# HARMONi-6 Demonstrates Significant Overall Survival Benefit (HR=0.66): Ivonescimab Plus Chemotherapy Superior to PD-1 Plus Chemotherapy in First-Line sq-NSCLC Landmark Results to Be Presented at ASCO 2026 Plenary Session

- Link: https://www.thailand-business-news.com/pr-news/harmoni-6-demonstrates-significant-overall-survival-benefit-hr0-66-ivonescimab-plus-chemotherapy-superior-to-pd-1-plus-chemotherapy-in-first-line-sq-nsclc-landmark-results-to-be-presented-at-asco
- Published: 2026-05-31T20:00:00+07:00
- Author: PR Newswire

CHICAGO, May 31, 2026 /PRNewswire/ — Akeso, Inc. (9926.HK) ("Akeso" or the "Company")
today announced that ivonescimab, the Company’s first-in-class PD-1/VEGF bispecific
antibody, has achieved a statistically significant and clinically meaningful improvement
in overall survival (OS) as a first-line treatment for patients with advanced squamous
non-small cell lung cancer (sq-NSCLC) in the Phase III HARMONi-6 (AK112-306) study.
These landmark findings will be featured in a Plenary Session at the 2026 American
Society of Clinical Oncology (ASCO) Annual Meeting. Professor Shun Lu, Director 
of the Lung Cancer Center at Shanghai Chest Hospital and Principal Investigator 
of HARMONi-6, presented the data in an oral Plenary Session presentation.

This marks the first time a China-originated investigational oncology drug has been
selected for the ASCO Plenary Session in the society’s 61-year history. This moment
is a definitive testament to the ivonescimab regimen’s role in ushering cancer immunotherapy
into the ‘2.0 Era’.

The HARMONi-6 study results were simultaneously published in _The Lancet._

The HARMONi-6 study enrolled a total of 532 patients. Among them, approximately 
63% had centrally located squamous tumors, 39.0% had PD-L1 TPS <1%, and 33.8% had
multi-site metastases, liver metastases, or brain metastases. At the pre-specified
interim analysis, as assessed by the Independent Data Monitoring Committee (IDMC),
the study met its key secondary endpoint of overall survival (OS), demonstrating
both clinically a meaningful and statistically significant benefit.

As of the data cutoff date of February 27, 2026, with a median follow-up of 21.36
months:

**34% reduction in the risk of death – ivonescimab plus chemotherapy significantly
prolonged OS**

 ◦ In the intent-to-treat (ITT) population, ivonescimab plus chemotherapy reduced
   the risk of death by 34% versus tislelizumab plus chemotherapy (HR=0.66 [95% 
   CI: 0.50–0.87], P=0.0017(＜0.0049). Median OS was 27.9 months in the ivonescimab
   arm (the final death event in this arm caused the Kaplan-Meier curve to drop 
   sharply to the median, thereby producing the mOS estimate) versus 23.7 months
   in the control arm.
 ◦ The 12-month OS rate was 78.9% with ivonescimab plus chemotherapy versus 72.2%
   in the control arm, and the 24-month OS rate was 64.7% versus 48.6%, respectively.
   The survival benefit continued to widen over time, reflecting a more durable 
   and clinically meaningful long-term survival advantage.

**Consistent OS benefit across all prespecified subgroups**

 ◦ OS benefit with ivonescimab was observed consistently regardless of PD-L1 expression
   status: HR=0.68 in the PD-L1 TPS ≥1% subgroup and HR=0.64 in the TPS <1% subgroup;
   HR=0.67 in the PD-L1 TPS 1–49% subgroup and HR=0.64 in the TPS ≥50% subgroup.
 ◦ The OS benefit was also consistent across subgroups defined by metastatic burden:
   HR=0.47 in patients with ≥3 metastatic sites and HR=0.69 in those with liver 
   metastases.

**Comparable subsequent anticancer therapy between the two arms**

Proportions of patients in the two groups who subsequently received immunotherapy:
13.9% in the treatment group vs 19.2% in the control group; proportions receiving
targeted therapy: 12.4% vs 17.3%; proportions receiving ADC therapy: 4.5% vs 5.6%;
proportions participating in other clinical trials: 0.8% vs 2.3%.

**Favorable safety profile comparable to tislelizumab plus chemotherapy**

 ◦ Grade ≥3 treatment-related adverse events (TRAEs) occurred in 69.2% of patients
   in the ivonescimab arm and 58.9% in the control arm.
 ◦ Rates of adverse events leading to treatment discontinuation or death were similar
   between arms.

At the prespecified interim analysis for progression-free survival (PFS), ivonescimab
plus chemotherapy had already demonstrated a clinically meaningful and statistically
significant improvement in PFS compared with tislelizumab plus chemotherapy, with
a median PFS of 11.1 months versus 6.9 months (HR=0.60 [95% CI: 0.46–0.78], P＜0.0001).

**Professor Shun Lu, Principal Investigator of HARMONi-6, Director of the Lung Cancer
Center at Shanghai Chest Hospital and Tenured Professor:**

"HARMONi-6 is the first global Phase III study in lung cancer to show statistically
significant improvements in both OS and PFS compared with PD-1 plus chemotherapy.
It is also the first in sq-NSCLC to achieve dual OS and PFS success through a pre-
specified hypothesis test. The results significantly reduced the risk of death and
disease progression, with consistent benefits across all subgroups, while enabling
patients to maintain better quality of life for longer.

These strong head-to-head data redefine the gold standard for first-line sq-NSCLC
treatment and fill a major clinical gap for anti-angiogenic therapy in this setting.
We look forward to ivonescimab delivering broader benefits to patients worldwide
as a next-generation immuno-oncology therapy."

**Dr. Yu Xia, Founder, Chairwoman, President and CEO of Akeso:**

"Today, we are thrilled to announce that ivonescimab plus chemotherapy has successfully
challenged PD-1 plus chemotherapy, achieving both clinically meaningful and statistically
significant improvements in overall survival (OS) and progression-free survival (
PFS). We extend our sincere gratitude to all investigators, clinical teams, and 
patients who participated in this study. Thanks to their efforts, Chinese patients
with advanced sq-NSCLC are the first to benefit from this innovative, safe, and 
highly effective global therapy.

Prior to ivonescimab, no therapy had successfully challenged the dominance of PD-
1-based regimens in a head-to-head Phase III trial. Ivonescimab has already demonstrated
dual OS and PFS benefits in EGFR-mutant non-squamous NSCLC after TKI failure, becoming
the first immunotherapy approved in this setting. It has also shown superior PFS
versus pembrolizumab monotherapy in first-line PD-L1-positive NSCLC. These results
have generated strong global anticipation for next-generation therapies. Since its
launch, ivonescimab has been widely adopted by clinicians and patients.

PD-1 plus chemotherapy is currently the most broadly used first-line regimen in 
oncology. Following our previous success versus pembrolizumab monotherapy, the HARMONi-
6 study now demonstrates for the first time that ivonescimab plus chemotherapy can
achieve dual superiority in both OS and PFS over PD-1 plus chemotherapy. This landmark
result solidifies ivonescimab’s position as a next-generation cornerstone of cancer
immunotherapy.

The success of HARMONi-6 gives us even greater confidence to leverage global resources,
fully unlock ivonescimab’s potential, reshape treatment paradigms, and deliver more
effective and safer solutions to patients worldwide."

Ivonescimab is currently being evaluated in more than 30 clinical settings across
a wide range of tumors, including 15 Phase III trials, seven of which are head-to-
head studies versus PD-1/PD-L1 therapies. The positive results from HARMONi-6 further
strengthen its differentiated clinical profile. In partnership with Summit Therapeutics,
Akeso remains fully committed to advancing the global development of ivonescimab
to maximize its therapeutic benefit for patients worldwide.

**About Akeso**

Akeso (HKEX: 9926.HK) is a leading biopharmaceutical company committed to the research,
development, manufacturing and commercialization of the world’s first or best-in-
class innovative biological medicines. Founded in 2012, the company has established
a robust R&D innovation ecosystem centered on its Tetrabody antibody technology 
platform, AI-powered drug R&D platform, Dual-Shield ADC technology platform, Dual-
Lock T-cell engager (TCE) technology platform, Tissue-Smart siRNA/mRNA technology
platform, and cell therapy technology platforms. Supported by a global-standard 
GMP manufacturing infrastructure and a highly efficient, integrated commercialization
model, the company has evolved into a globally competitive biopharmaceutical focused
on innovative solutions. With fully integrated multi-functional platform, Akeso 
is internally working on a robust pipeline of over 50 innovative assets in the fields
of cancer, autoimmune disease, inflammation, metabolic disease and other major diseases.
Among them, 27 candidates have entered clinical trials (including 15 bispecific/
multispecific antibodies and bispecific ADCs. Additionally, 7 new drugs are commercially
available. Through efficient and breakthrough R&D innovation, Akeso always integrates
superior global resources, develops the first-in-class and best-in-class new drugs,
provides affordable therapeutic antibodies for patients worldwide, and continuously
creates more commercial and social values to become a global leading biopharmaceutical
enterprise.

**Forward-Looking Statements**

This announcement by Akeso, Inc. (9926.HK, "Akeso") contains "forward-looking statements".
These statements reflect the current beliefs and expectations of Akeso’s management
and are subject to significant risks and uncertainties. These statements are not
intended to form the basis of any investment decision or any decision to purchase
securities of Akeso. There can be no assurance that the drug candidate(s) indicated
in this announcement or Akeso’s other pipeline candidates will obtain the required
regulatory approvals or achieve commercial success. If underlying assumptions prove
inaccurate or risks or uncertainties materialize, actual results may differ materially
from those set forth in the forward-looking statements.

Risks and uncertainties include but are not limited to, general industry conditions
and competition; general economic factors, including interest rate and currency 
exchange rate fluctuations; the impact of pharmaceutical industry regulation and
health care legislation in P.R.China, the United States and internationally; global
trends toward health care cost containment; technological advances, new products
and patents attained by competitors; challenges inherent in new product development,
including obtaining regulatory approval; Akeso’s ability to accurately predict future
market conditions; manufacturing difficulties or delays; financial instability of
international economies and sovereign risk; dependence on the effectiveness of the
Akeso’s patents and other protections for innovative products; and the exposure 
to litigation, including patent litigation, and/or regulatory actions.

Akeso does not undertake any obligation to publicly revise these forward-looking
statements to reflect events or circumstances after the date hereof, except as required
by law.

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