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Blocking PD-1 and VEGF: The Bispecific Cancer Drugs That Could Best Keytruda

Merck's Keytruda has long dominated cancer immunotherapy, but a new class of bispecific drugs targeting PD-1 and VEGF may offer a better backbone for the next decade. Ivonescimab, developed by Summit Therapeutics and Akeso, cut lung cancer progression risk in half compared to Keytruda in a Phase 3 trial, igniting interest. More than a dozen companies are now developing similar drugs. While proponents see improved response rates and survival, skeptics note ivonescimab hasn't shown overall survival benefit, wasn't tested against Keytruda-chemotherapy, and the trial was conducted only in China. Key questions remain about safety, efficacy, and whether these drugs can truly unseat Keytruda.

Deep DiveBen Fidler
FDA Approves Vertex's Non-Opioid Pain Drug Journavx, but Access Hurdles Loom

The FDA has approved Journavx, a non-opioid pain drug from Vertex Pharmaceuticals, for acute pain. While doctors and Wall Street see potential, the drug's $31-a-day price and insurers' preference for cheaper generics like opioids may hinder uptake. Vertex argues Journavx offers a safer alternative amid the opioid crisis, but analysts expect limited initial adoption. The launch will test whether a new pain therapy can overcome systemic barriers in a market dominated by low-cost treatments.

Deep DiveJacob Bell
The rise of China's biotech industry raises industry thresholds, forcing American companies to adjust strategies

The rapid rise of Chinese biotech startups is reshaping the global drug development landscape. American pharmaceutical companies and investment institutions are finding that the number of licensing deals from China has surged, and drug quality has significantly improved, evolving from "me-too" drugs to "me-better" or even first-in-class drugs. Facing geopolitical uncertainties and increasingly fierce competition, American biotech companies must reassess their positioning and focus on truly differentiated innovation.

Deep Dive
China's Biotech Rise Forces US Companies to Adapt

US biotech entrepreneurs and executives are increasingly looking to China for drug candidates, as Chinese companies demonstrate faster and cheaper drug development. This trend is forcing US biotechs to differentiate themselves and focus on innovation, with licensing deals reaching record levels. Despite geopolitical risks, experts expect the trend to continue.

Deep DiveBen Fidler
Endometriosis drug research is chronically underfunded, facing common dilemmas in women's health

Endometriosis affects approximately 10% of women globally, yet related drug research has long been underfunded, facing challenges such as lack of information and inadequate representation in clinical trials. This article examines the challenges and progress in research and development in this field from the perspectives of patients, researchers, and industry professionals.

Deep Dive
Endometriosis Drug Research Confronts Longstanding Funding and Data Gaps in Women's Health

Endometriosis, affecting about 10% of women and girls globally, remains poorly understood and underfunded. Patients often face diagnostic delays and limited treatment options, with only two new drugs approved in the U.S. in the past decade. Researchers and founders in women's health cite information deficits, historical exclusion of women from clinical trials, and limited investment as key barriers. Recent federal initiatives, including $100 million pledged by the Biden administration, aim to address these gaps, but challenges persist.

Deep DiveDelilah Alvarado
Tracking Biotech Venture Capital: A Database of Funding Rounds

BioPharma Dive has built a database tracking venture capital funding rounds for private biotechnology companies developing human medicines. The database focuses on rounds involving 26 highly active venture capital firms and covers investments from January 1, 2022, onward. It reveals patterns such as the dominance of cancer investments in 2026, flatlined investment in cell and gene therapy, and a shift toward later-stage biotechs. The database will be updated regularly and includes methodology and limitations.

Deep DiveGwendolyn Wu, Ben Fidler, Ned Pagliarulo and Julia Himmel

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