Chinese biotech whose ivonescimab beat Keytruda head-to-head, and developer of the Nectin-4×TROP2 ADC.
Akeso, based in Zhongshan and listed in Hong Kong as 9926.HK, is the Chinese biotechnology company whose ivonescimab beat pembrolizumab head to head in the HARMONi-2 trial, and the developer of the Nectin-4 by TROP2 bispecific ADC AK146D1. Its portfolio includes ivonescimab, a PD-1 by VEGF bispecific, cadonilimab, a PD-1 by CTLA-4 bispecific proved in COMPASSION-16 in cervical cancer, and penpulimab, with Michelle Xia, Caicun Zhou and Wenfeng Fang among the people linked. OnCo connects it to lung, cervical and nasopharyngeal cancer, to HARMONi-A, to the bispecific ADC technology and to the NMPA, and to bottlenecks on regulatory divergence and trials that do not represent the people who get cancer. Whether the HARMONi-2 result holds in global trials run by its partner Summit is the open question. Ivonescimab has its own page.
| Date | Deal | Type | Upfront | Total | Source |
|---|---|---|---|---|---|
| 2022-12-06 | Akeso to Summit Therapeutics Ivonescimab (AK112, SMT112), PD-1 x VEGF bispecific | Licence | $500m | up to $5.0bn | source |
The first head-to-head test of the PD-1 x VEGF bispecific against pembrolizumab in a Western population. Timing is our estimate from the registry record; the sponsor has not given a date. Source
A Chinese bispecific that beat Keytruda head-to-head on progression-free survival in lung cancer, the first drug ever to do so.
AK146D1 is Akeso's Nectin-4 × TROP2 bispecific ADC, combining the two most validated ADC addresses in one molecule.
AK117 is an experimental investigational agent whose form is not stated in the registry from Akeso in phase 3 trials for head and neck squamous cell carcinoma, colorectal cancer and non-small-cell lung cancer, with its target not yet stated publicly.
AK119 is an experimental monoclonal antibody from Akeso in phase 2 trials for colorectal cancer, aimed at CD73 / adenosine axis.
A Chinese two-armed antibody that blocks PD-1 and CTLA-4 together, approved in China for cervical cancer and extending survival even in PD-L1-negative tumours.
Penpulimab is a Chinese PD-1 antibody approved in the US in 2025 for nasopharyngeal carcinoma, the second after toripalimab.
Principal investigator of HARMONi-2, the trial where ivonescimab beat pembrolizumab head-to-head, and of the first EGFR-TKI phase 3 in Chinese patients.
Michelle Xia founded Akeso, the Zhongshan company whose bispecific antibody ivonescimab was the first drug to beat pembrolizumab in a head-to-head trial.
Wenfeng Fang is a lung cancer oncologist at the centre of China's PD-1 and bispecific antibody trials, including ivonescimab in EGFR-mutant disease.
Shares A Phase III Clinical Study of Cadonilimab Plus SOX as Perioperative Treatment for Patients With Resectable G/GEJ Adenocarcinoma, A Phase III Study of AK104 as Adjuvant Therapy in HCC With High Risk of Recurrence After Curative Resection, A Study of AK112 as Consolidation Treatment for Patients With Limited Stage Small-cell Lung Cancer Who Have Not Progressed Following Concurrent Chemor, An Exploratory, Multi-cohort Phase II Study of Combination Therapy With AK104 and AK112 for Recurrent Ovarian Cancer.