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BeOne joins the subcutaneous crowd

Having revealed at a recent R&D day that it was working on a subcutaneous formulation of its anti-PD-1 drug Tevimbra, BeOne Medicines has moved to take this into pivotal development. A global phase 3 trial is set to begin in September, according to a just published clinicaltrials.gov listing, and compare chemo combos of SC versus IV Tevimbra in 351 patients with first-line gastric or gastroesophageal junction cancer. BeOne, which until recently was known as BeiGene, told ApexOnco that SC delivery was achieved by developing a high-concentration formulation of tislelizumab that can be administered via a prefilled syringe without requiring co-formulation with hyaluronidase; this work took place in house, and didn't rely on know-how that had been licensed in. Such considerations are important given that SC forms of Tecentriq and Opdivo use hyaluronidase technology licensed from Halozyme, while SC Keytruda uses a similar approach from Alteogen, and there is dispute over the precise scope of the IP involved. BeOne also confirmed that, like Roche, Bristol Myers Squibb and Merck & Co, it wants its phase 3 trial to support the SC formulation's use across all indications in which IV Tevimbra is currently approved.

 

Subcutaneously delivered anti-PD-(L)1 MAbs

DrugCompanySC techStatus
EnvafolimabAlphamab OncologyAnti-PD-L1/Fc fusion protein with high solubility & concentrationApproved in China for 2nd-line MSI-H/dMMR tumours
TecentriqRocheHalozyme’s Enhanze (truncated hyaluronidase)Approved as Tecentriq Hybreza in all IV indications, based on Imscin-001
OpdivoBristol Myers SquibbHalozyme’s Enhanze (truncated hyaluronidase)Approved as Opdivo Qvantig in all IV solid tumour indications, based on Checkmate-67T
KeytrudaMerck & CoAlteogen’s Hybrozyme (modified hyaluronidase)23 Sep 2025 PDUFA date for all IV solid tumour indications, based on Keynote-D77
SasanlimabPfizerNo hyaluronidase, specifically designed as a companion to BCGTo be filed for non-muscle invasive bladder cancer, based on Crest
TevimbraBeOneNo hyaluronidase, high-concentration formulationStarts ph3 trial for gastric/GEJ cancer in Sep 2025
ImfinziAstraZenecaUndisclosedDiscontinued after ph1 Scope-D1 trial

Source: OncologyPipeline.

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