  a  production  capacity  estimated  to  be  five  times  that  of  our  facility  in  Suzhou.  The  first  phase  will  be 
primarily for small molecule production, with an expected production capacity of 250 million tablets and capsules per years. 

We also lease a 26,989 square foot facility in Florham Park, New Jersey where we house our U.S.-based clinical, regulatory and 

commercial management and staff. 

Our non-consolidated joint venture, Shanghai Hutchison Pharmaceuticals, operates a 78,000 square meter large-scale research and 

development and manufacturing facility in Shanghai for which it has obtained land use rights and property ownership certificates. 

Our and our joint ventures’ manufacturing operations consist of bulk manufacturing and formulation, fill, and finishing activities 
that produce products and drug candidates for both  clinical and commercial purposes.  Our manufacturing capabilities have a large 
operation scale for our own-brand products.  We and our joint ventures manufacture and sell about 2.5 billion doses of medicines a year, 
in the aggregate, through our well-established manufacturing base.  See “—Other Ventures—Shanghai Hutchison Pharmaceuticals” for 
more details on our manufacturing operations. 

ITEM 4A. UNRESOLVED STAFF COMMENTS 

None. 

ITEM 5. OPERATING AND FINANCIAL REVIEW AND PROSPECTS 

You  should  read  the  following  discussion  and  analysis  of  our  financial  condition  and  results  of  operations  together  with  our 
consolidated  financial  statements  and  the  related  notes  and  our  non-consolidated  joint  ventures’ consolidated financial statements 
and the related notes appearing elsewhere in this annual report. This report contains forward-looking statements within the meaning of 
Section 27A of the Securities Act of 1933, as amended, or the Securities Act, and Section 21E of the Exchange  Act,  including,  without 
limitation,  statements  regarding  our  expectations,  beliefs,  intentions  or  future  strategies  that  are signified by the words “expect,” 
“anticipate,”  “intend,”  “believe,”  or  similar  language.  All  forward-looking  statements  included  in this annual report are based on 
information available to us on the date hereof, and we assume no obligation to update any such forward-looking statements. In evaluating 
our business, you should carefully consider the information provided under Item 3.D. “Risk Factors.” Actual results could differ materi-
ally from those projected in the forward-looking statements. 

A. Operating Results.

Overview 

We are a global commercial-stage biopharmaceutical company focused on the discovery, development and commercialization of 
targeted therapies and immunotherapies for the treatment of patients with cancer and immunological diseases. We conduct our business 
through our Oncology/Immunology and Other Ventures operations. 

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Through our Oncology/Immunology operations, our team of over 820 scientists and staff has created, developed and in-licensed a 
deep portfolio of thirteen drug candidates. We have advanced thirteen oncology drug candidates to clinical trials in China, with seven 
also in clinical development in the United States and Europe. In China, we have brought three of our internally developed drugs, Elunate 
(fruquintinib), Sulanda (surufatinib) and Orpathys (savolitinib), to patients. All three drugs are also in late-stage development outside of 
China, with the most advanced being surufatinib for which the FDA has accepted our NDA in the United States. We have additional 
drug candidates in earlier stage clinical development (Phase I/Ib and Phase Ib/II proof-of-concept studies) and several advanced pre-
clinical  drug  candidates.  These  drug  candidates  are  being  developed  to  treat  a  wide  spectrum  of  diseases,  including  solid  tumors, 
hematological  malignancies  and  immunological  diseases  which  we  believe  may  address  unmet  medical  needs  and  represent  large 
commercial  opportunities.  Our  success  in  research  and  development  has  led  to  partnerships  with  leading  global  pharmaceutical 
companies,  including  AstraZeneca  and  Eli  Lilly.  We  and  our  collaboration  partners  have  invested  over  $1,260  million  in  our 
Oncology/Immunology operations as of December 31, 2021, with almost all of these funds used for research and development expenses 
for the development of our drug candidates. Net loss attributable to our company from our Oncology/Immunology operations was $127.4 
million, $175.5 million and $291.7 million for the years ended December 31, 2019, 2020 and 2021, respectively. 

In  addition,  we  have  built  large-scale  and  profitable  drug  marketing  and  distribution  capabilities  through  subsidiaries  and  joint 
ventures in our Other Ventures, which primarily manufacture, market and distribute prescription drugs and consumer health products in 
China. Net income attributable to our company generated from our Other Ventures operations was $41.5 million, $72.8 million and 
$142.9  million  for  the  years  ended  December  31,  2019,  2020  and  2021,  respectively.  In  addition  to  helping  to  fund  our 
Oncology/Immunology operations, we utilize the know-how from our Other Ventures to support the launch of our internally developed 
Oncology/Immunology  products  in  China.  Our  Other  Ventures  also  include  our  businesses  focused  on  a  range  of  health-focused 
consumer products. 

Our consolidated revenue was $204.9 million, $228.0 million and $356.1 million for the years ended December 31, 2019, 2020 and 
2021, respectively. Net loss attributable to our company was $106.0 million, $125.7 million and $194.6 million for the years ended 
December 31, 2019, 2020 and 2021, respectively. 

Basis of Presentation 

Our consolidated statements of operations data presented herein for the years ended December 31, 2021, 2020 and 2019 and our 
consolidated balance sheet data presented herein as of December 31, 2021 and 2020 have been derived from our audited consolidated 
financial statements, which were prepared in accordance with U.S. GAAP, and should be read in conjunction with those statements 
which are included elsewhere in this annual report. 

We  have  two  strategic  operations,  Oncology/Immunology  and  Other  Ventures,  that  offer  different  products  and  services.  Our 
Shanghai  Hutchison  Pharmaceuticals  and  Hutchison  Baiyunshan  (until  September  28,  2021  when  the  disposal  of  our  shareholding 
interest in Hutchison Baiyunshan was completed) joint ventures under our Other Ventures operations are accounted for under the equity 
accounting method as non-consolidated entities in our consolidated financial statements, and their consolidated financial statements 
were prepared in accordance with IFRS as issued by the IASB and audited under auditing standards generally accepted in the United 
States and included elsewhere in this annual report. The presentation of financial data for our business units excludes certain unallocated 
costs  attributed  to  expenses  incurred  by  our  corporate  head  office.  For  more  information  on  our  corporate  structure,  see  Item  4.A. 
“History and Development of the Company.” 

Research and Development Expenses 

Factors Affecting our Results of Operations 

We believe our ability to successfully develop innovative drug candidates through our Oncology/Immunology operations will be 
the primary factor affecting our long-term competitiveness, as well as our future growth and development. Creating high quality global 
first-in-class or best-in-class drug candidates requires significant investment of resources over a prolonged period of time, and a core 
part  of  our  strategy  is  to  continue  making  sustained  investments  in  this  area.  As  a  result  of  this  commitment,  our  pipeline  of  drug 
candidates has been steadily advancing and expanding, with thirteen in China and global clinical development. For more information 
on  the  nature  of  the  efforts  and  steps  necessary  to  develop  our  drug  candidates,  see  Item  4.B.  “Business  Overview—Our  Clinical 
Pipeline” and “Business Overview—Regulation.” 

166 

The drug candidates of our Oncology/Immunology operations are still in development, and we have incurred and will continue to 
incur significant research and development costs for pre-clinical studies and clinical trials. We expect that our research and development 
expenses  will  significantly  increase  in  future  periods  in  line  with  the  advancement  and  expansion  of  the  development  of  our  drug 
candidates. 

Research and development expenses include: 

 

 

 

 

 

employee compensation related expenses, including salaries, benefits and equity compensation expense; 

expenses incurred for payments to CROs, investigators and clinical trial sites that conduct our clinical studies; 

the cost of acquiring, developing, and manufacturing clinical study materials; 

facilities, depreciation, and other expenses, which include office leases and other overhead expenses; and 

costs associated with pre-clinical activities and regulatory operations. 

Research and development expenses incurred by our Oncology/Immunology operations totaled $138.2 million, $174.8 million and 
$299.1 million for the years ended December 31, 2019, 2020 and 2021, respectively, representing approximately 67.4%, 76.7% and 
84.0% of our total consolidated revenue for the respective period. These research and development figures do not include payments 
made by our collaboration partners directly to third parties to help fund the research and development of our drug candidates. 

We have been able to fund the research and development expenses for our Oncology/Immunology operations via a range of sources, 
including revenue generated from our commercialized drugs, payments received from our collaboration partners, cash flows generated 
from and dividend payments from our Other Ventures, the proceeds raised from our initial public offering on the AIM, initial public 
offering  and  follow-on  offerings  on  Nasdaq,  initial  public  offering  on  the  SEHK,  investments  from  other  third  parties  and  bank 
borrowings. 

This diversified approach to funding allows us to not depend on any one method of funding for our research and development 
activities, thereby reducing the risk that sufficient financing will be unavailable as we continue to accelerate the development of our 
drug candidates. 

For more information on the research and development expenses incurred for the development of our drug candidates, see “—Key 

Components of Results of Operations—Cost of Revenues and Operating Expenses—Research and Development Expenses.” 

Our Ability to Commercialize Our Drug Candidates 

Our ability to generate revenue from our drug candidates depends on our ability to successfully complete clinical trials for our drug 

candidates and obtain regulatory approvals for them in the United States, Europe, China and other major markets. 

We believe that our globally-facing strategy of focusing on drug development for novel but relatively well-characterized targets 
and for validated targets, in combination with our development of multiple drug candidates concurrently and testing them for multiple 
indications and in combinations with other drugs, enhances the likelihood that our research and development efforts will yield successful 
drug  candidates.  Nonetheless,  we  cannot  be  certain  if  any  of  our  drug  candidates  will  receive  regulatory  approvals.  Even  if  such 
approvals are granted, we will need to thereafter establish manufacturing supply and engage in extensive marketing prior to generating 
any revenue from such drugs. The effectiveness of our marketing will depend on the efforts of our dedicated oncology team in China 
and the United States. The ultimate commercial success of our drugs will depend on their acceptance by patients, the medical community 
and third-party payors and their ability to compete effectively with other therapies on the market. 

To date, fruquintinib, surufatinib and savolitinib have been approved for sale in China. 

167 

Our  manufacturing  site  in  Suzhou  produces  commercial  supplies  of  fruquintinib  and  surufatinib.  Our  commercial  supplies  of 
savolitinib are outsourced and manufactured by a third-party manufacturer based in Shanghai, China. Beginning in October 2020, we 
assumed responsibility for the development and execution of all on-the-ground medical detailing, promotion and local and regional 
marketing activities in China for Elunate. Sulanda is marketed by us without the support of a collaboration partner. However, we have 
a limited history of successfully commercializing our internally developed drug candidates, which makes it difficult to evaluate our 
future prospects. 

The competitive environment is also an important factor with the commercial success of our potential global first-in-class products, 
such as sovleplenib, depending on whether we are able to gain regulatory approvals and quickly bring such products to market ahead of 
competing drug candidates being developed by other companies. 

For our drug candidates where we retain all rights worldwide, which currently include surufatinib, sovleplenib, amdizalisib, HMPL-
306, HMPL-760, HMPL-453, HMPL-295, HMPL-653, epitinib and theliatinib, we will be able to retain all the profits if any of them 
are  successfully  commercialized  if  they  remain  unpartnered,  though  we  will  need  to  bear  all  the  costs  associated  with  such  drug 
candidates. Conversely, as discussed below, for our drug candidates which are subject to collaboration partnerships, our collaboration 
partners provide funding for development of the drug candidates but are entitled to retain a significant portion of any revenue generated 
by such drug candidates. 

Our Collaboration Partnerships 

Our results of operations have been, and we expect them to continue to be, affected by our collaborations with third parties for the 
development  and  commercialization  of  certain  of  our  drug  candidates.  Currently,  these  include  savolitinib  (collaboration  with 
AstraZeneca)  and  fruquintinib  (collaboration  with  Eli  Lilly).  In  addition  to  providing  us  with  clinical  and  regulatory  support,  the 
payments received from these collaborations have been critical to our ability to develop and quickly advance the pre-clinical and clinical 
studies of multiple drug candidates concurrently. 

In particular, our partners cover a portion of our research and development costs for drug candidates developed in collaboration 
with  them.  For  example,  under  our  collaboration  agreement  with  AstraZeneca,  it  is  responsible  for  a  significant  portion  of  the 
development  costs  for  savolitinib.  However,  in  August  2016  and  December  2020,  we  and  AstraZeneca  amended  our  collaboration 
agreement whereby we agreed to contribute additional funding for the research and development of savolitinib in return for a larger 
share of the upside if and when savolitinib is approved. In November 2021, we further amended our collaboration revising the sharing 
between us and AstraZeneca of development costs of savolitinib in China for non-small cell lung cancer, as well as adding potential 
development milestones. Under our original collaboration agreement with Eli Lilly, it was responsible for a significant portion of all 
fruquintinib development costs in China. Under the terms of our December 2018 amendment to this agreement, we are responsible for 
all development costs for fruquintinib in new life cycle indications. In July 2020, we amended our collaboration with Eli Lilly to assume 
responsibility  for  all  on-the-ground  medical  detailing,  promotion  and  local  and  regional  marketing  activities  in  China  for  Elunate, 
thereby expanding its potential economic value to our company. 

In addition, under our licensing, co-development and commercialization agreements with AstraZeneca and Eli Lilly, we received 
upfront payments upon our entry into such agreements and milestone payments upon the achievement of certain development, regulatory 
and commercial milestones payments for our provision of research and development services for the relevant drug candidate as well as 
royalties and revenue from product sales of Orpathys which we source from a third-party manufacturer and sell to AstraZeneca at cost 
and Elunate which we manufacture and sell to Eli Lilly at cost. Revenue recognized in our consolidated financial statements from such 
agreements with AstraZeneca and Eli Lilly totaled $26.3 million, $29.7 million and $107.1 million for the years ended December 31, 
2019,  2020  and  2021,  respectively.  AstraZeneca  and  Eli  Lilly  are  entitled  to  a  significant  proportion  of  any  future  revenue  from 
commercialization  of  our  drug  candidates  developed  in  collaboration  with  them,  as  well  as  a  degree  of  influence  over  the  clinical 
development process for such drug candidates. 

Moreover, we have entered into and may consider entering in the future in-licensing arrangements to expand and complement our 
existing portfolio of novel oncology assets under which we may be obligated to make upfront, milestone and royalty payments. For 
example,  in  August  2021,  we  entered  into  an  in-licensing  agreement  with  Epizyme  to  collaborate  in  research,  development, 
manufacturing and commercialization of tazemetostat in Greater China, the licensed territory. In connection with this collaboration, 
Epizyme received a $25 million upfront payment and is eligible to receive up to an additional $110 million in development and regulatory 
milestone payments and up to an additional $175 million in sales milestone payments. Epizyme is also eligible to receive tiered royalties 
of mid-teen to low-twenties percent based on annual net sales of tazemetostat in the licensed territory. 

168 

The achievement of milestones for our and in-licensed drug candidates, which is dependent on the outcome of clinical studies, is 
subject to a high degree of uncertainty and, as a result, we cannot reasonably estimate when we can expect to receive or incur future 
milestone payments, revenue from related product sales, or other relevant income or expenses or at all. If we are unable to achieve 
development milestones for our drug candidates or if our partners were to terminate their collaborative agreements with us, payments 
for research and development services could also be affected. 

For  more  information  regarding  our  collaboration  agreements,  see  Item  4.B.  “Business  Overview—Overview  of  Our 

Collaborations.” 

China Government Insurance Reimbursement and Drug Pricing Policies 

Our revenue is affected by the sales volume and pricing of our current and future internally developed drug candidates, if approved. 
Eligible  participants  in  the  government-sponsored  medical  insurance  programs  in  China  are  entitled  to  reimbursement  for  varying 
percentages  of  the  cost  for  any  medicines  that  are  included  in  applicable  reimbursement  lists.  Factors  that  affect  the  inclusion  of 
medicines  in  China’s  NRDL  and  any  other  applicable  reimbursement  list  may  include  whether  the  medicine  is  consumed  in  large 
volumes and commonly prescribed for clinical use in China and whether it is considered to be important in meeting the basic healthcare 
needs of the general public. For more information, see Item 4.B. “Business Overview—Coverage and Reimbursement—PRC Coverage 
and Reimbursement.” The inclusion of a medicine in the NRDL or other applicable reimbursement lists can substantially improve the 
sales volume of the medicine due to the availability of third-party reimbursements. On the other hand, such inclusion may also subject 
it to centralized procurement processes. The National Healthcare Security Administration has stated that centralized procurement will 
focus on NRDL-listed and costly-to-procure drugs. Centralized procurement may negatively affect the retail price of our drug candidates. 
On balance, we believe that, if priced appropriately, the benefit of the inclusion of our drug candidates in the NRDL and other applicable 
reimbursement  lists  outweighs  the  cost  of  such  inclusion.  Elunate  was  added  to  the  NRDL  in  January  2020  at  approximately  60% 
discount to its initial retail price, and such inclusion was renewed for an additional two-year term starting in January 2022 at a discount 
of 5% relative to the prior NRDL price. Sulanda was included in the NRDL starting in January 2022 at a 52% discount on its main 
dosage form, relative to its 2021 initial retail price. 

Revenue  from  our  Other  Ventures,  including  the  revenue  of  our  non-consolidated  joint  venture  Shanghai  Hutchison 
Pharmaceuticals, is affected by the sales volume and pricing of their own-brand and third-party prescription pharmaceutical products. 
The sales volume of the products sold by these businesses is driven in part by the level of Chinese government spending on healthcare 
and  the  coverage  of  Chinese  government  medical  insurance  schemes,  which  is  correlated  with  patient  reimbursements  for  drug 
purchases,  all  of  which  have  increased  significantly  in  recent  years  as  part  of  healthcare  reforms  in  China.  The  sales  volume  of 
pharmaceutical  products  in  China  is  also  influenced  by  their  representation  on  the  NRDL,  which  determines  eligibility  for  drug 
reimbursement, as well as their representation on the National Essential Medicines List, which mandates distribution of drugs in China. 
Substantially all pharmaceutical products manufactured and sold by Shanghai Hutchison Pharmaceuticals in 2021 were capable of being 
reimbursed under the NRDL as of December 31, 2021. There were 17 of its drugs included in the National Essential Medicine List, of 
which three were in active production as of December 31, 2021. She Xiang Bao Xin pills, Shanghai Hutchison Pharmaceuticals’ top-
selling drug, is one of the few proprietary drugs included on the National Essential Medicines List. 

The NRDL and the National Essential Medicines List are subject to revision by the government from time to time, and our results 
could be materially and adversely affected if any of our products are removed from the NRDL or the National Essential Medicines List. 
For more information, see Item 3.D. “Risk Factors—Risks Relating to Sales of our Internally Developed Drugs and other Drugs—
Reimbursement may not be available for the products currently sold through our Oncology/Immunology and Other Ventures operations 
or our drug candidates in China, the U.S. or other countries, which could diminish our sales or affect our profitability.” 

In  addition,  the  pricing  of  Shanghai  Hutchison  Pharmaceuticals’  prescription  drugs  is  influenced  by  the  outcomes  of  periodic 
provincial and municipal tender processes organized by the various provincial or municipal government agencies in China. For more 
information, see Item 4.B. “Business Overview—Coverage and Reimbursement—PRC Coverage and Reimbursement.” 

169 

Ability to Effectively Market Own-Brand and Third-Party Drugs 

A key component of our Other Ventures operations is the extensive prescription drugs marketing network operated by our joint 
ventures  Shanghai  Hutchison  Pharmaceuticals  and  Hutchison  Sinopharm,  which  includes  approximately  2,900  medical  sales 
representatives covering hospitals in about 290 cities and towns in China. Our results of operations are impacted by the effectiveness of 
this  network,  including  the  ability  of  Shanghai  Hutchison  Pharmaceuticals  to  generate  sales  of  She  Xiang  Bao  Xin  pills,  which 
represented approximately 88%, 90% and 92% of its total revenue for the years ended December 31, 2019, 2020 and 2021, respectively. 
In  addition,  in  recent  years  Hutchison  Sinopharm  has  been  increasingly  focused  on  providing  distribution  and  commercialization 
services for prescription drugs licensed from third parties, and we have established and continue to expand our oncology drug sales team 
which we utilize for our internally developed drugs for which we have commercialization rights, if approved, throughout China.  

If the marketing efforts of these joint ventures to doctors and hospitals are not successful, our revenue and profitability may be 
negatively affected.  Moreover, if we are unsuccessful in marketing any third party drugs, it may adversely affect our ability to enter 
into  commercialization  arrangements  on  acceptable  terms,  gain  rights  to  market  additional  third-party  drugs  or  prevent  us  from 
expanding the geographic scope of existing arrangements. 

Seasonality 

The results of operations of our Other Ventures operations are also affected by seasonal factors. Our Other Ventures operations 
typically experience higher profits in the first half of the year due to the sale cycles of our distributors, whereby they typically increase 
their inventories at the beginning of each year. In addition, in the second half of each year, our Other Ventures operations typically 
spend more on marketing activities to help reduce such inventory held by distributors. We do not experience material seasonal variations 
in the results of our Oncology/Immunology operations.  

Critical Accounting Policies and Significant Judgments and Estimates 

Our discussion and analysis of operating results and financial condition are based upon our consolidated financial statements. The 
preparation of consolidated financial statements requires us to estimate the effect of various matters that are inherently uncertain as of 
the date of the consolidated financial statements. Each of these required estimates varies with regard to the level of judgment involved 
and its potential impact on our reported financial results. Estimates are deemed critical when a different estimate could have reasonably 
been  used  or  where  changes  in  the  estimates  are  reasonably  likely  to  occur  from  period  to  period,  and  a  different  estimate  would 
materially impact our financial position, changes in financial position or results of operations. Our significant accounting policies are 
discussed  under  note  3  to  our  consolidated  financial  statements  included  in  this  annual  report.  We  believe  the  following  critical 
accounting policies are affected by significant judgments and estimates used in the preparation of our consolidated financial statements 
and that the judgments and estimates are reasonable. 

170 

Revenue recognition— Goods and Services 

We generate revenue from (1) sales of goods, which are the manufacture or purchase and distribution of pharmaceutical products 
and other consumer health products and (2) provision of services, which are the provision of sales, distribution and marketing services 
to pharmaceutical manufacturers. We evaluate whether we are the principal or agent for these contracts. Where we obtain control of the 
goods for distribution, we are the principal (i.e. recognizes sales of goods on a gross basis). Where we do not obtain control of the goods 
for distribution, we are the agent (i.e. recognizes provision of services on a net basis). Control is primarily evidenced by taking physical 
possession and inventory risk of the goods. 

Revenue from sales of goods is recognized when the customer takes possession of the goods. We have determined that this usually 
occurs upon completed delivery of the goods to the customer site. The amount of revenue recognized is adjusted for expected sales 
incentives as stipulated in the contract, which are generally issued to customers as direct discounts at the point of sale or indirectly in 
the  form  of  rebates.  Sales  incentives  are  estimated  using  the  expected  value  method.  Additionally,  sales  are  generally  made  with  a 
limited right of return under certain conditions. Revenues are recorded net of provisions for sales discounts and returns. 

Revenue from provision of services is recognized when the benefits of the services transfer to the customer over time, which is 
based on the proportionate value of services rendered as determined under the terms of the relevant contract. Additionally, when the 
amounts  that  can  be  invoiced  correspond  directly  with  the  value  to  the  customer  for  performance  completed  to  date,  we  recognize 
revenue from provision of services based on amounts that can be invoiced to the customer. 

Revenue recognition— License and Collaboration Contracts 

Our  Oncology/Immunology  reportable  segment  includes  revenue  from  license  and  collaboration  contracts.  The  license  and 
collaboration contracts generally contain multiple performance obligations including (1) the license to the commercialization rights of 
a  drug  compound  and  (2)  the  research  and  development  services  for  each  specified  treatment  indication,  which  are  accounted  for 
separately if they are distinct, i.e. if a product or service is separately identifiable from other items in the arrangement and if a customer 
can benefit from it on its own or with other resources that are readily available to the customer. 

The transaction price generally includes fixed and variable consideration in the form of upfront payment, research and development 
cost reimbursements, contingent milestone payments and sales-based royalties. Contingent milestone payments are not included in the 
transaction price until it becomes probable that a significant reversal of revenue will not occur, which is generally when the specified 
milestone is achieved. The allocation of the transaction price to each performance obligation is based on the relative standalone selling 
prices of each performance obligation determined at the inception of the contract. We estimate the standalone selling prices based on 
the income approach. 

Control of the license to the drug compounds transfers at the inception date of the collaboration agreements and consequently, 
amounts allocated to this performance obligation are generally recognized at a point in time. Conversely, research and development 
services for each specified indication are performed over time and amounts allocated to these performance obligations are generally 
recognized over time using cost inputs as a measure of progress. We have determined that research and development expenses provide 
an appropriate depiction of measure of progress for the research and development services. Changes to estimated cost inputs may result 
in a cumulative catch-up adjustment. Royalty revenues are recognized as future sales occur as they meet the requirements for the sales-
usage based royalty exception.  

Deferred  revenue  is  recognized  if  allocated  consideration  is  received  in  advance  of  the  rendering  of  research  and  development 
services. Accounts receivable is recognized based on the terms of the contract and when we have an unconditional right to bill the 
customer, which is generally when research and development services are rendered. 

171 

Share-based Compensation 

We recognize share-based compensation expense on share options granted to employees and directors based on their estimated 
grant  date  fair  value  using  the  polynomial  model.  Determining  the  fair  value of  share  options  requires  the  use of  highly  subjective 
assumptions. This polynomial pricing model uses various inputs to measure fair value, including the market value of our underlying 
ordinary  shares  at  the  grant  date,  contractual  terms,  estimated  volatility,  risk-free  interest  rates  and  expected  dividend  yields.  The 
assumptions in determining the fair value of share options are highly subjective and represent our best estimates, which involve inherent 
uncertainties and the application of judgment. As a result, if factors change and different assumptions are used, our level of share-based 
compensation could be materially different in the future.  

We recognize share-based compensation expense in the consolidated statements of operations on a graded vesting basis over the 

requisite service period, and account for forfeitures as they occur. 

Impairment of Long-lived Assets 

We evaluate the recoverability of long-lived assets in accordance with authoritative guidance on accounting for the impairment or 

disposal of long-lived assets. 

We evaluate long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying value of these 
assets may not be recoverable. Indicators that we consider in deciding when to perform an impairment review include significant under-
performance of a business or product line in relation to expectations, significant negative industry or economic trends, and significant 
changes or planned changes in our use of the assets.  

If indicators of impairment exist, the first step of the impairment test is performed to assess if the carrying value of the net assets 
exceeds the undiscounted cash flows of the assets. If yes, the second step of the impairment test is performed in order to determine if 
the carrying value of the net assets exceeds the fair value. If yes, impairment is recognized for the excess. 

Impairment of Goodwill 

Goodwill is recorded when the purchase price of an acquisition exceeds the fair value of the net tangible and identified intangible 
assets  acquired.  Goodwill  is  allocated  to  our  reporting  units  based  on  the  relative  expected  fair  value  provided  by  the  acquisition. 
Reporting units may be operating segments as a whole or an operation one level below an operating segment, referred to as a component. 
Goodwill is attributable to our Other Ventures’ operations. 

We  perform  an  annual  impairment  assessment  in  the  fourth  quarter  of  each  year,  or  more  frequently  if  indicators  of  potential 
impairment exist, to determine whether it is more likely than not that the fair value of a reporting unit in which goodwill resides is less 
than its carrying value. For reporting units in which this assessment concludes that it is more likely than not that the fair value is more 
than its carrying value, goodwill is not considered impaired and we are not required to perform the goodwill impairment test. Qualitative 
factors  considered  in  this  assessment  include  industry  and  market  considerations,  overall  financial  performance,  and  other  relevant 
events and factors affecting the reporting unit. Additionally, as part of this assessment, we may perform a quantitative analysis to support 
the qualitative factors above by applying sensitivities to assumptions and inputs used in measuring a reporting unit’s fair value. For 
reporting units in which the impairment assessment concludes that it is more likely than not that the fair value is less than its carrying 
value, we perform the goodwill impairment test, which compares the fair value of the reporting unit to its carrying value. If the fair value 
of the reporting unit exceeds the carrying value of the net assets assigned to that reporting unit, goodwill is not considered impaired. If 
the carrying value of the net assets assigned to the reporting unit exceeds the fair value of the reporting unit, an impairment loss shall be 
recognized in an amount equal to that excess, limited to the total amount of goodwill allocated to that reporting unit. 

172 

Our goodwill impairment test uses the income method to estimate a reporting unit’s fair value. The income method is based on a 
discounted future cash flow approach that uses the following assumptions and inputs: revenue, based on assumed market segment growth 
rates;  and  appropriate  discount  rates  based  on  a  reporting  unit’s  weighted  average  cost  of  capital  as  determined  by  considering  the 
observable weighted average cost of capital of comparable companies. Our estimate of market segment growth is based on historical 
data, various internal estimates, and a variety of external sources. This estimate is developed as part of our routine long-range planning 
process. We test the reasonableness of the inputs and outcomes of our discounted cash flow analysis against available comparable market 
data. A reporting unit’s carrying value represents the assignment of various assets and liabilities, excluding certain corporate assets and 
liabilities, such as cash, investments, and debt. We performed the goodwill impairment test and determined that the fair values of the 
reporting units exceeded their carrying values and considered that impairment was not necessary for any reporting unit. 

Allowance for Current Expected Credit Losses 

Effective from January 1, 2020, we adopted Accounting Standards Update 2016-13 “Financial Instruments – Credit Losses (Topic 
326), Measurement of Credit Losses on Financial Instruments.” We estimate our allowance for current expected credit losses based on 
an  expected  loss  model,  which  requires  the  consideration  of  forward-looking  economic  variables  and  conditions  in  the  reserve 
calculation across the portfolio. 

We estimate our allowances for expected credit losses for accounts and other receivables (except for prepayments) by considering 
past events, including any historical default, current economic conditions and certain forward-looking information, including reasonable 
and supportable forecasts. From January 1, 2020 onwards, the methodologies that the Group uses to estimate the allowance for expected 
credit losses for accounts and other receivables are as follows: 

Individually evaluated—we review all accounts and other receivables considered at risk on a timely basis and perform an analysis 
based upon current information available about the customers and other debtors, which may include financial statements, news reports, 
published credit ratings as well as collateral net of repossession cost, prior collection history and current and future expected economic 
conditions. Using this information, we determine the expected cash flow for the accounts and other receivables and calculate an estimate 
of the potential loss and the probability of loss. For those accounts for which the loss is probable, we record a specific allowance. 

Collectively  evaluated—we determine our allowance  for credit  losses  for  collectively  evaluated  accounts  and  other  receivables 

based on appropriate groupings. 

We consider forward-looking macroeconomic variables, which may include gross domestic product, unemployment rates, equity 
prices  and  corporate  profits  when  quantifying  the  impact  of  economic  forecasts  on  our  allowance  for  expected  credit  losses. 
Macroeconomic variables may vary based on historical experiences, portfolio composition and current environment. We also consider 
the impact of current conditions and economic forecasts relating to specific industries and client-credit ratings, in addition to performing 
a qualitative review of credit risk factors across the portfolio. Forward-looking estimates require the use of judgment, particularly in 
times of economic uncertainty. 

See  note  3  to  our  consolidated  financial  statements  included  in  this  annual  report  for  information  regarding  recent  accounting 

pronouncements. 

Recent Accounting Pronouncements 

173 

Key Components of Results of Operations 

The following tables set forth our selected consolidated financial data. We have derived the selected consolidated statements of 
operations data for the years ended December 31, 2021, 2020 and 2019 and the selected consolidated balance sheet data as of December 
31, 2021 and 2020 from our audited consolidated financial statements, which were prepared in accordance with U.S. GAAP and are 
included elsewhere in this annual report. The following selected consolidated financial data for years ended December 31, 2018 and 
2017 and as of December 31, 2019, 2018 and 2017 have been derived from our audited consolidated financial statements for those years, 
which were prepared in accordance with U.S. GAAP and are not included in this annual report. 

Consolidated statement of operations data: 
Revenues 

Goods—third parties 
—related parties 

Services   —commercialization—third parties 

—collaboration research and development —third parties 
—research and development—related parties 
Other collaboration revenue  —royalties—third parties 

—licensing—third parties 

Total revenues 
Operating expenses 

Costs of goods—third parties 
Costs of goods—related parties 
Costs of services—commercialization —third parties 
Research and development expenses 
Selling expenses 
Administrative expenses 
Total operating expenses 

Gain on divestment of an equity investee 
Other income/(expense) 

Interest income 
Other income 
Interest expense 
Other expense 

Total other income/(expense) 
Loss before income taxes and equity in earnings of equity investees 
Income tax expense 
Equity in earnings of equity investees, net of tax 
Net loss 
Less: Net income attributable to non-controlling interests 
Net loss attributable to the Company 
Losses per share attributable to the Company—basic and diluted (US$per 
share) 

Number of shares used in per share calculation—basic and diluted
Net loss 
Other comprehensive income/(loss) 

Foreign currency translation gain/(loss) 

Total comprehensive loss 
Less: Comprehensive income attributable to non-controlling interests
Total comprehensive loss attributable to the Company 

Consolidated balance sheet data: 
Cash and cash equivalents 
Short-term investments 
Total assets 
Total current liabilities 
Total non-current liabilities 
Total shareholders’ equity 

2021 

266,199
4,256
27,428
18,995
525
15,064
23,661
 356,128

(229,448)
(3,114)
(25,672)
(299,086)
(37,827)
(89,298)
 (684,445)
 (328,317)
121,310

2,076
2,426
(592)
(12,643)
 (8,733)
 (215,740)
(11,918)
60,617
 (167,041)
(27,607)
 (194,648)

Year Ended December 31, 
2020 
2018 
2019 
$’000 (except share and per share data)

203,606
5,484
3,734
9,771
491
4,890
—
 227,976

(178,828)
(3,671)
(6,020)
(174,776)
(11,334)
(50,015)
 (424,644)
 (196,668)
—

3,236
4,600
(787)
(115)
 6,934
 (189,734)
(4,829)
79,046
 (115,517)
(10,213)
 (125,730)

 175,990 
 7,637 
 2,584 
 15,532 
 494 
 2,653 
— 
 204,890 

 (152,729) 
 (5,494) 
 (1,929) 
 (138,190) 
 (13,724) 
 (39,210) 
 (351,276) 
 (146,386) 
— 

 4,944 
 1,855 
 (1,030) 
 (488)
 5,281 
 (141,105) 
 (3,274) 
 40,700 
 (103,679) 
 (2,345) 
 (106,024) 

156,234
8,306
11,660
17,681
7,832
261
12,135
 214,109

 (129,346)
(5,978)
(8,620)
 (114,161)
(17,736)
(30,909)
 (306,750)
 (92,641)
—

5,978
1,798
(1,009)
(781)
 5,986
 (86,655)
(3,964)
19,333
 (71,286)
(3,519)
 (74,805)

2017 

194,860
8,486
1,860
16,858
9,682
—
9,457
 241,203

(168,331)
(6,056)
(1,433)
(75,523)
(19,322)
(23,955)
 (294,620)
 (53,417)
—

1,220
808
(1,455)
(692)
 (119)
 (53,536)
(3,080)
33,653
 (22,963)
(3,774)
 (26,737)

(0.25)

(0.18)

 (0.16) 

(0.11)

(0.04)

792,684,524
 (167,041)

697,931,437
 (115,517)

665,683,145 
 (103,679) 

  664,263,820
 (71,286)

617,171,710
 (22,963)

2,964
 (164,077)
(28,029)
 (192,106)

9,530
 (105,987)
(11,413)
 (117,400)

 (4,331) 
 (108,010) 
 (1,620) 
 (109,630) 

(6,626)
 (77,912)
(2,566)
 (80,478)

10,964
 (11,999)
(5,033)
 (17,032)

2021 

2020 

 As of December 31, 
2019 
$’000 

2018 

2017 

377,542
634,158
1,372,661
311,658
21,489
1,039,514

235,630
199,546
724,118
158,397
46,772
518,949

 121,157 
 96,011 
 465,122 
 113,101 
 39,118 
 312,903 

86,036
214,915
532,118
85,479
34,384
412,255

85,265
273,031
597,932
104,600
8,366
484,966

174 

 
 
 
Revenues 

We derive our consolidated revenue primarily from (i) the sales of goods and services to Eli Lilly as well as royalties on in-market 
sales of Elunate by Eli Lilly, (ii) the sales of goods to AstraZeneca as well as royalties on in-market sales of Orpathys by AstraZeneca, 
(iii) sales of our unpartnered drug Sulanda, (iv) licensing and collaboration projects conducted by our Oncology/Immunology operations,
which  generate  revenue  in  the  form  of  upfront  payments,  milestone  payments,  payments  received  for  providing  research  and
development services for our collaboration projects; and (v) the sales of goods and services by our Other Ventures, which generate
revenue from the distribution and marketing of prescription pharmaceutical and consumer health products.

The  following  table  sets  forth  the  components  of  our  consolidated  revenue  for  the  years  indicated,  which  does  not  include  the 
revenue from our non-consolidated joint venture, Shanghai Hutchison Pharmaceuticals. In September 2021, we sold our interest in our 
non-consolidated joint venture, Hutchison Baiyunshan, and its historical financial results and the gain on its divestment are reflected in 
our consolidated financial statements. Our revenue from research and development projects for related parties is attributable to income 
for research and development services that we received from Shanghai Hutchison Pharmaceuticals. Our revenue from sales to related 
parties is attributable to sales by our Other Ventures to indirect subsidiaries of CK Hutchison. 

Revenues 
Oncology/Immunology: 
Goods—third parties 
Services: 
Services—Commercialization—third parties 
Collaboration R&D—third parties 
R&D services—related parties 
Other collaboration revenue: 
Royalties—third parties 
Licensing—third parties 

Subtotal 
Other Ventures: 

Goods—third parties 
Goods—related parties 
Services—third parties 

Subtotal 
Total 

2021 

Year Ended December 31, 
2020 

2019 

$’000 

% 

$’000 

% 

$’000 

% 

33,937

27,428
18,995
525

15,064
23,661
119,610

232,262
4,256
—
236,518
356,128

9.5

7.7
5.3
0.2

4.2
6.7
33.6

65.2
1.2
—
66.4
100.0

11,329 

 5.0 

8,113

3,734 
9,771 
491 

 1.7 
 4.3 
 0.2 

4,890 
—  
30,215 

 2.1 
—  
 13.3 

—
15,532
494

2,653
—
26,792

192,277 
5,484 
 — 
197,761 
227,976 

 84.3 
 2.4 
 — 
 86.7 
 100.0 

167,877
7,637
2,584
178,098
204,890

4.0

—
7.6
0.2

1.3
—
13.1

81.9
3.7
1.3
86.9
100.0

Revenue from Oncology/Immunology primarily comprises revenue from Elunate, Sulanda and Orpathys in China. The revenue we 
generate from Elunate is primarily comprised of revenue from the sales of Elunate to Eli Lilly which we manufacture and sell at cost, 
promotion and marketing services to Eli Lilly and royalty revenue. The revenue we generate from Sulanda, an unpartnered drug, is 
primarily comprised of revenue from sales of Sulanda to distributors. The revenue we generate from Orpathys is primarily comprised 
of revenue from the sales of Orpathys to AstraZeneca as well as royalty revenue. Additionally, Oncology/Immunology revenue includes 
revenue  from  licensing,  co-development  and  commercialization  agreements  for  upfront,  milestone  and  research  and  development 
services payments for our drug candidates developed in collaboration with AstraZeneca and Eli Lilly. 

The following table sets forth the components of revenues of our Other Ventures by product type for the years indicated. 

Revenues—Other Ventures 
Prescription drug products 
Consumer health products 
Services 
Total 

2021 

Year Ended December 31, 
2020 

2019 

$’000 

% 

$’000 

% 

$’000 

% 

204,091
32,427
—
236,518

86.3
13.7
—
100.0

165,072 
32,689 
 —  
197,761 

 83.5 
 16.5 
 —  
 100.0 

141,124
34,390
2,584
178,098

79.2
19.3
1.5
100.0

175 

 
 
 
 
 
 
Revenue from our Other Ventures primarily comprises revenue from prescription drugs including the commercial services, logistics 
and distribution business of our consolidated Hutchison Sinopharm joint venture with Sinopharm, a leading distributor of pharmaceutical 
and healthcare products and a leading supply chain service provider in China.  

Revenue from our Other Ventures also comprises revenue from sales of organic and natural products by Hutchison Hain Organic, 
Zhi Ling Tong infant nutrition and other health supplement products manufactured by Hutchison Healthcare and distributed through 
Hutchison Sinopharm, and certain third-party consumer products distributed and marketed by HUTCHMED Science Nutrition. 

The revenue of our non-consolidated joint venture, Shanghai Hutchison Pharmaceuticals, the accounts of which are prepared in 
accordance with IFRS as issued by the IASB and whose revenue is not included in our consolidated revenue, was $272.1 million, $276.4 
million and $332.6 million for the years ended December 31, 2019, 2020 and 2021, respectively. Shanghai Hutchison Pharmaceuticals 
is a joint venture with Shanghai Pharmaceuticals, a leading pharmaceuticals company in China, and primarily focuses on the manufacture 
and sale of prescription pharmaceutical products in China. We and Shanghai Pharmaceuticals each own 50% of this joint venture. We 
have the right to nominate the general manager and other management of this joint venture and run its day-to-day operations. The effect 
of Shanghai Hutchison Pharmaceuticals on our consolidated financial results is discussed below under “—Equity in Earnings of Equity 
Investees.” 

The revenue of our former non-consolidated joint venture, Hutchison Baiyunshan, the accounts of which are prepared in accordance 
with  IFRS  as  issued  by  the  IASB  and  whose  financial  results  up  to  September  28,  2021  are  reflected  in  our  consolidated  financial 
statements, was $215.4 million, $232.4 million and $209.5 million for the years ended December 31, 2019 and 2020 and the period 
ended September 28, 2021, respectively. Hutchison Baiyunshan was a joint venture with Guangzhou Baiyunshan, a leading China-based 
pharmaceutical  company.  We  sold  our  interest  in  this  joint  venture  on  September  28,  2021  and  recognized  a  gain  on  divestment 
attributable to our Group, net of taxes, of $82.9 million from this transaction. The effect of Hutchison Baiyunshan on our consolidated 
financial results is discussed under “—Equity in Earnings of Equity Investees.” 

Cost of Revenues and Operating Expenses 

Cost of Revenues 

Our cost of revenues is primarily attributable to the cost of revenues of Hutchison Sinopharm and HUTCHMED Limited. Our cost 
of  revenues  to  related  parties  is  attributable  to  sales  to  indirect  subsidiaries  of  CK  Hutchison.  The  following  table  sets  forth  the 
components of our cost of revenues attributable to third parties and related parties for the years indicated. 

Cost of Revenues 

Costs of goods—third parties 
Costs of goods—related parties 
Costs of services—third parties 

Total 

2021 

Year Ended December 31, 
2020 

2019 

$’000 

% 

$’000 

% 

$’000 

% 

229,448
3,114
25,672
258,234

88.9
1.2
9.9
100.0

178,828
3,671
6,020
188,519

 94.9 
 1.9 
 3.2 
 100.0 

 152,729
5,494
1,929
 160,152

95.4
3.4
1.2
100.0

The following table sets forth the components of cost of revenues of our Other Ventures by product type for the years indicated. 

Cost of Revenues—Other Ventures 

Prescription drug products 
Consumer health products 
Services 
Total 

2021 

Year Ended December 31, 
2020 

2019 

$’000 

%   

$’000 

%   

$’000 

%   

196,375
17,053
—
213,428

92.0
8.0
—
100.0

158,910
17,500

—  

176,410

 90.1 
 9.9 
 — 
 100.0 

 133,896
19,447
1,929
 155,272

86.2
12.5
1.3
100.0

176 

 
 
 
 
Research and Development Expenses 

Our research and development expenses are attributable to our Oncology/Immunology operations. These costs primarily comprise 
the cost of research and development for our drug candidates, including clinical trial related costs such as payments to third-party CROs, 
personnel compensation and related costs, and other research and development expenses. The following table sets forth the components 
of our research and development expenses and the clinical trial related costs incurred for the development of our main drug candidates 
for the years indicated. 

R&D Expenses 
Oncology/Immunology: 

Savolitinib (targeting MET) 
Fruquintinib (targeting VEGFR1/2/3) 
Surufatinib (targeting VEGFR/FGFR1/CSF-1R) 
Sovleplenib (targeting Syk) 
Amdizalisib (targeting PI3Kδ) 
HMPL-453 (targeting FGFR) 
HMPL-306 (targeting IDH 1/2) 
HMPL-295 (targeting ERK) 
HMPL-760 (targeting BTK) 
HMPL-653 (targeting CSF-1R) 
Tazemetostat (targeting EZH2) 
Epitinib (targeting EGFRm+ with brain metastasis) 
Theliatinib (targeting EGFR wild-type) 
Others and government grant 
Total clinical trial related costs 
Personnel compensation and related costs 
Other research and development costs 

Total 

2021 

Year Ended December 31, 
2020 

2019 

$’000 

% 

$’000 

% 

$’000 

% 

26,152
57,707
47,971
8,602
21,044
1,708
 10,073
 692
 5,288
 132
 12,139
 — 
 — 
(1,457)
190,051
91,639
17,396
299,086

8.7
19.3
16.0
2.9
7.0
0.6
 3.4
 0.2
 1.8
 — 
 4.1
— 
— 
(0.4)
63.6
30.6
5.8
100.0

5,341
28,254
32,106
7,422
7,383
1,356
 5,389
— 
— 
— 
— 
 808
 (74)
17,884
105,869
63,542
5,365
174,776

 3.1  
 16.2  
 18.4  
 4.2  
 4.2  
 0.8  
 3.1  
—  
—  
—  
—  
 0.5  
—  
 10.1  
 60.6  
 36.3  
 3.1  
 100.0  

14,630
19,488
23,809
18,338
5,938
1,948
— 
— 
— 
— 
— 
 (1,841)
 138
5,329
87,777
46,246
4,167
 138,190

10.6
14.1
17.2
13.3
4.3
1.4
— 
— 
— 
— 
— 
 (1.3)
 0.1
3.8
63.5
33.5
3.0
100.0

The following table summarizes our research and development expenses by location for the years indicated. 

PRC 
U.S. and others 

Total 

2021 

Year Ended December 31, 
2020 

2019 

$’000 
159,038
140,048
299,086

% 
53.2
46.8
100.0

$’000 
111,473
63,303
174,776

% 
 63.8  
 36.2  
 100.0  

$’000 
 116,479
21,711
 138,190

% 
84.3
15.7
100.0

We cannot determine with certainty the duration and completion costs of the current or future pre-clinical or clinical studies of our 
drug  candidates  or  if,  when,  or  to  what  extent  we  will  generate  revenues  from  the  commercialization  and  sale  of  any  of  our  drug 
candidates  that  obtain regulatory  approval. We may  never  succeed  in  achieving  regulatory  approval  for  any of our drug  candidates 
currently under development. The duration, costs, and timing of clinical studies and development of our drug candidates will depend on 
a variety of factors, including: 

 

 

 

the  scope,  rate  of  progress  and  expense  of  our  ongoing  as  well  as  any  additional  clinical  studies  and  other  research  and 
development activities; 

future clinical study results; 

uncertainties in clinical study enrollment rate; 

177 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

significant and changing government regulation; and 

the timing and receipt of any regulatory approvals. 

A change in the outcome of any of these variables with respect to the development of a drug candidate could mean a significant 

change in the costs and timing associated with the development of that drug candidate. 

For more information on the risks associated with the development of our drug candidates, see Item 3.D. “Risk Factors—Risks 
Relating to Our Oncology/Immunology Operations and Development of Our Drug Candidates—All of our drug candidates, other than 
fruquintinib, surufatinib and savolitinib for approved indications in China, are still in development. If we are unable to obtain regulatory 
approval and ultimately commercialize our drug candidates, or if we experience significant delays in doing so, our business will be 
materially harmed.” 

Selling Expenses 

The following table sets forth the components of our selling expenses for the years indicated. 

Selling Expenses 

Oncology/Immunology 
Other Ventures 

Total 

2021 

Year Ended December 31, 
2020 

2019 

$’000 

% 

$’000 

% 

$’000 

% 

24,627
13,200
37,827

65.1
34.9
100.0

237  
11,097  
11,334  

 2.1  
 97.9  
 100.0  

—
13,724
13,724

—
100.0
100.0

Our  selling  expenses  primarily  comprise  selling  expenses  incurred  by  our  Oncology/Immunology  operations  by  HUTCHMED 
Limited for sales and marketing expenses and related personnel expenses for our unpartnered drug Sulanda and sales of Elunate to third 
parties other than Eli Lilly. It also includes sales and marketing expenses and related personnel expenses incurred by our Other Ventures 
in their distribution and marketing of pharmaceutical and consumer health products. 

Administrative Expenses 

The following table sets forth the components of our administrative expenses for the years indicated. 

Administrative expenses are also incurred by our corporate head office, which are not allocated to either Oncology/Immunology or 

Other Ventures. 

Administrative Expenses 
Oncology/Immunology 
Other Ventures 
Corporate Head Office 

Total 

2021 

Year Ended December 31, 
2020 

2019 

$’000 

% 

$’000 

% 

$’000 

% 

48,359
7,712
33,227
89,298

54.2
8.6
37.2
100.0

19,144  
6,129  
24,742  
50,015  

 38.3  
 12.3  
 49.4  
 100.0  

12,189
5,292
21,729
39,210

31.1
13.5
55.4
100.0

Oncology/Immunology’s administrative expenses are comprised of the salaries and benefits of administrative staff, office leases 
and other overhead expenses incurred by HUTCHMED Limited. It also includes the preparation costs incurred for the potential launch 
in the United States of products marketed elsewhere and others. 

Our Other Ventures’ administrative expenses primarily comprise the salaries and benefits of administrative staff, office leases and 

other overhead expenses incurred by Hutchison Sinopharm, Hutchison Hain Organic and Hutchison Healthcare. 

Our  corporate  head  office  administrative  expenses  primarily  comprise  the  salaries  and  benefits  of  our  corporate  head  office 

employees and directors, office leases and other overhead expenses. 

178 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Equity in Earnings of Equity Investees 

We have historically derived a significant portion of our net income from our equity in earnings of equity investees, which was 
primarily attributable to our non-consolidated joint venture, Shanghai Hutchison Pharmaceuticals and former non-consolidated joint 
venture,  Hutchison  Baiyunshan.  Our  equity  in  earnings  of  equity  investees,  net  of  tax,  contributed  by  Shanghai  Hutchison 
Pharmaceuticals was $30.7 million, $33.5 million and $44.7 million for the years ended December 31, 2019, 2020 and 2021 respectively. 
Our equity in earnings of equity investees, net of tax, contributed by Hutchison Baiyunshan was $9.9 million, $45.6 million and $15.9 
million for the years ended December 31, 2019 and 2020 and 2021 (reflecting the period from January 1, 2021 to September 28, 2021), 
respectively. Equity in earnings of Hutchison Baiyunshan for year ended December 31, 2020 included a one-time gain of $36.0 million 
from land compensation for a return of land-use rights to the Guangzhou government and for the period ended September 28, 2021 
included a one-time gain of $7.0 million for additional land compensation. 

The following table shows the revenue of Shanghai Hutchison Pharmaceuticals and Hutchison Baiyunshan for the periods indicated. 
The  consolidated  financial  statements  of  these  joint  ventures  are  prepared  in  accordance  with  IFRS  as  issued  by  the  IASB  and  are 
presented separately elsewhere in this annual report. 

Revenue 
Other Ventures: 

Shanghai Hutchison Pharmaceuticals 
Hutchison Baiyunshan (1) 

Total 

2021 

Year Ended December 31, 
2020 

2019 

$’000 

% 

$’000 

% 

$’000 

% 

332,648
209,528
542,176

61.4
38.6
100.0

276,354 
232,368 
508,722 

 54.3 
 45.7 
 100.0 

272,082
215,403
487,485

55.8
44.2
100.0

(1) On September 28, 2021, we completed the disposal of our equity interest in Hutchison Baiyunshan. Revenue in 2021 reflects the

period from January 1, 2021 to September 28, 2021.

The following table shows the amount of equity in earnings of equity investees, net of tax, of our non-consolidated joint ventures

for the years indicated. 

Equity in earnings of equity investees, net of tax 
Other Ventures: 

Shanghai Hutchison Pharmaceuticals 
Hutchison Baiyunshan(1) 

Oncology/Immunology: 

Others 
Total 

2021 

Year Ended December 31, 
2020 

2019 

$’000 

% 

$’000 

% 

$’000 

% 

44,678
15,919

20
60,617

73.7
26.3

33,502 
45,641 

 42.4 
 57.7 

30,654
9,899

—
100.0

(97)
79,046 

(0.1)
 100.0 

147
40,700

75.3
24.3

0.4
100.0

(1) The amount for the year ended December 31, 2020 and for the period ended September 28, 2021 includes a one-time gain of $36.0
million and $7.0 million, respectively, from land compensation for a return of land use rights to the Guangzhou government. On
September 28, 2021, we completed the divestment of our shareholding interest in Hutchison Baiyunshan. Equity in earnings of
Hutchison Baiyunshan reflects the period from January 1, 2021 to September 28, 2021.

Investments in equity investees mainly consisted of our investment in Shanghai Hutchison Pharmaceuticals and historically, our
investment in Hutchison Baiyunshan. The fluctuations in the investments in equity investees was primarily due to recording our equity 
in earnings of equity investees, net of tax, offset by dividends declared by the equity investees. 

179 

 
 
 
 
 
The following table shows our investments in our equity investees as of the dates indicated. 

Shanghai Hutchison Pharmaceuticals 
Hutchison Baiyunshan 
Others 
Total 

As of December 31, 

2021 

2020 

$’000 

 75,999
—
 480
 76,479

79,408
59,712
385
139,505

The following table shows the financial position of Shanghai Hutchison Pharmaceuticals and Hutchison Baiyunshan as of the dates 

indicated. 

Current assets 
Non-current assets 
Current liabilities 
Non-current liabilities 
Net assets 
Non-controlling interests 

Shanghai Hutchison  
Pharmaceuticals 

  Hutchison Baiyunshan 

2021 

190,260
91,605
(128,993)
(7,131)
145,741
—
145,741

As of December 31, 
      2021(1) 
$’000 

2020 

2020 

 175,965   
 93,361   
 (109,873)  
 (6,739)  
 152,714   
 —   
 152,714   

— 177,888
—
95,731
— (137,179)
—
(16,034)
— 120,406
—
(982)
— 119,424

(1)  On September 28, 2021, we completed the disposal of our shareholding interest in Hutchison Baiyunshan. 

Results of Operations 

The following table sets forth a summary of our consolidated results of operations for the years indicated, both in absolute amounts 
and as percentages of our revenues. This information should be read together with our consolidated financial statements and related 
notes included elsewhere in this annual report. Our operating results in any period are not necessarily indicative of the results that may 
be expected for any future period. 

2021 

Year Ended December 31, 
2020 

2019 

     % 

     % 

$’000 
356,128
(258,234)
(299,086)
(37,827)
(89,298)
121,310
(8,733)
(11,918)
60,617
(167,041)
(194,648)

100.0
(72.5)
(84.0)
(10.6)
(25.1)
34.1
(2.5)
(3.3)
17.0
(46.9)
(54.7)

$’000 

     % 

227,976     100.0  
(188,519)    (82.7) 
(174,776)    (76.7) 
(11,334)  
 (5.0) 
 (21.9) 
(50,015) 
 —  
 —   
 3.0  
6,934   
 (2.1) 
(4,829)  
 34.7  
79,046   
(115,517)    (50.7) 
(125,730)    (55.2) 

$’000 
204,890
(160,152)
(138,190)
(13,724)
(39,210)
—
5,281
(3,274)
40,700
(103,679)
(106,024)

100.0
(78.2)
(67.4)
(6.7)
(19.1)
—
2.6
(1.6)
19.9
(50.6)
(51.7)

Revenues 
Cost of revenues 
Research and development expenses 
Selling expenses 
Administrative expenses 
Gain on divestment of an equity investee 
Other income/(expense) 
Income tax expense 
Equity in earnings of equity investees, net of tax 
Net loss 
Net loss attributable to our company 

180 

 
 
 
 
 
     
 
     
     
 
 
 
 
 
 
 
 
 
 
 
 
 
    
     
 
 
 
 
 
 
 
 
    
     
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
    
    
 
Cayman Islands 

Taxation 

HUTCHMED (China) Limited is incorporated in the Cayman Islands. The Cayman Islands currently levies no taxes on profits, 
income, gains or appreciation earned by individuals or corporations. In addition, our payment of dividends, if any, is not subject to 
withholding tax in the Cayman Islands. For more information, see Item 10.E. “Taxation—Overview of Tax Implications of Various 
Other Jurisdictions—Cayman Islands Taxation.” 

People’s Republic of China 

Our subsidiaries and a joint venture incorporated in the PRC are governed by the EIT Law and regulations. Under the EIT Law, the 
standard EIT rate is 25% on taxable profits as reduced by available tax losses. Tax losses may be carried forward to offset any taxable 
profits  for  the  following  five  years  (extended  to  ten  years  for  those  with  HNTE  status,  with  effective  from  January  1,  2018). 
HUTCHMED  Limited  and  our  non-consolidated  joint  venture,  Shanghai  Hutchison  Pharmaceuticals,  have  been  successful  in  their 
respective applications to renew their HNTE status for three years from January 1, 2020 to December 31, 2022. Accordingly, these 
entities are eligible to a preferential EIT rate of 15% for the years ended/ending December 31, 2020, 2021 and 2022. HUTCHMED 
(Suzhou) Limited, a wholly owned subsidiary of HUTCHMED Limited, successful renewed its HNTE status for another three years 
from January 1, 2021 to December 31, 2023. Accordingly, it is eligible for a preferential EIT rate of 15% for the years ended December 
31, 2021, 2022 and 2023. 

For more information, see Item 10.E. “Taxation—Taxation in the PRC.” Please also see Item. 3 “Key Information—Risk Factors—
Other Risks and Risks Relating to Doing Business in China—Our business benefits from certain PRC government tax incentives. The 
expiration of, changes to, or our PRC subsidiaries/joint venture failing to continuously meet the criteria for these incentives could have 
a material adverse effect on our operating results by significantly increasing our tax expenses.” 

According to the EIT Law and its implementation regulations, dividends declared after January 1, 2008 and paid by PRC foreign-
invested  enterprises  to  their  non-PRC  parent  companies  will  be  subject  to  PRC  withholding  tax  at  10%  unless  there  is  a  tax  treaty 
between the PRC and the jurisdiction in which the overseas parent company is a tax resident and which specifically exempts or reduces 
such  withholding  tax,  and  such  tax  exemption  or  reduction  is  approved  by  the  relevant  PRC  tax  authorities.  Pursuant  to  the  tax 
arrangement between PRC and Hong Kong, if a shareholder of the PRC enterprise is a Hong Kong tax resident and directly holds a 25% 
or more equity interest in the PRC enterprise and is considered to be the beneficial owner of dividends paid by the PRC enterprise, such 
withholding tax rate may be lowered to 5%, subject to approval by the relevant PRC tax authorities. For more information, see Item 
10.E. “Taxation—Taxation in the PRC” and “Taxation—Overview of Tax Implications of Various Other Jurisdictions— Hong Kong 
Taxation.” 

Hong Kong 

Our company and certain of its subsidiaries are subject to Hong Kong Profits Tax laws and regulations. Hong Kong has a two-tiered 
Profits Tax rates regime under which the first HK$2.0 million ($0.3 million) of assessable profits of qualifying corporations will be 
taxed at 8.25%, with the remaining assessable profits taxed at 16.5%. Hong Kong Profits Tax has been provided for at the relevant rates 
on the estimated assessable profits less estimated available tax losses, if any, of these entities as applicable. 

Period-to-Period Comparison of Results of Operations 

Year Ended December 31, 2021 Compared to Year Ended December 31, 2020 

Revenues 

Our revenue increased by 56.2% from $228.0 million for the year ended December 31, 2020 to $356.1 million for the year ended 

December 31, 2021, which resulted from increased revenue in both the Oncology/Immunology and Other Ventures operations. 

181 

Revenue from Oncology/Immunology increased by 295.9% from $30.2 million for the year ended December 31, 2020 to $119.6 
million for the year ended December 31, 2021, primarily due to an increase in revenue related to the sales of Elunate from $20.0 million 
for the year ended December 31, 2020 (of which $11.3 million was revenue from sales of goods primarily to Eli Lilly, $4.9 million was 
royalty revenue, and $3.8 million was revenue from promotion and marketing services to Eli Lilly which commenced in October 2020) 
to $53.5 million for the year ended December 31, 2021 (of which $15.8 million was revenue from sales of goods primarily to Eli Lilly, 
$10.3 million was royalty revenue and $27.4 million was revenue from promotion and marketing services to Eli Lilly). The increase 
was also attributable to revenue generated from the commercial launch of Sulanda of $11.6 million and Orpathys of $11.3 million (of 
which $6.5 million was revenue from sales of goods and $4.8 million was royalty revenue) in January 2021 and July 2021, respectively. 
In addition, revenue related to collaboration research and development services increased from $9.8 million for the year ended December 
31,  2020  to $42.7  million for  the  year  ended  December 31, 2021, primarily  attributable  to  the receipt  of  a $25.0  million  milestone 
payment from AstraZeneca upon the commercial launch of Orpathys. 

Revenue from our Other Ventures increased by 19.6% from $197.8 million for the year ended December 31, 2020 to $236.5 million 
for  the  year  ended  December  31,  2021,  primarily  due  to  an  increase  in  sales  of  prescription  drug  products.  Revenue  from  sales  of 
prescription drugs increased by 23.6% from $165.1 million for the year ended December 31, 2020 to $204.1 million for the year ended 
December 31, 2021 primarily due to increased sales by our consolidated joint venture Hutchison Sinopharm. Revenue from the sales of 
our consumer health products remained relatively stable at $32.7 million and $32.4 million for the years ended December 31, 2020 and 
2021, respectively. 

Cost of Revenues 

Our cost of revenues increased by 37.0% from $188.5 million for the year ended December 31, 2020 to $258.2 million for the year 
ended December 31, 2021. This increase was primarily due to increased sales by both the Oncology/Immunology and Other Ventures 
operations. 

Cost of revenues from Oncology/Immunology increased by 270.0% from $12.1 million for the year ended December 31, 2020 to 
$44.8  million  for  the  year  ended  December  31,  2021,  primarily  due  to  an  increase  in  sales  of  Elunate,  including  the  provision  of 
promotion and marketing services to Eli Lilly which commenced in October 2020, and the commencement of sales of Sulanda which 
launched in January 2021 and Orpathys which launched in July 2021. 

Cost of revenues from our Other Ventures increased by 21.0% from $176.4 million for the year ended December 31, 2020 to $213.4 

million for the year ended December 31, 2021, which was primarily due to increased sales. 

Cost of revenues as a percentage of our revenues decreased from 82.7% to 72.5% across these periods primarily due to the increase 

in revenue from Oncology/Immunology which has higher margins than Other Ventures. 

Research and Development Expenses 

Our research and development expenses incurred by Oncology/Immunology increased by 71.1% from $174.8 million for the year 
ended December 31, 2020 to $299.1 million for the year ended December 31, 2021, which was primarily due to an $84.2 million increase 
in CROs and other clinical trial related costs and a $40.1 million increase in employee compensation related and other costs. These 
increased costs were due to a significant expansion of clinical activities in the United States and rapid organizational growth to support 
such expansion. In particular, this increase was attributable to the expansion of the fruquintinib, savolitinib, surufatinib, amdizalisib, 
HMPL-306,  HMPL-760  development  programs  and  a  $10.0  million  payment  in  connection  with  our  in-licensing  agreement  for 
tazemetostat. As a result, research and development expenses as a percentage of our revenue increased from 76.7% to 84.0% across 
these periods. 

Selling Expenses 

Our selling expenses increased by 233.7% from $11.3 million for the year ended December 31, 2020 to $37.8 million for the year 
ended December 31, 2021, primarily attributable to the commencement of marketing activities following the commercial launch of 
Sulanda in January 2021. Selling expenses as a percentage of our revenues increased from 5.0% to 10.6% across these periods. 

182 

Administrative Expenses 

Our administrative expenses increased by 78.5% from $50.0 million for the year ended December 31, 2020 to $89.3 million for the 
year  ended  December  31,  2021.  This  was  primarily  due  to  a  $29.2  million  increase  in  administrative  expenses  incurred  by 
Oncology/Immunology, which was mainly related to increased staff cost to support the expansion of our clinical activities. This increase 
was  also  attributable  to  preparation  costs  for  the  potential  launch  of  marketed  products  in  the  United  States  and  other  countries. 
Administrative expenses as a percentage of our revenues increased from 21.9% to 25.1% across these periods. 

Gain on Divestment of An Equity Investee 

We had a gain on divestment of an equity investee of $121.3 million for the year ended December 31, 2021, before applicable 
capital gain taxes and amounts attributable to non-controlling interests, which is related to the disposal of our shareholding interest in 
Hutchison Baiyunshan. 

Other Income/(Expense) 

We had net other income of $6.9 million for the year ended December 31, 2020 compared to net other expense of $8.7 million for 
the year ended December 31, 2021. The change was primarily due to a $12.5 million fair value loss recorded on a warrant to purchase 
shares of Epizyme in 2021, a decrease in interest income of $1.2 million due to lower bank deposit rates, and a decrease in foreign 
currency exchange gains of $1.6 million. 

Income Tax Expense 

Our income tax expense increased from $4.8 million for the year ended December 31, 2020 to $11.9 million for the year ended 
December 31, 2021, primarily due to the capital gains taxes related to the disposal of our shareholding interest in Hutchison Baiyunshan. 

Equity in Earnings of Equity Investees 

Our equity in earnings of equity investees, net of tax, decreased by 23.3% from $79.0 million for the year ended December 31, 2020 
to $60.6 million for the year ended December 31, 2021. This change was primarily due to the disposal of our shareholding interest in 
Hutchison Baiyunshan in September 2021. 

Shanghai Hutchison Pharmaceuticals 

The following table shows a summary of the results of operations of Shanghai Hutchison Pharmaceuticals for the years indicated. 
The consolidated financial statements of Shanghai Hutchison Pharmaceuticals are prepared in accordance with IFRS as issued by the 
IASB and are presented separately elsewhere in this annual report. 

Year Ended December 31, 

Revenue 
Cost of sales 
Selling expenses 
Administrative expenses 
Other net operating income 
Taxation charge 
Profit for the year 
Equity in earnings of equity investee attributable to our company

2021 
      %   

2020 
     %   

($’000) 
332,648
(77,559)
(131,821)
(22,627)
4,759
(15,896)
89,388
44,678

 100.0  
 (23.3)  
 (39.6)  
 (6.8)  
 1.4   
 (4.8)  
 26.9   
 13.4   

($’000) 
 276,354
 (72,163)
 (111,892)
 (17,907)
3,473
 (10,833)
 67,020
 33,502

100.0
(26.1)
(40.5)
(6.5)
1.3
(3.9)
24.3
12.1

Shanghai Hutchison Pharmaceuticals’ revenue increased by 20.4% from $276.4 million for the year ended December 31, 2020 to 
$332.6 million for the year ended December 31, 2021, primarily due to an increase in sales of She Xiang Bao Xin pills, a vasodilator 
used in the treatment of heart conditions. Sales of She Xiang Bao Xin pills increased by 22.8% from $250.0 million for the year ended 
December 31, 2020 to $ 307.1 million for the year ended December 31, 2021. 

183 

 
 
 
 
 
    
 
 
 
 
    
     
 
Cost of sales increased by 7.5% from $72.2 million for the year ended December 31, 2020 to $77.6 million for the year December 
31, 2021, primarily due to higher sales of She Xiang Bao Xin pills. Shanghai Hutchison Pharmaceuticals’ revenue increased at a higher 
rate than cost of sales due to an increased proportion of sales of higher margin She Xiang Bao Xin pills. 

Selling expenses increased by 17.8% from $111.9 million for the year ended December 31, 2020 to $131.8 million for the year 

ended December 31, 2021, as a result of increased spending on marketing and promotional activities to support the increase in sales. 

Administrative expenses increased by 26.4% from $17.9 million for the year ended December 31, 2020 to $22.6 million for the 

year ended December 31, 2021, primarily due to an increase in research and development expenses for new products. 

Other net operating income increased by 37.0% from $3.5 million for the year ended December 31, 2020 to $4.8 million for the 

year ended December 31, 2021, primarily due to an increase in government grants and interest income. 

Taxation charge increased by 46.7% from $10.8 million for the year ended December 31, 2020 to $15.9 million for the year ended 

December 31, 2021, primarily due to an increase in taxable profit. 

As a result of the foregoing, profit increased by 33.4% from $67.0 million for the year ended December 31, 2020 to $89.4 million 
for the year ended December 31, 2021. Our equity in earnings of equity investees contributed by this joint venture was $33.5 million 
and $44.7 million for the years ended December 31, 2020 and 2021, respectively. 

Hutchison Baiyunshan 

The  following  table  shows  a  summary  of  the  results  of  operations  of  Hutchison  Baiyunshan  for  the  periods  indicated.  The 
consolidated  financial  statements  of  Hutchison  Baiyunshan  are  prepared  in  accordance  with  IFRS  as  issued  by  the  IASB  and  are 
presented separately elsewhere in this annual report. 

Revenue 
Cost of sales 
Selling expenses 
Administrative expenses 
Gain on return of land 
Other net operating income 
Taxation charge 
Profit attributable to equity holders of Hutchison Baiyunshan
Equity in earnings of equity investee attributable to our company

Period Ended  
September 28, 2021 
%   
 100.0  
 (47.0) 
 (35.5)  
 (10.3)  
 7.8   
 2.5   
 (2.3)  
 15.2   
 7.6   

($’000) 
209,528
(98,462)
(74,425)
(21,659)
16,433
5,306
(4,840)
31,850
15,919

Year Ended  
December 31, 2020 
%   
100.0
(49.7)
(31.9)
(11.0)
36.4
2.6
(7.1)
39.3
19.6

($’000) 
 232,368
 (115,564)
 (74,066)
 (25,664)
 84,667
6,071
 (16,494)
 91,276
 45,641

Fluctuations in revenue, cost of sales, administrative expenses and other net operating income between the periods presented is 

primarily due to the disposal of Hutchison Baiyunshan on September 28, 2021. 

Selling expenses as a percentage of revenue increased by 3.6% from 31.9% for the year ended December 31, 2020 to 35.5% for the 

period ended September 28, 2021, primarily due to an increase in advertising expenses for brand building activities. 

Gain on return of land was related to a one-time gain from land compensation for a return of land use rights to the Guangzhou 

government, and the majority of the compensation amount was received and recognized in 2020. 

Taxation charge decreased by 70.7% from $16.5 million for the year ended December 31, 2020 to $4.8 million for the period ended 

September 28, 2021, primarily due to a decrease in gain on return of land between these periods. 

As a result of the foregoing, profit attributable to equity holders of Hutchison Baiyunshan decreased by 65.1% from $91.3 million 
for the year ended December 31, 2020 to $31.9 million for the period ended September 28, 2021. Our equity in earnings of equity 
investees contributed by this joint venture was $45.6 million and $15.9 million for the year ended December 31, 2020 and the period 
ended September 28, 2021, respectively. 

184 

 
 
 
 
 
    
     
 
 
 
 
    
    
     
    
 
 
 
For  more  information  on  the  financial  results  of  our  non-consolidated  joint  ventures,  see  “—Key  Components  of  Results  of 

Operations— Equity in Earnings of Equity Investees.” 

Net Loss 

As a result of the foregoing, our net loss increased from $115.5 million for the year ended December 31, 2020 to $167.0 million for 
the year ended December 31, 2021. Net loss attributable to our company increased from $125.7 million for the year ended December 
31, 2020 to $194.6 million for the year ended December 31, 2021. 

Year Ended December 31, 2020 Compared to Year Ended December 31, 2019 

Revenues 

Our revenue increased by 11.3% from $204.9 million for the year ended December 31, 2019 to $228.0 million for the year ended 

December 31, 2020, which was caused by increased revenue from both Oncology/Immunology and Other Ventures operations. 

Revenue  from  Oncology/Immunology  increased  by  12.8%  from  $26.8  million  for  the  year  ended  December  31,  2019  to  $30.2 
million for the year ended December 31, 2020, primarily due to an increase in revenue related to the sale of Elunate from $10.8 million 
for the year ended December 31, 2019 (of which $2.7 million was royalty revenue and $8.1 million was revenue from sales to Eli Lilly) 
to $20.0 million for the year ended December 31, 2020 (of which $4.9 million was royalty revenue, $11.3 million was revenue from 
sales of goods primarily to Eli Lilly and $3.8 million was revenue from promotion and marketing services to Eli Lilly which commenced 
in  October  2020)  as  a  result  of  the  inclusion  of  Elunate  in  the  2020  China  NRDL.  Elunate  was  included  on  China’s  NRDL  at  an 
approximately 60% discount to its initial retail price. The inclusion of Elunate resulted in a substantial improvement in sales volume 
due to the availability of third-party reimbursements. This increase was offset in part by a decrease in revenue related to collaboration 
research  and  development  services  from  $15.5  million  for  the  year  ended  December  31,  2019  to  $9.8  million  for  the  year  ended 
December 31, 2020 as there was less clinical activity subject to reimbursement from our collaboration partners. 

Revenue from our Other Ventures increased by 11.0% from $178.1 million for the year ended December 31, 2019 to $197.8 million 
for  the  year  ended  December  31,  2020,  primarily  due  to  an  increase  in  sales  of  prescription  drug  products.  Revenue  from  sales  of 
prescription drugs increased by 17.0% from $141.1 million for the year ended December 31, 2019 to $165.1 million for the year ended 
December 31, 2020 primarily due to increased sales by our consolidated joint venture Hutchison Sinopharm. The increase was offset in 
part by lower provision of services which decreased from $2.6 million for the year ended December 31, 2019 to nil for the year ended 
December 31, 2020 after the discontinuation of our distribution of Seroquel in May 2019. This increase was also offset in part by a 
decrease in sales of consumer health products which decreased by 4.9% from $34.4 million for the year ended December 31, 2019 to 
$32.7 million for the year ended December 31, 2020. This decrease was primarily attributable to decreased sales of infant nutrition 
products. 

Our Other Ventures’ results of operations are affected by seasonality. For more information, see “—Factors Affecting our Results 

of Operations—Other Ventures—Seasonality.” 

Cost of Revenues 

Our cost of revenues increased by 17.7% from $160.2 million for the year ended December 31, 2019 to $188.5 million for the year 
ended December 31, 2020. This increase was primarily due to increased sales by our Other Ventures. Our cost of revenues increased at 
a higher rate than revenue due to an increased proportion of sales of lower margin products by Hutchison Sinopharm. As a result, cost 
of revenues as a percentage of our revenues increased from 78.2% to 82.7% across these periods. 

185 

Research and Development Expenses 

Our research and development expenses incurred by Oncology/Immunology increased by 26.5% from $138.2 million for the year 
ended December 31, 2019 to $174.8 million for the year ended December 31, 2020, which was primarily attributable to a $18.1 million 
increase in payments to CROs and other clinical trial related costs and a $18.5 million increase in employee compensation related and 
other costs. These increased costs were due to a significant expansion of clinical activities in the United States and rapid organizational 
growth to support such expansion. In particular, this increase was attributable to the expansion of the fruquintinib, surufatinib, HMPL-
306 and amdizalisib development programs. As a result, research and development expenses as a percentage of our revenue increased 
from 67.4% to 76.7% across these periods. 

Selling Expenses 

Our selling expenses decreased by 17.4% from $13.7 million for the year ended December 31, 2019 to $11.3 million for the year 
ended  December  31,  2020,  primarily  due  to  decreased  marketing  activities  after  the  COVID-19  outbreak.  Selling  expenses  as  a 
percentage of our revenues from our Other Ventures decreased from 7.7% to 5.6% across these periods. 

Administrative Expenses 

Our administrative expenses increased by 27.6% from $39.2 million for the year ended December 31, 2019 to $50.0 million for the 
year  ended  December  31,  2020.  This  was  primarily  due  to  $7.0  million  increase  in  administrative  expenses  incurred  by 
Oncology/Immunology, which was mainly related to increased staff cost to support the expansion of our clinical activities. There was 
also  an  increase  of  $3.0  million  in  administrative  expenses  incurred  by  our  corporate  head  office  for  organizational  expansion. 
Administrative expenses as a percentage of our revenues increased from 19.1% to 21.9% across these periods. 

Other Income/(Expense) 

We had net other income of $5.3 million for the year ended December 31, 2019, compared to net other income of $6.9 million for 
the year ended December 31, 2020.  The increase was primarily due to foreign currency exchange gains of $3.0 million, offset in part 
by a decline in interest income of $1.7 million due to lower bank deposit rates. 

Income Tax Expense 

Our income tax expense increased from $3.3 million for the year ended December 31, 2019 to $4.8 million for the year ended 
December 31, 2020 primarily due to the accrual of withholding tax on the undistributed earnings in relation to the gain on return of land 
by Hutchison Baiyunshan. 

Equity in Earnings of Equity Investees 

Our equity in earnings of equity investees, net of tax, increased by 94.2% from $40.7 million for the year ended December 31, 2019 
to $79.0 million for the year ended December 31, 2020.  This change was primarily due to the one-time gain on return of land recorded 
by our former non-consolidated joint venture, Hutchison Baiyunshan, of which our attributable portion recorded to equity in earnings 
of equity investees, net of tax, was $36.0 million for the year ended December 31, 2020. 

186 

Shanghai Hutchison Pharmaceuticals 

The following table shows a summary of the results of operations of Shanghai Hutchison Pharmaceuticals for the years indicated. 
The consolidated financial statements of Shanghai Hutchison Pharmaceuticals are prepared in accordance with IFRS as issued by the 
IASB and are presented separately elsewhere in this annual report. 

Revenue 
Cost of sales 
Selling expenses 
Administrative expenses 
Other net operating income 
Taxation charge 
Profit for the year 
Equity in earnings of equity investee attributable to our company

Year Ended December 31, 

2020 

2019 

($’000) 
276,354
(72,163)
(111,892)
(17,907)
3,473
(10,833)
67,020
33,502

% 
 100.0   
 (26.1)  
 (40.5)  
 (6.5)  
 1.3  
 (3.9)  
 24.3   
 12.1   

($’000) 
 272,082
 (77,313)
 (110,591)
 (14,761)
2,941
 (11,015)
 61,301
 30,654

% 
100.0
(28.4)
(40.6)
(5.4)
1.1
(4.0)
22.5
11.3

Shanghai Hutchison Pharmaceuticals’ revenue increased by 1.6% from $272.1 million for the year ended December 31, 2019 to 
$276.4 million for the year ended December 31, 2020, primarily due to an increase in sales of She Xiang Bao Xin pills, a vasodilator 
used in the treatment of heart conditions. Sales of She Xiang Bao Xin pills increased by 4.4% from $239.5 million for the year ended 
December  31,  2019  to  $250.0  million  for  the  year  ended  December  31,  2020.  Additionally,  revenue  from  Shanghai  Hutchison 
Pharmaceuticals’ distribution business decreased from $11.1 million for the year ended December 31, 2019 to $5.4 million for the year 
ended December 31, 2020, primarily due to lower provision of services after the discontinuation of our distribution of Seroquel.  

Cost of sales decreased by 6.7% from $77.3 million for the year ended December 31, 2019 to $72.2 million for the year ended 
December  31,  2020,  primarily  due  to  the  discontinuation  of  our  distribution  of  Seroquel.  Additionally,  Shanghai  Hutchison 
Pharmaceuticals’ revenue increased at a higher rate than cost of sales due to an increased proportion of sales of higher margin She Xiang 
Bao Xin pills. 

Selling expenses increased by 1.2% from $110.6 million for the year ended December 31, 2019 to $111.9 million for the year ended 

December 31, 2020, in line with the increase in revenues. 

Administrative expenses increased by 21.3% from $14.8 million for the year ended December 31, 2019 to $17.9 million for the 

year ended December 31, 2020, primarily due to an increase in research and development expenses for new products. 

Other net operating income is primarily comprised of government grants and interest income. Other net operating income increased 
by 18.1% from $2.9 million for the year ended December 31, 2019 to $3.5 million for the year ended December 31, 2020, primarily due 
to higher interest income of $0.4 million. 

Taxation charge decreased by 1.7% from $11.0 million for the year ended December 31, 2019 to $10.8 million for the year ended 

December 31, 2020, primarily due to more tax concessions received in the year ended December 31, 2020. 

As a result of the foregoing, profit increased by 9.3% from $61.3 million for the year ended December 31, 2019 to $67.0 million 
for the year ended December 31, 2020.  Our equity in earnings of equity investees contributed by this joint venture was $30.7 million 
and $33.5 million for the years ended December 31, 2019 and 2020, respectively. 

187 

 
 
 
 
 
 
 
 
 
 
    
    
     
    
 
Hutchison Baiyunshan 

The  following  table  shows  a  summary  of  the  results  of  operations  of  our  former  non-consolidated  joint  venture,  Hutchison 
Baiyunshan, for the years indicated. The consolidated financial statements of Hutchison Baiyunshan are prepared in accordance with 
IFRS as issued by the IASB and are presented separately elsewhere in this annual report. 

Revenue 
Cost of sales 
Selling expenses 
Administrative expenses 
Gain on return of land 
Other net operating income 
Taxation charge 
Profit attributable to equity holders of Hutchison Baiyunshan
Equity in earnings of equity investee attributable to our company

Year Ended December 31, 

2020 

2019 

($’000) 
232,368
(115,564)
(74,066)
(25,664)
84,667
6,071
(16,494)
91,276
45,641

% 
 100.0   
 (49.7)  
 (31.9)  
 (11.0)  
 36.4  
 2.6  
 (7.1)  
 39.3   
 19.6   

($’000) 
 215,403
 (100,279)
 (74,013)
 (23,817)
—
5,626
(3,634)
 19,792
9,899

% 
100.0
(46.6)
(34.4)
(11.1)
—
2.6
(1.7)
9.2
4.6

Hutchison Baiyunshan’s revenue increased by 7.9% from $215.4 million for the year ended December 31, 2019 to $232.4 million 
for the year ended December 31, 2020, primarily due to an increase in sales of Banlangen, an anti-viral product, after the COVID-19 
outbreak. 

Cost of sales increased by 15.2% from $100.3 million for the year ended December 31, 2019 to $115.6 million for the year ended 

December 31, 2020, primarily due to an increase in raw material costs for Banlangen. 

Selling expenses remained stable at $74.0 million and $74.1 million for the years ended December 31, 2019 and 2020, respectively. 

Administrative expenses increased by 7.8% from $23.8 million for the year ended December 31, 2019 to $25.7 million for the year 

ended December 31, 2020, primarily due to an increase in general overhead costs incurred. 

Other  net  operating  income  is  primarily  comprised  of  government  grants,  interest  income,  brand-licensing  income  and  rental 
income. Other net operating income increased by 7.9% from $5.6 million for the year ended December 31, 2019 to $6.1 million for the 
year ended December 31, 2020, primarily due to higher government grants of $0.3 million and higher brand-licensing income of $0.2 
million. 

Taxation charge increased by 354% from $3.6 million for the year ended December 31, 2019 to $16.5 million for the year ended 
December 31, 2020, primarily due to a tax of $12.7 million on a one-time gain on return of land for the year ended December 31, 2020. 

As a result of the foregoing and the one-time gain on return of land of $84.7 million related to land compensation received from the 
Guangzhou government, profit attributable to equity holders of Hutchison Baiyunshan increased by 361% from $19.8 million for the 
year ended December 31, 2019 to $91.3 million for the year ended December 31, 2020.  Our equity in earnings of equity investees 
contributed by this joint venture was $9.9 million and $45.6 million for the years ended December 31, 2019 and 2020, respectively. 

For  more  information  on  the  financial  results  of  our  non-consolidated  joint  ventures,  see  “—Key  Components  of  Results  of 

Operations— Equity in Earnings of Equity Investees.” 

Net Loss 

As a result of the foregoing, our net loss increased from $103.7 million for the year ended December 31, 2019 to $115.5 million for 
the year ended December 31, 2020. Net loss attributable to our company increased from $106.0 million for the year ended December 
31, 2019 to $125.7 million for the year ended December 31, 2020. 

188 

  
 
 
 
 
 
 
 
 
 
    
    
 
    
 
B.    Liquidity and Capital Resources 

To  date,  we  have  taken  a  multi-source  approach  to  fund  our  operations,  including  through  cash  flows  generated  and  dividend 
payments  from  our  Oncology/Immunology  and  Other  Ventures  operations,  service  and  milestone  and  upfront  payments  from  our 
collaboration partners, bank borrowings, investments from other third parties, proceeds from our listings on various stock exchanges 
and follow-on offerings. 

Our Oncology/Immunology operations have historically not generated significant profits or have operated at a net loss, as creating 
potential global first-in-class or best-in-class drug candidates requires a significant investment of resources over a prolonged period of 
time. As a result, we anticipate that we may need additional financing for our Oncology/Immunology operations in future periods. See 
Item  3.D.  “Risk  Factors—Risks  Relating  to  Our  Oncology/Immunology  Operations  and  Development  of  Our  Drug  Candidates—
Historically,  our  in  house  research  and  development  division,  which  is  included  in  our  Oncology/Immunology  operations,  has  not 
generated significant profits or has operated at a net loss. Our future profitability is dependent on the successful commercialization of 
our drug candidates.” 

As of December 31, 2021, we had cash and cash equivalents of $377.5 million and short-term investments of $634.2 million and 
unutilized bank facilities of $157.4 million. Substantially all of our bank deposits are at major financial institutions, which we believe 
are of high credit quality. As of December 31, 2021, we had $26.9 million in bank loans, all of which was related to a term loan from 
HSBC. The total weighted average cost of bank borrowings for the year ended December 31, 2021 was 1.08% per annum. For additional 
information, see “—Loan Facilities.” 

Certain of our subsidiaries and joint ventures, including those registered as wholly foreign-owned enterprises in China, are required 
to set aside at least 10.0% of their after-tax profits to their general reserves until such reserves reach 50.0% of their registered capital. In 
addition, certain of our joint ventures are required to allocate certain of their after-tax profits as determined in accordance with related 
regulations and their respective articles of association to the reserve funds upon their board approval. Profit appropriated to the reserve 
funds for our subsidiaries and joint ventures incorporated in the PRC was approximately $51,000, $44,000 and $89,000 for the years 
ended December 31, 2019, 2020 and 2021, respectively. 

In addition, as a result of PRC regulations restricting dividend distributions from such reserve funds and from a company’s registered 
capital, our PRC subsidiaries are restricted in their ability to transfer a certain amount of their net assets to us as cash dividends, loans 
or advances. This restricted portion amounted to $0.1 million as of December 31, 2021. Although we do not currently require any such 
dividends, loans or advances from our PRC subsidiaries to fund our operations, should we require additional sources of liquidity in the 
future, such restrictions may have a material adverse effect on our liquidity and capital resources. For more information, see Item 4.B. 
“Business Overview—Regulation—PRC Regulation of Foreign Currency Exchange, Offshore Investment and State-Owned Assets—
Regulation on Investment in Foreign invested Enterprises—Regulation on Dividend Distribution.” 

In addition, our non-consolidated joint venture Shanghai Hutchison Pharmaceuticals held $50.0 million in cash and cash equivalents 
and no bank borrowings as of December 31, 2021. Such cash and cash equivalents are only accessible by us through dividend payments 
from the joint venture. The level of dividends declared by the joint venture is subject to agreement each year between us and our joint 
venture partner based on the profitability and working capital needs of the joint venture. As a result, we cannot guarantee that the joint 
venture will continue to pay dividends to us in the future at the same rate we have enjoyed in the past, or at all, which may have a 
material adverse effect on our liquidity and capital resources. For more information, see Item 3.D. “Risk Factors—Risks Relating to 
Sales of our Internally Developed Drugs and Other Drugs—As a significant portion of the operations of our Other Ventures is conducted 
through joint venture, we are largely dependent on the success of our joint venture and our receipt of dividends or other payments from 
our joint venture for cash to fund our operations and our investment in joint venture subject to liquidity risk.” 

189 

We believe that our current levels of cash and cash equivalents, short-term investments, along with cash flows from operations, 
dividend payments and unutilized bank borrowings, will be sufficient to meet our anticipated cash needs for at least the next 12 months. 
In the long term, we believe that we can meet our need for cash through revenues generated from marketed products, public and private 
sales of our securities and the potential disposals of our remaining non-core businesses. However, we may require additional financing 
in order to fund all of the clinical development efforts that we plan to undertake to accelerate the development of our clinical-stage drug 
candidates. For more information, see Item 3.D. “Risk Factors—Risks Relating to Our Financial Position and Need for Capital.” 

Cash Flow Data: 
Net cash used in operating activities 
Net cash (used in)/generated from investing activities
Net cash generated from/(used in) financing activities
Net increase in cash and cash equivalents 
Effect of exchange rate changes 
Cash and cash equivalents at beginning of the year 
Cash and cash equivalents at end of the year 

Net Cash used in Operating Activities 

2021 

Year Ended December 31, 
2020 
($’000) 

2019 

(204,223)   
(306,320)   
650,028   
139,485   
 2,427   
235,630   
377,542   

 (62,066)
 (125,441)
 296,434
 108,927
 5,546
 121,157
 235,630

(80,912)
119,028
(1,493)
36,623
(1,502)
86,036
121,157

Net  cash  used  in  operating  activities  was  $62.1  million  for  the  year  ended  December  31,  2020,  compared  to  net  cash  used  in 
operating activities of $204.2 million for the year ended December 31, 2021. The net change of $142.1 million was primarily attributable 
to higher operating expenses of $259.8 million from $424.6 million for the year ended December 31, 2020 to $684.4 million for the year 
ended December 31, 2021, offset in part by an increase in revenues of approximately $128.1 million from $228.0 million for the year 
ended December 31, 2020 to $356.1 million for the year ended December 31, 2021. 

Net  cash  used  in  operating  activities  was  $80.9  million  for  the  year  ended  December  31,  2019,  compared  to  net  cash  used  in 
operating activities of $62.1 million for the year ended December 31, 2020. The net change of $18.8 million was primarily attributable 
to an increase in dividends received from Shanghai Hutchison Pharmaceuticals and Hutchison Baiyunshan of $58.6 million from $28.1 
million for the year ended December 31, 2019 to $86.7 million for the year ended December 31, 2020. The net change was partially 
offset by higher net losses, primarily due to an increase in research and development expenses of $36.6 million from $138.2 million for 
the year ended December 31, 2019 to $174.8 million for the year ended December 31, 2020. 

Net Cash (used in)/generated from Investing Activities 

Net  cash  used  in  investing  activities  was  $125.4  million  for  the  year  ended  December  31,  2020,  compared  to  net  cash  used  in 
investing activities of $306.3 million for the year ended December 31, 2021. The net change of $180.9 million was primarily attributable 
to an increase in net deposits in short-term investment of $331.1 million from $103.5 million for the year ended December 31, 2020 to 
$434.6 million for the year ended December 31, 2021. The net change was also attributable to the payment of $15.0 million during the 
year ended December 31, 2021 to acquire a warrant to purchase Epizyme shares. The net change was partially offset by the proceeds 
received from the divestment of Hutchison Baiyunshan of $159.1 million during the year ended December 31, 2021. 

Net cash generated from investing activities was $119.0 million for the year ended December 31, 2019, compared to net cash used 
in  investing  activities  of  $125.4  million  for  the  year  ended  December  31,  2020.  The  net  change  of  $244.4  million  was  primarily 
attributable to a net withdrawal of deposits in short-term investments of $118.9 million for the year ended December 31, 2019 compared 
to a net deposit in short-term investments of $103.5 million for the year ended December 31, 2020. The net change was also attributable 
to a purchase of leasehold land of $11.6 million in Shanghai. 

190 

 
 
 
 
 
     
 
    
 
Net Cash generated from/(used in) Financing Activities 

Net  cash  generated  from  financing  activities  was  $296.4  million  for  the  year  ended  December  31,  2020,  compared  to  net  cash 
generated from financing activities of $650.0 million for the year ended December 31, 2021. The net change of $353.6 million was 
primarily attributable to the net proceeds of $685.4 million from a private placement in April 2021 and from our public offering on the 
SEHK in June and exercise of the over-allotment option in July 2021, as compared to net proceeds of $310.0 million from our follow-
on offering in the United States and private placements in 2020. This net change was partially offset by an increase in purchases of 
ADSs by the trustee of our LTIP for the settlement of certain equity awards which totaled $12.9 million for the year ended December 
31, 2020 as compared to $27.3 million for the year ended December 31, 2021, as well as an increase in dividends paid to non-controlling 
shareholders of subsidiaries which totaled $1.5 million for the year ended December 31, 2020 as compared to $9.9 million for the year 
end December 31, 2021. 

Net cash used in financing activities was $1.5 million for the year ended December 31, 2019, compared to net cash generated from 
financing activities of $296.4 million for the year ended December 31, 2020.  The net change of $297.9 million was primarily attributable 
to net proceeds of $310.0 million from our follow-on offering in the United States in January and February 2020 and private placements 
in July 2020 and November 2020. 

Contractual Obligations 

The following table sets forth our contractual obligations as of December 31, 2021. For more information on bank borrowings and 
interest on bank borrowings, please see “—Loan Facilities.” Our purchase obligations relate to property, plant and equipment that are 
contracted for but not yet paid. Our lease obligations primarily comprise future aggregate minimum lease payments in respect of various 
factories, warehouse, offices and other assets under non-cancellable lease agreements. For more information on purchase obligations 
and lease obligations, please see “—Capital Expenditures.” 

Bank borrowings 
Interest on bank borrowings 
Purchase obligations 
Lease obligations 
Total 

Shanghai Hutchison Pharmaceuticals 

Payment Due by Period 

Less Than  

Total 

 1 Year       1‑2 Years      2‑5 Years

More Than
 5 Years 

26,923
104
44,204
12,818
84,049

26,923  
104   
42,519   
5,348   
74,894   

($’000) 

 —  
 —   
 125   
 3,434   
 3,559   

—
—
1,560
3,241
4,801

—
—
—
795
795

The following table sets forth the contractual obligations of our non-consolidated joint venture Shanghai Hutchison Pharmaceuticals 
as of December 31, 2021. Shanghai Hutchison Pharmaceuticals’ purchase obligations comprise capital commitments for property, plant 
and  equipment  contracted  for  but  not  yet  paid.  Shanghai  Hutchison  Pharmaceuticals’  lease  obligations  primarily  comprise  future 
aggregate minimum lease payments in respect of various offices under non-cancellable lease agreements. 

Purchase obligations 
Lease obligations 
Total 

Payment Due by Period 

Less Than   
1 Year 

     1‑2 Years      2‑5 Years

More Than
5 Years 

155  
859   
1,014   

($’000) 

 —  
 784   
 784   

—
1,506
1,506

—
—
—

Total 

155
3,149
3,304

191 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Loan Facilities 

In  November  2018,  our  subsidiary  HUTCHMED  Group  (HK)  Limited  (formerly  Hutchison  China  MediTech  (HK)  Limited), 
renewed a three-year revolving loan facility with HSBC. The facility amount of this loan was HK$234.0 million ($30.0 million) with 
an interest rate at the Hong Kong Inter-bank Offered Rate, or HIBOR, plus 0.85% per annum. This credit facility was guaranteed by us 
and included certain financial covenant requirements. The revolving loan facility expired in November 2021. 

In May 2019, HUTCHMED Group (HK) Limited entered into additional credit facility arrangements with HSBC for the provision 
of unsecured credit facilities in the aggregate amount of HK$400.0 million ($51.3 million). The 3-year credit facilities include (i) a 
HK$210.0 million ($26.9 million) term loan facility and (ii) a HK$190.0 million ($24.4 million) revolving loan facility, both with an 
interest  rate  at  HIBOR  plus  0.85%  per  annum.  These  credit  facilities  are  guaranteed  by  us  and  include  certain  financial  covenant 
requirements. In October 2019, we drew down HK$210.0 million ($26.9 million) from the term loan facility and as of December 31, 
2021, no amount was drawn from the revolving loan facility. 

In August 2020, HUTCHMED Group (HK) Limited entered into a 24-month revolving credit facility with Deutsche Bank AG in 
the  amount  of  HK$117.0  million  ($15.0  million)  with  an  interest  rate  at  HIBOR  plus  4.5%  per  annum.  This  revolving  facility  is 
guaranteed  by  us  and  includes  certain  financial  covenant  requirements.  As  of  December  31,  2021,  no  amount  was  drawn  from  the 
revolving loan facility. 

In October 2021, our subsidiary HUTCHMED Limited entered into a 10-year fixed asset loan facility agreement with Bank of 
China Limited for the provision of a secured credit facility of RMB754.9 million ($118.1 million) with an annual interest rate at the 5-
year China Loan Prime Rate less 0.65%. This credit facility is guaranteed by HUTCHMED Limited’s immediate holding company, 
HUTCHMED Investment (HK) Limited (formerly Hutchison MediPharma (HK) Investment Limited), and secured by the underlying 
leasehold land and buildings, and includes certain financial covenant requirements. As of December 31, 2021, no amount was drawn 
from the fixed asset loan facility. 

Our non-consolidated joint venture Shanghai Hutchison Pharmaceuticals had no bank borrowings outstanding as of December 31, 

2021. 

Gearing Ratio 

The  gearing  ratio  of  our  group,  which  was  calculated  by  dividing  total  interest-bearing  loans  by  total  equity,  was  2.6%  as  of 
December 31, 2021, a decrease from 5.2% as of December 31, 2020. The decrease was primarily attributable to the increase in equity 
due to our primary offering of shares on the SEHK. 

Capital Expenditures 

We had capital expenditures of $8.6 million, $19.6 million and $16.8 million for the years ended December 31, 2019, 2020 and 
2021, respectively. Our capital expenditures during these periods were primarily used for the purchases of leasehold land and property, 
plant  and  equipment  for  a  new  large-scale  manufacturing  facility  for  innovative  drugs  in  Shanghai,  China  and  to  expand  the 
HUTCHMED Limited research facilities and the manufacturing facility in Suzhou, China. Our capital expenditures have been primarily 
funded by cash flows from operations and proceeds from our initial public and follow-on offerings in Hong Kong and the United States 
and other equity offerings. 

As  of  December  31,  2021,  we  had  commitments  for  capital  expenditures  of  approximately  $44.2  million,  primarily  for  the 
construction  of  the  new  manufacturing  facility  in  Shanghai.  We  expect  to  fund  these  capital  expenditures  through  cash  flows  from 
operations, bank borrowings and existing cash resources. 

Our non-consolidated joint venture Shanghai Hutchison Pharmaceuticals had capital expenditures of $4.6 million, $2.4 million and 
$3.4 million for the years ended December 31, 2019, 2020 and 2021, respectively. These capital expenditures were primarily related to 
the renovation of new office and improvements to its production facilities in Shanghai. These capital expenditures were primarily funded 
through cash flows from operations of Shanghai Hutchison Pharmaceuticals. 

192 

 
 
C.

Research and Development, Patents and Licenses, etc.

Full details of our research and development activities and expenditures are given in the “Business” and “Operating and Financial 

Review and Prospects” sections of this annual report above. 

D.

Trend Information.

Other than as described elsewhere in this annual report, we are not aware of any trends, uncertainties, demands, commitments or 
events that are reasonably likely to have a material adverse effect on our revenue, income, profitability, liquidity or capital resources, or 
that would cause our reported financial information not necessarily to be indicative of future operation results or financial condition. 

E.

Critical Accounting Estimates.

For  information  on  our  critical  accounting  estimates,  please  see  “—Operating  Resulting—Critical  Accounting  Policies  and 

Significant Judgments and Estimates” section of this annual report above. 

ITEM 6. DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES 

A. Directors and Senior Management.

Business Experience and Qualifications of our Directors 

Below is a list of the names and ages of our directors and officers as of March 1, 2022, and a brief account of the business experience 
of each of them.  The business address for our directors and officers is c/o HUTCHMED (China) Limited, Level 18, The Metropolis 
Tower, 10 Metropolis Drive, Hunghom, Kowloon, Hong Kong. 

Name 
Chi Keung To, Simon 
Christian Lawrence Hogg 
Chig Fung Cheng, Johnny 
Weiguo Su 
Dan Eldar 
Edith Shih 
Paul Rutherford Carter 
Karen Jean Ferrante 
Graeme Allan Jack 
Shu Kam Mok, Tony 
Marek Krzysztof Kania 
Karen Jane Atkin 
Zhenping Wu 
Kin Hung Lee, Mark 
Qingmei Wang, May 
Hong Chen 
Thomas R. Held 
Charles George Rupert Nixon 

    Age    

Position 

70 Executive Director and Chairman 
56 Executive Director and Chief Executive Officer
55 Executive Director and Chief Financial Officer
64 Executive Director and Chief Scientific Officer
68 Non-executive Director
70 Non-executive Director and Company Secretary
61 Senior Independent Non-executive Director 
Independent Non-executive Director 
64
Independent Non-executive Director 
71
61
Independent Non-executive Director 
59 Executive President, Managing Director and Chief Medical Officer
56 Executive Vice President and Chief Operating Officer
62 Senior Vice President, Pharmaceutical Sciences
44 Senior Vice President, Corporate Finance and Development
58 Senior Vice President, Business Development & Strategic Alliances
51 Senior Vice President and Chief Commercial Officer (China)
61 Senior Vice President, Commercial (U.S.) 
52 Group General Counsel

193 

 
Chi Keung To, Simon has been a director since 2000 and an executive director and chairman of our board of directors since 2006. 
He is also a member of our nomination committee, remuneration committee and technical committee. He is the managing director of 
Hutchison Whampoa (China) Limited and has been with Hutchison Whampoa (China) Limited for over 40 years, building its business 
from  a  small  trading  company  to  a  multi-billion  dollar  investment  group.  He  has  negotiated  major  transactions  with  multinational 
corporations such as Procter & Gamble, or P&G, Lockheed, Pirelli, Beiersdorf, United Airlines and British Airways. He is currently 
chairman of the board of directors of Gama Aviation Plc, which is admitted to trading on AIM, and formerly served as independent non-
executive director on the boards of China Southern Airlines Company Limited and Air China Limited. Mr. To’s career in China spans 
more than 45 years. He is the original founder of the China healthcare business of Hutchison Whampoa Limited (currently a subsidiary 
of CK Hutchison) and has been instrumental in its acquisitions made to date. He received a bachelor’s degree in mechanical engineering 
from Imperial College, London and a master in business administration from Stanford University’s Graduate School of Business. 

Christian Lawrence Hogg has been an executive director and our chief executive officer since 2006.  He is also a member of our 
technical committee and sustainability committee. He joined the business in 2000, as its first employee, and has since led all aspects of 
the  creation,  implementation  and  management  of  our  strategy,  business  and  listings.    This  includes  the  establishment  of  our 
Oncology/Immunology operations which now have an organization of about 1,500 scientific and commercial personnel involved in the 
launch  of  its  first  three  oncology  drugs,  Elunate,  Sulanda  and  Orpathys  in  China,  as  well  as  the  management  of  global  clinical 
development activities on our portfolio of twelve in-house discovered novel oncology drug candidates.  Furthermore, Mr. Hogg oversaw 
the acquisition and operational integration of assets that led to the formation of our Other Ventures operations, which today employs 
about 3,100 personnel involved in manufacture, market and distribute prescription drugs and consumer health products, covering an 
extensive network of hospitals across China.  Prior to joining us, he spent ten years with P&G, starting in the United States in Finance 
and then Brand Management in the Laundry and Cleaning Products Division.  He then moved to China to manage P&G’s detergent 
business,  followed  by  a  move  to  Brussels  to  run  P&G’s  global  bleach  business.    Mr.  Hogg  received  a  bachelor’s  degree  in  civil 
engineering from the University of Edinburgh in and a master in business administration from the University of Tennessee. 

Chig Fung Cheng, Johnny has been an executive director since 2011 and our chief financial officer since 2008.  He is a member of 
our sustainability committee. Prior to joining our company, Mr. Cheng was vice president, finance of Bristol Myers Squibb in China 
and was a director of Sino-American Shanghai Squibb Pharmaceuticals Ltd. and Bristol-Myers Squibb (China) Investment Co. Ltd. in 
Shanghai between 2006 and 2008.  Mr. Cheng started his career as an auditor with Price Waterhouse (currently PricewaterhouseCoopers) 
in Australia and then joined KPMG in Beijing before spending eight years with Nestlé China where he was in charge of a number of 
finance and control functions in various operations.  Mr. Cheng received a bachelor of economics from the University of Adelaide and 
is a member of the Chartered Accountants Australia and New Zealand. 

Weiguo Su has been an executive director since 2017 and has been our executive vice president and chief scientific officer since 
2012.  He is also a member of our technical committee.  Dr. Su has headed all drug discovery and research since he joined our company, 
including master-minding our scientific strategy, being a key leader of our Oncology/Immunology operations, and responsible for the 
discovery of each and every small molecule drug candidate in our pipeline.  Prior to joining our company in 2005, Dr. Su worked with 
the U.S. research and development department of Pfizer, Inc.  In 2017, he was granted the prestigious award by the China Pharmaceutical 
Innovation and Research Development Association (PhIRDA) as one of the Most Influential Drug R&D Leaders in China.  Dr. Su 
received  a  bachelor  of  science  degree  in  chemistry  from  Fudan  University  in  Shanghai.    He  completed  a  Ph.D.    and  post-doctoral 
fellowship in chemistry at Harvard University under the guidance of Nobel Laureate Professor E. J. Corey. 

Dan Eldar has been a non-executive director since 2016.  He has more than 30 years of experience as a senior executive, leading 
global operations in telecommunications, water, biotech and healthcare.  He is an executive director of Hutchison Water Israel Ltd (an 
associated company of CK Hutchison) which focuses on large scale projects including desalination, wastewater treatment and water 
reuse.  He was formerly an independent non-executive director of Leumi Card Ltd., a subsidiary of Bank Leumi Le-Israel B.M., one of 
Israel’s leading credit card companies.  Dr. Eldar received a Ph.D. degree in government from Harvard University, master of arts degree 
in government from Harvard University, master of arts degree in political science and public administration from the Hebrew University 
of Jerusalem and a bachelor of arts degree in political science from the Hebrew University of Jerusalem. 

194 

Edith Shih has been a non-executive director and company secretary of our company since 2006 and the company secretary of 
Group  companies  since  2000.  She  is  also  chairman  of  our  sustainability  committee.  She  has  over  35  years  of  experience  in  legal, 
regulatory, corporate finance, compliance and corporate governance fields. She is also an executive director and company secretary of 
CK Hutchison. She has been with the Cheung Kong (Holdings) Limited group, or CKH, since 1989 and with Hutchison Whampoa 
Limited, or HWL, from 1991 to 2015. Both CKH and HWL became wholly-owned subsidiaries of CK Hutchison in 2015.  She has 
acted in various capacities within the HWL group, including head group general counsel and company secretary of HWL as well as 
director and company secretary of HWL subsidiaries and associated companies. Ms. Shih is in addition a non-executive director of 
Hutchison  Telecommunications  Hong  Kong  Holdings  Limited,  Hutchison  Port  Holdings  Management  Pte.  Limited  as  the  trustee-
manager of Hutchison Port Holdings Trust and a member of board of commissioners of PT Duta Intidaya Tbk. In addition, Ms. Shih is 
a director of certain substantial shareholders (within the meaning of the Securities and Futures Ordinance of Hong Kong) of our company 
and certain companies controlled by substantial shareholders of our company. The aforementioned companies are either subsidiaries or 
associated  companies  of  CK  Hutchison  of  which  Ms.  Shih  has  oversight  as  director  of  CK  Hutchison.  She  is  the  immediate  past 
international president and current member of the executive committee of The Chartered Governance Institute, or CGI, as well as a past 
president and current chairperson of the nomination committee of The Hong Kong Charted Governance Institute, or HKCGI, formerly 
known as The Hong Kong Institute of Chartered Secretaries. She is also chairman of the process review panel for the Financial Reporting 
Council, a panel member of the Securities and Futures Appeals Tribunal and a member of the Hong Kong-Europe Business Council.  
Ms. Shih is a solicitor qualified in England and Wales and Hong Kong and Victoria, Australia. She is a fellow of both the CGI and 
HKCGI, holding chartered secretary and chartered governance professional dual designations. Ms. Shih received a bachelor of science 
degree and a master of arts degree from the University of the Philippines as well as a master of arts degree and a master of education 
degree from Columbia University, New York. 

Paul Rutherford Carter has been a senior independent non-executive director since 2017.  He is also chairman of our remuneration 
committee and a member of our audit committee and technical committee. He has more than 26 years of experience in the pharmaceutical 
industry.  From 2006 to 2016, Mr. Carter served in various senior executive roles at Gilead Sciences, Inc., or Gilead, a research-based 
biopharmaceutical company, with the last position as executive vice president, commercial operations.  In this role, Mr. Carter headed 
the worldwide commercial organization responsible for the launch and commercialization of all of Gilead’s products.  He also worked 
as a senior executive at GlaxoSmithKline Plc.  He is currently a director of Mallinckrodt plc. He is also a director of Immatics N.V. and 
VectivBio Holding AG.  He is chairman of Evox Therapeutics and a retained advisor to several firms active in the life sciences sector.  
He was formerly a director of Alder Biopharmaceuticals, Inc. Mr. Carter received a degree in business studies from the Ealing School 
of Business and Management (now merged into University of West London) and is a fellow of the Chartered Institute of Management 
Accountants in the United Kingdom. 

Karen Jean Ferrante has been an independent non-executive director since 2017. She is also chairman of our technical committee 
and a member of our audit committee.  She has more than 26 years of experience in the pharmaceutical industry.  She was the former 
chief medical officer and head of research and development of Tokai Pharmaceuticals, Inc., a biopharmaceutical company focused on 
developing and commercializing innovative therapies for prostate cancer and other hormonally driven diseases.  Dr. Ferrante previously 
held senior positions at Millennium Pharmaceuticals, Inc. and its parent company, Takeda Pharmaceutical Company Limited, including 
chief medical officer and most recently as oncology therapeutic area and Cambridge USA site head. She also held positions of increasing 
responsibility at Pfizer Inc., or Pfizer, with the last position as vice president, oncology development.  Dr. Ferrante is currently a member 
of the board of directors of MacroGenics, Inc. and Cogent Biosciences, Inc. (formerly Unum Therapeutics Inc.). She is also a member 
of the scientific advisory board of Kazia Therapeutics Limited. Dr. Ferrante was previously a director of Baxalta Incorporated until it 
was acquired by Shire plc in 2016 and a director of Progenics Pharmaceuticals, Inc., until it was acquired by Lantheus Holdings, Inc. in 
2020. She was also previously a member of the scientific advisory board of Trillium Therapeutics Inc. until it was acquired by Pfizer in 
November 2021. She is an author of a number of papers in the field of oncology, an active participant in academic and professional 
associations and symposia and holder of several patents.  Dr. Ferrante received a bachelor of science degree in chemistry and biology 
from Providence College and a doctor of medicine from Georgetown University. 

195 

Graeme Allan Jack has been an independent non-executive director since 2017.  He is also chairman of our audit committee and a 
member of our nomination committee and remuneration committee.  He has more than 40 years of experience in finance and audit.  He 
retired as partner of PricewaterhouseCoopers in 2006 after a distinguished career with the firm for over 33 years.  He is currently an 
independent non-executive director of The Greenbrier Companies, Inc. (an international supplier of equipment and services to the freight 
rail transportation markets) and Hutchison Port Holdings Management Pte. Limited, and also serves as the trustee-manager of Hutchison 
Port Holdings Trust (a developer and operator of deep water container terminals). He was formerly a director of COSCO SHIPPING 
Development  Co.,  Ltd.  (formerly  China  Shipping  Container  Lines  Company  Limited,  an  integrated  financial  services  platform 
principally engaged in vessel and container leasing).  He received a bachelor of commerce degree from the University of New South 
Wales, Australia and is a Fellow of the Hong Kong Institute of Certified Public Accountants and an Associate of Chartered Accountants 
Australia and New Zealand.  

Shu Kam Mok, Tony has been an independent non-executive director since 2017.  He is chairman of our nomination committee and 
a member of our sustainability committee and technical committee.  Professor Mok has more than 31 years of experience in clinical 
oncology with his main research interest focusing on biomarker and molecular targeted therapy in lung cancer.  He is currently Li Shu 
Fan Medical Foundation named professor and chairman of department of clinical oncology at The Chinese University of Hong Kong.  
Professor Mok has contributed to over 250 articles in international peer-reviewed journals, as well as multiple editorials and textbooks.  
In October 2018, Professor Mok was the first Chinese to be bestowed with the European Society for Medical Oncology (ESMO) Lifetime 
Achievement Award, one of the most prestigious international honors and recognitions given to cancer researchers, for his contribution 
to and leadership in lung cancer research worldwide.  He is a non-executive director of AstraZeneca PLC,  a board director of the 
American  Society  of  Clinical  Oncology  (“ASCO”)  and  a  steering  committee member  of  the  Chinese  Society  of  Clinical  Oncology 
(“CSCO”). He is also currently chairman of the board of ACT Genomics Holdings Ltd. (“ACT Genomics”) and a non-executive 
independent director of Lunit USA Inc. He is past president of the International Association for the Study of Lung Cancer, and co-
founder of Sanomics Limited (acquired by ACT Genomics in November 2021) and Aurora Tele-Oncology Limited.  Professor Mok is 
also closely affiliated with the oncology community in China and has been awarded an Honorary Professorship at Guangdong Province 
People’s Hospital, Guest Professorship at Peking Union Medical College Hospital and Visiting Professorship at Shanghai Jiao Tong 
University.  He received his bachelor of medical science degree and a doctor of medicine from University of Alberta, Canada.  He is 
also a fellow of the Royal College of Physicians and Surgeons of Canada, Hong Kong College of Physicians, Hong Kong Academy of 
Medicine, Royal College of Physicians of Edinburgh and ASCO. 

Marek  Krzysztof  Kania  is our executive president, managing director and chief medical officer. Prior to joining our company in 
2018, Dr. Kania spent 25 years with Eli Lilly where he led teams on multiple oncology products around the world. While at Eli Lilly, Dr. 
Kania  was  involved  in  clinical  research  and  development,  global  medical  affairs  including  product  launches  and  medical  policy  and 
strategy. Prior to joining Eli Lilly, Dr. Kania practiced as an anesthesiologist and critical care physician. Dr. Kania is a member of the 
American  Society  of  Clinical  Oncology  and  the  American  Association  for  Cancer  Research.  He  received  his  medical  training  at  the 
Silesian School of Medicine in Katowice, Poland, and subsequently completed an anesthesiology and critical-care residency, with board 
certification  from  Jagiellonian  University  School  of  Medicine  in  Krakow.    Dr.  Kania  also  holds  an  MBA  degree  from  The 
University of Chicago Booth Graduate School of Business. 

Karen Jane Atkin is our executive vice president and chief operating officer. Prior to joining our company in 2021, Dr. Atkin spent 
24 years at AstraZeneca in senior medical, regulatory, pharmacovigilance, R&D and commercial leadership roles, including as senior 
vice  president  of  medical  for  biopharmaceuticals,  vice  president  of  the  global  infection,  neuroscience  and  autoimmunity  therapy  area 
and  the  established  brand  business,  country  president  of  Indonesia  and  led  China  R&D  for  over  four  years.  Dr.  Atkin  is  also  a 
registered  physician  with  advanced  level  qualifications  in  internal  medicine  and  pharmaceutical  medicine.  Dr.  Atkin  holds  three 
bachelor’s degrees in physiology, medicine and surgery, respectively, from University  College  London.  She  graduated  with  a  first 
class honors degree in medicine, holds  an  MBA from  the  Open University,  is  a Member  of  the  Royal  College  of  Physicians  and  a 
fellow of the Faculty of Pharmaceutical Medicine in the UK. 

Zhenping Wu joined our company in 2008 and has been our senior vice president of pharmaceutical sciences since 2012.  Dr. Wu 
has  over  28  years  of  experience  in  drug  discovery  and  development.    His  past  positions  include  senior  director  of  pharmaceutical 
sciences  at  Phenomix  Corporation,  a  U.S.-based  biotechnology  company,  director  of  pharmaceutical  development  at  Pfizer  Global 
Research & Development in California (formerly Agouron Pharmaceuticals) and a group leader at Roche at its Palo Alto site.  He is a 
past  chairman  and  president  of  the  board  of  the  Sino-American  Biotechnology  and  Pharmaceutical  Association.    Dr.  Wu  received  a 
Ph.D.  from the University of Hong Kong and a master in business administration from the University of California at Irvine. 

196 

Kin Hung Lee, Mark is our senior vice president of corporate finance and development and joined our company in 2009. He began 
working in healthcare investment banking in the United States and Europe in 1998.  Based in the New York and London offices of 
Credit  Suisse,  Mr.  Lee  was  involved  in  the  execution  and  origination  of  mergers,  acquisitions,  public  and  private  financings  and 
corporate strategy for life science companies such as AstraZeneca, Bristol-Myers Squibb and Genzyme, as well as other medical product 
and service companies.  Mr. Lee received his bachelor’s degree in biochemical engineering with first class honors from University 
College  London,  where  he  was  awarded  a  Dean’s  Commendation.  He  also  received  a  master  of  business  administration  from  the 
Massachusetts Institute of Technology’s Sloan School of Management. 

Qingmei Wang, May is our senior vice president of business development & strategic alliances. Prior to joining our company in 
2010,  Dr.  Wang  spent  16  years  with  Eli  Lilly  where  she  was  the  head  of  Eli  Lilly’s  Asian  Biology  Research  and  responsible  for 
establishing and managing research collaborations in China and across Asia.  Dr. Wang holds numerous patents, has published more 
than 50 peer-reviewed articles and has given dozens of seminars and plenary lectures.  Dr. Wang received a Ph.D.  in biochemistry from 
Purdue University. 

Hong Chen is our senior vice president and chief commercial officer (China). Prior to joining our company in 2011, Mr. Chen spent 
12  years  with  Bristol-Myers  Squibb  and  was  last  serving  as  its  national  sales  &  marketing  director  in  China.  Mr.  Chen  received  a 
bachelor’s degree in medicine from Nanjing Medical University and an EMBA from Cheung Kong Graduate School of Business. 

Thomas  R.  Held has been our senior vice president, commercial (U.S.) since 2020.  He  is  responsible  for  establishing  and 
leading our  commercial  presence  in  the  United  States  and  building  the  commercial  infrastructure  for  our  international  operations, 
including  launch  strategy,  marketing  sales,  market  access  and  operational  planning.  Mr.  Held  has  more  than  30  years  of 
experience  in  the  pharmaceutical  industry  with  a  majority  of  time  spent  in  the  oncology  commercial  space.  In  his  most  recent 
position,  he  served  as  vice  president  of  Daiichi  Sankyo’s  emergent  Antibody  Drug  Conjugate  strategic  platform.  Prior  to  Daiichi 
Sankyo,  he  held  commercial roles of  increasing  responsibility  at  Novartis  Oncology,  where  he  worked  from  1997  to  2017,  gaining 
invaluable experience in the solid tumor arena, including importantly neuroendocrine tumors. Mr. Held received a bachelor’s degree 
in economics from Allegheny College and an MBA from Ashland University. 

Charles George Rupert Nixon has been our group general counsel since 2015 and has worked with us since 2006. Prior to joining 
us, Mr. Nixon was group senior legal counsel for Hutchison Whampoa Limited (previously a listed company in Hong Kong and after a 
restructuring, a subsidiary of CK Hutchison Holdings Limited) in both Hong Kong and London and prior to that senior legal counsel 
for Three UK, a mobile phone operator. Mr. Nixon has been with the CK Hutchison Group since 2001. Mr. Nixon received an LL.B 
(Hons) from Middlesex University and is a qualified solicitor in England & Wales with 30 years of experience. 

Board Diversity 

On August 6, 2021, the SEC approved the Nasdaq Stock Market’s proposal to amend its listing standards to encourage greater board 
diversity  and  to  require  board  diversity  disclosures  for  Nasdaq-listed  companies.  Pursuant  to  the  amended  listing  standards, 
HUTCHMED, as a foreign private issuer, is required to have at least two diverse board members or explain the reasons for not meeting 
this objective by 2025. Furthermore, a board diversity matrix is required to be included in the annual report on Form 20-F, containing 
certain demographic and other information regarding members of our board of directors. HUTCHMED currently complies with the 
diversity requirement, as we currently have two female and eight male members on our board of directors. The board diversity matrix 
is set out below. 

Board Diversity Matrix (As of March 1, 2022) 
Place of Principal Executive Offices 
Foreign Private Issuer 
Disclosure Prohibited under Home Country Law 
Total Number of Directors 

Hong Kong 
Yes 
No 
 10 

197 

 
Part I: Gender Identity 
Directors 
Part II: Demographic Background 
Underrepresented Individual in Place of Principal Executive Offices
LGBTQ+ 
Did Not Disclosure Demographic Background 

Female 

Male 

      Non-Binary     

Gender 

   Did Not Disclose

2

—
—
—

 8   

 —   
 —  
 —  

—

—
—
—

—

—
—
—

B.    Compensation. 

Summary Compensation Table 

Executive Officer Compensation 

The following table sets forth the non-equity compensation paid or accrued during the year ended December 31, 2021 to our chief 

executive officer, chief financial officer, chief scientific officer and other executive officers on an aggregate basis. 

Name and Principal Position 
Christian Lawrence Hogg 
Chig Fung Cheng, Johnny 
Weiguo Su 
Other Executive Officers in the Aggregate 

Notes: 

Salary 
and fees 
($) 

469,038 (1)(2) 1,000,000
390,412 (3) 
410,256
470,065 (4) 
834,621

Bonus(5) 
($) 

     Taxable     Non-taxable      Pension 
benefits 
  benefits  
($) 
($) 
 9,936   
18,365
 9,936   
—
 6,790   
10,000
2,440,073   39,805
 58,279   

  contributions  
($) 
 30,250
 27,903
 34,946
 129,843

Total 
($) 
1,527,589
838,507
1,356,422
5,106,670

2,438,670

(1)  Director’s fees received from the subsidiaries of our company during the period he served as director that were paid to a subsidiary 

or an intermediate holding company of our company are not included in the amounts above. 

(2)  Amount includes director’s fees of $77,151. 

(3)  Amount includes director’s fees of $72,151. 

(4)  Amount includes director’s fees of $75,000. 

(5)  In December 2013 and March 2014, we awarded cash retention bonuses to certain of our executive officers in the aggregate amount 
of $2,977,751.  Each such executive officer receives portions of his or her retention bonus upon certain dates in the future depending 
on when the bonus was granted and, in each case, assuming he or she remains employed by our company on such future dates.  No 
amounts in relation to such cash retention bonuses were paid in 2021. 

Employment Arrangements with our Executive Officers 

Offer Letters for Executive Officers at HUTCHMED (China) Limited and HUTCHMED Holdings (HK) Limited (formerly 
Hutchison MediPharma (Hong Kong) Limited) 

We have entered into employment offer letters with each of our executive officers who is employed by our Hong Kong subsidiaries, 
HUTCHMED Group (HK) Limited or HUTCHMED Holdings (HK) Limited, namely Mr. Christian Lawrence Hogg, Mr. Chig Fung 
Cheng, Johnny, Ms. Karen Jane Atkin, Mr. Kin Hung Lee, Mark and Mr. Charles George Rupert Nixon. Under these our executives 
receive compensation in the form of salaries, discretionary bonuses, participation in the Hutchison Provident Fund retirement scheme, 
medical  coverage  under  the  CK  Hutchison  Group  Medical  Scheme,  personal  accident  insurance  and  annual  leave.    None  of  the 
employment arrangements provide benefits to our executive officers upon termination.  We may terminate employment by giving the 
executive three months’ prior written notice.  The executive officer may also voluntarily terminate his/her employment with us upon 
not less than three months’ prior written notice to us. 

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Each executive officer has agreed, for the term of employment with us and thereafter, not to disclose or use for his/her own purposes 
any of  our  and  our  associated companies’ confidential  information  that  the  executive officer may develop or  learn in  the  course of 
employment with us. Moreover, each of our executive officers has agreed, for the term of employment with us and for a period of twelve 
months thereafter, (i) not to undertake or be employed or interested directly or indirectly anywhere in Hong Kong in any activity which 
is similar to and competitive with our company or associated companies in which the executive officer had been involved in the period 
of 12 months prior to such termination and (ii) not to solicit for any employees of our company or our joint ventures or orders from any 
person, firm or company which was at any time during the 12 months prior to termination of such employment a customer or supplier 
of our company or associated companies. 

Employment Agreements with Executive Officers at HUTCHMED Limited 

We have entered into employment agreements with each of our executive officers who are employed directly by HUTCHMED 
Limited, namely Dr. Weiguo Su, Dr. Qingmei Wang, May and Dr. Zhenping Wu.  Under these employment agreements, we engage the 
executive  officer  on  either  an  open-ended   or  a  fixed  term.     Our   executive  officers  receive  compensation  in  the  form  of  salaries, 
discretionary bonuses, annual leave, statutory maternity leave and nursing leave. 

Under the terms of these agreements, we provide labor protection and work conditions that comply with the safety and sanitation 
requirements stipulated by the relevant PRC laws.  The employment agreements prohibit the executive officers from engaging in any 
conduct  and  business  activities  which  may  compete  with  the  business  or  interests  of  HUTCHMED  Limited  during  the  term  of  the 
executive officer’s employment.  These executive officers also enjoy the Hutchison Provident Fund retirement scheme, medical coverage 
under the CK Hutchison Group Medical Scheme and personal accident insurance. 

We may terminate an executive officer’s employment for cause at any time without notice.  Termination for cause may include a 
serious  breach  of  our  internal  rules  and  policies,  serious  negligence  in  the  executive  officer’s  performance  of  his  or  her  duties,  an 
accusation  or  conviction  of a  criminal  offence,  acquisition  of  another  job  which  materially  affects  the  executive  officer’s  ability  to 
perform his or her duties for our company and other circumstances stipulated by applicable PRC laws. We may terminate an executive 
officer’s employment with three months’ prior notice if the executive officer is unable to perform his or her duties (after the expiration 
of the prescribed medical treatment period) because of an illness or non-work-related injury or the executive officer is incompetent and 
remains incompetent after training or adjustment of his or her position. 

The executive officer may voluntarily terminate his or her contract without cause with three months’ prior notice. The executive 
officer may also terminate the employment agreement immediately for cause, which includes a failure by us to provide labor protection 
and the work conditions as specified under the employment agreement.  In case of termination for any reason, we agree to make any 
mandatory severance payments required by the relevant PRC labor laws. 

Offer Letters for Executive Officers at HUTCHMED International Corporation (formerly Hutchison MediPharma 

(US) Inc. and Hutchison MediPharma International Inc.)

We have entered into employment offer letters with each of our executive officers who is employed by one of our U.S. subsidiaries, 
HUTCHMED International Corporation, namely Mr. Marek Krzysztof Kania and Mr. Thomas R. Held. Under these offer letters, such 
executives receive compensation in the form of salaries, discretionary bonuses, group medical, dental and other insurance 401(k) plan 
and annual leave. We may terminate employment by giving the executive three months’ prior written notice.  The executive officer may 
also voluntarily terminate his employment with us upon not less than three months’ prior written notice to us. In the event that the 
employment is terminated by us without cause or by the executive with good reason and the executive has completed at least 12 months 
of service, the executive may be entitled to up to six months of salary and prorated annual target bonus. Mr. Marek Krzysztof Kania has 
also agreed, for the term of employment with us and thereafter, not to disclose or use for his own purposes any of our and our associated 
companies’ trade secrets or confidential information that he may develop or learn in the course of employment with us. 

Employment Agreement with Executive Officer at Hutchison Sinopharm 

We have entered into an employment agreement with Mr. Hong Chen, one of our executive officers, who is employed by Hutchison 
Sinopharm.  Under this employment agreement, Mr. Chen’s employment is for a fixed term, and he receives compensation in the form 
of salaries, discretionary bonuses, annual leave, statutory maternity leave and nursing leave. 

199 

Under the terms of this agreement, we provide labor protection and work conditions that comply with the safety and sanitation 
requirements stipulated by the relevant PRC laws.  The employment agreement prohibits any conduct directly or indirectly which is 
harmful to Hutchison Sinopharm during the term of the employment. 

We may terminate Mr. Chen’s employment for cause at any time without notice. We may also terminate the employment with prior 
notice and termination compensation if Mr. Chen is unable to perform his duties because of an illness or non-work-related injury or he 
is incompetent and remains incompetent after training or adjustment of his position. Mr. Chen may voluntarily terminate his employment 
agreement without cause with one month’s prior notice and immediately for cause. 

Share Options 

The  following  table  sets  forth  information  concerning  the  outstanding  equity  awards  held  by  our  chief  executive  officer,  chief 

financial officer, chief scientific officer and other executive officers on an aggregate basis as of December 31, 2021. 

Date of grant of 
share options 
Name and Principal Position 
Apr 28, 2020 
Christian Lawrence Hogg 
Dec 14, 2020 
Christian Lawrence Hogg 
Mar 26, 2021 
Christian Lawrence Hogg 
Apr 28, 2020 
Chig Fung Cheng, Johnny 
Mar 26, 2021 
Chig Fung Cheng, Johnny 
Weiguo Su 
Jun 15, 2016 
Mar 27, 2017 
Weiguo Su 
Weiguo Su 
Mar 19, 2018 
Apr 28, 2020 
Weiguo Su 
Weiguo Su 
Dec 14, 2020 
Mar 26, 2021 
Weiguo Su 
Dec 14, 2021 
Weiguo Su 
Jun 15, 2016 
Other Executive Officers in the Aggregate 
Other Executive Officers in the Aggregate 
Apr 20, 2018 
Aug 6, 2018 
Other Executive Officers in the Aggregate 
Other Executive Officers in the Aggregate 
Dec 11, 2019 
Apr 28, 2020 
Other Executive Officers in the Aggregate 
Other Executive Officers in the Aggregate 
Dec 14, 2020 
Other Executive Officers in the Aggregate  Mar 26, 2021 
Other Executive Officers in the Aggregate 
Dec 14, 2021 

Number of 
unexercised shares
which are 
exercisable 
(#) 
322,925 (=64,585 ADSs)
9,900 (=1,980 ADSs)
—
100,475 (=20,095 ADSs)
—
3,000,000
1,000,000
750,000
197,425 (=39,485 ADSs)
4,740 (=948 ADSs)
—
—
2,936,860
525,810
281,250
200,000
439,600 (=87,920 ADSs)
77,465 (=15,493 ADSs)

Number of 
unexercised shares 
which are
unexercisable
(#) 
968,775 (=193,755 ADSs)
29,710 (=5,942 ADSs)
868,900 (=173,780 ADSs)
301,425 (=60,285 ADSs)
240,500 (=48,100 ADSs)

250,000
592,275 (=118,455 ADSs)
14,220 (=2,844 ADSs)
282,400 (=56,480 ADSs)
24,930 (=4,986 ADSs)

175,290
93,750
200,000
1,318,800 (=263,760 ADSs)
232,425 (=46,485 ADSs)
— 1,031,100 (=206,220 ADSs)
356,955 (=71,391 ADSs)
—

Number of

Number of  
shares issued   options lapsed/
upon exercise 
in 2021 

cancelled in
2021 

Option
expiration
date 

   Exercise price     

$
$
$
$
$
— £
— £
£
$
$
$
$
— £
£
£
£
$
$
$
$

22.090
29.000
27.940
22.090
27.940
1.970
3.105
4.974
22.090
29.000
27.940
35.210
1.970
4.645
4.860
3.592
22.090
29.000
27.940
35.210

 — 
 —  
 — 
 —  
 — 
 —  
 — 
 —  
 — 
 —  
 — 
 —  
 — 
 —  
 — 
 —  
 — 
 —  
 — 
 —  

— Apr 27, 2030
— Dec 13, 2030
— Mar 25, 2031
— Apr 27, 2030
— Mar 25, 2031
— Jun 14, 2026
— Mar 26, 2027
— Mar 18, 2028
— Apr 27,  2030
— Dec 13, 2030
— Mar 25, 2031
— Dec 13, 2031
— Dec 19, 2023
— Apr 19, 2028
— Aug 5, 2028
— Dec 10, 2029
— Apr 27, 2030
— Dec 13, 2030
— Mar 25, 2031
— Dec 13, 2031

Note: The share options granted on or after April 28, 2020 were in the form of ADSs and the relevant exercise prices were stated 

in  U.S.  dollars  per  ADS.  For  purposes  of  this  table,  these  share  options  are  presented  in  the  form  of  ordinary  shares  (with 
the corresponding number of ADSs where appropriate). Each ADS represents five ordinary shares. 

Long-Term Incentive Compensation 

The following table sets forth information regarding performance based LTIP awards granted to our chief executive officer, chief 

financial officer, chief scientific officer and other executive officers on an aggregate basis in the year ended December 31, 2021. 

Name and Principal Position 
Christian Lawrence Hogg 
Chig Fung Cheng, Johnny 
Weiguo Su 
Other Executive Officers in the Aggregate

Maximum 
Aggregate 
Value of
LTIP awards(1) (2) 
 1,616,538
 657,211
 1,622,123
 2,738,802

$ 
$ 
$ 
$ 

200 

Notes: 

(1)

The amounts reflected in the table above represent the maximum aggregate value of all LTIP awards outstanding as of December 
31,  2021.  The  LTIP  awards  are  conditional  upon  the  achievement  of  annual  performance  targets  for  the  fiscal  year  2021.  The 
amounts reflected in the table above assume the maximum amount that may be paid under these contingent LTIP awards. The LTIP 
awards will be settled in a variable number of shares based on a fixed monetary amount awarded upon achievement of performance 
targets. An independent third-party trustee who administers the LTIP purchased shares of our company on either the AIM or Nasdaq 
market which will be used to settle the LTIP awards. See “Outstanding Awards and Grants of Awards” for more details. 

(2) Vesting will occur two business days after the date of the announcement of our annual results for the financial year 2023.

The following table sets forth a summary of the compensation we paid to our directors other than Christian Lawrence Hogg, Chig 

Fung Cheng, Johnny and Weiguo Su during 2021. 

Director Compensation 

 rotceriD fo emaN
Chi Keung To, Simon 
Dan Eldar
Edith Shih 
Paul Rutherford Carter
Karen Jean Ferrante 
Graeme Allan Jack
Shu Kam Mok, Tony 

Notes: 

     Maximum Value of Non-
Fees Earned or   Performance Based LTIP

  hsaC ni diaP

$
$
$
$
$
$
$

85,000 (2) $ 
000,07
 $
74,301 (3) $ 
 $
000,711
102,500
$ 
 $
000,111
$ 
99,011

detnarG sdrawA

(1) 
 250,000 (4)
000,052 
 250,000 (5)
000,052 
 250,000
000,052 
 250,000

(1) Such awards vest in equal installments of 25% over four years and are not subject to performance based criteria.

(2) Such director’s fees were paid to Hutchison Whampoa (China) Limited, a wholly owned subsidiary of CK Hutchison. Director’s
fees received from our subsidiaries during the period he served as director that were paid to a subsidiary or an intermediate holding
company of our company are not included in the amounts above.

(3) Such director’s fees were paid to Hutchison International Limited, a wholly owned subsidiary of CK Hutchison. Director’s fees
received from our subsidiaries during the period she served as director that were paid to a subsidiary or an intermediate holding
company of our company are not included in the amounts above.

(4) Such  LTIP  awards  were  not  received  by  Mr.  Chi  Keung  To,  Simon  but  were  received  by  or  for  the  account  of  his  employer,

Hutchison Whampoa (China) Limited.

(5) Such  LTIP  awards  were  not  received  by  Ms.  Edith  Shih  but  were  received  by  or  for  the  account  of  her  employer,  Hutchison

International Limited.

Equity Compensation Schemes and Other Benefit Plans 

We have two share option schemes. We refer to these collectively as the Option Schemes. Our shareholder adopted the first option 
scheme,  or  the  2005  Option  Scheme,  in  June  2005,  and  it  was  subsequently  approved  by  the  shareholders  of  Hutchison  Whampoa 
Limited, our then majority shareholder, in May 2006 and later amended by our board of directors in March 2007. This share option 
scheme expired in 2016.  In April 2015, our shareholders adopted the second option scheme, or the 2015 Option Scheme, which was 
later approved by the shareholders of CK Hutchison, the ultimate parent of our then majority shareholder, in May 2016. The 2015 Option 
Scheme was subsequently amended in April 2020. 

We also have a long-term incentive scheme which was adopted by our shareholders in April 2015. We refer to this as our LTIP. 

201 

 
 
 
 
Our Option Schemes and LTIP each terminates on the tenth anniversary of their adoption.  Each may also be terminated by its board 
of directors at any time.  Any termination of a scheme is without prejudice to the awards outstanding at such time.  Options are no longer 
being granted under the 2005 Option Scheme, but outstanding awards under the 2005 Option Scheme continue to be governed by the 
terms thereof. 

The following describes the material terms of our Option Schemes and LTIP, or collectively the Schemes. 

Awards and Eligible Grantees. The Option Schemes provide for the award of share options exercisable for ordinary shares or ADSs 
of our company to Eligible Employees (as defined in the Option Schemes) or non-executive directors (excluding any independent non-
executive directors under the Option Schemes). 

Under our LTIP, awards in the form of contingent rights to receive either shares purchased from the market by the scheme trustee 
or  cash  payments  may  be  granted  to  the  directors  of  our  company,  directors  of  our  subsidiaries  and  employees  of  our  company, 
subsidiaries, affiliates or such other companies as determined by our board of directors in its absolute discretion. 

Scheme Administration. Our board of directors has delegated its authority for administering our Option Schemes and our LTIP to 
our remuneration committee.  Each such plan administrator has the authority to, among other things, select participants and determine 
the  amount  and  terms  and  conditions  of  the  awards  under  the  applicable  Schemes  as  it  deems  necessary  and  proper,  subject  to  the 
restrictions described in “—Restrictions on Grants” below. 

Restrictions on Grants. Under the Option Schemes, grants may not be made to independent non-executive directors.  Furthermore, 
those  grants  may  not  be  made  to  any  of  our  employees  or  directors  if  such  person  is  also  a  director,  chief  executive  or  substantial 
shareholder of any of our direct or indirect parent companies which is listed on a stock exchange or any of its associates without approval 
by  the  independent  non-executive  directors  of  such  parent  company  (excluding  any  independent  non-executive  director  who  is  a 
proposed grantee).  In addition, approval by our shareholders and the shareholders of such listed parent company is required if an option 
grant under our Option Schemes is to be made to a substantial shareholder or independent non-executive director of a listed parent 
company or any of its associates and, upon exercise of such grant and any other grants made during the prior 12-month period to that 
shareholder, that individual would receive an amount of our ordinary shares equal or greater than 0.1% of our total outstanding shares 
or with an aggregate value in excess of HK$5 million (equivalent to $0.6  million as of December 31, 2017).   

In  addition, options under our Option Schemes may not be  granted to any individual if, upon the exercise of such options, the 
individual would receive an amount of shares when aggregated with all other options granted to such individual under the applicable 
Scheme in the 12-month period up to and including the grant date, that exceeds 1% of the total shares outstanding of the company 
granting the award on such date.  There are no individual limits under our LTIP. 

Under our LTIP, no grant to any director, chief executive or substantial shareholder of our company may be made without the prior 

approval of our independent non-executive directors (excluding an independent non-executive director who is a proposed grantee). 

Vesting. Vesting conditions of options granted under the Schemes are determined by the respective board of directors at the time of 

grant. 

202 

Under  our  Option  Schemes,  if  a  participant  has  committed  any  misconduct  or  any  conduct  making  such  participant’s  service 
terminable for cause, all options (whether vested or unvested) lapse unless the respective board of directors otherwise determines in its 
absolute discretion.  Options may be exercised to the extent vested where a participant’s service ceases due to the participant’s death, 
serious illness, injury, disability, retirement at the applicable retirement age, or earlier if determined by the participant’s employer, or if 
a participant’s service ceases for any other reason other than for cause. 

Under our LTIP, if a participant’s employment or service with our company or its subsidiaries is terminated for cause or if the 
participant  breaches  certain  provisions  in  our  LTIP  restricting  the  transfer  of  awards  by  grantees  and  imposing  non-competition 
obligations on grantees, all unvested awards are automatically cancelled.  Where a participant’s employment or service ceases for any 
reason other than the reasons listed above (including due to the participant’s resignation, retirement, death or disability or upon the non-
renewal  of  such  participant’s  employment  or  service  agreement  other  than  for  cause),  our  board  of  directors  may  determine  at  its 
discretion whether unvested awards shall be deemed vested. 

Exercise Price. The exercise price for each share pursuant to the initial options granted under the 2005 Option Scheme was a price 
determined by our board of directors at the date of grant, and for grants made thereafter, the exercise price was the Market Value of a 
share at the date of grant (as defined in our Option Schemes). 

The exercise price for each share pursuant to the options granted under the 2015 Option Scheme must be the Market Value of a 

share at the date of grant (as defined in our Option Schemes).  

Non-transferability  of  Awards.  Awards  may  not  be  transferred  except  in  the  case  of  a  participant’s  death  by  the  terms  of  each 

Scheme. 

Takeover or Scheme of Arrangement. In the event of a general or partial offer for the shares of our company under our Option 
Schemes, whether by way of takeover, offer, share repurchase offer, or scheme of arrangement, the affected company is required to use 
all reasonable endeavors to procure that such offer is extended to all holders of options granted by such company on the same terms as 
those applying to shareholders.  Both vested and unvested options may be exercised up until (i) the closing date of any such offer and 
(ii) the record date for entitlements under a scheme of arrangement, and will lapse thereafter. Certain options may also be exercised on 
a voluntary winding up of our company. 

Under  our  LTIP,  in  the  event  of  a  general  offer  for  all  the  shares  of  our  company,  whether  by  way  of  takeover  or  scheme  of 
arrangement, or if our company is to be voluntarily wound up, our board of directors shall determine in its discretion whether outstanding 
unvested awards will vest and the period within which such awards will vest. 

Amendment. Our Option Schemes require that amendments of a material nature only be made with the approval of our shareholders. 

Our board of directors may alter the terms of our LTIP, but amendments which are of a material nature cannot take effect without 

shareholders’ approval, unless the changes take effect automatically under the terms of our LTIP. 

Authorized  Shares.  Under  our  2015  Option  Scheme,  our  board  of  directors  may  “refresh”  the  scheme  limit  from  time  to  time 
provided that the total number of shares which may be issued upon exercise of all options to be granted under our Option Schemes shall 
not exceed 10% of our total shares outstanding on such date.  In addition, the limit on the number of shares which may be issued upon 
exercise of all outstanding options granted and not yet exercised under the 2015 Option Scheme and any options granted and not yet 
exercised under any other schemes must not exceed 10% of the outstanding shares of the company in issue from time to time.  In April 
2020, our shareholders approved a refresh of the 2015 Option Scheme. 

Following the 2015 Option Scheme refresh discussed above, subject to certain adjustments for share splits, share consolidations 
and other changes in capitalization, the maximum number of shares that may be issued upon exercise of all options granted may not in 
the aggregate exceed 5% of our shares outstanding on April 27, 2020.  Share awards under our LTIP may not exceed 5% of our shares 
outstanding on the adoption date of our LTIP. 

Outstanding Awards and Grants of Awards 

Share options outstanding under the 2005 Option Scheme 

203 

The 2005 Option Scheme expired in 2016, and no further share options can be granted under it.  As of December 31, 2021, options 
to purchase an aggregate of 705,060 ordinary shares, representing approximately 0.1% of our outstanding share capital, with an exercise 
price of £0.61 ($0.81) per ordinary share and an expiration date of December 19, 2023 remained outstanding under the 2005 Option 
Scheme. 

Share options outstanding and grants made in 2021 under the 2015 Option Scheme 

As of December 31, 2021, options to purchase an aggregate of 36,485,530 ordinary shares, representing approximately 4.2% of our 
outstanding share capital, at a weighted average exercise price of £3.72 ($4.95) per ordinary share and an expiration date of 10 years 
from the respective date of grant remained outstanding under the 2015 Option Scheme.  In the year ended December 31, 2021, we 
granted  options  to  purchase  an  aggregate  of  10,174,840  ordinary  shares,  representing  approximately  1.2%  of  our  outstanding  share 
capital, at a weighted average exercise price of £4.47 ($5.96)  per share under the 2015 Option Scheme.  Such options vest in equal 
instalments of 25% over a four-year period. 

Grants and vesting of LTIPs 

In the year ended December 31, 2021, we granted performance based awards under our LTIP to three of our executive officers and 
704 employees, giving them a conditional right to receive ordinary shares to be purchased by the third-party trustee up to an aggregate 
maximum cash amount of $64,590,505.  These awards are related to the achievement of performance targets and will vest two business 
days after the date of the announcement of our annual results for the financial year 2023. For additional information on LTIP awards 
held by our executive officers, please see “B. Compensation—Executive Officer Compensation—Long-Term Incentive Compensation.”    

In the year ended December 31, 2021, we also granted non-performance based awards under our LTIP to each of our seven directors 
and  five  employees,  giving  them  a  conditional  right  to  receive  ordinary  shares  to  be  purchased  by  the  third-party  trustee  up  to  an 
aggregate maximum cash amount of $2,453,077.  The LTIP awards to our directors vest in equal installments of 25% over four years, 
$603,077 of the LTIP awards to employees vest over a four-year period and $100,000 of the LTIP awards to an employee vest one year 
after grant.  For additional information on LTIP awards to our directors, please see “B. Compensation—Director Compensation.” 

Vesting of our LTIP awards will also depend upon the award holder’s continued employment or continued service on our board, as 

the case may be.  

In the year ended December 31, 2021, an aggregate of 143,510 ordinary shares and 5,995 ADSs were given to award holders upon 
the vesting of performance based LTIP awards, and 16,015 ordinary shares and 17,809 ADSs were given to award holders upon the 
vesting of non-performance based LTIP awards. 

C.   Board Practices. 

Our board of directors consists of ten directors including four executive directors, two non-executive directors and four independent 
non-executive directors. Pursuant to a relationship agreement dated April 21, 2006, and amended and restated on June 13, 2019, by and 
between our company and Hutchison Whampoa (China) Limited, a parent company of Hutchison Healthcare Holdings Limited, or the 
Relationship Agreement, our board of directors must consist of at least one director who is independent of the CK Hutchison group if 
Hutchison Whampoa (China) Limited is entitled to cast at least 50% votes eligible to be cast on a poll vote at a general meeting of our 
company. The Relationship Agreement will continue in effect until our ordinary shares cease to be traded on the AIM market or the CK 
Hutchison group individually or collectively ceases to hold at least 30% of our shares. 

Our directors are subject to a three-year term of office and hold office until such time as they wish to retire and not offer themselves 
up for re-election, are not re-elected by the shareholders, or are removed from office by ordinary resolution at an annual general meeting 
of  the  shareholders.    Under  our  Articles  of  Association,  a  director  will  be  vacated  if,  among  other  things,  the  director  (i)  becomes 
bankrupt or has a receiving order made against him or suspends payment or compounds with his creditors; or (ii) becomes of unsound 
mind.  For information regarding the period during which our officers and directors have served in their respective positions, please see 
Item 6.A. “Directors and Senior Management.” 

204 

Our board of directors has established an audit committee, remuneration committee, technical committee,  nomination committee 

Board Committees 

and sustainability committee. 

Audit Committee 

Our audit committee consists of Graeme Allan Jack, Paul Rutherford Carter and Karen Jean Ferrante, with Graeme Allan Jack 
serving as chairman of the committee.  Graeme Allan Jack, Paul Rutherford Carter and Karen Jean Ferrante each meets the independence 
requirements under the rules of the Nasdaq Stock Market and under Rule 10A-3 under the Exchange Act.  We have determined that 
Graeme Allan Jack is an “audit committee financial expert” within the meaning of Item 407 of Regulation S-K.  All members of our 
audit committee meet the requirements for financial literacy under the applicable rules and regulations of the SEC and the Nasdaq Stock 
Market. 

Although  we  are  a  foreign  private  issuer,  we  are  required  to  comply  with  Rule  10A-3  of  the  Exchange  Act,  relating  to  audit 
committee  composition  and  responsibilities.    Rule  10A-3  provides  that  the  audit  committee  must  have  direct  responsibility  for  the 
nomination, compensation and choice of our auditor, as well as control over the performance of their duties, management of complaints 
made, and selection of consultants.  Under Rule 10A-3, if the governing law or documents of a listed issuer require that any such matter 
be approved by the board of directors or the shareholders of the company, the audit committee’s responsibilities or powers with respect 
to such matter may instead be advisory.  Our Articles of Association provide that the appointment of our auditor must be decided by our 
shareholders at our annual general meeting or at a subsequent extraordinary general meeting in each year. 

The audit committee formally meets at least twice a year and otherwise as required.  The audit committee’s purpose is to oversee 
our accounting and financial reporting process and the audit of our financial statements.  Our audit committee’s primary duties and 
responsibilities are to: 

  monitor the integrity of our financial statements, our annual and half-year reports and accounts and our announcements of 

interim or final results; 

 

 

 

 

provide advice, where requested by the board of directors, on whether the annual report and accounts, taken as a whole, are 
fair, balanced and understandable, and provide the information necessary for shareholders to assess our company’s position 
and performance, business model and strategy; 

review significant financial reporting issues and the judgments which they contain; 

review, whenever practicable without being inconsistent with any requirement for prompt reporting under applicable listing 
rules, other statements containing financial information such as significant financial returns to regulators and release of price 
sensitive information first where board of director approval is required; and 

review and challenge where necessary: 

 

 

the consistency of, and any changes to, accounting policies both on a year-on-year basis and across our company; 

the methods used to account for significant or unusual transactions where different approaches are possible; 

  whether  our  company  has  followed  appropriate  accounting  standards  and  made  appropriate  estimates  and  judgments, 

taking into account the views of the external auditor; 

 

 

the clarity of the disclosure in our financial reports and the context in which statements are made; and 

all  material  information  presented  with  the  financial  statements,  such  as  any  operations  and  financial  review  and  any 
corporate governance statements (insofar as it relates to the audit and risk management). 

205 

In relation to our internal controls and risk management systems, our audit committee, among other things: 

 

 

 

 

 

 

reviews the effectiveness of our internal control and risk management systems; 

reviews the policies and procedures for the identification, assessment and reporting of financial and non-financial risks and our 
management of those risks in accordance with the requirements of the Sarbanes-Oxley Act and other applicable laws, rules and 
regulations and the applicable requirements of any stock exchange; 

approves the appointment and removal of the head of the internal audit function; 

ensures our internal audit function has adequate standing and resources and is free from management or other restrictions; 

reviews and monitors our executive management’s responsiveness to the findings and recommendations of the internal audit 
function; and 

reviews with management and our independent auditors the adequacy and effectiveness of our internal control over financial 
reporting and disclosure controls and procedures. 

In relation to our external auditor, our audit committee, among other things: 

 

 

 

 

 

recommends  the  appointment,  reappointment  or  removal  of  the  external  auditor  and  considers  any  issues  relating  to  their 
resignation, dismissal, remuneration or terms of engagement, subject to approval by the shareholders; 

considers and monitors the external auditor’s independence, objectivity and effectiveness; 

reviews and monitors the effectiveness of the audit process, considering relevant ethical or professional requirements; 

develops  and  implements  policy  on  the  engagement  of  the  external  auditor  to  provide  non-audit  services,  taking  into  any 
relevant ethical guidance; and 

pre-approves the external auditors’ annual audit fees and the nature and scope of proposed audit coverage, subject to approval 
by our shareholders. 

The audit committee is authorized to obtain, at our company’s expense, reasonable outside legal or other professional advice on 

any matters within the scope of its responsibilities. 

Remuneration Committee 

Our  remuneration  committee  consists  of  Paul  Rutherford  Carter,  Graeme  Allan  Jack  and  Chi  Keung  To,  Simon,  with  Paul 
Rutherford  Carter  serving  as  chairman  of  the  committee.    The  remuneration  committee  is  responsible  for  considering  all  material 
elements  of  remuneration  policy  and  remuneration  and  incentives  of  our  executive  directors  and  key  employees  with  reference  to 
independent remuneration research and professional advice.  The remuneration committee meets formally at least once each year and 
otherwise  as  required  and  make  recommendations  to  our  board  of  directors  on  the  framework  for  executive  remuneration  and  on 
proposals for the granting of share options and other equity incentives.  Our board of directors is responsible for implementing these 
recommendations and agreeing the remuneration packages of individual directors.  No director is permitted to participate in discussions 
or decisions concerning his or her own remuneration. 

Technical Committee 

Our technical committee consists of Karen Jean Ferrante, Paul Rutherford Carter, Chi Keung To, Simon, Christian Lawrence Hogg, 
Weiguo Su and Shu Kam Mok, Tony, with Karen Jean Ferrante serving as chairman of the committee.  The technical committee’s 
responsibility is to consider, from time to time, matters relating to the technical aspects of the research and development activities of 
our Oncology/Immunology operations.  It invites such executives as it deems appropriate to participate in meetings from time to time. 

206 

Nomination Committee 

Our nomination committee consists of Shu Kam Mok, Tony, Graeme Allan Jack and Chi Keung To, Simon, with Shu Kam Mok, 
Tony serving as chairman of the committee.  Our nomination committee reviews the structure, size, diversity profile and skills set of the 
board against its needs and makes recommendations on the composition of the board to achieve our corporate strategy as well as promote 
shareholder value.  It facilitates the board in the conduct of the selection and nomination of directors, makes recommendations to the 
board on the appointment or reappointment of directors and succession planning for directors. It also assesses director independence 
having regard to the criteria under the applicable corporate governance code, SEC or stock exchange rules. 

Sustainability Committee 

Our sustainability committee consists of Edith Shih, Christian Lawrence Hogg, Chig Fung Cheng, Johnny and Shu Kam Mok, 
Tony, with Edith Shih serving as chairman of the committee. The sustainability committee is responsible for strengthening our corporate 
governance  and  reporting  framework.  It  advises  our  board  of  directors  and  management  on  and  oversees  the  development  and 
implementation of our corporate social responsibility and sustainability initiatives, including reviewing related policies and practices as 
well as assessing and making recommendations on matters pertaining to our sustainability governance, strategies, planning and risk 
management. 

U.K. Corporate Governance Code 

The U.K. Corporate Governance Code 2018 published by the U.K. Financial Reporting Council, or the 2018 Code, is the primary 
source of corporate governance standards for all companies with a premium listing on the Official List of the U.K. Financial Conduct 
Authority, whether incorporated in the United Kingdom or elsewhere, and it is recognized as a best practice for the largest companies 
by  market  capitalization  on  the  AIM  market.    The  2018  Code  is  comprised  of  main  and  supporting  principles  of  good  governance 
addressing  the  following  areas:  (i)  board  leadership  and  company  purpose;  (ii)  division  of  responsibilities;  (iii)  board  composition, 
succession  and  evaluation;  (iv)  audit,  risk  and  internal  control;  and  (v)  remuneration.    Together  with  the  U.K.  Financial  Reporting 
Council’s Guidance on Board Effectiveness (published in July 2018), it also includes detailed recommendations derived from these 
principles,  such  as  the  roles  of  board  chairman  and  chief  executive  officer  should  not  be  exercised  by  the  same  individual  and  the 
chairman of the board should ensure that new directors receive a full, formal and tailored induction on joining the board.  The 2018 
Code applies to accounting periods beginning on or after January 1, 2019. We adopted the principles of the UK Corporate Governance 
Code applicable to companies listed on the premium segment of the London Stock Exchange main market, despite its shares being 
traded on the AIM market and hence not required to comply with the UK Corporate Governance Code until our listing on the SEHK on 
June 30, 2021. 

Hong Kong Corporate Governance Code 

Following the listing on the SEHK on June 30, 2021, our board of directors has adopted the Corporate Governance Code (“Hong 
Kong Corporate Governance Code”) contained in Appendix 14 of the Rules Governing the Listing of Securities on SEHK in replacement 
of the U.K. Corporate Governance Code 2018 and is in compliance with all code provisions of the Hong Kong Corporate Governance 
Code. 

Code of Ethics 

Our board of directors has adopted a code of ethics to set standards for our directors, officers and employees as are reasonably 
necessary to promote (i) honest and ethical conduct, including the ethical handling of actual or apparent conflicts of interest between 
personal and professional relationships; (ii) full, fair, accurate, timely and understandable disclosure in the reports and documents that 
we  file  or  submit  to  the  applicable  stock  exchanges,  and  in  any  other  public  communications;  (iii)  compliance  with  applicable 
governmental and regulatory laws, rules, codes and regulations; (iv) prompt internal reporting of any violations of the code of ethics; 
and (v) accountability for adherence to the code of ethics. 

Code of Ethics for Business Partners 

Our board of directors has adopted a code of ethics for our business partners, including our suppliers, vendors, customers, agents, 
contractors, joint venture partners and representatives. This code of ethics contains general guidelines to promote the standards outlined 
in our internal code of ethics as described above. 

207 

Complaints Procedures 

Our board of directors has adopted procedures for the confidential receipt, retention, and treatment of complaints from, or concerns 
raised by, employees regarding accounting, internal accounting controls and auditing matters as well as illegal or unethical matters. The 
complaint procedures are reviewed by the audit committee from time to time as warranted to ensure their continuing compliance with 
applicable laws and listing standards as well as their effectiveness. 

Information Security Policy 

Our  board  of  directors  has  adopted  an  information  security  policy  to  define  and  help  communicate  the  common  policies  for 
information confidentiality, integrity and availability to be applied to us and our joint ventures. The purpose of the information security 
policy is to ensure business continuity by preventing and minimizing the impact of security risks within our company and our joint 
ventures. Our information security policy applies to all of our and our joint ventures’ business entities across all countries. It applies to 
the  creation,  communication,  storage,  transmission  and  destruction  of  all  different  types  of  information.  It  applies  to  all  forms  of 
information, including but not limited to electronic copies, hardcopy, and verbal disclosures whether in person, over the telephone, or 
by other means. 

Code on Dealings in Shares 

Our board of directors has adopted a policy on the handling of material inside information, consisting of information which is either 
“inside  information”  under  the  EU  Market  Abuse  Regulation  (Regulation  (EU)  596/2014),  or  MAR,  or  “material  non-public 
information” under U.S. law. This policy, among other things, prohibits any employees, directors, other persons discharging managerial 
responsibilities or their connected persons dealing in our securities or their derivatives, or those of our collaborators, business partners, 
suppliers  and  customers,  while  in  possession  of  material  inside  information.  Certain  members  of  our  senior  management  or  staff, 
including persons discharging managerial responsibilities, and their connected persons are subject to additional compliance requirements 
which are outlined in the code (including but not limited to obtaining written pre-clearance from designated members of management 
prior to any dealing in any such securities is allowed). 

Board Diversity Policy 

Our board of directors has established a board diversity policy as our board of directors recognizes the benefits of a board of directors 
that possesses a balance of skills, experience, expertise, independence and knowledge and diversity of perspectives appropriate to the 
requirements of our businesses. 

We  maintain  that  appointment  to  our  board  of  directors  should  be  based  on  merit  that  complements  and  expands  the  skills, 
experience, expertise, independence and knowledge of the board of directors as a whole, taking into account gender, age, professional 
experience and qualifications, cultural and educational background, and any other factors that our board of directors might consider 
relevant  and  applicable  from  time  to  time  towards  achieving  a  diverse  board  of  directors.  See  also”—Directors  and  Senior 
Management—Board Diversity.” 

D.    Employees. 

As of December 31, 2019, 2020 and 2021, we had 853, 1,280 and 1,759 full-time employees, respectively.  None of our 

employees are represented by labor unions or covered by collective bargaining agreements.  The number of employees by function as 
of the end of the period for our fiscal years ended December 31, 2019, 2020 and 2021 was as follows: 

By Function: 
Oncology/Immunology
Other Ventures 
Corporate Head Office 
Total 

2021 

2020 

2019 

891  
820  
48  
1,759  

 643   
 594   
 43   
 1,280   

500
315
38
853

208 

 
 
 
 
 
 
    
     
     
 
    
 
As of December 31, 2021, a total of 139 employees on our Oncology/Immunology research and development team have M.D. or 
Ph.D. degrees. Additionally, our Other Ventures joint venture Shanghai Hutchison Pharmaceuticals employed a total of 2,883 full time 
employees  as  of  December  31,  2021,  and  such  employees  are  represented  by  labor  unions  and  covered  by  collective  bargaining 
agreements.  To date, Shanghai Hutchison Pharmaceuticals has not experienced any strikes, labor disputes or industrial actions which 
had a material effect on their business, and consider their relations with the union and our employees to be good. 

We  recognize  the  importance  of  high-quality  human  resources  in  sustaining  market  leadership.  Salary  and  benefits  are  kept  at 
competitive levels, while individual performance is rewarded within the general framework of the salary, bonus and incentive system 
of our company, which is reviewed annually. Employees are provided with a wide range of benefits that include medical coverage, 
provident funds and retirement plans and long service awards. We stress the importance of staff development and provides training 
programs on an ongoing basis. Employees are also encouraged to play an active role in community care activities. 

E.    Share Ownership. 

See Item 6.B. “Compensation” and Item 7 “Major Shareholders and Related Party Transactions.” 

209 

 
 
 
ITEM 7. MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONS 

A. Major Shareholders.

We had 864,530,850 ordinary shares outstanding as of March 1, 2022. The following table and accompanying footnotes set forth

information relating to the beneficial ownership of our ordinary shares as of December 31, 2021 by: 







each person, or group of affiliated persons, known by us to beneficially own more than 5% of our outstanding ordinary shares;

each of our directors; and

each of our named executive officers.

Our  major  shareholders  do  not  have  voting  rights  that  are  different  from  our  shareholders  in  general.  Beneficial  ownership  is 

determined in accordance with the rules and regulations of the SEC. 

Name of beneficial owner 
Executive Officers and Directors:** 
Christian Lawrence Hogg 
Chig Fung Cheng, Johnny 
Chi Keung To, Simon 
Edith Shih 
Weiguo Su 
Dan Eldar 
Shu Kam Mok, Tony 
Paul Rutherford Carter 
Karen Jean Ferrante 
Graeme Allan Jack 
Marek Krzysztof Kania 
Karen Jane Atkin 
Zhenping Wu 
Kin Hung Lee, Mark 
Qingmei Wang, May
Hong Chen 
Thomas R. Held 
Charles George Rupert Nixon 
All Executive Officers and Directors as a Group 
Principal Shareholders: 
Hutchison Healthcare Holdings Limited(5)
Capital International Investors(6) 

Number of 
Ordinary 
Share held 

Number of 
American 
Depositary 
Share held 

Appropriate 
percent of Issued 
Share Capital** 

10,938,020
2,561,460
1,800,000
700,000
5,000,000 (2) 
19,000
—
35,240
—
—
* (2) 
—
* (2) 
* (2) 
* (2) 
* (2) 
—
* (2) 
25,354,284 (3) 

 253,364 (1) 
 70,814 (1) 
 133,237 
 100,000 
 187,125 (1) 
 13,787 
 14,796 
 4,074 
 10,579 
 7,794 

* (1) 

 — 

* (1) 
* (1) 
* (1) 
* (1) 
* (1) 
* (1) 
 1,124,923 (4) 

1.4 %
*
*
*
*
*
*
*
*
*
*
—
*
*
*
*
*
*
3.6 %

332,478,770
10,524,720

 — 
 13,957,242 

38.46 %
9.3 %

*

Less than 1% of our total outstanding ordinary shares.

**  Percentage  of  beneficial  ownership  of  each  listed  person  or  group  is  based  on  864,530,850  ordinary  shares  outstanding  as  of 

March 1, 2022. 

(1) Amount includes ADSs to be vested under the LTIP and ADSs issuable upon vesting of options within 60 days of March 1, 2022.

(2) Amount includes ordinary shares issuable upon vesting of options within 60 days of March 1, 2022.

(3) Amount includes ordinary shares and ordinary shares issuable upon vesting of options within 60 days of March 1, 2022 held by our

executive officers and directors as a group.

210 

(4)  Amount includes ADSs and ADSs issuable upon vesting of options within 60 days of March 1, 2022 held by our executive officers 

and directors as a group. 

(5)  Hutchison Healthcare Holdings Limited, a British Virgin Islands company, is an indirect wholly owned subsidiary of CK Hutchison, 
a company incorporated in the Cayman Islands and listed on The Hong Kong Stock Exchange. The registered address of Hutchison 
Healthcare Holdings Limited is Vistra Corporate Services Centre, Wickhams Cay II, Road Town, Tortola VG1110, British Virgin 
Islands. 

(6)  Based on information included in the Schedule 13G filed by Capital International Investors on February 11, 2022. 

As of March 1, 2022, based on public filings with the SEC, AIM and SEHK, there are no other major shareholders holding 5% or 
more of our ordinary shares or ADSs representing ordinary shares except as described above. As of March 1, 2022, there were three 
ordinary shareholders of record with an address in the United States. Deutsche Bank Trust Company America, as depositary of our ADS 
program, held 274,907,485 ordinary shares as of that date in the name of DB London (Investors Services) Nominees Limited. 

To our knowledge, except as disclosed above, we are not owned or controlled, directly or indirectly, by another corporation, by any 
foreign government or by any other natural or legal person or persons, severally or jointly. To our knowledge, there are no arrangements 
the operation of which may at a subsequent date result in us undergoing a change in control. Our major shareholders do not have different 
voting rights than any of our other shareholders. 

B.    Related Party Transactions. 

Letters of awareness with respect to loans 

Relationship with CK Hutchison 

CK  Hutchison  has  provided  letters  of  awareness  to  certain  of  our  lenders  stating  that  it  is  aware  that  loan  facilities  have  been 
provided to us and that its current intention is that for so long as amounts are outstanding under such loan facilities, it will not reduce its 
direct or indirect shareholding as to result in it ceasing to be the single largest indirect shareholder of our company. 

Relationship Agreement with the CK Hutchison group 

We entered into a relationship agreement dated April 21, 2006, which was amended and restated on June 13, 2019 with effect from 
June 3, 2015, with Hutchison Whampoa (China) Limited, which is an indirect wholly owned subsidiary of CK Hutchison, with a view 
to ensuring that our company is capable of carrying on its business independent of the CK Hutchison group. We refer to this agreement 
as the Relationship Agreement. The Relationship Agreement provides, among other things, that all transactions between any of us or 
our joint ventures, on the one hand, and the CK Hutchison group, on the other, will be on an arm’s length basis, on normal commercial 
terms and in a manner consistent with the AIM Rules. The Relationship Agreement further provides that the approval of our board of 
directors shall be required for any transaction between any of us or our joint ventures, on one hand, and the CK Hutchison group, on the 
other hand and that in approving any such transaction, our board of directors must consist of at least one director who is independent of 
CK Hutchison. Our board of directors must consist of at least one director who is independent of the CK Hutchison group if Hutchison 
Whampoa (China) Limited is entitled to cast at least 50% votes eligible to be cast on a poll vote at a general meeting of our company, 
see Item 6.C. “Directors, Senior Management and Employees—Board Practices.” Hutchison Whampoa (China) Limited has also agreed 
to procure that each member of the Hutchison Whampoa (China) Limited group will not exercise its voting rights and powers so as to 
amend  our  Memorandum  or  Articles  of  Association  in  a  manner  which  is  inconsistent  with  the  Relationship  Agreement.  The 
Relationship Agreement will continue to be effective until the first to occur of: (i) our shares ceasing to be traded on the AIM market 
or; (ii) the CK Hutchison group individually or collectively cease to hold or control the exercise of at least 30% or more of the rights to 
vote at our general meetings. 

211 

 
 
Products sold to group companies of CK Hutchison 

We have entered into agreements with members of the CK Hutchison group, including the retail grocery and pharmacy chains 
PARKnSHOP and Watsons which are owned and operated by the A.S. Watson Group, an indirect subsidiary of CK Hutchison, in respect 
of the distribution of certain of our consumer health products. For the year ended December 31, 2021, sales of our products to members 
of the CK Hutchison group amounted to $4.3 million. In addition, for the year ended December 31, 2021, we paid approximately $0.4 
million to members of the CK Hutchison group for the provision of marketing services associated with these products. Our sales to CK 
Hutchison group companies are made pursuant to purchase orders issued by each purchaser periodically, the terms of which are on an 
arm’s length basis on normal commercial terms. 

See Item 3.D. “Risk Factors—Risks Relating to Our Dependence on Third Parties—There is no assurance that the benefits currently 
enjoyed by virtue of our association with CK Hutchison will continue to be available” for more information on the risks associated with 
our relationship with CK Hutchison’s group companies. 

Intellectual property licensed by the CK Hutchison group 

We  conduct  our  business  using  trademarks  with  various  forms  of  the  “Hutchison,”  “Chi-Med”,  “Hutchison  China  MediTech”, 
“HUTCHMED”, “Elunate” and “Sulanda” brands, the logos used by HUTCHMED Limited, as well as domain names incorporating 
some or all of these trademarks. We have entered into a brand license agreement dated April 21, 2006 (as amended and restated on June 
13, 2019 with effect from June 3, 2015 and as further amended and restated on June 15, 2021 with effect from March 4, 2021) with 
Hutchison Whampoa Enterprises Limited, which is an indirect wholly owned subsidiary of CK Hutchison, pursuant to which we have 
been granted a non-exclusive, non-transferrable, royalty-free right to use the “Hutchison,” “Hutchison China MediTech”, “Chi-Med”, 
“HUTCHMED” trademarks, domain names and other intellectual property rights owned by the CK Hutchison group in connection with 
the operation of our business worldwide. We refer to this amended and restated agreement as the Brand License Agreement. We are 
also permitted to sub-license such intellectual property rights to our affiliates. 

The Brand License Agreement contains provisions on quality control pursuant to which we are obliged to use the brands and related 
materials in compliance with the brand guidelines, industry best practice and other quality directives issued by Hutchison Whampoa 
Enterprises Limited from time to time. Under this agreement, we assign all intellectual property rights, including future copyrights in 
any works incorporating brand-related material or translations thereof, to Hutchison Whampoa Enterprises Limited (subject to any third-
party rights). 

Hutchison Whampoa Enterprises Limited may terminate the Brand License Agreement (or any sub-license) if, among other things, 
we  commit  a material  breach of  the  agreement,  or within  any  twelve-month  period aggregate direct  or  indirect  shareholding  in  our 
company held by CK Hutchison , our indirect shareholder, is reduced to less than 35%, 30% or 20%.  On termination of the Brand 
License Agreement, we (and any sub-licensees) must immediately cease using the brands and are obliged to withdraw from the sale of 
any products bearing the brands; provided that if the agreement is terminated following a change in CK Hutchison’s aggregate direct or 
indirect shareholding in our company, we will have a six-month transitional period during which we can continue to use the licensed 
rights.   

On June 15, 2021, we entered into a brand license royalty agreement with Hutchison Whampoa Enterprises Limited, pursuant to 
which we will pay an annual fee of HK$12 million (up to an aggregate royalty payable of no more than HK$120 million) in consideration 
of the grant of the royalty-free right to use the trademarks owned by Hutchison Whampoa Enterprises Limited to Hutchison Baiyunshan 
and HBYS JV companies upon the completion of the disposal of shareholding interest in Hutchison Baiyunshan. 

212 

 
 
Sharing of services with the CK Hutchison group 

Pursuant  to  an  amended  and  restated  services  agreement  dated  January  1,  2016  between  us  and  Hutchison  Whampoa  (China) 
Limited, an indirect wholly owned subsidiary of CK Hutchison, we share certain services with and receive operational support from the 
CK Hutchison group including, among others, legal and regulatory services, company secretarial support services, tax and internal audit 
services, shared use of accounting software system and related services, participation in the CK Hutchison group’s pension, medical and 
insurance plans, participation in the CK Hutchison group’s procurement projects with third-party vendors/suppliers, other staff benefits 
and staff training services, company functions and activities and operation advisory and support services. We refer to this amended and 
restated agreement as the Services Agreement. The Services Agreement replaces our prior services agreement with Hutchison Whampoa 
(China) Limited, dated April 21, 2006, which had substantially similar terms. We pay a management fee to Hutchison Whampoa (China) 
Limited for the provision of such services. In addition, we make payments under the Services Agreement to Hutchison Whampoa (China) 
Limited for our executive offices in Hong Kong. Furthermore, pursuant to the terms of the Services Agreement, Hutchison Whampoa 
(China)  Limited  charges  us  management  fees  and  other  costs  through  Hutchison  Healthcare  Holdings  Limited,  its  wholly  owned 
subsidiary. 

The Services Agreement may be terminated by either party by giving three months’ written notice. Hutchison Whampoa (China) 
Limited may also immediately terminate if its shareholding in our company falls below 30%. The services provided under the Services 
Agreement are provided on an arm’s length basis, on normal commercial terms. 

Any amount unpaid after 30 days accrues interest at the rate of 1.5% per annum.  In the year ended December 31, 2021, we paid a 
management fee of approximately $1.0 million under the Services Agreement. As of December 31, 2021, we had $0.4 million in unpaid 
fees outstanding to Hutchison Whampoa (China) Limited. 

Director and Executive Officer Compensation 

Agreements with Our Directors and Executive Officers 

See Item 6.B. “Compensation—Executive Officer Compensation” and “Compensation—Director Compensation” for a discussion 

of our compensation of directors and executive officers. 

Equity Compensation 

See Item 6.B. “Compensation—Equity Compensation Schemes and Other Benefit Plans.” 

Employment Agreements 

We have entered into employment agreements with our executive officers. For more information regarding these agreements, see 
Item 6.B. “Compensation—Executive Officer Compensation—Employment Arrangements with our Executive Officers.” No director 
has  a  service  contract  with  us  not  terminable  by  us  within  one  year  without  payment  of  compensation  (other  than  statutory 
compensation). 

Indemnification Agreements 

We have entered into indemnification agreements with each of our directors and executive officers. We also maintain a general 
liability insurance policy which covers certain liabilities of our directors and executive officers arising out of claims based on acts or 
omissions in their capabilities as directors or officers. 

C.    Interests of Experts and Counsel. 

Not applicable. 

213 

 
ITEM 8. FINANCIAL INFORMATION 

A.    Consolidated Financial Statements and Other Financial Information. 

See Item 18 “Financial Statements.” 

A.7  Legal Proceedings. 

There are no material legal proceedings pending or, to our knowledge, threatened against us. We are also not aware of any incidents 
of non-compliance with laws and regulations that may have a significant impact on us which would have a material adverse effect on 
our financial condition or results of operations. From time to time we become subject to legal proceedings and claims in the ordinary 
course of our business, including claims of alleged infringement of patents and other intellectual property rights. Such legal proceedings 
or claims, even if not meritorious, could result in the expenditure of significant financial and management resources. 

A.8 Dividend Policy. 

We have never declared or paid dividends on our ordinary shares. We currently expect to retain all future earnings for use in the 
operation and expansion of our business and do not have any present plan to pay any dividends. The declaration and payment of any 
dividends in the future will be determined by our board of directors in its discretion, and will depend on a number of factors, including 
our earnings, capital requirements, overall financial condition, and contractual restrictions. 

B.    Significant Changes. 

We have not experienced any significant changes since the date of our audited consolidated financial statements included in this 

annual report. 

ITEM 9. THE OFFER AND LISTING 

Not applicable except for Item 9.A.4 and Item 9.C. 

Our ADSs are listed on the Nasdaq Global Select and our ordinary shares are admitted to trading on the AIM market under the 

symbol “HCM.” In addition, our ordinary shares are listed on the SEHK under stock code “0013.” 

ITEM 10. ADDITIONAL INFORMATION 

A.    Share Capital. 

Not applicable. 

B.    Memorandum and Articles of Association. 

On May 29, 2019, we conditionally adopted an amended and restated memorandum and articles of association by special resolution 
and effective on the date on which our shares are listed on the SEHK (the “Amended and Restated Articles”). On June 30, 2021, the 
listing date of our shares on the SEHK, the Amended and Restated Articles replaced the then existing articles of association of our 
company adopted by at the annual general meeting held on April 27, 2020. 

C.    Material Contracts. 

Except as otherwise disclosed in this annual report (including the exhibits hereto), we are not currently, and have not been in the 

last two years, party to any material contract, other than contracts entered into in the ordinary course of our business. 

214 

 
 
D.    Exchange Controls. 

Foreign currency exchange in the PRC is primarily governed by the Foreign Exchange Administration Rules issued by the State 
Council  on  January  29,  1996  and  effective  as  of  April  1,  1996  (and  amended  on  January  14,  1997  and  August  5,  2008)  and  the 
Regulations of Settlement, Sale and Payment of Foreign Exchange which came into effect on July 1, 1996. 

Under  the  Foreign  Exchange  Administration  Rules,  renminbi  is  freely  convertible  for  current  account  items,  including  the 
distribution  of  dividends  payments,  interest  payments,  and  trade  and  service-related  foreign  exchange  transactions.  Conversion  of 
renminbi for capital account items, such as direct investment, loans, securities investment and repatriation of investment, however, is 
still generally subject to the approval or verification of the SAFE. 

Under the Regulations of Settlement, Sale and Payment of Foreign Exchange, foreign invested enterprises including wholly foreign 
owned enterprises, may buy, sell or remit foreign currencies only at those banks that are authorized to conduct foreign exchange business 
after providing  such banks with  valid  commercial  supporting documents  and,  in  the  case  of  capital  account  item  transactions,  after 
obtaining approvals from the SAFE. Capital investments by foreign invested enterprises outside the PRC are also subject to limitations, 
which include approvals by the MOFCOM, the SAFE and the NDRC. 

In March 2015, the SAFE released the Circular on Reforming the Management Approach regarding the Foreign Exchange Capital 
Settlement of Foreign-invested Enterprises, or FIEs, or the Foreign Exchange Capital Settlement Circular, which became effective from 
June 1, 2015. This circular replaced the SAFE’s previous related circulars, including the Circular on Issues Relating to the Improvement 
of Business Operation with Respect to the Administration of Foreign Exchange Capital Payment and Settlement of Foreign Invested 
Enterprises. The Foreign Exchange  Capital Settlement Circular  clarifies that FIEs may  settle a specified proportion of their  foreign 
exchange capital in banks at their discretion, and may choose the timing for such settlement. The proportion of foreign exchange capital 
to be settled at FIEs’ discretion for the time being is 100% and the SAFE may adjust the proportion in due time based on the situation 
of international balance of payments. The circular also stipulates that FIEs’ usage of capital and settled foreign exchange capital shall 
comply with relevant provisions concerning foreign exchange control and be subject to the management of a negative list. The Notice 
of the SAFE on Policies for Reforming and Regulating Control over Foreign Exchange Settlement under the Capital Account, which 
became effective from June 9, 2016 and supplements the Foreign Exchange Capital Settlement Circular, stipulates that the FIEs’ capital 
and Renminbi capital gained from the settlement of foreign exchange capital may not be directly or indirectly used for expenditure 
beyond the business scope of the FIEs or as prohibited by laws and regulations of the PRC.  Such capital also may not be directly or 
indirectly used for granting loans to non-affiliated enterprises except as permitted by the business scope of the FIE or for construction 
or purchase of real estate other than self-use (exceptions only apply for real estate enterprises). 

In addition, the payment of dividends by entities established in the PRC is subject to limitations. Regulations in the PRC currently 
permit payment of dividends only out of accumulated profits as determined in accordance with accounting standards and regulations in 
the PRC. Each of our PRC subsidiaries that is a domestic company is also required to set aside at least 10.0% of its after-tax profit based 
on PRC accounting standards each year to its general reserves or statutory capital reserve fund until the accumulative amount of such 
reserves reach 50.0% of its respective registered capital. These restricted reserves are not distributable as cash dividends. In addition, if 
any of our PRC subsidiaries or joint ventures incurs debt on its own behalf in the future, the instruments governing the debt may restrict 
its ability to pay dividends or make other distributions to us. 

For  more  information  about  foreign  exchange  control,  see  Item  3.D.  “Risk  Factors—Other  Risks  and  Risks  Relating  to  Doing 

Business in China—Restrictions on currency exchange may limit our ability to receive and use our revenue effectively.” 

E.    Taxation. 

The  following  is  a  general  summary  of  certain  PRC,  Hong  Kong,  Cayman  Islands  and  U.S.  federal  income  tax  consequences 
relevant to the acquisition, ownership and disposition of our ADSs. The discussion is not intended to be, nor should it be construed as, 
legal  or  tax  advice  to  any  particular  individual.  The  discussion  is  based  on  laws  and  relevant  interpretations  thereof  in  effect  as  of 
March 1, 2022, all of which are subject to change or different interpretations, possibly with retroactive effect. The discussion does not 
address U.S. state or local tax laws, or tax laws of jurisdictions other than the PRC, Hong Kong, the Cayman Islands and the United 
States. You should consult your own tax advisors with respect to the consequences of acquisition, ownership and disposition of our 
ADSs and ordinary shares. 

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PRC Enterprise Income Tax 

Taxation in the PRC 

Under the EIT Law, which was promulgated on March 16, 2007 and subsequently amended on February 24, 2017 and December 
29, 2018, and its implementation rules which became effective on January 1, 2008 and subsequently amended on April 23, 2019, the 
standard tax rate of 25% applies to all enterprises (including FIEs) with exceptions in special situations if relevant criteria are met and 
subject to the approval of the PRC tax authorities. 

An enterprise incorporated outside of the PRC whose “de facto management bodies” are located in the PRC is considered a “resident 
enterprise” and will be subject to a uniform EIT rate of 25% on its global income. In April 2009, the SAT, in Circular 82, specified 
certain criteria for the determination of what constitutes “de facto management bodies.” If all of these criteria are met, the relevant 
foreign enterprise will be deemed to have its “de facto management bodies” located in the PRC and therefore be considered a resident 
enterprise in the PRC. These criteria include: (a) the enterprise’s day-to-day operational management is primarily exercised in the PRC; 
(b)  decisions  relating  to  the  enterprise’s  financial  and  human  resource  matters  are  made  or  subject  to  approval  by  organizations  or 
personnel in the PRC; (c) the enterprise’s primary assets, accounting books and records, company seals, and board and shareholders’ 
meeting  minutes  are  located  or  maintained  in  the  PRC;  and  (d)  50%  or  more  of  voting  board  members  or  senior  executives  of  the 
enterprise habitually reside in the PRC. Although Circular 82 only applies to foreign enterprises that are majority-owned and controlled 
by PRC enterprises, not those owned and controlled by foreign enterprises or individuals, the determining criteria set forth in Circular 
82 may be adopted by the PRC tax authorities as the test for determining whether the enterprises are PRC tax residents, regardless of 
whether they are majority-owned and controlled by PRC enterprises. However, it is not entirely clear how the PRC tax authorities will 
determine whether a non-PRC entity (that has not already been notified of its status for EIT purposes) will be classified as a “resident 
enterprise” in practice. 

Except for our PRC subsidiaries and joint ventures incorporated in China, we believe that none of our entities incorporated outside 
of China is a PRC resident enterprise for PRC tax purposes. However, the tax resident status of an enterprise is subject to determination 
by the PRC tax authorities, and uncertainties remain with respect to the interpretation of the term “de facto management body.” 

If a non-PRC enterprise is classified as a “resident enterprise” for EIT purposes, any dividends to be distributed by that enterprise 
to non-PRC resident shareholders or ADS holders or any gains realized by such investors from the transfer of shares or ADSs may be 
subject to PRC tax. If the PRC tax authorities determine that we should be considered a PRC resident enterprise for EIT purposes, any 
dividends payable by us to our non-PRC resident enterprise shareholders or ADS holders, as well as gains realized by such investors 
from the transfer of our shares or ADSs may be subject to a 10% withholding tax, unless a reduced rate is available under an applicable 
tax treaty. Furthermore, if we are considered a PRC resident enterprise for EIT purposes, it is unclear whether our non-PRC individual 
shareholders (including our ADS holders) would be subject to any PRC tax on dividends or gains obtained by such non-PRC individual 
shareholders. If any PRC tax were to apply to dividends realized by non-PRC individuals, it would generally apply at a rate of up to 
20% unless a reduced rate is available under an applicable tax treaty. 

According to the EIT Law, dividends declared after January 1, 2008 and paid by PRC FIEs to their non-PRC parent companies will 
be subject to PRC withholding tax at 10% unless there is a tax treaty between the PRC and the jurisdiction in which the overseas parent 
company  is  a  tax resident  and which  specifically  exempts  or  reduces  such withholding  tax,  and such  tax  exemption or reduction  is 
approved by the relevant PRC tax authorities. Pursuant to the Arrangement, if the non-PRC immediate holding company is a Hong Kong 
tax resident and directly holds a 25% or more equity interest in the PRC enterprise and is considered to be the beneficial owner of 
dividends paid by the PRC enterprise, such withholding tax rate may be lowered to 5%, subject to approval by the relevant PRC tax 
authorities in accordance with relevant tax regulations upon the assessment of beneficial ownership. 

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Cayman Islands Taxation 

Overview of Tax Implications of Various Other Jurisdictions 

According to our Cayman Islands counsel, Conyers Dill & Pearman, the Cayman Islands currently levies no taxes on individuals 
or corporations based upon profits, income, gains or appreciation and there is no taxation in the nature of inheritance tax or estate duty. 
There are no other taxes likely to be material to us levied by the government of the Cayman Islands except for stamp duties which may 
be applicable on instruments executed in, or brought within the jurisdiction of the Cayman Islands. The Cayman Islands is a party to a 
double tax treaty entered into with the United Kingdom in 2010 but it is otherwise not a party to any double tax treaties that are applicable 
to any payments made to or by our company. There are no exchange control regulations or currency restrictions in the Cayman Islands. 

Pursuant to the Tax Concessions Act of the Cayman Islands, HUTCHMED (China) Limited has obtained an undertaking: (a) that 
no law which is enacted in the Cayman Islands imposing any tax to be levied on profits or income or gains or appreciations shall apply 
to us or our operations; and (b) that the aforesaid tax or any tax in the nature of estate duty or inheritance tax shall not be payable (i) on 
its shares, debentures or other obligations or (ii) by way of the withholding in whole or in part of any relevant payment as defined in the 
Tax Concessions Act. 

The undertaking is for a period of twenty years from December 31, 2020. 

Hong Kong Taxation 

Profits Tax 

HUTCHMED (China) Limited is a Hong Kong tax resident. Hong Kong tax residents are subject to Hong Kong Profits Tax in 
respect of profits arising in or derived from Hong Kong at the current rate of 16.5% (except portions eligible for the two-tiered profits 
tax as discussed above). Dividend income earned by a Hong Kong tax resident is generally not subject to Hong Kong Profits Tax. 

Hong Kong tax on shareholders and ADS holders 

No tax is payable in Hong Kong in respect of dividends paid by a Hong Kong tax resident to their shareholders, including our ADS 

holders. 

Hong Kong Profits Tax will not be payable by our shareholders, including our ADS holders (other than shareholders / ADS holders 
carrying on a trade, profession or business in Hong Kong and holding the shares / ADSs for trading purposes), on any capital gains made 
on  the  sale  or  other  disposal  of  the  shares  or  ADSs.  Shareholders,  including  our  ADS  holders,  should  take  advice  from  their  own 
professional advisors as to their particular tax position. 

U.S. Taxation 

Corporate Tax 

Our subsidiaries in the United States, HUTCHMED International Corporation (formerly Hutchison MediPharma International Inc. 
Our  subsidiaries  in  the  United  States,  HUTCHMED  International  Corporation  (formerly  Hutchison  MediPharma  International  Inc. 

and Hutchison MediPharma (US), Inc) and HUTCHMED US Corporation, are subject to a federal corporate tax of 21%. 
and Hutchison MediPharma (US) Inc) and HUTCHMED US Corporation, are subject to a federal corporate tax of 21%.

Material U.S. Federal Income Tax Considerations with Respect to Ordinary Shares and ADSs 

The following summary, subject to the limitations set forth below, describes the material U.S. federal income tax consequences for 
a U.S. Holder (as defined below) of the acquisition, ownership and disposition of ordinary shares and ADSs. It is not a comprehensive 
description of all tax considerations that may be relevant to a particular person’s decision to acquire securities. This discussion is limited 
to U.S. Holders who hold such ordinary shares or ADSs as capital assets within the meaning of Section 1221 of the Internal Revenue 
Code of 1986, as amended, or the Code, for tax purposes (generally, property held for investment). For the purposes of this summary, a 
“U.S. Holder” is a beneficial owner of an ordinary share or ADS that is for U.S. federal income tax purposes: 

 

a citizen or individual resident of the United States; 

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 

 

 

a corporation (or any other entity treated as a corporation for U.S. federal income tax purposes) organized in or under the laws 
of the United States or any state thereof, or the District of Columbia; 

an estate the income of which is subject to U.S. federal income taxation regardless of its source; or 

a trust if (i) it has a valid election in effect to be treated as a U.S. person for U.S. federal income tax purposes or (ii) a U.S. 
court can exercise primary supervision over its administration and one or more U.S. persons have the authority to control all of 
its substantial decisions. 

Except as explicitly set forth below, this summary does not address aspects of U.S. federal income taxation that may be applicable 

to U.S. Holders subject to special rules, including: 

 

 

 

 

 

 

 

 

 

banks or other financial institutions; 

insurance companies; 

real estate investment trusts; 

regulated investment companies; 

grantor trusts; 

tax-exempt organizations; 

persons holding our ordinary shares or ADSs through a partnership (including an entity or arrangement treated as a partnership 
for U.S. federal income tax purposes) or S corporation; 

dealers or traders in securities, commodities or currencies; 

persons whose functional currency is not the U.S. dollar; 

  U.S. expatriates and certain former citizens or former long-term residents of the United States; 

 

 

 

persons required under Section 451(b) of the Code to conform to the timing of income accruals with respect to our ADSs or 
the ordinary shares represented by such ADSs; 

persons holding our ordinary shares or ADSs as part of a position in a straddle or as part of a hedging, conversion or integrated 
transaction for U.S. federal income tax purposes; or 

direct, indirect or constructive owners of 10% or more of our equity (by vote or value). 

In addition, this summary does not address the U.S. federal estate and gift tax or the alternative minimum tax consequences of the 
acquisition, ownership, and disposition of our ordinary shares or ADSs. We have not received nor do we expect to seek a ruling from 
the U.S. Internal Revenue Service, or the IRS, regarding any matter discussed herein. No assurance can be given that the IRS would not 
assert, or that a court would not sustain, a position contrary to any of those set forth below. Each prospective investor should consult its 
own tax advisors with respect to the U.S. federal, state, local and non-U.S. tax consequences of acquiring, owning and disposing of our 
ordinary shares and ADSs. 

This  discussion  is  based  on  the  Code,  U.S.  Treasury  Regulations  promulgated  thereunder  and  administrative  and  judicial 
interpretations thereof, and the income tax treaty between the PRC and the United States, or the U.S.- PRC Tax Treaty, each as available 
and in effect on the date hereof, all of which are subject to change or differing interpretations, possibly with retroactive effect, which 
could affect the tax consequences described herein.  In addition, this summary assumes representations made by the depositary to us in 
the deposit agreement are true and assumes that the deposit agreement, and all other related agreements, will be performed in accordance 
with their terms. 

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If an entity or arrangement treated as a partnership for U.S. federal income tax purposes holds our ordinary shares or ADSs, the tax 
treatment of the partnership and a partner in such partnership generally will depend on the status of the partner and the activities of the 
partnership. Such partner or partnership should consult its own tax advisors as to the U.S. federal income tax consequences of acquiring, 
owning and disposing of our ordinary shares or ADSs. 

PROSPECTIVE INVESTORS SHOULD CONSULT THEIR OWN TAX ADVISORS WITH REGARD TO THE PARTICULAR 
TAX CONSEQUENCES APPLICABLE TO THEIR SITUATIONS AS WELL AS THE APPLICATION OF ANY U.S. FEDERAL, 
STATE, LOCAL, NON-U.S. OR OTHER TAX LAWS, INCLUDING GIFT AND ESTATE TAX LAWS. 

ADSs  

A U.S. Holder of ADSs will generally be treated, for U.S. federal income tax purposes, as the owner of the underlying ordinary 
shares that such ADSs represent. Accordingly, no gain or loss will be recognized if a U.S. Holder exchanges ADSs for the underlying 
shares represented by those ADSs. 

The U.S. Treasury has expressed concern that parties to whom ADSs are released before shares are delivered to the depositary or 
intermediaries in the chain of ownership between holders and the issuer of the security underlying the ADSs, may be taking actions that 
are inconsistent with the claiming of foreign tax credits by U.S. Holders of ADSs. These actions would also be inconsistent with the 
claiming  of  the  reduced  rate  of  tax,  described  below,  applicable  to  dividends  received  by  certain  non-corporate  U.S.  Holders. 
Accordingly, the creditability of non-U.S. withholding taxes (if any), and the availability of the reduced tax rate for dividends received 
by certain non-corporate U.S. Holders, each described below, could be affected by actions taken by such parties or intermediaries. For 
the purposes of the discussion below, we assume that intermediaries in the chain of ownership between the holder of an ADS and us are 
acting consistently with the claim of U.S. foreign tax credits by U.S. Holders. 

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Taxation of Dividends  

As described in “Dividend Policy” above, we do not currently anticipate paying any distributions on our ordinary shares or ADSs 
in the foreseeable future. However, to the extent there are any distributions made with respect to our ordinary shares or ADSs, and 
subject  to  the  discussion  under  “—Passive  Foreign  Investment  Company  Considerations”  below,  the  gross  amount  of  any  such 
distribution  (including withheld  taxes,  if  any) made  out  of  our  current or  accumulated earnings  and profits  (as determined  for U.S. 
federal income tax purposes) will generally be taxable to a U.S. Holder as ordinary dividend income on the date such distribution is 
actually or constructively received. Distributions in excess of our current and accumulated earnings and profits will be treated as a non-
taxable return of capital to the extent of the U.S. Holder’s adjusted tax basis in the ordinary shares or ADSs, as applicable, and thereafter 
as capital gain. However, because we do not maintain calculations of our earnings and profits in accordance with U.S. federal income 
tax  accounting  principles,  U.S.  Holders  should  expect  to  treat  distributions  paid  with  respect  to  our  ordinary  shares  and  ADSs  as 
dividends. Dividends paid to corporate U.S. Holders generally will not qualify for the dividends received deduction that may otherwise 
be allowed under the Code. This discussion assumes that distributions made by us, if any, will be paid in U.S. dollars. 

Dividends paid to a non-corporate U.S. Holder by a “qualified foreign corporation” may be subject to reduced rates of U.S. federal 
income taxation if certain holding period and other requirements are met. A qualified foreign corporation generally includes a foreign 
corporation (other than a PFIC) if (1) its ordinary shares (or ADSs backed by ordinary shares) are readily tradable on an established 
securities market in the United States or (2) it is eligible for benefits under a comprehensive U.S. income tax treaty that includes an 
exchange of information program and which the U.S. Treasury Department has determined is satisfactory for these purposes. 

IRS guidance indicates that our ADSs (which are listed on the Nasdaq Global Select Market) are readily tradable for purposes of 
satisfying the conditions required for these reduced tax rates. We do not expect, however, that our ordinary shares will be listed on an 
established securities market in the United States and therefore do not believe that any dividends paid on our ordinary shares that are 
not represented by ADSs currently meet the conditions required for these reduced tax rates. There can be no assurance that our ADSs 
will be considered readily tradable on an established securities market in subsequent years. 

The United States does not have a comprehensive income tax treaty with the Cayman Islands. However, in the event that we were 
deemed to be a PRC resident enterprise under the EIT Law (see “—Taxation in the PRC” above), although no assurance can be given, 
we might be considered eligible for the benefits of the U.S.-PRC Tax Treaty for the purposes of these rules. U.S. Holders should consult 
their own tax advisors regarding the availability of the reduced tax rates on dividends paid with respect to our ordinary shares or ADSs 
in light of their particular circumstances. 

Non-corporate U.S. Holders will not be eligible for reduced rates of U.S. federal income taxation on any dividends received from 
us  if  we  are  a  PFIC  in  the  taxable  year  in  which  such  dividends  are  paid  or  in  the  preceding  taxable  year  unless,  under  certain 
circumstances, the “deemed sale election” described below under “—Passive Foreign Investment Company Considerations—Status as 
a PFIC” has been made. 

In the event that we were deemed to be a PRC resident enterprise under the EIT Law (see “—Taxation in the PRC” above), U.S. 
Holders might be subject to PRC withholding taxes on dividends paid by us. In that case, subject to certain conditions and limitations, 
such PRC withholding tax may be treated as a foreign tax eligible for credit against a U.S. Holder’s U.S. federal income tax liability 
under the U.S. foreign tax credit rules. For the purposes of calculating the U.S. foreign tax credit, dividends paid on our ordinary shares 
or ADSs, will be treated as income from sources outside the United States and will generally constitute passive category income. If a 
U.S. Holder is eligible for U.S.-PRC Tax Treaty benefits, any PRC taxes on dividends will not be creditable against such U.S. Holder’s 
U.S. federal income tax liability to the extent such tax is withheld at a rate exceeding the applicable U.S.-PRC Tax Treaty rate. An 
eligible U.S. Holder who does not elect to claim a foreign tax credit for PRC tax withheld may instead be eligible to claim a deduction, 
for U.S. federal income tax purposes, in respect of such withholding but only for the year in which such U.S. Holder elects to do so for 
all creditable foreign income taxes. The U.S. foreign tax credit rules are complex. U.S. Holders should consult their own tax advisors 
regarding the foreign tax credit rules in light of their particular circumstances. 

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Taxation of Capital Gains  

Subject to the discussion below in “—Passive Foreign Investment Company Considerations,” upon the sale, exchange, or other 
taxable  disposition  of  our  ordinary  shares  or  ADSs,  a  U.S.  Holder  generally  will  recognize  gain  or  loss  in  an  amount  equal  to  the 
difference between the amount realized on such sale or exchange (determined in the case of sales or exchanges in currencies other than 
U.S. dollars by reference to the spot exchange rate in effect on the date of the sale or exchange or, if sold or exchanged on an established 
securities market and the U.S. Holder is a cash basis taxpayer or an electing accrual basis taxpayer, the spot exchange rate in effect on 
the settlement date) and the U.S. Holder’s adjusted tax basis in such ordinary shares or ADSs determined in U.S. dollars. A U.S. Holder’s 
initial tax basis will be the U.S. Holder’s U.S. dollar purchase price for such ordinary shares or ADSs. 

Assuming we are not a PFIC and have not been treated as a PFIC during the U.S. Holder’s holding period for its ordinary shares or 
ADSs, such gain or loss will be capital gain or loss. Under current law, capital gains of non-corporate U.S. Holders derived with respect 
to capital assets held for more than one year are generally eligible for reduced rates of taxation. The deductibility of capital losses is 
subject to limitations. Capital gain or loss, if any, recognized by a U.S. Holder generally will be treated as U.S. source income or loss 
for U.S. foreign tax credit purposes. U.S. Holders are encouraged to consult their own tax advisors regarding the availability of the U.S. 
foreign tax credit in consideration of their particular circumstances. 

If we were treated as a PRC resident enterprise for EIT Law purposes and PRC tax were imposed on any gain (see “—Taxation in 
the PRC” above), and if a U.S. Holder is eligible for the benefits of the U.S.-PRC Tax Treaty, the holder may be able to treat such gain 
as PRC source gain under the treaty for U.S. foreign tax credit purposes. A U.S. Holder will be eligible for U.S.-PRC Tax Treaty benefits 
if (for the purposes of the treaty) such holder is a resident of the United States and satisfies the other requirements specified in the U.S.-
PRC  Tax  Treaty.  Because  the  determination  of  treaty  benefit  eligibility  is  fact-intensive  and  depends  upon  a  holder’s  particular 
circumstances, U.S. Holders should consult their tax advisors regarding U.S.-PRC Tax Treaty benefit eligibility. U.S. Holders are also 
encouraged to consult their own tax advisors regarding the tax consequences in the event PRC tax were to be imposed on a disposition 
of ordinary shares or ADSs, including the availability of the U.S. foreign tax credit and the ability and whether to treat any gain as PRC 
source gain for the purposes of the U.S. foreign tax credit in consideration of their particular circumstances. 

Additional Tax on Net Investment Income 

An  additional  3.8%  tax  is  imposed  on  the  “net  investment  income”  of  certain  U.S.  citizens  and  resident  aliens,  and  on  the 
undistributed  “net  investment  income”  of  certain  estates  and  trusts.  Among  other  items,  “net  investment  income”  would  generally 
include dividends on and gains from the sale or other disposition of ordinary shares or ADSs. You should consult your own tax advisor 
regarding the application of this tax. 

Passive Foreign Investment Company Considerations  

Status  as  a  PFIC. The  rules  governing  PFICs  can  result  in  adverse  tax  consequences  to  U.S.  Holders.  We  generally  will  be 
classified as a PFIC for U.S. federal income tax purposes if, for any taxable year, either: (1) 75% or more of our gross income consists 
of certain types of passive income, or (2) the average value (determined on a quarterly basis), of our assets that produce, or are held for 
the production of, passive income is 50% or more of the value of all of our assets. 

Passive income generally includes dividends, interest, rents and royalties (other than certain rents and royalties derived in the active 
conduct of a trade or business), annuities and gains from assets that produce passive income.  If a non-U.S. corporation owns at least 
25% by value of the stock of another corporation, the non-U.S. corporation is treated for the purposes of the PFIC tests as owning its 
proportionate share of the assets of the other corporation and  as receiving directly its proportionate share of the other corporation’s 
income.  Under this rule, we should be deemed to own a proportionate share of the assets and to have received a proportionate share of 
the  income  of  our  principal  subsidiaries  and  joint  ventures,  including  Shanghai  Hutchison  Pharmaceuticals  Limited  and  Hutchison 
Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited for the period up to September 28, 2021 (the effective date of 
disposal), for the purposes of the PFIC determination. 

Additionally, if we are classified as a PFIC in any taxable year with respect to which a U.S. Holder owns ordinary shares or ADSs, 
we generally will continue to be treated as a PFIC with respect to such U.S. Holder in all succeeding taxable years, regardless of whether 
we continue to meet the tests described above, unless the U.S. Holder makes the “deemed sale election” described below. Furthermore, 
if we are treated as a PFIC, then one or more of our subsidiaries may also be treated as PFICs. 

221 

Based on certain estimates of our gross income and gross assets (which estimates are inherently imprecise) and the nature of our 
business, we do not believe that we are currently a PFIC. Notwithstanding the foregoing, the determination of whether we are a PFIC is 
made annually and depends on particular facts and circumstances (such as the valuation of our assets, including goodwill and other 
intangible assets) and also may be affected by the application of the PFIC rules, which are subject to differing interpretations. The fair 
market value of our assets is expected to depend, in part, upon (a) the market price of our ADSs, which is likely to fluctuate, and (b) the 
composition of our income and assets, which will be affected by how, and how quickly, we spend any cash that is raised in any financing 
transaction. In light of the foregoing, no assurance can be provided that we are not currently a PFIC or that we will not become a PFIC 
in any future taxable year. Prospective investors should consult their own tax advisors regarding our PFIC status. 

U.S. federal income tax treatment of a shareholder of a PFIC. If we are classified as a PFIC for any taxable year during which 
a U.S. Holder owns ordinary shares or ADSs, the U.S. Holder, absent certain elections (including the mark-to-market and QEF elections 
described below), generally will be subject to adverse rules (regardless of whether we continue to be classified as a PFIC) with respect 
to (1) any “excess distributions” (generally, any distributions received by the U.S. Holder on its ordinary shares or ADSs in a taxable 
year that are greater than 125% of the average annual distributions received by the U.S. Holder in the three preceding taxable years or, 
if  shorter,  the  U.S.  Holder’s  holding  period)  and  (2)  any  gain realized  on  the  sale  or  other  disposition,  including  a  pledge,  of  such 
ordinary shares or ADSs. 

Under these rules (a) the excess distribution or gain will be allocated ratably over the U.S. Holder’s holding period, (b) the amount 
allocated to the current taxable year and any taxable year prior to the first taxable year in which we are classified as a PFIC will be taxed 
as ordinary income and (c) the amount allocated to each other taxable year during the U.S. Holder’s holding period in which we were 
classified as a PFIC (i) will be subject to tax at the highest rate of tax in effect for the applicable category of taxpayer for that year and 
(ii) will be subject to an interest charge at a statutory rate with respect to the resulting tax attributable to each such other taxable year. In 
addition, non-corporate U.S. Holders will not be eligible for reduced rates of taxation on any dividends received from us if we are a 
PFIC in the taxable year in which such dividends are paid or in the preceding taxable year. 

If we are classified as a PFIC, a U.S. Holder will generally be treated as owning a proportionate amount (by value) of stock or 
shares owned by us in any direct or indirect subsidiaries that are also PFICs and will be subject to similar adverse rules with respect to 
any distributions we receive from, and dispositions we make of, the stock or shares of such subsidiaries. U.S. Holders are urged to 
consult their tax advisors about the application of the PFIC rules to any of our subsidiaries. 

If we are classified as a PFIC and then cease to be so classified, a U.S. Holder may make an election (a “deemed sale election”) to 
be treated for U.S. federal income tax purposes as having sold such U.S. Holder’s ordinary shares or ADSs on the last day of our taxable 
year during which we were a PFIC. A U.S. Holder that makes a deemed sale election would then cease to be treated as owning stock in 
a PFIC. However, gain recognized as a result of making the deemed sale election would be subject to the adverse rules described above 
and loss would not be recognized. 

PFIC “mark-to-market” election. In certain circumstances, a holder of “marketable stock” of a PFIC can avoid certain of the 
adverse rules described above by making a timely mark-to-market election with respect to such stock. For the purposes of these rules 
“marketable stock” is stock which is “regularly traded” (traded in greater than de minimis quantities on at least 15 days during each 
calendar quarter) on a “qualified exchange” or other market within the meaning of applicable U.S. Treasury Regulations. A “qualified 
exchange” includes a national securities exchange that is registered with the SEC. 

A U.S. Holder that makes a timely mark-to-market election must include in gross income, as ordinary income, for each taxable year 
that we are a PFIC an amount equal to the excess, if any, of the fair market value of the U.S. Holder’s ordinary shares or ADSs that are 
“marketable stock” at the close of the taxable year over the U.S. Holder’s adjusted tax basis in such ordinary shares or ADSs. An electing 
U.S. Holder may also claim an ordinary loss deduction for the excess, if any, of the U.S. Holder’s adjusted tax basis in such ordinary 
shares or ADSs over their fair market value at the close of the taxable year, but this deduction is allowable only to the extent of any net 
mark-to-market gains previously included in income pursuant to the timely mark-to-market election. The adjusted tax basis of a U.S. 
Holder’s ordinary shares or ADSs with respect to which the timely mark-to-market election applies would be adjusted to reflect amounts 
included in gross income or allowed as a deduction because of such election. If a U.S. Holder makes an effective mark-to-market election 
with respect to our ordinary shares or ADSs, gains from an actual sale or other disposition of such ordinary shares or ADSs in a year in 
which we are a PFIC would be treated as ordinary income, and any losses incurred on such sale or other disposition would be treated as 
ordinary losses to the extent of any net mark-to-market gains previously included in income. 

222 

If we are classified as a PFIC for any taxable year in which a U.S. Holder owns ordinary shares or ADSs but before a timely mark-
to-market election is made, the adverse PFIC rules described above will apply to any mark-to-market gain recognized in the year the 
election is made. Otherwise, a timely mark-to-market election will be effective for the taxable year for which the election is made and 
all  subsequent  taxable  years  unless  the  ordinary  shares  or  ADSs  are  no  longer  regularly  traded  on  a  qualified  exchange  or  the IRS 
consents to the revocation of the election. Our ADSs are listed on the Nasdaq Global Select Market, which is a qualified exchange or 
other market for the purposes of the mark-to-market election. Consequently, if the ADSs continue to be so listed, and are “regularly 
traded” for the purposes of these rules (for which no assurance can be given) we expect that the mark-to-market election would be 
available to a U.S. Holder with respect to our ADSs. 

A mark-to-market election is not permitted for the shares of any of our subsidiaries that are also classified as PFICs. Prospective 
investors should consult their own tax advisors regarding the availability of, and the procedure for, and the effect of making, a mark-to-
market election, and whether making the election would be advisable, including in light of their particular circumstances. 

PFIC  “QEF”  election. In  some  cases,  a  shareholder  of  a  PFIC  can  avoid  the  interest  charge  and  the  other  adverse  PFIC  tax 
consequences described above by obtaining certain information from the PFIC and by making a timely QEF election to be taxed currently 
on its share of the PFIC’s undistributed income. We do not, however, expect to provide the information regarding our income that would 
be necessary in order for a U.S. Holder to make a timely QEF election if we were classified as a PFIC. 

PFIC information reporting requirements. If we are classified as a PFIC in any year with respect to a U.S. Holder, such U.S. 
Holder will be required to file an annual information return on IRS Form 8621 regarding distributions received on, and any gain realized 
on the disposition of, our ordinary shares and ADSs, and certain U.S. Holders will be required to file an annual information return (also 
on IRS Form 8621) relating to their ownership interest. 

NO ASSURANCE CAN BE GIVEN THAT WE ARE NOT CURRENTLY A PFIC OR THAT WE WILL NOT BECOME A PFIC 
IN THE FUTURE. U.S. HOLDERS SHOULD CONSULT THEIR OWN TAX ADVISORS WITH RESPECT TO THE OPERATION 
OF  THE  PFIC  RULES  AND  RELATED  REPORTING  REQUIREMENTS  IN  LIGHT  OF  THEIR  PARTICULAR 
CIRCUMSTANCES,  INCLUDING  THE  ADVISABILITY  AND  EFFECTS  OF  MAKING  ANY  ELECTION  THAT  MAY  BE 
AVAILABLE. 

Backup Withholding and Information Reporting and Filing Requirements 

Backup withholding and information reporting requirements may apply to distributions on, and proceeds from the sale or disposition 
of, ordinary shares and ADSs that are held by U.S. Holders. The payor will be required to withhold tax (currently at a rate of 24%) on 
such payments made within the United States, or by a U.S. payor or a U.S. intermediary (and certain subsidiaries thereof) to a U.S. 
Holder, other than an exempt recipient, if the U.S. Holder is not otherwise exempt and: 

 

 

 

 

the holder fails to furnish the holder’s taxpayer identification number, which for an individual is ordinarily his or her social 
security number; 

the holder furnishes an incorrect taxpayer identification number; 

the applicable withholding agent is notified by the IRS that the holder previously failed to properly report payments of interest 
or dividends; or 

the holder fails to certify under penalties of perjury that the holder has furnished a correct taxpayer identification number and 
that the IRS has not notified the holder that the holder is subject to backup withholding. 

Backup withholding is not an additional tax. Amounts withheld as backup withholding may be credited against a U.S. Holder’s 
U.S. federal income tax liability (if any) or refunded provided the required information is furnished to the IRS in a timely manner. U.S. 
Holders should consult their tax advisors regarding their qualification for an exemption from backup withholding and the procedures 
for obtaining such an exemption. 

223 

Certain U.S. Holders of specified foreign financial assets with an aggregate value in excess of the applicable dollar threshold are 
required to report information relating to their holding of ordinary shares or ADSs, subject to certain exceptions (including an exception 
for shares held in accounts maintained by certain financial institutions) with their tax returns for each year in which they hold such 
interests. U.S. Holders should consult their own tax advisors regarding the information reporting obligations that may arise from their 
acquisition, ownership or disposition of our ordinary shares or ADSs. 

THE  ABOVE  DISCUSSION  DOES  NOT  COVER  ALL  TAX  MATTERS  THAT  MAY  BE  OF  IMPORTANCE  TO  A 
PARTICULAR  INVESTOR.  PROSPECTIVE  INVESTORS  ARE  STRONGLY  URGED  TO  CONSULT  THEIR  OWN  TAX 
ADVISORS ABOUT THE TAX CONSEQUENCES OF AN INVESTMENT IN OUR ORDINARY SHARES OR ADSs. 

F.    Dividends and Payment Agents. 

Not applicable. 

G.    Statement by Experts. 

Not applicable. 

H.    Documents on Display. 

We are subject to the informational requirements of the Exchange Act and are required to file reports and other information with 
the SEC. Shareholders may access our reports and other information filed with the SEC by viewing them on the SEC’s website, at 
www.sec.gov. We also make available on our website’s investor relations page, free of charge, our annual report and the text of our 
reports on Form 6-K, including any amendments to these reports, as well as certain other SEC filings, as soon as reasonably practicable 
after they are electronically filed with or furnished to the SEC. The address for our investor relations page is www.hutch-med.com/ 
shareholder-information. The information contained on our website is not incorporated by reference in this annual report. 

We are a “foreign private issuer” as such term is defined in Rule 405 under the Securities Act, and are not subject to the same 
requirements that are imposed upon U.S. domestic issuers by the SEC. Under the Exchange Act, we are subject to reporting obligations 
that, in certain respects, are less detailed and less frequent than those of U.S. domestic reporting companies. As a result, we do not file 
the same reports that a U.S. domestic issuer would file with the SEC, although we are required to file or furnish to the SEC the continuous 
disclosure documents that we are required to file on the AIM market. 

We will furnish Deutsche Bank Trust Company Americas, the depositary of our ADSs, with our annual reports, which will include 
a review of operation and annual audited consolidated financial statements prepared in conformity with U.S. GAAP, and all notices of 
shareholders’ meetings and other reports and communications that are made generally available to our shareholders. The depositary will 
make such notices, reports and communications available to holders of ADSs and, upon our requests, will mail to all record holders of 
ADSs the information contained in any notice of a shareholders’ meeting received by the depositary from us. 

I.    Subsidiary information. 

Not applicable. 

ITEM 11. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK 

Foreign Exchange Risk 

Most of our revenue and expenses are denominated in renminbi, and our consolidated financial statements are presented in U.S. 
dollars.  We do not believe that we currently have any significant direct foreign exchange risk and have not used any derivative financial 
instruments to hedge our exposure to such risk.  Although, in general, our exposure to foreign exchange risks should be limited, the 
value of your investment in our ADSs will be affected by the exchange rate between the U.S. dollar and the renminbi because the value 
of our business is effectively denominated in renminbi, while the ADSs will be traded in U.S. dollars. 

224 

 
 
 
The value of the renminbi against the U.S. dollar and other currencies may fluctuate and is affected by, among other things, changes 
in China’s political and economic conditions.  The conversion of renminbi into foreign currencies, including U.S. dollars, has been 
based on rates set by the PBOC.  On July 21, 2005, the PRC government changed its decade-old policy of pegging the value of the 
renminbi to the U.S. dollar.  Under the revised policy, the renminbi is permitted to fluctuate within a narrow and managed band against 
a basket of certain foreign currencies.  This change in policy resulted in a more than 20% appreciation of the renminbi against the U.S. 
dollar in the following three years.  Between July 2008 and June 2010, this appreciation halted, and the exchange rate between the 
renminbi and U.S. dollar remained within a narrow band.  In June 2010, the PBOC announced that the PRC government would increase 
the flexibility of the exchange rate, and thereafter allowed the renminbi to appreciate slowly against the U.S. dollar within the narrow 
band fixed by the PBOC.  At various times since then, the PBOC has significantly devalued the renminbi against the U.S. dollar.  If we 
decide to convert renminbi into U.S. dollars for the purpose of making payments for dividends on our ordinary shares or ADSs or for 
other business purposes, appreciation of the U.S. dollar against the renminbi would have a negative effect on the U.S. dollar amounts 
available to us. 

Credit Risk 

Substantially all of our bank deposits are in major financial institutions, which we believe are of high credit quality.  We limit the 
amount of credit exposure to any single financial institution.  We make periodic assessments of the recoverability of trade and other 
receivables  and  amounts  due  from  related  parties.    Our  historical  experience  in  collection  of  receivables  falls  within  the  recorded 
allowances, and we believe that we have made adequate provision for uncollectible receivables. 

Interest Rate Risk 

We  have  no  significant  interest-bearing  assets  except  for  bank  deposits.    Our  exposure  to  changes  in  interest  rates  is  mainly 
attributable to our bank borrowings, which bear interest at floating interest rates and expose us to cash flow interest rate risk.  We have 
not used any interest rate swaps to hedge our exposure to interest rate risk.  We have performed sensitivity analysis for the effects on 
our results for the year from changes in interest rates on floating rate borrowings.  The sensitivity to interest rates used is based on the 
market forecasts available at the end of the reporting period and under the economic environments in which we operate, with other 
variables  held  constant.    According  to  the  analysis,  the  impact  on  our  net  loss  of  a  1.0%  interest  rate  shift  would  be  a  maximum 
increase/decrease of $0.3 million for the year ended December 31, 2021. 

ITEM 12. DESCRIPTION OF SECURITIES OTHER THAN EQUITY SECURITIES 

A.  Debt Securities. 

Not applicable. 

B.  Warrants and Rights. 

Not applicable. 

C.  Other Securities. 

Not applicable. 

D.  American Depositary Shares. 

Our ADSs representing our ordinary shares are currently traded on Nasdaq. Dealings in our ADSs on Nasdaq are conducted in U.S. 

dollars. 

ADSs may be held either: 

(a)  directly: (i) by having an American Depositary Receipt, also referred to as an ADR, which is a certificate evidencing a specific 

number of ADSs registered in the holder’s name; or (ii) by having uncertificated ADSs registered in the holder’s name; or 

(b)  indirectly, by holding a security entitlement in ADSs through a broker or other financial institution that is a direct or indirect 

participant in The Depository Trust Company, also called DTC. 

225 

 
The depositary for our ADSs is Deutsche Bank Trust Company Americas, whose office is located at 1 Columbus Circle, New York, 

NY 10019, United States. 

Fees and charges our ADS holders may have to pay 

ADS holders will be required to pay the following service fees to Deutsche Bank Trust Company America, the depositary of our 
ADS program, and certain taxes and governmental charges (in addition to any applicable fees, expenses, taxes and other governmental 
charges payable on the deposited securities represented by ADSs): 

Service 
  To any person to which ADSs are issued or to any person to which a distribution is made in
respect of ADS distributions pursuant to stock dividends or other free distributions of stock,
bonus distributions, stock splits or other distributions (except where converted to cash)

      Fees 
  Up to $0.05 per ADS issued 

  Cancellation or withdrawal of ADSs, including the case of termination of the deposit agreement  Up to $0.05 per ADS cancelled 
  Distribution of cash dividends 
  Distribution of cash entitlements (other than cash dividends) and/or cash proceeds from the sale

  Up to $0.05 per ADS held 
  Up to $0.05 per ADS held 

of rights, securities and other entitlements 

  Distribution of ADSs pursuant to exercise of rights
  Depositary services 

  Up to $0.05 per ADS held 
  Up to $0.05 per ADS held on 
the applicable record date(s) 
established by the depositary 
bank (an annual fee)

ADS holders will also be responsible for paying certain fees and expenses incurred by the depositary bank and certain taxes and 
governmental charges (in addition to any applicable fees, expenses, taxes and other governmental charges payable on the deposited 
securities represented by any of your ADSs) such as: 

  Fees for the transfer and registration of ordinary shares charged by the registrar and transfer agent for the ordinary shares in the 

Cayman Islands (i.e., upon deposit and withdrawal of ordinary shares). 

  Expenses incurred for converting foreign currency into U.S. dollars. 

  Expenses for cable, telex and fax transmissions and for delivery of securities. 

  Taxes  and  duties  upon  the  transfer  of  securities,  including  any  applicable  stamp  duties,  any  stock  transfer  charges  or 

withholding taxes (i.e., when ordinary shares are deposited or withdrawn from deposit). 

  Fees and expenses incurred in connection with the delivery or servicing of ordinary shares on deposit. 

  Fees and expenses incurred in connection with complying with exchange control regulations and other regulatory requirements 

applicable to ordinary shares, ordinary shares deposited securities, ADSs and ADRs. 

  Any applicable fees and penalties thereon. 

The depositary fees payable upon the issuance and cancellation of ADSs are typically paid to the depositary bank by the brokers 
(on behalf of their clients) receiving the newly issued ADSs from the depositary bank and by the brokers (on behalf of their clients) 
delivering the ADSs to the depositary bank for cancellation.  The brokers in turn charge these fees to their clients.  Depositary fees 
payable in connection with distributions of cash or securities to ADS holders and the depositary services fee are charged by the depositary 
bank to the holders of record of ADSs as of the applicable ADS record date. 

226 

 
 
 
 
The depositary fees payable for cash distributions are generally deducted from the cash being distributed or by selling a portion of 
distributable property to pay the fees.  In the case of distributions other than cash (i.e., share dividends, rights), the depositary bank 
charges the applicable fee to the ADS record date holders concurrent with the distribution.  In the case of ADSs registered in the name 
of the investor (whether certificated or uncertificated in direct registration), the depositary bank sends invoices to the applicable record 
date ADS holders.  In the case of ADSs held in brokerage and custodian accounts (via DTC), the depositary bank generally collects its 
fees through the systems provided by DTC (whose nominee is the registered holder of the ADSs held in DTC) from the brokers and 
custodians holding ADSs in their DTC accounts.  The brokers and custodians who hold their clients’ ADSs in DTC accounts in turn 
charge their clients’ accounts the amount of the fees paid to the depositary banks. 

In the event of refusal to pay the depositary fees, the depositary bank may, under the terms of the deposit agreement, refuse the 
requested service until payment is received or may set off the amount of the depositary fees from any distribution to be made to the ADS 
holder. 

Fees and other payments made by the depositary to us 

The depositary has agreed to pay certain amounts to us in exchange for its appointment as depositary.  We may use these funds 
towards our expenses relating to the establishment and maintenance of the ADR program, including investor relations expenses,  or 
otherwise as we see fit.  In 2021, we did not collect any reimbursements from the depositary for expenses related to the administration 
and maintenance of the facility. 

Ordinary Shares and Conversions 

Our ordinary shares are admitted to trading on AIM and trade on the SEHK. Dealings in our ordinary shares on the AIM and SEHK 

are conducted in pound sterlings and H.K. dollars, respectively. 

In connection with the initial public offering of our ordinary shares in Hong Kong in June 2021, we established a branch register of 
members in Hong Kong, or the Hong Kong share register, which will be maintained by our Hong Kong Share Registrar, Computershare 
Hong Kong Investor Services Limited. Our principal register of members, or the Cayman share register, will continue to be maintained 
by our Principal Share Registrar, Computershare Investor Services (Jersey) Limited. All ordinary shares offered in our initial public 
offering in Hong Kong were registered on the Hong Kong share register in order to be listed and traded on the SEHK. 

Details  on  the  conversion  process  between  SEHK,  Nasdaq  and  AIM  are  available  at  https://www.hutch-med.com/shareholder-

information/investor-faqs/.  

ITEM 13. DEFAULTS, DIVIDEND ARREARAGES AND DELINQUENCIES 

PART II 

None. 

ITEM 14. MATERIAL MODIFICATIONS TO THE RIGHTS OF SECURITY HOLDERS AND USE OF PROCEEDS 

A-D.    Material Modifications to the Rights of Security Holders; Assets Securing Securities; Trustees; Paying Agents. 

None. 

E.    Use of Proceeds. 

Not applicable. 

227 

 
 
 
ITEM 15. CONTROLS AND PROCEDURES 

A.    Evaluation of Disclosure Controls and Procedures. 

As required by Rule 13a-15 under the Exchange Act, management, including our chief executive officer and our chief financial 
officer, has evaluated the effectiveness of our disclosure controls and procedures as of the end of the period covered by this report. 
Disclosure controls and procedures refer to controls and other procedures designed to ensure that information required to be disclosed 
in  the  reports  we  file  or  submit  under  the  Exchange  Act  is  recorded,  processed,  summarized  and  reported  within  the  time  periods 
specified in the rules and forms of the SEC. Disclosure controls and procedures include, without limitation, controls and procedures 
designed  to  ensure  that  information  required  to  be  disclosed  by  us  in  our  reports  that  we  file  or  submit  under  the  Exchange  Act  is 
accumulated  and  communicated  to  management,  including  our  principal  executive  and  principal  financial  officers,  or  persons 
performing similar functions, as appropriate to allow timely decisions regarding our required disclosure. Based on such evaluation, our 
management has concluded that, as of December 31, 2021, our disclosure controls and procedures were effective. 

B.    Management’s Annual Report on Internal Control over Financial Reporting. 

Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as defined in 
Rule 13a-15(f) and 15d-15(f) promulgated under the Securities Exchange Act of 1934. Internal control over financial reporting is a 
process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of consolidated 
financial statements in accordance with U.S. GAAP and includes those policies and procedures that (1) pertain to the maintenance of 
records  that,  in  reasonable  detail,  accurately  and  fairly  reflect  the  transactions  and  dispositions  of  a  company’s  assets;  (2) provide 
reasonable assurance that transactions are recorded as necessary to permit preparation of consolidated financial statements in accordance 
with generally accepted accounting principles, and that a company’s receipts and expenditures are being made only in accordance with 
authorizations of a company’s management and directors; and (3) provide reasonable assurance regarding prevention or timely detection 
of unauthorized acquisition, use, or disposition of a company’s assets that could have a material effect on the consolidated financial 
statements. 

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Projections of 
any evaluation of effectiveness of our internal control over financial reporting to future periods are subject to the risk that controls may 
become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. 

Our management, with the participation of our chief executive officer and chief financial officer, has assessed the effectiveness of 
our internal control over financial reporting as of December 31, 2021. In making this assessment, our management used the criteria set 
forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in Internal Control-Integrated Framework 
(2013 Framework). Based on this assessment, management concluded that our internal control over financial reporting was effective as 
of December 31, 2021. 

C.    Attestation Report of the Independent Registered Public Accounting Firm. 

Our independent registered public accounting firm, PricewaterhouseCoopers Zhong Tian LLP (“PricewaterhouseCoopers Zhong 
Tian”) , has audited the effectiveness of our internal control over financial reporting as of December 31, 2021, as stated in its report, 
which appears in this annual report. 

D.    Changes in Internal Control over Financial Reporting. 

There were no changes in our internal controls over financial reporting during the fiscal year ended December 31, 2021 that have 
materially and adversely affected, or are reasonably likely to materially and adversely affect, our internal control over financial reporting. 

ITEM 16. RESERVED 

228 

 
 
 
 
ITEM 16A. AUDIT COMMITTEE FINANCIAL EXPERTS 

Our audit committee consists of Graeme Allan Jack, Paul Rutherford Carter and Karen Jean Ferrante, with Graeme Allan Jack 
serving as chairman of the committee.  Graeme Allan Jack, Paul Rutherford Carter and Karen Jean Ferrante each meet the independence 
requirements under the rules of the Nasdaq Stock Market and under Rule 10A-3 under the Exchange Act.  We have determined that 
Graeme Allan Jack is an “audit committee financial expert” within the meaning of Item 407 of Regulation S-K.  All members of our 
audit committee meet the requirements for financial literacy under the applicable rules and regulations of the SEC and the Nasdaq Stock 
Market.    For  information  relating  to  qualifications  and  experience  of  each  audit  committee  member,  see  Item  6.  “Directors,  Senior 
Management and Employees.” 

ITEM 16B. CODE OF ETHICS 

Our board of directors has adopted a code of ethics applicable to all of our employees, officers and directors, including our principal 
executive officer, principal financial officer, principal accounting officer or controller, and persons performing similar functions.  This 
code is intended to qualify as a “code of ethics” within the meaning of the applicable rules of the SEC.  Our code of ethics is available 
on  our  website  at  https://www.hutch-med.com/shareholder-information/corporate-governance/code-of-ethics/.  Information  contained 
on, or that can be accessed through, our website is not incorporated by reference into this annual report.  See Item 6.C. “Board Practices—
Code of Ethics” for more information. 

ITEM 16C. PRINCIPAL ACCOUNTANT FEES AND SERVICES 

Principal Accountant Fees and Services 

The following table summarizes the fees charged by PricewaterhouseCoopers Zhong Tian and PricewaterhouseCoopers for certain 

services rendered to our company, including some of our subsidiaries and joint ventures, during 2021 and 2020. 

Audit fees(1) 
Tax fees(2) 
Other service fees(3) 
Total(4) 

Notes: 

For the year ended 
December 31, 

2021 

2020 

(in thousands) 

 4,614      
 406   
 —   
 5,020   

3,289
45
90
3,424

(1)  “Audit  fees”  means  the  aggregate  fees  billed  in  each  of  the  fiscal  years  for  professional  services  rendered  by 
PricewaterhouseCoopers Zhong Tian and PricewaterhouseCoopers for the audit of our annual financial statements and review of 
our interim financial statements, filing of our Form F-3 and S-8, and professional services paid by us in connection with follow-on 
offerings in the United States, initial public offering in Hong Kong and preparation for other capital market transactions. 

(2)  “Tax fees” means the aggregate fees billed in each of the fiscal years for professional services rendered by PricewaterhouseCoopers 

for tax compliance and tax advice. 

(3)  “Other service fees” means the aggregate fees billed for professional services rendered by PricewaterhouseCoopers for information 

technology system and security review. 

(4)  The fees disclosed are exclusive of out-of-pocket expenses and taxes on the amounts paid, which totaled approximately $164,000 

and $117,000 in 2020 and 2021, respectively. 

(5)  On June 15, 2021, we engaged PricewaterhouseCoopers Zhong Tian as our independent registered public accounting firm, and 
dismissed PricewaterhouseCoopers. The fees for 2021 are fees payable to PricewaterhouseCoopers Zhong Tian. See also “Item 
16F. Change in Registrant’s Certifying Accountant.” 

229 

 
 
 
 
 
 
 
 
 
 
 
Audit Committee Pre-approval Policies and Procedures 

Our audit committee reviews and pre-approves the scope and the cost of audit services related to us and permissible non-audit 
services performed by the independent auditors, other than those for de minimis services which are approved by the audit committee 
prior to the completion of the audit.  All of the services related to our company provided by PricewaterhouseCoopers Zhong Tian and 
PricewaterhouseCoopers listed above have been approved by the audit committee. 

ITEM 16D. EXEMPTIONS FROM THE LISTING STANDARDS FOR AUDIT COMMITTEES 

Not applicable. 

ITEM 16E. PURCHASES OF EQUITY SECURITIES BY THE ISSUER AND AFFILIATED PURCHASERS 

None. 

ITEM 16F. CHANGE IN REGISTRANT’S CERTIFYING ACCOUNTANT 

On June 15, 2021, we engaged PricewaterhouseCoopers Zhong Tian as our independent registered public accounting firm, and 
dismissed PricewaterhouseCoopers. The change of our independent registered public accounting firm had been approved by the audit 
committee of our board of directors, and the decision was not made due to any disagreement between us and Pricewaterhouse Coopers. 

The reports of PricewaterhouseCoopers on our consolidated financial statements for the fiscal years ended December 31, 2019 and 
2020 did not contain an adverse opinion or disclaimer of opinion and were not qualified or modified as to uncertainty, audit scope or 
accounting principle.  

During the fiscal years ended December 31, 2019 and 2020 and the subsequent interim period through June 15, 2021, there have 
been  no  (i)  disagreements  between  us  and  PricewaterhouseCoopers  on  any  matter  of  accounting  principles  or  practices,  financial 
statement disclosure, or audit scope or procedure, which disagreements if not resolved to the satisfaction of PricewaterhouseCoopers 
would  have  caused  them  to  make  reference  thereto  in  their  reports  on  the  consolidated  financial  statements  for  such  years,  or  (ii) 
reportable events as defined in Item 16F(a)(1)(v) of the instructions to Form 20-F. 

We have provided PricewaterhouseCoopers with a copy of the disclosures hereunder and required under Item 16F of Form 20-F 
and requested from PricewaterhouseCoopers a letter addressed to the Securities and Exchange Commission indicating whether it agrees 
with such disclosures. A copy of PricewaterhouseCooper’s letter dated June 21, 2021 is attached as Exhibit 16.1 to our current report 
on Form 6-K furnished to the SEC on June 21, 2021. 

During each of the fiscal years ended December 31, 2019 and 2020 and the subsequent interim period through June 15, 2021, neither 
we  nor  anyone  on  behalf  of  us  has  consulted  with  PricewaterhouseCoopers  Zhong  Tian  regarding  (i)  the  application  of  accounting 
principles to a specific transaction, either completed or proposed, or the type of audit opinion that might be rendered on our consolidated 
financial statements, and neither a written report nor oral advice was provided to us that PricewaterhouseCoopers Zhong Tian concluded 
was an important factor considered by us in reaching a decision as to any accounting, audit or financial reporting issue, (ii) any matter 
that was the subject of a disagreement pursuant to Item 16F(a)(1)(iv) of the instructions to Form 20-F, or (iii) any reportable event 
pursuant to Item 16F(a)(1)(v) of the instructions to Form 20-F. 

230 

 
 
 
 
ITEM 16G. CORPORATE GOVERNANCE 

As permitted by Nasdaq, in lieu of the Nasdaq corporate governance rules, but subject to certain exceptions, we may follow the 
practices of our home country which for the purpose of such rules is the Cayman Islands.  Certain corporate governance practices in the 
Cayman Islands may differ significantly from corporate governance listing standards as, except for general fiduciary duties and duties 
of  care,  Cayman  Islands  law  has  no  corporate  governance  regime  which  prescribes  specific  corporate  governance  standards.    For 
example, we follow Cayman Islands corporate governance practices in lieu of the corporate governance requirements of the Nasdaq 
Global Select Market in respect of the following: 

(i) 

the majority independent director requirement under Section 5605(b)(1) of the Nasdaq listing rules, 

(ii)  the  requirement  under  Section  5605(d)  of  the  Nasdaq  listing  rules  that  a  remuneration  committee  comprised  solely  of 

independent directors governed by a remuneration committee charter oversee executive compensation, and 

(iii) the  requirement  under  Section  5605(e)  of  the  Nasdaq  listing  rules  that  director  nominees  be  selected  or  recommended  for 

selection by either a majority of the independent directors or a nominations committee comprised solely of independent directors. 

Cayman Islands law does not impose a requirement that our board of directors consist of a majority of independent directors, nor 
does Cayman Islands law impose specific requirements on the establishment of a remuneration committee or nominating committee or 
nominating process. We voluntarily comply with Hong Kong Corporate Governance Code. See Item 6.C. “Board Practice—Hong Kong 
Corporate Governance Code” for more details. 

ITEM 16H. MINE SAFETY DISCLOSURE 

Not applicable. 

ITEM 16I. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTION 

Not applicable. 

ITEM 17. FINANCIAL STATEMENTS 

See Item 18 “Financial Statements.” 

ITEM 18. FINANCIAL STATEMENTS 

PART III 

Our consolidated financial statements and the consolidated financial statements of our non-consolidated joint venture, Shanghai 
Hutchison Pharmaceuticals, and our former non-consolidated joint venture, Hutchison Baiyunshan, are included at the end of this annual 
report. 

231 

 
 
 
 
 
 
 
ITEM 19. EXHIBITS 

EXHIBIT INDEX 

1.1* 
2.1 

2.2 

2.3 

2.4* 
2.5 

4.1 

4.2*+ 

4.3 

4.4 

4.5 

4.6 

4.7 

4.8 

4.9 

4.10 

4.11 

      Amended and Restated Memorandum and Articles of Association of HUTCHMED (China) Limited 

Form of Deposit Agreement and all holders and beneficial owners of ADSs issued thereunder (incorporated by reference
to Exhibit 4.1 to Amendment No. 4 to our Registration Statement on Form F-1 (file no. 333-207447) filed with the SEC 
on March 4, 2016) 
Form of American Depositary Receipt (incorporated by reference to Exhibit 4.1 to Amendment No. 4 to our Registration
Statement on Form F-1 (file no. 333-207447) filed with the SEC on March 4, 2016) 
Form of Specimen Certificate for Ordinary Shares (incorporated by reference to Exhibit 4.3 to Amendment No. 2 to our 
Registration Statement on Form F-1 (file no. 333-207447) filed with the SEC on February 11, 2016) 
Description of Ordinary Shares 
Description of American Depositary Shares (incorporated by reference to Exhibit 2.5 to our annual report on Form 20-
F/A filed with the SEC on April 29, 2020) 
Amended and Restated License and Collaboration Agreement by and between HUTCHMED Limited (formerly known
as  Hutchison  MediPharma  Limited)  and  AstraZeneca  AB  (publ)  dated  as  of  December  7,  2020  (incorporated  by
reference to Exhibit 4.1 to our annual report on Form 20-F filed with the SEC on March 4, 2021) 
Amendment to the Amended and Restated License and Collaboration Agreement by and between HUTCHMED Limited
and AstraZeneca AB (publ) dated as of November 29, 2021 
Amended  and  Restated  Exclusive  License  and  Collaboration  Agreement  by  and  HUTCHMED  Limited,  Eli  Lilly
Trading (Shanghai) Company Limited and HUTCHMED (China) Limited dated as of October 8, 2013 (incorporated by 
reference to Exhibit 4.2 to our annual report on Form 20-F/A filed with the SEC on May 30, 2019)  
First Amendment to the Amended and Restated Exclusive License and Collaboration Agreement by and among Lilly 
(Shanghai)  Management  Company  Limited,  HUTCHMED  Limited  and  HUTCHMED  (China)  Limited  dated  as  of
December 18, 2018 (incorporated by reference to Exhibit 4.16 to our annual report on Form 20-F filed with the SEC on
March 11, 2019) 
English translation of Sino-Foreign Joint Venture Contract by and between Shanghai Traditional Chinese Medicine Co.,
Ltd. and Shanghai HUTCHMED Investment Limited (formerly Hutchison Chinese Medicine (Shanghai) Investment 
Limited) dated as of January 6, 2001 (incorporated by reference to Exhibit 4.6 to our annual report on Form 20-F/A 
filed with the SEC on May 30, 2019) 
English translation of First Amendment to Sino-Foreign Joint Venture Contract by and between Shanghai Traditional
Chinese Medicine Co., Ltd. and Shanghai HUTCHMED Investment Limited dated as of July 12, 2001 (incorporated by
reference  to  Exhibit  10.15  to  our  Registration  Statement  on  Form  F-1  (file  no.  333-207447)  filed  with  the  SEC  on
October 16, 2015) 
English translation of Second Amendment to Sino-Foreign Joint Venture Contract by and between Shanghai Traditional
Chinese  Medicine  Co.,  Ltd.  and  Shanghai  HUTCHMED  Investment  (HK)  Limited  dated  as  of  November  5,  2007 
(incorporated by reference to Exhibit 10.16 to our Registration Statement on Form F-1 (file no. 333-207447) filed with 
the SEC on October 16, 2015) 
English translation of Third Amendment to Sino-Foreign Joint Venture Contract by and between Shanghai Traditional
Chinese  Medicine  Co.,  Ltd.  and  Shanghai  HUTCHMED  Investment  (HK)  Limited  dated  as  of  June  19,  2012
(incorporated by reference to Exhibit 10.17 to our Registration Statement on Form F-1 (file no. 333-207447) filed with 
the SEC on October 16, 2015) 
English translation of Fourth Amendment to Sino-Foreign Joint Venture Contract by and between Shanghai Traditional 
Chinese  Medicine  Co.,  Ltd.  and  Shanghai  HUTCHMED  Investment  (HK)  Limited  dated  as  of  March  8,  2013
(incorporated by reference to Exhibit 4.10 to our annual report on Form 20-F/A filed with the SEC on May 30, 2019) 
English translation of Sino-Foreign Joint Venture Contract by and between Sinopharm Group Co. Ltd. and Hutchison
Chinese Medicine GSP (HK) Holdings Limited dated as of December 18, 2013 (incorporated by reference to Exhibit 
4.11 to our annual report on Form 20-F/A filed with the SEC on May 30, 2019) 
Form of Executive Employment Agreement for HUTCHMED Group (HK) Limited executive officers (incorporated by
reference  to  Exhibit  10.23  to  our  Registration  Statement  on  Form  F-1  (file  no.  333-207447)  filed  with  the  SEC  on
October 16, 2015) 

232 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
4.12 

4.13 

4.14 

4.15*+ 

4.16* 

4.17* 

8.1* 
12.1* 
12.2* 
13.1* 

13.2* 

15.1* 

15.2* 

15.3* 

15.4* 

15.5* 
16.1 

101.INS* 
101.SCH*   
101.CAL*   
101.LAB*   
101.PRE*   
101.DEF*   
104* 

English  translation  of  Form  of  Executive  Employment  Agreement  for  HUTCHMED  Limited  executive  officers
(incorporated by reference to Exhibit 10.24 to our Registration Statement on Form F-1 (file no. 333-207447) filed with 
the SEC on October 16, 2015) 
Form  of  Indemnification  Agreement  for  Directors  and  Officers  (incorporated  by  reference  to  Exhibit  10.25  to  our 
Registration Statement on Form F-1 (file no. 333-207447) filed with the SEC on October 16, 2015)  
Second Amendment to the Amended and Restated Exclusive License and Collaboration Agreement by and among Lilly
(Shanghai) Management Company Limited, HUTCHMED Limited and HUTCHMED (China) Limited dated as of July
28, 2020 (incorporated by reference to Exhibit 4.14 to our annual report on Form 20-F filed with the SEC on March 4,
2021) 
License Agreement by and among Epizyme, Inc. and Hutchison China MediTech Investment Limited (now known as
HUTCHMED Group Investment Limited) dated as of August 7, 2021 
Form of Offer Letter for Hutchison MediPharma (US) Inc. (now known as HUTCHMED International Corporation) 
executive officer 
Form  of  Offer  Letter  for  Hutchison  MediPharma  International  Inc.  (now  known  as  HUTCHMED  International
Corporation) executive officer 
List of Significant Subsidiaries of the Company 
Certification of Chief Executive Officer Required by Rule 13a-14(a) 
Certification of Chief Financial Officer Required by Rule 13a-14(a) 
Certification of Chief Executive Officer Required by Rule 13a-14(b) and Section 1350 of Chapter 63 of Title 18 of the 
United States Code 
Certification of Chief Financial Officer Required by Rule 13a-14(b) and Section 1350 of Chapter 63 of Title 18 of the 
United States Code 
Consent  of  PricewaterhouseCoopers  Zhong  Tian  LLP,  an  independent  registered  accounting  firm,  regarding  the
consolidated financial statements of HUTCHMED (China) Limited 
Consent of PricewaterhouseCoopers, an independent registered accounting firm, regarding the consolidated financial 
statements of HUTCHMED (China) Limited 
Consent  of  PricewaterhouseCoopers  Zhong  Tian  LLP,  independent  accountants,  regarding  the  consolidated 
financial statements of Shanghai Hutchison Pharmaceuticals Limited 
Consent of PricewaterhouseCoopers Zhong Tian LLP, independent accountants, regarding the consolidated financial
statements of Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited 
Consent of Conyers Dill & Pearman  
Letter from PricewaterhouseCoopers to the Securities and Exchange Commission dated June 21, 2021 (incorporated
herein by reference to Exhibit 16.1 to the current report on Form 6-K furnished to the SEC on June 21, 2021) 
XBRL Instance Document 
XBRL Taxonomy Extension Schema Document 
XBRL Taxonomy Extension Calculation Linkbase Document 
XBRL Taxonomy Extension Label Linkbase Document 
XBRL Taxonomy Extension Presentation Linkbase Document 
XBRL Taxonomy Extension Definitions Linkbase Document 
Cover Page Interactive Data File (embedded within the Inline XBRL document) 

*      Filed herewith. 
†      Furnished herewith. 
+      Portions of the exhibit have been omitted because they are both (i) not material and (ii) would likely cause competitive harm to the 

company if publicly disclosed. 

233 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The registrant hereby certifies that it meets all of the requirements for filing on annual report on Form 20-F and that it has duly 

caused and authorized the undersigned to sign this annual report on its behalf. 

SIGNATURES 

Date: March 3, 2022 

HUTCHMED (China) Limited 

By:

/s/ CHRISTIAN LAWRENCE HOGG 
Name: Christian Lawrence Hogg 
Title: Chief Executive Officer 

234 

 
 
 
 
 
 
 
 
 
 
 
 
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS 

Audited Consolidated Financial Statements of HUTCHMED (China) Limited
Report of Independent Registered Public Accounting Firm (PCAOB ID 1424 and 1389)
As at December 31, 2021 and December 31, 2020: 

Consolidated Balance Sheets 

For the Years Ended December 31, 2021, 2020 and 2019:

Consolidated Statements of Operations 
Consolidated Statements of Comprehensive Loss  
Consolidated Statements of Changes in Shareholders’ Equity 
Consolidated Statements of Cash Flows 

Notes to the Consolidated Financial Statements 

Audited Consolidated Financial Statements of Shanghai Hutchison Pharmaceuticals Limited
Report of Independent Auditors  
For the Years Ended December 31, 2021, 2020 and 2019:

Consolidated Income Statements 
Consolidated Statements of Comprehensive Income

As at December 31, 2021 and December 31, 2020: 
Consolidated Statements of Financial Position 

For the Years Ended December 31, 2021, 2020 and 2019:

Consolidated Statements of Changes in Equity 
Consolidated Statements of Cash Flows 

Notes to the Consolidated Financial Statements  

Audited Consolidated Financial Statements of Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company 
Limited 
Report of Independent Auditors  
For the Period from January 1, 2021 to September 28, 2021 and the Years Ended December 31, 2020, and 2019: 

Consolidated Income Statements 
Consolidated Statements of Comprehensive Income

As at September 28, 2021 and December 31, 2020: 
Consolidated Statements of Financial Position 

For the Period from January 1, 2021 to September 28, 2021 and the Years Ended December 31, 2020 and 2019: 

Consolidated Statements of Changes in Equity 
Consolidated Statements of Cash Flows 

Notes to the Consolidated Financial Statements 

F-2

F-5

F-6
F-7
F-8
F-9
F-10

F-50

F-52
F-53

F-54

F-55
F-56
F-57

F-77

F-78
F-79

F-80

F-81
F-82
F-83

F-1 

 
 
 
  
 
 
Refer to pages 92 to 150 in this annual report for the independent auditor’s report and the audited consolidated 
financial statements of HUTCHMED (China) Limited.

F-2 to F-48

SHANGHAI HUTCHISON 
PHARMACEUTICALS LIMITED 

F-49 

 
 
 
Report of Independent Auditors 

To the Board of Directors of Shanghai Hutchison Pharmaceuticals Limited 

Opinion 

We  have  audited  the  accompanying  consolidated  financial  statements  of  Shanghai  Hutchison  Pharmaceuticals  Limited  and  its 
subsidiaries (the “Company”), which comprise the consolidated statements of financial position as of December 31, 2021 and 2020, and 
the related consolidated income statements, consolidated statements of comprehensive income, of changes in equity and of cash flows 
for  each  of  the  three  years  in  the  period  ended  December  31,  2021,  including  the  related  notes  (collectively  referred  to  as  the 
“consolidated financial statements”). 

In our opinion, the accompanying consolidated financial statements present fairly, in all material respects, the financial position of 
the Company as of December 31, 2021 and 2020, and the results of its operations and its cash flows for each of the three years in the 
period  ended  December  31,  2021  in  accordance  with  International  Financial  Reporting  Standards  as  issued  by  the  International 
Accounting Standards Board . 

Basis for Opinion 

We conducted our audit in accordance with auditing standards generally accepted in the United States of America (US GAAS). Our 
responsibilities under those standards are further described in the Auditors’ Responsibilities for the Audit of the Consolidated Financial 
Statements section of our report. We are required to be independent of the Company and to meet our other ethical responsibilities, in 
accordance with the relevant ethical requirements relating to our audit. We believe that the audit evidence we have obtained is sufficient 
and appropriate to provide a basis for our audit opinion. 

Responsibilities of Management for the Consolidated Financial Statements 

Management is responsible for the preparation and fair presentation of the consolidated financial statements in accordance with 
International  Financial  Reporting  Standards  as  issued  by  the  International  Accounting  Standards  Board  ,  and  for  the  design, 
implementation, and maintenance of internal control relevant to the preparation and fair presentation of consolidatedfinancial statements 
that are free from material misstatement, whether due to fraud or error. 

In preparing the financial statements, management is responsible for assessing the Company’s ability to continue as a going concern 
for at least, but not limited to, twelve months from the end of the reporting period, disclosing, as applicable, matters related to going 
concern  and  using  the  going  concern  basis  of  accounting  unless  management  either  intends  to  liquidate  the  Company  or  to  cease 
operations, or has no realistic alternative but to do so. 

Auditors’ Responsibilities for the Audit of the Consolidated Financial Statements 

Our  objectives  are  to  obtain  reasonable  assurance  about  whether  the  financial  statements  as  a  whole  are  free  from  material 
misstatement, whether due to fraud or error, and to issue an auditors’ report that includes our opinion. Reasonable assurance is a high 
level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with US GAAS 
will always detect a material misstatement when it exists. The risk of not detecting a material misstatement resulting from fraud is higher 
than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of 
internal control. Misstatements are considered material if there is a substantial likelihood that, individually or in the aggregate, they 
would influence the judgment made by a reasonable user based on the financial statements. 

In performing an audit in accordance with US GAAS, we: 

●  Exercise professional judgment and maintain professional skepticism throughout the audit. 

● 

Identify and assess the risks of material misstatement of the consolidated financial statements, whether due to fraud or error, 
and design and perform audit procedures responsive to those risks. Such procedures include examining, on a test basis, evidence 
regarding the amounts and disclosures in the financial statements. 

F-50 

●  Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the 
circumstances,  but  not  for  the  purpose  of  expressing  an  opinion  on  the  effectiveness  of  the  Company's  internal  control. 
Accordingly, no such opinion is expressed. 

●  Evaluate the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by 

management, as well as evaluate the overall presentation of the consolidated financial statements. 

●  Conclude whether, in our judgment, there are conditions or events, considered in the aggregate, that raise substantial doubt 

about the Company’s ability to continue as a going concern for a reasonable period of time. 

We are required to communicate with those charged with governance regarding, among other matters, the planned scope and timing 

of the audit, significant audit findings, and certain internal control-related matters that we identified during the audit. 

/s/ PricewaterhouseCoopers Zhong Tian LLP 
Shanghai, the People’s Republic of China 
March 3, 2022 

F-51 

 
 
Shanghai Hutchison Pharmaceuticals Limited 
Consolidated Income Statements 
(in US$’000) 

Note 
5

6
7
15

8

Revenue 
Cost of sales 
Gross profit 
Selling expenses 
Administrative expenses 
Other net operating income 
Operating profit 
Finance costs 
Profit before taxation 
Taxation charge 
Profit for the year 

Year Ended December 31,  
2020 
 276,354
 (72,163)
 204,191
 (111,892)
 (17,907)
3,473
 77,865
(12)
 77,853   
 (10,833)
 67,020   

2021 
 332,648   
 (77,559)  
 255,089   
 (131,821)  
 (22,627)  
 4,759   
 105,400   
 (116) 
 105,284   
 (15,896)  
 89,388   

2019 
272,082
(77,313)
194,769
(110,591)
(14,761)
2,941
 72,358
(42)
 72,316
(11,015)
 61,301

The accompanying notes are an integral part of these consolidated financial statements. 

F-52 

 
 
 
 
 
 
 
 
 
    
 
     
    
 
 
 
Shanghai Hutchison Pharmaceuticals Limited 
Consolidated Statements of Comprehensive Income 
(in US$’000) 

Profit for the year 
Other comprehensive income/(loss) that has been or may be reclassified subsequently to  

profit or loss: 
Exchange translation differences 

Total comprehensive income 

Year Ended December 31,  
2020 
 67,020   

2021 
 89,388  

2019 
 61,301

 3,341  
 92,729  

 11,129
 78,149   

(4,670)
 56,631

The accompanying notes are an integral part of these consolidated financial statements. 

F-53 

  
 
 
 
 
 
    
     
    
  
 
  
 
 
 
Shanghai Hutchison Pharmaceuticals Limited 
Consolidated Statements of Financial Position 
(in US$’000) 

Assets 
Current assets 

Cash and cash equivalents 
Trade and bills receivables 
Other receivables, prepayments and deposits 
Inventories 

Total current assets 
Property, plant and equipment 
Right-of-use assets 
Leasehold land 
Other intangible asset 
Deferred tax assets 
Total assets 
Liabilities and shareholders’ equity 
Current liabilities 
Trade payables 
Other payables, accruals and advance receipts 
Current tax liabilities 
Lease liabilities 

Total current liabilities 
Deferred income 
Lease liabilities 
Total liabilities 
Shareholders’ equity 

Share capital 
Reserves 

Total shareholders’ equity 
Total liabilities and shareholders’ equity 

Note 

2021 

2020 

December 31,  

10 
11 
12 
13 

14 
15 

16 

17 
18 
19 
15 

15 

 50,038
 17,482
 3,350
 119,390
 190,260   
 73,650
 2,445
 7,025
722
 7,715
 281,817   

 12,411
 111,793
 4,089
700

 128,993   
 4,983
 2,148
 136,124   

 33,382
 112,311
 145,693   
 281,817

72,478
18,421
3,392
81,674
 175,965
76,932
152
7,021
935
8,315
 269,320

11,174
93,534
5,032
133
 109,873
6,720
19
 116,612

33,382
119,326
 152,708
 269,320

The accompanying notes are an integral part of these consolidated financial statements. 

F-54 

 
 
 
 
 
 
 
 
 
    
     
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Shanghai Hutchison Pharmaceuticals Limited 
Consolidated Statements of Changes in Equity 
(in US$’000) 

As at January 1, 2019 
Profit for the year 
Other comprehensive loss 

Exchange translation differences 
Total comprehensive (loss)/income 
Transfer between reserves 
Dividends declared to shareholders 
As at December 31, 2019 
Profit for the year 
Other comprehensive income 

Exchange translation differences 

Total comprehensive income 
Transfer between reserves 
Dividends declared to shareholders 
As at December 31, 2020 
Profit for the year 
Other comprehensive income 

Exchange translation differences 

Total comprehensive income 
Transfer between reserves 
Dividends declared to shareholders 
As at December 31, 2021 

Share 
capital 
 33,382  

—

—
—
—
—

 33,382   

—

     Exchange        General        Retained     
reserves 

reserve 
 (3,854) 
—   

earnings 
 101,263  
61,301

 970  
 —   

Total 
equity 
 131,761
61,301

(4,670)  
(4,670)  
—  
—   
 (8,524)  
—  

 —   
 —   
 14  
—   

—
61,301
(14)
(41,654)

(4,670)
56,631
—
(41,654)
 984     120,896     146,738
67,020
67,020

 —  

— 11,129  
— 11,129  
—  
—
—  
—
 2,605  
 33,382
—   
—

 —  
 —  
 14  
 —  
 998  
—   

—
67,020
(14)
(72,179)
 115,723
89,388

11,129
78,149
—
(72,179)
 152,708
89,388

—
—
—
—

 33,382   

3,341   
3,341   
—   
—   
 5,946   

 —   
 —   
 31   
 —   

3,341
—
92,729
89,388
—
(31)
(99,744)
(99,744)
 1,029     105,336     145,693

The accompanying notes are an integral part of these consolidated financial statements. 

F-55 

 
 
 
 
 
 
 
    
 
 
 
 
 
 
 
  
  
  
 
 
 
 
  
  
  
 
Shanghai Hutchison Pharmaceuticals Limited 
Consolidated Statements of Cash Flows 
(in US$’000) 

Operating activities 
Net cash generated from operations 
Interest received 
Income tax paid 
Net cash generated from operating activities 
Investing activities 
Purchase of property, plant and equipment 
Proceeds from disposal of property, plant and equipment
Net cash used in investing activities 
Financing activities 
Dividends paid to shareholders 
Lease payments 
Net cash used in financing activities 

Net (decrease)/increase in cash and cash equivalents 
Effect of exchange rate changes on cash and cash equivalents

Cash and cash equivalents 
Cash and cash equivalents at beginning of year 
Cash and cash equivalents at end of year 

Note 

20

19

Year Ended December 31,  
2020 

2021 

2019 

 93,970   
 1,116   
 (15,976)  
 79,110   

 112,609
912
 (10,232)
 103,289

 (3,362)  
 32   
 (3,330)  

 (2,437)
63
 (2,374)

76,784
518
(13,618)
63,684

(4,592)
9
(4,583)

15

 (99,744)  
 (303)  

 (72,179)
(474)

(41,654)
(595)

(100,047)  
 (24,267)  
 1,827   
 (22,440)  

 (72,653)
 28,262
2,972
 31,234

(42,249)
16,852
(659)
16,193

 72,478   
 50,038   

 41,244
 72,478

25,051
41,244

The accompanying notes are an integral part of these consolidated financial statements. 

F-56 

 
 
 
 
 
 
 
 
 
 
    
    
     
    
    
  
    
 
  
 
 
 
Shanghai Hutchison Pharmaceuticals Limited 
Notes to the Consolidated Financial Statements 

1.    General Information 

Shanghai Hutchison Pharmaceuticals Limited (the “Company”) and its subsidiaries (together the “Group”) are principally engaged 
in manufacturing, selling and distribution of prescription drug products. The Group has manufacturing plants in the People’s Republic 
of China (the “PRC”) and sells mainly in the PRC. 

The Company was incorporated in the PRC on April 30, 2001 as a Chinese-Foreign Equity joint venture. The Company is jointly 
controlled by Shanghai HUTCHMED Investment (HK) Limited (“SHHCMI(HK)L”) (formerly known as “Shanghai Hutchison Chinese 
Medicine (HK) Investment Limited”) and Shanghai Traditional Chinese Medicine Co., Ltd (“SHTCML”). 

These  consolidated  financial  statements  are  presented  in  United States  dollars  (“US$”),  unless  otherwise  stated  and  have  been 

approved for issue by the Company’s Board of Directors on March 3, 2022. 

2.    Summary of Significant Accounting Policies 

The consolidated financial statements of the Company have been prepared in accordance with International Financial Reporting 
Standards (“IFRS”) and interpretations issued by the IFRS Interpretations Committee applicable to companies reporting under IFRS. 
The consolidated financial statements comply with IFRS as issued by the International Accounting Standards Board (“IASB”). These 
consolidated financial statements have been prepared under the historical cost convention. 

During the year, the Group has adopted all of the new and revised standards, amendments and interpretations issued by the IASB 
that are relevant to the Group’s operations and mandatory for annual periods beginning January 1, 2021. The adoption of these new and 
revised standards, amendments and interpretations did not have any material effects on the Group’s results of operations or financial 
position. 

The following standards, amendments and interpretations were issued but not yet effective for the financial year ended December 

31, 2021 and have not been early adopted by the Group: 

IFRS 3 (Amendments)(1) 
IAS 16 (Amendments)(1) 
IAS 37 (Amendments)(1) 
Annual improvement 2018-2020(1) 
IAS 1(2) 
IAS 1 (Amendments)(2) 
IAS 8 (Amendments)(2) 
IAS 12 (Amendments)(2) 

IFRS 17(2) 
IFRS 10 and IAS 28 (Amendments)(3) 

Reference to the Conceptual Framework 
Property, Plant and Equipment: Proceeds before Intended Use
Onerous Contracts – Costs of Fulfilling a Contract
Improvements to IFRSs
Disclosure Initiative-Accounting Policies 
Classification of Liabilities as Current or Non-current
Definition of Accounting Estimates 

  Deferred Tax related to Assets and Liabilities arising from a 

Single Transaction
Insurance Contracts

  Sale or Contribution of Assets between an Investor and its 

Associate or Joint Venture

(1)  Effective for the Group for annual periods beginning on or after January 1, 2022. 

(2)  Effective for the Group for annual periods beginning on or after January 1, 2023. 

(3)  Effective date to be determined by the IASB. 

The adoption of standards, amendments and interpretations listed above in future periods is not expected to have any material effects 

on the Group’s results of operations or financial position. 

F-57 

 
 
(a)   Basis of Consolidation 

The consolidated financial statements of the Group include the financial statements of the Company and its subsidiaries. 

The accounting policies of subsidiaries have been changed where necessary to ensure consistency with the policies adopted by 

the Group. 

Intercompany  transactions,  balances  and  unrealized  gains  on  transactions  between  group  companies  are  eliminated.  Unrealized 

losses are also eliminated unless the transaction provides evidence of an impairment of the transferred asset. 

(b)   Subsidiaries 

Subsidiaries are all entities over which the Group has control. The Group controls an entity when the Group is exposed, or has 
rights, to variable returns from its involvement with the entity and has the ability to affect those returns through its power to direct the 
activities of the entity. In the consolidated financial statements, subsidiaries are accounted for as described in Note 2(a) above. 

Subsidiaries are fully consolidated from the date on which control is transferred to the Group. They are de-consolidated from the 

date that control ceases. 

(c)   Foreign Currency Translation 

Items  included  in  the  financial  statements  of  each  of  the  Group’s  companies  are  measured  using  the  currency  of  the  primary 
economic  environment  in  which  the  entity  operates  (the “functional  currency”).  The  functional  currency  of  the  Company  and  its 
subsidiaries  is  Renminbi  (“RMB”)  whereas  the  consolidated  financial  statements  are  presented  in  US$,  which  is  the  Company’s 
presentation currency. 

Foreign currency transactions are translated into the functional currency using the exchange rates at the dates of the transactions. 
Foreign currency gains and losses resulting from the settlement of such transactions and from the translation of monetary assets and 
liabilities denominated in foreign currencies at year end exchange rates are generally recognized in the consolidated income statements. 

The financial statements of the Company and its subsidiaries are translated into the Company’s presentation currency using the year 
end  rates  of  exchange  for  the  statements  of  financial  position  items  and  the  average  rates  of  exchange  for  the year  for  the  income 
statement items. Exchange translation differences are recognized directly in other comprehensive income. 

(d)  Property, Plant and Equipment 

Property, plant and equipment other than construction in progress are stated at historical cost less accumulated depreciation and any 
accumulated impairment losses. Historical cost includes the purchase price of the asset and any directly attributable costs of bringing 
the asset to its working condition and location for its intended use. 

Subsequent  costs  are  included  in  the  asset’s  carrying  amount  or  recognized  as  a  separate  asset,  as  appropriate,  only  when  it  is 
probable that future economic benefits associated with the item will flow to the Group and the cost of the item can be measured reliably. 
All  other  repairs  and  maintenance  are  charged  to  the  consolidated  income  statements  during  the  financial  period  in  which  they 
are incurred. 

Depreciation  is  calculated  using  the  straight-line  method  to  allocate  asset  costs  less  accumulated  impairment  losses  over  their 

estimated useful lives. The principal estimated useful lives are as follows: 

Buildings 
Leasehold improvements 

20 years

  Over the unexpired period of the lease or 5 years, 

whichever is shorter

Plant and equipment 
Furniture and fixtures, other equipment and motor 

vehicles 

10 years

5 years

F-58 

 
 
The assets’ useful lives are reviewed and adjusted, if appropriate, at the end of each reporting period. An asset’s carrying amount 
is written down immediately to its recoverable amount if the asset’s carrying amount is greater than its estimated recoverable amount. 

Gains and losses on disposals are determined by comparing net sales proceeds with the carrying amount of the relevant assets and 

are recognized in the consolidated income statements. 

(e)   Construction in Progress 

Construction in progress represents buildings, plant and machinery under construction and pending installation and is stated at cost 
less accumulated impairment losses, if any. Cost includes the costs of construction of buildings and the costs of plant and machinery. 
No provision for depreciation is made on construction-in-progress until such time as the relevant assets are completed and ready for its 
intended use. When the assets concerned are brought into use, the costs are transferred to property, plant and equipment and depreciated 
in accordance with the policy as stated in Note 2(d). 

(f)   Other Intangible Asset 

The Group’s other intangible asset represents promotion and marketing rights. Other intangible asset has a definite useful life and 
is carried at historical cost less accumulated amortization and accumulated impairment losses, if any. Amortization is calculated using 
the straight-line method to allocate its cost over its estimated useful life of ten years. 

(g)   Research and Development 

Research expenditure is recognized as an expense as incurred. Costs incurred on development projects (relating to the design and 
testing of new or improved products) are recognized as intangible assets when it is probable that the project will generate future economic 
benefits  by  considering  its  commercial  and  technological  feasibility,  and  costs  can  be  measured  reliably.  Other  development 
expenditures are recognized as an expense as incurred. Development costs previously recognized as an expense are not recognized as 
an  asset  in  a  subsequent  period.  Development  costs  with  a  finite  useful  life  that  have  been  capitalized,  if  any,  are  amortized  on  a 
straight-line basis over the period of expected benefit not exceeding five years. The capitalized development costs are reviewed for 
impairment whenever events or changes in circumstances indicate that the carrying amount of an asset exceeds its recoverable amount. 

Where the research phase and the development phase of an internal project cannot be clearly distinguished, all expenditure incurred 

on the project is charged to the consolidated income statements. 

(h)   Impairment of Non-Financial Assets 

Assets are reviewed for impairment to determine whether there is any indication that the carrying value of these assets may not be 
recoverable and have suffered an impairment loss. If any such indication exists, the recoverable amount of the asset is estimated in order 
to determine the extent of the impairment loss, if any. The recoverable amount is the higher of an asset’s fair value less costs to sell and 
value in use. Such impairment loss is recognized in the consolidated income statements. Assets that have an indefinite useful life such 
as goodwill or intangible assets not ready to use are not subject to amortization and are tested for impairment annually and when there 
are indications that the carrying value may not be recoverable. 

(i)   Inventories 

Inventories are stated at the lower of cost or net realizable value. Cost is determined using the weighted average cost method. The 
cost  of  finished  goods  comprises  raw  materials,  direct  labor,  other  direct  costs  and  related  production  overheads  (based  on  normal 
operating capacity). Net realizable value is the estimated selling price in the ordinary course of business, less applicable variable selling 
expenses. 

F-59 

(j)   Trade and Other Receivables 

Trade and other receivables are recognized initially at fair value, which is the amount of consideration that is unconditional. Trade 
and other receivables solely represent payments of principal and interest, if any, and the Group holds such financial assets with the 
objective to collect its contractual cash flows. Therefore, the Group measures them subsequently at amortized cost using the effective 
interest method, less any loss allowance. The Group applies the IFRS 9 simplified approach to measuring expected credit losses which 
uses a lifetime expected loss allowance for all trade receivables. To measure the expected credit losses, trade receivables have been 
grouped based on shared credit risk characteristics and the days past due. All other receivables at amortized cost are considered to have 
low credit risk, and the loss allowance recognized during the period was therefore limited to 12 months expected losses. The amount of 
the provision is recognized in the consolidated income statements. 

(k)   Cash and Cash Equivalents 

In the consolidated statements of cash flows, cash and cash equivalents include cash on hand, bank deposits and other short-term 
highly liquid investments with original maturities of three months or less that are readily convertible to known amounts of cash and 
which are subject to an insignificant risk of changes in value, if any. 

(l)   Financial Liabilities and Equity Instruments 

Financial  liabilities  and  equity  instruments  issued  by  the  Group  are  classified  according  to  the  substance  of  the  contractual 
arrangements entered into and the definitions of a financial liability and an equity instrument. Financial liabilities (including trade and 
other payables) are initially measured at fair value, and are subsequently measured at amortized cost, using the effective interest method. 
An equity instrument is any contract that does not meet the definition of a financial liability and evidences a residual interest in the 
assets of the Group after deducting all of its liabilities. 

Ordinary shares are classified as equity. Incremental costs, net of tax, directly attributable to the issue of new shares are shown in 

equity as a deduction from the proceeds. 

(m)  Current and Deferred Income Tax 

(i)    Current income tax 

The current income tax charge is calculated on the basis of the tax laws enacted or substantively enacted at the balance sheet date 
in the country where the Group operates and generates taxable income. Management periodically evaluates positions taken in tax returns 
with respect to situations in which applicable tax regulation is subject to interpretation. It establishes provisions where appropriate on 
the basis of amounts expected to be paid to the tax authorities. 

(ii)    Deferred income tax 

Inside basis differences 

Deferred income tax is recognized, using the liability method, on temporary differences arising between the tax bases of assets and 
liabilities and their carrying amounts in the consolidated financial statements. However, deferred tax liabilities are not recognized if they 
arise from the initial recognition of goodwill and deferred income tax is not accounted for if it arises from initial recognition of an asset 
or liability in a transaction other than a business combination that at the time of the transaction affects neither accounting nor taxable 
profit  or  loss. Deferred  income  tax  is  determined using  tax  rates (and laws)  that  have  been  enacted or  substantively  enacted by  the 
balance sheet date and are expected to apply when the related deferred income tax asset is realized or the deferred income tax liability 
is settled. 

Deferred income tax assets are recognized only to the extent that it is probable that future taxable profit will be available against 
which the temporary differences can be utilized. Deferred income tax assets and deferred income tax liabilities are offset when there is 
a legally enforceable right to set off and when the deferred income taxes related to the same fiscal authority. 

F-60 

Outside basis differences 

Deferred income tax liabilities are provided on taxable temporary differences arising from investments in subsidiaries, except for 
deferred income tax liabilities where the timing of the reversal of the temporary difference is controlled by the Group and it is probable 
that the temporary difference will not reverse in the foreseeable future. 

Deferred income tax assets are recognized on deductible temporary differences arising from investments in subsidiaries, only to the 
extent that it is probable the temporary difference will reverse in the future and there is sufficient taxable profit available against which 
the temporary difference can be utilized. 

(n)   Employee Benefits 

The employees of the Group participate in defined contribution retirement benefit plans managed by the relevant municipal and 
provincial governments in the PRC. The assets of these plans are held separately from the Group. The Group is required to make monthly 
contributions to the plans calculated as a percentage of the employees’ salaries. The municipal and provincial governments undertake 
to assume the retirement benefit obligations to all existing and future retired employees under the plans described above. Other than 
the monthly contributions, the Group has no further obligations for the payment of the retirement and other post-retirement benefits of 
its employees. 

(o)   Provisions 

Provisions are recognized when the Group has a present legal or constructive obligation as a result of past events, it is probable that 
an outflow of resources will be required to settle the obligation, and the amount has been reliably estimated. Provisions are not recognized 
for future operating losses. 

(p)   Leases 

A lease is recognized as a right-of-use asset with a corresponding liability at the date which the leased asset is available for use by 
the Group. The Group recognizes an obligation to make lease payments equal to the present value of the lease payments over the lease 
term. The lease terms may include options to extend or terminate the lease when it is reasonably certain that the Group will exercise that 
option. 

Lease liabilities include the net present value of the following lease payments: (i) fixed payments; (ii) variable lease payments that 
depend on an index or a rate; and (iii) payments of penalties for terminating the lease if the lease term reflects the lessee exercising that 
option, if any. Lease liabilities exclude the following payments that are generally accounted for separately: (i) non-lease components, 
such  as  maintenance  and  security  service  fees  and  value  added  tax,  and  (ii)  any  payments  that  a  lessee  makes  before  the  lease 
commencement date. The lease payments are discounted using the interest rate implicit in the lease or if that rate cannot be determined, 
the  lessee’s  incremental  borrowing  rate  being  the  rate  that  the  lessee  would  have  to  pay  to  borrow  the  funds  in  its  currency  and 
jurisdiction necessary to obtain an asset of similar value, economic environment and terms and conditions.  

An asset representing the right to use the underlying asset during the lease term is recognized that consists of the initial measurement 
of the lease liability, any lease payments made to the lessor at or before the commencement date less any lease incentives received, any 
initial direct cost incurred by the Group and any restoration costs. 

After commencement of the lease, each lease payment is allocated between lease liability and finance costs. The finance costs are 
recognized over the lease term so as to produce a constant periodic rate of interest on the remaining balance of the lease liability for 
each period. The right-of-use asset is depreciated on a straight-line basis over the period of the lease. 

Payments associated with short-term leases are recognized as lease expenses on a straight-line basis over the period of the leases. 

Leasehold land is accounted under IFRS 16. 

F-61 

(q)  Government Incentives 

Incentives from government are recognized at their fair values where there is a reasonable assurance that the incentives will be 

received and all attached conditions will be complied with. 

Government incentives relating to costs are deferred and recognized in the consolidated income statements over the period necessary 

to match them with the costs that they are intended to compensate. 

Government grants relating to property, plant and equipment are included in other payables, accruals and advance receipts and 
non-current liabilities as deferred income and credited to the consolidated income statements on a straight-line basis over the expected 
lives of the related assets. 

(r)   Revenue and Income Recognition 

Revenue is measured based on consideration specified in a contract with a customer, and excludes any sales incentives and amounts 
collected on behalf of third parties. Taxes assessed by a governmental authority that are both imposed on and concurrent with a specific 
revenue-producing transaction, that are collected by the Group from a customer, are also excluded from revenue. The Group recognizes 
revenue when it satisfies a performance obligation by transferring control over a good to a customer. 

The Group principally generates revenue from sales of goods. Revenue from sales of goods is recognized when the customer takes 
possession  of  the  goods.  This  usually  occurs  upon  completed  delivery  of  the  goods  to  the  customer  site.  The  amount  of  revenue 
recognized  is  adjusted  for  expected  sales  incentives  as  stipulated  in  the  contract,  which  are  generally  issued  to  customers  as  direct 
discounts  at  the  point-of-sale  or  indirectly  in  the  form  of  rebates.  Sales  incentives  are  estimated  using  the  expected  value  method. 
Additionally, sales are generally made with a limited right of return under certain conditions. Revenues are recorded net of provisions 
for sales discounts and returns. 

Revenue from provision of services is recognized when the benefits of the services transfer to the customer over time, which is 
based on the proportionate value of services rendered as determined under the terms of the relevant contract. Additionally, when the 
amounts that can be invoiced correspond directly with the value to the customer for performance completed to date, the Group recognizes 
revenue from provision of services based on amounts that can be invoiced to the customer. 

Payments in advance from customers are deferred if consideration is received in advance of transferring control of the goods or 
rendering of services. Accounts receivable is recognized if the Group has an unconditional right to bill the customer, which is generally 
when  the  customer  takes  possession  of  the  goods  or  services  are  rendered.  Payment  terms  differ  by  subsidiary  and  customer,  but 
generally range from 45 to 180 days from the invoice date. 

(s)   Interest Income 

Interest income is recognized on a time-proportion basis using the effective interest method. 

(t)   Segment Reporting 

Operating segments are reported in a manner consistent with the internal reporting provided to the chief operating decision makers. 
The Company’s Board of Directors, which is responsible for allocating resources and assessing performance of the operating segments, 
has been identified as the steering committee that makes strategic decisions. 

(u)  General Reserves 

In  accordance  with  the  laws  applicable  to  Foreign  Investment  Enterprises  established  in  the  PRC,  the  Company  makes 
appropriations to certain non-distributable reserve funds including the general reserve fund, the enterprise expansion fund and the staff 
bonus and welfare fund. The amount of appropriations to these funds are made at the discretion of the Company’s Board of Directors. 

F-62 

 
3. Financial Risk Management 

(a)   Financial risk factors 

The Group’s activities expose it to a variety of financial risks, including credit risk and liquidity risk. The Group does not use any 

derivative financial instruments for speculative purposes. 

(i)    Credit risk 

The carrying amounts of cash and cash equivalents, trade receivables (including bills receivables) and other receivables included in 
the consolidated statements of financial position represent the Group’s maximum exposure to credit risk of the counterparty in relation 
to its financial assets. 

Substantially all of the Group’s cash and cash equivalents are deposited in major financial institutions, which management believes 

are of high credit quality. The Group has a practice to limit the amount of credit exposure to any financial institution. 

Bills receivables are mostly settled by state-owned banks or other reputable banks and therefore the management considers that 

they will not expose the Group to any significant credit risk. 

The Group has no significant concentrations of credit risk. The Group has policies in place to ensure that the sales of products are 

made to customers with appropriate credit history and the Group performs periodic credit evaluations of its customers. 

Management periodically assesses the recoverability of trade receivables and other receivables. The Group’s historical loss rates 
are adjusted to reflect current and forward-looking information on specific factors affecting the ability of the customers to settle the 
receivables, and historical experience collecting receivables falls within the recorded allowances. 

(ii)    Liquidity risk 

Prudent  liquidity  management  implies  maintaining  sufficient  cash  and  cash  equivalents  and  the  availability  of  funding  when 
necessary. The Group’s policy is to regularly monitor current and expected liquidity requirements to ensure that it maintains sufficient 
cash balances and adequate credit facilities to meet its liquidity requirements in the short and long term. 

As at December 31, 2021 and 2020, the Group’s current financial liabilities were mainly due for settlement within twelve months 

and the Group expects to meet all liquidity requirements. 

(b)   Capital risk management 

The Group’s objectives when managing capital are to safeguard the Group’s ability to provide returns for shareholders and benefits 

for other stakeholders and to maintain an optimal capital structure to reduce the cost of capital. 

The Group regularly reviews and manages its capital structure to ensure an optimal balance between higher shareholders’ return 
that might be possible with higher levels of borrowings and the advantages and security afforded by a sound capital position, and makes 
adjustments to the capital structure in light of changes in economic conditions. 

The Group monitors capital on the basis of the liabilities to assets ratio. This ratio is calculated as total liabilities divided by total 

assets as shown on the consolidated statements of financial position. 

F-63 

Currently,  it  is  the  Group’s  strategy  to  maintain  a  reasonable  liabilities  to  assets  ratio.  The  liabilities  to  assets  ratio  as  at 

December 31, 2021 and 2020 was as follows: 

Total liabilities 
Total assets 
Liabilities to assets ratio 

(c) Fair value estimation

December 31, 

2021 

2020 

(in US$’000) 

136,124 
281,817 
 48.3 %   

 116,612
 269,320
 43.3 %

The Group does not have any financial assets or liabilities which are carried at fair value. The carrying amounts of the Group’s
current financial assets, including cash and cash equivalents, trade and bills receivables and other receivables, and current financial 
liabilities, including trade payables and other payables and accruals, approximate their fair values due to their short-term maturities. The 
carrying amounts of the Group’s financial instruments carried at cost or amortized cost are not materially different from their fair values. 

The face values less any estimated credit adjustments for financial assets and liabilities with a maturity of less than one year are 
assumed to approximate their fair values. The fair value of financial liabilities for disclosure purposes is estimated by discounting the 
future contractual cash flows at the current market interest rate that is available to the Group for similar financial instruments. 

4. Critical Accounting Estimates and Judgements

Note 2 includes a summary of the significant accounting policies used in the preparation of the consolidated financial statements.
The preparation of consolidated financial statements often requires the use of judgements to select specific accounting methods and 
policies from several acceptable alternatives. Furthermore, significant estimates and assumptions concerning the future may be required 
in  selecting  and  applying  those  methods  and  policies  in  the  consolidated  financial  statements.  The  Group  bases  its  estimates  and 
judgements on historical experience and various other assumptions that it believes are reasonable under the circumstances. Actual results 
may differ from these estimates and judgements under different assumptions or conditions. 

The following is a review of the more significant assumptions and estimates, as well as the accounting policies and methods used 

in the preparation of the consolidated financial statements. 

(a) Sales rebates

Certain  sales  rebates  are  provided  to  customers  when  their  business  performance  for  an  agreed  period  within  the year  and  the
whole year meets certain criteria as stipulated in the contracts. Sales rebates are considered variable consideration and the estimate of 
sales rebates during the year is based on estimated sales transactions for the entire period stipulated and is subject to change based on 
actual performance and collection status. 

(b) Useful lives of property, plant and equipment

The Group has made substantial investments in property, plant and equipment. Changes in technology or changes in the intended

use of these assets may cause the estimated period of use or value of these assets to change. 

(c) Deferred income tax

Deferred tax is recognized using the liability method on temporary differences arising between the tax bases of assets and liabilities
against which the deductible temporary differences and the carry forward of unused tax losses and tax credits can be utilized. Deferred 
income  tax  assets  are  recognized  only  to  the  extent  that  it  is probable  that  future  taxable  profit  will  be  available  against  which  the 
temporary differences can be utilized. Where the final outcomes are different from the estimations, such differences will impact the 
carrying amount of deferred tax in the period in which such determination is made. 

F-64

 
 
5. Revenue and Segment Information 

Management has reviewed the Group’s internal reporting in order to assess performance and allocate resources, and has determined 

that the Group has two reportable operating segments as follows: 

—Manufacturing business—manufacture and distribution of drug products 

—Distribution business—provision of sales, distribution and marketing services to pharmaceutical manufacturers 

The operating segments are strategic business units that offer different products and services. They are managed separately because 
each business requires different technology and marketing approaches. The performance of each of the reportable segments is assessed 
based on a measure of operating profit/(loss). 

The segment information is as follows: 

Revenue from external customers 
Interest income 
Operating profit/(loss) 
Finance costs 
Depreciation/amortization 
Additions to non‑current assets (other than financial instruments 

and deferred tax assets) 

Total segment assets 

Revenue from external customers 
Interest income 
Operating profit/(loss) 
Finance costs 
Depreciation/amortization 
Additions to non‑current assets (other than financial instruments 

Year Ended December 31, 2021 

Manufacturing Distribution  

business 
PRC 

business 
PRC 

Total 

(in US$’000) 

331,097
629
107,361
114
9,118

 1,551   
 587   
 (1,961)  
 2   
 50   

 332,648
1,216
 105,400
116
9,168

5,867

 82   

5,949

 December 31, 2021 

Manufacturing   Distribution 

business 
PRC 

business 
PRC 

Total 

(in US$’000) 

280,632

 1,185     

 281,817

Year Ended December 31, 2020 

Manufacturing Distribution   

business 
PRC 

business 
PRC 

Total 

(in US$’000) 

270,954
396
78,069
11
8,670

 5,400   
 579   
 (204)  
 1   
 65   

 276,354
975
 77,865
12
8,735

and deferred tax assets) 

3,037

 57   

3,094

Total segment assets 

December 31, 2020 
Manufacturing Distribution   

business 
PRC 

business 
PRC 

Total 

(in US$’000) 

261,965

 7,355   

 269,320

F-65 

 
 
 
 
 
 
 
 
 
 
     
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
     
 
 
 
 
 
 
 
 
 
 
 
 
     
 
 
 
 
 
 
 
 
 
 
 
 
     
 
 
Revenue from external customers 
Interest income 
Operating profit/(loss) 
Finance costs 
Depreciation/amortization 
Additions to non‑current assets (other than financial 

instruments and deferred tax assets) 

Year Ended December 31, 2019 

Manufacturing
business 
PRC 

Distribution   
business 
PRC 

260,986
300
74,319
33
7,913

(in US$’000) 

 11,096   
 282   
 (1,961)   
 9  
 185   

Total 

 272,082
582
 72,358
42
8,098

2,958

 17   

2,975

Revenue from external customers is after elimination of inter-segment sales. The amount eliminated was US$77.8 million for 2021 
(2020:  US$62.2  million;  2019:  US$60.8 million).  Sales  between  segments  are  carried  out  at  mutually  agreed  terms.  Revenue  from 
external customers from the manufacturing business is for sales of goods which are recognized at a point in time. Revenue from external 
customers from the distribution business is for provision of services which are recognized over time. 

6. Other Net Operating Income 

Interest income 
Net foreign exchange gain/(loss) 
Government Incentives
Other operating income/(loss) 

7. Operating Profit 

Operating profit 

Operating profit is stated after charging/(crediting) the following: 

Cost of inventories recognized as expense
Research and development expense 
Depreciation of property, plant and equipment
Loss/(Gain) on disposal of property, plant and equipment
Amortization of leasehold land 
Amortization of other intangible asset 
Depreciation charge of right-of-use assets and lease expenses
Movement on the provision for trade receivables
Provision for excess and obsolete inventories
Auditor’s remuneration
Employee benefit expenses (Note 9) 

F-66 

Year Ended December 31,  
2020 

2021 

2019 

1,216
25
2,999
519
4,759

(in US$’000) 

 975   
 70   
 2,601   
 (173)  
 3,473   

582
(20)
2,370
9
2,941

Year Ended December 31,  
2020 

2021 

2019 

(in US$’000) 

105,400

77,865   

 72,358

Year Ended December 31,  
2020 

2019 

2021 

(in US$’000) 

50,637
9,350
8,100
60
172
233
663
—
(141)
223
100,311

47,299   
 6,301  
 7,878   
 (2)  
 160   
 217   
 725   
 (9)  
 2,447   
 198   
80,728   

 55,653
4,422
7,148
11
161
218
724
9
1,062
194
 80,647

 
 
 
 
 
 
 
 
     
 
 
 
 
 
 
 
 
    
     
 
 
 
 
 
 
 
 
 
    
     
 
 
 
 
 
 
 
    
     
 
 
 
 
8. Taxation Charge 

Current tax 
Deferred income tax (Note 16) 
Taxation charge 

15,082
814
15,896

(in US$’000) 
 12,520   
 (1,687)  
 10,833   

 10,300
715
 11,015

The taxation charge on the Group’s profit before taxation differs from the theoretical amount that would arise using the Group’s 

weighted average tax rate as follows: 

Year Ended December 31,  
2020 

2019 

2021 

Year Ended December 31,  
2020 

2019 

2021 

Profit before taxation 
Tax calculated at the statutory tax rates of respective companies
Tax effects of: 

Expenses not deductible for tax purposes
Utilization of unrecognized temporary differences 
Tax concession (note) 
Under/(over) provision in prior years 

Taxation charge 

105,284
26,321

1,946
(55)
(12,420)
104
15,896

(in US$’000) 
 77,853   
 19,463   

 1,137   
 (938)  
 (8,753)  
 (76)  
 10,833   

 72,316
 18,079

2,938
 (1,669)
 (8,541)
208
 11,015

Note:  The  Company  has  been  granted  the  High  and  New  Technology  Enterprise  status.  Accordingly,  the  Company  is 
subject to a preferential income tax rate of 15% in 2021 and up to 2022 (2020: 15%; 2019: 15%). Certain research and 
development expenses are also eligible for super-deduction such that 200% of qualified expenses incurred are deductible 
against taxable profits for tax purposes (2020: 175%; 2019: 175%). 

The weighted average tax rate calculated at the statutory tax rates of respective companies was 25%.The effective tax rate for the 

year ended December 31, 2021 was 15.1% (2020: 13.9%; 2019: 15.2%). 

9. Employee Benefit Expenses 

Year Ended December 31,  
2020 

2019 

2021 

Wages, salaries and bonuses 
Pension costs—defined contribution plans
Staff welfare 

77,335
8,713
14,263
100,311

(in US$’000) 
 68,226   
 995   
 11,507   
 80,728   

 60,353
7,689
 12,605
 80,647

Employee benefit expenses of approximately US$20.1 million for the year ended December 31, 2021 (2020: US$16.4 million; 

2019: US$18.8 million) are included in cost of sales. 

10. Cash and cash equivalents 

Cash and cash equivalents 

December 31,  

2021 

2020 

(in US$’000) 

 50,038   

 72,478

The  cash  and  cash  equivalents  denominated  in  RMB  were  deposited  with  banks  in  the  PRC.  The  conversion  of  these  RMB 
denominated balances into foreign currencies is subject to the rules and regulations of foreign exchange control promulgated by the 
PRC government. 

F-67 

 
 
 
 
 
    
     
 
 
 
 
 
 
 
    
     
 
  
 
 
 
 
 
 
 
    
     
 
 
 
 
 
 
 
 
 
     
 
 
11. Trade and Bills Receivables 

Trade receivables—third parties 
Trade receivables—related parties (Note 22(b))
Bills receivables 

December 31,  

2021 

2020 

(in US$’000) 

 9,555   
 649   
 7,278   
 17,482   

 13,996
1,384
3,041
 18,421

All trade and bills receivables are denominated in RMB and are due within one year from the end of the reporting period. The 

carrying values of trade and bills receivables approximate their fair values due to their short-term maturities. 

Movements on the provision for trade receivables are as follows: 

As at January 1 
Increase in provision for trade receivables
Decrease in provision due to subsequent collection
As at December 31 

12. Other Receivables, Prepayments and Deposits 

Prepayments to suppliers 
Interest receivables 
Deposits 
Others 

13. Inventories 

Raw materials 
Work in progress 
Finished goods 

2021 

2020 

2019 

(in US$’000) 
 9   
 —  
 (9) 
 —   

—
—
—
—

—
9
—
9

December 31,  

2021 

2020 

(in US$’000) 

 1,929   
 283   
 877   
 261   
 3,350   

1,356
171
1,338
527
3,392

December 31, 

2021 

2020 

(in US$’000) 

 54,585   
 39,668   
 25,137   
 119,390   

 31,501
 32,684
 17,489
 81,674

F-68 

 
 
 
 
 
 
     
 
 
 
 
 
 
 
     
 
 
  
 
 
 
 
 
     
 
 
 
 
 
 
 
 
 
 
 
    
     
 
 
 
 
14. Property, Plant and Equipment

Cost 

As at January 1, 2021 
Additions 
Disposals 
Transfers 
Exchange differences 
As at December 31, 2021 
Accumulated depreciation  
As at January 1, 2021 
Depreciation 
Disposals 
Transfers 
Exchange differences 
As at December 31, 2021 

Net book value 

As at December 31, 2021 

Cost 

As at January 1, 2020 
Additions 
Disposals 
Transfers 
Exchange differences 
As at December 31, 2020 
Accumulated depreciation 
As at January 1, 2020 
Depreciation 
Disposals 
Exchange differences 
As at December 31, 2020 

Net book value 

As at December 31, 2020 

Buildings 
situated in 
the PRC 

Leasehold 
improvements 

Plant 
and 
equipment 

Furniture 
and 
fixtures, 
other 
equipment 
and motor 
vehicles 

Construction
in progress

Total 

73,480
28
—
224
1,855
75,587

15,699
3,763
—
93
428
19,983

55,604

(in US$’000) 

578
68
(128)
314
16
848

504
100
(128)
(390)
8
94

25,173
535
(207)
298
639
26,438

12,288
2,347
(145)
—
327
14,817

 12,273 
 929 
(481)
1,982   
 330 
 15,033 

 7,570 
 1,890 
(464)
297  
205   

 9,498 

2,685
1,453
(1,230)
 (2,818)
46
136

1,196
—
(1,217)
—
21
—

114,189
3,013
(2,046)
—
2,886
118,042

37,257
8,100
(1,954)
—
989
44,392

754

11,621

 5,535 

136

73,650

  Buildings 
situated in 
the PRC 

Leasehold 
improvements

Plant 
and 
equipment 

Furniture 
and 
fixtures, 
other 
equipment 
and motor 
vehicles 

(in US$’000) 

22,606
581
(53)
361
1,678
25,173

8,760
2,786
(35)
777
12,288

 9,526 
 935 
(134)
 1,155
 791 
 12,273 

 5,665 
 1,511 
(91)
 485
 7,570 

Construction
in progress 

Total 

2,828
1,519
—
 (1,850)
188
2,685

1,116
—
—
80
1,196

103,712
3,035
(187)
—
7,629
114,189

27,136
7,878
(126)
2,369
37,257

12,885

 4,703 

1,489

76,932

68,213
—
—
334
4,933
73,480

11,212
3,493
—
994
15,699

57,781

539
—
—
—
39
578

383
88
—
33
504

74

F-69

 
 
 
 
 
Buildings 
situated in 
the PRC 

Leasehold 
improvements

Plant 
and 
equipment 

Furniture 
and 
fixtures, 
other 
equipment   
and motor    Construction
      in progress

vehicles 

(in US$’000) 

22,583
334
(41)
337
(607)
22,606

6,786
2,229
(28)
(227)
8,760

 7,934   
 1,511   
 (170)  
 500   
 (249)  
 9,526   

 4,614   
 1,361   
 (163)  
 (147)  
 5,665   

3,508
856
—
 (1,457)
(79)
2,828

1,146
—
—
(30)
1,116

Total 

103,939
2,774
(211)
—
(2,790)
103,712

20,881
7,148
(191)
(702)
27,136

13,846

 3,861   

1,712

76,576

69,434
—
—
620
(1,841)
68,213

8,035
3,465
—
(288)
11,212

57,001

480
73
—
—
(14)
539

300
93
—
(10)
383

156

Cost 

As at January 1, 2019 
Additions 
Disposals 
Transfers 
Exchange differences 
As at December 31, 2019 
Accumulated depreciation  
As at January 1, 2019 
Depreciation 
Disposals 
Exchange differences 
As at December 31, 2019 

Net book value 

As at December 31, 2019 

15. Leases 

Leases consisted of the following: 

Right-of-use assets: 

Offices 

Lease liabilities—current 
Lease liabilities—non-current 

Lease activities are summarized as follows: 

Lease expenses: Short-term leases with lease terms equal or less than 12 months
Depreciation charge of right-of-use assets 
Interest expense (included in finance costs)
Cash paid on lease liabilities 
Non-cash: Lease liabilities recognized from obtaining right-of-use assets

Lease contracts are typically within a period of 1 to 5 years. The weighted average remaining lease term and weighted average 

discount rate as at December 31, 2021 was 3.7 years (2020: 0.89 years) and 4.75% (2020: 4.75%) respectively. 

F-70 

December 31,  

2021 

2020 

(in US$’000) 

 2,445  
 700  
 2,148  
 2,848  

152
133
19
152

     Year Ended December 31,

2021 

2020 

(in US$’000) 
 508  
 663  
 116  
 303  
 2,936  

245
480
12
474
58

 
 
 
 
 
    
     
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
 
 
  
  
  
  
  
  
  
    
  
  
  
  
  
  
    
  
 
 
 
 
 
 
 
    
 
 
     
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
Future lease payments are as follows: 

Lease payments: 

Not later than 1 year 
Between 1 to 2 years 
Between 2 to 3 years 
Between 3 to 4 years 

Total lease payments 
Less: Discount factor 
Total lease liabilities 

16. Deferred Tax Assets 

The movements in deferred tax assets are as follows: 

December 31,  

2021 

2020 

(in US$’000) 

 814  
 784  
 793  
 713  
 3,104  
 (256) 
 2,848  

135
19
—
—
154
(2)
152

As at January 1 
Credited/(debited) to the consolidated income statements

—Accrued expenses, provisions, deferred income, 
accelerated depreciation and other temporary 
differences (note) 
Exchange differences 
As at December 31 

2021 

2020 

2019 

(in US$’000) 

8,315

6,147   

7,091

(814)
214
7,715

1,687   
 481   
8,315   

(715)
(229)
6,147

Note:  During  the year  ended  December 31,  2021,  the  Group  utilized  US$1.1 million  deferred  tax  assets  which  was 
recognized during the year ended December 31, 2019 on temporary differences arising from advertising and promotion 
expenditures. 

The  Group’s  deferred  tax  assets  are  mainly  temporary  differences  including  accrued  expenses,  provisions,  deferred  income, 
accelerated depreciation and other temporary differences. The potential deferred tax assets in respect of tax losses which have not been 
recognized in the consolidated financial statements were approximately US$26,000 as at December 31, 2021 (2020: US$0.7 million). 

These unrecognized tax losses can be carried forward against future taxable income and will expire in the following years: 

2021 
2022 
2023 
2024 
2025 
2026 

December 31,  

2021 

2020 

(in US$’000) 
 —   
 7   
 —   
 83   
 7   
 6   
 103   

35
7
2,550
76
7
—
2,675

F-71 

 
 
 
 
    
 
 
  
 
 
   
 
 
 
 
 
 
     
 
    
 
 
 
 
 
 
     
 
 
 
 
17. Trade Payables 

Trade payables—third parties 
Trade payables—related parties (Note 22(b))

December 31,  

2021 

2020 

(in US$’000) 

12,030   
 381   
12,411   

8,711
2,463
 11,174

All trade payables are denominated in RMB and due within one year from the end of the reporting period. The carrying value of 

trade payables approximates their fair values due to their short-term maturities. 

18. Other Payables, Accruals and Advance Receipts 

Accrued salaries and benefits 
Accrued selling and marketing expenses
Value‑added tax and tax surcharge payables
Payments in advance from customers (note)
Others 

December 31,  

2021 

2020 

(in US$’000) 

17,796   
68,217   
 9,693   
11,858   
 4,229   
111,793   

 17,536
 59,930
8,794
2,750
4,524
 93,534

Note:  Substantially  all  customer  balances  as  at  December 31,  2020  were  recognized  to  revenue  during  the year  ended 
December 31,  2021.  Additionally,  substantially  all  customer  balances  as  at  December 31,  2021  are  expected  to  be 
recognized to revenue within one year upon transfer of goods or services as the contracts have an expected duration of 
one year or less. 

19. Current Tax Liabilities 

As at January 1 
Current tax (Note 8) 
Tax paid 
Exchange difference 
Transfer (from)/to other receivables 
As at December 31 

2021 

2020 

2019 

5,032
15,082
(15,976)
108
(157)
4,089

(in US$’000) 

 2,395   
12,520   
(10,232)  
 192   
 157  
 5,032   

5,671
 10,300
 (13,618)
42
—
2,395

F-72 

 
 
 
 
 
     
 
 
 
 
 
 
 
 
 
     
 
 
 
 
 
 
 
 
     
 
 
 
20. Notes to the Consolidated Statements of Cash Flows

(a) Reconciliation of profit for the year to net cash generated from operations:

Profit for the year 
Adjustments to reconcile profit for the year to net cash generated from operations

2021 

2020 

2019 

89,388 

(in US$’000) 
 67,020 

61,301

Taxation charge 
Finance costs 
Interest income 
Depreciation on property, plant and equipment
Loss/(gain) on disposal of property, plant and equipment
Amortization of leasehold land 
Amortization of other intangible asset 
Depreciation charge of right-of-use assets
Provision for excess and obsolete inventories
Movement on the provision for trade receivables
Exchange differences 

Changes in working capital: 
Trade and bills receivables 
Other receivables, prepayments and deposits
Inventories 
Trade payables 
Other payables, accruals and advance receipts
Deferred income 

Total changes in working capital 
Net cash generated from operations 

15,896 
116 
(1,216)  
8,100 
 60 
172 
233 
663 
(141)
—   
(693)

 10,833 
 12 
(975)
 7,878 
(2)
 160 
 217 
 480 
2,447 
 (9)
2,057 

939 
(80)

 6,360 
(227)
(37,575)    (11,804)
 905 
 26,511 
 746 
 22,491 
 112,609 

1,237 
18,608 
(1,737)  
(18,608)  
93,970 

11,015
42
(582)
7,148
11
161
218
571
1,062
9
(1,439)

7,053
(218)
(8,459)
3,097
(3,271)
(935)
(2,733)
76,784

(b) Supplemental disclosure for non-cash activities

During the years ended December 31, 2021, there was a decrease in accruals made for purchases of property, plant and equipment

of US$0.3 million (2020 and 2019: an increase of US$0.6 million and a decrease of US$1.8 million respectively). 

21. Capital Commitments

The Group had the following capital commitments:

Property, plant and equipment 

Contracted but not provided for

December 31, 
2021 

(in US$’000) 

155

Capital commitments for property, plant and equipment are mainly for improvements to the Group’s plant. 

F-73

22. Significant Related Party Transactions 

The Group has the following significant transactions with related parties which were carried out in the normal course of business 

at terms determined and agreed by the relevant parties:   

(a)    Transactions with related parties: 

Year Ended December 31,  
2020 

2019 

2021 

Sales of goods to: 
—A fellow subsidiary of SHTCML 
—A fellow subsidiary of SHHCMI(HK)L

Purchase of goods from: 
—SHTCML  
—Fellow subsidiaries of SHTCML 

Rendering of research and development services from:
—A fellow subsidiary of SHHCMI(HK)L
Provision of marketing services to: 
—A fellow subsidiary of SHTCML 
—A fellow subsidiary of SHHCMI(HK)L

Leasing office from: 
—SHTCML  

(in US$’000) 

12,181
3,492
15,673

10,002
1,311
11,313

 10,465   
 2,854   
 13,319   

 12,459
2,255
 14,714

 7,922   
 1,016   
 8,938  

4,609
3,263
7,872

525

 491   

494

1,146
—
1,146

 2,781   
 —   
 2,781   

5,045
2,682
7,727

247

 337   

335

No transactions have been entered into with the directors of the Company (being the key management personnel) during the year 

ended December 31, 2021 (2020 and 2019: nil). 

(b)    Balances with related parties included in: 

Trade and bills receivables 
—A fellow subsidiary of SHTCML 
Other receivables, prepayments and deposits
—A fellow subsidiary of SHTCML 
Right-of-use assets 
—SHTCML  
Trade payables 
—SHTCML  
— Fellow subsidiaries of SHTCML 

Other payables, accruals and advance receipts
—Fellow subsidiaries of SHHCMI(HK)L
Lease liabilities 
—SHTCML 

December 31,  

2021 

2020 

(in US$’000) 

 649   

1,384

 547   

 —  

 —  
 381   
 381  

 1,149  

 —   

946

87

2,054
409
2,463

986

94

Balances with related parties are unsecured, interest-free and repayable on demand. The carrying values of balances with related 

parties approximate their fair values due to their short-term maturities. 

F-74 

 
 
 
 
 
    
     
 
 
 
 
    
 
  
 
  
 
 
 
 
 
 
 
 
 
     
 
 
 
    
 
  
 
 
  
 
 
 
23. Particulars of Principal Subsidiaries 

Place of 
  establishment  
and 

     operation 

Nominal value 
of registered 
capital 

Equity 
interest 
attributable 
to the Group 

December 31,  

2021 

2020 

2021 

2020 

Type of legal entity  

Principal activity 

(in RMB’000) 

PRC 

 20,000

20,000

100 %

100 %

PRC 

 1,500

1,500

100 %

100 %

Limited liability 
company 

Limited liability 
company 

Distribution of 
drug products
Agriculture and 
sales of Chinese 
herbs

Name 

Shanghai Shangyao Hutchison 
Whampoa GSP Company 
Limited 

Hutchison Heze Bio 

Resources & 
Technology Co., Limited 

24. Subsequent Events 

The  Group  evaluated  subsequent  events  through  March 3,  2022,  which  is  the  date  when  the  consolidated  financial  statements 

were issued. 

F-75 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
    
 
   
 
 
 
 
 
 
 
 
 
  
  
 
  
  
 
 
 
 
 
HUTCHISON WHAMPOA GUANGZHOU 
BAIYUNSHAN CHINESE MEDICINE 
COMPANY LIMITED 

F-76 

 
 
Report of Independent Auditors 

To  the  Board  of  Directors  and  Shareholders  of  Hutchison  Whampoa  Guangzhou  Baiyunshan  Chinese  Medicine 
Company Limited 

We have audited  the  accompanying  consolidated  financial  statements of Hutchison  Whampoa Guangzhou  Baiyunshan  Chinese 
Medicine Company Limited and its subsidiaries (the “Company”), which comprise the consolidated statements of financial position as 
of  September  28,  2021  and  December  31,  2020,  and  the  related  consolidated  income  statements,  consolidated  statements  of 
comprehensive income, of changes in equity and of cash flows for the period from January 1, 2021 to September 28, 2021 and each of 
the two years in the period ended December 31, 2020. 

Management’s Responsibility for the Consolidated Financial Statements 

Management is responsible for the preparation and fair presentation of the consolidated financial statements in accordance with the 
basis  of  preparation  mentioned  in  Note  2(1)  to  the  accompanying  consolidated  financial  statements;  this  includes  the  design, 
implementation, and maintenance of internal control relevant to the preparation and fair presentation of consolidated financial statements 
that are free from material misstatement, whether due to fraud or error. 

Auditors’ Responsibility 

Our responsibility is to express an opinion on the consolidated financial statements based on our audits. We conducted our audits 
in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and 
perform  the  audit  to  obtain  reasonable  assurance  about  whether  the  consolidated  financial  statements  are  free  from  material 
misstatement. 

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the consolidated financial 
statements.  The  procedures selected depend  on  our  judgment,  including the  assessment  of  the  risks  of material  misstatement of  the 
consolidated financial statements, whether due to fraud or error. In making those risk assessments, we consider internal control relevant 
to the Company’s preparation and fair presentation of the consolidated financial statements in order to design audit procedures that are 
appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control. 
Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the 
reasonableness  of  significant  accounting  estimates  made  by  management,  as  well  as  evaluating  the  overall  presentation  of  the 
consolidated financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis 
for our audit opinion. 

Opinion 

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position 
of Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited and its subsidiaries as of September 28, 2021 and 
December 31, 2020, and the results of their operations and their cash flows for the period from January 1, 2021 to September 28, 2021, 
and each of the two years in the period ended December 31, 2020 in accordance with the basis of preparation mentioned in Note 2(1) to 
the accompanying consolidated financial statements. 

Emphasis of Matter 

We draw attention to Note 2(1) to the accompanying consolidated financial statements, which describes the basis of preparation. 
On  September  28,  2021,  an  intermediate  holding  company  under  HUTCHMED  (China)  Limited  which  wholly-owned  Guangzhou 
Hutchison  Chinese  Medicine  (HK)  Investment  Limited  (“GZHCMHK”),  sold  its  entire  shareholding  in  GZHCMHK  which  jointly 
controls Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited, to a third party. Our opinion is not modified 
with respect of this matter. 

/s/ PricewaterhouseCoopers Zhong Tian LLP 
Guangzhou, the People’s Republic of China 
December 7, 2021 

F-77 

 
 
Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited 
Consolidated Income Statements 
(in US$’000) 

Revenue 
Cost of sales 
Gross profit 
Selling expenses 
Administrative expenses 
Other net operating income 
Operating profit 
Share of profits/(losses) of a joint venture and associated companies, net 

of tax 

Finance costs 
Gain on return of land 
Gain on divestment of a subsidiary 
Profit before taxation 
Taxation charge 
Profit for the period/year 
Attributable to: 

Shareholders of the Company 
Non-controlling interests 

     Note 

5

6
7

8

9

Period from 
 January 1, 2021  
 to September 28,  
2021 
209,528  
(98,462) 
111,066  
(74,425) 
(21,659) 
5,306  
 20,288  

29  
(24) 
16,433  
—  
 36,726  
(4,840) 
 31,886  

31,850  
36  
31,886  

Year Ended December 31,  

2020 
 232,368
 (115,564)
 116,804
 (74,066)
 (25,664)
 6,071
 23,145   

 (84)
 (57)
 84,667
37

 107,708   
 (16,494)
 91,214   

 91,276
 (62)
 91,214   

2019 
215,403
(100,279)
115,124
(74,013)
(23,817)
5,626
 22,920

60
(59)
—
—
 22,921
(3,634)
 19,287

19,792
(505)
19,287

The accompanying notes are an integral part of these consolidated financial statements. 

F-78 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
     
    
 
 
 
 
 
Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited 
Consolidated Statements of Comprehensive Income 
(in US$’000) 

Profit for the period/year 
Other comprehensive income/(loss) that has been or may be reclassified 

subsequently to profit or loss: 
Exchange translation differences 

Total comprehensive income 
Attributable to: 

Shareholders of the Company 
Non‑controlling interests 

Period from 
 January 1, 2021  
 to September 28,  
2021 

Year Ended December 31, 
2019 
2020 

 31,886   

 91,214   

 19,287

1,393  
 33,279   

33,237  
42  
33,279   

 4,728
 95,942   

 95,976
 (34)
 95,942   

(3,353)
 15,934

16,529
(595)
15,934

The accompanying notes are an integral part of these consolidated financial statements. 

F-79 

 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
     
    
 
 
 
 
 
 
 
 
Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited 
Consolidated Statements of Financial Position 
(in US$’000) 

Assets 
Current assets 

Cash and cash equivalents 
Trade and bills receivables 
Other receivables, prepayments and deposits 
Inventories 

Total current assets 
Property, plant and equipment 
Right-of-use assets 
Leasehold land 
Goodwill 
Other intangible assets 
Investments in a joint venture and associated companies
Deferred tax assets 
Other non-current assets 
Total assets 
Liabilities and shareholders’ equity 
Current liabilities 
Trade payables 
Other payables, accruals and advance receipts 
Dividend payable 
Lease liabilities 
Current tax liabilities 
Total current liabilities 
Deferred tax liabilities 
Deferred income 
Lease liabilities 
Total liabilities 
Company’s shareholders’ equity 

Share capital 
Reserves 

Total Company’s shareholders’ equity 
Non-controlling interests 
Total shareholders’ equity 
Total liabilities and shareholder’s equity 

September 28
, 
2021 

December 31
, 
2020 

Note 

11 
12 
13 
14 

15 
16 

17 
18 

19 
20 
24(b) 
16 

17 
21 
16 

 73,616
 27,874
 26,547
 62,400
 190,437   
 58,619
420
 19,657
 8,825
 1,798
618
 4,420

46   

 284,840

 19,048
 80,484
 105,774   

452
 16,681
 222,439

—   

 14,913
—
 237,352

 24,103
 22,361
 46,464
 1,024
 47,488   
 284,840   

16,602
67,417
50,121
43,748
 177,888
60,181
820
8,419
8,751
2,108
584
3,141
11,689
 273,581

22,579
98,861
—
568
15,171
 137,179
114
15,617
303
 153,213

24,103
95,283
 119,386
982
 120,368
 273,581

The accompanying notes are an integral part of these consolidated financial statements. 

F-80 

 
 
 
 
    
 
 
 
 
    
     
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited 
Consolidated Statements of Changes in Equity 
(in US$’000) 

Attributable to shareholders of the Company 

Non‑ 

As at January 1, 2019 
Profit/(loss) for the year 
Other comprehensive loss 

Exchange translation differences 
Total comprehensive (loss)/income 
Dividends declared to shareholders 
As at December 31, 2019 
Profit/(loss) for the year 
Other comprehensive income 

Share 
capital 
 24,103   

—

Exchange
reserve 
 1,220   
—

General 
reserves

 131   
—

Retained      
earnings 
 96,487   
19,792   

Total 
 121,941   
 19,792   

    controlling
interests 

 3,113   
(505)

Total 
equity 
 125,054
19,287

— (3,263)
— (3,263)
—
—

 24,103   

 (2,043)  

—

—

—   
—
19,792   
—
— (93,957) 
 22,322   
91,276  

 131   
—

 (3,263)  
 16,529   
 (93,957) 
 44,513   
 91,276  

(90)
(595)

(3,353)
15,934
— (93,957)
 47,031
91,214

 2,518   
(62)

Exchange translation differences 
Total comprehensive income/(loss) 
Dividends declared to shareholders 
Acquisition of additional interest in a subsidiary 
Divestment of a subsidiary to non-controlling interest
As at December 31, 2020 
Profit for the period 
Other comprehensive income 

Exchange translation differences 

Total comprehensive income 
Dividends declared to shareholders 
As at September 28, 2021 

—
—
—
—
—
 24,103
—

—
—
—
 24,103

4,700
4,700
—
(9)
—
 2,648
—

1,387
1,387
—
 4,035

—  
—
—
91,276  
— (20,756) 
(207) 
(131)
—  
—
 —  92,635  
31,850  
—

 4,700  
 95,976  
 (20,756) 
 (347) 
 —  
 119,386  
 31,850  

4,728
28
(34)
95,942
— (20,756)
(1,884)
35
 120,368
31,886

(1,537)
35
 982
36

—  
—
—
31,850  
— (106,159) 
 —  18,326  

 1,387  
 33,237  
 (106,159) 
 46,464  

1,393
6
42
33,279
— (106,159)
 47,488

 1,024

The accompanying notes are an integral part of these consolidated financial statements. 

F-81 

 
 
 
 
 
 
    
    
 
 
 
 
 
 
 
 
 
 
 
 
  
  
  
  
  
 
 
 
 
 
 
 
 
 
Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited 
Consolidated Statements of Cash Flows 
(in US$’000) 

Operating activities 
Net cash generated from operations 
Interest received 
Finance costs paid 
Income tax paid 
Net cash generated from operating activities 
Investing activities 
Purchase of property, plant and equipment 
Purchase of intangible assets 
Proceeds from return of land 
Proceeds from disposal of leasehold land 
Proceeds from disposal of property, plant and equipment
Government grants received relating to property, plant and equipment
Net cash generated from/(used in) investing activities
Financing activities 
Dividends paid to shareholders 
Acquisition of additional interest in a subsidiary 
Lease payments 
Net cash used in financing activities 
Net increase/(decrease) in cash and cash equivalents 
Effect of exchange rate changes on cash and cash equivalents

Cash and cash equivalents 
Cash and cash equivalents at beginning of period/year
Cash and cash equivalents at end of period/year 

Note 

22(a)

8

16

Period from 
 January 1, 2021  
 to September 28,  

Year Ended December 31,  

2021 

2020 

2019 

17,785   
205   
(24)  
(4,825)  
13,141   

(1,998)  
(4)  
46,154   
—  
—  
10   
44,162   

—   
—  
(427)  
(427)  
56,876   
138   
57,014   

16,602   
73,616   

 60,756
 271
 (57)
 (4,013)
 56,957

 (2,342)
—
 40,422
 231
 730
 963
 40,004

 (100,842)
 (1,884)
 (609)
 (103,335)
 (6,374)
 1,555
 (4,819)

 21,421
 16,602

26,237
160
(59)
(3,363)
22,975

(3,377)
(356)
—
—
—
950
(2,783)

(14,615)
—
(556)
(15,171)
5,021
(443)
4,578

16,843
21,421

The accompanying notes are an integral part of these consolidated financial statements. 

F-82 

 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
    
    
     
    
 
 
  
  
 
  
 
 
 
Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited 
Notes to the Consolidated Financial Statements 

1. General Information 

Hutchison Whampoa Guangzhou Baiyunshan Chinese Medicine Company Limited (the “Company”) and its subsidiaries (together 
the  “Group”)  are  principally  engaged  in  manufacturing,  selling  and  distribution  of  over-the-counter  drug  products.  The  Group  has 
manufacturing plants in the People’s Republic of China (the “PRC”) and sells mainly in the PRC. 

The Company was incorporated in the PRC on April 12, 2005 as a Chinese-Foreign Equity joint venture. The Company is jointly 
controlled  by  Guangzhou  Hutchison  Chinese  Medicine  (HK)  Investment  Limited  (“GZHCMHK”)  and  Guangzhou  Baiyunshan 
Pharmaceutical  Holdings  Company  Limited  (“GBPHCL”).  On  September  28,  2021,  an  intermediate  holding  company  under 
HUTCHMED (China) Limited (“HUTCHMED”) which wholly-owned GZHCMHK, sold its entire shareholding in GZHCMHK to a 
third party. 

These  consolidated  financial  statements  are  presented  in  United States  dollars  (“US$”),  unless  otherwise  stated  and  have  been 

approved for issue by the Company’s Board of Directors on September 28, 2021. 

2. Summary of Significant Accounting Policies 

(1)  Basis of Preparation 

Except for the comparative periods which have been prepared in accordance with the Regulation S-X Rule 3-09 issued by the United 
States  Securities  and  Exchange  Commission (“SEC”),  the  consolidated financial  statements of  the  Company have been prepared  in 
accordance with International Financial Reporting Standards (“IFRS”) and interpretations issued by the IFRS Interpretations Committee 
applicable to companies reporting under IFRS. The consolidated financial statements comply with IFRS as issued by the International 
Accounting Standards Board (“IASB”). These consolidated financial statements have been prepared under the historical cost convention. 

As at September 28, 2021, the Group was in a net current liabilities position of US$32.0 million, primarily due to the dividend 
declaration on May 13, 2021 and September 23, 2021 of US$46.5 million and US$59.7 million respectively. Based on the Group’s 
operating plan, the existing cash and cash equivalents along with the expected net cash to be generated from operating activities are 
considered to be sufficient to meet the cash requirements to fund planned operations and other commitments for at least the next twelve 
months (the look-forward period used) from the report issue date, and it is appropriate for the Group to prepare the consolidated financial 
statements on a going concern basis. 

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(2)  Summary of Significant Accounting Policies 

During the period, the Group has adopted all of the new and revised standards, amendments and interpretations issued by the IASB 
that are relevant to the Group’s operations and mandatory for annual periods beginning January 1, 2021. The adoption of these new and 
revised standards, amendments and interpretations did not have any material effects on the Group’s results of operations or financial 
position.  

The following standards, amendments and interpretations were issued but not yet effective for the financial period from January 1, 

2021 to September 28, 2021 and have not been early adopted by the Group: 

IFRS 3 (Amendments)(1) 
IAS 16 (Amendments)(1) 
IAS 37 (Amendments)(1) 
Annual improvement 2018-2020(1) 
IAS 1(2) 
IAS 1 (Amendments)(2) 
IAS 8 (Amendments)(2) 
IAS 12 (Amendments)(2) 

IFRS 17(2) 
IFRS 10 and IAS 28 (Amendments)(3) 

Reference to the Conceptual Framework 
Property, Plant and Equipment: Proceeds before Intended Use
Onerous Contracts – Costs of Fulfilling a Contract
Improvements to IFRSs
Disclosure Initiative – Accounting Policies 
Classification of Liabilities as Current or Non-current
Definition of Accounting Estimates 

  Deferred Tax related to Assets and Liabilities arising from a 

Single Transaction
Insurance Contracts
Sale or Contribution of Assets between an Investor and its 

Associate or Joint Venture

(1)  Effective for the Group for annual periods beginning on or after January 1, 2022. 

(2)  Effective for the Group for annual periods beginning on or after January 1, 2023. 

(3)  Effective date to be determined by the IASB. 

The adoption of standards, amendments and interpretations listed above in future periods is not expected to have any material effects 

on the Group’s results of operations or financial position. 

(a)    Basis of Consolidation 

The consolidated financial statements of the Group include the financial statements of the Company and its subsidiaries, and also 

include the Group’s interests in a joint venture and associated companies on the basis set out in Notes 2(d) and 2(e) below. 

The accounting policies of subsidiaries, the joint venture and associated companies have been changed where necessary to ensure 

consistency with the policies adopted by the Group. 

Intercompany  transactions,  balances  and  unrealized  gains  on  transactions  between  group  companies  are  eliminated.  Unrealized 

losses are also eliminated unless the transaction provides evidence of an impairment of the transferred asset. 

Non-controlling interests represent the interests of outside shareholders in the operating results and net assets of subsidiaries. 

(b)    Subsidiaries 

Subsidiaries are all entities over which the Group has control. The Group controls an entity when the Group is exposed, or has 
rights, to variable returns from its involvement with the entity and has the ability to affect those returns through its power to direct the 
activities of the entity. In the consolidated financial statements, subsidiaries are accounted for as described in Note 2(a) above. 

Subsidiaries are fully consolidated from the date on which control is transferred to the Group. They are de-consolidated from the 

date that control ceases. 

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(c)    Transactions with Non-controlling Interests 

Transactions with non-controlling interests that do not result in a loss of control are accounted for as transactions with equity owners 
of the Group. For purchases from non-controlling interests, the difference between any consideration paid and the relevant share acquired 
of the carrying value of net assets of the subsidiary is recorded in equity. Gains or losses on disposals to non-controlling interests are 
also recorded in equity. 

(d)    Joint Arrangements 

Investments in joint arrangements are classified either as joint operations or joint ventures depending on the contractual rights and 
obligations of each investor. The Group has assessed the nature of its joint arrangement and determined it to be a joint venture. The joint 
venture is accounted for using the equity method. 

Under the equity method of accounting, the interest in joint venture is initially recognized at cost and adjusted thereafter to recognize 
the Group’s share of the post-acquisition profits or losses and movements in other comprehensive income. The Group determines at 
each reporting date whether there is any objective evidence that the investment in the joint venture is impaired. If this is the case, the 
Group calculates the amount of impairment as the difference between the recoverable amount of the joint venture and its carrying value 
and recognizes the amount in the consolidated income statements. 

(e)    Associated Companies 

An associate is an entity, other than a subsidiary or a joint venture, in which the Group has a long-term equity interest and over 
which  the  Group  is  in  position  to  exercise  significant  influence  over  its  management,  including  participation  in  the  financial  and 
operating policy decisions. 

The results and net assets of associates are incorporated in these financial statements using the equity method of accounting, except 
when the investment is classified as held for sale, in which case it is accounted for under IFRS 5, Non-current assets held for sale and 
discontinued operations. The total carrying amount of such investments is reduced to recognize any identified impairment loss in the 
value of individual investments. 

(f)    Foreign Currency Translation 

Items  included  in  the  financial  statements  of  each  of  the  Group’s  companies  are  measured  using  the  currency  of  the  primary 
economic  environment  in  which  the  entity  operates  (the “functional  currency”).  The  functional  currency  of  the  Company  and  its 
subsidiaries, joint venture and associated companies is Renminbi (“RMB”) whereas the consolidated financial statements are presented 
in US$, which is the Company’s presentation currency. 

Foreign currency transactions are translated into the functional currency using the exchange rates at the dates of the transactions. 
Foreign currency gains and losses resulting from the settlement of such transactions and from the translation of monetary assets and 
liabilities denominated in foreign currencies at year end exchange rates are generally recognized in the consolidated income statements. 

The financial statements of the Company, subsidiaries, joint venture and associated companies are translated into the Company’s 
presentation  currency  using  the year  end  rates  of  exchange  for  the  statements  of  financial  position  items  and  the  average  rates  of 
exchange for the year for the income statement items. Exchange translation differences are recognized directly in other comprehensive 
income. 

(g)    Property, Plant and Equipment 

Property, plant and equipment other than construction in progress are stated at historical cost less accumulated depreciation and any 
accumulated impairment losses. Historical cost includes the purchase price of the asset and any directly attributable costs of bringing 
the asset to its working condition and location for its intended use. 

F-85 

Subsequent  costs  are  included  in  the  asset’s  carrying  amount  or  recognized  as  a  separate  asset,  as  appropriate,  only  when  it  is 
probable that future economic benefits associated with the item will flow to the Group and the cost of the item can be measured reliably. 
All  other  repairs  and  maintenance  are  charged  to  the  consolidated  income  statements  during  the  financial  period  in  which  they 
are incurred. 

Depreciation  is  calculated  using  the  straight-line  method  to  allocate  asset  costs  less  accumulated  impairment  losses  over  their 

estimated useful lives. The principal estimated useful lives are as follows: 

Buildings and facilities 
Plant and equipment 
Furniture and fixtures, other equipment and motor vehicles

10-30 years 
10 years 
5 years 

The assets’ useful lives are reviewed and adjusted, if appropriate, at the end of each reporting period. An asset’s carrying amount 
is written down immediately to its recoverable amount if the asset’s carrying amount is greater than its estimated recoverable amount. 

Gains and losses on disposals are determined by comparing net sales proceeds with the carrying amount of the relevant assets and 

are recognized in the consolidated income statements. 

(h)   Construction in Progress 

Construction in progress represents buildings, plant and machinery under construction and pending installation and is stated at cost 
less accumulated impairment losses, if any. Cost includes the costs of construction of buildings and the costs of plant and machinery. 
No provision for depreciation is made on construction in progress until such time as the relevant assets are completed and ready for its 
intended use. When the assets concerned are brought into use, the costs are transferred to property, plant and equipment and depreciated 
in accordance with the policy as stated in Note 2(g). 

(i)    Goodwill 

Goodwill represents the excess of the cost of an acquisition over the fair value of the Group’s share of the net identifiable assets of 
the acquired subsidiary/business at the date of acquisition, or the excess of fair value of business over its fair value of the net identifiable 
assets injected into the Company upon its formation. If the cost of acquisition is less than the fair value of the Group’s share of the net 
identifiable assets of the acquired subsidiary, the difference is recognized directly in the consolidated income statements. 

Goodwill  is  retained  at  the  carrying  amount  as  a  separate  asset,  and  subject  to  impairment  test  annually  and  when  there  are 

indications that the carrying value may not be recoverable. 

The  profit  or  loss  on  disposal  of  a  subsidiary  is  calculated  by  reference  to  the  net  assets  at  the  date  of  disposal  including  the 

attributable amount of goodwill. 

(j)    Other Intangible Assets 

The  Group’s  other  intangible  assets  mainly  include  distribution  network  and  drugs  licenses  contributed  from  non-controlling 
shareholders. Other  intangible  assets  have a  definite  useful  life  and  are  carried  at historical  cost  less  accumulated amortization  and 
accumulated impairment losses, if any. Amortization is calculated using the straight-line method to allocate costs over the estimated 
useful lives of ten years. 

(k)   Research and Development 

Research expenditure is recognized as an expense as incurred. Costs incurred on development projects (relating to the design and 
testing of new or improved products) are recognized as intangible assets when it is probable that the project will generate future economic 
benefits  by  considering  its  commercial  and  technological  feasibility,  and  costs  can  be  measured  reliably.  Other  development 
expenditures are recognized as an expense as incurred. Development costs previously recognized as an expense are not recognized as 
an  asset  in  a  subsequent  period.  Development  costs  with  a  finite  useful  life  that  have  been  capitalized,  if  any,  are  amortized  on  a 
straight-line basis over the period of expected benefit not exceeding five years. The capitalized development costs are reviewed for 
impairment whenever events or changes in circumstances indicate that the carrying amount of an asset exceeds its recoverable amount. 

F-86 

 
 
Where the research phase and the development phase of an internal project cannot be clearly distinguished, all expenditure incurred 

on the project is charged to the consolidated income statements. 

(l)    Impairment of Non-Financial Assets 

Assets are reviewed for impairment to determine whether there is any indication that the carrying value of these assets may not be 
recoverable and have suffered an impairment loss. If any such indication exists, the recoverable amount of the asset is estimated in order 
to determine the extent of the impairment loss, if any. The recoverable amount is the higher of an asset’s fair value less costs to sell and 
value in use. Such impairment loss is recognized in the consolidated income statements. Assets that have an indefinite useful life such 
as goodwill or intangible assets not ready to use are not subject to amortization and are tested for impairment annually and when there 
are indications that the carrying value may not be recoverable. 

(m)  Inventories 

Inventories are stated at the lower of cost or net realizable value. Cost is determined using the weighted average cost method. The 
cost  of  finished  goods  comprises  raw  materials,  direct  labor,  other  direct  costs  and  related  production  overheads  (based  on  normal 
operating capacity). Net realizable value is the estimated selling price in the ordinary course of business, less applicable variable selling 
expenses. 

(n)   Trade and Other Receivables 

Trade and other receivables are recognized initially at fair value, which is the amount of consideration that is unconditional. Trade 
and other receivables solely represent payments of principal and interest, if any, and the Group holds such financial assets with the 
objective to collect its contractual cash flows. Therefore, the Group measures them subsequently at amortized cost using the effective 
interest method, less any loss allowance. The Group applies the IFRS 9 simplified approach to measuring expected credit losses which 
uses a lifetime expected loss allowance for all trade receivables. To measure the expected credit losses, trade receivables have been 
grouped based on shared credit risk characteristics and the days past due. All other receivables at amortized cost are considered to have 
low credit risk, and the loss allowance recognized during the period was therefore limited to 12 months expected losses. The amount of 
the provision is recognized in the consolidated income statements. 

(o)   Cash and Cash Equivalents 

In the consolidated statements of cash flows, cash and cash equivalents include cash on hand, bank deposits and other short-term 
highly liquid investments with original maturities of three months or less that are readily convertible to known amounts of cash and 
which are subject to an insignificant risk of changes in value, if any. 

(p)   Financial Liabilities and Equity Instruments 

Financial  liabilities  and  equity  instruments  issued  by  the  Group  are  classified  according  to  the  substance  of  the  contractual 
arrangements entered into and the definitions of a financial liability and an equity instrument. Financial liabilities (including trade and 
other payables) are initially measured at fair value, and are subsequently measured at amortized cost, using the effective interest method. 
An equity instrument is any contract that does not meet the definition of financial liability and evidences a residual interest in the assets 
of the Group after deducting all of its liabilities. 

Ordinary shares are classified as equity. Incremental costs, net of tax, directly attributable to the issue of new shares are shown in 

equity as a deduction from the proceeds. 

(q)   Current and Deferred Income Tax 

(i)    Current income tax 

The current income tax charge is calculated on the basis of the tax laws enacted or substantively enacted at the balance sheet date 
in the country where the Group operates and generates taxable income. Management periodically evaluates positions taken in tax returns 
with respect to situations in which applicable tax regulation is subject to interpretation. It establishes provisions where appropriate on 
the basis of amounts expected to be paid to the tax authorities. 

F-87 

(ii)   Deferred income tax 

Inside basis differences 

Deferred income tax is provided in full, using the liability method, on temporary differences arising between the tax bases of assets 
and liabilities and their carrying amounts in the consolidated financial statements. However, deferred tax liabilities are not recognized 
if they arise from the initial recognition of goodwill. Deferred income tax is also not accounted for if it arises from initial recognition of 
an asset or liability in a transaction other than a business combination that, at the time of the transaction, affects neither accounting nor 
taxable profit or loss and does not give rise to equal taxable and deductible temporary differences. Deferred income tax is determined 
using tax rates (and laws) that have been enacted or substantively enacted by the balance sheet date and are expected to apply when the 
related deferred income tax asset is realized or the deferred income tax liability is settled. 

Deferred income tax assets are recognized only to the extent that it is probable that future taxable profit will be available against 
which the temporary differences can be utilized. Deferred income tax assets and deferred income tax liabilities are offset when there is 
a legally enforceable right to set off and when the deferred income taxes related to the same fiscal authority. 

Outside basis differences 

Deferred income tax liabilities are provided on taxable temporary differences arising from investments in subsidiaries, associates 
and  joint  arrangements,  except  for  deferred  income  tax  liabilities  where  the  timing  of  the  reversal  of  the  temporary  difference  is 
controlled by the Group and it is probable that the temporary difference will not reverse in the foreseeable future. Generally the Group 
is unable to control the reversal of the temporary difference for associates. Only when there is an agreement in place that gives the Group 
the  ability  to  control  the  reversal  of  the  temporary  difference  in  the  foreseeable  future,  deferred  tax  liability  in  relation  to  taxable 
temporary differences arising from the associate’s undistributed profits is not recognized. 

Deferred income tax assets are recognized on deductible temporary differences arising from investments in subsidiaries, associates 
and joint arrangements only to the extent that it is probable the temporary difference will reverse in the future and there is sufficient 
taxable profit available against which the temporary difference can be utilized. 

(r)    Employee Benefits 

The employees of the Group participate in defined contribution retirement benefit plans managed by the relevant municipal and 
provincial governments in the PRC. The assets of these plans are held separately from the Group. The Group is required to make monthly 
contributions to the plans, calculated as a percentage of the employees’ salaries. The municipal and provincial governments undertake 
to assume the retirement benefit obligations to all existing and future retired employees under the plans described above. Other than 
the monthly contributions, the Group has no further obligations for the payment of the retirement and other post-retirement benefits of 
its employees. 

(s)    Provisions 

Provisions are recognized when the Group has a present legal or constructive obligation as a result of past events, it is probable that 
an outflow of resources will be required to settle the obligation, and the amount has been reliably estimated. Provisions are not recognized 
for future operating losses. 

(t)    Leases 

A lease is recognized as a right-of-use asset with a corresponding liability at the date which the leased asset is available for use by 
the Group. The Group recognizes an obligation to make lease payments equal to the present value of the lease payments over the lease 
term. The lease terms may include options to extend or terminate the lease when it is reasonably certain that the Group will exercise that 
option. 

F-88 

Lease liabilities include the net present value of the following lease payments: (i) fixed payments; (ii) variable lease payments that 
depend on an index or a rate; and (iii) payments of penalties for terminating the lease if the lease term reflects the lessee exercising that 
option, if any. Lease liabilities exclude the following payments that are generally accounted for separately: (i) non-lease components, 
such  as  maintenance  and  security  service  fees  and  value  added  tax,  and  (ii)  any  payments  that  a  lessee  makes  before  the  lease 
commencement date. The lease payments are discounted using the interest rate implicit in the lease or if that rate cannot be determined, 
the  lessee’s  incremental  borrowing  rate  being  the  rate  that  the  lessee  would  have  to  pay  to  borrow  the  funds  in  its  currency  and 
jurisdiction necessary to obtain an asset of similar value, economic environment and terms and conditions. 

An asset representing the right to use the underlying asset during the lease term is recognized that consists of the initial measurement 
of the lease liability, any lease payments made to the lessor at or before the commencement date less any lease incentives received, any 
initial direct cost incurred by the Group and any restoration costs. 

After commencement of the lease, each lease payment is allocated between lease liability and finance costs. The finance costs are 
recognized over the lease term so as to produce a constant periodic rate of interest on the remaining balance of the lease liability for 
each period. The right-of-use asset is depreciated on a straight-line basis over the period of the lease. 

Payments associated with short-term leases are recognized as lease expenses on a straight-line basis over the period of the leases. 

Leasehold land is accounted under IFRS 16. 

(u) Government Incentives

Incentives from government are recognized at their fair values where there is a reasonable assurance that the incentives will be

received and all attached conditions will be complied with. 

Government incentives relating to costs are deferred and recognized in the consolidated income statements over the period necessary 

to match them with the costs that they are intended to compensate. 

Government grants relating to property, plant and equipment are included in non-current liabilities as deferred income and credited 

to the consolidated income statements on a straight-line basis over the expected lives of the related assets. 

(v) Revenue and Income Recognition

The Group principally generates revenue from sales of goods. Revenue from sales of goods is recognized when the customer takes
possession  of  the  goods.  This  usually  occurs  upon  completed  delivery  of  the  goods  to  the  customer  site.  The  amount  of  revenue 
recognized  is  adjusted  for  expected  sales  incentives  as  stipulated  in  the  contract,  which  are  generally  issued  to  customers  as  direct 
discounts  at  the  point-of-sale  or  indirectly  in  the  form  of  rebates.  Sales  incentives  are  estimated  using  the  expected  value  method. 
Additionally, sales are generally made with a limited right of return under certain conditions. Revenues are recorded net of provisions 
for sales discounts and returns. 

Revenue from provision of services is recognized when the benefits of the services transfer to the customer over time, which is 
based on the proportionate value of services rendered as determined under the terms of the relevant contract. Additionally, when the 
amounts that can be invoiced correspond directly with the value to the customer for performance completed to date, the Group recognizes 
revenue from provision of services based on amounts that can be invoiced to the customer. 

Payments in advance from customers are deferred if consideration is received in advance of transferring control of the goods or 
rendering of services. Accounts receivable is recognized if the Group has an unconditional right to bill the customer, which is generally 
when  the  customer  takes  possession  of  the  goods  or  services  are  rendered.  Payment  terms  differ  by  subsidiary  and  customer,  but 
generally range from 45 to 180 days from the invoice date. 

(w)  Interest Income

Interest income is recognized on a time-proportion basis using the effective interest method.

F-89

(x) Segment Reporting

Operating segments are reported in a manner consistent with the internal reporting provided to the chief operating decision-makers.
The Company’s Board of Directors, which is responsible for allocating resources and assessing performance of the operating segments, 
has been identified as the steering committee that makes strategic decisions. 

(y) General Reserves

In  accordance  with  the  laws  applicable  to  Foreign  Investment  Enterprises  established  in  the  PRC,  the  Company  makes
appropriations to certain non-distributable reserve funds including the general reserve fund, the enterprise expansion fund and the staff 
bonus and welfare fund. The amount of appropriations to these funds are made at the discretion of the Company’s Board of Directors. 

3. Financial Risk Management

(a)  Financial Risk Factors

The Group’s activities expose it to a variety of financial risks, including credit risk and liquidity risk. The Group does not use any

derivative financial instruments for speculative purposes. 

(i) Credit risk

The carrying amounts of cash and cash equivalents, trade receivables (including bills receivables) and other receivables included in 
the consolidated statements of financial position represent the Group’s maximum exposure to credit risk of the counterparty in relation 
to its financial assets. 

Substantially all of the Group’s cash and cash equivalents are deposited in major financial institutions, which management believes 

are of high credit quality. 

Bills receivables are mostly settled by state-owned banks or other reputable banks and therefore the management considers that 

they will not expose the Group to any significant credit risk. 

The Group has no significant concentrations of credit risk. The Group has policies in place to ensure that the sales of products are 

made to customers with appropriate credit history and the Group performs periodic credit evaluations of its customers. 

Management periodically assesses the recoverability of trade receivables and other receivables. The Group’s historical loss rates 
are adjusted to reflect current and forward-looking information on specific factors affecting the ability of the customers to settle the 
receivables, and historical experience collecting receivables falls within the recorded allowances. 

(ii) Liquidity risk

Prudent  liquidity  management  implies  maintaining  sufficient  cash  and  cash  equivalents  and  the  availability  of  funding  when 
necessary. The Group’s policy is to regularly monitor current and expected liquidity requirements to ensure that it maintains sufficient 
cash balances and adequate credit facilities to meet its liquidity requirements in the short and long term. 

As at September 28, 2021 and December 31, 2020, the Group’s current financial liabilities were mainly due for settlement within 
twelve months and the Group expects to meet all liquidity requirements. As at September 28, 2021, the Group’s consolidated current 
liabilities exceed the consolidated current assets by US$32.0 million, which was mainly attributable to current dividends payable to 
shareholders (refer to Note 24(b)), for which settlement will occur when sufficient cash and cash equivalents are available. In assessing 
the  Group’s  liquidity,  management  prepared  a  cash  flow  forecast  up  to  December  31,  2022  taking  into  consideration  of  ongoing 
operations and the settlement of the current dividends payable, which indicates that the Group will have sufficient cash resources to 
fund planned operations and other commitments for at least the next twelve months (the look-forward period used). 

F-90

(b)  Capital Risk Management

The Group’s objectives when managing capital are to safeguard the Group’s ability to provide returns for shareholders and benefits

for other stakeholders and to maintain an optimal capital structure to reduce the cost of capital. 

The Group regularly reviews and manages its capital structure to ensure an optimal balance between higher shareholders’ return 
that might be possible with higher levels of borrowings and the advantages and security afforded by a sound capital position, and makes 
adjustments to the capital structure in light of changes in economic conditions. 

The Group monitors capital on the basis of the liabilities to assets ratio. This ratio is calculated as total liabilities divided by total 

assets as shown on the consolidated statements of financial position. 

Currently,  it  is  the  Group’s  strategy  to  maintain  a  reasonable  liabilities  to  assets  ratio.  The  liabilities  to  assets  ratio  as  at 

September 28, 2021 and December 31, 2020 was as follows: 

Total liabilities (note) 
Total assets 
Liabilities to assets ratio 

    September 28,  December 31,

2021 

2020 

(in US$’000) 

237,352 
284,840 

 153,213
 273,581

 83.3 %   

 56.0 %

Note: On May 13, 2021 and September 23, 2021, the Company declared dividends to shareholders of US$46.5 million 
and US$59.7 million respectively, which were not settled as at September 28, 2021. 

(c)  Fair Value Estimation

The Group does not have any financial assets or liabilities which are carried at fair value. The carrying amounts of the Group’s
current financial assets, including cash and cash equivalents, trade and bills receivables and other receivables, and current financial 
liabilities, including trade payables, and other payables and accruals and dividend payable, approximate their fair values due to their 
short-term maturities. The carrying amounts of the Group’s financial instruments carried at cost or amortized cost are not materially 
different from their fair values. 

The face values less any estimated credit adjustments for financial assets and liabilities with a maturity of less than one year are 
assumed to approximate their fair values. The fair value of financial liabilities for disclosure purposes is estimated by discounting the 
future contractual cash flows at the current market interest rate that is available to the Group for similar financial instruments. 

4. Critical Accounting Estimates and Judgements

Note 2 includes a summary of the significant accounting policies used in the preparation of the consolidated financial statements.
The preparation of consolidated financial statements often requires the use of judgements to select specific accounting methods and 
policies from several acceptable alternatives. Furthermore, significant estimates and assumptions concerning the future may be required 
in  selecting  and  applying  those  methods  and  policies  in  the  consolidated  financial  statements.  The  Group  bases  its  estimates  and 
judgements on historical experience and various other assumptions that it believes are reasonable under the circumstances. Actual results 
may differ from these estimates and judgements under different assumptions or conditions. 

The following is a review of the more significant assumptions and estimates, as well as the accounting policies and methods used 

in the preparation of the consolidated financial statements. 

(a)  Sales Rebates

Certain  sales  rebates  are  provided  to  customers  when  their  business  performance  for  the  whole year  meets  certain  criteria  as
stipulated in the contracts. Sales rebates are considered variable consideration and the estimate of sales rebates during the year is based 
on estimated sales transactions for the entire period stipulated and is subject to change based on actual performance and collection status. 

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(b)  Useful Lives of Property, Plant and Equipment

The Group has made substantial investments in property, plant and equipment. Changes in technology or changes in the intended

use of these assets may cause the estimated period of use or value of these assets to change. 

(c)  Impairment of Non-financial Assets

The  Group  tests  at  least  annually  whether  goodwill  has  suffered  any  impairment.  Other  non-financial  assets  are  reviewed  for
impairment whenever events or changes in circumstances indicate that the carrying amount of the asset exceeds its recoverable amount 
in accordance with the accounting policy stated in Note 2(l). The recoverable amount of an asset or a cash-generating unit is determined 
based  on  the  higher  of  the  asset’s  or  the  cash-generating  unit’s  fair  value  less  costs  to  disposal  and  value-in-use.  The  value-in-use 
calculation requires the entity to estimate the future cash flows expected to arise from the asset and a suitable discount rate in order to 
calculate  present  value,  and  the  growth  rate  assumptions  in  the  cash  flow  projections  which  has  been  prepared  on  the  basis  of 
management’s assumptions and estimates. 

(d)  Deferred Income Tax

Deferred tax is recognized using the liability method on temporary differences arising between the tax bases of assets and liabilities
against which the deductible temporary differences and the carry forward of unused tax losses and tax credits can be utilized. Deferred 
income  tax  assets  are  recognized  only  to  the  extent  that  it  is probable  that  future  taxable  profit  will  be  available  against  which  the 
temporary differences can be utilized. Where the final outcomes are different from the estimations, such differences will impact the 
carrying amount of deferred tax in the period in which such determination is made. 

5. Revenue and Segment Information

Management has reviewed the Group’s internal reporting in order to assess performance and allocate resources, and has determined

that the Group has two reportable operating segments as follows: 

—Manufacturing business—manufacture and distribution of drug products 

—Distribution business—provision of sales, distribution and marketing services to pharmaceutical manufacturers 

The operating segments are strategic business units that offer different products and services. They are managed separately because 
each business requires different technology and marketing approaches. The performance of each of the reportable segments is assessed 
based on operating profit. 

The segment information is as follows: 

Period from January 1, 2021 to September 28, 2021 
Distribution 
business 
PRC 

Manufacturing 
business 
PRC 

Total 

Revenue from external customers 
Interest income 
Operating profit 
Share of profits of a joint venture and associated companies, 

net of tax 
Finance costs 
Depreciation/amortization 
Additions to non‑current assets (other than financial 

instruments and deferred tax assets) 

190,619
141
18,212

29
18
5,515

2,405

(in US$’000) 

 18,909 
 64 
 2,076 

—  
 6 
 98 

— 

209,528
205
20,288

29
24
5,613

2,405

F-92

 
 
Total segment assets 

251,178

 33,662   

284,840

      Manufacturing 

business 
PRC 

As at September 28, 2021 
Distribution 
business 
PRC 

(in US$’000) 

Total 

      Manufacturing 

business 
PRC 

Year Ended December 31, 2020 
Distribution 
business 
PRC 

Revenue from external customers 
Interest income 
Operating profit 
Share of losses of a joint venture and associated companies, 

net of tax 
Finance costs 
Depreciation/amortization 
Additions to non‑current assets (other than financial 

instruments and deferred tax assets) 

215,427
188
20,833

84
51
6,361

2,432

      Manufacturing 

business 
PRC 

(in US$’000) 

 16,941   
 83   
 2,312   

 —   
 6   
 123   

 1   

December 31, 2020 
Distribution 
business 
PRC 

(in US$’000) 

Total 

232,368
271
23,145

84
57
6,484

2,433

Total 

Total segment assets 

243,578

 30,003   

273,581

      Manufacturing 

business 
PRC 

Year Ended December 31, 2019 
Distribution 
business 
PRC 

Revenue from external customers 
Interest income 
Operating profit 
Share of profits of a joint venture and associated companies, 

net of tax 
Finance costs 
Depreciation/amortization 
Additions to non‑current assets (other than financial 

instruments and deferred tax assets) 

202,852
76
21,738

60
40
6,411

4,002

(in US$’000) 

 12,551   
 84   
 1,182   

 —   
 19   
 125   

 —   

Total 

215,403
160
22,920

60
59
6,536

4,002

Revenue from external customers is after elimination of inter-segment sales. The amount eliminated was US$0.2 million for the 
period from January 1, 2021 to September 28, 2021 (for the years ended December 31, 2020 and 2019: US$0.1 million and US$0.7 
million respectively). Sales between segments are carried out at mutually agreed terms. Revenue from external customers is primarily 
for sales of goods which are recognized at a point in time, except for provision of services which are recognized over time of US$1.2 
million for the period from January 1, 2021 to September 28, 2021 (for the years ended December 31, 2020 and 2019: US$3.7 million 
and US$3.1 million respectively) and included in the manufacturing business operating segment. 

F-93 

 
 
 
 
     
 
     
     
 
 
 
 
 
 
  
  
 
 
 
 
 
 
     
 
     
     
 
 
 
 
 
 
  
  
 
 
 
 
 
 
 
     
 
     
     
 
 
 
 
 
 
  
  
 
 
     
     
 
 
 
 
 
     
 
     
     
 
 
 
 
 
 
  
  
 
 
 
 
 
6. Other Net Operating Income 

Interest income 
Gain on disposal of leasehold land 
Loss on disposal of property, plant and equipment
Other operating income 
Other operating expenses 

7. Operating Profit 

Period from 
 January 1, 2021  
 to September 28,  
2021 

205
—
(47)
5,631
(483)
5,306

Period from 
 January 1, 2021  
 to September 28,  
2021 

Year Ended December 31, 
2019 
2020 

(in US$’000) 

 271   
 166  
 (643) 
6,734   
 (457)  
6,071   

160
—
(162)
6,226
(598)
5,626

Year Ended December 31, 
2019 
2020 

(in US$’000) 

Operating profit 

20,288

23,145   

 22,920

Operating profit is stated after charging/(crediting) the following: 

Cost of inventories recognized as expense
Depreciation of property, plant and equipment
Impairment of property, plant and equipment
Loss on disposal of property, plant and equipment
Gain on disposal of leasehold land 
Amortization of leasehold land 
Amortization of other intangible assets 
Depreciation charge of right-of-use assets and lease 

expenses 

Movements on the provision for trade receivables
Movements on the provision for excess and obsolete 

inventories 

Research and development expense 
Auditor’s remuneration
Employee benefit expenses (Note 10) 

Period from 
 January 1, 2021  
 to September 28,  
2021 

Year Ended December 31, 
2019 
2020 

(in US$’000) 

87,941
4,425
—
47
—
450
331

1,360
38

41
2,057
43
31,605

100,906   
5,283   
 —   
 643   
 (166) 
 236   
 414   

1,438   
 (20)  

 474   
1,670   
 88   
36,822   

 85,802
5,417
525
162
—
230
351

1,227
(70)

314
1,041
87
 34,634

F-94 

 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
    
    
     
 
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
    
    
     
 
 
 
 
 
 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
    
    
     
 
 
 
 
  
8. Gain on Return of Land

In June 2020, the Group entered into an agreement with the government to return the land use right for a plot of land in Guangzhou
to  the  government  (the  “Land  Compensation  Agreement”)  for  cash  consideration  which  aggregated  to  RMB679.5  million 
(approximately  US$103.1  million).  In  November  2020,  the  Group  completed  all  material  obligations  as  stipulated  in  the  Land 
Compensation Agreement and recognized land compensation of RMB569.2 million (approximately US$86.1 million), resulting in a 
gain of RMB559.7 million (approximately US$84.7 million). In June 2021, the Group received a completion confirmation from the 
government and recognized an additional land compensation bonus of RMB110.3 million (approximately US$17.0 million), resulting 
in  a  gain of  RMB106.8  million  (approximately  US$16.4 million),  after deducting  costs  of  RMB3.5 million  (approximately US$0.6 
million). As at September 28, 2021, the Group has received RMB584.6 million (approximately US$86.6 million) and has recorded 
RMB94.9 million (approximately US$14.6 million) in other receivables, prepayments and deposits. 

9. Taxation Charge

Current tax 
Deferred income tax (Note 17) 
Taxation charge 

Period from 
 January 1, 2021 
 to September 28,  
2021 

6,093
(1,253)
4,840

Year Ended December 31, 

2020 

(in US$’000) 

17,108 
(614)
16,494 

2019 

3,925
(291)
3,634

The taxation charge on the Group’s profit before taxation differs from the theoretical amount that would arise using the Group’s 

weighted average tax rate as follows: 

Profit before taxation 
Tax calculated at the statutory tax rates of 

respective companies 

Tax effects of: 

Expenses not deductible for tax purposes
Tax concession (note) 
Tax losses for which no deferred tax 

assets were recognized 

Under/(over) provision in prior years 
Utilization of tax losses for which no 
deferred tax assets were recognized 
previously 
Taxation charge 

Period from 
 January 1, 2021 
 to September 28,  
2021 

Year Ended December 31, 

2020 

2019 

36,726

9,181

45
(3,781)

192
6

(803)
4,840

(in US$’000) 

107,708 

26,927 

66 

(10,834)  

339 
44 

(48)
16,494 

 22,921

5,730

56
 (2,569)

522
(17)

(88)
3,634

Note:  The  Company  has  been  granted  the  High  and  New  Technology  Enterprise  status.  Accordingly,  the  Company  is 
subject to a preferential income tax rate of 15% and renewed the status in 2021. Certain research and development expenses 
are also eligible for super-deduction such that 200% of qualified expenses incurred are deductible for tax purposes. 

The weighted average tax rate calculated at the statutory tax rates of respective companies was 25%. The effective tax rate for the 
period from January 1, 2021 to September 28, 2021 was 13.2% (for the years ended December 31, 2020 and 2019: 15.3% and 15.9% 
respectively). 

F-95

10. Employee Benefit Expenses 

Wages, salaries and bonuses 
Pension costs—defined contribution plans
Staff welfare 

Period from 
 January 1, 2021   
 to September 28,  
2021 

Year Ended December 31, 
2019 
2020 

23,705
6,679
1,221
31,605

(in US$’000) 

28,380   
6,954   
1,488   
36,822   

 25,066
8,282
1,286
 34,634

Employee benefit expenses of approximately US$9.1 million for the period from January 1, 2021 to September 28, 2021 (for the 

years ended December 31, 2020 and 2019: US$11.1 million and US$11.4 million repsectively) are included in cost of sales. 

11. Cash and Cash Equivalents 

Cash and cash equivalents 

September 28, 
2021 

December 31, 
2020 

(in US$’000) 

73,616   

 16,602

The  cash  and  cash  equivalents  denominated  in  RMB  were  deposited  with  banks  in  the  PRC.  The  conversion  of  these  RMB 
denominated balances into foreign currencies is subject to the rules and regulations of foreign exchange control promulgated by the 
PRC government. 

12. Trade and Bills Receivables 

Trade receivables—third parties 
Trade receivables—related parties (Note 24(b))
Bills receivables 

September 28, 
2021 

December 31, 
2020 

(in US$’000) 

4,290   
1,975   
21,609   
27,874   

1,764
3,485
 62,168
 67,417

All trade and bills receivables are denominated in RMB and are due within one year from the end of the reporting period. The 

carrying values of trade and bills receivables approximate their fair values due to their short-term maturities. 

Movements on the provision for trade receivables are as follows: 

As at January 1 
Increase in provision for trade receivables
Decrease in provision due to subsequent collection
Exchange differences 
As at September 28/December 31 

2021 

2020 

(in US$’000) 

2019 

—
38
—
—
38

 19  
 —   
(20)  
 1   
 —   

90
5
(75)
(1)
19

The impaired and provided receivables as at September 28, 2021 and December 31, 2019 were aged over 1 year. 

F-96 

 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
    
    
     
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
     
 
 
 
 
 
 
 
 
    
 
 
    
     
 
 
 
 
 
 
 
 
 
    
    
     
 
 
 
 
 
 
13. Other Receivables, Prepayments and Deposits 

Prepayments to suppliers 
Value‑added tax receivables 
Land compensation receivable 
Others 

14. Inventories 

Raw materials 
Work in progress 
Finished goods 

15. Property, Plant and Equipment 

Cost 

As at January 1, 2021 
Additions 
Disposals 
Transfers 
Exchange differences 
As at September 28, 2021 
Accumulated depreciation 
As at January 1, 2021 
Depreciation 
Disposals 
Exchange differences 
As at September 28, 2021 

Net book value 

As at September 28, 2021 

     September 28,   

2021 

December 31, 
2020 

(in US$’000) 

9,671   
 780   
14,592  
1,504   
26,547   

4,784
538
 43,414
1,385
 50,121

     September 28,   

2021 

December 31, 
2020 

(in US$’000) 

23,126   
17,816   
21,458   
62,400   

 13,063
 17,303
 13,382
 43,748

Buildings 
and 
facilities 

61,267
396
(3)
—
516
62,176

16,368
1,763
(1)
137
18,267

     Furniture and      
fixtures, other  
equipment 
and motor 
vehicles 

Plant and 
equipment   

  Construction  
in progress   

(in US$’000)   

12,615   
 623   
 (78)  
 906   
 105   
14,171   

10,522  
 1,384   
 (69)  
 89   
11,926   

27,769
440
(97)
358
234
28,704

16,559
1,278
(61)
138
17,914

 1,979
943
—
 (1,264)
17
 1,675

—
—
—
—
—

Total 

103,630
2,402
(178)
—
872
106,726

43,449
4,425
(131)
364
48,107

43,909

10,790

 2,245   

 1,675

58,619

F-97 

 
 
 
 
 
 
     
 
 
 
 
 
 
 
 
 
 
 
 
    
     
 
 
 
 
 
 
  
 
 
 
    
 
    
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
 
Cost 

As at January 1, 2020 
Additions 
Disposals 
Disposal of a subsidiary 
Transfers 
Exchange differences 
As at December 31, 2020 
Accumulated depreciation 
As at January 1, 2020 
Depreciation 
Disposals 
Disposal of a subsidiary 
Exchange differences 
As at December 31, 2020 

Net book value 

As at December 31, 2020 

Cost 

As at January 1, 2019 
Additions 
Disposals 
Transfers  
Exchange differences 
As at December 31, 2019 
Accumulated depreciation 
As at January 1, 2019 
Depreciation 
Disposals 
Impairment 
Exchange differences 
As at December 31, 2019 

Net book value 

As at December 31, 2019 

Buildings 
and 
facilities 

59,099
224
(2,204)
(28)
28
4,148
61,267

14,021
2,201
(926)
(10)
1,082
16,368

     Furniture and      
fixtures, other  
equipment 
and motor 
vehicles 

Plant and 
equipment   

  Construction  
in progress   

(in US$’000)   

11,353   
 651   
 (522)  
 (27) 
 318   
 842   
12,615   

 8,755   
 1,562   
 (464)  
 (23) 
 692   
10,522   

25,426
168
(187)
—
502
1,860
27,769

14,096
1,520
(150)
—
1,093
16,559

 1,311
 1,390
—
—
(848)
126
 1,979

—
—
—
—
—
—

Total 

97,189
2,433
(2,913)
(55)
—
6,976
103,630

36,872
5,283
(1,540)
(33)
2,867
43,449

44,899

11,210

 2,093   

 1,979

60,181

Buildings 
and 
facilities 

61,319
158
(1,005)
227
(1,600)
59,099

12,739
2,299
(887)
241
(371)
14,021

     Furniture and      
fixtures, other  
equipment 
and motor 
vehicles 

Plant and 
equipment   

  Construction  
in progress   

(in US$’000)   

10,700   
 533   
 (319)  
 741   
 (302)  
11,353   

 7,707   
 1,549   
 (287)  
 17  
 (231)  
 8,755   

25,866
415
(673)
502
(684)
25,426

12,929
1,569
(294)
267
(375)
14,096

 1,423
 1,395
—
 (1,470)
(37)
 1,311

—
—
—
—
—
—

Total 

99,308
2,501
(1,997)
—
(2,623)
97,189

33,375
5,417
(1,468)
525
(977)
36,872

45,078

11,330

 2,598   

 1,311

60,317

F-98 

 
 
 
 
    
 
    
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
  
 
 
 
    
 
    
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
  
 
 
16. Leases 

Leases consisted of the following: 

Right-of-use assets: 
Warehouses 
Lease liabilities—current 
Lease liabilities—non-current 

Lease activities are summarized as follows: 

September 28, 
2021 

December 31, 
2020 

(in US$’000) 

420  
452  
—  
452  

Period from  
January 1, 2021   
to September 28,  
2021 

Year Ended December 31, 
2020 
2019 
(in US$’000) 

820
568
303
871

689
538
59
556

Lease expenses: Short-term leases with lease terms 

equal or less than 12 months 

Depreciation charge of right-of-use assets 
Interest expense (included in finance costs)
Cash paid on lease liabilities 
Non-cash: Lease liabilities recognized from 

obtaining right-of-use assets 

953
407
24
427

—

887    
551  
 57  
609  

 —  

1,145

Lease contracts are typically within a period of 1 to 6 years. The weighted average remaining lease term and weighted average 
discount rate as at September 28, 2021 was 0.83 year (as at December 31, 2020 and 2019: 1.56 years and 2.51 years respectively) and 
4.75% (as at December 31, 2020 and 2019: 4.75% and 4.77% respectively) respectively. 

Future lease payments are as follows: 

Lease payments: 

Not later than 1 year
Between 1 to 2 years 

Total lease payments 
Less: Discount factor 
Total lease liabilities 

17. Deferred Tax Assets and Liabilities 

Deferred tax assets 
Deferred tax liabilities 
Net deferred tax assets 

September 28, 
2021 

December 31, 
2020 

(in US$’000) 

462  
—  
462  
(10) 
452  

598
307
905
(34)
871

September 28, 
2021 

December 31, 
2020 

(in US$’000) 

4,420   
—   
4,420   

3,141
(114)
3,027

F-99 

 
 
 
 
 
 
    
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
    
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
 
 
 
  
 
 
 
 
 
 
 
    
 
 
    
     
 
 
 
The movements in net deferred tax assets are as follows: 

At January 1 
Credited/(debited) to the consolidated income statements

—Tax losses 
—Accrued expenses, provisions, depreciation allowances

Exchange differences 
At September 28/December 31 

2021 

2020 

2019 

3,027

326
927
140
4,420

(in US$’000)   
 2,217  

 (396)  
 1,010   
 196   
 3,027   

1,986

(27)
318
(60)
2,217

The Group’s deferred tax assets and liabilities are temporary differences including tax losses, accrued expenses, provisions and 
depreciation allowances. The potential deferred tax assets in respect of tax losses which have not been recognized in the consolidated 
financial statements were approximately US$1.6 million as at September 28, 2021 (as at December 31, 2020: US$1.6 million). 

These unrecognized tax losses can be carried forward against future taxable income and will expire in the following years: 

2021 
2022 
2023 
2024 
2025 
2026 

18. Other Non-Current Assets 

Prepayment of leasehold land rights (note)
Others 

     September 28,   December 31,

2021 

2020 

(in US$’000) 
 928   
 1,450   
 856   
 1,239   
 1,074   
 669  
 6,216   

926
1,836
849
1,334
1,431
—
6,376

     September 28,   December 31,

2021 

2020 

(in US$’000) 
—   
 46   
 46   

 11,160
529
 11,689

Note: Balance as at December 31, 2020 represented prepayments for a land use right in which the title of the land was in 
the process of registration, pending remaining administrative procedures. In 2021, the registration was completed, title was 
transferred to the Company and the balance was reclassified to leasehold land. 

19. Trade Payables 

Trade payables—third parties 
Trade payables—related parties (Note 24(b))

     September 28,    December 31,

2021 

2020 

(in US$’000) 

15,519   
 3,529   
19,048   

 16,852
5,727
 22,579

All trade payables are denominated in RMB and due within one year from the end of the reporting period. The carrying value of 

trade payables approximates their fair values due to their short-term maturities. 

F-100 

 
 
 
 
    
    
     
 
 
 
 
 
 
 
 
 
 
    
     
 
 
 
 
 
 
 
 
 
 
    
     
 
 
 
 
 
 
 
 
 
 
     
 
 
 
 
20. Other Payables, Accruals and Advance Receipts 

Other payables and accruals 

Accrued salaries and benefits 
Accrued selling and administrative expenses
Value‑added tax and tax surcharge payables
Deposits received 
Other payables to manufacturers 
Others 

Advance receipts 

Payments in advance from customers (note)
Deferred government incentives 

     September 28,    December 31,

2021 

2020 

(in US$’000) 

 5,384   
35,266   
 2,588   
 4,748   
 8,794   
 5,934   
62,714   

16,310   
 1,460   
17,770   
80,484   

4,715
 27,872
2,207
5,866
8,794
6,017
 55,471

 41,963
1,427
 43,390
 98,861

Note: Substantially all customer balances as at December 31, 2020 were recognized to revenue during the period from 
January 1, 2021 to September 28, 2021. Additionally, substantially all customer balances as at September 28, 2021 are 
expected to be recognized to revenue within one year upon transfer of goods or services as the contracts have an expected 
duration of one year or less. 

21. Deferred Income 

Deferred government incentives: 

Buildings and other non‑current assets
Others 

     September 28,   December 31,

2021 

2020 

(in US$’000) 

11,272   
 3,641   
14,913   

 11,890
3,727
 15,617

F-101 

 
 
 
 
 
    
     
 
    
 
  
 
 
 
 
 
 
 
 
 
 
     
 
 
    
       
 
 
 
 
22. Notes to the Consolidated Statements of Cash Flows

(a)  Reconciliation of Profit for the Period/Year to Net Cash Generated from 

Operations:

Profit for the period/year 
Adjustments to reconcile profit for the period/year to net 

cash generated from operations 
Taxation charge 
Finance costs 
Interest income 
Share of (profits)/losses of a joint venture and associated 

companies, net of tax 

Depreciation on property, plant and equipment
Depreciation charge of right-of-use assets
Loss on disposal of property, plant and equipment
Gain on return of land 
Gain on disposal of leasehold land 
Impairment of property, plant and equipment
Amortization of leasehold land 
Amortization of other intangible assets
Movement on the provision for trade receivables
Movement on the provision for excess and obsolete 

inventories 

Amortization of deferred income 
Gain on divestment of a subsidiary 
Exchange differences 

Changes in working capital: 
Trade and bills receivables 
Other receivables, prepayments and deposits
Inventories 
Other non-current assets 
Trade payables 
Other payables, accruals and advance receipts

Total changes in working capital 
Net cash generated from operations 

Period from 
January 1, 2021
to September 28,  
2021 

Year Ended December 31, 

2020 

2019 

(in US$’000) 

31,886

91,214 

 19,287

4,840
24
(205)

(29)
4,425
407
47
(16,433)
—
—
450
331
38

41
(845)
—
(470)

39,505
(5,248)
(18,693)
(139)
(3,531)
(18,616)
(6,722)
17,785

16,494 
 57 
(271)

84
5,283
 551 
 643 
(84,667)  
(166)

—   
236   
414   
(20)

 474 
(1,689)
 (37)
794

(19,124)   
 1,902 
 2,195 
—
9,880
36,509
31,362 
60,756 

3,634
59
(160)

(60)
5,417
538
162
—
—
525
230
351
(70)

314
 (2,187)
—
(1,120)

 (1,524)
 (2,886)
60
700
 (2,965)
5,932
(683)
 26,237

(b) Supplemental Disclosure for Non-cash Activities

During the period from January 1, 2021 to September 28, 2021, there was an increase of US$0.4 million in accruals made for
purchases of property, plant and equipment (for the years ended December 31, 2020 and 2019: an increase of US$0.1 million and a 
decrease of US$0.9 million respectively). 

F-102

23. Capital Commitments

The Group had the following capital commitments:

Property, plant and equipment 

Contracted but not provided for

September 28, 
2021 

(in US$’000) 

1,290

Capital commitments for property, plant and equipment are mainly for improvements to the Group’s plant. 

24. Significant Related Party Transactions

The Group has the following significant transactions with related parties which were carried out in the normal course of business 

at terms determined and agreed by the relevant parties: 

(a)  Transactions with Related Parties:

Sales of goods to: 
—Fellow subsidiaries of GBPHCL 
—A fellow subsidiary of GZHCMHK 

Other services income from: 
—An equity investee 
—Fellow subsidiaries of GBPHCL 

Purchase of goods from: 
—An equity investee 
—Fellow subsidiaries of GBPHCL 

Advertising expenses to: 
—A fellow subsidiary of GBPHCL 
Interest paid to: 
—A non-controlling shareholder of a subsidiary

Period from 
January 1, 2021
to September 28,
2021 

Year Ended December 31, 
2019 
2020 

(in US$’000) 

25,043
278
25,321

—
3,576
3,576

2,145
24,222
26,367

4,805

—
—

33,535 
493 
34,028 

273 
6,166 
6,439 

2,317 
29,594 
31,911 

5,733 

 5 
 5 

 23,658
210
 23,868

275
5,913
6,188

3,216
 24,733
 27,949

5,128

16
16

No transactions have been entered into with the directors of the Company (being the key management personnel) during the period 

from January 1, 2021 to September 28, 2021 (for the years ended December 31, 2020 and 2019: nil). 

F-103

(b)  Balances with Related Parties Included in:

Trade and bills receivables 
—An equity investee (note (i)) 
—Fellow subsidiaries of GBPHCL (note (i))

Trade payables 
—Fellow subsidiaries of GBPHCL (note (i))
—An equity investee (note (i)) 

Other receivables and prepayments—related parties
—Fellow subsidiaries of GBPHCL (note (i))
—An equity investee (note (i)) 

Other payables, accruals and advance receipts
—Fellow subsidiaries of GZHCMHK (note (i) and (ii))
—Fellow subsidiaries of GBPHCL (note (i))

Dividend payable (Note 3(b)) 
—GZHCMHK 
—GBPHCL 

Notes: 

     September 28,  December 31,

2021 

2020 

(in US$’000) 

 — 
 1,975 
 1,975 

 3,529 
 — 
 3,529 

 1,129 
 156 
 1,285 

 —  
 2,691 
 2,691 

 52,887 
 52,887 
105,774 

305
3,180
3,485

5,043
684
5,727

743
336
1,079

156
5,484
5,640

—
—
—

(i) Balances are unsecured, interest-free and repayable on demand. The carrying values of balances with related parties

approximate their fair values due to their short-term maturities.

(ii) Amounts payable to fellow subsidiaries of GZHCMHK were due to entities in HUTCHMED’s group. On September
28, 2021, HUTCHMED divested its entire interest in the Company and consequently, subsidiaries in HUTCHMED’s
group were no longer related parties of the Company.

F-104

 
25. Particulars of Principal Subsidiaries, Joint Venture and Associated Companies 

All of the Group’s principal subsidiaries, joint venture and associated companies had a place of establishment and operation in the 

PRC. 

Name 

Nominal value
of registered 
capital

Equity interest
attributable 
to the Group

  September 28, December 31, September 28, December 31,

Hutchison Whampoa Guangzhou Baiyunshan Chinese 

Medicine (Bozhou) Co. Ltd 

Hutchison Whampoa Guangzhou Baiyunshan 

Pharmaceuticals Limited 

Hutchison Whampoa Guangzhou Baiyunshan Health & 

Wellness Co. Ltd 

Hutchison Whampoa Baiyunshan Lai Da Pharmaceuticals 

(Shan Tou) Company Limited  

Fuyang Baiyunshan Hutchison Whampoa Chinese 

Medicine Technology Company Limited 

Wenshan Baiyunshan Hutchison Whampoa Sanqi Co. Ltd.  
Daqing Baiyunshan Hutchison Whampoa Banlangen 

Technology Company Limited 

Shen Nong Garden Traditional Chinese Medicine Museum  
Guangzhou Hulu Cultural Communications 

Company Limited 

Bozhou Baiyunshan Pharmaceuticals Co Ltd (“Old 

Bozhou”) (note) 

Shen Nong Garden Pharmacy Company Limited 
Joint Venture 
Qing Yuan Hutchison Whampoa Baiyunshan Chinese 

Medicine Company Limited 

Associated companies 

2021 

2020

(in RMB’000)

 100,000

100,000

 10,000

 10,000

 10,000

 3,650

 2,000

 1,020

 1,000

 1,000

 —

 200

10,000

10,000

10,000

3,650

2,000

1,020

1,000

1,000

500

200

2021

2020

Type of legal entity 

Principal activity 

100 %

100 %

100 %

100 %

75 %

51 %

51 %

100 %

100 %

—

100 % Limited liability company  

100 % Limited liability company  

100 % Limited liability company  

100 % Limited liability company  

75 % Limited liability company  

51 % Limited liability company  

51 % Limited liability company  

100 %

Non‑profit making 
organization 

100 % Limited liability company 

100 % Limited liability company 

100 %

100 % Limited liability company 

Manufacture, sales and 
distribution of drug products
Sales and marketing of drug 
products
Health supplemented food 
distribution
Manufacture, sales and 
distribution of drug products
Agriculture and sales of Chinese 
herbs
Agriculture and sales of Chinese 
herbs
Agriculture and sales of Chinese 
herbs
Promote awareness of Chinese 
herbs
Promote awareness of Chinese 
herbs
Manufacture, sales and 
distribution of drug products
Retail of drug products, health 
foods and souvenirs

Agriculture and sales of Chinese 
herbs

 1,000

1,000

50 %

50 % Limited liability company  

Linyi Shenghe Jiuzhou Pharmaceuticals Company Limited  
Tibet Linzhi Guangzhou Pharmaceutical Development 

Co. Ltd. 

 3,000

 2,000

3,000

2,000

30 %

20 %

30 % Limited liability company  

Agriculture and sales of Chinese 
herbs

20 % Limited liability company  

Trading of Chinese herbs

Note: In August 2021, Old Bozhou was voluntarily dissolved as it had no ongoing operating activities. 

F-105 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 
 
 
 
   
    
 
 
 
 
 
 
 
 
 
  
 
 
 
 
   
  
 
 
   
  
 
 
35
36

37
38
39

34 We  also  report  changes  in  performance  at  constant  exchange  rate  (“CER”) 
which  is  a  non-GAAP  measure.  Please  refer  to  “Use  of  Non-  GAAP  Financial 
Measures  and  Reconciliation”  below  for  further  information  relevant  to 
the  interpretation  of  these  financial  measures  and  reconciliations  of  these 
financial measures to the most comparable GAAP measures.
SHPL = Shanghai Hutchison Pharmaceuticals Limited.
HBYS  =  Hutchison  Whampoa  Guangzhou  Baiyunshan  Chinese  Medicine 
Company Limited.
HKEX = The Stock Exchange of Hong Kong Limited.
Inmagene = Inmagene Biopharmaceuticals.
Hutchison  Sinopharm  =  Hutchison  Whampoa  Sinopharm  Pharmaceuticals 
(Shanghai) Company Limited.
GAAP = Generally Accepted Accounting Principles.
Lilly = Eli Lilly and Company.
SG&A Expenses = selling, general and administrative expenses.
ADS = American depositary share.
EGFRm+ = Epidermal growth factor receptor mutation positive.
ORR = Objective response rate.
DCR = Disease control rate.
NEN = Neuroendocrine neoplasms.
SCLC = Small cell lung cancer.
DoR = Duration of response.
TRAE = Treatment related adverse event.
TN = Triple negative.
HR+ = Hormone receptor positive.
Her2- = Human epidermal growth factor receptor 2 negative.
SXBX = She Xiang Bao Xin.
HBYS’ adjusted net profit attributable to HUTCHMED equity holders (after 20% 
non-controlling interest) in 2020 of $7.7 million is a non-GAAP measure which 
is 40% of HBYS’ 2020 net profit of $91.3 million less $72.0 million gain on land 
compensation, net of tax
HSBC = The Hongkong and Shanghai Banking Corporation Limited.
HIBOR = Hong Kong Interbank Offered Rate.
Deutsche Bank AG = Deutsche Bank AG, Hong Kong Branch.
PBOC = People's Bank of China.

40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55

56
57
58
59

1

In-market  sales  =  total  sales  to  third  parties  provided  by  Eli  Lilly  (ELUNATE®), 
AstraZeneca (ORPATHYS®) and HUTCHMED (SULANDA®).
MET = Mesenchymal epithelial transition receptor.
NRDL = National Reimbursement Drug List.
R&D = Research and development.
NMPA = National Medical Products Administration.
ITP = Immune thrombocytopenia purpura.
FDA = Food and Drug Administration.
PDUFA = Prescription Drug User Fee Act.
EMA = European Medicines Agency.
EOP2 = End of Phase 2.
EGFR = Epidermal growth factor receptor.
TKI = Tyrosine kinase inhibitor.
ASCO = American Society of Clinical Oncology.

2
3
4
5
6
7
8
9
10
11
12
13
14 WCLC = World Conference on Lung Cancer.
15
16
17
18
19
20
21

VEGFR = Vascular endothelial growth factor receptor.
NEC = Neuroendocrine carcinoma.
Junshi = Shanghai Junshi Biosciences Co., Ltd.
PMDA = Japanese Pharmaceuticals and Medical Devices Agency.
BeiGene = BeiGene, Ltd.
PD-1 = Programmed Cell Death Protein-1.
ESMO  IO  =  European  Society  for  Medical  Oncology  Immuno-Oncology 
Congress.
CgA = Chromogranin A.
BTC = Biliary tract cancer.
HCC = Hepatocellular carcinoma.
RCC = Renal cell cancer.
CSCO = Chinese Society of Clinical Oncology Annual Meeting.
Genor = Genor Biopharma Co. Ltd.
OS = Overall survival.
PI3Kδ = Phosphoinositide 3-kinase delta.
RP2D = Recommended Phase II dose.
Syk = Spleen tyrosine kinase.
ASH 2021 = the 63rd ASH Annual Meeting and Exposition in December 2021.

22
23
24
25
26
27
28
29
30
31
32
33 MAPK pathway = RAS-RAF-MEK-ERK signaling cascade.

444

REFERENCES AND ABBREVIATIONSINFORMATION FOR 
SHAREHOLDERS

LISTING
The  ordinary  shares  of  the  Company  are  listed 
on  The  Stock  Exchange  of  Hong  Kong  Limited 
(“HKEX”),  the  AIM  market  of  the  London 
Stock  Exchange  and  in  the  form  of  American 
depositary  shares  (“ADSs”)  on  the  NASDAQ 
Global  Select  Market.  Each  ADS  represents 
ownership  of  five  ordinary  shares  of  the 
Company.  Additional  information  and  specific 
enquiries  concerning  the  ADSs  should  be 
directed  to  the  ADS  Depositary  at  the  address 
given on this page.

STOCK CODES
HKEX: 13
Nasdaq/AIM: HCM

PUBLIC FLOAT CAPITALISATION
As at December 31, 2021:
Approximately  US$3.6  billion  (approximately 
59.38%  of  the  issued  share  capital  of  the 
Company)

FINANCIAL CALENDAR
Closure of Register of Members
  April 22, 2022 to April 27, 2022
Annual General Meeting
  April 27, 2022
Interim Results Announcement
  August 2022

REGISTERED OFFICE
P.O. Box 309, Ugland House
Grand Cayman, KY1-1104
Cayman Islands
Telephone: 
Facsimile: 

+1 345 949 8066
+1 345 949 8080

REFERENCES

PRINCIPAL PLACE OF BUSINESS
48th Floor, Cheung Kong Center
2 Queen’s Road Central
Hong Kong
Telephone: 
Facsimile: 

+852 2128 1188
+852 2128 1778

PRINCIPAL EXECUTIVE OFFICE
Level 18, The Metropolis Tower
10 Metropolis Drive
Hunghom, Kowloon
Hong Kong
Telephone: 
Facsimile: 

+852 2121 8200
+852 2121 8281

PRINCIPAL SHARE REGISTRAR
Computershare Investor Services (Jersey) Limited
13 Castle Street, St. Helier
Jersey, Channel Islands JE1 1ES
Telephone: 
Facsimile: 

+44 (0)370 707 4040
+44 (0)370 873 5851

HONG KONG BRANCH SHARE REGISTRAR
Computershare Hong Kong Investor Services Limited
Shops 1712-1716, 17th Floor
Hopewell Centre, 183 Queen’s Road East
Wanchai, Hong Kong
Telephone: 
Facsimile: 

+852 2862 8628
+852 2865 0990

CREST DEPOSITARY
Computershare Investor Services PLC
The Pavilions
Bridgwater Road
Bristol BS99 6ZY
United Kingdom
Telephone: 
Facsimile: 

+44 (0)370 702 0000
+44 (0)370 703 6114

ADS DEPOSITARY
Deutsche Bank Trust Company Americas
1 Columbus Circle
New York, NY 10019
United States of America
Telephone: 
Facsimile: 

+001 212 250 9100
+001 732 544 6346

SHAREHOLDERS CONTACT
Please direct enquiries to:
48th Floor, Cheung Kong Center
2 Queen’s Road Central
Hong Kong
Attn: 

Edith Shih
Non-executive Director &
  Company Secretary
ediths@ckh.com.hk
+852 2128 1778

E-mail: 
Facsimile: 

INVESTOR INFORMATION
Corporate  press  releases,  financial  reports  and 
other investor information on the Company are 
available online at the Company’s website.

INVESTOR RELATIONS CONTACT
Please direct enquiries to:
E-mail: 
Telephone: 
Facsimile: 

ir@hutch-med.com
+852 2121 8200
+852 2121 8281

WEBSITE ADDRESS
www.hutch-med.com

Unless the context requires otherwise, references in this Annual Report to the “Group,” the “Company,” “HUTCHMED,” “HUTCHMED Group,” “we,” “us” and “our” mean HUTCHMED (China) Limited and its consolidated 
subsidiaries and joint ventures unless otherwise stated or indicated by context.

PAST PERFORMANCE AND FORWARD-LOOKING STATEMENTS

The performance and results of operations of the Group contained within this Annual Report are historical in nature, and past performance is no guarantee of future results of the Group. This Annual Report contains 
forward-looking  statements  within  the  meaning  of  the  “safe  harbor”  provisions  of  the  U.S.  Private  Securities  Litigation  Reform  Act  of  1995.  These  forward-looking  statements  can  be  identified  by  words  like  “will,” 
“expects,” “anticipates,” “future,” “intends,” “plans,” “believes,” “estimates,” “pipeline,” “could,” “potential,” “first-in-class,” “best-in-class,” “designed to,” “objective,” “guidance,” “pursue,” or similar terms, or by express 
or  implied  discussions  regarding  potential  drug  candidates,  potential  indications  for  drug  candidates  or  by  discussions  of  strategy,  plans,  expectations  or  intentions.  You  should  not  place  undue  reliance  on  these 
statements.  Such  forward-looking  statements  are  based  on  the  current  beliefs  and  expectations  of  management  regarding  future  events,  and  are  subject  to  significant  known  and  unknown  risks  and  uncertainties. 
Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth in the forward-looking statements. There can 
be no guarantee that any of our drug candidates will be approved for sale in any market, or that any approvals which are obtained will be obtained at any particular time, or that any such drug candidates will achieve 
any  particular  revenue  or  net  income  levels.  In  particular,  management’s  expectations  could  be  affected  by,  among  other  things:  unexpected  regulatory  actions  or  delays  or  government  regulation  generally;  the 
uncertainties inherent in research and development, including the inability to meet our key study assumptions regarding enrollment rates, timing and availability of subjects meeting a study’s inclusion and exclusion 
criteria and funding requirements, changes to clinical protocols, unexpected adverse events or safety, quality or manufacturing issues; the inability of a drug candidate to meet the primary or secondary endpoint of a 
study; the inability of a drug candidate to obtain regulatory approval in different jurisdictions or gain commercial acceptance after obtaining regulatory approval; global trends toward health care cost containment, 
including ongoing pricing pressures; uncertainties regarding actual or potential legal proceedings, including, among others, actual or potential product liability litigation, litigation and investigations regarding sales 
and marketing practices, intellectual property disputes, and government investigations generally; and general economic and industry conditions, including uncertainties regarding the effects of the persistently weak 
economic  and  financial  environment  in  many  countries,  uncertainties  regarding  future  global  exchange  rates  and  uncertainties  regarding  the  impact  of  the  COVID-19  pandemic.  For  further  discussion  of  these  and 
other risks, see HUTCHMED’s filings with the U.S. Securities and Exchange Commission, on AIM and on HKEX. HUTCHMED is providing the information in this Annual Report as of this date and does not undertake any 
obligation to update any forward-looking statements as a result of new information, future events or otherwise.

In addition, this Annual Report contains statistical data and estimates that HUTCHMED obtained from industry publications and reports generated by third-party market research firms. Although HUTCHMED believes 
that the publications, reports and surveys are reliable, HUTCHMED has not independently verified the data and cannot guarantee the accuracy or completeness of such data. You are cautioned not to give undue weight 
to this data. Such data involves risks and uncertainties and are subject to change based on various factors, including those discussed above.