Biotech and pharma companies are betting on a promising class of cancer drugs to drive growth


Medical personnel use a mammogram to study a lady’s breast for breast cancer.

Hannibal Hanschke | dpa | Picture Alliance | Getty Images

SAN FRANCISCO — An established however promising group of cancer drugs was a red-hot market in 2023, and extra companies may look to the treatments to gasoline growth within the 12 months forward.

That was one clear takeaway from the JPMorgan Healthcare Conference in San Francisco, the nation’s largest gathering of biotech and pharmaceutical executives, analysts and traders. 

During the four-day occasion, the biotech and pharmaceutical trade signaled its enthusiasm for antibody-drug conjugates, or ADCs, which ship a cancer-killing remedy to particularly goal and kill cancer cells and decrease harm to wholesome ones. Meanwhile, customary chemotherapy is less selective – it could have an effect on each cancer cells and wholesome cells.

Johnson & Johnson final week introduced a $2 billion acquisition of ADC-developer Ambrx Biopharma to beef up its current pipeline of ADCs, which some researchers imagine might be heralding a “new era” for cancer therapy. Other drugmakers akin to Pfizer and Merck, which closed some of the more than 70 ADC-related deals over the past 12 months, mentioned these drugs will probably be key growth drivers for his or her companies. 

Interest within the drugs will solely proceed this 12 months, as some analysts count on extra dealmaking and developments in ADCs at present in improvement.

The elements fueling the current rise of ADCs is not going to abate this 12 months, and a concern of lacking out amongst companies that haven’t entered the market will solely push extra companies to enter the house, Andy Hsieh, an analyst at William Blair & Company, instructed CNBC. 

Those elements embody elevated confidence in ADC know-how amongst companies and researchers, the doubtless longer market exclusivity of these drugs and the rise of enticing ADCs from drugmakers in Asia.

The drugs even have potential to draw enormous income: ADCs may account for $31 billion of the $375 billion worldwide cancer market in 2028, in accordance to estimates from the drug market analysis agency Evaluate. The marketplace for these drugs in 2023 was estimated to be value round $9.7 billion, one other report from analysis agency MarketsandMarkets mentioned.

“It’s type of like FOMO, proper? Everyone desires to achieve publicity to [ADCs] and mainly make it a cornerstone of their complete company technique,” Hsieh instructed CNBC. “I actually do not see any kind of slowing down and it is going to very a lot, in our view, be a continuation of the 2023 momentum.” 

Why ADCs have change into widespread

ADCs aren’t new.

Roughly a dozen have won approvals from regulators worldwide, with the earliest coming in 2000. But dealmaking began to choose up in 2020 and “actually take off” in 2022 and 2023, in accordance to Daina Graybosch, senior analysis analyst at Leerink Partners masking immuno-oncology.

She known as the current rise of ADCs a “multi-decade innovation cycle,” the place it took a number of years for the trade to make some “basic transformative innovation, which then unlocked extra funding and a lot extra potential.”

Improvements in ADC know-how appeared to have made some newer iterations of the drugs extra protected and efficient, which boosted the trade’s confidence of their potential and inspired extra investments within the house. The regular surge of approvals and acquisitions over the past a number of years additionally contributed to that confidence, convincing some companies that ADCs have a “lower-risk improvement path,” Hsieh mentioned.

A view of an AstraZeneca facility is seen throughout Prime Minister Scott Morrison’s go to on August 19, 2020 in Sydney, Australia.

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Graybosch highlighted an ADC collectively developed by AstraZeneca and Japanese drugmaker Daiichi Sankyo known as Enhertu, which she known as the primary of “the next-generation ADC” that had a larger breadth of therapy in contrast to older variations of the drugs. For instance, Enhertu turned the primary ADC to present the flexibility to deal with breast cancer sufferers with each excessive and low ranges of a protein known as HER2, which controls how breast cells develop, divide and restore harm.

Drugmakers have fine-tuned key parts of ADCs over the past a number of years, such because the chemical bond that helps these drugs ship a cancer-killing remedy to cancer cells, in accordance to William Blair’s Hseih. He mentioned companies are studying how to maximize the efficacy of these drugs “with out stepping into an excessive amount of unwanted side effects.”

ADCs nonetheless have their drawbacks — for instance, cancer tumors can develop resistance to them over time. And not all newer ADCs in improvement are profitable: Last month, Sanofi scrapped its solely experimental ADC after it fell quick in a late-stage trial in lung cancer sufferers.

Graybosch additionally famous that companies from Japan and China have emerged as efficient ADC builders that are quickly “innovating tweaks” to the drugs and bringing ADCs to the market that might be higher than older variations of the drugs.

U.S. and U.Okay.-based companies are inking offers with these worldwide drugmakers, akin to two licensing agreements GSK signed late final 12 months with Chinese-based Hansoh Pharma for ADCs concentrating on a number of varieties of cancer.

The complexity of ADC know-how has seemingly change into one other motivation for companies to spend money on and develop the drugs, Hsieh famous. He mentioned it may scale back the possibilities that different companies will create biosimilars, permitting drugmakers to hold ADC costs excessive for longer durations of time. 

Gilead’s authorized ADC for breast cancer, Trodelvy, has a U.S. listing worth of more than $2,000 per vial. But some ADCs on the market have far greater listing costs: An superior ovarian cancer drug from biotech firm ImmunoGen prices more than $6,000 per vial as of 2022.

List costs are earlier than insurance coverage and different rebates.

How some drugmakers are betting on ADCs

Merck now expects $20 billion in new cancer drug gross sales by the early to mid-2030s, thanks partly to its current investments in ADCs, executives introduced through the convention. That’s double the estimate the corporate supplied throughout the identical convention final 12 months. 

The raised forecast alerts Merck’s confidence sooner or later of its cancer drug choices, whilst its blockbuster immunotherapy Keytruda nears a loss of exclusivity in 2028. That will expose it to generic competitors. 

Merck executives highlighted its up to $5.5 billion licensing agreement with Daiichi Sankyo to collectively develop three of the Japanese drugmaker’s experimental ADCs. This 12 months, the corporate hopes to win an approval for one of these ADCs for the therapy of non-small cell lung cancer. 

“….We have a main place now in antibody-drug conjugates, and we have executed that by what I believe could be very sensible deal-making,” Merck CEO Robert Davis mentioned. He added that “what all of that actually interprets to is the potential for growth.”

Newly constructed Merck analysis facility situated at 213 E Grand Ave in South San Francisco.

JasonDoiy | iStock Unreleased | Getty Images

Pfizer hopes ADCs will assist the corporate flip round after a rocky 2023. Shares fell roughly 40% final 12 months as Pfizer grappled with weakening demand for its Covid products and different business missteps. 

Pfizer CEO Albert Bourla instructed reporters that the corporate’s $34 billion acquisition of ADC-developer Seagen would assist restore investor confidence in Pfizer, particularly now that the deal is formally closed. 

Bourla famous that antibody-drug conjugates have change into the most popular space of oncology, including that Seagen’s experience in ADCs will give Pfizer a enormous benefit in growing these drugs additional and establishing itself as a chief in cancer therapy. 

Pfizer believes the Seagen acquisition will convey in additional than $10 billion in risk-adjusted gross sales by 2030. Seagen particularly brings 4 authorized cancer drugs, together with three ADCs, which is able to beef up Pfizer’s personal ADC portfolio. 



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