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Sanofi, RadioMedix, and Orano Med Announce Licensing Agreement on Next-Generation Radioligand Medicine for Rare Cancers

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Sanofi has entered an exclusive licensing agreement with RadioMedix and Orano Med for AlphaMedixTM, a late-stage targeted alpha therapy (TAT) project for treating neuroendocrine tumors (NETs). AlphaMedixTM has received Breakthrough Therapy Designation from the FDA for gastroenteropancreatic NETs. Phase 1 and 2 clinical studies showed a 62.5% durable response rate. Under the agreement, Sanofi will handle global commercialization, while Orano Med will manage manufacturing. RadioMedix and Orano Med will receive a €100 million upfront payment and up to €220 million in sales milestones, plus tiered royalties. This collaboration aligns with Sanofi's focus on oncology innovation and rare cancers.

Sanofi ha stipulato un accordo di licenza esclusivo con RadioMedix e Orano Med per AlphaMedixTM, un progetto di terapia alfa mirata (TAT) in fase avanzata per il trattamento dei tumori neuroendocrini (NET). AlphaMedixTM ha ricevuto la Designazione di Terapia Innovativa dalla FDA per i NET gastroenteropancreatici. Gli studi clinici di Fase 1 e 2 hanno mostrato un tasso di risposta duraturo del 62,5%. Nell'ambito dell'accordo, Sanofi si occuperà della commercializzazione globale, mentre Orano Med gestirà la produzione. RadioMedix e Orano Med riceveranno un pagamento anticipato di 100 milioni di euro e fino a 220 milioni di euro in traguardi di vendita, oltre a royalties progressivi. Questa collaborazione è in linea con il focus di Sanofi sull'innovazione oncologica e i tumori rari.

Sanofi ha entrado en un acuerdo de licencia exclusiva con RadioMedix y Orano Med para AlphaMedixTM, un proyecto de terapia alfa dirigida (TAT) en fase avanzada para tratar tumores neuroendocrinos (NET). AlphaMedixTM ha recibido la designación de terapia innovadora de la FDA para los NET gastroenteropancreáticos. Los estudios clínicos de Fase 1 y 2 mostraron una tasa de respuesta duradera del 62,5%. Según el acuerdo, Sanofi se encargará de la comercialización global, mientras que Orano Med gestionará la producción. RadioMedix y Orano Med recibirán un pago inicial de 100 millones de euros y hasta 220 millones de euros en hitos de ventas, además de regalías escalonadas. Esta colaboración se alinea con el enfoque de Sanofi en la innovación oncológica y los cánceres raros.

SanofiRadioMedixOrano Med와 독점 라이센스 계약을 체결하였습니다. 이는 AlphaMedixTM, 신경내분비 종양 (NET) 치료를 위한 후기 단계의 표적 알파 치료 (TAT) 프로젝트입니다. AlphaMedixTM은 위장췌장 NET에 대해 FDA로부터 획기적인 치료 지정을 받았습니다. 1상 및 2상 임상 연구에서는 62.5%의 지속적인 반응률이 나타났습니다. 계약에 따라 Sanofi는 글로벌 상업화를 담당하고, Orano Med는 제조를 관리합니다. RadioMedix와 Orano Med는 1억 유로의 선불 지급2억 2천만 유로의 판매 이정표에 대한 지급을 포함한 로열티를 받게 됩니다. 이 협력은 Sanofi의 온콜로지 혁신 및 희귀 암에 대한 집중과 일치합니다.

Sanofi a conclu un accord de licence exclusif avec RadioMedix et Orano Med pour AlphaMedixTM, un projet de thérapie alpha ciblée (TAT) en phase avancée pour le traitement des tumeurs neuroendocrines (NET). AlphaMedixTM a reçu la dénomination de thérapie innovante de la FDA pour les NET gastro-entéro-pancréatiques. Les études cliniques des phases 1 et 2 ont montré un taux de réponse durable de 62,5%. Dans le cadre de l'accord, Sanofi s'occupera de la commercialisation mondiale, tandis qu'Orano Med gérera la production. RadioMedix et Orano Med recevront un paiement initial de 100 millions d'euros et jusqu'à 220 millions d'euros en jalons de vente, ainsi que des redevances échelonnées. Cette collaboration s'inscrit dans la stratégie de Sanofi axée sur l'innovation en oncologie et les cancers rares.

Sanofi hat einen exklusiven Lizenzvertrag mit RadioMedix und Orano Med für AlphaMedixTM abgeschlossen, ein fortgeschrittenes Projekt zur zielgerichteten Alphatherapie (TAT) zur Behandlung von neuroendokrinen Tumoren (NET). AlphaMedixTM hat von der FDA die Bezeichnung als Durchbruch-Therapie für gastroenteropancreatische NET erhalten. In den klinischen Studien der Phasen 1 und 2 wurde eine haltbare Ansprechrate von 62,5% festgestellt. Im Rahmen des Vertrags wird Sanofi die globale Kommerzialisierung übernehmen, während Orano Med die Produktion leitet. RadioMedix und Orano Med erhalten eine Vorauszahlung von 100 Millionen Euro sowie bis zu 220 Millionen Euro in Verkaufsmeilensteinen und gestaffelte Lizenzgebühren. Diese Zusammenarbeit steht im Einklang mit Sanofis Fokus auf onkologische Innovation und seltene Krebserkrankungen.

Positive
  • AlphaMedixTM received Breakthrough Therapy Designation from FDA for gastroenteropancreatic NETs
  • Phase 1 and 2 clinical studies showed 62.5% durable response rate for AlphaMedixTM
  • Sanofi to pay €100 million upfront and up to €220 million in sales milestones
  • Agreement strengthens Sanofi's position in oncology and rare cancer treatments
Negative
  • None.

Insights

This licensing agreement marks a significant advancement in the treatment of rare neuroendocrine tumors (NETs). AlphaMedix™, with its Breakthrough Therapy Designation, demonstrates promising potential in addressing the unmet needs of NET patients. The 62.5% durable response rate in early trials is particularly noteworthy, surpassing current standards of care.

The use of lead-212 (212Pb) as an alpha emitter in targeted alpha therapy (TAT) represents a cutting-edge approach. Its higher energy delivery over shorter tissue paths could potentially overcome limitations of current beta-emitter therapies, offering more precise tumor targeting with reduced collateral damage. This could be a game-changer for NET patients, especially those with gastroenteropancreatic NETs (GEP-NETs), who often have treatment options.

Sanofi's strategic move into the radioligand therapy space aligns with its ambition to become a leader in immunoscience and oncology. This €100 million upfront investment, with potential for up to €220 million in sales milestones, reflects a significant commitment to this emerging field.

The collaboration leverages RadioMedix's expertise in radiopharmaceuticals and Orano Med's manufacturing capabilities, positioning Sanofi to potentially dominate the NET treatment market. With an estimated 12,000 new NET cases annually in the U.S. alone and increasing global prevalence, AlphaMedix™ could become a blockbuster therapy if approved. This deal could significantly boost Sanofi's oncology portfolio and revenue stream, while addressing a critical unmet medical need.

The development of AlphaMedix™ represents a significant leap in personalized medicine for NET patients. The use of a somatostatin receptor-targeting peptide complex radiolabeled with lead-212 showcases an innovative approach to targeted therapy. This precision targeting could potentially improve efficacy while minimizing side effects, a important factor in treating rare cancers.

The ongoing Phase 2 clinical development and discussions with the FDA for potential regulatory filing indicate a rapid progression towards market. If approved, AlphaMedix™ could set a new standard in NET treatment, potentially extending and improving the quality of life for patients with options. The 5-year survival rate of 60% for metastatic NETs underscores the urgent need for more effective therapies in this space.

PARIS & HOUSTON--(BUSINESS WIRE)-- Regulatory News:

As part of its effort to develop innovative treatments for people living with rare cancers, Sanofi has entered into an exclusive licensing agreement with RadioMedix, Inc., a US clinical-stage biotechnology company developing radiopharmaceuticals for PET imaging and targeted alpha therapy (TAT) against unmet medical needs in cancer, and Orano Med, a French clinical-stage biotechnology company, subsidiary of the Orano Group, developing lead-212 (212Pb) radioligand therapies (RLTs) against cancer.

This collaboration between Sanofi, RadioMedix and Orano Med focuses specifically on the late-stage project, AlphaMedixTM (212Pb-DOTAMTATE), which currently is being evaluated for the treatment of adult patients with unresectable or metastatic, progressive somatostatin-receptor expressing neuroendocrine tumors (NETs), a rare cancer. AlphaMedixTM is a TAT which consists of a somatostatin receptor-targeting peptide complex radiolabeled with lead-212 (212Pb) that serves as an in vivo generator of alpha particles.

Dietmar Berger
Chief Medical Officer, Global Head of Development, Sanofi
“We are excited to develop a leading-edge project in the rapidly evolving field of radioligand therapies in rare cancers. Early results for 212Pb have demonstrated its differentiated biophysical and clinical profile, reinforcing its potential to be a transformative radioligand therapeutic for patients across multiple difficult-to-treat rare cancers. This agreement underscores our efforts to explore innovative collaborations that leverage novel technologies to address the needs of people living with cancer.”

AlphaMedixTM has recently been granted Breakthrough Therapy Designation in gastroenteropancreatic neuroendocrine tumors (GEP-NETs) from the US Food and Drug Administration (FDA) for patients who are naïve to peptide-receptor radionuclide therapy. The FDA’s decision was based on findings from phase 1i and 2 clinical studies, which found that AlphaMedixTM was well tolerated and provided substantial reduction in tumor burden, with a durable response rate (ORR according to RECIST 1.1) of 62.5%.i AlphaMedixTM is currently completing phase 2 clinical development, and the data is being discussed with the FDA for potential regulatory filing and approval.

Ebrahim S. Delpassand
Chairman and CEO, RadioMedix
“The Breakthrough Therapy Designation of AlphaMedix is a testament of its success in validating targeted alpha therapies. We see this as a potential for the future of nuclear oncology in general, and today it is pioneering next-generation treatment for patients with neuroendocrine tumors. In our research, we have seen that significantly higher energy delivery over much shorter path lengths in the tissue of alpha emitters can overcome the limitations of currently available beta emitter radioligand therapies. We believe 212Pb is an ideal alpha emitter with highly desirable physical and supply characteristics in comparison to other alpha emitters. RadioMedix has been one of the pioneers in the field of radioligand therapy in the U.S. and, through this licensing agreement with Sanofi, our goal is to bring this potentially life-saving therapy to as many patients as possible.”

Julien Dodet
President and CEO, Orano Med
“At Orano Med, we are at the forefront of innovation in radioligand therapy and are developing a global industrial platform for the manufacture and distribution of our 212Pb-conjugated drugs. This marks a pivotal moment to expedite the development of this new therapy and in our fight against cancer. Through this agreement, we aim to lead the charge in advancing radioligand therapies with the ambition to revolutionize cancer therapeutics.”

Under the licensing agreement, Sanofi will be responsible for the global commercialization of AlphaMedixTM, while Orano Med will be responsible for the manufacturing of AlphaMedixTM through its global industrial platform currently under development. Under the terms of the agreement, RadioMedix and Orano Med will receive an upfront payment of €100 million and up to €220 million in sales milestones and be eligible for tiered royalties. This agreement is subject to standard regulatory approvals required for transactions of this nature.

In striving to become the number one immunoscience company globally, Sanofi remains committed to advancing oncology innovation. Through focused strategic decisions the company has reshaped and prioritized its pipeline, leveraging its expertise in immunoscience to drive progress. Efforts are centered on difficult-to-treat cancers such as select hematologic malignancies, and solid tumors with critical unmet needs, including multiple myeloma, acute myeloid leukemia, certain types of lymphomas, as well as gastrointestinal and lung cancers.

About neuroendocrine tumors

Neuroendocrine tumors (NETs) are a heterogeneous group of rare cancers that originate from neuroendocrine cells. These cancers occur mostly in the gastrointestinal tract and pancreas but can also occur in other tissues including the thymus, lung, and other uncommon sites such as ovaries, heart, and prostate. Most NETs strongly express somatostatin receptors. In the United States, around 12,000 patients annually are expected to be diagnosed with neuroendocrine tumors, with an average 5-year survival rate of 60% at a metastatic stage. Despite the global prevalence of NETs increasing each year, it is considered a rare cancer that is estimated to affect approximately 35/100,000 individuals worldwide.

About RadioMedix

RadioMedix, Inc. is a clinical-stage biotechnology company, based in Houston and Humble, Texas. The company is focused on innovative targeted radiopharmaceuticals for diagnosis, monitoring, and therapy of cancer. RadioMedix is developing radiopharmaceuticals for PET imaging and therapy (alpha- and beta-labeled agents). The company established contract service facilities for academic and industrial partners. including a cGMP and analytical suite for Phase I-II-III clinical trials and commercial launch. To learn more, visit www.radiomedix.com and LinkedIn. For more information about this press release, please contact: radiomedix@knbcomm.com.

About Orano Med

Orano Med, a subsidiary of the Orano Group, is a clinical-stage biotechnology company that develops a new generation of targeted therapies against cancer using the unique properties of lead-212 (212Pb), an alpha-emitting radioisotope and one of the more potent therapeutic payloads against cancer cells known as Targeted Alpha-Emitter Therapy (TAT). The company is developing several treatments using 212Pb combined with various targeting agents. Orano Med has 212Pb manufacturing facilities, laboratories, and R&D centers in France and in the US and is currently investing to further expand its GMP-manufacturing capacities for 212Pb radiolabeled pharmaceuticals in North America and Europe.

As a recognized international operator in the field of nuclear materials, Orano Group delivers solutions to address present and future global energy and health challenges. Its expertise and mastery of cutting-edge technologies enable Orano to offer its customers high value-added products and services throughout the entire fuel cycle. Every day, the Orano group’s 17,500 employees draw on their skills, unwavering dedication to safety and constant quest for innovation, with the commitment to develop know-how in the transformation and control of nuclear materials, for the climate and for a healthy and resource-efficient world, now and tomorrow.

About Sanofi

We are an innovative global healthcare company, driven by one purpose: we chase the miracles of science to improve people’s lives. Our team, across the world, is dedicated to transforming the practice of medicine by working to turn the impossible into the possible. We provide potentially life-changing treatment options and life-saving vaccine protection to millions of people globally, while putting sustainability and social responsibility at the center of our ambitions.

Sanofi is listed on EURONEXT: SAN and NASDAQ: SNY

Sanofi Forward-Looking Statements

This press release contains forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements are statements that are not historical facts. These statements include projections and estimates and their underlying assumptions, statements regarding plans, objectives, intentions, and expectations with respect to future financial results, events, operations, services, product development and potential, and statements regarding future performance. Forward-looking statements are generally identified by the words “expects”, “anticipates”, “believes”, “intends”, “estimates”, “plans” and similar expressions. Although Sanofi’s management believes that the expectations reflected in such forward-looking statements are reasonable, investors are cautioned that forward-looking information and statements are subject to various risks and uncertainties, many of which are difficult to predict and generally beyond the control of Sanofi, that could cause actual results and developments to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include among other things, the uncertainties inherent in research and development, future clinical data and analysis, including post marketing, decisions by regulatory authorities, such as the FDA or the EMA, regarding whether and when to approve any drug, device or biological application that may be filed for any such product candidates as well as their decisions regarding labelling and other matters that could affect the availability or commercial potential of such product candidates, the fact that product candidates if approved may not be commercially successful, the future approval and commercial success of therapeutic alternatives, Sanofi’s ability to benefit from external growth opportunities, to complete related transactions and/or obtain regulatory clearances, risks associated with intellectual property and any related pending or future litigation and the ultimate outcome of such litigation, trends in exchange rates and prevailing interest rates, volatile economic and market conditions, cost containment initiatives and subsequent changes thereto, and the impact that pandemics or other global crises may have on us, our customers, suppliers, vendors, and other business partners, and the financial condition of any one of them, as well as on our employees and on the global economy as a whole. The risks and uncertainties also include the uncertainties discussed or identified in the public filings with the SEC and the AMF made by Sanofi, including those listed under “Risk Factors” and “Cautionary Statement Regarding Forward-Looking Statements” in Sanofi’s annual report on Form 20-F for the year ended December 31, 2023. Other than as required by applicable law, Sanofi does not undertake any obligation to update or revise any forward-looking information or statements.

All trademarks mentioned in this press release are the property of the Sanofi group with the exception of AlphaMedix.

i Delpassand ES, Tworowska I, Esfandiari R, et al. Targeted α-Emitter Therapy with 212Pb-DOTAMTATE for the Treatment of Metastatic SSTR-Expressing Neuroendocrine Tumors: First-in-Humans Dose-Escalation Clinical Trial. J Nucl Med. 2022;63(9):1326-1333. doi:10.2967/jnumed.121.263230.

Sanofi Media Relations

Sandrine Guendoul | + 33 6 25 09 14 25 | sandrine.guendoul@sanofi.com

Evan Berland | +1 215 432 0234 | evan.berland@sanofi.com

Nicolas Obrist | + 33 6 77 21 27 55 | nicolas.obrist@sanofi.com

Victor Rouault | + 33 6 70 93 71 40 | victor.rouault@sanofi.com

Timothy Gilbert | + 1 516 521 2929 | timothy.gilbert@sanofi.com



Sanofi Investor Relations

Thomas Kudsk Larsen |+ 44 7545 513 693 | thomas.larsen@sanofi.com

Alizé Kaisserian | + 33 6 47 04 12 11 | alize.kaisserian@sanofi.com

More contact information available here.



RadioMedix

radiomedix@knbcomm.com



Orano Med

Sophie Letournel | +33 6 38 44 34 11 | sophie.letournel@orano.group

Orano Press Office | +33 (0)1 34 96 12 15 | press@orano.group



Investor relations

Marc Quesnoy | investors@orano.group

Source: ORANO

FAQ

What is the purpose of Sanofi's licensing agreement with RadioMedix and Orano Med?

The licensing agreement focuses on developing AlphaMedixTM, a late-stage targeted alpha therapy (TAT) project for treating neuroendocrine tumors (NETs), a rare cancer.

What is the current status of AlphaMedixTM in clinical trials?

AlphaMedixTM is currently completing phase 2 clinical development, with data being discussed with the FDA for potential regulatory filing and approval.

How much is Sanofi (SNY) paying for the licensing agreement?

Sanofi is paying an upfront payment of €100 million and up to €220 million in sales milestones, plus tiered royalties to RadioMedix and Orano Med.

What is the prevalence of neuroendocrine tumors (NETs)?

In the United States, around 12,000 patients annually are expected to be diagnosed with NETs, with a global prevalence estimated to affect approximately 35/100,000 individuals worldwide.

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