Anito-cel Product Profile and Clinical Data - Anito-cel, a BCMA-directed CAR T-cell therapy, utilizes a novel D-Domain binder, potentially offering a best-in-class efficacy profile, differentiated safety, and rapid manufacturing[7, 8, 9, 15] - Phase 1 data showed a median Progression-Free Survival (PFS) of 30.2 months[17] - In the iMMagine-1 pivotal trial, the Overall Response Rate (ORR) was 97%, with a stringent Complete Response/Complete Response (sCR/CR) rate of 68%[92] - iMMagine-1 demonstrated a 6-month PFS rate of 91.9% and a 12-month PFS rate of 79.3%[98] - iMMagine-1 showed a favorable safety profile, with 85% of patients experiencing < Grade 1 Cytokine Release Syndrome (CRS) and 92% experiencing no Immune Effector Cell-associated Neurotoxicity Syndrome (ICANS)[17, 108, 118] Market Opportunity and Commercial Strategy - The Multiple Myeloma (MM) CAR T market is projected to reach approximately $12 billion in the 2L+ setting[7, 19, 21, 55, 61] - Arcellx anticipates a high gross margin of ≥70% at launch for anito-cel, with profitability achievable before reaching $1 billion in anito-cel sales[51, 55] - Post-approval, 90% of US Healthcare Professionals (HCPs) are motivated to prescribe anito-cel[30] - Anito-cel is expected to launch with a large Authorized Treatment Center (ATC) network, projected to be 160+ ATCs, leveraging Kite's infrastructure[17, 33, 62] - Payer coverage for anito-cel is projected to be >80% of US lives within 30 days and >90% within 90 days post-launch[45]

Regeneron Pharmaceuticals has won Food and Drug Administration accelerated approval of its Lynozyfic treatment for certain patients with the blood cancer multiple myeloma https://t.co/uOJuKJ92zD ...

A Portfolio Company Corporate Presentation February 2025 1 This Presentation is not an Offer or a Representation. This Presentation does not constitute an offer, or a solicitation of an offer, to buy orsell any securities, investment or otherspecific product, or a solicitation of any vote or approval, norshall there be any sale ofsecurities, investment or otherspecific product in any jurisdiction in which such offer,solicitation orsale would be unlawful priorto registration or qualification underthe securit ...

Core Viewpoint - The European Medicines Agency's Committee for Medicinal Products for Human Use (CHMP) has recommended the approval of Sarclisa in combination with VRd for the treatment of transplant-eligible newly diagnosed multiple myeloma (NDMM) patients, indicating significant progress in addressing unmet patient needs in this area [1][2]. Group 1: Study and Approval Details - The positive CHMP opinion is based on results from the GMMG-HD7 study, which demonstrated a deep and rapid response in transplant-eligible NDMM patients using an anti-CD38-based induction regimen [2][3]. - GMMG-HD7 is the first phase 3 study to show a higher proportion of patients achieving minimal residual disease (MRD) negativity and significant progression-free survival (PFS) benefits post-induction [3][4]. - The study enrolled 662 patients across 67 sites in Germany, with participants receiving three 42-day cycles of VRd, and Sarclisa added to one arm of the study [6][7]. Group 2: Clinical Evidence and Outcomes - The results indicated the highest post-induction and post-transplant MRD negativity rates for any CD38 monoclonal antibody using VRd as a backbone in transplant-eligible NDMM [4][8]. - The primary endpoints of the study included MRD negativity following induction therapy and PFS after post-transplant randomization, with the latter expected to be available later [8][9]. - Secondary endpoints included rates of complete response after induction, overall survival, and safety, with MRD negativity assessed by next-generation flow cytometry [9]. Group 3: Current Approvals and Future Potential - Sarclisa is currently approved in the EU for three indications across different lines of therapy for adult patients with relapsed and/or refractory multiple myeloma and NDMM who are not eligible for transplant [5][10]. - If approved, the new regimen would represent the fourth indication in the EU and the second in the front-line setting globally, enhancing treatment options for transplant-eligible patients [8][10].

Core Insights - New clinical studies demonstrate the efficacy and safety of Sarclisa administered subcutaneously via an on-body injector (OBI) for relapsed or refractory multiple myeloma (R/R MM) [1][7][10] - The studies presented at the ASCO Annual Meeting show that the OBI method offers non-inferior efficacy compared to traditional intravenous (IV) administration [1][5][10] Study Details - The IRAKLIA phase 3 study is a pivotal non-inferiority trial comparing Sarclisa SC via OBI with Sarclisa IV, both combined with pomalidomide and dexamethasone in adult patients with R/R MM [5][17] - The study reported an overall response rate (ORR) of 71.1% for Sarclisa SC-Pd versus 70.5% for Sarclisa IV-Pd, establishing non-inferiority [8] - The safety profile of Sarclisa SC-Pd was consistent with Sarclisa IV-Pd, with a lower incidence of systemic infusion reactions (1.5% vs. 25%) [9][13] Patient Experience - The OBI is designed to enhance patient comfort and satisfaction, with 70% of patients preferring the OBI over manual injection [13][14] - Patient satisfaction scores were significantly higher for the OBI method, with 74.5% of patients expressing a preference for it [14][15] Future Directions - Sanofi is exploring further applications of Sarclisa SC via OBI in various treatment settings, including front-line therapy for newly diagnosed multiple myeloma patients [15][20] - Data from the IRAKLIA and IZALCO studies will support global regulatory submissions for the OBI delivery method [7][15]

Core Viewpoint - GSK's Blenrep combination therapy has received a positive opinion from the EMA's CHMP for treating relapsed or refractory multiple myeloma, marking a significant step towards regulatory approval in Europe and the United States [1][2][3]. Group 1: Regulatory Developments - The CHMP recommended Blenrep in combination with J&J's Velcade and dexamethasone, as well as with Bristol Myers' Pomalyst and dexamethasone for adult patients who have undergone at least one prior therapy [2]. - The European Commission will review the CHMP's opinion, with a decision expected in Q3 2025 [3]. - Blenrep combinations have already been approved in the UK and Japan in April and May 2025, respectively, and are under review in China, Canada, and Switzerland [8]. Group 2: Clinical Data - Data from the III DREAMM-7 and DREAMM-8 studies indicated that Blenrep combinations resulted in statistically significant improvements in progression-free survival (PFS) and overall survival compared to standard treatments [4]. - The safety and tolerability profiles of Blenrep combinations were consistent with the known profiles of the individual agents used in the studies [4]. Group 3: Market Performance - GSK's shares have increased by 14.3% year-to-date, contrasting with a 5.5% decline in the industry [5]. - The company is also awaiting a decision from the FDA regarding the Blenrep combination therapy, expected on July 23, 2025 [7]. Group 4: Historical Context - Blenrep was previously withdrawn from the U.S. market in November 2022 after failing to meet the primary endpoint in the DREAMM-3 study, which evaluated its efficacy as a monotherapy [9]. - The company aims to reintroduce Blenrep to the market for patients with relapsed or refractory multiple myeloma following the recent positive developments [10].

Core Insights - The FDA Oncologic Drugs Advisory Committee (ODAC) voted 6-2 in favor of the benefit-risk profile of DARZALEX FASPRO® for treating high-risk smoldering multiple myeloma (HR-SMM), marking a significant step in the treatment landscape for this condition [1][2][3] Company Insights - Johnson & Johnson aims to transform oncology care by advocating for early intervention in high-risk smoldering multiple myeloma, potentially delaying or preventing progression to active multiple myeloma [4][6] - The company emphasizes its commitment to evolving treatment paradigms for multiple myeloma, aligning with its vision for a future where early diagnosis and treatment are standard [4][5] Industry Insights - Currently, there are no approved treatments specifically for HR-SMM, with an estimated 35,000 new multiple myeloma cases expected in the U.S. in 2024, of which approximately 15% are classified as smoldering [3][7] - The standard of care for smoldering multiple myeloma is active monitoring, which may delay therapeutic intervention until significant disease progression occurs [3][8] - The AQUILA study, a Phase 3 trial, demonstrated that early intervention with DARZALEX FASPRO® could reduce the risk of progression or death in patients with HR-SMM [4][6]