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Ivonescimab Extends Survival in China Phase 3 Trial for Squamous Lung Cancer

The China-only study reported a statistically significant overall survival gain but also higher rates of bleeding and serious adverse events, leaving regulators and investors to await global trial data to judge wider use.

Overview

  • On Sunday, May 31, a phase 3 trial in China reported that ivonescimab plus chemotherapy reduced the risk of death by about 34 percent versus a PD‑1 immunotherapy plus chemotherapy.
  • Median overall survival was 27.9 months with ivonescimab compared with 23.7 months for the comparator, an increase of roughly four months and about a 15 percent improvement in median survival.
  • Safety data showed more bleeding and a higher rate of serious adverse events in the ivonescimab arm, with about one-quarter of patients experiencing some bleeding and roughly double the bleeding rate of the control group.
  • Summit holds commercialization rights outside China under a multibillion-dollar deal with Akeso, but regulators including the FDA are unlikely to accept China-only data and will look to ongoing global trials for approval decisions.
  • The readout strengthens commercial and scientific interest in PD‑1/VEGF bispecific antibodies but the field will watch interim results from the global Harmoni‑3 study later in 2026 to test whether the benefit and safety profile generalize beyond Chinese patients.