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ESMO Congress 2026

October 23–27, 2026 · Madrid · 4468 items

← Floor

ivonescimab

24 people · 25 posts

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Heat now 5·Peak in the comparable set 7 (Oct 26 03:00)·Change over 24h in the comparable set –·Participants now 11

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Deep dive

Ivonescimab (AK112) is a humanized tetravalent bispecific antibody simultaneously targeting PD-1 and VEGF-A [6]; a phase 1a dose-escalation study established the MTD at 20 mg/kg every 2 weeks [6]. Its evidence base sits in lung cancer: in advanced non-small cell lung cancer with EGFR variant after progression on TKI therapy, a placebo-controlled phase 3 trial enrolled 322 patients (ivonescimab n=161, placebo n=161), with IRRC-assessed PFS as the primary endpoint [1]; HARMONi-2 compared ivonescimab head-to-head with pembrolizumab as first-line therapy for PD-L1-positive advanced NSCLC across 55 centers in China [4]. The drug was approved in China in 2024 for non-small cell lung cancer [5] and is covered in the annual Antibodies to Watch review [3].

At ESMO 2026, two new lines were reported. First, biliary tract cancer: live posts state that in the first-line phase 3 trial of ivonescimab plus gemcitabine/cisplatin versus durvalumab plus chemotherapy, ORR, PFS and OS were all better, with a 25% lower death risk; per one poster, this is the drug's 4th positive phase 3 randomized trial and the first outside its lung cancer indications already approved in China. Second, renal cell carcinoma: in a phase Ib/II monotherapy study in first-line IMDC favorable-risk advanced RCC, one post reported 21 evaluable patients, ORR 57.1%, DCR 95.2%, median PFS not reached; another post reported 23 evaluable patients, ORR 65.2%, DCR 95.7%, 12-month PFS 85.5%, and no deaths, with both posts citing grade ≥3 TRAEs of 26.9% (proteinuria 15.4% listed alongside), 13 months of follow-up; the latter referenced CheckMate 9ER's favorable-risk ORR of 66.2% as a cross-trial comparator and framed the finding as hypothesis-generating.

The site news did not independently cover these two readouts, but added circumstantial evidence of pipeline expansion: Ruijin Hospital newly registered two trials in advanced malignant pleural mesothelioma—one phase 1 with a 3+3 dose-escalation design, planning 9 patients across 3, 10, and 20 mg/kg dose levels [N2], and one phase 1b/2 single-arm multicenter trial planning 78 patients, first determining the RP2D before proceeding to phase 2 efficacy evaluation, registered on October 21 with recruitment not yet started [N3]; another industry report mentioned NSCLC and thymic carcinoma oral presentations involving ivonescimab at this meeting but gave no drug-specific numbers [N1]. These align with the official press release describing data across multiple tumor types and phase II data supporting clinical development expansion. Separately, a FiercePharma post noted that, against the backdrop of AstraZeneca's $2B investment in Summit, the Akeso CEO intends to explore more combinations.

Relative to prior knowledge, the step forward is extending the evidence base from lung cancer into biliary tract cancer—a phase 3 win over an active comparator—and a single-agent signal in favorable-risk RCC, alongside apparent expansion into new tumor types such as mesothelioma. Limitations are evident: the RCC data come from a small single-arm study with only 13 months of follow-up, the two posts disagree on evaluable patient counts and ORR with no explanation in the materials; sample size and median OS/PFS for the BTC phase 3 are undisclosed; cross-trial comparisons are hypothesis-generating only, and proteinuria warrants follow-up on the safety side.

Floor
  1. mp.weixin.qq.com

    Ivonescimab Beats Pembrolizumab on Overall Survival in Frontline PD-L1-Positive Advanced Lung Cancer

    Ivonescimab, Akesu's bispecific antibody, beat pembrolizumab head-to-head as first-line monotherapy in PD-L1-positive advanced lung cancer, with median overall survival of 30.8 months versus 22.6 months. The risk of death fell 27 percent, with P value 0.009, a statistically significant result presented at the World Conference on Lung Cancer. Pembrolizumab, long the world's top-selling drug at 31.68 billion dollars a year, now faces a direct survival challenge.

    Why it matters: First head-to-head survival win over pembrolizumab in frontline PD-L1-positive advanced lung cancer.

  2. pharmaceutical-technology.com

    AstraZeneca deepens Summit ties on ADC-bispecific cancer combo testing pact

    AstraZeneca and Daiichi Sankyo have signed a deal with Summit Therapeutics to test their ADC Datroway (datopotamab deruxtecan) alongside Summit's PD-1 x VEGF bispecific antibody ivonescimab in several tumour types, starting with a Phase III study in frontline triple-negative breast cancer. Daiichi and Summit will share trial costs, and each keeps rights to its own medicine. The pact follows AstraZeneca's $2bn equity investment in Summit for an estimated 12% stake and a separate deal on the CLDN18.2-targeting ADC sonesitatug vedotin combined with ivonescimab; ivonescimab is under US regulatory review in NSCLC with a PDUFA date of 14 November.

  3. mp.weixin.qq.com

    AstraZeneca Takes $2 Billion Stake of About 12% in Summit Therapeutics

    AstraZeneca will invest $2 billion in Summit Therapeutics by subscribing to convertible preferred shares, giving it about 12% of the company after conversion. Alongside the equity stake, announced September 28, the two firms signed a binding clinical collaboration combining Sone-Ve with Ivonescimab in GI tumors, plus a non-binding MOU to explore pairing Ivonescimab with more of AstraZeneca's ADC portfolio.

    Why it matters: Large equity stake plus clinical tie-ups between AstraZeneca and Summit Therapeutics signal possible pre-acquisition positioning.

  4. mp.weixin.qq.com

    AstraZeneca Takes $2 Billion Stake in Summit, Ivonescimab Overseas Rights Holder

    AstraZeneca invested $2 billion in convertible preferred shares of Summit, the holder of overseas rights to Akeso's PD-1/VEGF bispecific antibody ivonescimab, taking roughly a 12% stake. The deal, disclosed on September 28, 2026, gives AstraZeneca no rights to the drug itself but makes it the sponsor of clinical trials combining ivonescimab with its own ADC. Summit shares rose about 18% after hours and Akeso's Hong Kong shares gained more than 15% the next day.

    Why it matters: AstraZeneca's $2 billion stake links its ADC pipeline to ivonescimab without buying drug rights.

  5. mp.weixin.qq.com

    AstraZeneca Invests $2 Billion in Summit Therapeutics to Advance Ivonescimab-ADC Combinations

    AstraZeneca and Summit Therapeutics have agreed a collaboration under which AstraZeneca will buy preferred shares in Summit for roughly $2 billion, giving it about 12.0% of Summit's issued equity. The deal supports joint development of ivonescimab in combination with AstraZeneca's antibody-drug conjugates. No development timelines were given.

  6. mp.weixin.qq.com

    AstraZeneca Pays $2 Billion for 12% of Summit Therapeutics to Back Ivonescimab

    AstraZeneca will invest $2 billion in Summit Therapeutics for a 12% stake, buying convertible preferred shares at $18.36 each, an 18.6% premium to the September 28 closing price of $15.48. The deal backs ivonescimab, a bispecific antibody originating in China that is positioned to challenge Merck's Keytruda, and provides fresh funding for Summit. The investment marks full endorsement of the drug by a multinational pharma company.

  7. BioSpace

    AstraZeneca buys into Summit, UniQure drops on 4-year data, FDA on a roll

    AstraZeneca is investing $2 billion in Summit Therapeutics in an all-stock deal to support Phase 3 trials of ivonescimab, the PD-1/VEGF bispecific partnered with Akeso. Four-year data from uniQure's Phase 1/2 trial of its Huntington's disease gene therapy showed a 44% slowing of disease progression, down sharply from 75% at three years, sending shares down nearly 40%. FDA approvals have been active recently, with AbbVie, Eli Lilly, Merck and Mirum Pharmaceuticals all winning approvals in the past week.

  8. BioPharma Dive

    AstraZeneca invests $2B in Summit, gaining ‘seat at the table’ for PD-1/VEGF drug push

    AstraZeneca will invest $2 billion in Summit Therapeutics by buying about 109,000 shares of convertible preferred stock, giving it roughly 12% ownership, or about 10.6% fully diluted. The companies will jointly test Summit's PD-1/VEGF drug ivonescimab with AstraZeneca medicines, starting with the ADC "Sone-Ve" in gastrointestinal tumors, and will share development costs while retaining rights to their own drugs. Ionescimab previously halved the risk of progression or death versus Keytruda in a Phase 3 lung cancer study, and the partnership may expand to further combinations.

  9. mp.weixin.qq.com

    Ivonescimab Reaches 16.9-Month PFS After Third-Generation EGFR-TKI Resistance in NSCLC

    Ivonescimab, a PD-1/VEGF bispecific antibody, delivered a median progression-free survival of 16.9 months in patients with locally advanced or metastatic non-squamous NSCLC whose disease progressed on third-generation EGFR-TKI treatment, compared with 4-5 months for traditional chemotherapy in this setting. China's NMPA has approved it for this population, giving third-generation EGFR-TKI-resistant disease a new treatment standard.

    Why it matters: It reports an approved option with a large PFS gain for EGFR-TKI-resistant NSCLC.

  10. mp.weixin.qq.com

    Ivonescimab Beats Pembrolizumab on Overall Survival in HARMONi-2 Trial

    Ivonescimab, Akesu Bio's PD-1/VEGF bispecific antibody, beat pembrolizumab as first-line monotherapy in PD-L1-positive non-small cell lung cancer in the HARMONi-2 trial. Median overall survival was 30.8 months versus 22.6 months with pembrolizumab, HR=0.73, P=0.009, presented by Professor Zhou Caicun at the WCLC presidential symposium. It is the first drug to beat pembrolizumab in a randomized controlled trial on two endpoints.

    Why it matters: First randomized controlled trial win over pembrolizumab in NSCLC on two endpoints, reshaping views of Chinese drug innovation.

  11. vbdata.cn

    Ivonescimab Beats Pembrolizumab on Overall Survival in HARMONi-2, Head to Head

    Ivonescimab from Akeso became the first therapy to beat pembrolizumab head to head on overall survival in a randomized phase 3 trial, with median OS of 30.8 months versus 22.6 months and a 27% reduction in death risk in HARMONi-2. Benefit concentrated in PD-L1-high (HR=0.58) and squamous (HR=0.65) patients. The same WCLC also featured two Chinese B7-H3 ADCs, HS-20093 and YL201, each cutting death risk 54% versus topotecan in relapsed small cell lung cancer.

    Why it matters: First phase 3 agent to outperform pembrolizumab on overall survival, plus parallel B7-H3 ADC phase 3 wins.

  12. mp.weixin.qq.com

    Ivonescimab Beats Keytruda on Overall Survival in Phase III HARMONi-2 NSCLC Trial

    Ivonescimab, a PD-1/VEGF bispecific antibody, beat Merck's Keytruda on overall survival in the HARMONi-2 study, a phase III head-to-head trial in advanced NSCLC, with median OS of 30.8 months versus 22.6 months and a 27% reduction in relative risk of death. This is the first time a PD-1/VEGF bispecific has defeated Keytruda on overall survival in a phase III head-to-head trial. Akeso and Summit Therapeutics presented the data at the World Conference on Lung Cancer.

    Why it matters: First phase III head-to-head overall survival win over Keytruda by a PD-1/VEGF bispecific in advanced NSCLC.

  13. mp.weixin.qq.com

    Ivonescimab Beats Pembrolizumab on Overall Survival in HARMONi-2 Phase 3 Trial

    Ivonescimab, a PD-1/VEGF bispecific antibody from Akeso, has delivered full overall survival results from the phase 3 HARMONi-2 trial, with a median OS of 30.8 months versus 22.6 months for pembrolizumab monotherapy in a head-to-head comparison. Reported by Caicun Zhou of Shanghai East Hospital, this makes ivonescimab the first cancer immunotherapy to achieve positive results in both progression-free survival and overall survival against pembrolizumab in a randomized, double-blind phase 3 study. A key regulatory decision point arrives in November.

    Why it matters: First randomized double-blind phase 3 trial to beat pembrolizumab head-to-head on both PFS and OS.

  14. mp.weixin.qq.com

    Ivonescimab Beats Pembrolizumab on Overall Survival in First-Line PD-L1-Positive Advanced NSCLC

    Ivonescimab significantly extended overall survival versus pembrolizumab as first-line treatment for PD-L1-positive advanced NSCLC, meeting the prespecified statistical bar for significance. At a median follow-up of 36 months as of August 20, 2026, 234 overall survival events had occurred and median overall survival reached 30.8 months. Prespecified subgroup analyses showed a consistent survival benefit, most pronounced in patients with high PD-L1 expression.

    Why it matters: Head-to-head overall survival win over pembrolizumab in first-line PD-L1-positive advanced NSCLC changes the standard-of-care discussion.

  15. mp.weixin.qq.com

    Ivonescimab Beats Pembrolizumab on Overall Survival in PD-L1-Positive NSCLC in HARMONi-2

    Ivonescimab monotherapy as first-line treatment for PD-L1-positive non-small cell lung cancer achieved a median overall survival of more than 30 months, extending survival by over 8 months compared with pembrolizumab. The phase 3 HARMONi-2 trial, led by Professor Zhou Caicun of Shanghai East Hospital and presented at the 2026 World Conference on Lung Cancer, is the first randomized double-blind phase 3 trial to show positive results for both overall survival and progression-free survival against pembrolizumab.

    Why it matters: First randomized phase 3 trial to beat pembrolizumab on both OS and PFS in first-line PD-L1-positive NSCLC.

  16. mp.weixin.qq.com

    Ivonescimab Beats Pembrolizumab on Overall Survival in Front-line PD-L1-positive NSCLC in HARMONi-2

    Ivonescimab beat pembrolizumab as first-line treatment for PD-L1-positive locally advanced or metastatic NSCLC on overall survival in the registrational HARMONi-2 (AK112-303) trial, with the result reaching statistical significance. The randomised, double-blind, multicentre study was presented as a late-breaking oral at WCLC and included in the official press programme. The finding positions ivonescimab, from Akeso, as a competitor to pembrolizumab in this setting.

    Why it matters: Statistically significant overall survival win over pembrolizumab in front-line PD-L1-positive NSCLC changes the first-line option.

  17. mp.weixin.qq.com

    Akeso to raise about HK$1.94 billion in share placement as ivonescimab takes on PD-1

    Akeso (09926.HK) plans to place 20 million new shares at HK$97.76 each, a 6.90% discount to the previous close, through Morgan Stanley Asia to at least six placees. The placement would raise about HK$1.955 billion gross and HK$1.941 billion net. The company's bispecific antibody ivonescimab is positioned to challenge PD-1 inhibitors as first-line standard treatment in lung cancer.

  18. mp.weixin.qq.com

    AstraZeneca Takes $2 Billion Stake in Summit for ADC Plus Ivonescimab Collaboration

    AstraZeneca is taking a $2 billion equity stake in Summit and has signed a clinical collaboration to evaluate sonesitatug vedotin combined with ivonescimab in certain gastrointestinal cancers, with studies planned to start as soon as possible. The companies also signed a memorandum of understanding to explore combinations of ivonescimab with a range of AstraZeneca ADCs and other oncology drugs.

  19. mp.weixin.qq.com

    AstraZeneca to Invest $2 Billion in Summit to Co-develop PD-1/VEGF Bispecific Ivonescimab

    AstraZeneca and Summit have agreed a $2 billion equity investment in convertible preferred shares, equating to $18.36 per common share at conversion, above the closing price at the time. The deal concerns ivonescimab, a PD-1/VEGF bispecific antibody being studied in multiple late-stage trials worldwide, including international multicentre registrational studies led by Summit. The companies will collaborate on developing the drug, with conversion of the preferred shares to follow.

  20. BioSpace

    Summit snags $2B investment from AstraZeneca, clearing financial overhang

    AstraZeneca is investing $2 billion in Summit Therapeutics through a direct equity purchase of about 109,000 preferred shares, giving it roughly 12% of Summit's common shares at $18.36 per share, a 10% premium. The deal, expected to close within a week pending regulatory clearances, lifts Summit's cash to an estimated $2.5 billion and leaves it holding full rights to ivonescimab, the PD-1/VEGF bispecific, in its territories. The partners will also start trials pairing AstraZeneca's anti-CLDN18.2 ADC sonesitatug vedotin with ivonescimab in gastrointestinal cancers, while the FDA decides Summit's BLA for the NSCLC drug by Nov. 14.

    Why it matters: Large pharma is paying $2 billion for equity exposure to the PD-1/VEGF class without licensing ivonescimab.

  21. mp.weixin.qq.com

    Ivonescimab Beats Pembrolizumab on Overall Survival in Frontline PD-L1-Positive Advanced NSCLC

    Ivonescimab extended median overall survival to 30.8 months versus 22.6 months for pembrolizumab in first-line treatment of PD-L1-positive (TPS ≥1%) advanced non-small cell lung cancer, cutting the risk of death by 27%. Data presented by Caicun Zhou of Shanghai East Hospital at the 2024 WCLC make ivonescimab the first drug to beat pembrolizumab head-to-head in a phase 3 trial with positive results on both progression-free and overall survival.

    Why it matters: First head-to-head phase 3 win over pembrolizumab on both survival endpoints in frontline NSCLC.

CBACBA Frontier Insights (CFI)Chinese Biopharmaceutical Association (CBA)www.cba-usa.org

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