AstraZeneca's Key Pharma Catalysts
Read Research Report: AstraZeneca Equity Research
John Murphy, the primary analyst for this report.
John Murphy
Team: Pharma
BI Senior Industry Analyst
Mila Bankovskaia, secondary analyst for this report.
Mila Bankovskaia
Team: Pharma
BI Senior Associate Analyst
AstraZeneca's Expansive Oncology Pipeline Suggests a Busy 2024
AstraZeneca's wealth of needle-moving data continues this year after a busy 2023, with oncology again in the spotlight. The evolution of antibody-drug conjugates (ADCs) Dato-DXd and Enhertu remain uppermost in investor minds, together with the progress of its bispecific antibodies, which ultimately may be combined with ADCs. (02/13/24)
1. Oncology Approvals, Phase 3 Readouts Headline in 2024
AstraZeneca's oncology pipeline remains in the spotlight this year. Readouts potentially driving growth of existing franchises include Enhertu in second-line HER2-low breast cancer (Destiny-Breast06 study), Tagrisso in unresectable Stage III EGFR-mutant lung cancer and Imfinzi in adjuvant liver cancer (Emerald-2) and small cell lung cancer (Adriatic). Dato-DXd's 2H readout in triple-negative breast cancer (Tropion-Breast02) will also be closely monitored. Elsewhere, Tezspire's anticipated Phase 3 datasets in severe asthma and chronic rhinosinusitis are noteworthy.
Multiple ongoing Phase 3 studies provide continued pipeline optionality for Astra, among which progress of bispecifics volrustomig (PD-1/CTLA-4) and rilvegostomig (PD-1/TIGIT) will be keenly followed. (02/13/24)
Upcoming Pipeline Catalysts
Source: AstraZeneca, Feb. 2024
DataExhibit
2. Astra's Competitor Risk Centers on Oncology
Key Points:
Adjuvant Therapy Is a Critical Driver of IO Use
J&J a Contender, But Astra Set to Retain Lung-Cancer Market Lead
AstraZeneca's Adaura Win Cements Tagrisso Hold in Lung Cancer
Latest Calquence Dynamics
Beigene's Brukinsa Win Brings It Closer to $3.7 Billion Peak Sales
Competition remains fierce in the PD-1/-L1 space, particularly(neo)adjuvant therapy, with a slew of study results anticipated from Merck, Bristol Myers and Roche. In leukemia, Calquence has come under pressure in second-line therapy in the US from BeiGene's Brukinsa, a dynamic that needs watching given its importance to Astra.
The much-awaited Mariposa data from Johnson & Johnson's Rybrevant-lazertinib combination for now appears unlikely to unseat Tagrisso as standard-of-care in frontline EGFR-mutant lung cancer. Though a different mechanism of action to TSLP inhibitor Tezspire, GSK's interleukin-5 antibody, depemokimab, is also targeting chronic rhinosinusitis and set to report in 2H. (02/13/24)
3. Evusheld Follow-On Maintains Astra's Covid-19 Focus
Contributing Analysts Sam Fazeli (Pharma)
Key Points:
Details Awaited for Astra's Evusheld Follow-On, AZD3152
Recent FDA Label Update Warns Some Variants Aren't Neutralized by Evusheld
Analysis of Evusheld in Long-Term Covid-19 Prevention
Covid-19 Vaccines: Real-World Data
Latest Management Commentary on AZD3152
Though US authorization of AstraZeneca's Evusheld has been withdrawn -- following data showing that it has limited activity against newer and more prevalent Covid-19 variants -- the company is developing a next-generation product, AZD3152/sipavibart, for use in the prevention and treatment of Covid-19 in immunocompromized individuals. The long-acting monoclonal antibody in being assessed in the Supernova study, where initial data due shortly may allow for emergency use authorization in the US, with efficacy data likely to follow in 1H enabling a potential approval in other markets.
Astra's Vaxzevria vaccine has been instrumental in helping many countries, but its scope for continued use depends on how Covid-19 evolves