Summit Therapeutics Reports Financial Results and Operational Progress for the First Quarter Ended March 31, 2026
Overall Survival Data to be Featured at ASCO 2026 Plenary Session as Late-Breaking Abstract from HARMONi-6, a Phase III Study in 1L Squamous NSCLC in
Update Conference Call to be Held on
HARMONi-3 Squamous Cohort of Global Phase III 1L NSCLC Study: Final PFS Data Expected in Second Half of 2026 with Interim OS Analyses Planned
HARMONi-3 Non-Squamous Cohort of Global Phase III 1L NSCLC Study: PFS Data Expected in the First Half 2027
Clinical & Operational Updates
Operational progress continues with ivonescimab (SMT112), an investigational, potentially first-in-class bispecific antibody combining the effects of immunotherapy via a blockade of PD-1 with the anti-angiogenesis effects associated with blocking VEGF into a single molecule:
-
Since in-licensing ivonescimab, from
(Akeso Inc .Akeso , HKEX Code: 9926.HK) inJanuary 2023 , over 4,000 patients have been treated with ivonescimab in clinical studies globally, and over 70,000 patients have been treated in the commercial setting with ivonescimab inChina , as noted and updated byAkeso . Summit has rights to develop and commercialize ivonescimab inNorth America ,South America ,Europe , theMiddle East ,Africa , andJapan , whileAkeso retains development and commercialization rights for remaining territories, includingChina .
- Summit is developing ivonescimab in non-small cell lung cancer (NSCLC) and colorectal cancer (CRC), specifically conducting multiregional Phase III clinical trials in the following proposed indications:
- HARMONi: Ivonescimab combined with chemotherapy in patients with epidermal growth factor receptor (EGFR)-mutated, locally advanced or metastatic non-squamous NSCLC who were previously treated with a third-generation EGFR tyrosine kinase inhibitor (TKI)
- HARMONi-3: Ivonescimab combined with chemotherapy in patients with first-line metastatic NSCLC, with two distinct cohorts to be analyzed separately for squamous tumors and non-squamous tumors
- HARMONi-7: Ivonescimab monotherapy in patients with first-line metastatic NSCLC whose tumors have high PD-L1 expression
- HARMONi-GI3: Ivonescimab combined with chemotherapy in patients with first-line unresectable metastatic CRC
HARMONi-6
-
Overall survival data from the Phase III HARMONi-6 trial, conducted in
China and sponsored byAkeso , will be presented in the Plenary Session of the 2026American Society of Clinical Oncology (ASCO) Annual Meeting. According to ASCO, Late-breaking Abstracts are released at8:00am ET on the day of the presentation, currently scheduled forSunday, May 31, 2026 .
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The HARMONi-6 study evaluated ivonescimab in combination with platinum-based chemotherapy compared with tislelizumab, a PD-1 inhibitor, in combination with platinum-based chemotherapy in patients with locally advanced or metastatic squamous NSCLC, irrespective of PD-L1 expression. HARMONi-6 is a single-region, multi-center, Phase III study conducted in
China and sponsored byAkeso with all relevant data exclusively generated and analyzed byAkeso .
HARMONi-3 Squamous
-
Previously, Summit announced its intention to perform an interim PFS analysis for the squamous cohort of the HARMONi-3 study in the second quarter of 2026. As previously communicated, the purpose of this interim analysis was to provide a potential opportunity to speak with the regulatory authorities, including the
US Food & Drug Administration , earlier than the timing of the preplanned final PFS analysis in the second half of 2026. To achieve statistical significance, there was a meaningfully higher bar than the upcoming planned final PFS analysis based on the minimal alpha spent on the interim analysis. At this early interim PFS analysis reviewed exclusively by the Independent Data Monitoring Committee (iDMC), the iDMC recommended that the study continue as planned. No safety concerns were noted, and the study continues to be double-blinded. There is no change to the previously guided timing of the preplanned final PFS analysis in the second half of 2026.
HARMONi-3 Non-Squamous
- Enrollment in the non-squamous NSCLC cohort continues and enrollment is now expected to complete by the end of the second quarter of 2026. We expect to have PFS data for this cohort in the first half of 2027.
HARMONi
-
In
January 2026 , we announced that theU.S. Food & Drug Administration (FDA) accepted for filing Summit's Biologics License Application (BLA) seeking approval for ivonescimab in combination with chemotherapy in patients with EGFR-mutated locally advanced or metastatic non-squamous NSCLC who have received prior EGFR TKI therapy. The BLA was submitted based on the overall results of the global Phase III HARMONi trial. The FDA provided a Prescription Drug User Fee Act (PDUFA) goal action date ofNovember 14, 2026 .
Additional Ivonescimab Development Updates
- Summit’s clinical trial collaborations continue to progress as planned.
-
In
June 2025 , we announced a clinical collaboration with Revolution Medicines, Inc. (RevMed) to evaluate ivonescimab in combination with three RAS(ON) inhibitors, including the multi-selective inhibitor daraxonrasib (RMC-6236), G12D-selective inhibitor zoldonrasib (RMC-9805), and G12C-selective inhibitor elironrasib (RMC-6291), in solid tumor settings with RAS mutations. As previously announced, the initial study under this collaboration, sponsored by RevMed, began enrolling patients in the first quarter of 2026.
-
In
January 2026 , we announced a clinical collaboration with GSK plc (GSK) to evaluate ivonescimab in combination with GSK’s novel B7-H3, risvutatug rezetecan, in multiple solid tumors. The initial study under this collaboration agreement is expected to begin dosing patients mid-2026.
-
In
February 2026 , we announced a clinical collaboration with GORTEC, a European Head andNeck Oncology and Radiotherapy Group based inFrance , to evaluate ivonescimab monotherapy and ivonescimab in combination with ligufalimab, Akeso’s proprietary anti-CD47 monoclonal antibody, against monotherapy pembrolizumab in a randomized three-arm study. The Phase III study, GORTEC 2024-04 ILLUMINE (NCT07264075), is sponsored by GORTEC and is intended to be conducted in multiple countries inEurope and inChina ; Summit may consider the expansion of this study intothe United States . The primary endpoint for the study is overall survival and is expected to enroll approximately 780 patients with PD-L1 positive, recurrent and/or metastatic head and neck squamous cell carcinoma (R/M HNSCC). Patient enrollment is expected to begin in the second quarter of 2026.
-
Summit's global Phase III trials, the non-squamous cohort of HARMONi-3, HARMONi-7, and HARMONi-GI3, continue to enroll. In addition to the multiregional studies conducted and sponsored by Summit, our partners at
Akeso are enrolling several single-region Phase III studies exclusively inChina in multiple indications, including biliary-tract cancer, triple-negative breast cancer, head and neck squamous cell carcinoma, small cell lung cancer, colorectal cancer, and pancreatic cancer.
- We plan to continue further expansion of the global Phase III clinical development program for ivonescimab in additional settings and tumor types. We intend to continue to provide more details in the coming months with respect to additional Phase III studies evaluating ivonescimab beyond NSCLC, CRC, and HNSCC.
-
Clinical trial collaborations and investigator sponsored trials (ISTs) with leading academic organizations, including
MD Anderson Cancer Center ,Memorial Sloan Kettering Cancer Center , andDana Farber Cancer Institute , among others, continue to progress and expand evaluating ivonescimab in solid tumors. Summit is supporting more than 65 ISTs, of which 20 are actively enrolling.
Financial Highlights
Cash and Cash Equivalents and Short-term Investments
-
Aggregate cash and cash equivalents and short-term investments were
$598.7 million and$713.4 million atMarch 31, 2026 andDecember 31, 2025 , respectively.
GAAP and Non-GAAP Operating Expenses
-
GAAP operating expenses were
$195.2 million for the first quarter of 2026, compared to$66.8 million for the same period of the prior year. The increase in GAAP operating expenses was due to the increase in stock-based compensation expense of$61.7 million primarily related to the modification to our performance-based stock option awards during the second quarter of 2025.
-
Non-GAAP operating expenses were
$122.4 million for the first quarter of 2026, compared to$55.7 million for the same period of the prior year. The increase in Non-GAAP operating expenses was primarily driven by the expansion of clinical studies and development costs related to ivonescimab.
-
GAAP R&D expenses were
$132.6 million for the first quarter of 2026, compared to$51.2 million for the same period of the prior year. The increase was due to the increase in stock-based compensation expense of$20.3 million primarily related to the modification to our performance-based stock option awards during the second quarter of 2025.
-
Non-GAAP R&D expenses were
$108.2 million for the first quarter of 2026, compared to$47.1 million for the same period of the prior year. The increase was primarily driven by initiating new clinical trials and expanding current clinical trials from last year.
GAAP and Non-GAAP General and Administrative (G&A) Expenses
-
GAAP G&A expenses were
$62.6 million for the first quarter of 2026, compared to$15.6 million for the same period of the prior year. The increase was due to the increase in stock-based compensation expense of$41.4 million primarily related to the modification to our performance-based stock option awards during the second quarter of 2025.
-
Non-GAAP G&A expenses were
$14.2 million for the first quarter of 2026, compared to$8.6 million for the same period of the prior year. The increase was primarily driven by the expansion of our infrastructure and management team to support the development of ivonescimab.
GAAP and Non-GAAP Net Loss
-
GAAP net loss in the first quarter of 2026 and 2025 was
$189.4 million or$(0.24) per basic and diluted share, and$62.9 million or$(0.09) per basic and diluted share, respectively.
-
Non-GAAP net loss in the first quarter of 2026 and 2025 was
$116.6 million or$(0.15) per basic and diluted share, and$51.8 million or$(0.07) per basic and diluted share, respectively.
Use of Non-GAAP Financial Measures
This release includes measures that are not in accordance with
Summit Therapeutics Update Conference Call
Summit will host an update conference call on
About Ivonescimab
Ivonescimab, known as SMT112 in Summit’s license territories,
This is intended to differentiate ivonescimab as there is potentially higher expression (presence) of both PD-1 and VEGF in tumor tissue and the tumor microenvironment (TME) as compared to normal tissue in the body. We believe ivonescimab’s specifically engineered tetravalent structure (four binding sites) enables higher avidity (accumulated strength of multiple binding interactions) in the TME (Zhong, et al, iScience, 2025). This tetravalent structure, the intentional novel design of the molecule, and bringing these two targets into a single bispecific antibody with cooperative binding qualities have the potential to direct ivonescimab to the tumor tissue versus healthy tissue. The intent of this design, together with a half-life of 6 to 7 days after the first dose (Zhong, et al, iScience, 2025) increasing to approximately 10 days at steady state dosing, is to improve upon previously established efficacy thresholds, side effects, and safety profiles associated with prior approved drugs to these targets.
Ivonescimab was engineered by
There are currently 15 Phase III clinical studies that are either announced, ongoing, or have been completed studying ivonescimab, four of which are Summit-sponsored global studies, one of which is a multiregional study sponsored by a cooperative group, and ten of which are being or have been conducted in
HARMONi is a Phase III clinical trial which intends to evaluate ivonescimab combined with chemotherapy compared to placebo plus chemotherapy in patients with EGFR-mutated, locally advanced or metastatic non-squamous NSCLC who were previously treated with a 3rd generation EGFR TKI (e.g., osimertinib). Detailed results of the study were provided in
HARMONi-3 is a Phase III clinical trial, which is intended to evaluate ivonescimab combined with chemotherapy compared to pembrolizumab combined with chemotherapy in patients with first-line metastatic, squamous or non-squamous NSCLC, irrespective of PD-L1 expression.
HARMONi-7 is a Phase III clinical trial which is intended to evaluate ivonescimab monotherapy compared to pembrolizumab monotherapy in patients with first-line metastatic NSCLC whose tumors have high PD-L1 expression.
HARMONi-GI3 is a Phase III clinical trial evaluating ivonescimab in combination with chemotherapy compared with bevacizumab plus chemotherapy in patients with first-line unresectable metastatic CRC.
A Phase III study is planned to be conducted by GORTEC, a cooperative group dedicated to Head and Neck Oncology, in recurrent / metastatic head and neck squamous cell carcinoma (r/m HNSCC). ILLUMINE is a three-arm Phase III clinical trial which is intended to evaluate ivonescimab monotherapy, as well as ivonescimab in combination with ligufalimab, Akeso’s proprietary anti-CD47 monoclonal antibody, compared to monotherapy pembrolizumab in patients with PD-L1 positive r/m HNSCC.
In addition,
HARMONi-A was a Phase III clinical trial which evaluated ivonescimab combined with chemotherapy compared to placebo plus chemotherapy in patients with EGFR-mutated, locally advanced or metastatic non-squamous NSCLC who have progressed after treatment with an EGFR TKI.
HARMONi-2 is a Phase III clinical trial evaluating monotherapy ivonescimab against monotherapy pembrolizumab in patients with locally advanced or metastatic NSCLC whose tumors have positive PD-L1 expression.
HARMONi-6 is a Phase III clinical trial evaluating ivonescimab in combination with platinum-based chemotherapy compared with tislelizumab, an anti-PD-1 antibody, in combination with platinum-based chemotherapy in patients with locally advanced or metastatic squamous NSCLC, irrespective of PD-L1 expression.
Ivonescimab is an investigational therapy that is not approved by any regulatory authority in Summit’s license territories, including
About
Summit was founded in 2003 and our shares are listed on the Nasdaq Global Market (symbol "SMMT"). We are headquartered in
For more information, please visit https://www.smmttx.com and follow us on X @SMMT_TX.
Summit Forward-looking Statements
Any statements in this press release about the Company’s future expectations, plans and prospects, including but not limited to, statements about the clinical and preclinical development of the Company’s product candidates, entry into and actions related to the Company’s partnership with
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GAAP Condensed Consolidated Statements of Operations (Unaudited) (in millions, except per share data) |
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Three Months Ended |
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2026 |
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2025 |
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Operating expenses: |
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Research and development |
$ |
132.6 |
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$ |
51.2 |
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General and administrative |
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62.6 |
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15.6 |
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Total operating expenses |
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195.2 |
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66.8 |
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Other income, net |
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5.8 |
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3.9 |
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Net loss |
$ |
(189.4 |
) |
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$ |
(62.9 |
) |
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Net loss per share attributable to common shareholders per share, basic and diluted |
$ |
(0.24 |
) |
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$ |
(0.09 |
) |
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GAAP Condensed Consolidated Balance Sheet Information (in millions) |
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Unaudited |
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Cash and cash equivalents and short-term investments |
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$ |
598.7 |
|
$ |
713.4 |
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Total assets |
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$ |
647.9 |
|
$ |
751.2 |
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Total liabilities |
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$ |
101.9 |
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$ |
92.3 |
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Total stockholders' equity |
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$ |
545.9 |
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$ |
658.9 |
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GAAP Condensed Consolidated Statement of Cash Flows Information (in millions) |
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Unaudited |
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2026 |
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2025 |
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Net cash used in operating activities |
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$ |
(122.3 |
) |
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$ |
(61.1 |
) |
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Net cash (used in) provided by investing activities |
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(0.2 |
) |
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160.1 |
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Net cash provided by financing activities |
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3.8 |
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|
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7.7 |
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(Decrease) increase in cash, cash equivalents and restricted cash |
|
$ |
(118.7 |
) |
|
$ |
106.7 |
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Schedule Reconciling Selected Non-GAAP Financial Measures (Unaudited) (in millions, except per share data) |
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Three Months Ended
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2026 |
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2025 |
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Reconciliation of GAAP to |
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|
$ |
132.6 |
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|
$ |
51.2 |
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Stock-based compensation (Note 1) |
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(24.4 |
) |
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(4.1 |
) |
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$ |
108.2 |
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|
$ |
47.1 |
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Reconciliation of GAAP to Non-GAAP General and Administrative Expenses |
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GAAP General and Administrative |
|
$ |
62.6 |
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$ |
15.6 |
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Stock-based compensation (Note 1) |
|
|
(48.4 |
) |
|
|
(7.0 |
) |
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Non-GAAP General and administrative |
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$ |
14.2 |
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|
$ |
8.6 |
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Reconciliation of GAAP to Non-GAAP Operating Expenses |
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GAAP Operating Expenses |
|
$ |
195.2 |
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|
$ |
66.8 |
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Stock-based compensation (Note 1) |
|
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(72.8 |
) |
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|
(11.1 |
) |
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Non-GAAP Operating expense |
|
$ |
122.4 |
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|
$ |
55.7 |
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Reconciliation of GAAP Net Loss to Non-GAAP Net Loss |
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GAAP Net Loss |
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$ |
(189.4 |
) |
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$ |
(62.9 |
) |
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Stock-based compensation (Note 1) |
|
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72.8 |
|
|
|
11.1 |
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Non-GAAP Net Loss |
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$ |
(116.6 |
) |
|
$ |
(51.8 |
) |
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Reconciliation of GAAP Net Loss to Non-GAAP Net Loss Per Common Share |
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GAAP Net Loss Per Basic and Diluted Common Share |
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$ |
(0.24 |
) |
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$ |
(0.09 |
) |
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Stock-based compensation (Note 1) |
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0.09 |
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0.02 |
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Non-GAAP Net loss Per Basic and Diluted Common Share |
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$ |
(0.15 |
) |
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$ |
(0.07 |
) |
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Basic and Diluted Common Shares |
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775.5 |
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738.1 |
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Schedule Reconciling Selected Non-GAAP Financial Measures (in millions) |
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Unaudited |
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Three Months Ended |
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Reconciliation of GAAP to Non-GAAP Operating Expenses |
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GAAP Operating Expenses |
|
$ |
195.2 |
|
|
$ |
225.0 |
|
|
$ |
234.2 |
|
$ |
568.4 |
|
|
$ |
66.8 |
|
|
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Stock-based compensation (Note 1) |
|
|
(72.8 |
) |
|
|
(111.7 |
) |
|
|
(130.8 |
) |
|
|
(478.8 |
) |
|
|
(11.1 |
) |
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Non-GAAP Operating Expense |
|
$ |
122.4 |
|
|
$ |
113.3 |
|
|
$ |
103.4 |
|
|
$ |
89.6 |
|
|
$ |
55.7 |
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Reconciliation of GAAP Net Loss to Non-GAAP Net Loss |
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GAAP Net Loss |
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$ |
(189.4 |
) |
|
$ |
(219.2 |
) |
|
$ |
(231.8 |
) |
|
$ |
(565.7 |
) |
|
$ |
(62.9 |
) |
|
Stock-based compensation (Note 1) |
|
|
72.8 |
|
|
|
111.7 |
|
|
|
130.8 |
|
|
|
478.8 |
|
|
|
11.1 |
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Non-GAAP Net Loss |
|
$ |
(116.6 |
) |
|
$ |
(107.5 |
) |
|
$ |
(101.0 |
) |
|
$ |
(86.9 |
) |
|
$ |
(51.8 |
) |
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Notes on our Non-GAAP Financial Information
Non-GAAP financial measures adjust GAAP financial measures for the items listed below. These Non-GAAP measures should be viewed in addition to, and not as a substitute for Summit's reported GAAP results, and may be different from Non-GAAP measures used by other companies. In addition, these Non-GAAP measures are not based on any comprehensive set of accounting rules or principles. Summit management uses these non-GAAP measures for internal budgeting and forecasting purposes and to evaluate Summit’s financial performance. Summit management believes the presentation of these Non-GAAP measures is useful to investors for comparing prior periods and analyzing ongoing business trends and operating results.
Each of non-
Note 1: Stock-based compensation is a non-cash charge and costs calculated for this expense can vary year-over-year depending on the stock price of awards on the date of grant as well as the timing of compensation award arrangements.
View source version on businesswire.com: https://www.businesswire.com/news/home/20260430114442/en/
Contact Summit Investor Relations:
Chief Business & Strategy Officer
Senior Director, Investor Relations
investors@smmttx.com
media@smmttx.com
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