Financial Data and Key Metrics Changes - The company ended Q3 2025 with a cash position of approximately $238.56 million [36] - Total GAAP operating expenses for Q3 2025 were $234.2 million, a decrease from $568.4 million in Q2 2025, primarily due to a higher stock-based compensation expense recorded in the previous quarter [36][37] - Non-GAAP operating expenses for Q3 2025 were $103.4 million, an increase from $89.6 million in the previous quarter, mainly due to increased R&D expenses related to ongoing trials [37] Business Line Data and Key Metrics Changes - The Harmony Three study is enrolling ahead of goals, with over 80% of the planned 600 squamous patients cohort expected to complete enrollment in Q1 2026 [35] - The Harmony GI3 study, evaluating ivonescimab in colorectal cancer, is set to begin activating clinical trial sites in the U.S. by the end of 2025, with an expected enrollment of 600 patients [30][22] Market Data and Key Metrics Changes - The Harmony Six study demonstrated a median progression-free survival (PFS) of 11.14 months for ivonescimab plus chemotherapy compared to 6.90 months for the control group, indicating a significant clinical benefit [10][17] - The study showed consistent benefits across various PD-L1 expression levels, with hazard ratios of 0.55 for negative, 0.63 for low, and 0.71 for high PD-L1 expression [11][17] Company Strategy and Development Direction - The company plans to submit a Biologics License Application (BLA) for ivonescimab based on the Harmony study results, aiming to establish it as a new standard of care for advanced squamous non-small cell lung cancer [24][19] - The clinical development program has expanded to include multiple phase three trials across various solid tumors, indicating a strategic focus on broadening the application of ivonescimab [22][30] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism regarding the results from Harmony Six and its implications for future studies, emphasizing the potential of ivonescimab to improve outcomes for patients with limited treatment options [21][19] - The company is actively engaging with the FDA and is confident in the safety and efficacy data supporting the BLA submission [52][51] Other Important Information - The Harmony Six study was conducted in China and sponsored by Akeso Inc., with all relevant data managed and analyzed by them [2][6] - The company highlighted the importance of the safety profile of ivonescimab, noting low rates of adverse events leading to discontinuation [12][17] Q&A Session Summary Question: When could the first overall survival (OS) cut from Harmony Six be expected? - Management indicated that a review in 2026 is likely, but specific timelines are difficult to disclose [41][43] Question: What options are being evaluated to extend the runway for funding? - The company has an ATM with approximately $350 million and has received inbound interest for additional capital [47][48] Question: Can you provide insights on the BLA submission and interactions with the FDA? - Continuous interactions with the FDA have been positive, and the company is preparing to submit the BLA based on the Harmony data [51][52] Question: What prompted the protocol amendments to Harmony Three? - The amendments were made to accelerate the front-line lung cancer opportunity and reduce regulatory risks by separating analyses for squamous and non-squamous histologies [70][71]

Financial Data and Key Metrics Changes - The company finished Q1 with over $360 million in cash, having raised around $400 million last year, indicating a strong financial position to support ongoing clinical development [54][55] - The run rate for Q1 was approximately $50 million, which is expected to increase, but the company has sufficient capital to execute current plans [55][56] Business Line Data and Key Metrics Changes - The lead molecule, Ivo, has shown strong positive trends in overall survival in clinical trials, particularly in the HARMONY studies, with a hazard ratio of 0.777 indicating favorable outcomes [4][5][7] - The company has over 22 ongoing trials, with 11 being Phase III studies, and has enrolled over 3,000 patients, demonstrating a robust clinical development pipeline [9][10] Market Data and Key Metrics Changes - The total addressable market for Ivo is estimated to be 1% to 2% of the overall market, with significant opportunities in non-small cell lung cancer (NSCLC) [11][12] - The company is actively engaging in multi-regional studies to validate the efficacy of Ivo across different patient populations, particularly comparing data from China and Western countries [17][19] Company Strategy and Development Direction - The company aims to differentiate Ivo from existing PD-1 therapies by focusing on its unique efficacy and safety profile, particularly in the frontline NSCLC setting [12][13][14] - There is a strategic emphasis on expanding the clinical development plan and exploring combinatorial strategies with other drugs, leveraging Ivo's favorable safety profile [41][49] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the ongoing trials and the potential for Ivo to change standards of care in NSCLC, despite challenges in achieving statistical significance in overall survival [20][24][26] - The company is optimistic about the collaboration with Akeso and the potential for Ivo to address significant unmet needs in cancer treatment [33][35] Other Important Information - The company has initiated tech transfer for manufacturing capabilities, which will enhance its ability to produce Ivo in its territories, including the U.S., Europe, and Japan [56][57] - The management highlighted the importance of partnerships and collaborations to maximize the potential of Ivo and navigate the competitive landscape [46][48] Q&A Session Summary Question: What are the next steps for the HARMONY study? - The company plans to work strategically with the FDA regarding the filing of a Biologics License Application (BLA) and is focused on ensuring the right next steps for the clinical program [11][12] Question: What factors contributed to the trial not achieving statistical significance in overall survival? - Management indicated that the trial's design and patient enrollment dynamics, particularly the proportion of patients from different regions, played a role in the outcomes observed [20][21][22] Question: How does the company view competition in the market? - Management sees competition as validation of their product's potential and emphasizes the importance of establishing strong partnerships to succeed in the market [46][48]

Core Insights - Johnson & Johnson announced that RYBREVANT® (amivantamab-vmjw) in combination with LAZCLUZE™ (lazertinib) significantly improves overall survival (OS) compared to osimertinib in the treatment of non-small cell lung cancer (NSCLC) with specific EGFR mutations [1][2][3] Group 1: Study Results - The Phase 3 MARIPOSA study demonstrated that the median OS for RYBREVANT® plus LAZCLUZE™ has not yet been reached, while the median OS for osimertinib was 36.7 months [2][3] - At a median follow-up of 37.8 months, 56% of patients treated with RYBREVANT® and LAZCLUZE™ were alive at three and a half years compared to 44% for those on osimertinib [2] - Projections suggest that RYBREVANT® plus LAZCLUZE™ could extend median OS by at least 12 months compared to osimertinib [2] Group 2: Secondary Endpoints - The combination therapy also showed prolonged benefits in secondary endpoints, including intracranial progression-free survival (PFS) and time to symptomatic progression (TTSP), which was extended by more than 14 months compared to osimertinib [2][3] - The study met its primary endpoint in October 2023, indicating a statistically significant improvement in PFS compared to osimertinib [3] Group 3: Safety Profile - The safety profile of RYBREVANT® plus LAZCLUZE™ was consistent with previous analyses, with adverse event rates comparable to other RYBREVANT® regimens [2][3] - Most adverse events occurred early during treatment, and no new safety signals were identified with longer-term follow-up [2] Group 4: Regulatory Status - RYBREVANT® plus LAZCLUZE™ is approved in the U.S., Europe, and other markets for first-line treatment of patients with locally advanced or metastatic NSCLC with specific EGFR mutations [3][6] - The results from the MARIPOSA study will be shared with health authorities globally [3]