−Removed: We are a clinical-stage biopharmaceutical company focused on discovering and developing engineered antibody therapeutics to treat patients with cancer and other serious diseases, who have unmet medical needs.
−Removed: We use our protein engineering capabilities to increase our understanding of protein structures and interactions and to design new technologies and XmAb® drug candidates with improved properties.
−Removed: We advance these candidates into clinical-stage development, where we are conducting Phase 1 and Phase 2 studies for a broad portfolio of programs, to determine which programs we advance into later stages of development and potentially commercialization, which programs we partner to access complementary resources to optimize development, and which programs we terminate.
+Added: We are a clinical-stage biopharmaceutical company focused on discovering and developing engineered antibody therapeutics to treat patients with cancer and autoimmune diseases, who have unmet medical needs.
+Added: We use our protein engineering capabilities to design new technologies and XmAb® drug candidates with improved properties.
+Added: We advance these candidates into clinical-stage development, where we are conducting Phase 1 and Phase 2 studies for a broad portfolio of programs, to determine which programs we advance into later stages of development and potentially commercialization, which programs we partner to access complementary resources to optimize development, and which programs we discontinue.
Our approach to protein design includes engineering Fc domains, the parts of antibodies that interact with multiple segments of the immune system and control antibody structure.
The Fc domain is constant and interchangeable among antibodies, and our engineered XmAb Fc domains can be readily substituted for natural Fc domains.
−Removed: Our protein engineering capabilities and Fc technologies enable us and our partners to develop XmAb antibodies and other types of biotherapeutic drug candidates with improved properties and functionality, which can provide innovative approaches to treating disease and potential clinical advantage over other treatment options.
−Removed: For example, we have developed an antibody scaffold to rapidly create novel multi-specific antibodies that bind two or more different targets simultaneously, creating entirely new biological mechanisms.
−Removed: Other applications of our protein engineering technologies enhance antibody performance by increasing immune inhibitory activity, improving cytotoxicity, extending circulating half-life and stabilizing novel protein structures, such as engineered cytokines.
+Added: We and our partners develop XmAb antibodies and other types of biotherapeutic drug candidates with improved properties and functionality, which can provide innovative approaches to potentially treating disease and clinical benefits over other treatment options.
+Added: Applications of our protein engineering technologies include multi-specific antibodies that bind two or more different targets simultaneously, creating entirely new biological mechanism of anti-disease activity, or enhancement of antibody performance by increasing immune inhibitory activity, improving cytotoxicity, extending circulating half-life and stabilizing novel protein structures.
Three marketed XmAb medicines have been developed with our protein engineering technologies.
Our protein engineering capabilities allow us to continually explore new functionality in the Fc region, which provides us with opportunities to:
+Added: • Engineer new drug candidates and advance them through clinical development;
• Create new technology platforms;
−Removed: • Engineer new drug candidates to advance into development or as partnering opportunities;
• Provide collaboration and licensing opportunities with partners for application of our technologies, access to our technologies, access to our drug candidates, or combinations of each.
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Key elements of our strategy are to:
−Removed: Advance the development of our XmAb antibody programs for oncology and other serious diseases.
−Removed: Our modular bispecific technology and protein engineering capabilities enable us to rapidly advance multiple drug candidates into clinical development for ourselves and our partners.
−Removed: We and our partners are enrolling patients in multiple clinical studies to evaluate our candidates.
−Removed: Build and manage a diversified portfolio of XmAb drug candidates.
−Removed: We advance multiple XmAb drug candidates into early stages of clinical development and evaluate data from studies in managing our portfolio of candidates.
−Removed: Based on the evaluation of emerging data and the competitive environment for such portfolio programs, we make additional investments in those candidates that demonstrate encouraging proof of concept, partner certain drug candidates to third-party biotechnology and pharmaceutical companies, and stop development of some candidates due to emerging data and resource allocation across our pipeline.
+Added: Advance the development of our XmAb antibody programs for oncology and autoimmune diseases.
+Added: Our modular bispecific technology and protein engineering capabilities enable us to rapidly advance multiple drug candidates into clinical development.
+Added: We and our partners are enrolling patients in multiple clinical studies to evaluate XmAb drug candidates.
+Added: Build and manage a pipeline of XmAb drug candidates.
+Added: We advance multiple XmAb drug candidates into early stages of clinical development and evaluate data from studies in managing our pipeline of candidates.
+Added: Based on the evaluation of emerging data and the competitive environment for such programs, we make additional investments in those candidates that demonstrate encouraging proof of concept, partner certain drug candidates to third-party biotechnology and pharmaceutical companies, and stop development of some candidates due to emerging data and resource allocation across our pipeline.
Leverage our protein engineering capabilities, XmAb Fc domains, and XmAb drug candidates with partnerships, collaborations, and licenses to generate revenue streams, create new drug candidates and combination treatments, and identify new indications for our pipeline of drug candidates.
Generate revenue streams.
−Removed: The plug-and-play nature of our Fc technologies and our ability to generate multiple drug candidates efficiently provides us opportunities to generate revenue from licensing and
−Removed: collaboration arrangements.
−Removed: In 2023, we received total proceeds of $111.7 million in upfront payments, milestone payments and royalties from such arrangements.
−Removed: We also received $215.0 million for the sale of a portion of our royalties due to us under our Alexion and MorphoSys agreements, as defined and discussed below.
+Added: The plug-and-play nature of our Fc technologies and our ability to generate multiple drug candidates efficiently provides us opportunities to generate revenue from licensing and collaboration arrangements.
Create new XmAb drug candidates and investigate novel combination therapies .
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Continue to expand our patent portfolio protecting our Fc technologies and XmAb drug candidates.
−Removed: We seek to expand our intellectual property estate and protect our proprietary Fc technologies, our development programs, and XmAb drug candidates by filing and prosecuting patents in the United States and other countries.
+Added: We seek to expand our intellectual property estate and protect our proprietary Fc technologies, our development programs, and XmAb drug candidates by filing and prosecuting patents in the United States (U.S.) and other countries.
Where appropriate, we will seek expansion and extension of patents issued for our product candidates and for partnered product candidates that incorporate our Fc technologies.
−Removed: XmAb Bispecific Fc Domain and New Multi-Specific Antibody Formats
+Added: XmAb Bispecific Fc Domain and Multi-Specific Antibody Formats
Our modular approach to protein engineering is a distinguishing feature of our Fc technologies.
This inherent flexibility enables us to design multiple XmAb drug candidates with distinct and novel mechanisms-of-action and to seek out new applications of the XmAb Bispecific Fc Domain.
−Removed: Our business, research, and clinical efforts are to develop and advance our Fc technologies and our portfolio of XmAb drug candidates in oncology and other serious diseases.
+Added: Our business, research, and clinical efforts are to develop and advance our Fc technologies and our portfolio of XmAb drug candidates in oncology and autoimmune diseases.
CD3 candidates:
−Removed: CD3 T cell engaging bispecific antibodies are designed to redirect T cells to tumor cells through the engagement of an antigen on tumor cells and CD3, an activating receptor on T cells.
−Removed: We have significantly expanded the potential of our CD3 T cell engagers with the multi-specific XmAb 2+1 bispecific antibody format, utilizing two identical tumor targeting domains and one CD3 targeting domain.
−Removed: The affinities for antigen binding are engineered to enable selective engagement and killing of high antigen-expressing tumor cells over low antigen-expressing normal cells.
−Removed: In preclinical models, XmAb 2+1 bispecific antibodies bound preferentially to tumor cells compared to normal cells and effectively recruited T cells to kill tumor cells selectively.
+Added: CD3 T-cell engaging bispecific antibodies are designed to redirect T cells to target cells through the engagement of an antigen on target cells and CD3, an activating receptor on T cells.
+Added: We have significantly expanded the potential of our CD3 T-cell engagers with the multi-specific XmAb 2+1 bispecific antibody format, utilizing two identical antigen binding domains and one CD3 targeting domain.
+Added: The affinities for antigen binding are engineered to enable selective engagement and killing of high antigen-expressing target cells over low antigen-expressing normal cells.
+Added: In preclinical cancer models, XmAb 2+1 bispecific antibodies bound preferentially to tumor cells compared to normal cells and effectively recruited T cells to kill tumor cells selectively.
We believe that these properties will be particularly important when developing bispecific antibodies against many solid tumor targets, where standard monovalent targeting of tumor antigens could lead to poor tolerability because such targets are often expressed on a range of normal tissues, including critical organs.
−Removed: Our XmAb819 and XmAb541 CD3 candidates have been designed using our CD3 2+1 format.
+Added: Our XmAb819 and XmAb541 CD3 candidates, which are being developed for patients with solid tumors, have been designed using our CD3 2+1 format.
+Added: We have leveraged our XmAb protein engineering platforms to create XmAb657, a potent, potentially long-acting CD19 x CD3 bispecific antibody, utilizing the XmAb 2+1 bispecific antibody format and Xtend Fc technology.
+Added: In non-human primate studies, a single dose of XmAb657 deeply reduced B cells by over 99.98% in the peripheral compartment, bone marrow and lymph nodes, which was sustained for at least 28 days.
+Added: Half-life was estimated to be 15 days, which indicates a potential for durable B-cell depletion in clinical studies.
+Added: XmAb657 was well tolerated preclinically, with no clinical signs of cytokine release syndrome.
+Added: We plan to initiate a first-in-human study during the second half of 2025.
+Added: TL1A x IL-23:
+Added: We believe a drug candidate to potentially emerge from our TL1A x IL-23 program could address significant unmet medical needs for patients with inflammatory bowel diseases (IBD), such as Crohn’s disease and ulcerative colitis, the two most common forms of IBD.
+Added: An engineered XmAb TL1A x IL-23p19 bispecific antibody could potentially provide dual targeting of important inflammatory pathways for autoimmune and inflammatory disease, while avoiding the complexities of dosing and formulary access for two separate TL1A and IL23 targeted drugs.
+Added: We anticipate selecting a lead candidate in 2025 and initiating first-in-human studies during 2026.
CD28 candidates:
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however, the ligands that activate T cells through CD28 are often not expressed on tumor cells.
−Removed: Targeted CD28 T cell engaging bispecific antibodies may provide conditional co-stimulation of T cells, for example, to T cells recognizing neoantigens or in concert with CD3 T-cell engaging bispecific antibodies.
+Added: Targeted CD28 T-cell engaging bispecific antibodies may provide conditional co-stimulation of T cells, for example, to T cells recognizing neoantigens or
+Added: in concert with CD3 T-cell engaging bispecific antibodies.
Our XmAb808 CD28 candidate has been engineered to provide selective CD28 co-stimulation of T cells, activating them when bound to tumor cells.
−Removed: TME activator candidate:
−Removed: Our tumor microenvironment (TME) activator candidate, vudalimab, has been designed to promote tumor-selective T-cell activation by targeting multiple checkpoints.
−Removed: Vudalimab also incorporates our Xtend™ technology for longer half-life.
−Removed: Cytokine candidates:
−Removed: Our engineered novel cytokine candidates are fusions of XmAb Bispecific Fc Domains and immune signaling proteins.
−Removed: Our cytokine candidates efbalropendekin alfa (XmAb306), XmAb564 and XmAb662 have been designed with reduced potency to improve therapeutic index and with our Xtend technology for longer half-life.
We continue to invest in our protein engineering efforts to identify novel technologies and drug candidates.
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Xtend™ Fc Domain – extended antibody half-life, targeting the receptor FcRn on endothelial cells.
−Removed: Approved or Authorized Medicines Engineered with XmAb Fc Domains
−Removed: Currently three medicines that have been developed with our XmAb Fc domains are now marketed or made available by our partners.
−Removed: These medicines generated $49.5 million in royalty revenue for us in 2023, which has partially offset our internal development costs.
−Removed: • Sotrovimab:
−Removed: Vir Biotechnology, Inc.
−Removed: and its partner GSK have made available sotrovimab, an antibody that targets the SARS-CoV-2 virus, which in May 2021 received an emergency use authorization (EUA) from the United States Food and Drug Administration (FDA) for the early treatment of mild-to-moderate COVID-19 in adults and pediatric patients (12 years of age and older weighing at least 40 kg) with positive results of direct SARS-CoV-2 viral testing, and at high risk for progression to severe COVID-19, including hospitalization or death.
−Removed: In March 2022, the FDA deauthorized sotrovimab’s use in all U.S.
−Removed: regions due to increases in the proportion of COVID-19 cases caused by the Omicron BA.2 subvariant.
−Removed: Sotrovimab has obtained emergency authorization, temporary authorization or marketing approval (under the brand name Xevudy®) for early treatment of COVID-19 in more than 30 countries.
−Removed: Sotrovimab incorporates our Xtend Fc domain for longer duration of action.
−Removed: Xevudy is a registered trademark of GSK.
−Removed: • Ultomiris ® (ravulizumab-cwvz) :
−Removed: Alexion’s Ultomiris is approved in the U.S., Europe, and Japan for the treatment of certain patients with paroxysmal nocturnal hemoglobinuria (PNH), certain patients with atypical hemolytic uremic syndrome (aHUS) and certain patients with generalized myasthenia gravis (gMG).
−Removed: In May 2023, Ultomiris was approved in the EU and Japan for the treatment of certain adult patients with neuromyelitis optica spectrum disorder (NMOSD).
−Removed: Alexion is also evaluating Ultomiris in a broad late-stage development program across additional hematology and neurology indications.
−Removed: Alexion used our Xtend™ Fc Domain to enhance the half-life of Ultomiris to allow for a longer duration of action, less frequent dosing and reduced patient burden of therapy compared to the previous generation therapy, Soliris®.
−Removed: • Monjuvi ® (tafasitamab-cxix) :
−Removed: In 2020, the FDA approved Monjuvi under accelerated approval.
−Removed: Monjuvi is a humanized Fc-modified CD19 targeting immunotherapy indicated in combination with lenalidomide for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) not otherwise specified, including DLBCL arising from low grade lymphoma, and who are not eligible for autologous stem cell transplant (ASCT).
−Removed: This indication is approved under accelerated approval based on overall response rate.
−Removed: Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s).
−Removed: In August 2021, the European Commission granted conditional marketing authorization for Minjuvi ® (tafasitamab) in combination with lenalidomide, followed by tafasitamab monotherapy, for the treatment of adult patients with relapsed or refractory DLBCL who are not eligible for autologous stem cell transplantation (ASCT).
−Removed: In addition to its approved indication, tafasitamab is being evaluated as a therapeutic option in ongoing pivotal trials for first-line DLBCL, relapsed or refractory follicular lymphoma (FL) and relapsed or refractory marginal zone lymphoma (MZL).
−Removed: Tafasitamab was created and initially developed by us.
−Removed: Tafasitamab is marketed by Incyte under the brand name Monjuvi in the U.S.
−Removed: and under the brand name Minjuvi in Europe and Canada.
−Removed: Monjuvi ® and Minjuvi ® are registered trademarks of Incyte.
Drug Candidates in Clinical Development
−Removed: There are currently 22 clinical-stage drug candidates or marketed medicines that have been developed with one or more of our XmAb technologies.
−Removed: A partner is also advancing a drug candidate that incorporates our DN-TNF technology.
−Removed: Wholly Owned Co-developed with Partners Developed by Partners Marketed by Partners
−Removed: Vudalimab Plamotamab Obexelimab Ultomiris*
+Added: Wholly Owned Developed by Partners Marketed by Partners
+Added: Oncology pipeline:
Teropavimab and zinlirvimab
−Removed: Tobevibart (VIR-3434)
−Removed: Xaluritamig (AMG 509)
−Removed: Efbalropendekin alfa**
−Removed: XmAb541 (IND open)
+Added: Autoimmune pipeline:
Novartis antibody
Xpro1595/INB03
−Removed: * Alexion and Incyte are conducting additional Phase 3 studies in new indications with these candidates.
−Removed: ** Beginning in June 2024, our collaboration regarding efbalropendekin alfa will convert from a cost and profit-sharing arrangement into a royalty and milestone payment-based arrangement in which Genentech will assume full responsibility for development of the program.
−Removed: We are also supporting an investigator sponsored trial evaluating vibecotamab (CD123 x CD3).
+Added: Zaltenibart (OMS906)
+Added: * Alexion and Incyte are conducting additional Phase 3 studies in new indications.
We regularly evaluate our portfolio of candidates and make additional investments in candidates with promising early-stage clinical data, partner out other candidates, and stop development of candidates where early clinical data does not support further investment by us.
−Removed: • We initiated a Phase 1b/2 study of vudalimab in combination with chemotherapy, as a first-line treatment in patients with advanced non-small cell lung cancer;
−Removed: • We initiated a Phase 1 study for our XmAb662 program;
−Removed: • We submitted an investigational new drug (IND) application for our XmAb541 program;
−Removed: • We stopped development of the XmAb104 program, and we also closed gynecologic tumor cohorts in the Phase 2 vudalimab monotherapy study due to the rapidly changing competitive environment in these indications;
−Removed: • We appointed Nancy Valente, M.D., as our Chief Development Officer, a role in which she is responsible for leading our clinical and medical strategy and execution.
−Removed: XmAb Bispecific Antibody Drug Candidates in Clinical Development
−Removed: Currently, 10 XmAb bispecific antibody drug candidates are in active clinical development internally or with our partners:
−Removed: • Three candidates are wholly owned and are being evaluated by us in Phase 2 or Phase 1 studies;
−Removed: one wholly owned candidate has an open IND and is pending Phase 1 study initiation;
−Removed: • One candidate is being co-developed with partners;
−Removed: • Five additional candidates are being advanced by partners.
−Removed: Additional candidates are advancing through the preclinical stages of development.
−Removed: XmAb bispecific antibody drug candidates in clinical development include:
−Removed: Wholly Owned Development Candidates
−Removed: Vudalimab is a bispecific antibody that targets PD-1 and CTLA-4, two immune checkpoint receptors, and is designed to promote tumor-selective T-cell activation.
−Removed: Data from a Phase 1 study that enrolled heavily pretreated patients with multiple solid tumor types indicated that vudalimab was generally well-tolerated with encouraging clinical activity.
−Removed: We continue to develop vudalimab for patients with metastatic castration-resistant prostate cancer (mCRPC) and patients with locally advanced or metastatic non-small cell lung cancer.
−Removed: We are conducting two Phase 2 clinical studies of vudalimab in patients with mCRPC, a study of vudalimab as a monotherapy in the clinically defined high-risk patient population and a study of vudalimab in combination with chemotherapy, in the aggressive variant patient population.
−Removed: In the Phase 2 monotherapy study, vudalimab has been generally well tolerated and associated with response to treatment in multiple patients who have visceral or lymph node metastases.We are also conducting a Phase 1b/2 study evaluating vudalimab as a first-line treatment in patients with locally advanced or metastatic non-small cell lung cancer.
−Removed: XmAb819 is a first-in-class ENPP3 x CD3 XmAb 2+1 bispecific antibody that we are developing for patients with renal cell carcinoma (RCC).
−Removed: The XmAb 2+1 multivalent format enables greater selectivity for ENPP3 expressing tumor cells compared to normal cells, which also express ENPP3 at lower levels.
−Removed: We are conducting a Phase 1 study evaluating XmAb819 in patients with advanced clear cell RCC.
−Removed: XmAb808 is a tumor-selective, co-stimulatory XmAb 2+1 bispecific antibody designed to bind to the broadly expressed tumor antigen B7-H3, and selectively to the CD28 T-cell co-receptor only when bound to tumor cells, which was demonstrated in in vitro studies.
−Removed: In vivo studies further demonstrated strong potentiation of checkpoint and CD3 cytotoxic activity.
−Removed: We are conducting a Phase 1 study of XmAb808 in combination with pembrolizumab in patients with advanced solid tumors.
−Removed: XmAb541 is a Claudin-6 (CLDN6) x CD3 XmAb 2+1 bispecific antibody that we are developing for patients with ovarian cancer and other solid tumor types.
−Removed: The XmAb 2+1 multivalent format enables greater selectivity for CLDN6 over similar Claudin family members, such as CLDN9, CLDN3 and CLDN4.
−Removed: The investigational new drug (IND) application for XmAb541 has been allowed to proceed by the FDA, and we plan to initiate a Phase 1 study in the first half of 2024.
−Removed: Candidates Co-Developed with Partners
−Removed: Plamotamab is a bispecific antibody that targets CD20, an antigen on B-cell tumors, and CD3, an activating receptor on T cells.
−Removed: In October 2021, we entered into a global collaboration and license agreement with Janssen Biotech, Inc.
−Removed: (Janssen), a Johnson & Johnson company, to advance plamotamab and XmAb CD28 bispecific antibody combinations for the treatment of patients with B-cell malignancies (2021 J&J collaboration).
−Removed: J&J received worldwide exclusive development and commercial rights to plamotamab, and we are collaborating with J&J on further clinical development of plamotamab, with us paying 20% of costs.
−Removed: We conducted a Phase 1 study of plamotamab in patients with non-Hodgkin's lymphomas.
−Removed: Results from the expansion portion of the study indicate that intravenous plamotamab monotherapy was well tolerated and demonstrated encouraging clinical activity in heavily pretreated patients at the recommended Phase 2 intravenous dose.
−Removed: In 2023, we completed enrolling patients in subcutaneous dose escalation cohorts of this study.
−Removed: Candidates Advanced by Partners
−Removed: Xaluritamig (AMG 509) is a STEAP1 x CD3 2+1 bispecific antibody that our partner Amgen is advancing for the treatment of patients with prostate cancer.
−Removed: The XmAb 2+1 multivalent format enables higher binding capability for STEAP1 expressing cells.
−Removed: Amgen is completing patient enrollment in the dose expansion portion of a Phase 1 study of xaluritamig in patients with mCRPC.
−Removed: In October 2023, at the European Society for Medical Oncology (ESMO) Congress, encouraging interim clinical results from the study were presented during an oral proffered paper session, validating the potential of the XmAb 2+1 format.
−Removed: Amgen is planning two additional Phase 1 studies of xaluritamig to evaluate preliminary efficacy and safety in patients with early prostate cancer.
−Removed: ASP2138 is a Claudin-18.2 x CD3 2+1 bispecific antibody that our partner Astellas is advancing for the treatment of patients with gastric, gastroesophageal and pancreatic cancers and is currently being evaluated in a Phase 1 study.
−Removed: The XmAb 2+1 multivalent format enables higher binding capability for Claudin-18.2 expressing cells.
−Removed: JNJ-9401 is a PSMA x CD28 bispecific antibody that J&J is advancing for the treatment of patients with prostate cancer and is currently being evaluated in a Phase 1 study.
−Removed: JNJ-9401 was developed with J&J under our 2020 collaboration.
−Removed: JNJ-1493 is a B-cell x CD28 bispecific antibody that J&J is advancing for the treatment of patients with B-cell malignancies and is currently being evaluated in a Phase 1 study.
−Removed: JNJ-1493 was developed with J&J under our 2021 collaboration.
−Removed: Novartis XmAb undisclosed antibody candidate.
−Removed: Novartis is evaluating an undisclosed antibody drug candidate that was developed with our bispecific Fc technology under our collaboration with them.
−Removed: Cytokine Drug Candidates in Clinical Development
−Removed: Currently, 3 XmAb cytokine drug candidates are in active clinical development internally or with our partners, which include:
−Removed: Efbalropendekin alfa (XmAb306/RG6323) is a potency-reduced IL15/IL15-receptor alpha complex fused to our bispecific Fc domain (IL15/IL15Rα-Fc).
−Removed: We are co-developing the program in collaboration with Genentech, a member of the Roche Group.
−Removed: Genentech is conducting a Phase 1 study of XmAb306 as a single agent and in combination with atezolizumab in patients with advanced solid tumors and is also conducting Phase 1 studies, evaluating XmAb306 in patients with relapsed/refractory multiple myeloma, either in combination with daratumumab (anti-CD38 antibody) or in combination with cevostamab (FcRH5 x CD3 bispecific antibody).
−Removed: In the fourth quarter of 2023, we agreed with Genentech to convert our current development cost and profit-sharing arrangement into a royalty and milestone payment-based arrangement.
−Removed: Pursuant to the terms of the amended agreement with Genentech, effective June 1, 2024, Genentech will assume sole responsibility over all clinical, regulatory and commercial activities.
−Removed: Under the amended agreement, we will be eligible for up to $600 million in milestones and tiered royalties on approved products ranging from low double-digit to mid-teens percentages.
−Removed: XmAb564 is a monovalent, potency-reduced interleukin-2 Fc (IL-2-Fc) fusion protein, engineered to selectively activate and expand regulatory T cells (Tregs) for the potential treatment of patients with autoimmune diseases.
−Removed: XmAb564 is engineered with reduced binding affinity for IL-2's beta receptor and increased binding affinity for its alpha receptor.
−Removed: In a Phase 1a clinical study of XmAb564, a single dose of XmAb564, administered subcutaneously in healthy volunteers, was well tolerated and generated durable, dose-dependent and selective expansion of Tregs.
−Removed: We have been conducting a randomized, double-blind, placebo-controlled Phase 1b clinical study to evaluate the safety and tolerability of multiple ascending doses of XmAb564, administered subcutaneously in patients with atopic dermatitis or psoriasis.
−Removed: We plan to conclude the Phase 1b study in the first half of 2024 and pause further development of XmAb564 until after assessment of future data from competitor programs in this class and review of safety and biomarker data in the Phase 1b study.
−Removed: XmAb662 is a potency-reduced interleukin-12 Fc (IL12-Fc) fusion protein engineered to increase anti-tumor activity and immunogenicity in the tumor microenvironment by promoting high levels of interferon gamma secretion from T cells and NK cells.
−Removed: In preclinical testing, our engineered IL12-Fc fusions demonstrated an improved pharmacokinetic profile and therapeutic window compared to a native IL12-Fc fusion, with superior exposure, a more gradual dose response and more sustained interferon gamma response.
−Removed: XmAb662 demonstrated significant anti-tumor activity, along with increases in NK cells, T cells, serum IP-10 and interferon gamma, which were further enhanced when combined with an anti-PD-1 antibody.
−Removed: We have been conducting a Phase 1 study to evaluate XmAb662 in patients with advanced solid tumors.
−Removed: We plan to conclude the Phase 1 study in the first half of 2024 and pause further development of XmAb662 until after assessment of future data from competitor programs in this class and review of safety and biomarker data in the Phase 1 study.
−Removed: Xtend and Cytotoxic Fc Drug Candidates in Clinical Development
−Removed: Currently, two drugs engineered with our Xtend Fc Domain and one drug we engineered with our XmAb Cytotoxic Fc Domain are marketed commercially by partners.
−Removed: In addition to these approved drugs, our partners are
−Removed: advancing multiple clinical-stage programs with antibodies engineered with Xtend and/or Cytotoxic Fc Domains, including:
−Removed: • Vir Biotechnology, Inc.:
−Removed: Vir is advancing tobevibart (VIR-3434) in a Phase 2 combination study as a potential treatment for patients with hepatitis B virus infection and in a Phase 2 combination study as a potential treatment for patients with hepatitis Delta virus infection;
−Removed: • Gilead Sciences, Inc.:
−Removed: Gilead is advancing teropavimab and zinlirvimab, two broadly neutralizing antibodies, in combination with lenacapavir, as a long-acting treatment for virologically suppressed people living with HIV;
−Removed: • Omeros Corporation:
−Removed: Omeros is advancing multiple Phase 2 studies evaluating OMS906 for the treatment of patients with PNH and other alternative pathway disorders;
−Removed: • Our partners are conducting preclinical studies of additional drug candidates engineered with these XmAb Fc domains.
−Removed: Other Clinical Stage Drug Candidates
−Removed: • Obexelimab targets CD19 with its variable domain and uses our XmAb Immune Inhibitor Fc Domain, which is designed to inhibit the function of B cells, an important component of the immune system.
−Removed: In November 2021, we licensed this drug candidate to Zenas BioPharma, which is conducting a Phase 3 study in patients with immunoglobulin G4-related disease (IgG4-RD) and a Phase 2 study in patients with warm autoimmune hemolytic anemia (wAIHA).
−Removed: • AIMab7195 (XmAb7195) uses our XmAb Immune Inhibitor Fc Domain and is designed to reduce blood levels of IgE, which mediates allergic responses and allergic disease.
−Removed: In February 2020, we licensed this drug candidate to Aimmune Therapeutics, Inc., now a wholly owned subsidiary of Nestlé S.A., which is evaluating the candidate in clinical studies for allergic indications.
−Removed: • Xpro1595 is a proprietary TNF inhibitor candidate which we licensed to INmune Bio, Inc., in October 2017.
−Removed: INmune is currently advancing Xpro1595 through clinical development for patients with Alzheimer’s disease and treatment-resistant depression.
+Added: • We reacquired exclusive worldwide rights to plamotamab and subsequently announced new Phase 1b/2a clinical development plans for plamotamab in rheumatoid arthritis (RA);
+Added: • We announced new XmAb drug candidates, XmAb942 and XmAb657, to be evaluated for the treatment of patients with autoimmune and inflammatory diseases;
+Added: • We initiated first-in-human studies for our XmAb541 and XmAb942 programs;
+Added: • We presented early data from the Phase 2 monotherapy study of vudalimab in patients with clinically defined high-risk metastatic castration-resistant prostate cancer (mCRPC);
+Added: • We concluded the Phase 1 development programs evaluating our internally developed cytokine programs, XmAb564 and XmAb662, and paused further development.
+Added: Wholly Owned Clinical-Stage XmAb Drug Candidates
+Added: Our modular XmAb technologies and protein engineering capabilities enable us to rapidly advance multiple drug candidates into clinical development.
+Added: We are currently enrolling Phase 1 studies for three wholly-owned candidates to treat patients with many different types of serious diseases:
+Added: XmAb819, XmAb541 and XmAb942.
+Added: Two additional drug candidates are planned to enter clinical development in 2025:
+Added: plamotamab and XmAb657.
+Added: Oncology Programs
+Added: XmAb819 (ENPP3 x CD3):
+Added: XmAb819 is a first-in-class, tumor-targeted, T-cell engaging XmAb 2+1 bispecific antibody in development for patients with clear cell renal cell carcinoma (ccRCC).
+Added: XmAb819 engages the immune system and activates T cells for highly potent and targeted lysis of tumor cells expressing ENPP3, an antigen highly expressed on kidney cancers.
+Added: ENPP3 is a differentially expressed target, with high level expression in renal cell carcinoma (RCC) and low level expression on normal tissues.
+Added: With two tumor-antigen binding domains and one T-cell binding domain, our XmAb 2+1 format enables antibodies to bind more avidly and selectively kill tumor cells with higher antigen density, potentially sparing normal cells.
+Added: We are conducting a Phase 1 study to evaluate XmAb819 in patients with advanced ccRCC.
+Added: In September 2024, we announced that initial evidence of anti-tumor activity had been observed in dose-escalation cohorts in the ongoing Phase 1 study, including RECIST responses, and the duration of treatment for several patients in earlier dose cohorts has extended beyond one year.
+Added: Cytokine release syndrome remained manageable, and the tolerability profile from recent dose cohorts, including no maximum tolerated dose being reached, supported continued dose escalation toward target dose levels.
+Added: XmAb541 (CLDN6 x CD3):
+Added: XmAb541 is a first-in-class, tumor-targeted, T-cell engaging XmAb 2+1 bispecific antibody in development for patients with Claudin-6 (CLDN6) expressing tumor types including ovarian cancer.
+Added: XmAb541 targets CLDN6, a tumor-associated antigen in ovarian cancer and other solid tumors, and CD3.
+Added: The XmAb 2+1 multivalent format used in XmAb541 enables greater selectivity for CLDN6 over similar Claudin family members, such as CLDN9, CLDN3 and CLDN4.
+Added: We are conducting a Phase 1 study to evaluate XmAb541 in patients with ovarian cancer and other CLDN6 expressing tumor types.
+Added: The first patient was dosed in April 2024.
+Added: The Phase 1 dose-escalation study is ongoing, with characterization of target dose levels anticipated to begin during 2025.
+Added: XmAb808 (B7-H3 x CD28):
+Added: XmAb808 is a tumor-selective, co-stimulatory CD28 bispecific antibody that binds to the broadly expressed tumor antigen B7-H3 and is constructed with the XmAb 2+1 multivalent format.
+Added: Co-stimulation is required for T cells to achieve full activation, and targeted CD28 bispecific antibodies may provide conditional co-stimulation of T cells when the antibodies are bound to tumor cells.
+Added: We are conducting a Phase 1 study to evaluate XmAb808 in combination with pembrolizumab in patients with advanced solid tumors.
+Added: In September 2024, we presented a clinical update on the ongoing Phase 1 study.
+Added: The majority of patients enrolled into the study were men with mCRPC.
+Added: In this group of patients, prostate specific antigen (PSA) declines were observed during the four-week monotherapy safety run-in period.
+Added: In November 2024, we announced that within the range of expected active doses, two patients experienced dose-limiting toxicities as defined in the study protocol.
+Added: The maximum tolerated dose was not defined per protocol.
+Added: As the data were analyzed, back-fill enrollment proceeded in the next lower dose cohort, a dose within the range of target doses which was determined to be tolerable.
+Added: Dose escalation resumed late in the fourth quarter of 2024, and enrollment in the final dose-escalation cohort is complete.
+Added: Data from the study are expected to inform future development decisions for the program.
+Added: Potential combination with CD3 T-cell engaging bispecific antibodies is being evaluated.
+Added: Vudalimab (PD-1 x CTLA-4):
+Added: Vudalimab is a bispecific antibody that targets PD-1 and CTLA-4, two immune checkpoint receptors, to selectively activate the tumor microenvironment.
+Added: In the fourth quarter of 2024, we completed enrollment in two studies of vudalimab in patients with mCRPC and in Part 1 of a study in patients with locally advanced or metastatic non-small cell lung cancer.
+Added: We have paused further development of vudalimab and have prioritized resources to advance other pipeline programs.
+Added: Safety data from the three studies of vudalimab remain consistent with prior data disclosures.
+Added: Autoimmune Disease Programs
+Added: In September 2024, we announced new clinical development plans for plamotamab and announced new XmAb drug candidates to be evaluated for the treatment of patients with autoimmune and inflammatory diseases.
+Added: We believe that plamotamab and XmAb657 could address significant unmet needs for patients with a wide-range of autoimmune diseases that could be responsive to targeted B-cell depletion, such as RA, multiple sclerosis, advanced systemic lupus erythematosus, anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis, idiopathic inflammatory myopathy, myasthenia gravis, neuromyelitis optica spectrum disorder, pemphigus vulgaris, Sjogren’s syndrome, and systemic sclerosis.
+Added: We believe that XmAb942 could address significant unmet medical needs for patients with IBD, such as Crohn’s disease and ulcerative colitis, the two most common forms of IBD.
+Added: XmAb942 (Xtend TL1A):
+Added: XmAb924 is a monospecific anti-TL1A antibody, utilizing Xencor’s Xtend Fc domain and proprietary Fc silencing technology, with potentially class-leading potency, and is under development for people with IBD.
+Added: The two most common forms of IBD are Crohn’s disease and ulcerative colitis.
+Added: In October 2024, preclinical data were presented during United European Gastroenterology (UEG) Week.
+Added: Preclinical half-life was 23 days, potentially supporting an 8- to 12-week dosing regimen in humans.
+Added: In the fourth quarter of 2024, we initiated dosing of healthy volunteers in the first-in-human study of XmAb942, and we expect initial single-ascending dose data from a Phase 1 study in healthy volunteers during the first half of 2025.
+Added: We continue to expect data from the multiple-ascending dose portion of study and the initiation of a Phase 2 study in patients with ulcerative colitis in the second half of 2025.
+Added: Plamotamab (CD20 x CD3):
+Added: Plamotamab is a B-cell depleting bispecific T-cell engager that targets CD20, a target receptor on B cells, and CD3.
+Added: Results from the expansion portion of a Phase 1 study indicate that intravenous plamotamab monotherapy was well tolerated and demonstrated encouraging clinical activity in heavily pretreated patients with an advanced form of lymphoma at the recommended Phase 2 intravenous dose.
+Added: In 2023, we completed patient enrollment in subcutaneous dose escalation cohorts of the Phase 1 study.
+Added: We had been co-developing plamotamab with Johnson & Johnson (J&J), and in June 2024, we regained exclusive worldwide rights to develop and commercialize the candidate.
+Added: We plan to initiate a Phase 1b/2a proof-of-concept study for plamotamab in RA in the first half of 2025.
+Added: The Phase 1b portion of the study will select a priming and step-up dose regimen based on the regimen established in oncology, and will assess the initial safety, efficacy, and biomarkers of plamotamab in patients with RA.
+Added: The selected dose regimen will then be evaluated in the randomized Phase 2a portion, with efficacy determined at week 12.
+Added: Results from the Phase 1 study in hematologic cancers showed favorable tolerability and comparable preliminary efficacy data, when cross compared to results from studies of a competitor molecule within the class, with similar patient baseline characteristics.
+Added: Data demonstrating deep peripheral B-cell depletion observed in patients with lymphoma were presented at a medical meeting in December 2024.
+Added: Based on these clinical outcomes, significant B-cell depletion, and the emergent biology supportive of B-cell targeted T cell engagers for the treatment of patients with autoimmune diseases, we plan to evaluate plamotamab in RA, in which patients progressed through prior standard of care treatment.
+Added: Additional Clinical-Stage XmAb Drug Candidate
+Added: XmAb7195 (anti-IgE) :
+Added: XmAb7195 uses our XmAb Immune Inhibitor Fc Domain and is designed to reduce blood levels of IgE, which mediates allergic responses and allergic disease.
+Added: In February 2020, we licensed this drug candidate to Aimmune Therapeutics, Inc., now a wholly owned subsidiary of Nestlé S.A.
+Added: We reacquired exclusive worldwide rights to XmAb7195 in 2024 and are evaluating development opportunities.
Collaborations, Partnerships and Licensing Arrangements
2 unchanged sentences
For partnerships for our drug candidates, we aim to retain a major economic interest in these candidates through transactions that allow us to retain major geographic commercial rights, provide for profit-sharing on future sales of approved products, include co-development options, and also the right to conduct independent clinical studies with drug candidates developed in the collaboration.
−Removed: Examples of arrangements we have entered with our partners include:
−Removed: • Product Licenses:
−Removed: Johnson & Johnson, Genentech, Incyte Corporation, Nestlé S.A., Zenas BioPharma, Inc., INmune Bio, Inc.
−Removed: • Novel Bispecific Antibody Collaborations:
−Removed: Johnson & Johnson, Astellas Pharma Inc., Amgen Inc., Novartis AG
−Removed: • Technology Licensing Agreements:
−Removed: Alexion Pharmaceuticals, Inc., Vir Biotechnology, Inc., Gilead Sciences, Inc., Omeros Corporation, Astria Therapeutics, Inc.
−Removed: • Strategic Collaborations:
−Removed: Caris Life Sciences
−Removed: Product Licenses
+Added: Types of Arrangements
Product licenses are arrangements in which we license to third parties partial or full rights to develop and commercialize our internally developed drug candidates.
We seek partners that can provide infrastructure and resources to successfully develop our drug candidates, have a track record of successfully developing and commercializing medicines, or have a portfolio of development-stage candidates and commercialized medicines which could potentially be developed in rational combinations with our drug candidates.
−Removed: Janssen Biotech, Inc., a Johnson & Johnson company
−Removed: In October 2021, we entered into an agreement with Janssen Biotech, Inc., a Johnson & Johnson company, to develop, manufacture, and commercialize plamotamab and to conduct research and development activities to discover novel CD28 bispecific antibodies against undisclosed B cell tumor targets.
−Removed: J&J will receive exclusive worldwide rights, subject to certain of our opt-in rights, to develop, manufacture and commercialize pharmaceutical products that contain one or more of such CD28 bispecific antibodies.
−Removed: Pursuant to the agreement, we are collaborating with J&J on further clinical development of plamotamab with J&J paying 80% and the Company paying 20% of costs.
−Removed: With respect to the CD28 bispecific antibody collaboration, we are generally responsible for conducting research activities, and J&J is generally responsible for all development, manufacturing, and commercialization activities for CD28 bispecific antibodies that are advanced.
−Removed: In the first quarter of 2023, J&J selected a CD28 candidate that we developed under the collaboration for further development.
−Removed: In the third quarter of 2023, J&J exercised its option on two additional CD28 candidates that were developed under the agreement.
−Removed: In the fourth quarter of 2023, J&J initiated a Phase 1 study with a CD28 candidate that was developed under the agreement.
−Removed: In 2023, we received $30.0 million of milestones related to the CD28 collaboration, and we are eligible to receive additional milestone payments up to a total of $640.0 million, which include an aggregate of $139.4 million in development milestones and $240.6 million in regulatory milestones.
−Removed: For any CD28 bispecific antibodies approved, we are eligible to receive $260.0 million in sales milestones and tiered royalties in the high-single to low-double digit range on net sales.
−Removed: In February 2019, we entered into an agreement with Genentech to develop and commercialize novel IL-15 cytokine therapeutics that use our bispecific Fc technology, including efbalropendekin alfa (XmAb306), declared as a Collaboration Product under the agreement.
−Removed: Under the current agreement, we are sharing in 45% of development and commercialization costs of Collaboration Products, and we are eligible to share in 45% of net profits and losses from the sale of approved products.
−Removed: However, in the fourth quarter of 2023, we agreed with Genentech to convert our current development cost and profit-sharing arrangement into a royalty and milestone payment-based arrangement.
−Removed: Pursuant to the terms of the amended agreement with Genentech, effective June 1, 2024, Genentech will assume sole responsibility over all clinical, regulatory and commercial activities.
−Removed: Under the amended agreement, we are eligible to receive up to $600.0 million in milestones, including $115.0 million in development milestones, $185.0 million in regulatory milestones and $300.0 million in sales-based milestones and tiered royalties ranging from low double-digit to mid-teens percentages.
−Removed: Incyte Corporation
−Removed: In July 2020, the FDA approved Monjuvi® (tafasitamab-cxix) in combination with lenalidomide for treating certain patients with DLBCL, and the European Commission granted conditional marketing authorization to tafasitamab for treating certain patients with DLBCL, which is marketed as Minjuvi® in Europe, in August 2021.
−Removed: In 2010, we licensed exclusive worldwide rights to develop and commercialize tafasitamab (formerly MOR208 and XmAb5574) to MorphoSys AG.
−Removed: In February 2024, Incyte acquired exclusive global development and commercialization rights to tafasitamab.
−Removed: Tafasitamab, which we engineered with an XmAb Cytotoxic Fc Domain, is the second XmAb medicine to be approved by the FDA.
−Removed: In 2023, we earned royalties of $8.7 million on net sales.
−Removed: We are also eligible to receive up to $85.5 million in additional milestones for development of tafasitamab in additional oncology indications and $50.0 million in sales milestones across all indications.
−Removed: We are entitled to receive tiered royalties in the high-single digit to low-double digit percent range on net sales.
−Removed: Tafasitamab is marketed by Incyte under the brand name Monjuvi® in the U.S.
−Removed: and is marketed under the brand name Minjuvi® in Europe and Canada.
−Removed: In 2023, we sold a portion of the royalties due to us under the MorphoSys agreement for $22.5 million.
−Removed: Nestlé S.A./Aimmune Therapeutics, Inc.
−Removed: In February 2020, we granted Aimmune Therapeutics, Inc., an exclusive worldwide license to develop and commercialize XmAb7195, which was renamed AIMab7195.
−Removed: Aimmune was subsequently acquired by Nestlé S.A.
−Removed: received an upfront payment, and we are eligible to receive development, regulatory and sales milestones and tiered royalties in the high-single to mid-teen percent range on net sales of approved products.
−Removed: Nestlé is responsible for all further development of AIMab7195.
−Removed: INmune Bio, Inc.
−Removed: In October 2017, we entered into an agreement with INmune Bio, Inc., for an exclusive license to our Xpro1595 drug candidate.
−Removed: In connection with the license, we received shares of INmune common stock.
−Removed: We are also eligible to receive a percentage of sublicensing revenue received for Xpro1595 and royalties in the mid-single digit percentage range on the sale of approved products.
−Removed: INmune is currently conducting Phase 2 studies in early Alzheimer’s disease and treatment resistant depression.
−Removed: Zenas BioPharma, Inc.
−Removed: In November 2020, we entered into an agreement with Zenas BioPharma (Cayman) Limited, now Zenas BioPharma, Inc., (Zenas) to which we licensed the exclusive worldwide rights to develop and commercialize three preclinical-stage Fc-engineered drug candidates for autoimmune disease:
−Removed: XmAb6755 (ZB002), XPro9523 (ZB004), and XmAb10171 (ZB003).
−Removed: These programs incorporate an Xtend Fc Domain, a Cytotoxic Fc Domain, or both.
−Removed: We received an equity interest in Zenas, and we will also receive royalties on net sales of approved products in the mid-single digit to mid-teen percentage range.
−Removed: In November 2021, we entered into a second agreement with Zenas to which we licensed the exclusive worldwide rights to develop and commercialize obexelimab, a bifunctional antibody that targets CD19 with its variable domain and uses our XmAb Immune Inhibitor Fc Domain.
−Removed: Zenas issued a warrant giving us the right to acquire additional Zenas equity, such that our total equity in Zenas would be 15% of its fully diluted capitalization following the closing of Zenas’ next round of equity financing, subject to certain requirements.
−Removed: In 2022, Zenas completed a financing transaction, and we received additional shares in Zenas in exchange for the warrant such that our total ownership is equal to 15% of the fully diluted outstanding shares of Zenas.
−Removed: We are eligible to receive up to $470.0 million based on the achievement of certain clinical development, regulatory and commercialization milestones and are eligible to receive tiered, mid-single digit to mid-teen percent royalties upon commercialization of obexelimab, dependent on geography.
−Removed: Zenas will have sole responsibility for advancing the research, development, regulatory and commercial activities of obexelimab worldwide.
−Removed: In 2023, Zenas initiated a Phase 3 study in patients with immunoglobulin G4-related disease (IgG4-RD) and a Phase 2 study in patients with warm autoimmune hemolytic anemia (wAIHA), and we received a milestone payment in additional equity in Zenas with a fair value of $10.0 million.
−Removed: Novel Bispecific Antibody Collaborations
+Added: Examples include Genentech, Incyte Corporation, Zenas BioPharma, Inc., and INmune Bio, Inc.
Novel bispecific antibody collaborations are arrangements in which our partner seeks to create an XmAb bispecific antibody using one or more of our bispecific technologies.
Our partners provide an antibody or an antigen against tumors, and we conduct limited research and development activities to create potential bispecific antibody candidates for further development and commercialization by our partners.
−Removed: Janssen Biotech, Inc., a Johnson & Johnson company
−Removed: In November 2020, we entered into an agreement, with J&J to develop XmAb bispecific antibodies against CD28 and a prostate tumor target, for the potential treatment of patients with prostate cancer.
−Removed: Under the agreement, we conducted research activities to develop CD28 bispecific drug candidates for further development by J&J.
−Removed: Upon development of a bispecific candidate by J&J through proof of concept, the agreement provides us the right to opt-in to fund 20% of development costs and to perform up to 30% of detailing efforts in the U.S.
−Removed: If we exercise this right, we will be eligible to receive tiered royalties in the low-double digit to mid-teen digit percentage range.
−Removed: We, along with J&J, have the right to access predefined agents from each other’s portfolios to evaluate potential combination therapies in prostate cancer, subject to certain limitations.
−Removed: In 2021, J&J selected JNJ-9401, a PSMA x CD28 bispecific antibody developed under the agreement, for further development, and we received a milestone payment.
−Removed: In 2023, J&J submitted an IND and initiated a clinical trial, and we
−Removed: received another milestone payment.
−Removed: J&J is conducting a Phase 1 study evaluating JNJ-9401 in patients with mCRPC.
−Removed: In 2023, we received $17.5 million in milestones under the agreement, and we are eligible to receive an additional $139.4 million in development milestones in addition to tiered royalties on approved products ranging from high-single to low-double digit range as the program advances.
−Removed: Astellas Pharma Inc.
−Removed: In March 2019, we entered into an agreement with Astellas Pharma Inc., under which we applied our XmAb bispecific Fc technology to an antigen pair provided by Astellas and generated bispecific antibody candidates for further certain characterization and testing.
−Removed: Astellas was granted a worldwide exclusive license, with the right to sublicense products in the field created by the research activities.
−Removed: Astellas selected ASP2138, a CLDN18.2 x CD3 XmAb 2+1 bispecific antibody developed under the collaboration, for further development and is conducting a Phase 1 study of ASP2138 in patients with gastric, gastroesophageal, and pancreatic cancers.
−Removed: We are eligible to receive an additional $232.5 million in milestones which include, $25.0 million in development milestones, $57.5 million in regulatory milestones and $150.0 million in sales milestones and tiered royalties from the high-single to low-double digit range as the program advances.
−Removed: In September 2015, we entered into an agreement with Amgen Inc.
−Removed: to develop and commercialize bispecific antibody product candidates using our proprietary XmAb bispecific Fc technology.
−Removed: Amgen applied our XmAb bispecific Fc technology to create xaluritamig (AMG 509), a STEAP1 x CD3 XmAb 2+1 bispecific antibody.
−Removed: We have received a total of $60.5 million in upfront and milestone payments and are eligible to receive up to $255.0 million in future development, regulatory and sales milestone payments in total for xaluritamig and tiered royalties in the mid-to-high single digit percentage range on the sale of approved products.
−Removed: Amgen is currently completing enrollment in a Phase 1 study of xaluritamig in patients with mCRPC.
−Removed: In October 2023 at the European Society for Medical Oncology (ESMO) Congress, encouraging interim clinical results from the study were presented during an oral proffered paper session, which we believe validates the potential of the XmAb 2+1 format.
−Removed: Amgen is planning two additional Phase 1 studies of xaluritamig to evaluate preliminary efficacy and safety in patients with early prostate cancer.
−Removed: In connection with our June 2016 agreement with Novartis, we applied our XmAb bispecific Fc technology to a target pair antibody selected by Novartis.
−Removed: Novartis is responsible for development and commercialization of the program.
−Removed: We are eligible to receive development, regulatory and sales milestone payments and royalties in the mid-single digit percent range on net sales of approved products.
−Removed: Novartis is evaluating an undisclosed XmAb bispecific antibody candidate.
−Removed: Technology Licensing Agreements
−Removed: We enter into technology licensing agreements in which we license access to one or more of our XmAb Fc technologies on a restricted basis, typically to our XmAb Cytotoxic Fc Domain and/or our Xtend Fc Domain.
+Added: Examples include J&J, Astellas Pharma Inc.
+Added: (Astellas), and Amgen Inc.
+Added: Technology licensing agreements are arrangements in which we license access to one or more of our XmAb Fc technologies on a restricted basis, typically to our XmAb Cytotoxic Fc Domain and/or our Xtend Fc Domain.
Our partners are responsible for all research, development and commercialization activities of the drug candidates.
The plug-and-play nature of XmAb Fc domains allows us to license access to our platforms with no internal research and development activities required of us.
−Removed: Alexion Pharmaceuticals, Inc.
−Removed: Ultomiris® (ravulizumab-cwvz) was the first antibody incorporating XmAb Fc technology to be approved by the FDA for commercial marketing.
−Removed: It is approved in the U.S.
−Removed: and multiple global markets for the treatment of certain patients with paroxysmal nocturnal hemoglobinuria (PNH), certain patients with atypical hemolytic uremic syndrome (aHUS) and certain patients with generalized myasthenia gravis (gMG).
−Removed: It is approved in the EU and Japan for the treatment of certain
−Removed: adult patients with neuromyelitis optica spectrum disorder (NMOSD).
−Removed: Ultomiris is commercialized by Alexion Pharmaceuticals, Inc.
−Removed: In 2013, we licensed Alexion the right to access our Xtend Fc domain, which Alexion used to develop an improved version of Alexion’s commercialized Soliris product.
−Removed: The Xtend technology increased the circulating half-life of Ultomiris by over three-fold compared to Soliris and extended the dosing schedule to bimonthly for Ultomiris compared to biweekly for Soliris.
−Removed: We are eligible to receive a low-single digit percent royalty on the sale of approved products.
−Removed: During 2023, we recorded royalty revenue of $38.6 million and a $20.0 million sales milestone.
−Removed: In the fourth quarter of 2023, we sold a portion of the royalties due us under the Alexion agreement for $192.5 million.
−Removed: Vir Biotechnology, Inc.
−Removed: In March 2020, we entered into an agreement in which we provided Vir a non-exclusive license to our Xtend technology to extend the half-life of novel antibodies, including sotrovimab, that Vir has investigated as potential treatments for patients with COVID-19.
−Removed: Vir, along with alliance partner GSK, is responsible for all research, development, regulatory and commercial activities for COVID-19 antibodies, and we are eligible to receive royalties on the net sales of approved products in the mid-single digit percentage range.
−Removed: During 2023, we recorded royalty revenue of $2.2 million.
−Removed: In August 2019, we entered into an agreement with Vir Biotechnology, Inc., in which we provided Vir a non-exclusive license to our Xtend technology for two targets in infectious disease.
−Removed: Tobevibart (VIR-3434) is being evaluated in a Phase 2 combination study as a potential treatment for patients with hepatitis B virus infection and in a Phase 2 combination study as a potential treatment for patients with hepatitis Delta virus infection.
−Removed: Gilead Sciences, Inc.
−Removed: In January 2020, we entered into an agreement with Gilead Sciences, Inc., in which we provided Gilead an exclusive license to our Cytotoxic Fc and Xtend Fc technologies for broadly neutralizing anti-HIV antibodies.
−Removed: Gilead is responsible for all development and commercialization activities.
−Removed: For each licensed antibody, we are eligible to receive up to $67.0 million in milestones, which includes $10.0 million in development milestones, $27.0 million in regulatory milestones, and $30.0 million in sales milestones.
−Removed: We are also eligible to receive royalties in the low-single digit percentage range on net sales of approved products.
−Removed: In 2023, Gilead initiated a Phase 2 study including two antibody candidates developed with our Fc technologies, teropavimab and zinlirvimab, and we received $6.0 million in milestone payments.
−Removed: Omeros Corporation
−Removed: In August 2020, we entered into an agreement with Omeros Corporation, in which we provided Omeros a non-exclusive license to our Xtend Fc technology, an exclusive license to apply our Xtend Fc technology to an initial identified antibody, OMS906, and options to apply our Xtend Fc technology to three additional antibodies.
−Removed: Omeros is responsible for all development and commercialization activities.
−Removed: In 2023, Omeros initiated a Phase 2 study of OMS906, a MASP-3 targeted antibody, in patients with PNH, and we received a $5.0 million milestone.
−Removed: We are eligible to receive up to an additional $60.0 million in development, regulatory and sales milestones and royalties in the mid-single digit percentage range on net sales of approved products.
−Removed: Astria Therapeutics, Inc.
−Removed: In May 2018, we entered into an agreement with Astria Therapeutics, Inc (formerly Quellis Biosciences, Inc.), in which we provided Astria a non-exclusive license to our Xtend Fc technology to apply to an identified antibody.
−Removed: Astria is responsible for all development and commercialization activities.
−Removed: Our upfront payment included common stock in Astria.
−Removed: In addition to equity shares in Astria, we are eligible to receive development, regulatory and sales milestones and we are also eligible to receive royalties in the mid-single digit percentage range on net sales of approved products.
−Removed: Strategic Collaborations
−Removed: We enter into strategic collaborations where we can create synergies between our partners’ capabilities and assets and our own protein engineering capabilities, Fc technologies and XmAb drug candidates.
+Added: Examples include Alexion Pharmaceuticals, Inc., Vir Biotechnology, Inc.
+Added: (Vir), Gilead Sciences, Inc., Omeros Corporation, and Novartis Institutes for BioMedical Research, Inc.
+Added: Strategic collaborations are arrangements where we believe we can create synergies between our partners’ capabilities and assets and our own protein engineering capabilities, Fc technologies and XmAb drug candidates.
Through these arrangements we seek to create new drug candidates, investigate novel combination therapies and potentially identify additional indications for our portfolio of XmAb drug candidates.
−Removed: Caris Life Sciences
−Removed: In July 2022, we entered into a research discovery agreement with Caris Life Sciences (Caris).
−Removed: We received exclusive options to research, develop and commercialize products directed up to three targets.
−Removed: Caris received an upfront payment and will be eligible to receive licensing fees, discovery, development, regulatory and sales-based milestones and royalty payments on net sales of each product commercialized by us and future rights for molecular profiling and companion diagnostics for drug candidates developed under the collaboration.
−Removed: In December 2022, we expanded our Caris collaboration with a second agreement.
−Removed: We paid Caris an upfront payment and Caris is eligible for additional licensing fees, milestones and royalty payments on net sales of each product commercialized by us.
−Removed: Technology License Agreement and Service Agreement with Gale Therapeutics Inc.
−Removed: In the fourth quarter of 2023, we formed a subsidiary, Gale Therapeutics Inc.
−Removed: (Gale), to develop novel drug candidates that incorporate our XmAb technologies.
−Removed: In December 2023, we entered into a Technology License Agreement (Gale License Agreement) with Gale, in which Gale received an exclusive worldwide, royalty-bearing, non-transferable license to preclinical assets in exchange for royalties on future sales and an option on future drug candidates that Gale will develop.
−Removed: Concurrently, we entered into a Services Agreement (Gale Services Agreement) to provide research and development services and administrative support to Gale.
−Removed: In exchange for $7.5 million of funding, we acquired a majority stake in Gale.
+Added: An example is Caris Life Sciences.
+Added: Clinical-Stage Drug Candidates Advanced by Partners
+Added: Xaluritamig is a STEAP1 x CD3 2+1 bispecific T-cell engager that our partner Amgen is advancing for the treatment of patients with prostate cancer.
+Added: The XmAb 2+1 multivalent format enables higher binding capability for STEAP1 expressing cells.
+Added: Results from a Phase 1 study evaluating xaluritamig in patients with mCRPC were presented at the European Society for Medical Oncology (ESMO) Congress in September 2024.
+Added: With a median follow-up time of 27.9 months, the median overall survival (OS) was 17.7 months across all cohorts.
+Added: A PSA90 rate of 45.1% was also observed in high-dose cohorts, and PSA90 response was associated with survival (p = 0.0044), which Amgen believes could potentially serve as an early indicator for benefit in these patients.
+Added: Amgen initiated a Phase 3 study of xaluritamig in patients with mCRPC who have previously been treated with taxane-based chemotherapy.
+Added: Multiple Phase 1 or Phase 1b studies evaluating xaluritamig as a monotherapy or in combination are enrolling patients with earlier prostate cancer.
+Added: Obexelimab targets CD19 with its variable domain and uses our XmAb Immune Inhibitor Fc Domain, which is designed to inhibit the function of B cells, an important component of the immune system.
+Added: In November 2021, we licensed this drug candidate to Zenas BioPharma, Inc., which is conducting a Phase 3 study in patients with immunoglobulin G4-related disease (IgG4-RD), a Phase 2 study in patients with relapsing multiple sclerosis and a Phase 2 study in patients with systemic lupus erythematosus.
+Added: Teropavimab and zinlirvimab are broadly neutralizing antibodies that incorporate our XmAb Fc technologies.
+Added: Gilead Sciences, Inc.
+Added: is advancing teropavimab and zinlirvimab in combination with lenacapavir as a long-acting treatment for virologically suppressed people living with human immunodeficiency virus (HIV) in a Phase 2 study.
+Added: Tobevibart is a neutralizing antibody that uses our XmAb Xtend Fc Domain and our XmAb Cytotoxic Fc Domain.
+Added: Vir is advancing tobevibart as a potential treatment for patients with hepatitis Delta virus infection.
+Added: Vir is conducting a Phase 2 combination study and is advancing the combination into a Phase 3 registrational clinical program.
+Added: Novartis is conducting a Phase 2 study evaluating an undisclosed antibody drug candidate that uses one of our XmAb Fc technologies.
+Added: Xpro1595 is a proprietary tumor necrosis factor (TNF) inhibitor candidate which we licensed to INmune Bio, Inc., in October 2017.
+Added: INmune is currently advancing Xpro1595 through clinical development for patients with Alzheimer’s disease and treatment-resistant depression.
+Added: Zaltenibart (OMS906) is an antibody targeting mannan-binding lectin-associated serine protease-3 (MASP-3) that uses our XmAb Xtend Fc Domain.
+Added: Omeros Corporation is conducting multiple Phase 2 studies evaluating zaltenibart for the treatment of patients with paroxysmal nocturnal hemoglobinuria (PNH) and other alternative pathway disorders.
+Added: ASP2138 is a Claudin-18.2 x CD3 2+1 bispecific antibody that our partner Astellas is advancing for the treatment of patients with gastric, gastroesophageal junction and pancreatic cancers.
+Added: The XmAb 2+1 multivalent format enables higher binding capability for Claudin-18.2 expressing cells.
+Added: Astellas is conducting a Phase 1 study evaluating ASP2138.
+Added: JNJ-9401 is a PSMA x CD28 bispecific antibody that J&J is advancing for the treatment of patients with prostate cancer.
+Added: J&J is conducting a Phase 1 study of JNJ-9401, which was developed with J&J under our 2020 collaboration.
+Added: JNJ-1493 is a CD20 x CD28 bispecific antibody that J&J is advancing for the treatment of patients with B-cell malignancies.
+Added: J&J is conducting a Phase 1 study of JNJ-1493, which was developed with J&J under our 2021 collaboration.
+Added: Efbalropendekin alfa (XmAb306/RG6323) is a reduced-potency IL15/IL15Rα-Fc fusion protein that incorporates our Xtend extended half-life technology, and we previously co-developed this program in collaboration with Genentech, a member of the Roche Group.
+Added: In the fourth quarter of 2023, we agreed with Genentech to convert our development cost and profit-sharing arrangement into a royalty and milestone payment-based arrangement.
+Added: Pursuant to the terms of the amended agreement with Genentech, effective June 1, 2024, Genentech assumed sole responsibility over all clinical, regulatory and commercial activities.
+Added: Genentech is not currently enrolling new patients into clinical studies to evaluate efbalropendekin alfa.
+Added: Our partners are conducting preclinical studies of additional drug candidates engineered with our XmAb Fc Domains.
+Added: Approved or Authorized Medicines Engineered with XmAb Fc Domains
+Added: Currently three medicines that have been developed with our XmAb Fc domains are now marketed or made available by our partners.
+Added: • Ultomiris ® (ravulizumab-cwvz) :
+Added: Alexion’s Ultomiris is approved in the U.S., Europe, and Japan for the treatment of certain patients with PNH, certain patients with atypical hemolytic uremic syndrome (aHUS), certain patients with generalized myasthenia gravis (gMG) and certain patients with neuromyelitis optica spectrum disorder (NMOSD).
+Added: Alexion is also evaluating Ultomiris in a broad late-stage development program across additional hematology, nephrology and neurology indications.
+Added: Alexion used our Xtend™ Fc Domain to enhance the half-life of Ultomiris to allow for a longer duration of action, less frequent dosing and reduced patient burden of therapy compared to the previous generation therapy, Soliris ® .
+Added: Ultomiris and Soliris are registered trademarks of Alexion Pharmaceuticals, Inc.
+Added: • Monjuvi ® (tafasitamab-cxix) :
+Added: In 2020, the United States Food and Drug Administration (FDA) approved Monjuvi under accelerated approval.
+Added: Monjuvi is a humanized Fc-modified CD19 targeting immunotherapy indicated in combination with lenalidomide for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) not otherwise specified, including DLBCL arising from low grade lymphoma, and who are not eligible for autologous stem cell transplant (ASCT).
+Added: This indication is approved under accelerated approval based on overall response rate.
+Added: Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s).
+Added: In August 2021, the European Commission granted conditional marketing authorization for Minjuvi ® (tafasitamab) in combination with lenalidomide, followed by tafasitamab monotherapy, for the treatment of adult patients with relapsed or refractory DLBCL who are not eligible for ASCT.
+Added: In addition to its approved indication, tafasitamab is being evaluated as a therapeutic option in an ongoing Phase 3 pivotal trial for first-line DLBCL.
+Added: In December 2024, Incyte announced positive full results from the pivotal study of tafasitamab in combination with lenalidomide and rituximab in relapsed or refractory follicular lymphoma and submitted a supplemental Biologics License Application.
+Added: Tafasitamab was created and initially developed by us.
+Added: Tafasitamab is marketed by Incyte under the brand name Monjuvi in the U.S.
+Added: and under the brand name Minjuvi in Europe and Canada.
+Added: Monjuvi ® and Minjuvi ® are registered trademarks of Incyte.
+Added: • Sotrovimab:
+Added: Vir and its partner GSK plc have made available sotrovimab, an antibody that targets the SARS-CoV-2 virus, which in May 2021 received an emergency use authorization (EUA) from the FDA for the early
+Added: treatment of mild-to-moderate COVID-19 in adults and pediatric patients (12 years of age and older weighing at least 40 kg) with positive results of direct SARS-CoV-2 viral testing, and at high risk for progression to severe COVID-19, including hospitalization or death.
+Added: In March 2022, the FDA deauthorized sotrovimab’s use in all U.S.
+Added: regions due to increases in the proportion of COVID-19 cases caused by the Omicron BA.2 subvariant.
+Added: Sotrovimab has obtained emergency authorization, temporary authorization or marketing approval (under the brand name Xevudy ® ) for early treatment of COVID-19 in more than 30 countries.
+Added: Sotrovimab incorporates our Xtend Fc domain for longer duration of action.
+Added: Xevudy is a registered trademark of GSK.
Our Research and Development Pipeline
We have used our XmAb Fc platforms and protein engineering capabilities to produce a growing pipeline of drug candidates in clinical and preclinical development.
−Removed: These include multiple oncology candidates using our bispecific Fc domain.
+Added: These include multiple drug candidates using our bispecific Fc domain.
We continue to advance these candidates as additional options for clinical development by us or as out-licensing opportunities.
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The RIF was applied across all functional areas.
−Removed: As of February 1, 2024, we had 256 full-time employees.
−Removed: We seek to provide human capital and employee health and safety policies that provide for the health, safety, and welfare of our employees.
−Removed: We continue practices that address the COVID-19 pandemic consistent with government
−Removed: guidelines to mitigate and prevent the spread of disease, such as masking, social distancing, providing hybrid work opportunities where possible, contact tracing, and encouraging vaccinations.
Compensation, Benefits, and Development
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We regularly evaluate our compensation programs with an independent compensation consultant and utilize industry benchmarking in an effort to ensure they are competitive compared to similar biotechnology and biopharmaceutical companies with which we compete for talent and that they are fair and equitable across our workforce with respect to gender, race, and other personal characteristics.
−Removed: All employees are eligible to participate in the Employee Stock Purchase Plan where they can purchase shares of our common stock at a discounted price.
−Removed: This plan, and our other equity compensation plans, assists us in building long-term relationships with our employees and aligns the interest of employees with stockholders.
−Removed: We also deliver a benefits program that is designed to keep our employees and their families healthy, which includes not only medical, dental and vision benefits, but also dependent care, mental health, and other wellness benefits.
−Removed: In addition, we provide a variety of programs and services to help employees meet and balance their needs at work, at home and in life.
−Removed: We value career development for all employees, and we provide reimbursement and time for employees to attend professional development courses ranging from technical training, competency-based workshops, and leadership development programs.
−Removed: Direct managers also take an active role in identifying individualized development plans to assist their employees in realizing their full potential and creating opportunities for promotions and added responsibilities that enhance the engagement and retention of our workforce.
+Added: All employees are eligible to participate in our Employee Stock Purchase Plan through which they can purchase shares of our common stock at a discounted price.
+Added: This plan and our other equity compensation plans assist us in building long-term relationships with our employees and aligns the interests of employees with stockholders.
+Added: We also provide retirement benefits along with a health and well-being program that is designed to keep our employees and their families healthy and includes paid time off and medical, dental and vision benefits, along with dependent care, mental health, and other wellness benefits.
+Added: We value career development for all employees, and offer tuition reimbursement as well as provide opportunities for employees to attend professional development courses ranging from technical training, competency-based workshops, and leadership development programs.
+Added: Direct managers also take an active role in supporting their employees in realizing their full potential and creating opportunities for promotions and added responsibilities that enhance the engagement and retention of our workforce.
+Added: We regularly conduct employee surveys to assess employee engagement and identify areas for focus.
Market Opportunity
−Removed: Our wholly owned drug candidates that use the XmAb bispecific Fc domain, which we are actively advancing in clinical development, including vudalimab, XmAb819, XmAb808 and XmAb541 :
−Removed: We are developing these bispecific antibody drug candidates to treat cancer.
−Removed: Cancer is a broad group of diseases in which cells divide and grow in an uncontrolled fashion, forming malignancies that can invade other parts of the body, and it is the second leading cause of death in the United States (U.S.).
+Added: Our wholly owned drug candidates that we are actively advancing in clinical development in oncology indications, including XmAb819, XmAb541 and XmAb808 :
+Added: We are developing these T-cell engaging bispecific antibody drug candidates to treat cancer.
+Added: Cancer is a broad group of diseases in which cells divide and grow in an uncontrolled fashion, forming malignancies that can invade other parts of the body, and it is the second leading cause of death in the U.S.
The American Cancer Society estimates that in 2025 there will be approximately 2.0 million new cases of cancer and approximately 618,120 deaths from cancer.
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population, medical expenditures for cancer in the year 2030 are projected to reach at least $245.6 billion.
+Added: XmAb942, our wholly owned anti-TL1A antibody drug candidate that we are actively advancing in clinical development to treat IBD:
+Added: IBD is a chronic condition affecting an estimated 2.4 to 3.1 million adults in the United States, according to the U.S.
+Added: Centers for Disease Control and Prevention, with increasing prevalence.
+Added: The Crohn's and Colitis Foundation estimates that 70,000 new cases are diagnosed annually.
+Added: IBD includes ulcerative colitis, which inflames the colon’s lining, and Crohn’s disease, which can affect any part of the gastrointestinal tract.
+Added: Symptoms include abdominal pain, diarrhea, bloody stool, weight loss, bowel urgency, bloating, nausea, joint pain, fatigue, fever, reduced appetite and mental health impact.
+Added: Both conditions significantly impact patients’ quality of life, with lower life expectancy, surgeries and hospitalizations, and increased risk for both intestinal resection and colorectal cancer.
+Added: Despite available therapies, only 10% to 20% of patients achieve durable remission, highlighting a major unmet need.
+Added: Many experience inadequate response, loss of efficacy, or side effects.
+Added: Treatment adherence is also challenging due to frequent dosing and administration burdens.
+Added: GlobalData has estimated that the market size for the treatment of Crohn's disease and ulcerative colitis, the two most common forms of IBD, will reach $40 billion worldwide by the year 2032.
Intellectual Property
−Removed: The foundation for our XmAb technology and our product candidates and partnering is the generation and protection of intellectual property for novel antibody and cytokine therapeutics.
−Removed: We combine proprietary computational methods for amino acid sequence design with laboratory generation and testing of new antibody and cytokine compositions.
+Added: The foundation for our XmAb technology and our product candidates and partnering is the generation and protection of intellectual property for novel antibody therapeutics.
+Added: We combine proprietary computational methods for amino acid sequence design with laboratory generation and testing of new antibody compositions.
Our design and engineering team prospectively assesses, with patent counsel, the competitive landscape with the goal of building broad patent positions and avoiding third-party intellectual property.
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We have filed additional patent applications derived from these applications as we discover new properties of the Fc variants and as new business opportunities arise.
−Removed: We continually seek to expand the intellectual property coverage of our technology and candidates and invest in discovering new Fc domain technologies, antibody product candidates, and cytokine product candidates.
−Removed: Our patent estate, on a worldwide basis, includes over 1,500 issued patents and pending patent applications which we own, with claims directed to XmAb Fc domains, all of our clinical and preclinical stage product candidates and our computational protein design methods and platforms.
−Removed: We also have a large number of issued patents and pending patent applications with claims directed specifically to our XmAb technology and candidates.
+Added: We continually seek to expand the intellectual property coverage of our technology and candidates and invest in discovering new Fc domain technologies and antibody product candidates.
+Added: Our patent estate, on a worldwide basis, includes issued patents and pending patent applications, with claims directed to XmAb Fc domains, all of our clinical and preclinical stage product candidates and our computational protein design methods and platforms.
The patent expiration in the U.S.
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Bispecific 2034 U.S.
−Removed: CD3 T Cell Engagers 2035 U.S.
−Removed: CD28 T Cell Engagers 2041 U.S.
+Added: CD3 T-Cell Engagers
+Added: CD28 T-Cell Engagers
Company Products Patent Expiry
XmAb808 2041 U.S, and Ex-U.S.
−Removed: Vudalimab, XmAb104 2037 U.S.
XmAb819 2040 U.S.
−Removed: XmAb819 2040 U.S.
−Removed: XmAb306 2038 U.S.;
Partnered Products Patent Expiry
−Removed: Monjuvi (tafasitamab) 2029 U.S.;
Ultomiris 2025 U.S.;
−Removed: AIMab7195 (XmAb7195) 2029 U.S.
Sotrovimab 2025 U.S.;
−Removed: Obexelimab (XmAb5871) 2029 U.S.;
−Removed: Plamotamab 2035 U.S.
The Hatch-Waxman Act permits a patent term extension for FDA-approved drugs, including biological products, of up to five years beyond the expiration of the patent.
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In many cases, this allows biosimilars to be brought to market without conducting the full suite of clinical trials typically required of originators.
−Removed: Under the ACA, a manufacturer may submit an application for licensure of a biologic product that is "biosimilar to" or "interchangeable with" a previously approved biological product or "reference product." The "biosimilar" application must include specific information demonstrating bio similarity based on data derived from:
+Added: Under the ACA, a manufacturer may submit an application for licensure of a biologic product that is "biosimilar to" or "interchangeable with" a previously approved biological product or "reference product." The "biosimilar" application must include specific information demonstrating biosimilarity based on data derived from:
(1) analytical studies, (2) animal studies, and (3) a clinical study or studies that are sufficient to demonstrate safety, purity, and potency in one or more appropriate conditions of use for which the reference product is licensed, except that FDA may waive some of these requirements for a given application.
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We have obtained registrations for the Xencor trademark, as well as certain other trademarks, which we use in connection with our pharmaceutical research and development services and our clinical-stage products, including XmAb.
−Removed: We currently have registrations for Xencor and XmAb in the United States, Australia, Canada, the European Union, the United Kingdom, and Japan, and for Proteins by Design in the United States, Australia, Canada, and the European Union and the United Kingdom.
+Added: We currently have registrations for Xencor and XmAb in the United States, Australia, Canada, the
+Added: European Union, the United Kingdom, and Japan, and for Proteins by Design in the United States, Australia, Canada, and the European Union and the United Kingdom.
Third-Party Vendors and Suppliers
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We believe that this allows us to accelerate the drug development process by not relying on third parties for all of our manufacturing needs.
−Removed: We have adopted a manufacturing strategy of contracting with third parties in accordance with current good manufacturing practices (cGMPs) for the manufacture of drug substance and product, including our pipeline of bispecific antibody and cytokine development candidates.
−Removed: We have used third party manufacturers for all our bispecific antibody and cytokine candidates which include:
−Removed: plamotamab, vudalimab, XmAb104, XmAb306, XmAb564, XmAb819 XmAb808, XmAb662 and, XmAb541.
+Added: We have adopted a manufacturing strategy of contracting with third parties in accordance with current good manufacturing practices (cGMPs) for the manufacture of drug substance and product, including our pipeline of antibody development candidates.
+Added: We have used third-party manufacturers for all our antibody candidates which include XmAb819, XmAb541, XmAb808, plamotamab, XmAb942 and XmAb657.
Additional contract manufacturers are used to fill, label, package and distribute investigational drug products.
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In July 2014, we entered into a master services agreement (KBI Agreement) with KBI Biopharma, Inc.
−Removed: We have engaged KBI under the KBI Agreement for process development, clinical scale-up, analytical method development, formulation development, and other services related to drug substance and drug product for our bispecific antibody and cytokine development candidates:
−Removed: plamotamab, vudalimab, XmAb104, XmAb306, XmAb564 and XmAb541 in accordance with cGMP regulations.
+Added: We have engaged KBI under the KBI Agreement for process development, clinical scale-up, analytical method development, formulation development, and other services related to drug substance and drug product for our antibody development candidates, XmAb541 and plamotamab, in accordance with cGMP regulations.
For each bispecific program, we have entered into a separate agreement with the terms and conditions of services and payment.
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The royalty is less than 1%.
−Removed: Selexis has manufactured cell lines for certain of our bispecific antibody and cytokine drug candidates, and we currently have rights to obtain commercial licenses to the Selexis cell line for the following bispecific antibody and cytokine candidates:
−Removed: plamotamab, vudalimab, XmAb104, XmAb306, XmAb564, and XmAb819.
+Added: Selexis has manufactured cell lines for certain of our bispecific antibody drug candidates, and we currently have rights to obtain commercial licenses to the Selexis cell line for antibody candidates including XmAb819 and plamotamab.
License Agreement with BIO-TECHNE
−Removed: In April 2021, we entered into an agreement with BIO-TECHNE for a non-exclusive license to a certain recombinant monoclonal antibody reactive with human Claudin-6 (CLDN6).
+Added: In April 2021, we entered into an agreement with BIO-TECHNE for a non-exclusive license to a certain recombinant monoclonal antibody reactive with human CLDN6.
We are using this protein in our XmAb541 drug candidate.
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Under the terms of the Patheon Agreement, any of the affiliates within the global network of service sites in Thermo Fisher Scientific Inc.’s Pharma Services Group may perform clinical manufacturing and development services for us in accordance with cGMP regulations.
−Removed: The Patheon Agreement may be terminated by either party for a breach or default that is not remedied within 30 days, or such other time period as may be reasonably necessary to remedy such breach after receiving notice of the breach from the non-breaching party or if the other party is subject to an insolvency event.
+Added: The Patheon Agreement may be terminated by either party for a breach or default that is not remedied within 30 days, or such other time period as may be reasonably necessary
+Added: to remedy such breach after receiving notice of the breach from the non-breaching party or if the other party is subject to an insolvency event.
We have the unilateral right to terminate the Patheon Agreement upon 30 days written notice to Patheon for any business reason, subject to cancellation fees.
−Removed: Patheon has the unilateral right to terminate the Patheon Agreement if we request to reschedule work beyond 120 days, the project work is not progressing according to our expectations and we cannot agree on appropriate changes, after six months of inactivity on a project at our request or if Patheon determines it is unable to perform its obligations in a safe and effective way in compliance with applicable regulatory requirements.
−Removed: Patheon is currently manufacturing drug substance material for our XmAb819 program and drug product for our plamotamab program.
+Added: Patheon has the unilateral right to terminate the Patheon Agreement if we request to reschedule work beyond 120 days, if project work is not progressing according to our expectations and we cannot agree on appropriate changes, if after six months of inactivity on a project at our request or if Patheon determines it is unable to perform its obligations in a safe and effective way in compliance with applicable regulatory requirements.
+Added: Patheon manufactures drug substance material for our XmAb819 program and drug product for our plamotamab program.
Master Services Agreement with WuXi Biologics (Hong Kong) Limited
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WuXi has the unilateral right to terminate the WuXi Agreement only if the services cannot be performed due to technical difficulties or the performance of the services is not permitted under applicable law.
−Removed: WuXi is currently manufacturing drug substance and drug product for our XmAb808 and XmAb662 programs.
+Added: WuXi manufactures drug substance and drug product for our XmAb808, XmAb657 and XmAb942 programs.
Master Clinical Services Agreement with ICON Clinical Research Limited
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The ICON Agreement may be terminated by either party for a breach by the other party that is not remedied within 30 days, or if the other party is subject to an insolvency event.
−Removed: Each party may terminate the ICON Agreement upon 30 days’ prior written notice to the other party for any reason, however such termination would not affect any ongoing project under the ICON Agreement.
+Added: Each party may terminate the ICON Agreement upon 30 days’ prior written notice to the other party for any reason;
+Added: however, such termination would not affect any ongoing project under the ICON Agreement.
We may unilaterally terminate any project under the ICON Agreement upon 30 days’ prior written notice to ICON for any reason, subject to applicable close-out costs.
−Removed: ICON is currently providing services to us in connection with ongoing Xencor-sponsored clinical trial that target oncology indications.
−Removed: Master Services Agreement with Innovaderm Research, Inc.
−Removed: In April 2022, we entered into a Master Services Agreement (Innovadrem Agreement) with Innovaderm Research, Inc.
−Removed: (Innovaderm).
−Removed: Under the terms of the Innovaderm Agreement, Innovaderm will perform clinical trial management and
−Removed: clinical development services (including site selection, study design, site monitoring, management and training, and patient selection) for Xencor in accordance with applicable regulations.
−Removed: The Innovaderm Agreement may be terminated by either party for a breach upon 15 days' written notice, if such breach is not cured within 30 days.
−Removed: We may terminate the Innovaderm Agreement upon 30 days' written notice to Innovaderm for any reason;
−Removed: however, we will be obligated for any costs incurred through the cancellation date and any non-refundable and non-cancellable commitments incurred by Innovaderm.
−Removed: Innovaderm is currently conducting clinical studies for our XmAb564 program.
+Added: ICON provides services to us in connection with ongoing Xencor-sponsored clinical trials in oncology indications.
Master Services Agreement with PPD Development, L.P.
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however, we will be obligated for any costs incurred through the cancellation date and any non-refundable and non-cancellable commitments incurred by PPD.
−Removed: PPD is currently conducting clinical studies for our vudalimab program.
+Added: PPD conducts clinical studies for our vudalimab program.
Master Services Agreement with Vetter Pharma International GmbH
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For each bispecific program, we have entered into a separate agreement with the terms and conditions of services and payment.
−Removed: The Vetter Agreement is for a eight-year term but is automatically extended on an annual basis until the services are completed.
−Removed: The Vetter Agreement may be terminated by either party for a breach that is not remedied within 60 days after notice or 60 days after notice of the existence of an incurable scientific or technical issue that renders Vetter unable to render services under the Vetter Agreement.
+Added: The Vetter Agreement is for an eight-year term but is automatically extended on an annual basis until the services are completed.
+Added: The Vetter Agreement
+Added: may be terminated by either party for a breach that is not remedied within 60 days after notice or 60 days after notice of the existence of an incurable scientific or technical issue that renders Vetter unable to render services under the Vetter Agreement.
For termination other than a material breach by Vetter, we must pay for all services conducted prior to the termination and to wind down the activities.
−Removed: Vetter is currently manufacturing drug product for our vudalimab and XmAb541 programs.
−Removed: Master Services Agreement with OncoBay Clinical, Inc.
−Removed: In August 2023, we entered into a Master Services Agreement (OncoBay Agreement) with OncoBay Clinical, Inc.
−Removed: Under the terms of the OncoBay Agreement, OncoBay will perform Contract Research Organization (CRO) services including clinical trial management and clinical development services (including site selection, study design, site monitoring, management and training, and patient selection) for Xencor in accordance with applicable regulations.
−Removed: The OncoBay Agreement may be terminated by either party for a breach upon 30 days' written notice, if such breach is not cured within thirty (30) days.
−Removed: We may terminate the OncoBay Agreement upon 60 days' written notice to OncoBay for any reason;
−Removed: however, we will be obligated for any costs incurred through the cancellation date and any non-refundable and non-cancellable commitments incurred by OncoBay.
−Removed: OncoBay is currently conducting clinical studies for our XmAb541 program.
+Added: Vetter manufactures drug product for our XmAb541 program.
+Added: Master Services Agreement with Kapadi (formerly OncoBay Clinical, Inc.)
+Added: In August 2023, we entered into a Master Services Agreement (Kapadi Agreement) with OncoBay Clinical, Inc., now Kapadi.
+Added: Under the terms of the Kapadi Agreement, Kapadi will perform Contract Research Organization (CRO) services including clinical trial management and clinical development services (including site selection, study design, site monitoring, management and training, and patient selection) for Xencor in accordance with applicable regulations.
+Added: The Kapadi Agreement may be terminated by either party for a breach upon 30 days' written notice, if such breach is not cured within thirty (30) days.
+Added: We may terminate the Kapadi Agreement upon 60 days' written notice to Kapadi for any reason;
+Added: however, we will be obligated for any costs incurred through the cancellation date and any non-refundable and non-cancellable commitments incurred by Kapadi.
+Added: Kapadi conducts clinical studies for our XmAb541 program.
We compete in an industry that is characterized by rapidly advancing technologies, intense competition, and a strong emphasis on proprietary products.
Our competitors include pharmaceutical companies, biotechnology companies, academic institutions, and other research organizations.
−Removed: We compete with these parties for promising targets for antibody-based therapeutics, new technology for optimizing antibodies and cytokines, and in recruiting highly qualified personnel.
+Added: We compete with these parties for promising targets for antibody-based therapeutics, new technology for optimizing antibodies, and in recruiting highly qualified personnel.
Many competitors and potential competitors have substantially greater scientific, research, and product development capabilities as well as greater financial, marketing and sales, and human resources than we do.
−Removed: In addition, many specialized biotechnology firms have formed collaborations with large, established companies to support the research,
−Removed: development, and commercialization of products that may be competitive with ours.
+Added: In addition, many specialized biotechnology firms have formed collaborations with large, established companies to support the research, development, and commercialization of products that may be competitive with ours.
Accordingly, our competitors may be more successful than we may be in developing, commercializing, and achieving widespread market acceptance.
In addition, our competitors’ products may be more effective, more effectively developed, or more effectively marketed and sold than any treatment we or our development partners may commercialize, which may render our product candidates obsolete or noncompetitive before we can recover the expenses related to developing and commercializing any of our product candidates.
−Removed: Competition in the field of cancer drug development is intense, with hundreds of compounds in clinical trials.
−Removed: Many large pharmaceutical companies and other smaller biotechnology companies are developing competing bispecific antibody platforms, and many of these companies have advanced multiple drug candidates into clinical development, including Amgen Inc.;
+Added: Competition in the field of cancer and autoimmune drug development is intense, with hundreds of compounds in clinical trials.
+Added: Many large pharmaceutical companies and other smaller biotechnology companies are developing competing bispecific antibody platforms, and many of these companies have advanced multiple drug candidates into clinical development, including Amgen;
Macrogenics, Inc.;
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We are developing bispecific antibody drug candidates engineered to direct cytotoxic T-cell killing of solid tumor cells, by engaging the CD3 or CD28 receptor on T cells and an antigen on tumor cells.
−Removed: Other companies conducting clinical trials to evaluate CD3 or CD28 bispecific antibodies directed to antigens expressed on solid tumors include Amgen Inc.;
−Removed: Astellas Pharma Inc.;
+Added: Other companies conducting clinical trials to evaluate CD3 or CD28 bispecific antibodies directed to antigens expressed on solid tumors include Amgen;
BioAtla, Inc.;
+Added: Context Therapeutics Inc.;
CytomX Therapeutics, Inc.;
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Roche Holding AG;
−Removed: and Takeda Pharmaceutical Co.
+Added: Takeda Pharmaceutical Co.
Other antibodies, antibody drug conjugates and cell therapies are in development or approved to treat patients with cancer.
−Removed: We are also developing several bispecific antibody drug candidates engineered to selectively engage the immune system in order to treat patients with cancer.
−Removed: Immuno-oncology is a competitive field within the biotechnology and pharmaceutical industries, and most large pharmaceutical companies are developing drug candidates, have marketed medicines in this space, or both:
−Removed: AstraZeneca plc;
−Removed: Bristol-Myers Squibb Company;
−Removed: GlaxoSmithKline plc;
+Added: We are also developing bispecific antibody drug candidates engineered to direct cytotoxic T-cell killing of B cells, by engaging the CD3 receptor on T cells and either the CD20 or CD19 receptor on B cells.
+Added: Other companies currently conducting clinical trials to evaluate CD3 bispecific antibodies directed to CD20 or CD19 for the treatment of autoimmune disease include Amgen;
+Added: Cullinan Therapeutics, Inc.;
+Added: and Roche Holding AG.
+Added: Other antibodies and cell therapies are in development or approved to treat patients with autoimmune diseases.
+Added: We are developing antibody drug candidates that target the cytokine TL1A for the potential treatment of IBD.
+Added: Other companies currently conducting clinical trials to evaluate anti-TL1A antibodies include:
Merck & Co., Inc;
Roche Holding AG;
−Removed: and Sanofi S.A.
−Removed: While tuning the binding affinities plays a crucial role in designing the mechanism of action for this class of bispecific antibody, smaller companies advancing clinical programs that, like vudalimab, dually target the immune checkpoint receptors PD-1 and CTLA-4 include Akeso, Inc.
−Removed: and Macrogenics, Inc.
+Added: Spyre Therapeutics, Inc.;
+Added: and Teva Pharmaceutical Industries Limited.
In addition, we are aware of a number of other companies with development-stage programs that may compete with the drug candidates we and our licensees are developing in the future.
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In particular, drugs and biologic products are subject to rigorous preclinical studies and clinical trials and other approval procedures of the FDA and similar regulatory authorities in foreign countries.
+Added: Generally, our activities in other countries will be subject to regulation that is similar in nature and scope as that imposed in the U.S., although there can be important differences.
+Added: We, along with our contract manufacturers (CMOs), contract research organizations (CROs), and third-party vendors, will be required to satisfy these requirements in each of the countries in which we wish to conduct studies or seek approval of our product candidates.
The process of obtaining these approvals and the subsequent compliance with appropriate federal and state statutes and regulations require the expenditure of substantial time and financial resources.
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In the United States, the FDA regulates drugs and biologic products under the Federal Food, Drug and Cosmetic Act (FDCA), its implementing regulations, and other laws including, in the case of biologics, the Public Health Service Act.
+Added: These products are also subject to other federal, state and local statutes and regulations.
Our product candidates are subject to regulation by the FDA as a biologic.
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The process of obtaining regulatory approvals for commercial sale and distribution and the subsequent compliance with applicable federal, state, local and foreign statutes and regulations require the expenditure of substantial time and financial resources.
−Removed: Failure to comply with the applicable requirements at any time during the product development process, approval process or after approval, may subject an applicant to administrative or judicial civil or criminal sanctions.
−Removed: These sanctions could include the FDA’s refusal to approve pending applications, license suspension or revocation, withdrawal of an approval, imposition of a clinical hold on clinical trials, warning letters, product recalls, product seizures, total or partial suspension of production, or distribution, injunctions, fines, refusals of government contracts, restitution, disgorgement or civil and/or criminal penalties.
+Added: Failure to comply with the applicable requirements at any time during the product development process, approval process or after approval, may subject an applicant to administrative, judicial, civil or criminal sanctions.
+Added: These sanctions could include the FDA’s refusal to allow us to proceed with clinical testing, approve pending applications, license suspension or revocation, withdrawal of an approval, imposition of a clinical hold on clinical trials, issuance of untitled or warning letters, product recalls or withdrawals from the market, product seizures, total or partial suspension of production, or distribution, injunctions, fines, refusals of government contracts, restitution, disgorgement or civil and/or criminal penalties or prosecution.
The process required by the FDA before a biologic may be marketed in the United States generally involves the following:
−Removed: completion of preclinical laboratory tests, animal studies, and formulation studies performed in accordance with the FDA’s current Good Laboratory Practices (GLP) regulations;
−Removed: submission to and acceptance by the FDA of an IND which must become effective before human clinical trials in the United States may begin;
−Removed: performance of adequate and well-controlled human clinical trials in accordance with the FDA’s current Good Clinical Practices (GCP) regulations to establish the safety and efficacy of the product candidate for its intended use;
+Added: completion of preclinical laboratory tests, animal studies, and formulation studies performed in accordance with applicable regulations, including the FDA’s current Good Laboratory Practices (GLP) regulations;
+Added: submission to and acceptance by the FDA of an IND which must become effective before human clinical trials in the United States may begin and must be updated annually;
+Added: approval by an independent institutional review board (IRB) or ethics committee representing each clinical site before each clinical trial may be initiated;
+Added: performance of adequate and well-controlled human clinical trials in accordance with the FDA’s current Good Clinical Practices (GCP) regulations to establish the safety and efficacy of the product candidate for its proposed indication;
submission to and acceptance by the FDA of a BLA;
−Removed: satisfactory completion of an FDA inspection (if the FDA deems it as a requirement) of the manufacturing facility or facilities where the product is produced to assess compliance with the FDA’s cGMP regulations to assure that the facilities, methods, and controls are adequate to preserve the product’s identity, strength, quality, and purity;
−Removed: potential audits by the FDA of the nonclinical and clinical trial sites that generated the data in support of the BLA;
+Added: manufacture of the drug substance and drug product in accordance with the FDA’s current Good Manufacturing Practice (cGMP) requirements, along with required analytical and stability testing;
+Added: preparation of and submission to the FDA of a BLA requesting marketing approval for one or more proposed indications, that includes sufficient evidence to establish the safety, purity, and potency of the proposed biologic product for its intended indication, including from results of nonclinical testing and clinical trials and detailed information on the chemistry, manufacturing and quality controls for the product candidate and proposed labeling;
+Added: a determination by the FDA within 60 days of its receipt of a BLA to file the application for review;
+Added: satisfactory completion of one or more pre-approval or pre-license inspections by FDA (if the FDA deems it as a requirement) of the manufacturing facility or facilities where the product is produced to assess compliance with the FDA’s cGMP regulations to assure that the facilities, methods, and controls are adequate to preserve the product’s identity, strength, quality, and purity;
+Added: potential audits by the FDA of the nonclinical and clinical trial sites that generated the data in support of the BLA to assure compliance with GLPs and GCPs, as applicable, and the integrity of the data in support of the BLA;
potential review of the BLA by an external Advisory Committee to the FDA, whose recommendations are not binding on the FDA;
+Added: payment of user fees under the Prescription Drug User Fee Act (PDUFA), unless exempted;
FDA review and approval of the BLA prior to any commercial marketing or sale;
+Added: compliance with any post-approval requirements, including risk evaluation and mitigation strategies (REMS) and post-approval studies required by the FDA.
Before testing any compounds with potential therapeutic value in humans, the product candidate enters the preclinical testing stage.
Preclinical tests include laboratory evaluations of product chemistry, stability, and formulation, as well as animal studies to assess the potential toxicity and activity of the product candidate.
−Removed: Clinical trials involve the administration of the product candidate to human patients under the supervision of qualified investigators, generally physicians not employed by or under the clinical trial sponsor’s control.
+Added: The conduct of preclinical studies is subject to federal and state regulation and requirements, including GLP requirements for safety/toxicology studies.
+Added: The results of the preclinical studies, together with manufacturing information and analytical data, must be submitted to the FDA as part of an IND.
+Added: An IND is a request for authorization from the FDA to administer an investigational biological product to humans in clinical trials in the U.S.
+Added: The central focus of an IND submission is on the general investigational plan, the protocol(s) for human trials and the safety of trial participants.
+Added: The IND also includes results of animal and in vitro studies assessing the toxicology, pharmacokinetics, pharmacology, and pharmacodynamic characteristics of the product;
+Added: chemistry, manufacturing and controls information;
+Added: and any available human data or literature to support the use of the investigational product.
+Added: An IND must become effective before human clinical trials may begin.
+Added: An IND will automatically become effective 30 days after receipt by the FDA, unless before that time the FDA raises concerns or questions related to the proposed clinical trials.
+Added: In such a case, the IND may be placed on clinical hold, and the IND sponsor and the FDA must resolve any outstanding concerns or questions before clinical trials can begin.
+Added: Accordingly, submission of an IND may or may not result in the FDA allowing clinical trials to commence.
+Added: At any time during the initial 30-day IND review period or while clinical trials are ongoing under the IND, the FDA may impose a partial or complete clinical hold.
+Added: Clinical holds may be imposed by the FDA when there is concern for patient safety and may be a result of new data, findings, or developments in clinical, nonclinical, and/or chemistry, manufacturing and controls or where there is non-compliance with regulatory requirements.
+Added: A clinical hold would delay either a proposed clinical trial or cause suspension of an ongoing trial, until all outstanding concerns have been adequately addressed and the FDA has notified the company that investigations may proceed.
+Added: A separate submission to an existing IND must also be made for each successive clinical trial to be conducted, and the FDA must grant permission, either explicitly or implicitly by not objecting, before each clinical trial can begin.
+Added: Accordingly, we cannot be sure that
+Added: submission of an IND will result in the FDA allowing clinical trials to begin, or that, once begun, issues will not arise that could cause the trial to be suspended or terminated.
+Added: Clinical trials involve the administration of the product candidate to human patients under the supervision of qualified investigators, generally physicians not employed by or under the clinical trial sponsor’s control, in accordance with GCPs, which include the requirement that all research subjects provide their informed consent for their participation in any clinical trial.
Clinical trials are conducted under protocols detailing, among other things, the objectives of the clinical trial, dosing procedures, subject selection and exclusion criteria, and the parameters to be used to monitor subject safety and effectiveness.
−Removed: The FDA or responsible Institutional Review Board may place a trial on hold at any time related to perceived risks to patient safety.
−Removed: Phases of clinical development include:
+Added: Each protocol, and any subsequent amendments to the protocol, must be submitted to the FDA as part of the IND before a trial commences.
+Added: Additionally, approval must also be obtained from each clinical trial site’s Institutional Review Board (IRB), before the trials may be initiated and the IRB must monitor the trial until completed.
+Added: The IRB is charged with protecting the welfare and rights of trial participants and will consider, among other things, clinical trial design, patient informed consent, ethical factors, the safety of human subjects and the possible liability of the institution.
+Added: The FDA or responsible IRB may place a trial on hold at any time related to perceived risks to patient safety.
+Added: Additionally, some clinical trials are overseen by an independent group of qualified experts organized by the clinical trial sponsor, known as a data and safety monitoring board or committee.
+Added: This group provides authorization for whether or not a trial may move forward at designated check points based on access to certain data from the trial.
+Added: We may also suspend or terminate a clinical trial based on evolving business objectives or competitive climate.
+Added: A sponsor may choose, but is not required, to conduct a foreign clinical trial under an IND.
+Added: When a foreign clinical trial is conducted under an IND, all FDA IND requirements must be met unless waived.
+Added: When the foreign clinical trial is not conducted under an IND, the sponsor must ensure that the study is conducted in accordance with GCP, including review and approval by an independent ethics committee (IEC) and informed consent from subjects.
+Added: The GCP requirements are intended to help ensure the protection of human subjects enrolled in non-IND foreign clinical trials, as well as the quality and integrity of the resulting data.
+Added: FDA must also be able to validate the data from the study through an on-site inspection if necessary.
+Added: There are also requirements governing the reporting of ongoing clinical trials and clinical trial results to public registries, including on clinicaltrials.gov.
+Added: A sponsor of an investigational biological product for a serious disease or condition is required to make available, such as by posting on its website, its policy on evaluating and responding to requests for individual patient access to such investigational biological product.
+Added: This requirement applies on the earlier of the first initiation of a Phase 2 or Phase 3 trial of the investigational biological product or, as applicable, 15 days after the biological product receives a designation as a breakthrough therapy or fast track product.
+Added: Clinical trials are generally conducted in sequential phases, known as Phase 1, Phase 2 and Phase 3, and may overlap:
The product candidate is initially introduced into a limited population of healthy human subjects, or in some cases, patients with the disease for which the drug candidate is intended, and tested for safety, dosage tolerance, absorption, metabolism, distribution, and excretion.
In the case of some products for some diseases, or when the product may be too inherently toxic to ethically administer to healthy volunteers, the initial human testing is often conducted in patients with the disease or condition for which the product candidate is intended to gain an early indication of its effectiveness.
−Removed: The product candidate is evaluated in a limited patient population (but larger than in Phase 1) to identify possible adverse effects and safety risks, to preliminarily evaluate the efficacy of the product for specific targeted indications, and to assess dosage tolerance, optimal dosage, and dosing schedule.
−Removed: Clinical trials are undertaken to further evaluate dosage and provide substantial evidence of clinical efficacy and safety in an expanded patient population (such as several hundred to several thousand) at geographically dispersed clinical trial sites.
+Added: The product candidate is evaluated in a limited, disease-affected patient population (but larger than in Phase 1) to identify possible adverse effects and safety risks, to preliminarily evaluate the efficacy of the product for specific targeted indications, and to assess dosage tolerance, optimal dosage, and dosing schedule.
+Added: Clinical trials are undertaken to further evaluate dosage and provide substantial evidence of clinical efficacy and safety in an expanded patient population at geographically dispersed clinical trial sites.
Phase 3 clinical trials are intended to establish the overall risk/benefit ratio of the product and provide an adequate basis for product labeling.
−Removed: Generally, two adequate and well-controlled Phase 3 clinical trials are required by the FDA for approval of a BLA.
+Added: Frequently, two adequate and well-controlled Phase 3 clinical trials are required by the FDA for approval of a BLA.
Post Approval.
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These studies are used to gain additional experience from the treatment of patients in the intended therapeutic indication and may be required by the FDA as a condition of approval.
+Added: Such post-approval trials are sometimes referred to as Phase 4 clinical trials.
+Added: In the case of drugs approved under Accelerated
+Added: Approval, post-approval trials are intended to confirm clinical benefit seen with a surrogate endpoint using a long-term clinical outcome endpoint.
+Added: Failure to exhibit due diligence with regard to conducting such Phase 4 clinical trials could result in withdrawal of approval for products or other consequences.
+Added: Progress reports detailing the results of the clinical trials, among other information, must be submitted at least annually to the FDA;
+Added: written IND safety reports must be submitted to the FDA and the investigators for Serious and Unexpected Suspected Adverse Reactions, findings from other studies suggesting a significant risk to humans exposed to the drug, findings from animal or in vitro testing that suggest a significant risk for human subjects and any clinically important increase in the rate of a serious suspected adverse reaction over that listed in the protocol or investigator brochure.
+Added: Phase 1, Phase 2 and Phase 3 clinical trials may not be completed successfully within any specified period, if at all.
+Added: The FDA or the sponsor may suspend or terminate a clinical trial at any time on various grounds, including a finding that the research subjects or patients are being exposed to an unacceptable health risk.
+Added: Similarly, an IRB can suspend or terminate approval of a clinical trial at its institution if the clinical trial is not being conducted in accordance with the IRB’s requirements or if the drug has been associated with unexpected serious harm to patients.
Concurrent with clinical trials, companies usually complete additional animal studies and must also develop additional information about the chemistry and physical characteristics of the biologic and finalize a process for manufacturing the product in commercial quantities in accordance with cGMP requirements.
+Added: Additionally, appropriate packaging must be selected and tested, and stability studies must be conducted to demonstrate that the product candidate does not undergo unacceptable deterioration over its shelf life.
Review and Approval Processes
The results of product development, preclinical studies and clinical trials, along with descriptions of the manufacturing process, analytical tests, proposed labeling, and other relevant information are submitted to the FDA in the form of a BLA requesting approval to market the product for one or more specified indications.
+Added: Data can come from company-sponsored clinical trials intended to test the safety and effectiveness of a use of a product, or from a number of alternative sources, including trials initiated by investigators.
+Added: To support marketing approval, the data submitted must be sufficient in quality and quantity to establish the safety and effectiveness of the investigational product to the satisfaction of the FDA.
+Added: Under federal law, the submission of most BLAs is subject to an application user fee, and the sponsor of an approved BLA is also subject to an annual program fee for each approved biological product on the market.
+Added: Applications for orphan drug products are exempted from the BLA application fee and may be exempted from program fees, unless the application includes an indication for other than a rare disease or condition.
The standard time for the FDA to accept a BLA submission is two months.
+Added: The FDA may request additional information rather than accept an application for filing.
If the FDA determines that the BLA is substantially complete, it will accept the BLA for review.
−Removed: Once accepted, the FDA reviews the BLA to determine, among other things, whether the proposed product is safe and effective for its intended use, and whether the product is being manufactured in accordance with cGMP to assure and preserve the product’s identity, strength, quality, and purity, and it may inspect the manufacturing facilities to assure cGMP compliance and clinical sites used during the clinical trials to assure cGMP compliance.
+Added: Once accepted, the FDA reviews the BLA to determine, among other things, whether the proposed product is safe and effective for its intended use, and whether the product is being manufactured in accordance with cGMP to assure and preserve the product’s identity, strength, quality, and purity, and it may inspect the manufacturing facilities to assure cGMP compliance and one or more clinical sites used during the clinical trials to assure GCP compliance.
+Added: Material changes in manufacturing equipment, location, or process post-approval, may result in additional regulatory review and approval.
The standard FDA review process is 10 months once a BLA is accepted for review, but it can take longer.
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The FDA may, on its own initiative or at the request of the applicant, grant deferrals for submission of some or all pediatric data until after approval of the product for use in adults, or full or partial waivers from the pediatric data requirements.
−Removed: The FDA will issue a complete response letter describing deficiencies in the BLA and recommend actions if the agency decides not to approve the BLA.
−Removed: The applicant will have to address all of the deficiencies which could take substantial time to address.
−Removed: If the product receives regulatory approval, the approval may be significantly limited to specific diseases and dosages, or the indications for use may otherwise be limited and may require that certain contraindications, warnings, or precautions be included in the product labeling.
−Removed: In addition, the FDA may require post marketing studies, sometimes referred to as Phase 4 testing, which involves clinical trials designed to further assess drug safety and effectiveness and may require testing and surveillance programs to monitor the safety of approved products that have been commercialized.
+Added: The FDA conducts its own analysis of the clinical trial data, which could result in extensive discussions between the FDA and us during the review process.
+Added: The review and evaluation of an BLA by the FDA is extensive and time-consuming and may take longer than originally planned to complete, and we may not receive a timely approval, if at all.
+Added: The FDA is required to refer an application for a novel biological product to an advisory committee or explain why such referral was not made.
+Added: An advisory committee is a panel of independent experts, including clinicians and other scientific experts, that reviews, evaluates and provides a recommendation as to whether the application should be approved
+Added: and under what conditions.
+Added: The FDA is not bound by the recommendations of an advisory committee, but it considers such recommendations carefully when making decisions.
+Added: The FDA will issue a Complete Response Letter (CRL) describing deficiencies in the BLA and recommend actions if the agency decides not to approve the BLA.
+Added: A CRL indicates that the review cycle of the application is complete and the application will not be approved in its present form.
+Added: A CRL describes all deficiencies in the BLA identified by the FDA.
+Added: The applicant will have to address all of the deficiencies which could take substantial time and resources to address, including development of additional clinical data or an additional Phase 3 clinical trial(s), or other requirements related to nonclinical studies or manufacturing.
+Added: Even if such additional information is submitted, the FDA may ultimately decide that the BLA does not satisfy the criteria for approval and issue a denial.
+Added: If a CRL is issued, the applicant may either resubmit the BLA, addressing all of the deficiencies identified in the letter, withdraw the application, or engage in a dispute resolution proceeding or request a hearing.
+Added: Even if additional data and information is submitted, the FDA may ultimately decide that the BLA does not satisfy the criteria for approval.
+Added: Data obtained from clinical trials are not always conclusive, and the FDA may interpret data differently than we interpret the same data.
+Added: If the product receives regulatory approval, the approval may be significantly limited to specific diseases and dosages, or the indications for use may otherwise be limited and may require that certain contraindications, warnings, or precautions be included in the product labeling, which could restrict the commercial value of the product.
+Added: In addition, the FDA may require development of adequate controls and specifications, or a commitment or requirement to conduct post marketing studies to further assess drug safety and effectiveness and may require testing and surveillance programs to monitor the safety of approved products that have been commercialized.
+Added: The FDA may also place other conditions on approvals including the requirement for a REMS, to assure the safe use of the product.
+Added: If the FDA concludes a REMS is needed, the sponsor of the BLA must submit a proposed REMS.
+Added: The FDA will not approve the BLA without an approved REMS, if required.
+Added: A REMS could include medication guides, physician communication plans, or elements to assure safe use (ETASU), such as restricted distribution methods, patient registries and other risk minimization tools.
+Added: Any of these limitations on approval or marketing could restrict the commercial promotion, distribution, prescription or dispensing of products.
+Added: Product approvals may be withdrawn for non-compliance with regulatory standards or based on the results of post-market studies or surveillance programs.
+Added: Additionally, post-approval, many types of changes to the approved product, such as adding new indications, changing manufacturing processes and adding labeling claims, are subject to further testing requirements and FDA review and approval.
+Added: Such post-approval requirements can be costly and time-consuming and can affect the potential market and profitability of the product.
+Added: Orphan Drug Designation
+Added: Under the Orphan Drug Act, the FDA may grant orphan designation to a drug or biological product intended to treat a rare disease or condition, which is generally a disease or condition that affects fewer than 200,000 individuals in the U.S., or more than 200,000 individuals in the U.S.
+Added: and for which there is no reasonable expectation that the cost of developing and making a drug or biological product available in the U.S.
+Added: for this type of disease or condition will be recovered from sales of the product.
+Added: Orphan product designation must be requested before submitting a BLA.
+Added: After the FDA grants orphan product designation, the identity of the therapeutic agent and its potential orphan use are disclosed publicly by the FDA.
+Added: Orphan product designation does not convey any advantage in or shorten the duration of the regulatory review and approval process.
+Added: Orphan drug designation entitles a party to financial incentives such as opportunities for grant funding towards clinical trial costs, tax advantages and user-fee waivers.
+Added: Additionally, if a product that has orphan designation subsequently receives the first FDA approval for the disease or condition for which it has such designation, the product is entitled to orphan product exclusivity, which means that the FDA may not approve any other applications to market the same drug or biological product for the same indication for seven years, except in limited circumstances, such as a showing of clinical superiority to the product with orphan exclusivity.
+Added: The period of exclusivity begins on the date that the marketing application is approved by the FDA and applies only to the indication for which the product has been designated.
+Added: The FDA may approve a second application for the same product for a different use or a second application for a clinically superior version of the product for the same use.
+Added: The FDA cannot, however, approve the same product made by another manufacturer for the same indication during the market exclusivity period unless it has the consent of the sponsor, or the sponsor is unable to provide sufficient quantities.
+Added: If a drug or biological product designated as an orphan product receives marketing approval for an indication broader than what is designated, it may not be entitled to orphan product exclusivity.
+Added: Orphan drug status in the European Union has similar, but not identical, benefits.
+Added: The FDA has historically taken the position that the scope of orphan exclusivity aligns with the approved indication or use of a product, rather than the disease or condition for which the product received orphan designation.
+Added: However, in Catalyst Pharms., Inc.
+Added: Becerra, 14 F.4th 1299 (11th Cir.
+Added: 2021), the court disagreed with this position, holding that orphan-drug exclusivity blocked the FDA’s approval of the same drug for all uses or indications within the same orphan-designated disease.
+Added: On January 24, 2023, the FDA published a notice in the Federal Register to clarify that the FDA intends to continue to apply its longstanding interpretation of the regulations to all matters outside of the scope of the Catalyst order and will continue tying the scope of orphan-drug exclusivity to the uses or indications for which a drug is approved.
+Added: It is unclear how future litigation, legislation, agency decisions, and administrative actions will impact the scope of orphan drug exclusivity.
+Added: Expedited Review Programs
+Added: The FDA offers a number of expedited development and review programs for qualifying product candidates.
+Added: New biological products are eligible for fast track designation if they are intended to treat a serious or life-threatening disease or condition and demonstrate the potential to address unmet medical needs for the disease or condition.
+Added: Fast track designation applies to the combination of the product and the specific indication for which it is being studied.
+Added: The sponsor of a new biologic may request that the FDA designate the biologic as a fast track product at any time during the clinical development of the product.
+Added: The sponsor of a fast track product has opportunities for more frequent interactions with the applicable FDA review team during product development and, once a BLA is submitted, the product candidate may be eligible for priority review.
+Added: A fast track product may also be eligible for rolling review, where the FDA may consider for review sections of the BLA on a rolling basis before the complete application is submitted, if the sponsor provides a schedule for the submission of the sections of the BLA, the FDA agrees to accept sections of the BLA and determines that the schedule is acceptable, and the sponsor pays any required user fees upon submission of the first section of the BLA.
+Added: A product candidate intended to treat a serious or life-threatening disease or condition may also be eligible for breakthrough therapy designation to expedite its development and review.
+Added: A product candidate can receive breakthrough therapy designation if preliminary clinical evidence indicates that the product candidate, alone or in combination with one or more other drugs or biologics, may demonstrate substantial improvement over existing therapies on one or more clinically significant endpoints, such as substantial treatment effects observed early in clinical development.
+Added: The designation includes all of the fast track program features, as well as more intensive FDA interaction and guidance beginning as early as Phase 1 and an organizational commitment to expedite the development and review of the product candidate, including involvement of senior managers.
+Added: Any marketing application for a biologic submitted to the FDA for approval, including a product candidate with a fast track designation and/or breakthrough therapy designation, may be eligible for other types of FDA programs intended to expedite development and review, such as priority review.
+Added: An application for a biological product will receive priority review designation if it is for a biological product that treats a serious condition and, if approved, would provide a significant improvement in safety or effectiveness.
+Added: The FDA will attempt to direct additional resources to the evaluation of an application for a new biological product designated for priority review in an effort to facilitate the review.
+Added: For original BLAs, priority review designation means the FDA’s goal is to take action on the marketing application within six months of the 60-day filing date (as compared to ten months under standard review).
+Added: Fast track designation, breakthrough therapy designation, and priority review do not change the standards for approval but may expedite the development or approval process.
+Added: Even if a product candidate qualifies for one or more of these programs, the FDA may later decide that the product no longer meets the conditions for qualification or decide that the time period for FDA review or approval will not be shortened.
+Added: Accelerated Approval
+Added: Product candidates studied for their safety and effectiveness in treating serious conditions may receive accelerated approval upon a determination that the product has an effect on a surrogate endpoint that is reasonably likely to predict clinical benefit, or on a clinical endpoint that can be measured earlier than irreversible morbidity or mortality, that is reasonably likely to predict an effect on irreversible morbidity or mortality or other clinical benefit, taking into account the severity, rarity or prevalence of the condition and the availability or lack of alternative treatments.
+Added: As a condition of accelerated approval, the FDA will generally require the sponsor to perform adequate and well-controlled post-marketing clinical studies to verify and describe the anticipated effect on irreversible morbidity or mortality or other clinical benefit.
+Added: Under the Food and Drug Omnibus Reform Act of 2022 (FDORA), the FDA may require, as appropriate, that such trials be underway prior to approval or within a specific time period after the date of approval for a product granted accelerated
+Added: Under FDORA, the FDA has increased authority for expedited procedures to withdraw approval of a biologic or indication approved under accelerated approval if, for example, the sponsor fails to conduct the required post-marketing studies or if such studies fail to verify the predicted clinical benefit.
+Added: In addition, for products being considered for accelerated approval, the FDA generally requires, unless otherwise informed by the FDA, that all advertising and promotional materials intended for dissemination or publication within 120 days of marketing approval be submitted to FDA for review during the pre-approval period.
+Added: After 120 days following marketing approval, unless otherwise informed by the FDA, advertising and promotional materials must be submitted at least 30 days prior to the intended time of initial dissemination or publication.
Post-Approval Requirements
−Removed: Any biologic products for which we or our collaborators receive FDA approvals are subject to continuing regulation by the FDA, including, among other things, cGMP compliance for product manufacture, record-keeping requirements, reporting of adverse experiences with the product, providing the FDA with updated safety and efficacy information, product sampling and distribution requirements, complying with certain electronic records and signature requirements, and complying with FDA promotion and advertising requirements, which include, among others, restrictions on direct-to-consumer advertising, promoting biologics for uses or in patient populations that are not described in the product’s approved labeling (known as “off-label use”), industry-sponsored scientific and educational activities, and promotional activities involving the internet.
−Removed: Failure to comply with these or other FDA requirements can subject a manufacturer to possible legal or regulatory action, such as product reclass, warning letters, suspension of manufacturing,
−Removed: seizure of product, injunctive action, mandated corrective advertising or communications with healthcare professionals, possible civil or criminal penalties, or other negative consequences, including adverse publicity.
+Added: Any biologic products for which we or our collaborators receive FDA approvals are subject comprehensive and to continuing regulation by the FDA, including, among other things, cGMP compliance for product manufacture, record-keeping requirements, periodic reporting, reporting of adverse experiences with the product, providing the FDA with updated safety and efficacy information, product sampling and distribution requirements, tracking and tracing requirements, complying with certain electronic records and signature requirements, and complying with FDA promotion and advertising requirements, which include, among others, restrictions on direct-to-consumer advertising, promoting biologics for uses or in patient populations that are not described in the product’s approved labeling (known as “off-label use”), industry-sponsored scientific and educational activities, and promotional activities involving the internet.
+Added: Although physicians may prescribe legally available drugs and biologics for off-label uses, manufacturers may not market or promote such off-label uses.
+Added: After approval, most changes to the approved product, such as adding new dosage forms, indications or other labeling claims, are subject to prior FDA review and approval.
+Added: Biological product manufacturers are required to register their establishments with the FDA and certain state agencies and are subject to periodic unannounced inspections for compliance with cGMPs.
+Added: Changes to the manufacturing process are strictly regulated, and, depending on the significance of the change, may require prior FDA approval before being implemented.
+Added: Manufacturers and manufacturers’ facilities are also required to comply with applicable product tracking and tracing requirements and notify the FDA of counterfeit, diverted, stolen and intentionally adulterated products or products that are otherwise unfit for distribution in the U.S.
+Added: Manufacturers are also subject to record requests from the FDA that demonstrate cGMP compliance through data and other information.
+Added: Accordingly, manufacturers must continue to expend time, money and effort in the area of production and quality control to maintain compliance with cGMP and other aspects of regulatory compliance.
+Added: Until we establish our own cGMP manufacturing facility, we expect to continue to rely, on third parties for the production of clinical quantities of our product candidates, and expect to rely in the future on third parties for the production of commercial quantities.
+Added: Future FDA and state inspections may identify compliance issues at our facilities or at the facilities of our contract manufacturers that may disrupt production, or distribution, or may require substantial resources to correct.
+Added: In addition, discovery of previously unknown problems with a product or the failure to comply with applicable requirements may result in restrictions on a product, manufacturer or holder of an approved BLA, including withdrawal or recall of the product from the market or other voluntary, FDA-initiated or judicial action that could delay or prohibit further marketing.
+Added: Later discovery of previously unknown problems with a product, including adverse events of unanticipated severity or frequency, or with manufacturing processes, or failure to comply with regulatory requirements, may result in revisions to the approved labeling to add new safety information;
+Added: imposition of post-market studies or clinical trials to assess new safety risks;
+Added: or imposition of distribution restrictions or other restrictions under a REMS program.
+Added: FDA has authority to require post-market studies, in certain circumstances, on reduced effectiveness of a biological product and FDA may require labeling changes related to new reduced effectiveness information.
+Added: Failure to comply with FDA requirements can subject a manufacturer to possible legal or regulatory action, such as product recalls, untitled or warning letters, restrictions on the marketing or manufacturing of the product, issuance of safety alerts/ Dear Healthcare Provider letters / press releases / or other communications containing warnings or other safety information about the product, suspension of manufacturing, imposition of clinical holds on ongoing clinical trials, refusal of FDA to approve pending BLAs or supplements to approved BLAs, product seizure or detention, refusal to permit import or export of product, injunctive action, mandated corrective advertising or communications with healthcare professionals, fines, possible civil or criminal penalties, consent decrees, corporate integrity agreements, debarment, or exclusion from federal healthcare programs, total or partial suspension of production, denial or withdrawal of product approvals or refusal to allow a firm to enter into supply contracts, including government contracts, or other negative
+Added: consequences, including adverse publicity.
+Added: In addition, even if a firm complies with FDA and other requirements, new information regarding the safety or efficacy of a product could lead the FDA to modify or withdraw product approval.
+Added: Prohibitions or restrictions on sales or withdrawal of future products marketed by us could materially affect our business in an adverse way.
Patent Term Restoration and Marketing Exclusivity
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Pharmaceutical Coverage, Pricing and Reimbursement
+Added: In the United States, patients who are prescribed treatments for their conditions and providers performing the prescribed services generally rely on third-party payors to reimburse all or part of the associated healthcare costs.
+Added: Patients are unlikely to use any product candidates we may develop unless coverage is provided and reimbursement is adequate to cover a significant portion of the cost of such product candidates.
+Added: Even if any product candidates we may develop are approved, sales of such product candidates will depend, in part, on the extent to which third-party payors, including government health programs in the United States such as Medicare and Medicaid, commercial health insurers, and managed care organizations, provide coverage and establish adequate reimbursement levels for such product candidates.
+Added: The process for determining whether a payor will provide coverage for a product may be separate from the process for setting the price or reimbursement rate that the payor will pay for the product once coverage is approved.
+Added: Third-party payors are increasingly challenging the prices charged, examining the medical necessity, and reviewing the cost-effectiveness of medical products and services and imposing controls to manage costs.
+Added: Third-party payors may limit coverage to specific products on an approved list, also known as a formulary, which might not include all of the approved products for a particular indication.
+Added: In order to secure coverage and reimbursement for any drug product candidate that might be approved for sale, we may need to conduct expensive pharmacoeconomic studies in order to demonstrate the medical necessity and cost-effectiveness of the drug product candidate, in addition to the costs required to obtain FDA or other comparable regulatory approvals.
+Added: Whether or not we conduct such studies, product candidates may not be considered medically necessary or cost-effective.
+Added: A decision by a third-party payor not to cover any product candidates we develop could reduce physician utilization of such product candidates once approved and have a material adverse effect on our sales, results of operations and financial condition.
+Added: Additionally, a payor’s decision to provide coverage for a product does not imply that an adequate reimbursement rate will be approved.
+Added: Further, one payor’s determination to provide coverage for a product does not assure that other payors will also provide coverage and reimbursement for the product, and the level of coverage and reimbursement can differ significantly from payor to payor.
+Added: The containment of healthcare costs also has become a priority of federal and state governments, and the prices of pharmaceuticals have been a focus in this effort.
+Added: government and state legislatures have shown significant interest in implementing cost-containment programs, including price controls, restrictions on reimbursement, and requirements for substitution of generic products.
+Added: Adoption of price controls and cost-containment measures, and adoption of more restrictive policies in jurisdictions with existing controls and measures, could further limit a company’s revenue generated from the sale of any approved products.
+Added: Coverage policies and third-party reimbursement rates may change at any time.
+Added: Even if favorable coverage and reimbursement status is attained for one or more products for which a company or its collaborators receive marketing approval, less favorable coverage policies and reimbursement rates may be implemented in the future.
+Added: Pricing and rebate programs must comply with the Medicaid Drug Rebate Program requirements of the Omnibus Budget Reconciliation Act of 1990, as amended, and the Veterans Health Care Act of 1992, as amended.
+Added: If products are made available to authorized users of the Federal Supply Schedule of the General Services Administration, additional laws and requirements apply.
+Added: The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (the MMA) established the Medicare Part D program to provide a voluntary prescription drug benefit to Medicare beneficiaries.
+Added: Under Part D, Medicare beneficiaries may enroll in prescription drug plans offered by private entities which will provide coverage of outpatient prescription drugs.
+Added: Unlike Medicare Part A and B, Part D coverage is not standardized.
+Added: Part D prescription drug plan sponsors are not required to pay for all covered Part D drugs, and each drug plan can develop its own drug formulary that identifies which drugs it will cover and at what tier or level.
+Added: However, Part D prescription drug formularies must include drugs within each therapeutic category and class of covered Part D drugs, though not necessarily all the drugs in each category or class.
+Added: Any formulary used by a Part D prescription drug plan must be developed and reviewed by a pharmacy and therapeutic committee.
+Added: Government payment for some of the costs of prescription drugs may increase demand for products for which we receive regulatory approval.
+Added: However, any negotiated prices for our products covered by a Part D prescription drug plan will likely be lower than the prices we might otherwise obtain through non-government payors.
+Added: Moreover, while the MMA applies only to drug benefits for Medicare beneficiaries, private payors often follow Medicare coverage policy and payment limitations in setting their own payment rates.
+Added: Any reduction in payment that results from the MMA may result in a similar reduction in payments from non-government payors.
The cost of pharmaceuticals continues to generate substantial governmental and third-party payor interest.
4 unchanged sentences
In the United States, the pharmaceutical industry has been a particular focus of these efforts and has been significantly affected by major legislative initiatives.
−Removed: Other Healthcare Laws and Compliance Requirements
−Removed: In the United States, the research, manufacturing, distribution, sale and promotion of drug products and medical devices are potentially subject to regulation by various federal, state and local authorities in addition to the FDA, including the Centers for Medicare & Medicaid Services, other divisions of Health and Human Services (e.g., the Office of Inspector General), the U.S.
−Removed: Department of Justice, state Attorneys General, and other state and local government agencies.
+Added: Anti-Kickback, False Claims, and Other Healthcare Laws and Compliance Requirements
+Added: In the United States, the research, manufacturing, distribution, sale and promotion of drug products and medical devices are potentially subject to regulation by various federal, state and local authorities in addition to the FDA, including the Centers for Medicare & Medicaid Services (CMS), other divisions of Health and Human Services (e.g., the Office of Inspector General), the U.S.
+Added: Department of Justice, the Federal Trade Commission, the Drug Enforcement Administration, the Consumer Product Safety Commission, the Environmental Protection Agency, the Occupational Safety and Health Administration, state Attorneys General, and other state and local government agencies.
+Added: Healthcare providers, physicians, and third-party payors will play a primary role in the recommendation and prescription of drug products for which we obtain marketing approval.
+Added: Arrangements with third-party payors, healthcare providers and physicians, as well as patients and other third parties, in connection with the clinical research, sales, marketing and promotion of products, once approved, and related activities, may expose us to broadly applicable fraud and abuse and other healthcare laws and regulations.
+Added: In the U.S., these laws include, without limitation, state and federal anti-kickback, false claims, physicians' sunshine (e.g., transparency), price reporting, consumer protection, and patient data privacy, data breach notification and security laws and regulations.
+Added: For example, the federal Anti-Kickback Statute makes it illegal for any person, including a biopharmaceutical company, or a party acting on its behalf, to knowingly and willfully solicit, receive, offer or pay any remuneration that is intended to induce the referral of business, including the purchase, order or prescription of a particular drug, or other good or service for which payment in whole or in part may be made under a federal healthcare program, such as Medicare or Medicaid.
+Added: Violations of this law are punishable by up to ten years in prison, criminal fines, administrative civil money penalties and exclusion from participation in federal healthcare programs.
+Added: While this Statute has a number of exceptions and regulatory safe harbors that safeguard certain common, industry practices from prosecution, these exceptions and safe harbors are narrowly defined, and parties must satisfy all elements of an available exception or safe harbor to avoid
+Added: Further, a person or entity does not need to have actual knowledge of these statutes or specific intent to violate them to have committed a violation.
+Added: Many states have adopted laws similar to the federal Anti-Kickback Statute.
+Added: Some of these state prohibitions apply to the referral of patients for healthcare services reimbursed by any insurer, not just federal healthcare programs such as Medicare and Medicaid.
+Added: Due to the breadth of these federal and state anti-kickback laws, the evolving guidance in the form of regulations or court decisions and the potential for additional legal or regulatory change in this area, it is possible that our future sales and marketing practices or our future relationships with medical professionals might be challenged under federal and state anti-kickback laws.
+Added: Additionally, the federal False Claims Act prohibits anyone from knowingly presenting, or causing to be presented, for payment to federal programs (including Medicare and Medicaid) claims for items or services, including drugs, that are false or fraudulent, claims for items or services not provided as claimed or claims for medically unnecessary items or services.
+Added: Although we would not submit claims directly to payors, biopharmaceutical companies can be held liable under these laws if they are deemed to “cause” the submission of false or fraudulent claims by, for example, providing inaccurate billing or coding information or promoting a product off-label.
+Added: Penalties for a federal False Claims Act violation include three times the actual damages sustained by the government, plus mandatory civil penalties effective as of January 15, 2025 of between $14,308 and $28,619 for each separate false claim (each of which is subject to adjustment for inflation) and the potential for exclusion from participation in federal healthcare programs.
+Added: Although the federal False Claims Act is a civil statute, conduct that results in a federal False Claims Act violation may also implicate various federal criminal statutes, such as the federal Anti-Kickback Statute described above.
+Added: In addition, private individuals have the ability to bring actions under the federal False Claims Act and certain states have enacted laws modeled after the federal False Claims Act.
+Added: The federal government has and continues to use the False Claims Act, and the accompanying threat of significant liability, in its investigation and prosecution of pharmaceutical and biotechnology companies in connection with the potential or actual false claims resulting from promotion of products for unapproved uses or other sales and marketing practices.
+Added: The government has obtained multi-billion dollar settlements under the False Claims Act and individual criminal convictions under applicable criminal statutes.
+Added: We expect that the government will continue to devote substantial resources to investigating potential or actual violations of the False Claims Act.
+Added: The federal physician Payments Sunshine Act (generally referred to as the Open Payments™ Program) is a provision under the Patient Protection and Affordable Care Act (ACA).
+Added: The Open Payments Program imposes reporting requirements on covered entities (e.g., drug manufacturers) for payments made or transfers of value provided by them to certain healthcare organizations (e.g., teaching hospitals) and physicians, which is broadly defined to include doctors, dentists, optometrists, podiatrists and chiropractors, and certain non-physician practitioners (e.g., physician assistants, nurse practitioners, clinical nurse specialists, anesthesiologist assistants, certified registered nurse anesthetists, anesthesiology assistants and certified nurse midwives).
+Added: Covered entities are also required to report ownership and investment interests held by physicians and their immediate family members (as it relates to the Covered entities).
+Added: This information is then analyzed and made public, available via searchable databases.
+Added: Failure to submit required information may result in significant civil monetary penalties for any payments, transfers of value, or ownership or investment interests that are not timely, accurately and completely reported in an annual submission.
+Added: Similarly, certain states also mandate the tracking and reporting of gifts, compensation and other remuneration to physicians.
+Added: Some of these states also require the implementation of commercial compliance programs and impose restrictions on drug manufacturer marketing practices.
+Added: The federal criminal statute on false statements makes it a crime to knowingly and willfully (in connection with the delivery of or payment for health care benefits, items, or services):
+Added: (i) falsify, conceal, or cover up any material fact, (ii) make any materially false, fictitious, or fraudulent statements or representations, or (iii) make or use any materially false writing or document while knowing such writings or documents contain materially false, fictitious, or fraudulent statements.
+Added: The federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) prohibits, among other things, knowingly and willfully executing a scheme to defraud any healthcare benefit program.
+Added: HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act (HITECH) and their implementing regulations, also imposes requirements relating to the privacy, security and transmission of protected health information on HIPAA covered entities, which include certain healthcare providers, health plans and healthcare clearinghouses, and their business associates who conduct certain activities for or on their behalf involving protected health information on their behalf.
+Added: Entities that are found to be in violation of HIPAA as the result of a breach of unsecured protected health information, a complaint about privacy practices or an audit by Health and Human Services may be subject to significant civil, criminal and administrative fines and penalties and/or additional reporting and oversight obligations if required to enter into a
+Added: resolution agreement and corrective action plan with HHS to settle allegations of HIPAA non-compliance.
+Added: Further, entities that knowingly receive individually identifiable health information from a HIPAA-covered entity in a manner that is not authorized or permitted by HIPAA may be subject to criminal penalties.
+Added: In addition, certain state laws govern the privacy and security of health information in certain circumstances, some of which are more stringent than HIPAA and many of which differ from each other in significant ways and may not have the same effect, thus complicating compliance efforts.
+Added: The failure to comply with these laws and regulatory requirements subjects companies to possible legal or regulatory action.
+Added: As discussed above, depending on the circumstances, failure to meet applicable laws and regulatory requirements can result in criminal prosecution, fines or other penalties, injunctions, recall or seizure of products, total or partial suspension of production, denial or withdrawal of product approvals or refusal to allow a company to enter into supply contracts, including government contracts.
Europe / Rest of World Government Regulation
2 unchanged sentences
The requirements and process governing the conduct of clinical trials, product licensing, pricing and reimbursement vary from country to country.
−Removed: In addition, we and our collaborators may be subject to foreign laws and regulations and other compliance requirements, including, without limitation, anti-kickback laws, false claims laws and other fraud and abuse laws, as well as laws and regulations requiring transparency of pricing and marketing information and governing the privacy and security of health information, such as the European Union’s Directive 95/46 on the Protection of Individuals with regard to the Processing of Personal Data.
+Added: In addition, we and our collaborators may be subject to foreign laws and regulations and other compliance requirements, including, without limitation, anti-kickback laws, false claims laws and other fraud and abuse laws, as well as laws and regulations requiring transparency of pricing and marketing information and laws and regulations governing the privacy and security of health information, such as the European Union’s General Data Protection Regulation, the United Kingdom's General Data Protection Regulation, the European Health Data Space Regulation.
If we, or our collaborators, fail to comply with applicable foreign regulatory requirements, we may be subject to, among other things, fines, suspension or withdrawal of regulatory approvals, product recalls, seizure of products, operating restrictions and criminal prosecution.
5 unchanged sentences
Our website and the information contained on, or that can be accessed through, the website will not be deemed to be incorporated by reference in and are not considered part of this Annual Report.
−Removed: Our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and amendments to reports filed or furnished pursuant to Section 13(a) and 15(d) of the Securities Exchange Act of 1934, as amended, are available free of charge on the Investor Relations portion of our web site at www.xencor.com as soon as reasonably practical after we electronically file such material with, or furnish it to, the Securities and Exchange Commission (SEC).
+Added: Our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K and amendments to reports filed or furnished pursuant to Section 13(a) and 15(d) of the Exchange Act are available free of charge on the Investor Relations portion of our website at www.xencor.com as soon as reasonably practical after we electronically file such material with, or furnish it to, the Securities and Exchange Commission (SEC).
The SEC maintains an internet site at www.sec.gov that contains reports, proxy and information statements, and other information regarding issuers that file electronically with the SEC.
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.