BeiGene (NASDAQ:ONC) held its second-quarter earnings conference call on Wednesday. Below is the complete transcript from the call.
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View the webcast at https://beone-q2-2026-earnings-call-webcast.open-exchange.net/registration
Summary
BeiGene reported strong Q2 2026 financial results with $1.7 billion in total revenues and $2.05 in GAAP earnings per ADS, representing 30% and 144% growth year-over-year, respectively.
The company raised its 2026 guidance for revenue and GAAP operating income by $300 million and $250 million, respectively, driven by the performance of Brukinsa, which achieved over $1.2 billion in global revenues, marking a 31% year-over-year growth.
Strategically, BeiGene announced the FDA approval of Bacalzi for mantle cell lymphoma and positive results from the Phase 3 Mangrove study, positioning Brukinsa as a chemo-free treatment option.
The company is expanding its U.S. manufacturing site with a $300 million investment and progressing its R&D pipeline, including the advancement of a BTK degrader and other solid tumor assets.
Management highlighted Brukinsa’s sustained growth across multiple indications and emphasized the importance of long-term data for treatment efficacy and durability.
BeiGene's strategic focus is on building disease franchises rather than standalone products, supported by a diverse technology toolkit to enhance its pipeline.
Full Transcript
OPERATOR
Good day, everyone. Welcome to BeiGene's Q2 2026 earnings call webcast. All lines have been placed on mute to prevent any background noise. After the speakers' remarks, there will be a question-and-answer session. At this time, I would like to turn the call over to the company.
Dan Maller, Head of Investor Relations
Hello and welcome. Thank you for joining us today. I'm Dan Maller, Head of Investor Relations at BeiGene. Before we begin, please note that you can find additional materials, including a replay of today's webcast and presentation, on the Investor Relations section of our website, ir.beigene.com. I would like to remind all participants that during this call we may make forward-looking statements regarding, among other things, the company's future prospects and business strategy.
Actual results may differ materially from those indicated in the forward-looking statements as a result of various factors, including those risks discussed in our most recent periodic report filed with the SEC. Please also carefully review the forward-looking statements disclaimer in the slide deck that accompanies this presentation. Reconciliations between GAAP and non-GAAP financial measures discussed on this call are provided in the appendix to our presentation, which is posted to our Investor Relations website along with our earnings release.
All information in this presentation is as of the date of this presentation, and we undertake no duty to update such information unless required by law. Now turning to today's call, as outlined on Slide 3, John Oyler, our co-founder, chairman and CEO, will provide a business update. Aaron Rosenberg, our CFO, will provide an update on our second quarter financial results and 2026 financial guidance, and Lai Wang, President and Global Head of R&D, will discuss our R&D and pipeline progress.
We will then open the call to questions. Joining the team for the Q&A portion of the call will be Dr. Wu, President and Chief Operating Officer; Matt Shawless, General Manager of North America; Mark Lanasa, Chief Medical Officer for Solid Tumors; and Amit Agarwal, Chief Medical Officer for Hematology. I'll now pass the call over to John.
John Oyler, Co-Founder, Chairman and CEO
Thank you, Dan, and welcome everyone. Q2 was a very strong quarter across every dimension of our business. From a financial perspective, we achieved $1.7 billion in total revenues and $2.05 in GAAP earnings per ADS. This represents growth of 30% and 144% compared to the prior year, respectively. Brukinsa, our foundational BTK inhibitor, continues to exceed our high expectations in the marketplace. More than six and a half years after its initial launch, Brukinsa is seeing its highest level of sustained new patient starts, showing favorable early trends in duration of therapy, and it's showing strong growth across all five approved indications.
On the back of these strong results, we're raising our 2026 guidance ranges for revenue and GAAP operating income by $300 million and $250 million, respectively, and Aaron will detail this later. As impressive as our financial performance was in the quarter, our pipeline progress was equally significant. This is highlighted by the FDA approval of Bacalzi as the first and only BCL2 inhibitor in mantle cell lymphoma and the success of the Phase 3 Mangrove study of Brukinsa, which is so exciting that it warrants the entire next slide.
We also announced a $300 million expansion of our flagship U.S. manufacturing site in Hopewell, New Jersey. Mangrove is yet another example of the growing body of evidence supporting Brukinsa as the BTK inhibitor. We're excited about Mangrove for two key reasons. The first is because it represents the first chemo-free treatment option for patients with frontline mantle cell, and secondly, because when you see the data, we believe the efficacy will speak for itself.
We're confident that this Brukinsa-based chemo-free regimen has the potential to become the future standard of care for the roughly 21,000 new patients diagnosed with MCL each year in the major markets. Global submissions are planned for the second half of 2026, and we're looking forward to sharing the full data at an upcoming medical meeting. Let's now turn to Brukinsa's commercial performance in Q2. Brukinsa's global revenues reached over $1.2 billion, representing growth of 31% year over year.
Brukinsa is the number one BTK inhibitor both in the U.S. and globally, and it has the broadest label of any BTKI with approvals in five B‑cell malignancies. We often talk about Brukinsa in the context of CLL and with good reason, but it is important to remember that Brukinsa is a very important option for patients with other B‑cell malignancies, including MCL, Waldenström's, marginal zone, and follicular lymphoma. Brukinsa has now treated more than 300,000 patients across 80‑plus markets, but market share alone doesn't tell the full story.
The reason we're winning is scientific, and that story has three: differentiated design, differentiated clinical outcomes, and differentiated real‑world evidence. At BeiGene, we're committed to generating and sharing the evidence needed to fully characterize our medicines for the patients and physicians that we serve. On the left side of this slide, you can see the highlights of the breadth of Phase 3 data generated for Brukinsa as a single agent.
Here you can see Brukinsa has reported the most Phase 3 data of any single‑agent BTK. The right side illustrates the substantial body of data currently being generated in combination, where you can see that Brukinsa has the most reported and ongoing Phase 3 data of any BTKI agent. This slide demonstrates the scale of Brukinsa's development plan compared to the more curated efforts of our peers. In addition to Mangrove, Brukinsa has four more potentially market‑expanding Phase 3 readouts in the next three years.
A major wave of data is coming that will extend Brukinsa's evidence base and its label well into the future. One quick reminder of why Brukinsa performs the way it does: from day one, Brukinsa was designed to deliver complete and sustained BTK inhibition through its potency and its PK profile. Our hypothesis was simple — continuous BTK coverage would translate into a superior therapeutic profile — and over a decade of clinical and real‑world evidence has really borne that out.
And that's what the next few slides show. Let me remind you now that Brukinsa is the only BTK inhibitor that has demonstrated PFS superiority versus ibrutinib. In a head‑to‑head randomized trial in ALPINE, Brukinsa delivered a hazard ratio of 0.69, and that separation has been sustained to a median follow‑up of 42.5 months. In ELEVATE‑RR, acalabrutinib showed early separation from ibrutinib, but that separation was not sustained, the curves crossed, and the final hazard ratio was 1, and in BRUIN‑314 pirtobrutinib reported a hazard ratio of 0.845.
Put simply, there was very little differentiation between the two arms, with 48 PFS events reported for pirtobrutinib versus 50 for ibrutinib. And with respect to tolerability, pirtobrutinib showed numerically more discontinuations due to AEs than ibrutinib, whereas both Brukinsa and acalabrutinib each showed markedly fewer discontinuations than ibrutinib in their respective head‑to‑head trials. When comparing AFib rates of next‑generation BTK inhibitors across studies, it's important to understand the protocol differences that may affect patient selection and event reporting.
As you can see on the left, both Brukinsa and acalabrutinib studies in frontline CLL used highly similar eligibility criteria and AFib reporting. In contrast, the pirtobrutinib studies utilized more restrictive eligibility criteria that may have resulted in a fitter study population, and they also incorporated sponsor adjudication of AFib events. As a reminder, AFib events and rates are known to rise substantially with age. In a large study of more than 17,000 adults in U.S. primary care clinics, the absolute prevalence of AFib was nearly 4% higher among those aged 70 to 74 as compared to 65 to 69, so factoring for this level of age difference in studies really matters. Despite the differences in inclusion criteria, which may have led to roughly half the percentage of patients above the age of 75 in BRUIN‑313 and a four‑year lower median age in the pirtobrutinib studies, and despite the differences in AFib reporting methods, AFib rates were generally similar in the active treatment arms across studies.
Interestingly, if we applied the more restrictive BRUIN‑313 and ‑314 eligibility criteria to the SEQUOIA population, 15 of the highest‑risk patients would have been excluded from the Brukinsa arm, and in fact those 15 patients had roughly twice the rate of serious grade 3 or higher infections and more than twice the rate of deaths due to AEs compared to the overall study. This analysis underscores the extent to which differences in protocol inclusion criteria may play a key role in the clinical narrative.
Although some have suggested that pirtobrutinib may be well suited for use in older patients due to lower AFib risk and improved tolerability, it is the least studied BTK inhibitor in that population. It lacks relevant long‑term data, with only 28 months of follow‑up, and the narrative about being more tolerable and having less AFib are not supported by the data. The totality of evidence continues to support Brukinsa's best‑in‑class profile. One of the key lessons we've recently learned in CLL trials is that long‑term follow‑up matters. Many regimens can appear highly effective in the first three years, but that's not enough time to understand their true durability. This slide shows the reported landmark PFS at years 3 through 6 across the respective frontline CLL Phase 3 trials for the frontline treatment regimens. Recognizing the limitations of cross‑trial comparisons, a few items jump out.
One, the landmark PFS rates for Brukinsa are higher and continue to diverge over time compared to the other two continuous BTKIs. In fact, in year 6 the delta between the landmark PFS rates reaches 12%, which is the equivalent of 1 in 8 patients not progressing. Two, there's an even more pronounced delta between Brukinsa's landmark PFS and that of VO. In year six there's a delta of 21%, or roughly one in five patients. While the all‑comer story is compelling, the high‑risk story is even more striking.
It raises important questions about the use of the current fixed‑duration regimens in high‑risk patients, which I want to point out represent the majority of CLL patients. This is not a small patient subgroup. This slide shows how the current fixed‑duration treatments perform relative to the foundational Brukinsa in unmutated IGHV patients, those with the highest unmet medical need. Brukinsa remains durable — 84% landmark PFS at year three and 70% at year six.
In contrast, VO drops from 82% at year three to just 42% at year six — a 40‑point collapse — and AV Amplify, based on the limited data disclosed to date, shows just 69% at year three, which is of course lower than VO at a similar time point. There's a few important takeaways from this slide. First, while we're big believers in the promise of fixed duration, the existing venetoclax‑based treatments are not a compelling option for higher‑risk patients, where foundational Brukinsa has generated the best‑in‑class data.
Second, long-term follow-up is critical in CLL. As you can see on this slide, many regimens look promising at three years, but by six years the outcomes can diverge meaningfully, especially in high-risk patients. And that's why we've consistently prioritized long-term follow-up in our studies and why we believe six-year data provide a more complete picture of treatment durability. It's also why we're concerned when conclusions reached on regimens based on only three years of data or less are made.
We've been very surprised that some studies have not continued to report longer-term follow-up data, because years three to six are critical to evaluate the true long-term benefit of any CLL therapy. Patient outcomes are at stake. The durability advantage that we're seeing in the clinical data for foundational Brukinsa is increasingly being reinforced in the real world, and it's both consistent and it's compelling. At ASCO 2026 we published an analysis of over 10,500 Medicare fee-for-service patients with previously untreated CLL.
This is the largest real-world data set ever assembled in this setting. In this patient population, Brukinsa reported statistically significant 24% and 36% reductions in the risk of death compared to those treated with acalabrutinib and ibrutinib, respectively, 24% and 36%. As you can imagine, this data set generated significant interest from physicians at ASCO, given both its size and the importance of these findings to the real-world US Medicare population.
The study has since been published in a peer-reviewed journal and, importantly, this is now one of several large real-world analyses showing a consistent advantage for Brukinsa, including a recent study of claims data from 17,000 frontline CLL patients which also reported improved survival and treatment durability for Brukinsa versus acalabrutinib. Stepping back, BeiGene is the only company in the world with foundational medicines across the three mechanisms of action for B-cell malignancies: Brukinsa, our foundational BTK inhibitor; Bacalzi, our recently approved next-generation potentially best-in-class BCL2 inhibitor; and tacobrutadig, our potentially first and best-in-class BTK degrader. Only BeiGene is equipped to provide the best-in-class therapies as monotherapy or in combination for every CLL patient and other lymphomas, regardless of their stage of disease, risk status, or treatment preference. I've spoken about how 2026 is an inflection year for our solid tumor pipeline, and we presented data this quarter that supports our confidence in moving our CDK4 inhibitor, our B7-H4 ADC, and our GPC3–4-1BB bispecific antibody into registrational trials.
Looking forward to ESMO, we will be sharing similar proof‑of‑concept data sets for two more potentially best-in-class medicines, our PRMT5 inhibitor and our CEA ADC. It's an incredibly exciting time for our company, for our portfolio, and for our pipeline, and with that I'll hand it over to Aaron for the financial results.
Aaron Rosenberg (Chief Financial Officer)
Thanks, John. Our second quarter financial results reflect strong execution and a durable and healthy underlying business as we invest with discipline to support growth over the long term. Starting with our commercial performance, we delivered another strong quarter across the portfolio with continued broad-based growth. Total revenue for the quarter was $1.7 billion, representing 30% growth compared to the prior year. US Brukinsa sales totaled $893 million, representing growth of 31%, which exceeded expectations due to several underlying factors.
Despite the competitive environment in Q2, we saw the highest level of sustained new patient starts since Brukinsa's launch. Prescribers increasingly selected Brukinsa for their patients given the totality of evidence for efficacy and durability supported by the clinical data and their real-world experience. We also continue to see meaningful growth from indications beyond CLL, which speaks to the breadth of the Brukinsa label and the diversification of the franchise.
And while duration of therapy remains immature for Brukinsa, the data suggests favorable duration relative to historical benchmarks. This makes sense given the unprecedented long-term data seen with SEQUOIA as well as recently published real-world studies that reinforce statistically significant advantages for Brukinsa in time to discontinuation relative to both acalabrutinib and ibrutinib. And finally, patient adherence has also improved, potentially linked to the launch of the tablet formulation late last year, which reduced both pill size and burden.
High adherence rates are important for patient outcomes, and we are pleased to see this progress. These factors are not unique to the US, and we expect they will support durable long-term global demand growth for Brukinsa. Beyond Brukinsa, Tevimbra generated $229 million in global sales, representing 18% growth versus the prior period. Tevimbra maintained its market leadership in China in the face of steep competition. Our global launches are also gaining traction, and this is ahead of the potential catalyst associated with the approval of Tevimbra in combination with Zahira and chemotherapy for patients with first-line HER2-positive GEA.
Our Amgen in-license portfolio also delivered $157 million in revenue, growing 25% year over year. Next, I'd like to highlight the broad-based nature of growth across geographies. The US remained our largest market, contributing approximately $899 million in revenue during the quarter and growing 31% year over year. China contributed approximately $500 million in revenue and grew 17% year over year. We demonstrated continued strength across our commercial portfolio while maintaining market leadership for both Tevimbra and Brukinsa.
Note that foreign exchange contributed 7% of reported growth given year-over-year renminbi strengthening. Europe continues to be an important growth driver for the company, generating approximately $208 million in revenue and growing 37% year over year. We also continue to see strong momentum across our rest of world markets, where revenue more than doubled to approximately $73 million. Key markets such as Japan and Brazil are making contributions that are increasingly meaningful at the enterprise level.
Turning to the GAAP P&L, gross profit was $1.5 billion with gross margin of just under 90%, benefiting from mix as well as productivity improvements for both Brukinsa and Tevimbra. Operating expenses totaled $1.2 billion, representing 13% growth, reflecting advancement of key clinical programs and continued investment to support commercial growth. We continue to demonstrate the scalability of our model in the quarter, with income from operations growing to $325 million, and finally net income totaled $237 million.
This includes the previously disclosed tax audit settlement which had an approximate $60 million impact. GAAP diluted earnings per ADS were $2.05 compared with $0.84 in the prior period. Now turning to our adjusted results with a full reconciliation provided in the appendix of our results presentation. Adjusted income from operations increased to $503 million, representing growth of more than 80% year over year. Adjusted net income increased to $444 million, while adjusted diluted earnings per ADS increased to $3.84 compared with $2.25 a year ago.
Cash generation continues to build momentum, with free cash flow doubling from the prior-year period to $435 million. Turning to our updated full-year outlook, which reflects the strong first half performance and confidence in the trajectory of our business, we are raising our revenue outlook by $300 million to a range of $6.6 to $6.8 billion. This increase reflects the continued strength we are seeing across the portfolio, led by Brukinsa's performance in the U.S., ongoing global expansion, and continued contributions from the broader commercial portfolio.
We continue to expect gross margin to remain in the high 80% range. We are investing in both commercial execution and pipeline advancement with a modest increase in operating expenses to an updated range of $4.8 to $5.0 billion. Including those investments, the strength of the business translates to the bottom line. With a guidance raise in 2026 operating income by $250 million across the range, we now expect GAAP operating income of $1.0 to $1.1 billion and non‑GAAP operating income of $1.7 to $1.8 billion.
Other underlying assumptions remain unchanged. Overall, this updated outlook reflects the strong performance we've delivered year to date and our confidence in continued execution for the remainder of the year. As we have now rounded the first half of the year, and while staying away from providing detailed guidance, I'd like to provide some perspectives as you update your models and begin thinking beyond this year. Our 2026 outlook provides confidence in the durability of our commercial business, including the prospects for continued Brukinsa growth despite the competitive environment.
And as you see in our implied operating expense guidance for the second half of the year, we are investing to realize the full potential of our pipeline that we believe will drive sustainable long-term value for shareholders and the potential to address multiple unmet need for patients. We remain committed to our dual objectives of growth and, with measured margin expansion in the near term, operating expenses will continue to be prioritized against our high hurdle rates but can be expected to grow at a year-over-year rate in 2027 similar to what we've seen over the recent two years.
Given the positive progression of key pipeline assets, we look forward to providing our next financial update in November with Q3 results, and with that I'll now pass the presentation over to Lai.
Lai Wang — President, Global Head of Research and Development
Thank you, Aaron. Hello everyone. Thank you for joining us today. Across our portfolio, we will continue to deliver meaningful progress starting with hematology. John already highlighted the positive readout from the MANGROVE study in treatment‑naïve mantle cell lymphoma. BRUKINSA plus rituximab has the potential to redefine frontline treatment and become the first chemo‑free regimen for these patients. For Picuzi, we achieved our first FDA approval in relapsed/refractory mantle cell lymphoma.
Moving on to the CELESTIAL 301 study update, the zanubrutinib regimen did not reach statistical superiority in the uMRD analysis versus the VO regimen. The IDMC recommended that the study continue toward its primary regulatory endpoints of progression‑free survival. While the uMRD comparison was an interesting scientific question, uMRD superiority represented a very high bar given the historically high uMRD rates associated with the VO regimen. Importantly, uMRD rates do not consistently predict PFS outcomes when comparing different MOAs, such as a BTK inhibitor versus an anti‑CD20 antibody. For example, in CLL17, despite 26% lower uMRD rates than VO, the ibrutinib‑venetoclax regimen demonstrated comparable PFS outcomes as VO. As a result, if a BTK inhibitor plus BCL2 inhibitor combination achieves similar uMRD rates as VO, it should translate into better PFS than VO. Given the high uMRD rates and exceptional durability observed with the zanubrutinib regimen in Study 101, we remain highly confident in achieving the PFS endpoint.
Next, our BTK degrader Takabuti DEC continues to advance through potentially registrational Phase 2 studies, while our Phase 3 Cadence 304 study against proto remains on track. Together, this program supports our ambition to lead the next generation of therapy in B‑cell malignancies and solid tumors. Devamba reached another important milestone with FDA acceptance and the priority review of our HER2‑positive GA application. We also made regulatory progress in China with the CDE accepting submissions for both November and Sahara.
Beyond Devambra, we will continue to advance a diversified and increasingly innovative pipeline. Our CDK4 inhibitor has begun Phase 3 development in breast cancer. Our GPC3 4‑1BB bispecific recently completed enrollment in a potentially China registration‑enabling HCC cohort. We also remain on track to initiate a Phase 3 study in second‑line HCC before year‑end. In addition, our PRMT5 inhibitor received FDA Orphan Drug designation for pancreatic cancer, and we initiated clinical development of our PD‑1/VEGF/CTLA‑4 trispecific.
The milestones from the last quarter are a reflection of more than strong execution; they demonstrate the power of focus. On this strategy, we concentrate our investments in disease areas where we can establish leadership, building disease franchises rather than standalone products. Supporting that strategy is a growing technology toolkit—from degraders and novel‑payload ADCs to cell therapies and T‑cell engagers. Because we are not tied to any single modality, we can pair the right biology with the right therapeutic approach.
The result is a pipeline designed not just to be broad but to be sustainable. As our innovation engine matures, we are creating depth within priority disease areas with multiple assets and mechanisms working together. That depth opens the door to proprietary combinations from within our own portfolio, driving differentiation and maximizing the value of our innovation investments. As we discussed on the previous slide, our innovation engine is generating a growing number of high‑quality opportunities across the portfolio.
Historically, our solid tumor pipeline was heavily weighted toward immuno‑oncology. The CDK4 inhibitor marked the beginning of a new chapter—one defined by more diversified mechanisms, broader modalities, and a sharper focus on specific tumor types. Today that evolution is clearly visible. We now have five solid tumor programs that have achieved clinical proof of concept and are advancing toward pivotal development. Remarkably, each is on track to progress from first‑in‑human studies to pivotal stage in approximately two and a half years.
Our CDK4 inhibitor is already enrolled in Phase 3. The B7‑H4 ADC is expected to enter a pivotal study in ovarian cancer by year‑end. For GPC3 4‑1BB, we completed enrollment of the China registration‑intended expansion cohort with approximately 100 patients in just two and a half months—you heard it right, it’s only two and a half months—underscoring our ability to execute at an exceptional speed. Based on this momentum, we also expect to initiate a Phase 3 study in second‑line HCC by year‑end.
In parallel, our CADC and PRMT5 inhibitor have achieved proof of concept and are advancing toward registration‑enabling development. Taken together, these programs demonstrate a repeatable model built on differentiated science, disciplined portfolio strategy, and strong clinical execution, as multiple internal discovered assets advance into late‑stage development while creating a growing number of value inflection points. Now let’s take a closer look at some of the assets we highlighted at ASCO.
Starting with our CDK4 inhibitor, the data continue to be highly encouraging and are consistent with our scientific hypothesis. At ASCO, we reported a potentially best‑in‑class profile combining promising efficacy with differentiated hematological safety. At the Phase 3 dose, BGB‑43395 achieved an objective response rate of around 70% in combination with letrozole in first‑line HR‑positive, HER2‑negative metastatic breast cancer. Safety remains a key point of differentiation.
At 400 mg, the overall neutropenia rate was just 21% with no grade 3 or higher events. This compares favorably with both a thermocyclib and approved CDK4/6 inhibitors, where severe neutropenia remains a meaningful clinical challenge. Together, these findings provide strong support for our ongoing Phase 3 program, which is enrolling rapidly. They also create opportunities for novel combinations across our portfolio, including with our CDK2 degrader, BCL2 inhibitor, and CAT6 inhibitor.
Turning to our GPC3 4‑1BB program, BGB‑B2033 continues to demonstrate what could be a breakthrough profile in HCC, combining strong monotherapy activity with a highly favorable safety profile. At ASCO, we reported an objective response rate of over 30% in second‑line HCC, comparable to current first‑line combination regimens and well above what was reported with available TKIs in the post‑IO setting. Safety remains a key differentiator enabled by our unique 4‑1BB approach.
This profile supports development in earlier lines as well. Approximately 70 patients have already been enrolled in combination with Devambra and bevacizumab. Development momentum also remains strong. We completed enrollment in a potentially China registration‑enabling expansion cohort in post‑IO/post‑TKI HCC. In parallel, we are engaging with global regulatory authorities to explore accelerated approval pathways in second‑line‑plus HCC based on the compelling efficacy and safety profile observed to date.
Turning to our B7‑H4 ADC, BGB‑C9074, at ASCO we presented data that supports its potential to become a leading program in ovarian cancer. The key differentiator is safety: at 6 mg/kg, treatment‑related grade 3 or higher adverse events were approximately 26%, less than half the rates reported for other ADCs in development for first‑line ovarian cancer without biomarker selection. This profile is particularly attractive in the maintenance setting where long‑term tolerability is critical.
We also reported encouraging efficacy, including activity that appears independent of B7‑H4 expression, supporting our all‑comer development strategy. Based on these data, we plan to initiate a Phase 3 study in first‑line maintenance ovarian cancer before the end of 2026, while continuing to expand the opportunity to endometrial cancer and TNBC. Taken together, C9074 combines competitive efficacy with potentially best‑in‑class tolerability, positioning it as the leading B7‑H4 ADC.
We’re excited for ESMO, where we have 12 abstracts accepted, including one rapid oral presentation and nine posters. Highlights include our GPC3 4‑1BB bispecific Phase 1 dose optimization data; the first disclosure of Phase 1 proof‑of‑concept data for our PRMT5 inhibitor, with a focus on non‑small cell lung cancer and the initial evidence of clinically meaningful brain activity; and the initial proof‑of‑concept data for CADC that underscore its compelling first‑in‑class potential in non‑small cell lung cancer.
Together, these presentations highlight the strength and breadth of our innovation engine. We have covered most of the milestones already. I will just call out a few items on this slide. We remain on track for a potential accelerated approval submission of TEKA in relapsed/refractory CLL by the end of this year, further expanding our CLL franchise in B‑cell malignancies. In addition, we plan to start tekasonal fixed‑duration combination Phase 3 development in relapsed/refractory CLL in 2027.
In solid tumors, we expect to initiate pivotal studies for both our GPC3 4‑1BB bispecific in second‑line‑plus HCC and our B7‑H4 ADC in first‑line maintenance ovarian cancer before year‑end. Looking further ahead, both our PRMT5 inhibitor and the CADC are positioned to enter Phase 3 development in 2027. I will now turn it back to
Dan Maller, Head of Investor Relations
John, thanks so much, Lai, and we'll now open the call to Q&A. Please limit the number of questions to ensure we have time to hear from as many attendees as possible. Operator, please go ahead.
OPERATOR
If you would like to ask a question, please use the raise hand icon which can be found at the bottom of the webinar application. When you are called upon, please unmute your line and ask your question. We will now take a minute for the queue to assemble. Your first question comes from the line of Yanon Zhu with Wells Fargo. Please unmute your audio and ask your question.
Yanon Zhu, Analyst at Wells Fargo
Great. Thanks for taking our questions, and congrats on a beat‑and‑raise quarter. So could you provide more color on the growth of BRUKINSA sales and specifically was wondering if you can quantify how much of the growth is coming from indications outside CLL versus CLL itself, and within CLL? Do you see any impact from the acala‑ven launch, and how do you think the dynamics could evolve in the next couple of quarters from that perspective? And also very quickly on CELESTIAL 301, any color on the HR of the two arms—sounds like it could be similar at this stage, but any color would be helpful.
Thank you.
John Oyler, Co-Founder, Chairman and CEO
Thanks. So I think we kind of got three sub‑questions in there. Maybe I will start and give a quick answer, you know, related to your question on acala plus ven. Then we can jump to Aaron and he can answer your general BRUKINSA question, and we can come to CELESTIAL with Amit. So, you know, let me just start. You know, I think right now we’re not seeing much impact from the AV AMPLIFY in the U.S. You know, it’s early; it’s hard to say how it’ll evolve.
And if Amit has extra detail on that, he can add it when he jumps to CELESTIAL. So with that, Aaron, do you want to talk more broadly about where growth’s coming from?
Aaron Rosenberg (Chief Financial Officer)
Thank you. So we really saw BRUKINSA growth—and really for the rest of our portfolio—driven by strong growth in demand across all of our regions. We spent some time talking about our U.S. business, and you know, at the last quarter we talked about the strength that we saw coming out of April and May, and obviously that’s continued into our second quarter performance. You know, I highlighted in my prepared remarks three core areas. The first: we are achieving our highest level of new patient starts since launch, so we’re really pleased to see the uptake in the marketplace.
This is driven by strength in CLL as well as our non‑CLL indications. So we really do see that durable growth across all indications. You talked a bit about sort of context. I mean, if you look at just prevalence across the five approved indications, there's about a third of the total prevalence in those non-CLL indications. And we're punching a little bit above our weight in those areas because we actually have really strong share in those indications. The other piece that we had talked about was duration of therapy and that continues to be highly constructive, yet immature. This is reinforced by real-world data. We talked about the study in 10,000 Medicare patients that were recently published and this was really noteworthy with Brukinsa showing meaningful long-term benefits on discontinuation of therapy versus acalabrutinib and ibrutinib. In fact, Brukinsa did not meet the median time to discontinuation in this data cut. And what we're really pleased about is how this relates directly to patient outcomes and experience. And this is what you see in our overall demand growth. As a result of data such as this, we have updated our internal planning assumptions to reflect longer duration of therapy and overall the business is just performing exceptionally well.
So Amit, will you take the next question?
Amit Agarwal (Chief Medical Officer for Hematology)
Yeah. Thank you, Aaron. I think the question was about AMPLIFY and I think John mentioned this in his remarks. But long-term outcomes are very important in CLL. As we've seen, there is a huge difference between what happens with patients between years 3 and 6. For AV we only have the 3-year data. We don't have long-term data. What we've seen from that data is the lowest rate of uMRD as well as landmark PFS even among the VEN-based regimens. So while it is hard to say what will happen with this data set in six years, we do have other data sets that look better than AV at the 3-year mark with the longer follow-up including Ven-O and Ven-I. When we look at these data, they really highlight some of the challenges that are seen with the current VEN-based fixed-duration regimens. Now in particular, when we look at that unmutated IGHV patient population which represents a majority of the frontline CLL patients, there's a clear distinction between the results from Brukinsa and other VEN-based combinations. For example, at 6 years Brukinsa shows a 70% PFS whereas the fixed-duration VEN-based regimens show PFS in the low 40s.
We're talking about a 30% difference in the PFS. This really matters. Now when we couple this with the fact that there are safety issues and some of the VEN-based regimens have serious infection rates of 20 to 30% including fatal infections and the fact that almost half of the progression events are deaths, not even allowing patients an opportunity for retreatment. It is clear that these patients are really not being served well with VEN-based regimens.
And the fact that Brukinsa is the treatment of choice makes a lot of sense. Now maybe I'll quickly address the question around the hazard ratio. So as Lai mentioned in his prepared remarks, this was an IDMC event where the IDMC reviewed the data for the uMRD and BeiGene remains blinded to the data. So we do not have the details of the hazard ratio. But having said that, again we remain very confident in the PFS endpoint and our ability to show superiority for the primary regulatory endpoint, which is PFS.
With that I'll turn it back to John.
John Oyler, Co-Founder, Chairman and CEO
Yeah, thank you so much, Amit. And can we have another question please? Operator,
OPERATOR
Your next question comes from the line of Rennie Benjamin with Citizens. Please unmute your audio and ask your question.
Rennie Benjamin, Analyst at Citizens
Hey, good morning guys. Thanks for taking the questions and congratulations on an outstanding quarter. My question mainly has to do with the Mangrove study. Can you maybe provide some early physician feedback regarding the results you've disclosed? Any sort of thoughts on the study not including a rituximab maintenance arm and kind of how they're viewing the data and how do the physicians kind of interpret this relative to the ECHO regimen which has already been approved?
John Oyler, Co-Founder, Chairman and CEO
Sure. Thank you so much for the question. Again, we haven't disclosed that much data on this yet, but I think, Amit, this is back in your wheelhouse.
Amit Agarwal (Chief Medical Officer for Hematology)
Yeah, thank you, John. And thank you for the question, Rennie. So really I think we're all very excited about the Mangrove results and really what Mangrove has let us do is it's another great example of how Brukinsa's differentiated profile leads to really meaningful advantage for patients. So from a design perspective, one of the important differences for Mangrove compared to some of the other studies is that Mangrove was designed to test a chemo-free regimen in that frontline MCL setting and show for the first time that it actually is better than the standard-of-care chemotherapy regimens.
The other BTK inhibitors, as you mentioned, ECHO being one example, have really added the BTK inhibitor to that chemotherapy regimen. And so they're more add-on rather than replacement designs. And Mangrove for the first time showed that a chemo-free regimen of ZR was superior to BR with a hazard ratio of 0.57 in favor of the ZR arm. And these results themselves are really unprecedented in terms of thinking about that chemo-free regimen. We've talked about the OS data being immature, but I think when you see that data, it will really tell an important story there.
When we shared these results with physicians, KOLs, experts who treat MCL, they're really excited about this data. I think they really understand the impact that this can have. The fact that the chemo-free regimen really is going to allow for patients to avoid some of the toxicities that are seen with chemotherapy, avoid the rituximab infusion. Actually, there is a high level of interest in understanding what this rituximab maintenance-free regimen would also look like.
And so overall we've received very positive feedback from the MCL community so far.
John Oyler, Co-Founder, Chairman and CEO
Yeah, thanks, Amit. I just want to reiterate that, you know, the response I've had is wonderful. So thank you so much. Operator, could we have the next question please?
OPERATOR
Your next question comes from the line of Michael Schmidt with Guggenheim and please unmute your audio and ask your question.
Michael Schmidt, Analyst at Guggenheim
Hey, good morning. Thanks for taking my questions. I had one on the BTK degrader programs. Sticking with hematology, maybe comment a bit about how you're tracking towards completing the first registration study in relapse. What is the efficacy bar in this setting, especially in context of a single-arm study? And longer term, how do you see the degrader program positioned relative to other programs, specifically the Norrix Roche program? Thanks so much.
John Oyler, Co-Founder, Chairman and CEO
Thanks, Michael. Nice to hear your voice. I think that Amit is very popular this morning, so please can you jump into that?
Amit Agarwal (Chief Medical Officer for Hematology)
Yes. Thank you, John. So as Lai mentioned in his remarks, we remain on track and if the data supports this, we're looking forward to that AA submission in Q4 of this year. Now I'll remind folks that the FDA has previously granted Fast Track designation for our BTK degrader for adult patients with relapsed/refractory CLL who have received at least two prior lines of therapy, including a BTK and BCL2 inhibitor. In the context of what we've seen so far from our phase 1 data across different patient populations, we've seen very encouraging both response rates as well as the durability of those responses.
And we think that this is a profile which is compelling. And when we think about previous accelerated approvals, we think that the profile really supports accelerated approval in that context. Now in addition to this, we also have important phase 3 studies which are executing very well. Particularly I would call out our head-to-head comparison of the BTK degrader versus pirtobrutinib, the non-covalent BTK inhibitor. The study is enrolling very well and we are very excited to share those results when they're available.
And in addition to this, Lai mentioned the BTK degrader plus sonrotoclax relapsed/refractory study that we also plan to initiate early next year. So overall I think this really reflects our growing confidence in the program and our ability to execute on a sort of profile which is going to allow the BTK degrader to become a foundational asset in CLL along with the rest of our portfolio.
John Oyler, Co-Founder, Chairman and CEO
Thanks, Amit, and Operator. We're ready for another question.
OPERATOR
Your next question comes from the line of Etzer Darout with Barclays. Please unmute your audio and ask your question.
Etzer Darout, Analyst at Barclays
Great. Thanks for taking the question and the updates today. Maybe another one on Mangrove. If you can maybe talk about when we could see an additional data cut here and any sort of potential presentations we may see around that and then secondly and maybe one for Lai around the pipeline. Just curious around the KAT6 design elements and the potential to combine maybe with the CDK4 selective program or other programs in the pipeline. Just given some of the other efficacies we've seen with that and the intriguing profile that that could have, but again the safety being limited.
Just curious around your design elements there to maybe overcome some of those limitations would be great. Thank you.
John Oyler, Co-Founder, Chairman and CEO
Thanks so much for the question. Let's start with Amit and jump to Lai.
Amit Agarwal (Chief Medical Officer for Hematology)
Yeah, I think the question about Mangrove was really just when are we presenting the data? And I think, as you mentioned John, we are very excited to present this at an upcoming congress so we'll hopefully share the details very soon.
Lai Wang — President, Global Head of Research and Development
Yeah, in terms of the KAT6, this molecule was designed to be more selective for KAT6, trying to spare KAT7. This is the main differentiation versus Pfizer's KAT6 program. We believe this can potentially lead to less hematological toxicities. So far, starting from last year we had this program enter and we initiated a first-in-human study in breast cancer. One of the design elements there is to be combined with our CDK4 inhibitor. But certainly in our pipeline there are many other potential molecules which we can combine with KAT6 in breast cancer.
In addition to that, I think just last month we also initiated our second phase 1 study. This one is exploring this KAT6 molecule in AML. We have seen quite a bit of interesting preclinical translational data about KAT6 in AML and we're certainly looking forward to seeing this molecule, how it does in AML.
John Oyler, Co-Founder, Chairman and CEO
Thanks so much, gentlemen. And back to the operator for another question.
OPERATOR
Your next question comes from the line of Yaron Werber with TD Cowen. You may unmute your mic and ask your question.
Yaron Werber, Analyst at TD Cowen
Great. Congrats on a really nice quarter. PRMT5 is a really important target and you're the lead essentially with the brain-penetrant molecule. It sounds like you're going to have data in lung cancer at ESMO. Can you give us a sense what we might be able to see because you're moving that into phase 3 next year? I think also pancreatic cancer achieved PoC. Is there any chance we might see some of that data at ESMO or is that going to be in the next meeting and is that moving to phase 3 next year as well?
Thank you.
John Oyler, Co-Founder, Chairman and CEO
Hi Yaron, thanks for the great question, and Mark, why don't you speak to that since you're closest to the detail.
Mark Lanasa (Chief Medical Officer for Solid Tumors)
Thank you, Yaron. We're very excited about our PRMT5 program and look forward to the initial disclosure that's upcoming at ESMO. Our molecule entered the clinic in 1Q25. So this is our initial disclosure and therefore will include the monotherapy Phase 1a dose-escalation data, but will also include a significant number of patients who have been enrolled in expansion phases. Because our molecule is designed to be CNS penetrant, we have had an emphasis on enrolling patients with non-small cell lung cancer.
As you heard from Lai, we'll share some data showing that we have early evidence of clinically meaningful CNS coverage, but we will share data across tumor types inclusive of non-small cell lung cancer, pancreatic cancer, and other tumor types. Again, while we have an emphasis on lung cancer, we intend to have a broad development plan for this molecule.
John Oyler, Co-Founder, Chairman and CEO
Thanks so much, Mark. And back for another question, please.
OPERATOR
Your next question comes from the line of Jessica Fye with JP Morgan. Please unmute your audio and ask your question.
Jessica Fye, Analyst at JP Morgan
Hey guys, good morning. Thanks for taking my question. Maybe one for Aaron and one for Mark on the guidance increase. Can you just walk through what changed most materially relative to your expectations when you last updated guidance last quarter? And then for Mark on the CEA ADC for lung cancer, can you talk in broad strokes about the phase three you envision running for that product next year?
John Oyler, Co-Founder, Chairman and CEO
Thank you. Thanks, Jessica. Please, Aaron and Mark.
Aaron Rosenberg (Chief Financial Officer)
Sure. And I'll be fairly brief, and thanks for the question, Jess. I covered, I think, many of the factors that were driving performance for the quarter. The ones I highlighted are all areas of strength for Brukinsa, whether it be the level of new patient starts. We're seeing the strength across all indications and certainly improvements in our understanding of duration of therapy and how that's manifest in demand. All these are areas of strength for the business and, candidly, ahead of our expectations at the beginning of the year.
We're really pleased to see this. Ultimately this means impact for patients and we look forward to continue to growing the franchise as we move forward.
Mark Lanasa (Chief Medical Officer for Solid Tumors)
Thanks, Jess. Regarding the CEA ADC, as I mentioned for PRMT5, again, we're very excited to make our initial data disclosure at the upcoming ESMO. Because this is the first disclosure, this will include the Phase 1 dose-escalation data as well as the expansion data. We do have a first-in-class proof of concept in non-small cell lung cancer and we think that these data compare favorably to other investigational ADCs in the non-small cell lung cancer space.
Based on these data, we want to leverage our lead mover advantage. So the initial registration opportunities will be in a later-line setting, but we're actively working to generate evidence in an earlier-line setting given the strength of data that's emerging.
John Oyler, Co-Founder, Chairman and CEO
Thanks so much. Another question, please.
OPERATOR
Your next question comes from the line of Faizal Kirschid with Jefferies. Please unmute your audio and ask your question.
Anand Shant, Analyst at Jefferies
Hello, this is Anand Shant for Faizal. Just give a little more detail on your PRMT5 and RAS strategy. Would the phase 3 for the PRMT5 lung cancer study be a combo or mono? And could you provide any further details on your RAS ON inhibitor? Thank you.
John Oyler, Co-Founder, Chairman and CEO
So Mark, I think that's back to you.
Mark Lanasa (Chief Medical Officer for Solid Tumors)
Thank you very much for the question. RAS inhibition has proven itself to be a very important therapeutic modality not only in pancreatic cancer, but also in non-small cell lung cancer. We're deeply committed to innovation in that space. We have a highly potent RAS ON inhibitor that will enter the clinic prior to the end of this year. Similar to our PRMT5 molecule, this molecule was designed to be CNS penetrant and therefore we're particularly excited about the opportunities for that molecule in non-small cell lung cancer.
We are certainly aware and excited about the data. When a RAS ON inhibitor is combined with a PRMT5 inhibitor in MTAP-deleted pancreatic cancer, we will be looking to generate evidence in that regard as swiftly as possible. And then going back to RAS, we have additional RAS-targeting molecules that we're advancing, including a KRAS-targeting degrader as well as a RAS ON ADC where a RAS ON inhibitor will be the payload for the molecule.
John Oyler, Co-Founder, Chairman and CEO
Thanks so much. And back to the operator for one more question.
OPERATOR
Your last question comes from the line of Gregory Renza with Truist Securities. Please unmute your audio and ask your question.
Gregory Renza, Analyst at Truist Securities
Great, thank you and good morning, John and team. Congrats on the quarter and thanks for taking my question, John. Maybe one for Aaron. And just as we look across the portfolio, when it comes to the Amgen portfolio, Aaron mentioned the growth of 25% or so. Just curious how we should be thinking about its contribution. It continuously outperforms expectations. Certainly some—some nice growth there, but where do you see the portfolio going and how should we be framing the contributor to the top line?
Thanks so much.
John Oyler, Co-Founder, Chairman and CEO
Thanks for the question. Aaron, why don't you wrap up Q and A? We'll close.
Aaron Rosenberg (Chief Financial Officer)
Sure. Thanks for the question. We're obviously very pleased with the performance of our Amgen portfolio this year and really since the inception of this important collaboration. So this is a franchise with great assets. We're on the verge of launching our opportunity with Imdelltra in the marketplace. I did touch on the last quarter biosimilar competition that's coming for Xgeva. We'll share more on that evolution as our understanding of the situation evolves.
That's not a near-term impact, but it's certainly something that could influence performance as we move beyond this year. And we'll share more details of that as our understanding of the situation comes to light. Thank you.
John Oyler, Co-Founder, Chairman and CEO
Thanks so much, Aaron. In closing, I just want to share that, you know, we believe the company has never been better positioned. The commercial engine is really delivering. The pipeline's at an inflection point. The global organization is executing at a very high level. That said, there's a lot of cancer out there and it's tough and there's still a lot of work ahead. But we're really excited about the opportunity in front of us. We do want to just take a moment to thank the patients, their families that we're serving, the physicians, our partners, and our more than 12,000 colleagues and their families who focus with urgency every day to make this progress possible. So thank you all for joining us and being part of things. Have a wonderful rest of the day.
OPERATOR
Thank you.
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