Big Pharma Sharma

Big Pharma Sharma

Share this post

Big Pharma Sharma
Big Pharma Sharma
ASCO25: Ivonescimab Dis-HARMONi, is it a Rabbit or a Duck?
Copy link
Facebook
Email
Notes
More

ASCO25: Ivonescimab Dis-HARMONi, is it a Rabbit or a Duck?

Plus, new data from Pfizer’s $1.25B PD-1xVEGF and what all this says about Summit's lead in the highly competitive PD-1xVEGF space

Big Pharma Sharma's avatar
Big Pharma Sharma
Jun 02, 2025
∙ Paid

Share this post

Big Pharma Sharma
Big Pharma Sharma
ASCO25: Ivonescimab Dis-HARMONi, is it a Rabbit or a Duck?
Copy link
Facebook
Email
Notes
More
1
Share

Headed into Day 1 of ASCO, Summit Therapeutics, the leading player in the tightly contested PD-(L)1xVEGF space, reported topline data from its global P3 study, HARMONi, studying ivonescimab (Ivo) + chemo vs. chemo in mutant EGFR patients who have progressed after a third-generation EGFR inhibitor. While the headline reads as a win on PFS, it wasn’t enough to hide that Ivo barely missed on an interim OS readout, pushing back Summit’s plans to file these data for approval until the OS endpoint matures. More detailed data is expected at a future medical meeting.

The news came as a surprise to the oncology and investment world, as Summit’s stock price had been flying high for the last couple years, predominantly lifted by the amazing China-only data that has steadily trickled out from their partner, Akeso Bio. During the day it fell drastically, and is sitting at -30%, but is still up 67% over the last year.

If you look at the data and how it compares to its Chinese cousin, Harmoni-A, your belief as to whether the stock drop was an overreaction or warranted depends on what you want to see in the data. This is the classic duck/rabbit image. Depending on who is looking at it and what their bias is, you’ll be able to make a case for your preferred side.

Duck Season: HARMONi-A does not equal HARMONi

Thanks for reading this far! If you’d like to get the rest of this post as well as all my other posts, please become a paid subscriber for <$10 month! Your company might even let you expense it!

Share

This post is for paid subscribers

Already a paid subscriber? Sign in
© 2025 Big Pharma Sharma, LLC
Privacy ∙ Terms ∙ Collection notice
Start writingGet the app
Substack is the home for great culture

Share

Copy link
Facebook
Email
Notes
More