Summit Therapeutics Inc. · NASDAQ:SMMT
Summit Therapeutics — WCLC Update Call (September 2025)
21 slides from Summit Therapeutics's conference presentation, Sep 8, 2025
Slide 1: Summit Therapeutics WCLC Update Call
Summit Therapeutics WCLC Update Call September 8, 2025 8:00am ET
Slide 2: Forward Looking Statement
Forward Looking Statement Any statements in this press release about the Company’s future expectations, plans and prospects, including but not limited to, statements about the clinical and preclinical development of the Company’s product candidates, entry into and actions related to the Company’s pa
Slide 3: Ivonescimab vs Placebo Plus Chemo, Phase 3 in EGFR+ NSCLC: HARMONi
Ivonescimab vs Placebo Plus Chemo, Phase 3 in Patients with EGFR+ NSCLC Progressed with 3rd gen EGFR-TKI Treatment: HARMONi Jonathan W. Goldman1, Antonio Passaro2, Janessa Laskin3, Delvys Rodrigues-Abreu4, Antonio Calles5, Lyudmila Bazhenova6, Giuseppe Lo Russo7, Natasha Leighl8, Frederico Cappuzzo9
Slide 4: Phase 3 Study Design
Phase 3 Study Design Ivonescimab + Endpoints: Key Eligibility Criteria Chemotherapy Primary Locally advanced or (N = 219) • OS, PFS by IRRC per RECIST 1.1 metastatic NSCLC: • EGFR sensitizing R Secondary mutation+ 1:1 • ORR by IRRC, DoR, safety and • Progressed on 3rd gen tolerability EGFR-TKI N=438
Slide 5: Background
Background Global Enrollment Time Period: Asia: Jan 2022 – Nov 2022 Western: May 2023 – Oct 2024 Timing of Global Analyses: PFS Primary Analysis: Jul 2024 PFS Total Analysis: Apr 2025 OS Primary Analysis: Apr 2025 OS Longer-term FU of Western pts* Analysis: Sep 2025 *For longer-term analysis for OS,
Slide 6: Phase 3 Study Design
Phase 3 Study Design Ivonescimab + Endpoints: Key Eligibility Criteria Chemotherapy Primary Locally advanced or (N = 219) • OS, PFS by IRRC per RECIST 1.1 metastatic NSCLC: • EGFR sensitizing R Secondary mutation+ 1:1 • ORR by IRRC, DoR, safety and • Progressed on 3rd gen tolerability EGFR-TKI N=438
Slide 7: Demographic and Baseline Characteristics
Demographic and Baseline Characteristics Arms were well-balanced; majority were females, ECOG 1, never smokers; 25% with brain mets Ivonescimab+chemo Placebo+chemo Characteristic, n (%) (N=219) (N=219) Age – Median (range) 62 (32-84) 60 (36-84) ≥65 yr 83 (37.9) 88 (40.2) Female 130 (59.4) 127 (58.0)
Slide 8: Primary Endpoint: PFS by IRRC
Primary Endpoint: PFS by IRRC Statistically significant and clinically meaningful benefit with ivonescimab 100 median FU: 22.3 mo Events, n (%) Median HR P Value (mo) (95% CI) 80 Ivonescimab+chemo 129 (75.0) 6.8 0.52 <0.0001 Placebo+chemo 146 (84.4) 4.4 (0.41-0.66) 60 PFS (%) 54.0% 40 34.7% Ivonesci
Slide 9: PFS by IRRC – Subgroup Analysis
PFS by IRRC – Subgroup Analysis Consistent across pre-defined subgroups Ivonescimab Placebo + Favors Ivonescimab Favors Placebo Hazard Ratio + chemo chemo + chemo + chemo (95% CI) Ivo + chemo Pbo + chemo HR (Events/N) (Events/N) Overall population 129/172 146/173 0.52 (0.41-0.66) Age <65 years 89/11
Slide 10: PFS by Presence or Absence of Brain Mets
PFS by Presence or Absence of Brain Mets 100 100 Pts with Brain Mets at Baseline: Pts with No Brain Mets at Baseline: HR = 0.34 (95% CI: 0.20-0.57) HR = 0.59 (95% CI: 0.45-0.77) 80 80 60 Ivonescimab+chemo Ivonescimab+chemo PFS (%) 60 PFS (%) Placebo+chemo Placebo+chemo 40 40 20 20 0 0 0 3 6 9 12 15
Slide 11: PFS by IRRC: Primary Analysis vs Total PFS Analysis
PFS by IRRC: Primary Analysis vs Total PFS Analysis Consistent PFS with Primary and Total (All Patients) PFS Analysis including all NA & EU patients 100 Ivonescimab+chemo (Primary) Primary analysis (median FU: 22.3 mo, N=345): HR = 0.52 (95% CI: 0.41-0.66) Placebo+chemo (Primary) 80 Ivonescimab+chem
Slide 12: Primary Endpoint: Overall Survival
Primary Endpoint: Overall Survival Favorable Trend Observed; NA & EU Follow-up Not Yet Mature No detrimental impact on any predefined subgroups 100 Events, n Median HR P Value (%) (mo) (95% CI) 80 Ivonescimab + chemo 122 (55.7) 16.8 0.79 0.0570 (0.62-1.01) Placebo + chemo 140 (63.9) 14.0 60 OS (%) I
Slide 13: Overall Survival: Longer Term Western Follow-up
Overall Survival: Longer Term Western Follow-up OS stable with longer term Western Data, nominal p=0.0332 Events, n Median HR P Value 100 (%) (mo) (95% CI) Ivonescimab + chemo 134 (61.2) 16.8 0.78 0.0332 (0.62-0.98) 80 Placebo + chemo 157 (71.7) 14.0 Region Median FU Median OS 60 (mo) (mo) OS (%) NA
Slide 14: Overall Survival Subgroup Analysis – Longer Term FU
Overall Survival Subgroup Analysis – Longer Term FU Consistent across pre-defined subgroups Ivonescimab Placebo Favor Ivonescimab Favor Placebo Hazard Ratio + chemo + chemo + chemo + chemo (95% CI) (Events/N) (Events/N) Overall population 134/219 157/219 0.78 (0.62-0.98) Age <65 years 90/136 99/131
Slide 15: Reminder: Background
Reminder: Background Global Enrollment Time Period: Asia: Jan 2022 – Nov 2022 Western: May 2023 – Oct 2024 Timing of Global Analyses: PFS Primary Analysis: Jul 2024 PFS Total Analysis: Apr 2025 OS Primary Analysis: Apr 2025 OS Longer-term FU of Western pts* Analysis: Sep 2025 *For longer-term analys
Slide 16: Overall Response Rate and Duration of Response
Overall Response Rate and Duration of Response By IRRC 100% 80% 84% DoR (mo) Ivonescimab + Placebo + DCR chemo chemo 73% 60% n 98 75 ORR/DCR DCR 40% Median (95% CI) 7.6 (5.5-10.6) 4.2 (2.9-4.7) 45% ORR 34% 20% ORR 0% Ivonescimab+chemo Placebo+chemo CI=confidence interval; DCR=disease control rate; D
Slide 17: Treatment-Related Adverse Events (TRAEs)
Treatment-Related Adverse Events (TRAEs) Most common were lab abnormalities, nausea, decreased appetite 50.0 95.0 Ivonescimab + Placebo + Total 42.2 93.1 TRAE, n(%) chemo chemo Anemia 10.1 12.4 49.1 56.4 (N=218) (N=218) 12.8 45.0 WBC count decreased 11.0 44.0 Any Grade 207 (95.0) 203 (93.1) Neutroph
Slide 18: Immune-related and VEGF-related TRAEs
Immune-related and VEGF-related TRAEs Most common irAEs: hypo/hyperthryroidism, transaminase elevation, rash; mostly low grade Most common VEGF-related TRAEs: proteinuria, hypertension, hemorrhage; mostly low grade irAE VEGF-related 9.6 33.0 7.3 33.5 Total Total 6.0 17.9 3.2 15.1 Hypothyroidism 0.5
Slide 19: Summary
Summary • Ivonescimab had a significant and clinically meaningful PFS benefit in EGFRm+ NSCLC patients post-3rd gen TKI • Reduced risk of progression or death by 48% vs chemotherapy, HR=0.52 • Consistent efficacy across pre-defined subgroups • Increased ORR and DoR • OS final analysis showed favorab
Slide 20: Acknowledgements
Acknowledgements Thank you to everyone who made this trial possible: • The patients and their families • The personnel at all the clinical study sites • The scientists, regulatory, operations, and other teams within Summit and Akeso who helped develop ivonescimab and supported the study Ivonescimab
Slide 21: Questions & Answers
( Summit therapeutics. Questions & Answers
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