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Summit Therapeutics Inc. (SMMT): KOL frames a positive setup for global ivo Phase 3 lung cancer data in 2H
研报英文原文证据摘录
Summit Therapeutics Inc. (SMMT): KOL frames a positive setup for global ivo Phase 3 lung cancer data in 2H
Goldman Sachs Summit Therapeutics Inc. (SMMT)
squamous non-small cell lung cancer (NSCLC) at the American Society of Clinical
Oncology (ASCO) conference. The KOL characterized the HARMONi-6 OS results as
strong, albeit largely in-line with his expectations given the strength of prior
HARMONi-6 PFS data, and expressed surprise at the muted public reaction,
attributed in part to the discussant’s commentary and noting her involvement with
prior Keytruda studies in frontline NSCLC. Framing the magnitude of benefit seen
in HARMONi-6, the KOL noted that investigators generally aim for a PFS hazard
ratio (HR) of ~0.75 and an OS HR of ~0.8, thus he views the observed
HARMONi-6 PFS HR=0.60 and OS HR=0.66 as a home run. On safety, the KOL
noted the expected VEGF-related signals (some hypertension and proteinuria) but at
lower rates than those seen with Avastin (bevacizumab) – which he believes are
consistent with the purported ivo daisy-chaining mechanism which increases
tumor-concentration while limiting systemic exposure – with no impact on quality of
life and an overall favorable safety profile. Addressing the ASCO HARMONi-6
discussant commentary and debate regarding limited benefit in the age>65
subgroup, the KOL acknowledged that older patients are known to derive less
benefit across immunotherapy studies (potentially attributable to weaker immune
systems), albeit noted that because of ivo’s favorable toxicity profile, he would still
consider prescribing ivo to older NSCLC patients, contrasting with other agents such
as ADCs where efficacy benefit is often weighed against increased toxicity. The KOL
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