Core Insights - Bicycle Therapeutics plc is under investigation for possible violations of federal securities laws, as announced by Levi & Korsinsky [1] - RBC Capital Markets downgraded Bicycle Therapeutics from Outperform to Sector Perform due to delays in the development of its drug, zelenectide pevedotin, which is intended for metastatic urothelial cancer [2] - Following the downgrade, Bicycle's American Depositary Receipt (ADR) price dropped over 7% on the same day [3] Company Developments - The delay in the drug's development is attributed to the decision to push dose selection to the first quarter of 2026, which raises concerns about increased competition in the urothelial cancer treatment market [2] - The competitive landscape is highlighted by the potential impact of a competing product from Pfizer, which may benefit from any further delays in Bicycle's drug development [2] Legal Context - Levi & Korsinsky LLP has a strong reputation in securities litigation, having secured significant settlements for shareholders and being recognized as one of the top firms in the United States for securities class actions [4]

Bicycle Therapeutics (NasdaqGS:BCYC) 2025 Conference November 18, 2025 05:30 AM ET Company ParticipantsJennifer Perry - Chief Strategy OfficerAlethia Young - CFOKevin Lee - CEOConference Call ParticipantsClara Dong - Biotech AnalystClara DongAll right, good morning. Thank you, everyone, for joining Jefferies Healthcare Conference in London. My name is Clara Dong, one of the biotech analysts here at Jefferies. For this session, it's my pleasure to welcome the Bicycle Therapeutics team. We have the Chief Exec ...

Group 1: Company Overview - Sana Biotechnology (SANA) is valued at $837.6 million and focuses on creating modified cells and gene therapies to repair or replace damaged cells and control gene expression [4] - The company has significantly expanded its financial runway, ending Q2 with $72.7 million in cash, which increased to a pro forma $177.2 million after capital raises, expected to fund operations until the second half of 2026 [1] Group 2: Product Development and Clinical Trials - Sana is developing a functional treatment for diabetes that does not require lifelong immunosuppression, which is considered a promising initiative [1] - The company is also working on allogeneic CAR T therapies, including SC291 for autoimmune diseases and SC262 for relapsed/refractory B-cell malignancies, with results from Phase 1 trials expected by 2025 [2] - The UP421 trial, using hypoimmune-modified pancreatic islet cells for type 1 diabetes, has shown success, leading to a 100% increase in stock price year-to-date [3] Group 3: Market Sentiment and Analyst Ratings - Wall Street rates SANA stock as a "Strong Buy," with seven out of nine analysts recommending it, and an average target price of $9.17, indicating a potential upside of 169.7% [6] - The highest estimate for the stock is $15, suggesting a possible increase of 341.2% in the next 12 months [6]

Zelenectide Pevedotin (Nectin-4 Targeting Bicycle Drug Conjugate) - Zelenectide pevedotin targets Nectin-4, which is highly expressed in many tumors, and is being studied as a potential treatment for multiple solid tumors including mUC, TNBC, and NSCLC[19, 20] - In the Duravelo-1 Ph1 study, zelenectide has shown a promising response and differentiated safety profile in 2L+ EV-naïve mUC, with an ORR of 45% (17/38 patients)[22, 26] - In the Duravelo-1 Ph1 study, zelenectide + pembrolizumab has shown an encouraging response in 1L cisplatin-ineligible mUC, with an ORR of 65% (13/20 patients) including a Complete Response of 25% (5/20 patients)[36, 38] - Patients with NECTIN4 gene amplification show an enhanced response to zelenectide in 2L+ TNBC and NSCLC, with ORRs of 57% (4/7) and 40% (2/5) respectively in NECTIN4-amplified patients[49, 55] - The company initiated the Duravelo-3 trial in March 2025 in NECTIN4-amplified breast cancer and plans to initiate Duravelo-4 and Duravelo-5 trials in 2H 2025 in NECTIN4-amplified NSCLC and multi-tumor respectively[60, 62] Bicycle Radioconjugates (BRC) - BRC molecules show selective tumor uptake and ideal PK across a range of targets and tumor models, including MT1-MMP, EphA2, and CD38[71, 72] - Early MT1-MMP-targeting BRC molecules show high tumor enrichment in PET imaging studies, with first human MT1-MMP imaging representative of data seen in 12 patients with various solid tumors[80, 83] - EphA2 is a tumor antigen that is widely expressed in many cancers, with 60% of pancreatic cancer and 58% of bladder cancer cases testing positive[101, 93] BT5528 (EphA2 Targeting BDC Molecule) - BT5528 demonstrated anti-tumor activity in patients with advanced solid tumors, particularly in mUC, with an ORR of 34% (10/29 patients) in all monotherapy dose escalation and expansion[119] - BT5528 delivers 10x more drug to the tumor compared to plasma in patients, demonstrating efficient and durable tumor MMAE delivery[112, 113] - In clinical trials, treatment-related adverse events of interest were of low frequency and severity, with peripheral neuropathy occurring in 20% (26/128) of patients and neutropenia in 10% (13/128) of patients[131] BT7480 (Bicycle TICA Molecule) - BT7480 was generally well-tolerated, with any grade treatment-related AEs occurring in 49% (19/39) of patients, the most common being fatigue (23%)[157, 159] - BT7480 showed preliminary antitumor activity in patients with advanced Nectin-4–associated solid tumors, with a clinical benefit rate of 38% (15/40 patients)[160, 161]

Zelenectide Pevedotin (Nectin-4 Targeting Bicycle Drug Conjugate) - In the Duravelo-1 Ph1 study, 45% ORR (17/38) was observed in 2L+ EV-naïve mUC patients treated with zelenectide [26] - In the Duravelo-1 Ph1 study, 65% ORR (13/20) was observed in 1L cisplatin-ineligible mUC patients treated with zelenectide + pembrolizumab [38] - In TNBC patients with NECTIN4 gene amplification, 57% ORR (4/7) and 100% DCR (7/7) were observed with zelenectide monotherapy [56] - In NSCLC patients with NECTIN4 gene amplification, 40% ORR (2/5) and 100% DCR (5/5) were observed with zelenectide monotherapy [56] - The company plans to initiate the Duravelo-4 trial in NECTIN4-amplified NSCLC and the Duravelo-5 trial in NECTIN4-amplified multi-tumor in 2H 2025 [63] BT5528 (EphA2 Targeting Bicycle Drug Conjugate) - In all cancers, 12% ORR (14/113) was observed with BT5528 monotherapy at 6.5 mg/m2 Q2W dose esc+exp [120] - In urothelial cancer, 34% ORR (10/29) was observed with BT5528 monotherapy at 6.5 mg/m2 Q2W dose esc+exp [120] - BT5528 delivers 10x more drug to the tumor compared to plasma in patients [114] BT7480 (Tumor-Targeted Immune Cell Agonist) - 49% of patients experienced any grade treatment-related AEs (TRAEs) with BT7480, the most common being fatigue (23%) and headache (10%) [159] - 5% ORR (2/40) was observed with BT7480 in all patients [161] Financial Position - The company had $793 million in cash and cash equivalents as of March 31, 2025, with expected financial runway into 2H 2027 [6]