−Removed: We are a clinical-stage, multi-asset immunology company dedicated to developing novel dual-pathway antibodies for a range of autoimmune and inflammatory diseases with unmet needs.
−Removed: Leveraging the extensive experience of our team, we identify relevant diseases and develop our differentiated assets in those diseases.
−Removed: Our strategic focus is to harness dual-pathway biology to provide broader and deeper clinical benefits to patients with autoimmune and inflammatory diseases.
−Removed: We are currently developing one clinical-stage product candidate in ongoing Phase 2 trials while actively evaluating development opportunities for our pipeline of clinical-stage assets, focusing on indications with unmet needs and commercial potential.
−Removed: ● Tibulizumab (ZB-106) is an immunoglobulin G (IgG)-single-chain variable fragment (scFv) bispecific dual-antagonist antibody engineered by the fusion of TALTZ® (ixekizumab) and tabalumab to neutralize interleukin-17A (IL-17A) and B-cell activating factor (BAFF).
−Removed: These cytokines play pivotal roles in various inflammatory and autoimmune disorders.
−Removed: By targeting IL-17A and BAFF, tibulizumab demonstrates potential in mitigating chronic inflammation while preserving the integrity of the immune system.
−Removed: Three Phase 1/1b clinical studies have been completed for tibulizumab, including studies involving participants with rheumatoid arthritis and Sjögren’s syndrome.
−Removed: o In December 2024, we initiated TibuSURE, a global Phase 2 study evaluating tibulizumab in adults with systemic sclerosis (SSc).
−Removed: TibuSURE is a randomized, double-blind, placebo-controlled study designed to assess the safety, tolerability, and efficacy of tibulizumab in approximately 80 participants with early diffuse cutaneous systemic sclerosis (dcSSc).
−Removed: The study includes a 24-week efficacy period followed by a 28-week open-label extension (OLE).
−Removed: The primary endpoint is the modified Rodnan Skin Score (mRSS).
−Removed: Key efficacy endpoints include lung disease, assessed by quantitative high-resolution computed tomography (qHRCT) and forced vital capacity (FVC);
−Removed: physical function, measured by the Health Assessment Questionnaire-Disability Index (HAQ-DI);
−Removed: and the revised Combined Response Index in Systemic Sclerosis (rCRISS).
−Removed: Topline data are expected to be available in the fourth quarter of 2026.
−Removed: o In September 2024, we engaged a third-party CRO to oversee and conduct the Phase 2 clinical program evaluating tibulizumab in hidradenitis suppurativa (HS).
−Removed: We have an active Investigational New Drug (“IND”) for HS and the Phase 2 study is expected to initiate in the second quarter of 2025.
−Removed: ● Crebankitug (ZB-168) is a fully human, high affinity monoclonal antibody that binds and neutralizes the interleukin-7 receptor (IL-7R) alpha chain.
−Removed: IL-7Rα sits at the nexus of two key immune pathways, IL-7 and thymic stromal lymphopoietin (TSLP), thus IL-7Rα has the potential to block activation through either of these pathways.
−Removed: As a result, we believe crebankitug could be therapeutically relevant in a broad set of indications where the IL-7 or TSLP pathways may be involved.
−Removed: Three Phase 1/1b clinical studies have been conducted to date.
−Removed: We are actively assessing the competitive landscape and evaluating potential therapeutic indications to guide our future development efforts for crebankitug.
−Removed: ● Torudokimab (ZB-880) is a fully human, high affinity monoclonal antibody that neutralizes interleukin-33 (IL-33), preventing ST2-dependent and ST2-independent (e.g., RAGE) inflammation.
−Removed: The IL-33/ST2 axis stands as a validated therapeutic target for conditions such as chronic obstructive pulmonary disease (“COPD”) and asthma.
−Removed: Three Phase 1/2 clinical studies have been conducted to date.
−Removed: We are continuing to monitor external Phase 2 and Phase 3 IL-33/ST2 data releases from other companies related to asthma and COPD and are actively assessing the competitive landscape and evaluating potential therapeutic indications to guide our future development efforts for torudokimab.
−Removed: Each of our product candidates has dual-pathway biology, merging two validated mechanisms in disease indications where each has demonstrated individual clinical activity.
−Removed: This innovative approach could signify a paradigm shift for patients suffering from severe and complex autoimmune conditions, whose needs remain unaddressed by conventional single-pathway strategies.
−Removed: The table below provides an overview of our product candidates and their status in our development pipeline:
−Removed: Zura Development Pipeline
−Removed: Our mission is to enhance the well-being of all stakeholders within the healthcare community, encompassing patients, healthcare providers, caregivers, and other involved parties.
−Removed: Our vision is to develop transformative therapies for patients suffering from serious immune system disorders.
−Removed: To achieve this goal, we are committed to the following strategic objectives:
−Removed: ● Maximizing the potential of tibulizumab through successful execution of our initial clinical studies in SSc and HS.
−Removed: ● Progressing crebankitug and torudokimab in select inflammatory and autoimmune diseases.
−Removed: ● Leveraging our translational expertise and validating external clinical findings.
−Removed: ● Cultivating and retaining skilled, experienced leaders within our organization.
−Removed: ● Protecting our intellectual property portfolio.
−Removed: We aim to expand our global intellectual property portfolio to protect the ZB Assets and their uses.
−Removed: ● Exploring strategic collaborations to maximize the value of our product candidates.
−Removed: This may involve forming strategic alliances, licensing agreements, or collaborations with third parties with the aim of strengthening and aiding our research, development, and commercialization of the ZB Assets and/or the company more broadly.
−Removed: Our Product Candidates
+Added: We are a clinical-stage biotechnology company developing novel and differentiated medicines for patients with autoimmune and inflammatory diseases, including serious and debilitating conditions with significant unmet medical need.
+Added: These diseases are often chronic, biologically complex and difficult to treat, and many patients do not achieve durable disease control with currently available therapies.
+Added: Our strategy is to identify immune-mediated diseases in which translational and clinical evidence supports the role of specific biological pathways in disease pathogenesis.
+Added: We focus on targets for which human data, including biomarker findings, genetic associations and prior clinical studies, inform therapeutic rationale and development decisions.
+Added: We seek to advance product candidates in therapeutic areas where there remains meaningful unmet medical need and where, if clinical benefit is demonstrated, there may be potential for commercial relevance.
+Added: We have in-licensed three clinical-stage product candidates:
+Added: Tibulizumab (ZB-106) , a humanized bispecific antibody engineered to bind and neutralize interleukin-17A (“IL-17A”) and B cell activating factor (“BAFF”) within a single therapeutic molecule.
+Added: Crebankitug (ZB-168) , a fully human immunoglobulin G1 (“IgG1”) monoclonal antibody targeting interleukin-7 receptor alpha (“IL-7Rα”).
+Added: Torudokimab (ZB-880) , a fully human immunoglobulin G4 (“IgG4”) monoclonal antibody targeting interleukin-33 (“IL-33”).
+Added: We are currently conducting two global Phase 2 clinical trials evaluating tibulizumab in adult participants, each of which includes an optional open‑label extension:
+Added: TibuSHIELD in hidradenitis suppurativa (“HS”)
+Added: TibuSURE in diffuse cutaneous systemic sclerosis (“dcSSc”)
+Added: Crebankitug and torudokimab were previously evaluated in early-stage clinical trials conducted by third parties prior to our in-licensing of development rights, and we are assessing potential future development strategies for these product candidates based on available clinical and translational data.
+Added: We have not completed any Phase 2 or Phase 3 clinical trials and have no products approved for commercial sale.
Overall Opportunity in Autoimmune and Inflammatory Diseases
−Removed: Autoimmune diseases develop when the immune system inappropriately attacks the cells and/or tissues.
−Removed: While the mechanisms underlying the development of autoimmune diseases are not well understood, studies have demonstrated key roles for inflammatory cytokines, T cells, and B cells in driving disease pathogenesis.
−Removed: Previous therapeutic approaches in autoimmunity focused initially on broad immunosuppression to block cytokine signaling and the subsequent activation of inflammatory cells.
−Removed: Additional therapeutic approaches focused on targeting key factors known to play a role in autoimmune conditions.
−Removed: Despite the growing armamentarium of therapies, autoimmune disease remains unresolved in millions of patients, further outlining the need for new therapies with improved efficacy and durability.
+Added: Autoimmune and inflammatory diseases arise from dysregulated immune signaling involving multiple immune cell types, cytokines and interconnected molecular pathways.
+Added: Collectively, these diseases affect millions of individuals worldwide and represent a significant and growing global healthcare burden.
+Added: Many of these conditions are chronic, heterogeneous and biologically complex, often involving persistent immune activation, tissue remodeling and, in certain cases, progressive fibrosis or organ dysfunction.
+Added: Over the past two decades, advances in immunology have led to the development of targeted biologic therapies that have transformed treatment in several autoimmune indications.
+Added: These therapies have demonstrated that selective modulation of specific cytokines and immune pathways can meaningfully alter disease activity.
+Added: However, a substantial proportion of patients across multiple autoimmune diseases do not achieve adequate or durable disease control, and treatment resistance, partial response or disease progression may occur in certain populations.
+Added: Emerging research has highlighted the interconnected nature of immune signaling networks, including interactions between T cell–associated cytokines, B cell survival pathways, innate immune activation and tissue-resident stromal responses.
+Added: characterized by overlapping biological drivers, inhibition of a single pathway may not fully address immune redundancy or compensatory mechanisms that can sustain inflammation or fibrotic progression.
+Added: Advances in antibody engineering have enabled the development of highly selective monoclonal antibodies as well as multi-target constructs designed to engage more than one immune mediator within a single therapeutic molecule.
+Added: Multi-pathway strategies, including bispecific antibodies, are being explored in autoimmune and inflammatory research to evaluate whether coordinated modulation of complementary immune drivers may be appropriate in select disease settings supported by translational and clinical evidence.
+Added: At the same time, single-target monoclonal antibodies remain a clinically validated approach where a specific signaling axis is strongly implicated in disease pathogenesis.
+Added: We believe that continued advances in immune biology, biomarker development and clinical translational research provide opportunities to evaluate differentiated antibody-based approaches in diseases where significant unmet medical need persists.
+Added: Our strategy is to align the biological rationale of each product candidate with human data supporting the relevance of the targeted immune pathways in the disease under study.
+Added: Our Product Candidates
Tibulizumab (ZB-106)
Overview of Tibulizumab
−Removed: Tibulizumab, a humanized bispecific dual antagonist antibody, has been engineered to bind to and neutralize both BAFF and IL-17A.
−Removed: IL-17 is known to play a key role in the fibrotic process of various organs like lung, kidney, heart and skin.
−Removed: The IL-17 family of cytokines contains six structurally related isoforms with distinct abilities to form homo- or heterodimers, leading to differences in specificity and signaling potencies.
−Removed: These cytokines are important for the control of infections, especially by extracellular fungi.
−Removed: Conversely, if unrestrained, they can contribute to the pathology of autoimmune and chronic inflammatory conditions.
−Removed: The prototypic member of this family is IL17A, herein referred to as IL-17.
−Removed: T-helper cell 17 (Th17) are a subset of T cells, characterized by the production of the cytokine IL-17.
−Removed: In recent years, studies have established the pathogenic involvement of Th17 cells and its cytokine IL-17 in autoimmune diseases.
−Removed: BAFF is involved in multiple aspects of immune system regulation but is best known for its central role in B lymphocyte development and proliferation.
−Removed: Initially expressed as a membrane-bound form on various cell types, BAFF is subsequently cleaved, generating a soluble protein fragment.
−Removed: Dysregulated BAFF expression is thought to contribute to autoimmune diseases via effects on abnormal B-lymphocyte activation, proliferation, survival, and immunoglobulin secretion.
−Removed: Overexpression of BAFF in mouse models induces autoimmune disease mimicking rheumatoid arthritis (RA), systemic lupus erythematosus (SLE) and primary Sjögren’s syndrome (pSS).
−Removed: Likewise in humans, elevated serum BAFF levels are reported in SLE, RA, pSS, IgA nephropathy, and SSc patient serum.
−Removed: The BAFF cytokine is a potent B-cell activator and promotes the survival and differentiation of B cells.
−Removed: Similarly, IL-17A is a pro-inflammatory cytokine produced by epithelial cells and lymphocytes.
−Removed: In patients with SSc, levels of BAFF and IL-17A are increased, exhibiting a direct correlation with the severity of the disease.
−Removed: Tibulizumab has potential in immune-mediated diseases by addressing both the B- and T-cell components implicated in SSc pathology.
−Removed: In December 2024, we initiated TibuSURE, a global Phase 2 study to evaluate tibulizumab in adults with SSc.
−Removed: TibuSURE is a double-blind, placebo-controlled study designed to assess the safety, tolerability, and efficacy of tibulizumab in approximately 80 participants with early dcSSc.
−Removed: Topline data are expected to be available in the fourth quarter of 2026.
−Removed: In the fourth quarter of 2024, we submitted a request for Orphan Drug Designation for tibulizumab in SSc.
−Removed: We continue to correspond with the FDA regarding that request.
−Removed: In addition to SSc, we plan to evaluate tibulizumab in participants with HS.
−Removed: The Phase 2 study is expected to initiate in the second quarter of 2025.
−Removed: Systemic Sclerosis
−Removed: Background on systemic sclerosis
−Removed: SSc is an orphan autoimmune disease affecting a total of approximately 300,000 people in the United States, the European Union (“E.U.”) and Japan.
−Removed: Statistics suggest that SSc is more common in women, with an average female to male ratio of 3:1.
−Removed: The onset of the disease typically occurs between the ages of 30 and 50, and the United States has the highest incidence and prevalence globally.
−Removed: SSc is characterized by progressive fibrosis of the skin and visceral organs that can result in life-threatening complications.
−Removed: Although skin fibrosis is the distinguishing hallmark of SSc, the pathological changes in the lungs, gastrointestinal tract, kidney, and heart determine clinical outcomes.
−Removed: Its prevalence is low, but the burden of disease is substantial with the highest mortality (~75%
−Removed: survival rate at 5 years) across all rheumatic diseases.
−Removed: Treatment has traditionally been a combination of immunosuppressants, particularly mycophenolate mofetil or cyclophosphamide, and additional therapeutics used to target organ-specific complications.
−Removed: These agents are used off-label in most countries.
−Removed: In the United States, two agents are approved to slow the decline of SSc-associated ILD but there are no licensed therapies that treat the totality of the disease.
−Removed: SSc is traditionally classified by the extent of skin involvement, accompanying internal organ disease and the presence of overlapping systemic autoimmune disease.
−Removed: Limited cutaneous SSc (lcSSc) involves the distal skin of the extremities and the face.
−Removed: Patients with lcSSc are less likely to have internal organ involvement, though they are at risk of pulmonary hypertension.
−Removed: Diffuse cutaneous SSc (dcSSc) affects large areas of skin on the proximal aspect of the extremities.
−Removed: Patients with dcSSc have rapid disease progression with extensive skin changes and early development of visceral organ complications.
−Removed: Organ damage can occur due to fibrosis or blood vessel abnormalities called vasculopathy.
−Removed: Severe complications of SSc include abrupt hypertension and renal failure, called renal crises, interstitial lung disease, cardiac failure, pulmonary hypertension, and digital ischemia.
−Removed: Systemic sclerosis subtypes
−Removed: Pathogenesis of SSc and Therapeutic Targeting
−Removed: Patients with SSc exhibit increased levels of BAFF which correlates with disease progression.
−Removed: Additional studies have demonstrated that BAFF induces collagen secretion in dermal fibroblasts, and treatment of diffuse SSc with belimumab (anti-BAFF) was associated with a decrease in B-cell signaling and fibrosis-related gene expression in patients with early diffuse SSc.
−Removed: Finally, belimumab treatment showed a trend towards improvement in modified Rodnan skin score (mRSS) and lung function in a small study of patients with SSc.
−Removed: Expression of Th17 and IL-17 is increased in patients with SSc, which is believed to play a key role in the progression of the disease.
−Removed: Infiltration of IL-17-positive lymphocytes into the skin lesions has been observed.
−Removed: Increased IL-17 levels were associated with worse disease severity and promoted fibroblast growth and collagen production.
−Removed: Importantly, neutralizing IL-17 prevented collagen production and blockade of IL-17R led to significant improvements of mRSS and FVC in patients with SSc in a Phase 3 trial.
−Removed: IL-17 and BAFF in SSc
−Removed: SSc Unmet Medical Need
−Removed: SSc is a progressive and debilitating disease with limited treatment options, leading to a significant demand for new and novel treatments among physicians and patients.
−Removed: Ten-year mortality rates in SSc range between 40% and 60%.
−Removed: Diagnosis for patients may take more than five years and patients can experience clinical symptoms across multiple organs with great daily impact to their lives.
−Removed: Patients with dcSSc have rapid disease progression with extensive skin changes and early development of visceral organ complications.
−Removed: An unmet need exists in dcSSc patients to slow progression of fibrosis in skin and visceral organs, slow the decline in lung disease, and decrease mortality.
−Removed: There are no approved therapies for dcSSc, with only off-label use of marketed products.
−Removed: ● Tibulizumab inhibits both IL-17 and BAFF which have separately shown clinical activity in placebo-controlled trials in SSc.
−Removed: Our approach with tibulizumab is to inhibit both pathways with a single agent, potentially providing clinical benefits to a broader range of patients, as well as a greater level of effect.
−Removed: ● Durability of treatment to antibodies may diminish over time, so dual inhibition of IL17 and BAFF could result in patients maintaining an adequate clinical benefit for a longer period of time.
−Removed: ● The terminal half-life of tibulizumab is 26.9 days, offering the possibility of monthly dosing.
−Removed: Currently, approved agents in SSc-ILD are administered as an oral drug twice per day or a subcutaneous injection on a weekly basis.
−Removed: Monthly dosing could offer patients more convenient dosing and result in better adherence to prescribed medication.
−Removed: ● Tibulizumab combines elements from two compounds, tabalumab (an anti-BAFF with demonstrated effect in clinical trials) and ixekizumab (an approved anti-IL-17 therapy with more than 140,000 patients treated in multiple indications).
+Added: Tibulizumab is a humanized IgG4 single-chain variable fragment bispecific antibody engineered to bind and neutralize both IL-17A and BAFF within a single therapeutic molecule.
+Added: IL-17A is a pro-inflammatory cytokine produced primarily by T-helper 17 (“Th17”) cells and other immune cell subsets and has been implicated in chronic inflammatory and fibrotic diseases.
+Added: BAFF is a cytokine that plays a central role in B cell development, activation, differentiation and survival.
+Added: Dysregulation of IL-17A and BAFF signaling has been reported in multiple autoimmune and inflammatory diseases.
+Added: By targeting both IL-17A and BAFF, tibulizumab is designed to modulate complementary T cell–associated and B cell–associated immune pathways that may contribute to disease pathogenesis in certain immune-mediated conditions.
+Added: Tibulizumab incorporates antigen-binding domains derived from antibodies previously evaluated in clinical development, including ixekizumab (marketed as TALTZ®), an anti-IL-17A antibody, and tabalumab, an anti-BAFF antibody.
+Added: Prior to our initiation of Phase 2 clinical trials, tibulizumab was evaluated in Phase 1 and Phase 1b clinical trials conducted by Lilly.
+Added: These studies assessed safety, tolerability, pharmacokinetics (“PK”) and pharmacodynamics (“PD”) activity and supported advancement of tibulizumab into Phase 2 clinical development.
+Added: See “—Completed Clinical Trials and Clinical Observations for Tibulizumab” below for a summary of these studies.
+Added: Biological Rationale
+Added: IL-17A Pathway
+Added: The IL-17 family of cytokines consists of six structurally related isoforms, including IL-17A and IL-17F.
+Added: IL-17 promotes the release of pro-inflammatory cytokines and chemokines and contributes to the recruitment and activation of immune cells at sites of inflammation.
+Added: Dysregulated IL‑17 signaling has been associated with chronic inflammatory conditions and, in some contexts, tissue remodeling and fibrotic processes.
+Added: IL-17 family members can form both homodimers and heterodimers that signal through a shared receptor complex.
+Added: IL-17A is the prototypical and most extensively studied member of this family and is the most potent activator of IL-17 signaling.
+Added: IL-17A can signal as an IL‑17A homodimer or it can dimerize with the closely related IL-17F to form an IL-17A/F heterodimer, which has shared signaling properties of IL-17A and IL-17F.
+Added: Tibulizumab binds to IL‑17A and, through IL‑17A engagement, inhibits signaling mediated by IL‑17A homodimers as well as signaling mediated by IL‑17A/F heterodimers.
+Added: By targeting IL‑17A‑dependent signaling while also neutralizing BAFF, tibulizumab is
+Added: designed to modulate complementary immune pathways that may contribute to disease pathogenesis in certain autoimmune and inflammatory conditions.
+Added: BAFF is a cytokine involved in multiple aspects of immune system regulation and is best characterized for its role in B-lymphocyte maturation, activation and survival.
+Added: BAFF is expressed as a membrane-bound protein and can be cleaved to generate a soluble form.
+Added: Elevated BAFF levels have been reported in several autoimmune diseases.
+Added: Overexpression of BAFF in preclinical models has been associated with autoantibody production and autoimmune-like phenotypes.
+Added: In humans, increased BAFF concentrations have been observed in diseases including systemic sclerosis (“SSc”), systemic lupus erythematosus, rheumatoid arthritis (“RA”) and primary Sjögren’s syndrome.
+Added: By simultaneously neutralizing IL-17A and BAFF, tibulizumab is designed to modulate both T cell– and B cell–associated immune mechanisms that may contribute to disease pathogenesis.
+Added: Completed Clinical Trials and Clinical Observations for Tibulizumab
+Added: Tibulizumab was previously evaluated in three clinical trials conducted by Lilly:
+Added: Phase 1 single ascending dose (“SAD”) clinical trial.
+Added: This first-in-human clinical trial evaluated safety, tolerability, PK, immunogenicity and target engagement of tibulizumab in healthy participants and in participants with RA.
+Added: Phase 1 SAD clinical trial in healthy Japanese and Caucasian participants.
+Added: This single-site, randomized, investigator- and participant-blinded, placebo-controlled clinical trial evaluated safety, tolerability and PK following a single subcutaneous dose.
+Added: Phase 1b multiple ascending dose (“MAD”) clinical trial in participants with Sjögren’s syndrome.
+Added: This multicenter, parallel-group, randomized, investigator- and participant-blinded, placebo-controlled clinical trial evaluated safety, tolerability, PK, and PD of tibulizumab administered once every 2 weeks (“Q2W”) or once every 4 weeks (“Q4W”) for 16 weeks.
+Added: In the Phase 1 clinical trials, tibulizumab demonstrated a PK profile supportive of subcutaneous Phase 2 dosing at four-week intervals.
+Added: PD observations confirmed impact on human biology and included changes consistent with the product candidate’s mechanism of action, including changes in inflammatory biomarkers, such as CD20+ B cells and high-sensitivity C-reactive protein in participants with RA, and reductions in total and naïve B cell counts in participants with Sjögren’s syndrome.
+Added: These PD findings were exploratory and were not designed to evaluate clinical efficacy.
+Added: The Phase 1 and Phase 1b clinical trials were not powered to assess clinical outcomes.
+Added: The safety profile observed in Phase 1 and Phase 1b clinical trials supported advancement into Phase 2 clinical trials.
Hidradenitis Suppurativa
−Removed: Background on hidradenitis suppurativa
−Removed: Hidradenitis suppurativa (HS), also known as acne inversa, is a chronic inflammatory, recurrent, and debilitating dermatological condition of the hair follicle with an estimated worldwide prevalence between 0.05% and 4.1% .
−Removed: The initial manifestations of HS typically occur in early adulthood, but delayed diagnosis is common.
−Removed: Patients characteristically present with painful nodules, purulent abscesses, and draining tunnels in intertriginous regions, such as axillary, groin, perineal, and inframammary areas.
−Removed: Together, the clinical manifestations of HS and its frequent concomitant comorbidi ti es, including arthropathies, metabolic syndrome, increased cardiovascular disease risk, inflammatory disorders, lymphedema, squamous cell carcinoma, and depression, put the afflicted patients at risk of physical disability, suicidal ideations, stigmatization, unemployment, and profound impairment in quality of life.
−Removed: A multinational study reported that nearly half of patients expressed dissatisfaction with existing medical interventions, highlighting the unmet need for effective therapies that provide rapid and sustained responses.
−Removed: Pathogenesis of HS and Therapeutic Targeting
−Removed: Follicular occlusion is thought to be the primary event in HS, ultimately resulting in accumulation of cellular debris, cyst formation, and eventually rupture of the hair follicle.
−Removed: This is followed by a significant local immune response, resulting in painful inflammation, abscess formation, and in later stages, sinus tract formation and scarring.
−Removed: The exact pathophysiology of HS is yet to be fully understood and continues to be investigated;
−Removed: however, interleukin-17 signaling is a key component of the inflammatory response and IL-17A-secreting cells can be found in lesional HS tissues.
−Removed: Interleukin-17A is a proinflammatory cytokine that synergizes with other proinflammatory cytokines to drive neutrophil influx into the lesions caused by inflammation, a key hallmark of HS.
−Removed: Ultimately, the IL-17-mediated signaling present in HS leads to an aggressive pattern of immune cell infiltration into the skin and a disruption to wound healing patterns.
−Removed: Both CD20(+) B-cells and CD138(+) plasma cells are elevated within chronic HS lesions and sustain inflammation.
−Removed: B-cell activating factor has also been demonstrated to increase in HS lesions, with neutrophil-derived BAFF associated with increased B- and plasma cells, as well as inflammation.
−Removed: Reducing BAFF in HS lesions decreases B- and plasma cell gene expression, supporting the potential of this therapeutic approach.
−Removed: HS Unmet Medical Need
−Removed: Despite the relatively high prevalence and severe impact of HS, few treatment options are available;
−Removed: moreover, nearly half of patients receiving treatment report frequent disease flares.
−Removed: There is currently no cure for HS.
−Removed: Disease management is aimed at treating existing lesions to minimize pain and drainage, decrease the frequency of recurrence, and prevent disease progression.
−Removed: Current HS treatments include topical and oral antibiotics, biologics, surgery, laser, and light therapies.
−Removed: The biological therapies approved for the treatment of moderate-to-severe HS in the US are the TNFα inhibitor adalimumab, the IL-17A inhibitor secukinumab, and the IL-17A/F inhibitor bimekizumab.
−Removed: No therapies targeting B-cells are available for HS, but several are in development.
−Removed: The BTK inhibitor remibrutinib, which acts downstream of B -cell activation, has demonstrated efficacy in treating HS.
−Removed: List of Completed Studies for Tibulizumab
−Removed: Tibulizumab has been studied in three clinical trials to date conducted by Lilly, the clinical study reports for which show:
−Removed: ● Phase 1 single ascending dose (SAD) trial.
−Removed: This was a first-in-human study in healthy subjects to evaluate the safety, tolerability, pharmacokinetics, immunogenicity, and target engagement of tibulizumab in healthy volunteers and participants with rheumatoid arthritis (RA).
−Removed: ● Phase 1 SAD trial in healthy Japanese and Caucasian participants.
−Removed: This was a single-site, randomized, Investigator and participant blinded, placebo-controlled, SC single-dose study.
−Removed: ● Phase 1b multiple ascending dose (MAD) trial in participants with Sjögren’s syndrome (SS) .
−Removed: This was a multicenter, parallel-group, randomized, Investigator and participant blinded, placebo-controlled, MAD study to evaluate the safety, tolerability, PK, and PD of tibulizumab administered Q4W or Q2W for 16 weeks in participants with SS.
−Removed: In the phase 1 clinical trials, the pharmacokinetic profile supported subcutaneous phase 2 dosing at an interval of Q4W.
−Removed: The pharmacodynamic profiles confirmed impact on human biology consistent with the drug’s mechanism of action, showing impact on key parameters such as CD20+ B-cells and high sensitivity-CRP in the RA patient population.
−Removed: The safety profiles from these studies support further development.
−Removed: Phase 2 Clinical Trials, Ongoing Clinical Development for Tibulizumab
−Removed: In December 2024, we initiated TibuSURE, a global Phase 2 study to evaluate tibulizumab in adults with SSc and are currently recruiting patients.
−Removed: Overview for Crebankitug
−Removed: IL-7 was initially discovered by its growth and survival effects on B cells, but it has now been established that it regulates the development and homeostasis of immune cells, including B and T lymphocytes, innate lymphoid cell (“ILC”) and natural killer (“NK”) cells, monocytes/macrophages, dendritic cells, neutrophils and eosinophils.
−Removed: IL-7 is produced by stromal cells in the bone marrow, thymus and other epithelial cells in the skin, lung and intestine.
−Removed: IL-7-mediated signaling is important for the expression of many genes controlling apoptosis, survival, development and differentiation of immune cells.
−Removed: An abnormally high or upregulated IL-7/IL-7R axis can lead to high disease activity and immunopathology.
−Removed: Several studies have shown that IL-7R gene polymorphisms or chromosomes regions have been associated with many autoimmune diseases, including MS, pSS, RA and T1D.
−Removed: Crebankitug is a fully human-IgG1 monoclonal antibody targeted against the IL-7 receptor alpha (IL-7Rα), which plays a key role in the development, function and homeostasis of T cells.
−Removed: We believe crebankitug may be a therapeutic option for autoimmune diseases where IL-7 or TSLP signaling has been implicated.
−Removed: Benefits of Crebankitug
−Removed: We believe crebankitug possesses several important characteristics applicable to the treatment of autoimmune diseases:
−Removed: ● Crebankitug is a high affinity antibody.
−Removed: Crebankitug binds with high affinity to both purified recombinant human and cynomolgus monkey IL-7Rα proteins, with apparent Kd values of approximately 20 pM and 9 pM, respectively.
−Removed: Crebankitug also binds to unpurified native soluble IL-7Rα, in human serum from healthy donors, with an apparent Kd value of 21 pM, thereby confirming that crebankitug binds to a native epitope.
−Removed: ● Crebankitug has already demonstrated significant clinically relevant biologic effects that may lead to a therapeutic benefit.
−Removed: In phase 1b clinical testing, administration of escalating doses of crebankitug resulted in significant reductions in effector and memory T cell populations (up to 70%), while sparing regulatory T-cell populations.
−Removed: In addition, blocking IL-7Rα with crebankitug significantly changed the gene expression in CD4+ and CD8+ T cells with gene switches associated to T cell activation, T cell trafficking and T cell differentiation being the most relevant.
−Removed: ● Crebankitug has been well tolerated to date .
−Removed: In 93 subjects dosed with crebankitug to date, the majority of adverse events (“AEs”) were categorized as grade 1 or grade 2.
−Removed: There were no deaths or permanent discontinuations due to AEs.
−Removed: ● Crebankitug can be given by intravenous (“IV”) infusion or subcutaneous (“SC”) injection.
−Removed: In clinical studies crebankitug has been dosed in healthy volunteers using an IV and SC formulation and in patients using a SC formulation.
−Removed: In many autoimmune diseases, patients tend to prefer treatments that they can deliver at home by a simple SC injection, however the IV route can be developed to provide a flexible alternative for physicians and patients.
−Removed: List of Completed Studies for Crebankitug
−Removed: Crebankitug has been studied in three clinical trials to date conducted by Pfizer:
−Removed: ● Phase 1a single ascending dose (“SAD”) trial.
−Removed: This was a first-in-human study to evaluate ascending doses of crebankitug in adult healthy volunteers.
−Removed: ● Phase 1b trial in patients with established T1D .
−Removed: This was a multi-center, randomized, double-blind, sponsor-open, and placebo-controlled study to evaluate multiple ascending doses of crebankitug in adult subjects with T1D diagnosed within the preceding 2 years.
−Removed: ● Phase 1b trial in patients with MS.
−Removed: This was a randomized, multi-centre, double- blind, sponsor-open, placebo-controlled study to evaluate multiple ascending doses of crebankitug in adult subjects with MS.
−Removed: The study was terminated in April 2015 by the sponsor for reasons other than subject safety and had only 4 subjects enrolled.
−Removed: Phase 1 Completed Clinical Trials for Crebankitug
−Removed: In Phase 1/1b clinical studies of crebankitug, safety and pharmacokinetics were evaluated.
−Removed: In a Phase 1b clinical study in type 1 diabetes, crebankitug demonstrated clinically relevant biologic effects resulting in significant reductions in effector and memory T cell populations, while sparing regulatory T-cell populations (Herold KC 2019 JCI Insights).
−Removed: The safety profiles from these studies support further development.
−Removed: Phase 2 Clinical Trials, Ongoing Clinical Development for Crebankitug
−Removed: We are conducting necessary Chemistry, Manufacturing and Controls (“CMC”) and regulatory activities to prepare crebankitug for Phase 2 readiness.
+Added: Disease Background and Unmet Medical Need
+Added: HS, also known as acne inversa, is a chronic, recurrent and debilitating inflammatory skin disease of the hair follicle.
+Added: Reported worldwide prevalence estimates range from approximately 0.05% to 4.1%.
+Added: HS typically presents in early adulthood, although delayed diagnosis is common.
+Added: Patients characteristically experience painful nodules, purulent abscesses and draining sinus tracts in intertriginous areas such as the axillary, inguinal, perineal and inframammary regions.
+Added: HS is associated with substantial physical morbidity, impaired mobility, scarring and psychosocial burden.
+Added: Comorbidities may include inflammatory arthropathies, metabolic syndrome, cardiovascular risk factors and depression.
+Added: Despite approved biologic therapies targeting inflammatory pathways, many patients experience incomplete responses or recurrent disease flares.
+Added: No therapies specifically targeting B cell survival pathways are currently approved for HS.
+Added: Pathogenesis and Translational Evidence
+Added: Follicular occlusion is thought to be an initiating event in HS, followed by rupture and a local immune response characterized by neutrophil recruitment and sustained inflammation.
+Added: In translational studies, IL-17A-producing cells have been identified in HS lesional tissue, and IL-17-associated signaling has been implicated in amplification of inflammatory responses.
+Added: B cell and plasma cell infiltration has also been reported in chronic HS lesions, and BAFF expression has been observed in lesional tissue.
+Added: These findings support investigation of immune pathways involving both IL-17A and BAFF in HS.
+Added: Diffuse Cutaneous Systemic Sclerosis
+Added: Disease Background and Unmet Medical Need
+Added: SSc is an orphan autoimmune disease characterized by immune dysregulation, vasculopathy and progressive fibrosis of the skin and internal organs.
+Added: dcSSc is associated with rapid disease progression, extensive skin involvement and early visceral organ complications.
+Added: There are currently no therapies approved to treat the totality of dcSSc manifestations.
+Added: Approved agents for systemic sclerosis–associated interstitial lung disease slow lung function decline but do not broadly reverse fibrosis or address multi-organ disease.
+Added: Pathogenesis and Translational Evidence
+Added: Elevated BAFF levels have been reported in patients with SSc and have been associated with disease activity in observational studies.
+Added: In translational investigations, BAFF signaling has been associated with B cell activation and profibrotic gene expression.
+Added: Increased Th17 cell activity and IL-17 expression have also been reported in SSc.
+Added: IL-17 signaling has been implicated in fibroblast activation and collagen production in certain experimental systems.
+Added: Dual inhibition of IL-17A and BAFF is intended to address inflammatory and B cell–associated components implicated in SSc pathogenesis.
+Added: The clinical effect of this approach is being evaluated in the ongoing Phase 2 clinical trial of TibuSURE in dcSSc.
+Added: Ongoing Clinical Trials of Tibulizumab
+Added: Tibulizumab is currently being evaluated in two ongoing global Phase 2 clinical trials:
+Added: TibuSHIELD – Hidradenitis Suppurativa
+Added: In May 2025, we initiated TibuSHIELD, a randomized, double-blind, placebo-controlled Phase 2 clinical trial evaluating tibulizumab in adults with moderate-to-severe HS.
+Added: The trial is designed to assess safety, tolerability and efficacy in approximately 225 participants across the United States, Canada and Europe.
+Added: In January 2026, we expanded the planned enrollment from approximately 180 participants to approximately 225 participants pursuant to a protocol amendment.
+Added: The primary endpoint is the percent change from baseline in total abscess and inflammatory nodule count at Week 16.
+Added: Key secondary endpoints include the proportion of participants achieving HiSCR50 or HiSCR75 at Week 16, as well as additional safety and clinical activity measures.
+Added: The trial includes:
+Added: ● A 16-week double-blind efficacy assessment period
+Added: ● An optional open-label extension period following completion of the double-blind portion
+Added: ● A 12-week safety follow-up period after the last dose
+Added: Topline results from the 16-week double-blind portion of the trial are expected in the fourth quarter of 2026.
+Added: TibuSURE – Diffuse Cutaneous Systemic Sclerosis
+Added: In December 2024, we initiated TibuSURE, a randomized, double-blind, placebo-controlled Phase 2 clinical trial evaluating tibulizumab in adults with early dcSSc.
+Added: The trial is designed to assess safety, tolerability and efficacy in approximately 80 participants across the United States, Latin America, and Europe.
+Added: The primary endpoint is the modified Rodnan Skin Score at Week 24.
+Added: Secondary endpoints include measures of lung involvement, including forced vital capacity and quantitative high-resolution computed tomography, as well as functional and composite clinical measures such as the Health Assessment Questionnaire-Disability Index and the revised Combined Response Index in Systemic Sclerosis.
+Added: The trial includes:
+Added: ● A 24-week double-blind efficacy assessment period
+Added: ● An optional open-label extension period following completion of the double-blind portion
+Added: Topline results from the 24-week double-blind portion of the trial are expected in the first half of 2027.
+Added: Crebankitug (ZB-168)
+Added: Overview of Crebankitug
+Added: Crebankitug is a fully human immunoglobulin G1 monoclonal antibody that binds and neutralizes the interleukin-7 receptor alpha chain (“IL-7Rα”).
+Added: IL-7Rα is a shared receptor component involved in signaling mediated by interleukin-7 (“IL-7”) and thymic stromal lymphopoietin (“TSLP”).
+Added: Through binding to IL-7Rα, crebankitug is designed to inhibit signaling mediated by both IL-7 and TSLP.
+Added: Biological Background
+Added: IL-7 was initially characterized for its role in lymphocyte growth and survival and is now recognized as an important regulator of T cell development and peripheral T cell homeostasis.
+Added: IL-7 signaling occurs through IL-7Rα in combination with the common gamma chain receptor and contributes to T cell survival, proliferation and differentiation.
+Added: IL-7Rα also serves as a receptor component for TSLP, a cytokine involved in modulation of immune responses, particularly at epithelial barrier tissues.
+Added: TSLP signaling has been implicated in inflammatory and autoimmune conditions through activation of dendritic cells and promotion of T-helper cell responses.
+Added: Dysregulation of the IL-7/IL-7Rα axis and related signaling pathways has been associated with autoimmune and inflammatory diseases.
+Added: Genetic polymorphisms involving IL-7R have been reported in multiple autoimmune conditions, including multiple sclerosis (“MS”), type 1 diabetes (“T1D”), RA and primary Sjögren’s syndrome.
+Added: By targeting IL-7Rα, crebankitug is designed to modulate signaling associated with both IL-7 and TSLP pathways, which are involved in T cell survival, activation and immune homeostasis.
+Added: Completed Clinical Trials and Clinical Observations for Crebankitug
+Added: Crebankitug was previously evaluated in three Phase 1/1b clinical trials conducted by Pfizer prior to our in-licensing of development rights:
+Added: Phase 1 SAD clinical trial in adult healthy participants to assess safety, tolerability and PK.
+Added: Phase 1b clinical trial in participants with established T1D.
+Added: This was a multicenter, randomized, double-blind, sponsor-open, placebo-controlled clinical trial evaluating multiple ascending doses of crebankitug in adult participants diagnosed with T1D within the preceding two years.
+Added: Phase 1b clinical trial in participants with MS.
+Added: This was a randomized, multicenter, double-blind, sponsor-open, placebo-controlled clinical trial designed to evaluate multiple ascending doses of crebankitug in adult participants with MS.
+Added: The clinical trial enrolled four participants and was terminated by the sponsor for reasons other than participant safety.
+Added: Across clinical development, crebankitug was administered to 93 participants.
+Added: In Phase 1 and Phase 1b clinical trials, safety, tolerability and PK were evaluated.
+Added: In the Phase 1b clinical trial in participants with T1D, crebankitug demonstrated biologic activity consistent with IL-7Rα blockade, including reductions in effector and memory T cell populations while sparing regulatory T cell populations.
+Added: Changes in gene expression associated with T cell activation, trafficking and differentiation were also observed.
+Added: The majority of adverse events were Grade 1 or Grade 2.
+Added: There were no deaths or permanent discontinuations due to adverse events.
+Added: Crebankitug has been administered via intravenous (“IV”) infusion and subcutaneous (“SC”) injection in clinical trials.
+Added: Potential Future Development Considerations for Crebankitug
+Added: We are assessing the competitive landscape, including developments in IL-7 and TSLP-targeted programs, and evaluating potential therapeutic indications and development strategies for crebankitug.
+Added: These evaluations may include consideration of disease selection, clinical trial design and the timing and scope of potential future development and clinical studies.
Torudokimab (ZB-880)
Overview of Torudokimab
−Removed: Torudokimab is a human immunoglobulin (Ig) G4-variant monoclonal antibody that binds and neutralizes soluble human IL-33.
−Removed: IL-33 is a member of the IL-1 cytokine superfamily, and it activates several types of innate and acquired immune cells causing the production of other pro-inflammatory mediators and it is most frequently characterized as an epithelial cytokine that promotes type 2 or T-helper 2 (Th2) immune responses.
−Removed: We believe torudokimab may be a therapeutic option for autoimmune diseases where IL-33 signaling has been implicated.
−Removed: Benefits of Torudokimab
−Removed: We believe torudokimab possesses several important characteristics that may enable it to be a successful treatment for multiple autoimmune diseases:
−Removed: ● Torudokimab has been well tolerated to date .
−Removed: In 244 subjects dosed with torudokimab to date, the majority of adverse events (“AEs”) were categorized as grade 1 or grade 2.
−Removed: There were no deaths to date, or any serious AEs causally related to torudokimab.
−Removed: ● Torudokimab can be administered by subcutaneous (“SC”) injection or intravenous (“IV”) infusion.
−Removed: In clinical studies, torudokimab has been dosed in healthy volunteers using an SC and IV formulation and in patients using a SC formulation.
−Removed: List of Completed Studies for Torudokimab
−Removed: Torudokimab has been studied in three clinical trials to date conducted by Lilly:
−Removed: ● Phase 1 single ascending dose (SAD) and multiple ascending dose (MAD) trial.
−Removed: This was a first-in-human study in healthy subjects to evaluate the safety, tolerability, pharmacokinetics, immunogenicity, and target engagement of torudokimab administered as single and multiple doses.
−Removed: ● Phase 1 trial.
−Removed: This was a safety, tolerability, and pharmacokinetic trial of different solution formulations and injection number of torudokimab using investigational injection devices in healthy subjects.
−Removed: ● Phase 2 trial in patients with atopic dermatitis (AD) .
−Removed: This was a multicenter, randomized, double-blind, placebo-controlled, parallel group clinical trial evaluating the efficacy and safety of torudokimab in adult subjects with moderate-to-severe AD.
−Removed: Phase 1 and Phase 2 Completed Clinical Trials for Torudokimab
−Removed: In Phase 1 clinical studies of torudokimab, safety and pharmacokinetics were evaluated.
−Removed: The Phase 2 clinical study in adult subjects with moderate to severe atopic dermatitis was terminated early due to a lack of efficacy following the planned interim analysis.
−Removed: Safety findings did not contribute to the study termination, and torudokimab was well-tolerated overall with a safety profile supporting further development.
−Removed: The pharmacokinetics were similar to other monoclonal antibodies, with an average half-life of 20 days.
−Removed: There was no apparent clinical impact of anti-drug antibodies.
−Removed: (Laquer V 2022 Br J Dermatol)
−Removed: Phase 2 Clinical Trials, Ongoing Clinical Development for Torudokimab
−Removed: We plan to conduct necessary CMC and regulatory activities to prepare torudokimab for Phase 2 readiness in allergy or respiratory-related indications.
−Removed: Additionally, we are monitoring Phase 2 and Phase 3 external catalysts, particularly in asthma and chronic obstructive pulmonary disease.
+Added: Torudokimab is a fully human IgG4 monoclonal antibody that binds and neutralizes soluble human IL-33.
+Added: IL-33 signaling occurs primarily through suppression of tumorigenicity 2 (“ST2”), a receptor expressed on multiple immune cell types.
+Added: Torudokimab was previously evaluated in three clinical trials conducted by Lilly prior to our in-licensing of development rights.
+Added: Biological Background
+Added: IL-33 is a member of the interleukin-1 (“IL-1”) cytokine superfamily and is characterized as an epithelial-derived cytokine released in response to cellular stress or tissue injury.
+Added: Upon binding to the ST2 receptor, IL-33 can activate innate and adaptive immune cells and promote type 2 immune responses.
+Added: The IL-33/ST2 signaling axis has been investigated as a therapeutic target in inflammatory and respiratory diseases, including asthma and chronic obstructive pulmonary disease (“COPD”).
+Added: IL-33 signaling has also been studied in dermatologic and other immune-mediated conditions.
+Added: By neutralizing IL-33, torudokimab is designed to inhibit signaling mediated through the IL-33/ST2 pathway.
+Added: Completed Clinical Trials and Clinical Observations for Torudokimab
+Added: Torudokimab was previously evaluated in three clinical trials conducted by Lilly:
+Added: Phase 1 SAD and MAD clinical trial.
+Added: This was a first-in-human clinical trial in healthy participants evaluating safety, tolerability, PK, immunogenicity, and target engagement.
+Added: Phase 1 clinical trial.
+Added: This was a safety, tolerability, and PK trial evaluating different solution formulations and injection methods in healthy participants.
+Added: Phase 2 clinical trial in participants with atopic dermatitis (“AD”).
+Added: This was a multicenter, randomized, double-blind, placebo-controlled, parallel-group clinical trial evaluating efficacy and safety in adult participants with moderate-to-severe AD.
+Added: Across clinical development, 244 participants were dosed with torudokimab.
+Added: In Phase 1 clinical trials, torudokimab demonstrated a PK profile consistent with monoclonal antibodies, with an average half-life of approximately 20 days.
+Added: The majority of adverse events were Grade 1 or Grade 2.
+Added: There were no deaths and no serious adverse events assessed as causally related to torudokimab.
+Added: No apparent clinical impact of anti-drug antibodies was observed.
+Added: The Phase 2 clinical trial in moderate-to-severe AD was terminated early following a planned interim analysis due to lack of efficacy.
+Added: Safety findings did not contribute to the study termination.
+Added: Torudokimab was administered via IV infusion and SC injection in clinical trials.
+Added: In healthy participants, both SC and IV formulations were evaluated.
+Added: In patient populations, torudokimab was administered via SC injection.
+Added: Potential Future Development Considerations for Torudokimab
+Added: We are assessing the competitive landscape, including developments in IL-33 and ST2-targeted programs, and evaluating potential therapeutic indications and clinical development strategies for torudokimab.
+Added: These evaluations may include consideration of disease selection, clinical trial design, and the timing and scope of potential future clinical studies.
Manufacturing
−Removed: We do not own or operate, and currently have no plans to establish, any manufacturing facilities.
−Removed: Our current and future requirements for producing bulk drug substance and finished drug product are met through third-party manufacturers.
−Removed: We have manufactured two batches of tibulizumab finished drug product through our third-party contract manufacturer in accordance with good manufacturing practice (“GMP”), which were manufactured in Italy.
−Removed: Manufacturing of a second batch of tibulizumab drug substance is currently underway in The Netherlands and further batches of tibulizumab are anticipated to be manufactured in Italy in the second quarter of 2025.
−Removed: Prior to our in-licensing of tibulizumab, it was manufactured by Lilly.
+Added: We do not own or operate, and currently have no plans to establish, any dedicated Zura manufacturing facilities.
+Added: Our current and future requirements for producing bulk drug substance and finished drug product are met through contract manufacturers.
+Added: We have manufactured three batches of tibulizumab finished drug product in Italy and three batches of tibulizumab drug substance in the Netherlands through contract manufacturers in accordance with current good manufacturing practices (“cGMP”).
+Added: Additional batches of both tibulizumab drug substance and drug product are anticipated to be manufactured in 2026.
+Added: Prior to our in-licensing of tibulizumab, Lilly manufactured tibulizumab.
Pursuant to the Lilly license, we have a license to the drug substance manufacturing process and the associated analytical testing.
−Removed: Torudokimab drug substance and drug product, available for use in the next clinical studies, was moved from WuXi, People’s Republic of China (“PRC”) to the United Kingdom (“U.K.”) during 2024.
+Added: In 2024, torudokimab drug substance and drug product were moved from WuXi, People’s Republic of China (“PRC”) to the United Kingdom (“U.K.”).
We have an ongoing stability study in WuXi.
The PRC, and WuXi specifically, have faced increased scrutiny by the U.S.
−Removed: government, which could necessitate the selection of a new manufacturer and impact our ability to supply torudokimab to meet future demand.
−Removed: See our risk factors under Part I, Item 1A Risk Factors in this Annual Report.
−Removed: For crebankitug, we transferred the GMP drug substance manufacturing process and associated analytical testing to The Netherlands.
−Removed: The facility manufactured a batch of drug substance to GMP and this material is available for release for the next clinical studies of crebankitug.
−Removed: Similarly, the GMP drug product manufacturing process was transferred to Italy and a batch of GMP drug product has been manufactured and is available for release for the next clinical studies of crebankitug.
−Removed: We believe our outsourced manufacturing facilities are equipped to produce tibulizumab and crebankitug for both clinical development and commercial use.
−Removed: Before requiring torudokimab for use in clinical trials, we plan to assess the appropriate manufacturing location.
+Added: government, which could necessitate the selection of a new manufacturer and require additional stability studies thus
+Added: impacting our ability to supply torudokimab to meet future demand.
+Added: See the risk factor titled “ Our business, operations, financial position, and clinical development plans and timelines could be materially adversely affected by international conflicts and economic sanctions ” under Part I, Item 1A Risk Factors in this Annual Report.
+Added: For crebankitug, we transferred the cGMP drug substance manufacturing process and associated analytical testing to the Netherlands.
+Added: The facility manufactured a batch of cGMP drug substance and this material is available for release for use in crebankitug clinical studies.
+Added: Similarly, the cGMP drug product manufacturing process was transferred to Italy and a batch of cGMP drug product was manufactured and is available for release for use in crebankitug clinical studies.
+Added: We believe our outsourced manufacturing facilities are equipped to produce tibulizumab and crebankitug for both clinical and commercial use.
+Added: We continue to monitor and assess contract manufacturers for our future needs.
We currently have no plans to establish in-house manufacturing capabilities.
Intellectual Property
−Removed: Our commercial success depends in large part on our ability:
−Removed: to obtain and maintain patent protection for the ZB Assets (including but not limited to their components, formulations, methods of manufacturing, and methods of treatment in the United States and other countries);
−Removed: to operate without infringing valid and enforceable patents and proprietary rights of others;
−Removed: and to prevent others from infringing on our proprietary or intellectual property rights.
+Added: With respect to our intellectual property, our continued development, clinical and commercial success depends in large part on our ability to:
+Added: obtain and maintain patent protection for the ZB Assets (including but not limited to their components, formulations, methods of manufacturing, and methods of treatment in the United States and other countries);
+Added: operate without infringing valid and enforceable patents and proprietary rights of others;
+Added: and prevent others from infringing on our proprietary or intellectual property rights.
We intend to take advantage of regulatory protection afforded through data exclusivity, market exclusivity and patent term extensions, where available.
16 unchanged sentences
2023 Lilly License
−Removed: On April 26, 2023, our consolidated subsidiary ZB17 LLC (“ZB17”) entered into a license agreement (the “2023 Lilly License” and, together with the 2022 Lilly License, defined below, the “Lilly Licenses”) with Lilly, for an exclusive license to develop, manufacture and commercialize a certain bispecific antibody relating to IL-17 and BAFF (“tibulizumab”) in exchange for an upfront payment consisting of $5.8 million as well as 1,000,000 Class A Ordinary Shares issued at a fair value of $7.84 per Class A Ordinary Share.
+Added: On April 26, 2023, our consolidated subsidiary ZB17 LLC (“ZB17”) entered into a license agreement with Lilly (the “2023 Lilly License” and, together with the 2022 Lilly License defined below, the “Lilly Licenses”) pursuant to which Lilly granted ZB17 an exclusive license to develop, manufacture and commercialize tibulizumab.
+Added: As consideration, we paid Lilly an upfront payment consisting of $5.8 million during 2023 and issued 1,000,000 Class A Ordinary Shares at an aggregate fair value of $7.8 million during the year ended 2023.
+Added: During certain specified periods, Lilly shall have the exclusive right to evaluate certain clinical trial results and determine whether it wishes to negotiate an agreement for the further development and commercialization of ZB-106 by Lilly.
+Added: If Lilly provides notice to the Company before the expiry of the applicable period that it wishes to seek to negotiate an agreement, the parties will have good faith negotiations regarding an agreement for further development and commercialization.
During 2024, ZB17 made an additional payment of $5.0 million to Lilly in connection with the receipt of certain know-how, data, information and materials that Lilly is required to provide under the license agreement.
−Removed: The acquisition was accounted for as an asset acquisition, as substantially all of the fair value of the assets acquired is concentrated in a group of similar identifiable IPR&D assets.
−Removed: On the acquisition date, the compound licensed had not yet received regulatory approval and the in-process research and development did not have an alternative use.
−Removed: Accordingly, we recorded the entire cost of the 2023 Lilly License as a component of research and development in the consolidated statement of operations during the year ended December 31, 2023.
−Removed: As a finder’s fee for arranging the acquisition of the 2023 Lilly License, ZB17 granted Stone Peach the right, but not the obligation, to purchase 4.99% of the fully diluted equity of ZB17 for $1.0 million (the “Stone Peach Call Right”).
−Removed: The Stone Peach Call Right is not exercisable until after the last patient is dosed in any single next clinical trial with tibulizumab and expires one year from the date of first indication approval for tibulizumab by the FDA or the EMA.
−Removed: The Company recognized the Stone Peach Call Right at a grant-date fair value of $1.5 million as a component of research and development in the consolidated statement of operations during the year ended December 31, 2023.
−Removed: The Stone Peach Call Right represents noncontrolling interest in our consolidated subsidiary, ZB17.
−Removed: As of each of December 31, 2024 and 2023, the noncontrolling interest balance was $1.5 million in the consolidated balance sheets.
−Removed: As additional consideration, beginning on May 1, 2023, Stone Peach receives an annual payment of $0.6 million initially, and increasing by 10% annually, so long as we maintain our license for tibulizumab, to be paid on May 1 st of each year.
−Removed: For the years ended December 31, 2024 and 2023, we recorded $0.7 million and $0.6 million, respectively, in research and development in the consolidated statement of operations for the annual payments.
−Removed: We recorded a one-time payment of $4.5 million for additional consideration due to Stone Peach upon approval from the FDA for our IND and commencement of our clinical trial for tibulizumab in research and development in the consolidated statement of operations for the years ended December 31, 2024 and in accounts payable and accrued expenses as of December 31, 2024.
−Removed: As a finder’s fee for arranging the acquisition of the 2023 Lilly License, we agreed to make a one-time milestone payment of $5.0 million to BAFFX17, Ltd (“BAFFX17”) upon the occurrence of either:
−Removed: (i) a change of control transaction, (ii) the closing of an issuance of equity or equity-linked securities by us of at least $100.0 million (iii) the consummation of a sale of assets resulting in net proceeds in excess of $100.0 million, or (iv) our fully diluted shares outstanding exceed 52,500,000 shares (on a split adjusted basis), as measured on April 24th of each year.
−Removed: As our fully diluted shares outstanding exceeded 52,500,000 shares prior to December 31, 2023, the $5.0 million fee was recorded in research and development in the consolidated statement of operations for the year ended December 31, 2023, and is included in accounts payable and accrued expenses in the consolidated balance sheets as of December 31, 2024 and 2023.
−Removed: In addition to the consideration paid and/or earned in 2024 and 2023, we are also obligated to make payments (a) to Lilly for four (4) development milestone payments up to an aggregate of $155.0 million, and sales milestone payments up to an aggregate of $440.0 million based on respective thresholds of net sales of products developed from tibulizumab;
−Removed: (b) to Lilly over a multi-year period (twelve years, or upon the later expiration of regulatory exclusivity of tibulizumab in a country) for an annual earned royalty at a marginal royalty rate in the mid-single digits to low-double digits, with increasing rates depending on net sales in the respective calendar year, based on a percentage of sales within varying thresholds for a certain period of years;
−Removed: (c) to BAFFX17 for a fee equal to 3% of any milestone or royalty payments due to Lilly pursuant to the terms of either the 2022 Lilly License or the 2023 Lilly License;
−Removed: (d) to Stone Peach for a one-time milestone payment of $25 million upon either (i) certain equity-related transactions, or (ii) the receipt of regulatory approval from the applicable regulatory authority for any new indication in the applicable jurisdiction;
−Removed: and (e) to Stone Peach for a royalty of 2% of the aggregate net sales of any products developed from the Compound (collectively, the “2023 Lilly Contingent Payments”).
+Added: We are also obligated to make payments to Lilly (a) for four development milestone payments up to an aggregate of $155.0 million, and sales milestone payments up to an aggregate of $440.0 million based on respective thresholds of net sales of products developed from tibulizumab;
+Added: and (b) over a multi-year period (twelve years, or upon the later expiration of regulatory exclusivity of tibulizumab in a country) for an annual earned royalty at a marginal royalty rate in the mid-single digits to low-double digits, with increasing rates based on net sales in the respective calendar year, based on a percentage of sales within varying thresholds for a certain period of years (collectively, the “2023 Lilly Contingent Payments”).
As of December 31, 2025, none of the 2023 Lilly Contingent Payments are due and accordingly will not be recorded in our financial statements until they are due.
1 unchanged sentence
On December 8, 2022, our consolidated subsidiary Z33 Bio Inc.
−Removed: (“Z33”), entered into a license agreement (the “2022 Lilly License”) with Lilly pursuant to which Lilly granted Z33 an exclusive (even as to Lilly), royalty-bearing global license to develop, manufacture, and commercialize certain intellectual property owned by Lilly relating to its IL-33 compound.
+Added: (“Z33”) entered into a license agreement with Lilly (the “2022 Lilly License”) pursuant to which Lilly granted Z33 an exclusive (even as to Lilly) license to develop, manufacture, and commercialize torudokimab.
As consideration, we paid Lilly an upfront fee of $7.0 million during 2022 and issued Lilly 550,000 Class A Ordinary Shares at an aggregate fair value of $4.5 million upon the Closing Date of the Business Combination during the year ended December 31, 2023.
−Removed: As a finder’s fee in connection with arranging the acquisition, Z33 issued to Stone Peach Properties, LLC (“Stone Peach”) 4,900,222 shares of Z33 Series Seed Preferred Shares, which was included in the measurement of the cost of the acquired asset.
−Removed: We have the right, but not the obligation, to purchase up to 50% of the Series Seed Preferred Shares issued to Stone Peach at a price per share of $2.448869 for a period of two years from the date of the agreement (the “Call Option”).
−Removed: Stone Peach has the right, but not the obligation, to sell up to 50% of the Series Seed Preferred Shares issued to Stone Peach to us for a price per share of $2.040724 (the “Put Option”).
−Removed: In April 2023, we agreed to exercise our Call Option and we amended the settlement terms to settle the Call Option by issuing 2,000,000 Class A Ordinary Shares (the “Amended Terms”).
−Removed: In November 2023, the Amended Terms were voided and our rights and obligations under the Call Option reverted to those in the original agreement (the “Second Amended Terms”).
−Removed: In connection with the Second Amended Terms, we also provided Stone Peach with the right, but not the obligation to sell up to 50% of the Series Seed Preferred Shares issued to Stone Peach to Zura in exchange for 2,000,000 Class A Ordinary Shares (the “Put Right”).
−Removed: Stone Peach may exercise its Put Option and Put Right at any time between April 24, 2024 and April 24, 2028 under the new agreement.
−Removed: Each of the Amended Terms and the Second Amended Terms were considered an extinguishment and reissuance of the Z33 Series Seed Preferred Shares, and the Z33 Series Seed Preferred Shares are remeasured to the greater of the redemption value or the initial fair value, less noncontrolling shareholder’s interest in net loss of Z33, at each subsequent reporting period.
−Removed: The Z33 Series Seed Preferred Shares represent redeemable noncontrolling interest in our consolidated subsidiary, Z33.
−Removed: In addition to the consideration paid in 2022 and shares issued in 2023, we are also obligated to make payments to Lilly for (a) $3.0 million upon the completion of a financing by Z33 with gross proceeds exceeding $100.0 million;
−Removed: (b) 10 commercial, development and regulatory milestone payments up to an aggregate of $155.0 million and sales milestone payments up to an aggregate of $440.0 million based on respective thresholds of net sales of products developed from the licensed compound;
−Removed: and (c) an annual earned royalty at a marginal royalty rate between in the mid-single to low-double digits (less than 20%), with increasing rates based on Net Sales in the respective calendar year, based on a percentage of sales within varying thresholds for a certain period of the year (collectively, the “2022 Lilly Contingent Payments”).
+Added: In addition to the consideration paid and transferred in 2022, we paid an additional $3.0 million to Lilly in December 2025 because a financing by Z33 with gross proceeds exceeding $100.0 million did not occur by December 7, 2025.
+Added: We are also obligated to make payments to Lilly for (a) 10 commercial, development and regulatory milestone payments up to an aggregate of $155.0 million and sales milestone payments up to an aggregate of $440.0 million based on respective thresholds of net sales of products developed from the licensed compound;
+Added: and (b) an annual earned royalty at a marginal royalty rate in the mid-single to low-double digits, with increasing rates based on net sales in the respective calendar year, based on a percentage of sales within varying thresholds for a certain period of the year (collectively, the “2022 Lilly Contingent Payments”).
As of December 31, 2025, none of the 2022 Lilly Contingent Payments are due and accordingly will not be recorded in our financial statements until they are due.
1 unchanged sentence
On March 22, 2022, we entered into a license agreement and a Series A-1 Subscription and Shareholder’s Agreement (collectively, the “Pfizer Agreement”) with Pfizer.
−Removed: Under the Pfizer Agreement, we acquired a license for a compound initially developed by Pfizer, in exchange for $5.0 million in cash and 2,702,083 shares (as adjusted by the exchange ratio established in the Business Combination Agreement) of our Series A-1 convertible preferred shares, representing a 20% interest in us.
−Removed: In accordance with Accounting Standards Codification (“ASC”) 805, Business Combinations , the Pfizer Agreement is accounted for as an asset acquisition, as substantially all of the $7.5 million value transferred to us was allocated to in-process research and development.
−Removed: On the acquisition date, the compound licensed had not yet received regulatory approval and the in-process research and development did not have an alternative use.
+Added: Under the Pfizer Agreement, we acquired a license for crebankitug in exchange for $5.0 million in cash and 2,702,083 shares (as adjusted by the exchange ratio established in the Business Combination Agreement (as defined herein)) of our Series A-1 convertible preferred shares, representing a 20% interest in us.
+Added: The Pfizer Agreement is accounted for as an asset acquisition, as substantially all of the $7.5 million value transferred to us was allocated to in-process research and development.
+Added: On the acquisition date, the compound licensed had not yet received regulatory approval and the in-process research and development (the “IPR&D”) did not have an alternative use.
In addition to the consideration transferred during 2022, we are obligated to make payments to Pfizer for (a) twelve (12) development and regulatory milestone payments aggregating up to $70.0 million and sales milestone payments up to an aggregate of $525.0 million based on respective thresholds of net sales of products (developed from the licensed compound) (the “Products”);
−Removed: and (b) an annual earned royalty at a marginal royalty rate in the mid-single digits to low double digits (less than 20%), based on thresholds of nets sales of Products (collectively, the “Pfizer Contingent Payments”).
+Added: and (b) an annual earned royalty at a marginal royalty rate in the mid-single digits to low double digits, based on thresholds of net sales of Products (collectively, the “Pfizer Contingent Payments”).
Royalties are payable on a country-by-country basis for a certain period of years or upon the later expiration of regulatory exclusivity of our Products in a country.
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The Pfizer Agreement also had an anti-dilution provision to allow Pfizer to maintain an 18% interest in us.
−Removed: Immediately prior to the Closing Date of the Business Combination, additional share options and restricted share units were issued to certain employees, executives, and directors that would result in the dilution of Pfizer’s ownership in us.
+Added: Immediately prior to the Closing Date of the Business Combination (each as defined below), additional share options and restricted share units were issued to certain employees, executives, and directors that would result in the dilution of Pfizer’s ownership in us.
In accordance with the anti-dilution provision of the Pfizer Agreement, Pfizer was issued additional Series A-1 convertible preferred shares upon the closing of the Business Combination that were immediately converted to 267,939 Class A Ordinary Shares.
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As a result of manufacturing with a third party other than Lonza, under the terms of the Lonza License, we had a license fee of $0.4 million due to Lonza in the fourth quarter of 2023 and annually thereafter.
−Removed: We recorded $0.4 million for the Lonza License in research and development in the consolidated statements of operations for the years ended December 31, 2024 and 2023.
−Removed: During the year ended December 31, 2024, $0.4 million was paid for the Lonza License and the remaining $0.4 million is included in accounts payable and accrued expenses in the consolidated balance sheet as of December 31, 2024.
+Added: During each of the years ended December 31, 2025 and 2024, $0.4 million was paid for the Lonza License.
For more information, see the factors regarding third parties and manufacturing described under the heading “Risk Factors.”
WuXi Biologics License
−Removed: In July 2023, we entered into a cell line license agreement (the "Cell Line License Agreement") with WuXi Biologics and its Affiliates ("WuXi Biologics").
−Removed: The Cell Line License Agreement provides us with a non-exclusive, worldwide, sublicensable license to certain of WuXi Biologics’s know-how, cell line, and biological materials (the "WuXi Biologics Licensed Technology") to manufacture, have manufactured, use, sell and import certain products produced through the use of the cell line licensed by WuXi Biologics under the Cell Line License Agreement (the "WuXi Biologics Licensed Products").
+Added: In July 2023, we entered into a biologics master services agreement (the “WuXi Biologics MSA”) with WuXi Biologics and its affiliates (“WuXi Biologics”).
+Added: Under the WuXi Biologics MSA, we are obligated to pay WuXi Biologics a service fee and all non-cancellable obligations in the amount specified in each work order associated with the agreement for the provision of services.
+Added: The WuXi Biologics MSA may be terminated upon 30 days’ written notice by either party.
+Added: Each work order under the WuXi Biologics MSA terminates upon completion of the services under such work order, or earlier under certain circumstances:
+Added: (i) by us upon 3 months’ written notice for reasonable cause, (ii) by WuXi if the services cannot be reasonably performed due to technical difficulties, or (iii) immediately by either party if a material breach is uncured for 30 days.
+Added: Termination fees may apply under (i) and in the case of
+Added: our material breach in (iii).
+Added: In July 2023, we entered into a cell line license agreement (the “Cell Line License Agreement”) with WuXi Biologics.
+Added: The Cell Line License Agreement provides us with a non-exclusive, worldwide, sublicensable license to certain of WuXi Biologics’s know-how, cell line, and biological materials to manufacture, have manufactured, use, sell and import certain products produced through the use of the cell line licensed by WuXi Biologics under the Cell Line License Agreement (the “WuXi Biologics Licensed Products”).
In consideration for the license, we agreed to pay WuXi Biologics a non-refundable license fee of $150,000.
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As of December 31, 2025, there are no payments currently due under the Cell Line License Agreement.
+Added: Athanor Letter Agreement
+Added: On December 29, 2025, in connection with the termination of the (i) letter agreement with Stone Peach Properties, LLC (“Stone Peach”) and ZB17, dated April 24, 2023, as amended by letter agreement dated November 21, 2023 (the “ZB17 Letter Agreement”) and (ii) letter agreement dated December 8, 2022, as amended on November 21, 2023 (the “Z33 Letter Agreement” and, together with the ZB17 Letter Agreement, the “Stone Peach Letter Agreements”) by and between Stone Peach, us and Z33, as described in Note 5 to our consolidated financial statements located in “ Item 15—Exhibits and Financial Statement Schedules—Financial Statements ,” we entered into a letter agreement with Athanor Capital, an exempted company incorporated under the laws of the Cayman Islands with limited liability (“Athanor”) (the “Athanor Agreement”), pursuant to which we issued to Athanor 8,657,402 Class A Ordinary Shares (the “Athanor Shares”).
+Added: Athanor is also entitled to piggyback registration rights pursuant to which Athanor has the right to include Athanor Shares in certain registered offerings by us or if we propose to file a registration statement under the Securities Act of 1933, as amended (the “Securities Act”), with respect to the registration of equity securities, as set forth in the Athanor Agreement.
+Added: In addition, pursuant to the terms of the Athanor Agreement, we paid Athanor an upfront fee in an amount equal to $7.3 million and shall pay a one-time milestone payment in the amount of $25.0 million after the occurrence of the earliest of the following events:
+Added: (i) we or ZB17 undergoes a Change of Control (as defined in the Athanor Agreement), (ii) the consummation by us or ZB17 of a sale of assets resulting in net proceeds in excess of $500.0 million, or (iii) First Indication Regulatory Approval (as defined in the Athanor Agreement).
+Added: In addition, pursuant to the terms of the Athanor Agreement, we agreed to pay an amount equal to 2% of Net Sales (as defined in the Athanor Agreement) for the Product (as defined in the Athanor Agreement) to the extent such Net Sales (collectively, the “Net Sales Payments”) are the subject of a royalty payment under the 2023 Lilly License.
+Added: The Athanor Agreement contains representations, warranties and covenants by the parties in addition to the terms described above and shall remain in effect on a country-by-country basis until the expiration of the obligation to pay the Net Sales Payments.
+Added: See also Part II, Item 7.
+Added: “ Management’s Discussion and Analysis of Financial Condition and Results of Operations—Athanor Letter Agreement, ” “ —Stone Peach Settlement and Release Agreement ,” and “— Audit Subcommittee Investigation ” for more information.
Approval and Regulation of Drugs and Biologics in the United States
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A failure to comply with any applicable requirements during the product development, approval, or post-approval periods may lead to administrative or judicial sanctions, including, among other things, the imposition by the FDA or an institutional review board (“IRB”) of a hold on clinical trials, refusal to approve pending marketing applications or supplements, withdrawal of approval, warning letters, product recalls, product seizures, total or partial suspension of production or distribution, injunctions, fines, or administrative, civil and/or criminal investigation, penalties or prosecution.
−Removed: In the United States, our product candidates are all regulated by the FDA as biologics.
+Added: In the United States, our drug product candidates are all regulated by the FDA as biologics.
Biologics require the submission of a biologics license application (“BLA”) and approval by the FDA prior to being marketed in the United States.
−Removed: Manufacturers of biologics may also be subject to state and local regulation.
+Added: Manufacturers of
+Added: biologics may also be subject to state and local regulation.
The steps required before a biologic may be marketed in the United States generally include:
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● submission to the FDA of an application for an IND, which must become effective before human clinical trials may commence;
−Removed: ● approval of the protocol and related documentation by an independent IRB or ethics committee at each clinical trial site before each trial may be initiated;
+Added: ● approval of the protocol and related documentation by an independent IRB or ethics committee at each clinical trial site before each trial may be initiated at the site;
● performance of adequate and well-controlled clinical trials under protocols submitted to the FDA and reviewed and approved by each IRB, conducted in accordance with the FDA’s good clinical practices (“GCPs”) requirements and any additional requirements for the protection of human research subjects and their health information to establish the safety, purity and potency of the biologic for each targeted indication;
−Removed: ● preparation of and submission to FDA of a BLA for marketing approval that includes sufficient evidence of establishing the safety, purity, and potency of the proposed biological product for its intended indication, including from results of nonclinical testing and clinical trials;
+Added: ● preparation of and submission to FDA of a BLA for marketing approval that includes sufficient evidence of establishing the safety, efficacy, purity, and potency of the proposed biological product for its intended indication, including from results of nonclinical testing and clinical trials;
● a determination by the FDA within 60 days of its receipt of a BLA to accept and file the application;
−Removed: ● satisfactory completion of an FDA pre-license inspection of the manufacturing facility or facilities where the biological product is produced to assess compliance with current good manufacturing practices (“cGMPs”) to assure that the facilities, methods and controls are adequate to preserve the biological product’s identity, strength, quality and purity;
+Added: ● satisfactory completion of an FDA pre-license inspection of the manufacturing facility or facilities where the biological product is produced to assess compliance with cGMPs to assure that the facilities, methods and controls are adequate to preserve the biological product’s identity, strength, quality and purity;
● satisfactory completion of an FDA Advisory Committee meeting, if applicable;
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Phase 1 clinical trials are typically conducted in healthy volunteers, but in some situations are conducted in participants with the target disease or condition.
−Removed: These clinical trials are generally designed to evaluate the safety, metabolism, pharmacokinetic (“PK”) properties and pharmacologic actions of the product candidate in humans, the side effects associated with increasing doses and, if possible, to gain early evidence of effectiveness.
+Added: These clinical trials are generally designed to evaluate the safety, metabolism, PK properties and pharmacologic actions of the product candidate in humans, the side effects associated with increasing doses and, if possible, to gain early evidence of effectiveness.
During Phase 1 clinical trials, sufficient information about the product candidate’s PK properties and pharmacological effects may be obtained to inform and support the design of Phase 2 clinical trials;
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The FDA may order the temporary or permanent discontinuation of a clinical trial at any time or impose other sanctions if it believes that the clinical trial either is not being conducted in accordance with FDA requirements or presents an unacceptable risk to the clinical trial patients.
−Removed: In some cases, clinical trials are overseen by a data safety monitoring board (“DSMB”), which is an independent group of qualified experts organized by the trial sponsor to evaluate at designated points in time whether a trial may move forward and/or should be modified.
+Added: In some cases, clinical trials are overseen by a data safety monitoring board, which is an independent group of qualified experts organized by the trial sponsor to evaluate at designated points in time whether a trial may move forward and/or should be modified.
These decisions are based on unblinded access to data from the ongoing trial and generally involve determinations regarding the benefit-risk ratio for study patients and the scientific integrity and validity of the clinical trial.
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Under the Prescription Drug User Fee Act, as amended, (“PDUFA”) the fees payable to the FDA for reviewing an original BLA, as well as annual program fees for approved products, can be substantial, subject to certain limited deferrals, waivers and reductions that may be available.
−Removed: The FDA has 60 days from receipt of a BLA to determine whether the application will be accepted for filing based on the agency’s threshold determination that it is sufficiently complete to permit substantive review.
+Added: The FDA has 60 days from receipt of a BLA to determine whether the application will be accepted for
+Added: filing based on the agency’s threshold determination that it is sufficiently complete to permit substantive review.
The FDA may refuse to accept for filing any BLA that it deems incomplete or not properly reviewable at the time of submission, in which case the BLA will have to be updated and resubmitted.
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Additionally, before approving, the FDA will typically inspect one or more clinical sites to assure compliance with GCP requirements.
−Removed: Under the Pediatric Research Equity Act (“PREA”), certain BLAs must include an assessment, generally based on clinical trial data, of the safety and effectiveness of the biological product in relevant pediatric populations.
+Added: Under the Pediatric Research Equity Act, certain BLAs must include an assessment, generally based on clinical trial data, of the safety and effectiveness of the biological product in relevant pediatric populations.
The FDA may waive or defer the requirement for a pediatric assessment, either at a company’s request or by its own initiative, including waivers for certain products not likely to be used in a substantial number of pediatric patients.
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Changes to some of the conditions established in an approved application, including changes in indications, labeling, or manufacturing processes or facilities, require submission and FDA approval of a new BLA and/or a supplemental BLA (“sBLA”) before the change can be implemented.
−Removed: A sBLA for a new indication typically requires clinical data similar to that in the original application, and the FDA generally uses the same procedures and actions in reviewing a sBLA as it does in reviewing a new BLA.
+Added: An sBLA for a new indication typically requires clinical data similar to that in the original application, and the FDA generally uses the same procedures and actions in reviewing an sBLA as it does in reviewing a new BLA.
Product approvals may be withdrawn if compliance with regulatory standards is not maintained or if safety or manufacturing problems occur following initial marketing.
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Market Exclusivity
−Removed: A biological product can obtain pediatric market exclusivity in the United States Pediatric exclusivity, if granted, adds six months to existing exclusivity periods, including some regulatory exclusivity periods tied to patent terms.
+Added: A biological product can obtain pediatric market exclusivity in the United States.
+Added: Pediatric exclusivity, if granted, adds six months to existing exclusivity periods, including some regulatory exclusivity periods tied to patent terms.
This six-month exclusivity, which runs from the end of other exclusivity protection or patent term, may be granted based on the voluntary completion of a pediatric study in accordance with an FDA-issued “Written Request” for such a study.
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Discovery of previously unknown problems with a product or failure to comply with applicable regulatory requirements after approval may result in serious and extensive restrictions on a product or the manufacturer or holder of an approved BLA, as well as lead to potential market disruptions.
−Removed: These restrictions may include suspension of product manufacturing until the FDA is assured that quality standards can be met, continuing oversight of manufacturing by the FDA under a ‘‘consent decree,’’ which
−Removed: frequently includes the imposition of costs and continuing inspections over a period of many years, as well as possible withdrawal of the product from the market.
+Added: These restrictions may include suspension of product manufacturing until the FDA is assured that quality standards can be met, continuing oversight of manufacturing by the FDA under a ‘‘consent decree,’’ which frequently includes the imposition of costs and continuing inspections over a period of many years, as well as possible withdrawal of the product from the market.
Other potential consequences include interruption of production, issuance of warning letters or other enforcement letters, refusal to approve pending BLAs or supplements to approved BLAs, product seizure or detention, product recalls, fines, and injunctions or imposition of civil and/or criminal penalties.
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In the EU, medicinal products can only be commercialized after a related marketing authorization (“MA”), has been granted.
−Removed: To obtain an MA for a product in the European Union (“EU”), an applicant must submit a Marketing Authorization Application (“MA Application”), either under a centralized procedure administered by the EMA, or one of the procedures administered by the competent authorities of EU Member States (decentralized procedure, national procedure or mutual recognition procedure).
+Added: To obtain an MA for a product in the EU, an applicant must submit a Marketing Authorization Application (“MA Application”), either under a centralized procedure administered by the EMA, or one of the procedures administered by the competent authorities of EU Member States (decentralized procedure, national procedure or mutual recognition procedure).
An MA may be granted only to an applicant established in the EU.
−Removed: The centralized procedure provides for the grant of a single MA by the European Commission that is valid throughout the EEA (which is comprised of the 27 EU Member States plus Iceland, Liechtenstein and Norway).
+Added: The centralized procedure provides for the grant of a single MA by the European Commission that is valid throughout the European Economic Area (“EEA”) (which is comprised of the 27 EU Member States plus Iceland, Liechtenstein and Norway).
Pursuant to Regulation (EC) No 726/2004, the centralized procedure is compulsory for specific products, including for (i) medicinal products derived from biotechnological processes, (ii) products designated as orphan medicinal products, (iii) advanced therapy medicinal products, and (iv) products with a new active substance indicated for the treatment of HIV/AIDS, cancer, neurodegenerative diseases, diabetes, auto-immune and other immune dysfunctions and viral diseases.
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The resulting assessment report is submitted to the concerned EU Member States who, within 90 days of receipt, must decide whether to approve the assessment report and related materials.
−Removed: If a concerned EU Member State cannot approve the assessment report and related materials due to concerns relating to a potential serious risk to public health, disputed elements may be referred to the Heads of Medicines Agencies’ Coordination Group for Mutual Recognition and Decentralised Procedures – Human for review.
+Added: If a concerned EU Member State cannot approve the assessment report and related materials due to concerns relating to a potential serious risk to public health, disputed elements may be referred to the Heads of Medicines
+Added: Agencies’ Coordination Group for Mutual Recognition and Decentralised Procedures – Human for review.
The subsequent decision of the European Commission is binding on all EU Member States.
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However, unlike the conditional MA, an applicant for authorization in exceptional circumstances is not subsequently required to provide the missing data.
−Removed: Although the MA “under
−Removed: exceptional circumstances” is granted definitively, the risk-benefit balance of the medicinal product is reviewed annually, and the MA will be withdrawn if the risk-benefit ratio is no longer favorable.
+Added: Although the MA “under exceptional circumstances” is granted definitively, the risk-benefit balance of the medicinal product is reviewed annually, and the MA will be withdrawn if the risk-benefit ratio is no longer favorable.
Post-authorization Requirements in the EU
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Similar to the United States, both MA holders and manufacturers of medicinal products are subject to comprehensive regulatory oversight by the EMA, the European Commission and/or the competent regulatory authorities of the individual EU Member States.
−Removed: T he holder of an MA must establish and maintain a pharmacovigilance system and appoint an individual qualified person for pharmacovigilance (“QPPV”) who is responsible for oversight of that system .
−Removed: Key obligations include expedited reporting of suspected serious adverse reactions and submission of periodic safety update reports (“PSURs ”).
+Added: The holder of an MA must establish and maintain a pharmacovigilance system and appoint an individual qualified person for pharmacovigilance who is responsible for oversight of that system.
+Added: Key obligations include expedited reporting of suspected serious adverse reactions and submission of periodic safety update reports.
All new MA Applications must include a risk management plan, describing the risk management system that the company will put in place and documenting measures to prevent or minimize the risks associated with the product.
The regulatory authorities may also impose specific obligations as a condition of the MA.
−Removed: Such risk- minimization measures or post-authorization obligations may include additional safety monitoring, more frequent submission of PSURs, or the conduct of additional clinical trials or post-authorization safety studies.
+Added: Such risk- minimization measures or post-authorization obligations may include additional safety monitoring, more frequent submission of periodic safety update reports, or the conduct of additional clinical trials or post-authorization safety studies.
In the EU, the advertising and promotion of medicinal products are subject to both EU and EU Member States’ laws governing promotion of medicinal products, interactions with physicians and other healthcare professionals, misleading and comparative advertising and unfair commercial practices.
7 unchanged sentences
In the EU, clinical trials are governed by the Clinical Trials Regulation (EU) No 536/2014 (“CTR”), which entered into application on January 31, 2022, repealing and replacing the former Clinical Trials Directive 2001/20.
+Added: The three-year transition period ended on January 31, 2025.
+Added: Since this date, all new or ongoing trials are subject to the provisions of the CTR.
The CTR is intended to harmonize and streamline clinical trial authorizations, simplify adverse-event reporting procedures, improve the supervision of clinical trials and increase transparency.
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Individual EU Member States retain the power to authorize the conduct of clinical trials on their territory.
−Removed: The CTR foresaw a three-year transition period that ended on January 31, 2025.
−Removed: Since this date, all new or ongoing trials are subject to the provisions of the CTR.
Health Care Laws and Regulations
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● the federal Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) which created additional federal criminal laws that prohibit, among other things, knowingly and willfully executing, or attempting to execute, a scheme to defraud any health care benefit program or making false statements relating to health care matters;
−Removed: ● HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act, and their respective implementing regulations, including the Final Omnibus Rule published in January 2013, which impose obligations, including mandatory contractual terms, with respect to safeguarding the privacy, security and transmission of individually identifiable health information;
+Added: ● HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act (“HITECH”), and their respective implementing regulations, including the Final Omnibus Rule published in January 2013, which impose obligations, including mandatory contractual terms, with respect to safeguarding the privacy, security and transmission of individually identifiable health information;
● the federal false statements statute, which prohibits knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false statement in connection with the delivery of or payment for health care benefits, items or services;
−Removed: ● the Foreign Corrupt Practices ACT (“FCPA”) which prohibits companies and their intermediaries from making, or offering or promising to make improper payments to non-U.S.
+Added: ● the Foreign Corrupt Practices Act which prohibits companies and their intermediaries from making, or offering or promising to make improper payments to non-U.S.
officials for the purpose of obtaining or retaining business or otherwise seeking favorable treatment;
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State and foreign laws also govern the privacy and security of health information in some circumstances, many of which differ from each other in significant ways and often are not preempted by HIPAA, thus complicating compliance efforts.
+Added: Violations of such laws may result in significant penalties, including criminal, civil and administrative penalties, damages, fines, disgorgement, imprisonment, exclusion from participation in government healthcare programs, contractual damages, reputational harm, integrity oversight and reporting obligations, diminished profits and future earnings, and the curtailment or restructuring of operations.
Pharmaceutical Insurance Coverage and Health Care Reform
12 unchanged sentences
Governments have shown significant interest in implementing cost-containment programs, including price controls, restrictions on reimbursement and requirements for substitution of generic drug products.
+Added: For example, the U.S.
+Added: Department of Health and Human Services (“HHS”), imposes rebates on many Medicare Part B and Medicare Part D products to penalize price increases that outpace inflation on an annual basis.
+Added: HHS has also been empowered to negotiate the price of certain single-source biologics that have been on the market for at least eleven years covered under Medicare as part of the Medicare Drug Price Negotiation Program.
+Added: Each year up to twenty products will be selected by HHS for the Medicare Drug Price Negotiation Program.
+Added: Products subject to the Medicare Drug Price Negotiation Program are expected to experience a significant reduction in reimbursement from the Medicare program on a per unit basis.
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 drug products.
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In March 2010, the United States Congress enacted the ACA, which, among other things, included changes to the coverage and payment for drug products under government health care programs.
−Removed: The ACA effected the following changes of importance to our potential product candidates:
−Removed: ● established an annual, nondeductible fee on any entity that manufactures or imports specified branded prescription drugs and biologic agents, apportioned among these entities according to their market share in certain government healthcare programs;
−Removed: ● expanded eligibility criteria for Medicaid programs by, among other things, allowing states to offer Medicaid coverage to certain individuals with income at or below 133% of the federal poverty level, thereby potentially increasing a manufacturer’s Medicaid rebate liability;
−Removed: ● expanded manufacturers’ rebate liability under the Medicaid Drug Rebate Program by increasing the minimum rebate for both branded and generic drugs and revising the definition of “average manufacturer price” for calculating and reporting Medicaid drug rebates on outpatient prescription drug prices;
−Removed: ● addressed a new methodology by which rebates owed by manufacturers under the Medicaid Drug Rebate Program are calculated for drugs that are inhaled, infused, instilled, implanted or injected;
−Removed: ● expanded the types of entities eligible for the 340B drug discount program;
−Removed: ● established the Medicare Part D coverage gap discount program by requiring manufacturers to provide a 70% point-of-sale discount off of the negotiated price of applicable brand drugs to eligible beneficiaries during their coverage gap period as a condition for the manufacturers’ outpatient drugs to be covered under Medicare Part D;
−Removed: ● established a new Patient-Centered Outcomes Research Institute to oversee, identify priorities in, and conduct comparative clinical effectiveness research, along with funding for such research.
−Removed: Other legislative changes have been proposed and adopted in the United States since the ACA was enacted.
−Removed: These changes include aggregate reductions to Medicare payments to providers of 2% per fiscal year pursuant to the Budget Control Act of 2011, which began in 2013 and, due to subsequent legislative amendments to the statute, including the Infrastructure Investment and Jobs Act, will remain in effect until 2032 unless additional Congressional action is taken.
There have been judicial and Congressional challenges and amendments to certain aspects of the ACA.
−Removed: For example, on August 16, 2022, the Inflation Reduction Act of 2022 (“IRA”), was signed into law, which among other things, extends enhanced subsidies for individuals purchasing health insurance coverage in ACA marketplaces through plan year 2025.
−Removed: The IRA also eliminates the “donut hole” under the Medicare Part D program beginning in 2025 by significantly lowering the beneficiary maximum out-of-pocket cost and by creating a new manufacturer discount program.
−Removed: It is possible that the ACA will be subject to judicial or Congressional challenges in the future.
−Removed: It is unclear how such challenges and healthcare reform measures of the current U.S.
−Removed: federal government administration will impact the ACA.
−Removed: Further, there has been heightened governmental scrutiny in the United States of pharmaceutical pricing practices in light of the rising cost of prescription drugs and biologics.
−Removed: Such scrutiny has resulted in several recent Congressional inquiries and federal and state legislative activity designed to, among other things, bring more transparency to product pricing, review the relationship between pricing and manufacturer patient programs, and reform government program reimbursement methodologies for products.
−Removed: For example, the IRA, among other things, (i) directs the Secretary of the U.S.
−Removed: Department of Health and Human Services (“HHS”) to negotiate the price of certain high-expenditure, single-source drugs that have been on the market for at least 7 years covered under Medicare Part B and Medicare Part D, and subjects drug manufacturers to civil monetary penalties and a potential excise tax by offering a price that is not equal to or less than the negotiated “maximum fair price” under the law (the “Medicare Drug Price Negotiation Program”), and (ii) imposes rebates under Medicare Part B and Medicare Part D to penalize price increases that outpace inflation.
−Removed: These provisions began to take effect progressively in fiscal year 2023.
−Removed: On August 15, 2024, HHS announced the agreed-upon price of the first ten drugs that were subject to price negotiations, although the Medicare Drug Price Negotiation Program is currently subject to legal challenges.
−Removed: On January 17, 2025, HHS selected fifteen additional products covered under Part D for price negotiation in 2025.
−Removed: Each year thereafter more Part B and Part D products will become subject to the Medicare Drug Price Negotiation Program.
−Removed: Further, on December 7, 2023, an initiative to control the price of prescription drugs through the use of march-in rights under the Bayh-Dole Act was announced.
−Removed: On December 8, 2023, the National Institute of Standards and Technology published for comment a Draft Interagency Guidance Framework for Considering the Exercise of March-In Rights which for the first time includes the price of a product as one factor an agency can use when deciding to exercise march-in rights.
−Removed: While march-in rights have not previously been exercised, it is uncertain if that will continue under the new framework.
+Added: For example, on July 4, 2025, the One Big Beautiful Bill Act (the “OBBBA”), was signed into law, which narrowed access to ACA marketplace exchange enrollment and declined to extend the ACA enhanced advanced premium tax credits that expired at the end of 2025, which, among other provisions in the law, are anticipated to reduce the number of Americans with health insurance.
+Added: The OBBBA also is expected to reduce Medicaid spending and enrollment by implementing work requirements for some beneficiaries, capping state-directed payments, reducing federal funding, and limiting provider taxes used to fund the program.
+Added: Congress is considering proposed legislation intended to further reduce healthcare costs with alternatives to replace the expired ACA subsidies.
+Added: We expect that additional U.S.
+Added: healthcare reform measures will be adopted in the future, any of which could limit the amounts that the U.S.
+Added: federal government will pay for healthcare products and services, which could result in reduced demand for our product candidates or additional pricing pressures.
+Added: Other legislative changes have been proposed and adopted in the United States since the ACA was enacted.
+Added: These changes include aggregate reductions to Medicare payments to providers of 2% per fiscal year, which began in 2013 and will remain in effect until 2032 unless additional Congressional action is taken.
+Added: The current administration is pursuing policies to reduce regulations and expenditures across government agencies including at HHS, the FDA, the Centers for Medicare & Medicaid Services (“CMS”) and related agencies.
+Added: These actions, presently directed by executive orders or memoranda from the Office of Management and Budget, may propose policy changes that create additional uncertainty for our business.
+Added: For example, the current administration has announced agreements with several pharmaceutical companies that require the drug manufacturers to offer, through a direct-to-consumer platform, U.S.
+Added: patients and Medicaid programs prescription drug Most-Favored Nation pricing equal to or lower than those paid in other developed nations, with additional mandates for direct-to-patient discounts and repatriation of foreign revenues.
+Added: Other recent actions, for example, include (1) directing agencies to reduce agency workforce and cut programs;
+Added: (2) directing HHS and other agencies to lower prescription drug costs through a variety of initiatives, including by improving upon the Medicare Drug Price Negotiation Program and establishing Most-Favored-Nation pricing for pharmaceutical products;
+Added: (3) imposing tariffs on imported pharmaceutical products;
+Added: and (4) as part of the Make America Healthy Again Commission’s Strategy Report released in September 2025, working across government agencies to increase enforcement on direct-to-consumer pharmaceutical advertising.
+Added: Additionally, the current administration recently called on Congress to enact “The Great Healthcare Plan,” to codify and expand Most-Favored Nation pricing, lower government subsidies to private insurance companies, increase healthcare price transparency, expand pharmaceutical drugs available for over-the-counter purchase, and enact restrictions on pharmacy benefit manager payment methodologies, among other things.
+Added: These actions and policies may significantly reduce U.S.
+Added: drug prices, potentially impacting manufacturers’ global pricing strategies and profitability, while increasing their operational costs and compliance risks.
+Added: In June 2024, the U.S.
+Added: Supreme Court’s Loper Bright decision greatly reduced judicial deference to regulatory agencies, which could increase successful legal challenges to federal regulations affecting our operations.
+Added: Congress may introduce and ultimately pass health care related legislation that could impact the drug approval process and make changes to the Medicare Drug Price Negotiation Program.
At the state level, individual states are increasingly aggressive in passing legislation and implementing regulations designed to control pharmaceutical and biological product pricing, including price or patient reimbursement constraints, discounts, restrictions on certain product access and marketing cost disclosure and transparency measures, and, in some cases, designed to encourage importation from other countries and bulk purchasing.
In addition, regional health care authorities and individual hospitals are increasingly using bidding procedures to determine what pharmaceutical products and which suppliers will be included in their prescription drug and other health care programs.
+Added: We expect that additional state, federal and foreign healthcare reform measures will be adopted in the future.
Patent Term Restoration and Marketing Exclusivity
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The review phase is the period between the initial submission of the BLA or NDA and approval.
−Removed: The term of a patent may be extended for a period of time that is the sum of one-half of the time in the testing phase, plus all the time in the review
−Removed: phase, and minus any of the regulatory review period that occurs prior to the patent grant or where the sponsor did not act with due diligence.
+Added: The term of a patent may be extended for a period of time that is the sum of one-half of the time in the testing phase, plus all the time in the review phase, and minus any of the regulatory review period that occurs prior to the patent grant or where the sponsor did not act with due diligence.
Only one patent applicable to an approved biological product is eligible for the extension and the application for the extension must be submitted prior to the expiration of the patent.
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As a result, the ultimate implementation and impact of the BPCIA is subject to significant uncertainty.
−Removed: In the European Economic Area (the “EEA”), upon receiving marketing authorization, innovative medicinal products generally receive eight years of data exclusivity and an additional two years of market exclusivity.
+Added: In the EEA, upon receiving marketing authorization, innovative medicinal products generally receive eight years of data exclusivity and an additional two years of market exclusivity.
If granted, data exclusivity prevents generic or biosimilar applicants from referencing the innovator’s pre-clinical and clinical trial data contained in the dossier of the reference product when applying for a generic or biosimilar marketing authorization in the EEA, during a period of eight years from the date on which the reference product was first authorized in the EEA.
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Pediatric Development
−Removed: A biological product can obtain pediatric market exclusivity in the United States Pediatric exclusivity, if granted, adds six months to existing exclusivity periods, including some regulatory exclusivity periods.
−Removed: This six-month exclusivity, which runs from the end of other exclusivity protection or patent term, may be granted based on the voluntary completion of a pediatric study in accordance with an FDA-issued “Written Request” for such a study.
+Added: A biological product can obtain pediatric market exclusivity in the United States.
+Added: Pediatric exclusivity, if granted, adds six months to existing exclusivity periods, including some regulatory exclusivity periods.
+Added: This six-month exclusivity, which runs from the end of other exclusivity protection or patent term, may be granted based on the voluntary completion of a pediatric study in accordance
+Added: with an FDA-issued “Written Request” for such a study.
Similar provisions are also available in other territories, such as Europe.
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This pediatric reward is subject to specific conditions and is not automatically available when data in compliance with the PIP are developed and submitted.
−Removed: The development and commercialization of new product candidates in the biopharmaceutical industry is highly competitive and is subject to technological advancements resulting in numerous assets within drug classes.
−Removed: The immunology market field is characterized by strong and increasing competition.
+Added: The development and commercialization of product candidates in the biopharmaceutical industry are highly competitive and are subject to technological advancements resulting in numerous assets within drug classes.
+Added: The immunology market is characterized by strong and increasing competition.
Our competitive landscape encompasses a spectrum of entities, ranging from startups to large-cap biopharmaceutical, specialty pharmaceutical, and biotechnology companies.
−Removed: These competitors are dedicated to developing diverse therapeutic modalities tailored for autoimmune diseases, including small molecules, antibodies, and cytotherapy.
−Removed: We believe the key competitive factors that will affect the development and commercial success of the ZB Assets and any future product candidates include safety and efficacy, reliability, dosing and administration convenience, scope of marketing approval, successful protection of intellectual property, reimbursement, and price.
+Added: These competitors are dedicated to developing diverse therapeutic modalities tailored for autoimmune diseases, including small molecules, antibodies, and cell therapy.
+Added: We believe the key competitive factors that will affect the development and commercial success of the ZB Assets and any future product candidates include safety and efficacy, reliability, dosing and administration convenience, scope of marketing approval and marketing efforts, successful protection of intellectual property, reimbursement, and price.
There are a number of large companies that currently market products or are pursuing the development of product candidates for the treatment of the indications that we are pursuing.
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These companies have greater experience and expertise in securing reimbursement, government contracts, relationships with key opinion leaders, conducting testing and clinical trials, obtaining and maintaining regulatory approvals and distribution relationships to market products, and marketing approved drugs.
−Removed: These companies also have significantly greater research and marketing capabilities than we do.
−Removed: Some of these companies also have greater financial resources, and greater research, development and marketing capabilities than we do.
−Removed: They may also have products that are in similar product stages of development and have collaborative arrangements in our target markets with leading companies and research institutions.
+Added: In addition, many of these companies have significantly greater financial resources and research, development and marketing capabilities than we do.
+Added: These competitors may also have products in similar or more advanced stages of development and may have collaborative arrangements in our target markets with leading companies and research institutions.
Established pharmaceutical and biotechnology companies may also invest heavily to accelerate discovery and development of novel compounds or to in-license novel compounds that could make the product candidates that we develop obsolete.
−Removed: Tibulizumab .
−Removed: If tibulizumab is approved, competition may arise from approved and non-approved generic immunosuppressive agents.
−Removed: There may be competition from newly approved or non-approved advanced-line agents in.
−Removed: Currently a variety of therapies are used, including but not limited to, methotrexate, mycophenalate, OFEV® (nintedanib), ACTEMRA® (tocilizumab), brodalumab, BENLYSTA® (belimumab), UPLINZA® (inebilizumab-cdon), and RITUXAN® (rituximab).
−Removed: Currently, two advanced-line drugs have been FDA-approved for the treatment of SSc-ILD:
−Removed: OFEV® (nintedanib) and ACTEMRA® (tocilizumab).
−Removed: There are multiple additional product candidates in development for SSc and/or SSc-ILD.
−Removed: Currently, three biologics have been FDA-approved for the treatment of moderate to severe HS in adults:
+Added: Other potential competitors include academic institutions, government agencies, and public and private entities conducting research and seeking patent protection for alternative approaches to modulating inflammatory pathways.
+Added: Other drugs, non-pharmaceutical therapies, and alternative approaches to indications we may pursue for our drug candidates may compete with us both in the United States and elsewhere in the world.
+Added: In addition, competition may also arise from off-label use of products approved for other indications, products accessed through gray markets, or product candidates available through clinical trials or expanded access.
+Added: If approved, tibulizumab would compete with currently available therapies and emerging product candidates in the indications we are pursuing.
+Added: Hidradenitis Suppurativa
+Added: In HS, three biologic therapies have been approved in the United States and certain other major markets for the treatment of moderate to severe HS in adults:
HUMIRA® (adalimumab), COSENTYX® (secukinumab), and BIMZELX® (bimekizumab-bkzx).
−Removed: There are multiple additional product candidates in development for HS.
−Removed: Crebankitug .
−Removed: If crebankitug is approved, competition may arise from various companies and partnerships currently engaged in clinical studies.
−Removed: There are multiple assets in active clinical development targeting the IL-7 or TSLP pathways, including but not limited to:
−Removed: lusvertikimab, bempikibart, verekitug, SAR443765, BSI-045B, and tezepelumab.
−Removed: If torudokimab is approved, competition may arise from various companies and partnerships actively engaged in clinical studies targeting IL-33, including but not limited to itepekimab, tozorakimab, astegolimab, MT-2990, 9MW-1911, SSGJ-621, FB-918, QX-007-N and QX-008-N.
−Removed: Other potential competitors include academic institutions, government agencies, and other public and private entities that conduct research, seek patent protection, and establish collaborative arrangements for research development, manufacturing, and commercialization.
−Removed: Other drugs, non-pharmaceutical therapies, and alternative approaches to indications we may pursue for our drug candidates will compete with us both in the United States and elsewhere in the world.
−Removed: There are also numerous other drugs and product candidates in development for indications for which we might develop our product candidates.
−Removed: Competition may also arise from off-label use of products approved for other indications, products accessed through gray markets, or product candidates available through clinical trials or expanded access.
+Added: These agents target tumor necrosis factor alpha (“TNFα”) or the interleukin-17 (“IL-17”) pathway.
+Added: Additional product candidates are in clinical development for HS, including therapies targeting the IL-17 pathway, agents modulating B cell signaling (including BTK inhibitors), therapies targeting interleukin‑1 (“IL‑1”) signaling, Janus kinase (“JAK”) pathways, and components of the complement system, as well as multi-pathway strategies such as bispecific antibodies and dual antagonists.
+Added: Given the heterogeneous and multifactorial nature of HS, multiple approaches aimed at modulating inflammatory pathways are under investigation.
+Added: Systemic Sclerosis and SSc-Associated Interstitial Lung Disease (“SSc-ILD”)
+Added: In SSc and SSc-ILD, currently utilized therapies include immunosuppressive agents and biologics such as methotrexate, mycophenolate mofetil, BENLYSTA® (belimumab), UPLIZNA® (inebilizumab-cdon), and RITUXAN® (rituximab), among others.
+Added: OFEV® (nintedanib) and ACTEMRA® (tocilizumab) have been approved in the United States and certain other major markets to slow the decline in lung function associated with SSc-ILD.
+Added: Multiple additional product candidates are in development for SSc and/or SSc-ILD, including agents targeting fibrosis, inflammation, and immune-mediated pathways.
+Added: If crebankitug is approved, it may face competition from companies developing therapies targeting the IL-7, and/or TSLP pathways, as well as other approaches aimed at modulating T cell activation and immune homeostasis.
+Added: Certain IL-7 receptor antagonists and TSLP-targeting agents are in clinical development, and at least one TSLP-targeting antibody has been approved in other inflammatory indications.
+Added: Additional emerging therapies targeting related immune pathways may also compete in the indications we may pursue.
+Added: If torudokimab is approved, competition may arise from various companies and partnerships actively engaged in clinical studies targeting IL-33 or the IL-33/ST2 signaling pathway.
People and Culture
−Removed: Our global team, headquartered in Henderson, Nevada, comprises highly experienced members who have actively participated in drug development, commercialization, business development, capital formation, and investor engagement across various industries.
−Removed: For detailed information and biographies of our management team, please refer to the " Directors, Executive Officers, and Corporate Governance " section.
−Removed: As of December 31, 2024, we had 30 full-time employees, consisting of clinical development, general and administrative, and technical operations.
−Removed: None of our employees is represented by a labor union, and we believe that our relationships with them are good.
+Added: Our global team, headquartered in Henderson, Nevada, comprises highly experienced members who have actively participated in research and development, including drug development, commercialization, business development, capital formation, and investor engagement across various industries.
+Added: As of December 31, 2025, we had 40 full-time employees.
+Added: None of our employees are represented by a labor union.
We believe that our future success depends upon our continued ability to attract and retain highly skilled employees.
−Removed: We provide competitive salaries and bonuses, opportunities for equity ownership, and an employment package that promotes well-being across all aspects of their lives, including health care and retirement planning.
+Added: We provide competitive salaries and bonuses, opportunities for equity ownership, and an employment package that promotes well-being, including health care and retirement planning.
As part of our promotion and retention efforts, we also invest in ongoing employee development.
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We will remain an emerging growth company until the earlier of:
−Removed: (i) the last day of the fiscal year (a) following the fifth anniversary of the closing of our IPO, (b) in which we have total annual gross revenue of at least $1.235 billion, or (c) in which we are deemed to be a “large accelerated filer” under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), which would occur if the market value of our common equity held by non-affiliates exceeds $700.0 million as of the last business day of our most recently completed second fiscal quarter;
−Removed: or (ii) the date on which we have issued more than $1.0 billion in non-convertible debt securities during the prior three-year period.
+Added: (i) December 31, 2026, (ii) the last day of the fiscal year in which we have more than $1.235 billion in total annual gross revenue, or (iii) the date on which we are deemed to be a “large accelerated filer” under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), which would occur if the market value of our common equity held by non-affiliates exceeds $700.0 million as of the last business day of our most recently completed second fiscal quarter;
+Added: or (iv) the date on which we have issued more than $1.0 billion in non-convertible debt securities during the prior three-year period.
In addition, the JOBS Act provides that an emerging growth company can take advantage of an extended transition period for complying with new or revised accounting standards.
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JATT Acquisition Corp (“JATT”) was a Cayman Islands exempted company initially incorporated under the laws of the Cayman Islands on March 10, 2021.
−Removed: On July 13, 2021, JATT completed its IPO.
−Removed: On March 20, 2023 (the “Closing Date”), we consummated the previously-announced transactions contemplated by that certain Business Combination Agreement, dated June 16, 2022, as amended on September 20, 2022, November 14, 2022, and January 13, 2023 by and among Zura Bio Limited, a limited company incorporated under the laws of England and Wales (“Zura Bio UK”), JATT, JATT Merger Sub, a Cayman Islands exempted company and wholly owned subsidiary of JATT (“Merger Sub”), JATT Merger Sub 2, a Cayman Islands exempted company and wholly owned subsidiary of JATT (“Merger Sub 2”) and Zura Bio Holdings Ltd, a Cayman Islands exempted company (“Holdco”), following the approval at an extraordinary general meeting of JATT’s shareholders held on March 16, 2023.
−Removed: Pursuant to the Business Combination Agreement, (a) before the closing of the Business Combination, Holdco was established as our new holding company and became a party to the Business Combination Agreement;
−Removed: and (b) on the closing date, in sequential order:
−Removed: (i) Merger Sub merged with and into Holdco, with Holdco continuing as the surviving company and a wholly owned subsidiary of JATT (the “Merger”);
−Removed: (ii) immediately following the Merger, Holdco merged with and into Merger Sub 2, with Merger Sub 2 continuing as the surviving company and a wholly owned subsidiary of JATT (the “Subsequent Merger”);
−Removed: and (iii) JATT, as the registrant, changed its name to “Zura Bio Limited”.
+Added: JATT completed its initial public offering of 13,800,000 units of JATT consummated on July 13, 2021 and in the over-allotment closing on July 19, 2021, each of which consisted of one Class A ordinary share, par value $0.0001 per share, of JATT, and one-half of one redeemable warrant (the “IPO”).
+Added: On March 20, 2023 (the “Closing Date”), we consummated a series of transactions (the “Business Combination”) contemplated by that certain Business Combination Agreement, dated June 16, 2022, as amended on September 20, 2022, November 14, 2022, and January 13, 2023 by and among Zura Bio Limited, a limited company incorporated under the laws of England and Wales (“Zura Bio UK”), JATT, JATT Merger Sub, a Cayman Islands exempted company and wholly owned subsidiary of JATT, JATT Merger Sub 2, a Cayman Islands exempted company and wholly owned subsidiary of JATT and Zura Bio Holdings Ltd, a Cayman Islands exempted company (the “Business Combination Agreement”), and JATT, as the registrant, changed its name to “Zura Bio Limited”.
Available Information
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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.