Biologic Drugs in Development

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Elderly Parkinson's disease patient with symptoms in hand representing unmet need for disease-modifying dopaminergic cell therapy. | Image Credit: ©gballgiggs -stock.adobe.com

Kenai Therapeutics has completed enrollment in the Phase 1b/2a REPLACE trial of RNDP-001, an allogeneic iPSC-derived dopaminergic neuron replacement therapy for idiopathic Parkinson's disease, with safety and preliminary efficacy data expected in 2027 — representing a significant step toward a potential disease-modifying cell therapy for a condition affecting more than 10 million people worldwide.

Chemotherapy infusion bag in clinical setting representing unmet need in advanced metastatic colorectal cancer treatment and LTZ-232 bispecific antibody IND clearance. | Image Credit: © st.kolesnikov - stock.adobe.com

LTZ Therapeutics has received FDA IND clearance for LTZ-232, a first-in-class bispecific antibody designed to activate tumor-associated macrophages to phagocytose EpCAM-positive colorectal cancer cells — a novel myeloid-engaging approach aimed at overcoming the immunologically cold tumor microenvironment that has historically limited immunotherapy in this setting.

Antibody drug conjugate molecular illustration.  | Image Credit: © huenstructurebio - stock.adobe.com

Biocytogen and Whitehawk Therapeutics have announced a global collaboration combining Biocytogen's RenLite bispecific antibody discovery platform with Whitehawk's CPT113-based ADC linker-payload technology to generate bispecific ADC candidates with differentiated tumor-targeting profiles — with Whitehawk targeting new ADC INDs within 12 to 24 months.

Bispecific antibody illustration showing dual binding to CD3 T cell and CD20 lymphoma cell representing epcoritamab Tepkinly mechanism of action in follicular lymphoma | Image Credit: © Love Employee - stock.adobe.com

The European Commission has approved Tepkinly in combination with lenalidomide and rituximab for adults with relapsed or refractory follicular lymphoma after at least two prior systemic therapies, based on Phase 3 EPCORE FL-1 data showing a 79% reduction in risk of disease progression or death — marking the first bispecific antibody-based combination regimen approved in Europe for this indication.

T cells attacking cancer cells in immunotherapy response representing botensilimab balstilimab checkpoint inhibitor combination in MSS metastatic colorectal cancer. | Image Credit: © k_e_n - stock.adobe.com

Three-year follow-up data from Agenus' Phase 2 trial of botensilimab plus balstilimab in refractory microsatellite-stable metastatic colorectal cancer show a 33% overall survival rate at three years — with evidence of a plateau on the Kaplan-Meier curve beyond two years — representing an unprecedented durability signal in a tumor type historically resistant to immune checkpoint therapy.

Antibody binding to human cell receptors representing bispecific T-cell engager NTB-928 mechanism of action in platinum-resistant ovarian cancer | Image Credit: © Tatiana Shepeleva

92Bio, Inc. has dosed the first patient in a Phase 1 trial of NTB-928, a fully human bispecific T-cell engager targeting FOLR1 and CD3, designed to selectively kill FOLR1-overexpressing ovarian cancer cells while sparing normal tissue — addressing a key limitation of prior FOLR1-directed therapies in platinum-resistant ovarian cancer.

At BIO International Convention 2026, Sabeen Mekan, MD, Vice President of Clinical Development at Zymeworks and panelist for The Next Generation of ADCs: Building Kinder, Gentler Cancer Therapeutics, discusses why safety is becoming an increasingly important differentiator in antibody-drug conjugate development and how biomarker-driven patient selection may help guide future treatment decisions.