Specialised Therapeutics Expands Partnership with Incyte to Include Two Additional Therapies for Hard-to-Treat Conditions
- Expansion of successful partnership adds two new innovative therapies to ST's portfolio
- Axatilimab is a first-in-class treatment for chronic GVHD, addressing an unmet medical need
- Retifanlimab shows promise in multiple hard-to-treat cancers, including MCC where Australia has highest incidence
- Previous successful commercialization of Minjuvi and Pemazyre demonstrates strong partnership track record
- Both new therapies still require regulatory and reimbursement approval in the region
- Limited clinical trial data with axatilimab study only including 79 patients
- Timeline for regulatory approval and market access remains uncertain
Insights
Incyte expands distribution reach for two FDA-approved therapies in Asia-Pacific, potentially boosting future revenue streams from rare disease treatments.
Incyte has strategically expanded its partnership with Specialised Therapeutics (ST) to include distribution of axatilimab (Niktimvo®) and retifanlimab (Zynyz®) in Australia, New Zealand, and Singapore, with options for additional Asia-Pacific markets. This builds upon their existing collaboration that already includes Minjuvi® and Pemazyre®.
The deal follows a proven template where Incyte handles development and manufacturing while ST manages regulatory approval, distribution, and marketing. This arrangement leverages ST's regional expertise and track record of successfully navigating complex regulatory pathways, as demonstrated with the prior approvals of Minjuvi in Australia and Pemazyre in both Australia and Singapore.
Both new therapies target high-value rare disease spaces. Axatilimab, a first-in-class CSF-1R-blocking antibody for chronic graft-versus-host disease (GVHD), received FDA approval in August 2024. Retifanlimab, an immune checkpoint inhibitor, has FDA and EU approvals for Merkel cell carcinoma (MCC) and squamous cell carcinoma of the anal canal (SCAC). These indications represent significant unmet needs with limited treatment options.
Australia represents a particularly strategic market for retifanlimab, as it has the highest incidence of MCC worldwide. Additionally, both products have growth potential, with retifanlimab currently being investigated for broader applications including non-small cell lung cancer.
With regulatory submissions planned for 2025, this expansion strengthens Incyte's global commercialization strategy for its specialty portfolio by penetrating markets that might otherwise be challenging to access directly, while diversifying revenue streams through partnership-based market access.
Under the terms of the expanded agreement, Incyte will be responsible for the development, manufacture and supply of both axatilimab and retifanlimab to the region, while ST will have responsibility for regulatory, distribution and local marketing and medical affairs related activities.
ST Chief Executive Officer, Mr Carlo Montagner, welcomed the expansion of the partnership agreement with Incyte, a leading global biopharmaceutical company, and the opportunity to bring these important medicines to eligible patients in the local region.
"Specialised Therapeutics has partnered with Incyte since 2021 and we are delighted to be extending this successful partnership," he said. "As part of our initial agreement, our teams have worked collaboratively to commercialise Minjuvi, which has been approved for use in
"The addition of axatilimab and retifanlimab to the partnership agreement with Incyte recognises our strong track record of working with local stakeholders to bring innovative medicines to patients where unmet medical needs persist, despite the availability of existing treatments," said Mr Montagner. "Our focus will be on seeking regulatory and reimbursement approval for all four medicines in the region, to ensure equitable access to these treatments are available for patients as soon as practicable."
ST anticipates submitting axatilimab and retifanlimab for local regulatory and reimbursement approval in 2025.
Incyte CEO, Mr Hervé Hoppenot said the expanded partnership agreement reflected the synergies between the two companies, with a shared goal of improving outcomes for patients with unmet medical needs.
"We are pleased to extend our partnership with ST to include axatilimab and retifanlimab," he said. "ST has already demonstrated its ability to navigate complex regional regulatory pathways for Minjuvi and Pemazyre, and we look forward to continuing our work together to make these new therapies available for the oncology community in the
Axatilimab is a first-in-class colony stimulating factor-1 receptor (CSF-1R)-blocking antibody. It was approved by the US Food and Drug Administration (FDA) in August 2024 as a treatment for adults and children with chronic graft-versus-host disease (GVHD) who have received at least two prior treatments (systemic therapy) and require additional treatment.1 Chronic GVHD usually occurs 3 months after a transplant - typically haematopoietic stem cell or bone marrow transplantation, but occasionally also solid organ transplants - where the donor cells ("graft") attack the graft recipient's cells ("host").2 Chronic GVHD can affect all organs, but commonly impacts the skin, mouth, eyes, lungs, stomach, bowel, and liver.2,3 The Phase II clinical trial for axatilimab involved 79 patients from 13 countries, including
Retifanlimab is an intravenous immune checkpoint (PD-1) inhibitor that has been approved in the US in combination with carboplatin and paclitaxel (platinum-based chemotherapy) for the first-line treatment of adult patients with inoperable locally recurrent or metastatic squamous cell carcinoma of the anal canal (SCAC) and as a single agent for the treatment of adult patients with locally recurrent or metastatic SCAC with disease progression or intolerance to platinum-based chemotherapy.5 Retifanlimab is also approved in the US6 and
Ends.
About Specialised Therapeutics
Founded in 2007, Specialised Therapeutics is the region's largest independent specialty pharmaceutical company, providing new therapies and technologies to patients in
Additional information can be found at www.stbiopharma.com
About axatilimab (Niktimvo®)
Axatilimab-csfr (registered as Niktimvo® in
In 2016, Syndax licensed exclusive worldwide rights to develop and commercialise axatilimab from UCB. In September 2021, Syndax and Incyte entered into an exclusive worldwide co-development and co-commercialisation license agreement for axatilimab in chronic GVHD and any future indications.
Axatilimab is being studied in frontline combination trials in chronic GVHD – a Phase 2 combination trial with ruxolitinib (NCT06388564) and a Phase 3 combination trial with steroids (NCT06585774) are underway. Axatilimab is also being studied in an ongoing Phase 2 trial in patients with idiopathic pulmonary fibrosis (NCT06132256).
Niktimvo is a trademark of Incyte.
All other trademarks are the property of their respective owners.
About retifanlimab (Zynyz®)
Retifanlimab-dlwr (registered as Zynyz® in
Zynyz is also indicated for the treatment of adult patients with metastatic or recurrent locally advanced Merkel cell carcinoma (MCC) in the US. This indication is approved under accelerated approval based on tumour response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials.
Zynyz is marketed by Incyte in the US. In 2017, Incyte entered into an exclusive collaboration and license agreement with MacroGenics, Inc. for global rights to retifanlimab.
Zynyz is a registered trademark of Incyte.
References:
- US FDA. FDA approves axatilimab-csfr for chronic graft-versus-host disease, 14 Aug 2024. Available at: https://www.fda.gov/ drugs/resources-information-approved-drugs/fda-approves-axatilimab-csfr-chronic-graft-versus-host-disease [Accessed Mar 2025].
- The Australasian College of Dermatologists. A-Z of Skin: Graft Versus Host Disease, Nov 2020. Available at: https://www.dermcoll.edu.au/wp-content/uploads/2022/03/Graft-Versus-Host-Disease-A-Z-of-Skin.pdf [Accessed Mar 2025].
- Leukaemia Foundation Australia. Factsheet: Graft versus host disease, 24 May 2024. Available at: https://www.leukaemia.org.au/wp-content/uploads/2022/11/Factsheet_Graft-Versus-Host-Disease_Leukaemia-Foundation.pdf [Accessed Mar 2025].
- ClinicalTrials.gov. A Study of Axatilimab at 3 Different Doses in Participants With Chronic Graft Versus Host Disease (cGVHD) (AGAVE-201); NCT04710576. Available at: https://clinicaltrials.gov/study/NCT04710576 [Accessed Mar 2025].
- FDA approves retifanlimab-dlwr with carboplatin and paclitaxel and as a single agent for squamous cell carcinoma of the anal canal. https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-retifanlimab-dlwr-carboplatin-and-paclitaxel-and-single-agent-squamous-cell-carcinoma. [Accessed May 2025]
- US FDA. FDA grants accelerated approval to retifanlimab-dlwr for metastatic or recurrent locally advanced Merkel cell carcinoma, 22 Mar 2023. Available at: https://www.fda.gov/drugs/resources-information-approved-drugs/fda-grants-accelerated-approval-retifanlimab-dlwr-metastatic-or-recurrent-locally-advanced-merkel [Accessed Mar 2025].
- European Medicines Agency (EMA). Zynyz (retifanlimab): Marketing Authorisation in the European Union (EU), 19 Apr 2024. Available at: https://www.ema.europa.eu/en/medicines/human/EPAR/zynyz [Accessed Mar 2025].
- NeuroEndocrine Cancer Australia. Merkel Cell Carcinoma: The Facts, 19 Nov 2023. Available at: https://neuroendocrine. org.au/what-are-nets/merkel-cell-carcinoma/ [Accessed Mar 2025].
- The Australasian College of Dermatologists. A-Z of Skin: Merkel cell carcinoma, Oct 2024. Available at: https://www.dermcoll.edu.au/ atoz/merkel-cell-carcinoma/ [Accessed Mar 2025].
- Grignani G, et al. Updated Results From POD1UM-201: A Phase 2 Study of Retifanlimab in Patients With Advanced or Metastatic Merkel Cell Carcinoma. Presented at the European Society for Medical Oncology Congress 2023,
Madrid, Spain ; 20-24 October 2023.
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