BeOne Medicines Ltd. Class A

BeOne Medicines Ltd. Class A

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Q4 FY2025 · Earnings Call TranscriptFebruary 26, 2026

Operator

Good day, everyone. Welcome to BeOne Medicines' Q4 and full year 2025 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

Hello and welcome. Thanks for joining us today.

I'm Dan Maller, Head of Investor Relations at BeOne Medicines. 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.beonemedicines.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. We undertake no duty to update such information unless required by law.

Now turning to today's call as outlined on slide three: John Oyler, our Co-Founder, Chairman and CEO, will provide a business update, including commentary on our foundational CLL franchise; Aaron Rosenberg, our CFO, will provide an update on our fourth 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 Xiaobin Wu, President and Chief Operating Officer; Matt Shaulis, General Manager of North America; Mark Lanasa, CMO for Solid Tumors; and Amit Aggarwal, CMO for Hematology. I'll now pass the call over to John.

John?

John V. Oyler

Thanks, Dan, and thank you, everyone, for joining us today. Q4 marked another solid quarter of execution and a really strong finish to the year.

What a year it was. 2025 certainly lived up to its promise as a year of inflection for BeOne.

From a financial perspective, we delivered on our commitments, achieving significant product revenue growth, GAAP profitability, and meaningful cash flow generation. In 2025, our foundational BTK inhibitor, BRUKINSA, became number one, both in the US and globally.

As you can see on this slide, the gap between BRUKINSA and the competition is widening. That's not just a commercial achievement, it's a scientific one.

BRUKINSA's long-term data have consistently raised the bar in CLL, setting a new standard for efficacy and safety. These results are reinforced by an expanding body of clinical and real-world evidence, all of which support the program's best-in-class hypothesis.

CLL is a $12 billion and growing market due to remarkable therapeutic innovation and improvement in patient outcomes over the past 15 years. It wasn't always that way.

As recently as the mid-2000s, patients with CLL received fixed-duration chemo, and outcomes were quite poor. In fact, the median progression-free survival for patients taking chlorambucil was less than one year.

In 2008, bendamustine was approved and used in combination with rituximab, and the use became widespread, providing substantial benefit over the first chemo-based regimens. Six-year progression-free survival increased to 32%, which was better, but still not great.

The FDA approval of ibrutinib in 2016 marked the first chemo-free option and a seminal innovation for patients. Anchored by data that were superior to chemo, the field switched away from fixed-duration approaches to continuous BTK inhibition.

Why? Because it provided the best long-term outcomes for patients.

You can see ibrutinib's six-year progression-free survival and overall survival of approximately 61% and 77%, respectively. At the same time, the field was developing new fixed-duration treatments that were enabled by the discovery of BCL2 inhibition and the approval of Venclexta.

These ven-based approaches greatly improved upon historic chemo-based regimens, and they began to approach the long-term benefits provided by the two continuous BTKIs, albeit with approximately 10% delta in six-year progression-free survival. However, the VI regimen was not approved by the FDA, and the addition of obinutuzumab to ven has significant safety challenges, which I'm going to touch on later.

As good as continuous use ibrutinib was, the molecule was not optimized for potency or selectivity. The second approved BTK inhibitor, acalabrutinib, was designed to be more selective than ibrutinib and to have a very short half-life of roughly one hour, with the hypothesis that these changes would translate to a more favorable safety profile, including fewer cardiac adverse events.

In that respect, Acala achieved its goal, demonstrating statistically significant improvement in A-fib in the ELEVATE-RR study. However, in that same study, Acala demonstrated non-inferior PFS compared to ibrutinib.

As shown on this scatterplot, Acala's six-year progression-free survival and overall survival of 62% and 76% in treatment-naive CLL is nearly superimposable on ibrutinib. Innovation never stops.

The bar set by the first two continuous treatments would be raised yet again by a differentiated, foundational medicine. Enter BRUKINSA.

BRUKINSA was designed from inception to be both more potent and more selective than ibrutinib, with complete 24/7 target coverage. We took that preclinical hypothesis into the clinic, where in head-to-head global Phase 3 trial, BRUKINSA demonstrated superior efficacy to ibrutinib and a more favorable safety profile, and this includes statistically significant improvement in A-fib.

At ASH 2025, BRUKINSA set a new bar for long-term patient outcomes. Here, we can see six-year progression-free survival and overall survival of 74% and 84%.

Adjusting these for COVID, those are 77% and 87%, respectively. Now, I really appreciate you bearing with me, as I know I've spent a lot of time on this slide, but the data, as you can see here, is really important.

These data clearly establish BRUKINSA as a foundational standard against which all current and all future regimens must be compared and the long-term outcomes that patients and physicians should expect and demand. At BeOne, we believe that true innovation comes from improving upon the best.

BRUKINSA did just that when it demonstrated superiority in terms of safety and efficacy over ibrutinib. No other BTK inhibitor can make that claim.

Here, we see the Kaplan-Meier curves from head-to-head trials of BRUKINSA and other BTK inhibitors versus ibrutinib in relapsed/refractory BTK-naive CLL patients. This is as assessed by Independent Review Committee, or IRC.

In all of these studies, the IRC-assessed PFS is the predefined key secondary endpoint to demonstrate superiority over ibrutinib. In the ALPINE trial, BRUKINSA showed the greatest early separation from ibrutinib and remained separated, with a hazard ratio of 0.69 and a p-value of 0.001, demonstrating statistical superiority on PFS.

We presented longer-term follow-up data from that study at ASH just a few months ago. In the ELEVATE-RR study, Acala showed early PFS separation from ibrutinib, albeit less than BRUKINSA.

That early separation was not sustained. As you can see in the middle chart, Acala crossed over and became numerically worse than ibrutinib at roughly 33 months.

ELEVATE-RR ultimately reported a hazard ratio of one. This brings me to pirtobrutinib, a non-covalent BTK inhibitor, which recently reported data from its head-to-head trial against ibrutinib in CLL.

On the right, we see the curves from relapsed/refractory BTKi-naive cohort of BRUIN-314, which comprised two-thirds of the enrolled patients in that trial. You can see that pirto, with only 18 months of follow-up, shows the least early separation versus ibrutinib, with a hazard ratio of 0.845 and a p-value of 0.4102.

We need to see much longer follow-up from BRUIN-314 based on the minimal early separation in these short-term curves, and pirto may face an uphill battle in showing statistical superiority to ibrutinib in PFS. Now, if you've learned anything about BeOne Medicines over our 15 years of existence, it's that we're never satisfied with the status quo.

Despite the incredible progress the industry's made, it's hard not to dream about the next chapter of CLL innovation. We think it's time to start talking about a cure.

With that, we propose three aspirational goals for the next wave of innovation in CLL. The first one is an obvious one: life expectancy equal to that of the general population, matched for geography and age, for any patient diagnosed with CLL.

Second, for patients who prefer a time-limited therapy, any regimen must deliver long-term outcomes that are at least as good as the best continuous treatment available. Finally, any treatment designed to offer long-term life expectancy must also deliver quality of life, ease of use, and convenience.

Applying these aspirations to the scatterplot clearly implies the need for further improvements on what's currently available. We do believe that BeOne is the only company with the foundational assets in our CLL portfolio and pipeline to take us there.

The next chapter of CLL innovation is going to come from options that address the unmet needs and deliver the best long-term outcomes for patients. What about fixed duration?

There's a clear desire from some patients and physicians for fixed-duration options that provide a break from treatment. For fixed duration to change the treatment paradigm, it must elicit a deep response, demonstrate sustained progression-free survival, be safe with only minimal infection risk over continuous BTKI, and be convenient to administer.

We would argue, it must be compared to the foundational CLL medicine, BRUKINSA. Naturally, patients want to be off treatment, but just as they want to know what they're gaining, every patient also wants to know what they're giving up.

If that's overall survival, it's important that this is considered in the shared decision-making. How do current fixed-duration options compare to BRUKINSA?

In our opinion, not very well. Existing ven-based BTKI regimens have liabilities that have limited their uptake and approval.

These include underwhelming efficacy, as seen in the AMPLIFY trial, where the AV combination had an inferior depth of response compared to chemo, demonstrating an undetectable MRD of only 34%, despite AMPLIFY enrolling a young, fit, and low-risk frontline population. In fact, AV's PFS at three years follow-up was roughly the same as BRUKINSA's at six years.

It's quite noteworthy that we haven't seen an updated cut from AMPLIFY for nearly two years. Similarly, with respect to safety, AV and VI have limitations due to ven, a less potent and less selective first-generation BCL2 inhibitor.

In terms of convenience, the low depth of response for AV may result in most patients having to be treated for far longer than one year to reach an undetectable MRD. In addition, ven requires cumbersome patient monitoring due to its long half-life and TLS risk, which calls into question the convenience benefit of this all-oral regimen.

At the highest level, the primary benefit of fixed-duration therapy is the treatment-free interval, during which patients are not exposed to the potential side effects of ongoing therapy. In CLL, this means avoiding the agents that suppress rapid B-cell expansion, which allow for immune recovery and a reduced risk of infection.

Fixed-duration therapies should lower infection risk over time, not raise it. The CLL17 trial studied fixed-duration VO and VI versus continuous ibrutinib, and it was presented at ASH a few months ago.

The chart on the left shows the CLL17 trial data, which tells a clear and quite concerning story. First, after one year of VO, severe infections continue to climb for three years while the patient was off treatment, as seen in blue.

These infections are serious, often requiring hospitalization and IV antibiotics. Second, even after four years, severe infections were still higher with VO than with continuous ibrutinib, despite the three-year treatment-free period.

As a reminder, BRUKINSA demonstrated roughly one-third fewer Grade 3/4 infections versus ibrutinib in the ALPINE study. The VO arm also showed a 67% nominally increased risk of death versus ibrutinib.

These findings are quite consistent with data from other recent studies, such as AMPLIFY, where the AVO regimen was not FDA approved. In fact, the FDA specifically called out the higher death rate due to infections from the AVO arm.

In our view, this profile stands in direct opposition to what patients want and deserve from a fixed-duration treatment. If you now look at the table on the right, for the highest-risk patients, roughly half of all CLL patients, VO shows notably lower PFS.

This data shows that patients have an approximately 50% higher chance of progressing within six years. 50%.

Look, there's a narrative that the current fixed-duration options are good. If someone I loved was diagnosed with CLL, my first inclination might also be towards fixed duration.

If I knew the disease had potentially 50% higher chance of progressing within six years, and if I knew that fixed duration wasn't reducing the risk of serious infection over four years, just accelerating it into the earlier years, I certainly would encourage them to think twice. The risk-benefit profile of current fixed-duration regimens simply does not justify a shift away from established continuous BTKI therapy.

The evidence that existing time-limited therapies may not provide long-term outcomes comparable with BRUKINSA continues to build. Here, we can see three recently published match-adjusted indirect comparisons of BRUKINSA versus AV, VI, and VO, which reach that conclusion.

These reflect the early trends we're seeing in real-world data. Our goal for patients that prefer a fixed-duration treatment option is simple: we aim to develop a more efficacious, time-limited regimen that does not come with caveats or accommodations.

We believe ZS is that therapy. The clinical data being generated by combining the best-in-class BTK inhibitor with a potentially best-in-class BCL2 inhibitor just looks different.

With all the caveats of cross-trial comparison, ZS has demonstrated the highest undetectable MRD rate, the highest PFS for the respective follow-up when compared to other ven-based fixed-duration therapies. ZS shows a favorable safety profile, with fewer high-grade adverse events and no deaths.

In terms of patient convenience, we've not yet observed any clinical or laboratory TLS, and we're very optimistic that for most patients, only one clinic visit during ramp-up will be required after ZANUBRUTINIB lead-in. Today, the CLL landscape is roughly split evenly into patients who receive continuous BTK inhibitors and those who receive some form of fixed-duration treatment.

Currently, BRUKINSA captures approximately half of the continuous BTK segment of the market. ZS will enable BeOne to participate in the other half of the market, where today we have no presence.

In summary, BeOne remains the only company with fully owned, potentially best-in-class assets across three foundational MOAs in CLL: BRUKINSA, sonrotoclax, and our BTK CDAC. As I said earlier, we think it is time to start talking about a cure.

All three of these foundational assets, whether as monotherapy or in combination, represent the next chapter in CLL innovation, raising the bar for patients everywhere. Now I'll pass it over to Aaron to provide the financial update.

Aaron Rosenberg

Thanks, John. I'm pleased to share our fourth quarter and full year results as we delivered against all of the financial commitments that we established in the beginning of 2025.

Product revenue reached $1.5 billion in the fourth quarter, representing 32% year-over-year growth. BRUKINSA global revenues totaled $1.1 billion, growing 38%, with strong performance across all geographies.

For full year 2025, BRUKINSA global revenues were $3.9 billion, representing growth of 49%. As John shared earlier, BRUKINSA has established itself as the leading BTKI globally by an increasing margin as we closed 2025.

In the US, BRUKINSA fourth quarter sales were $845 million, driven by volume growth of approximately 30% versus Q4 2024. Our leadership is directly linked to the differentiated breadth, quality, and consistency of BRUKINSA's clinical data, including those shared at ASH 2025.

Pricing dynamics in the United States were consistent with commentary provided last quarter, with a mid-single-digit pricing benefit on a year-over-year basis. These results include the previously mentioned typical seasonality benefits seen in the fourth quarter of the year for both current year performance and the 2024 baseline.

Meanwhile, TEVIMBRA reported an 18% increase, reflecting continued market leadership in China. This growth was supplemented by contributions from launch markets.

Our in-licensed products also showed continued strength, growing 9% year-over-year. We continue to observe solid execution across geographies.

The US remains our largest market, generating $850 million, with year-over-year growth of 38%. China revenue totaled $399 million, an 11% increase compared to the fourth quarter of 2024, supported by TEVIMBRA and BRUKINSA's market leadership and growth from our in-licensed assets.

Europe contributed $174 million, with 53% year-over-year growth as we continue our launch trajectory with BRUKINSA with increased share across all major markets. Rest of world markets grew 74%, driven by market expansion and new launches.

Now turning to the other components of our GAAP P&L, and my commentary will be on a full year basis unless otherwise noted. Gross margin improved to 87% from approximately 84% in the prior year.

This year-over-year improvement primarily reflects the benefits from favorable product mix, price, and product cost efficiencies. Operating expenses grew by 12%, totaling $4.2 billion, as we are investing with discipline to support our commercial growth and rapidly advance our innovative pipeline.

Income from operations totaled $447 million, showcasing the inflection in 2025 to a company that is at scale and profitable. Bridging from operating to net income, other income and expense included a non-recurring $40 million equity investment impairment in the fourth quarter.

Income tax expense totaled $130 million for 2025, increasing from $112 million in 2024, including $25 million of non-recurring tax expenses and $20 million of timing-related tax expenses in certain geographies. These effects, in part driven by our valuation allowance status, disproportionately impacted the fourth quarter.

Altogether, and including these one-time items, net income reached $287 million in GAAP, with GAAP diluted earnings per ADS of $2.53. Our non-GAAP P&L includes adjustments for typical items, with a full reconciliation provided in the appendix.

Non-GAAP income from operations totaled $1.1 billion in fiscal 2025, up from $45 million in 2024. Non-GAAP net income came in at $918 million for full year 2025, which translates to diluted non-GAAP earnings per ADS of $8.09.

We continued our strong trend of cash flow generation, with free cash flow of $380 million in Q4. Full year 2025 free cash flow was over $940 million.

Now turning to our 2026 financial guidance. We expect another strong year of revenue growth with continued global leadership for BRUKINSA.

We anticipate that the US will continue to see strong demand growth with relatively stable net pricing. Growth is anticipated in all markets and will benefit from continued global expansion in important rest of world markets.

We anticipate modest initial contributions from our launches of sonrotoclax and zanidatamab as physicians begin to gain experience with these medicines ahead of launches in their respective larger market opportunities. We are pleased that these practice-changing medicines are becoming available to patients as they fulfill important unmet medical needs.

In total, we project 2026 revenue to be between $6.2 billion to $6.4 billion. As you model quarterly phasing for 2026, please recall that we expect similar seasonality and shipping weeks in Q1 2026 as we observed in Q1 2025, and therefore we believe it is more useful to consider year-over-year growth rates in this upcoming period.

Our GAAP gross margin percentage is expected to be in the high 80% range, with continued benefit from mix and a full year productivity from improvements implemented last year. Operating expenses on a GAAP basis are anticipated to be between $4.7 and $4.9 billion.

This level of investment ensures we are positioned to capture the full value of our commercial and late-stage pipeline opportunities. GAAP operating income is expected to be between $700 and $800 million, and non-GAAP operating income is expected to be between $1.4 and $1.5 billion.

In terms of other income and expenses, we expect expenses to be between $25 to $50 million. This includes interest expense associated with the Royalty Pharma arrangement.

Turning to income taxes, where we have historically been in a valuation allowance, whereby our accumulated deferred tax assets have a reserve against them. Given our recent history of earnings, we believe that there may be sufficient positive evidence to recognize a portion of these assets in 2026.

The exact timing and magnitude are uncertain, but we believe that a potential reversal would result in a material tax benefit to the income tax provision when recognized. When this reversal occurs, we will reflect deferred taxes in our financial statements, and our effective tax rate will become a more meaningful and predictable metric.

We will provide additional updates on income taxes throughout the year. In summary, we are pleased with our performance in 2025 and like our setup for continued growth and financial strengthening, as reflected in our 2026 guidance.

I would be remiss if I did not take this opportunity to thank our global teams across all parts of BeOne for their incredible dedication to our company's purpose and the corresponding results that can be seen so clearly in our financial performance. With that, I'd like to pass the call over to Lai.

Lai Wang

Thank you, Aaron. Hi, everyone.

Thanks for joining us today. 2025 has been a standout year for BeOne R&D.

Most notably, it was a breakout year for sonro. We achieved our first global approvals in China for relapsed/refractory MCL and CLL.

In addition, regulatory submissions for relapsed/refractory MCL are under review in both the US and the EU, with FDA approval expected in the first half of this year. Our BTK degrader continues to advance steadily towards registration.

In 2025, we initiated three Phase 3 studies, including a head-to-head trial versus pirto. In solid tumors, we also made strong progress.

TEVIMBRA delivered a positive Phase 3 readout in HER2-positive gastric cancer in combination with zanidatamab and chemotherapy. Importantly, the next wave of innovation is here.

In 2025 alone, five assets achieved clinical POC, and over the past two years, we have advanced 17 new molecular entities into the clinic. BeOne has moved through two defining chapters in our history.

In the first 10 years, we build from the ground up. With limited capabilities, we delivered two breakthrough medicines, BRUKINSA and TEVIMBRA, and a proof that BeOne could innovate at the highest level.

The second chapter, over the past five years, was about scale and readiness. We invested heavily to build a powerful discovery engine and a truly differentiated global clinical development superhighway, transforming BeOne from a company with isolated wins into one capable of repeatable success.

Today, we're positioned better than ever to deliver a continuous stream of innovation. 2026 marks the beginning of a new era for BeOne.

Over the next three years, we will focus on four priorities. First, we will deepen our leadership in CLL, building on our three foundational medicines.

Second, we will expand across hematological malignancies, including indolent and aggressive lymphomas, as well as AML. Third, we will establish BeOne as an oncology powerhouse in solid tumors, with leadership in three strategically chosen subtypes, driven by both internal innovation and external partnerships.

Finally, we plan to advance one to two potential cornerstone immunology assets towards registration. It took us 15 years to build our foundational CLL franchise.

We believe we can move faster and do even better across other diseases. With greater scale and a sense of urgency, we can reach far more patients than ever before.

In CLL, today, BRUKINSA is approved for both treatment-naive and relapsed/refractory patients, giving us a strong foundation. Looking ahead, in the frontline setting, BRUKINSA will serve as the foundational therapy either as continuous use, for patients who prefer finite therapy, as a potentially best-in-class fixed-duration regimen in combination with sonro.

In the relapsed/refractory setting, BeOne will offer BTK CDAC anchored therapies. We see a potential accelerated approval opportunity for our BTK CDAC as a continuous-use monotherapy as early as next year.

There are three Phase 3 studies ongoing to establish strong evidence versus current standard of cares. Beyond that, we believe the BTK CDAC and the sonro combination has the potential to deliver best-in-class fixed-duration therapy for relapsed/refractory patients, with strong efficacy, safety, and convenience.

A Phase 3 study is being planned. Finally, we're also developing an alternative fixed-duration option, combining sonro with anti-CD20 therapies, currently being tested head-to-head against Venclexta in a Phase 3 study.

We are also advancing our three foundational hematology assets across non-CLL indications. These molecules have demonstrated strong activity across multiple B-cell malignancies, including mantle cell lymphoma, Waldenstrom's macroglobulinemia, follicular lymphoma, and marginal zone lymphoma.

We are particularly excited about the Phase 3 interim analysis for zanu in combination with rituximab in treatment-naive mantle cell lymphoma expected in the first half of this year. If successful, this would represent the first chemotherapy-free regimen in this setting.

In addition, we're expanding sonro into multiple myeloma, with plans to initiate a pivotal Phase 3 study in combination with CD38 antibody and dexamethasone by the end of this year. 2026 will also be the year we expand beyond BTK and BCL2 MOAs in the hematology oncology.

A new wave of assets is entering the clinic, led by our proprietary off-the-shelf iPSC-derived gamma delta T-cell therapy. With 12 genetic engineering modifications, this program is highly differentiated and designed to overcome many of the limitations of the existing off-the-shelf cell therapies.

I'm very excited about its potential in the clinic. In parallel, we're advancing T-cell engagers and T-cell boosters for B-cell malignancies, particularly for aggressive lymphomas, to address challenges such as tumor antigen loss and inadequate or unsustained T-cell activation.

For AML and MDS, we're building a focused portfolio to address the significant unmet medical needs. Beyond sonro, this includes a first-in-indication CASP6 inhibitor, supported by strong translational data, and a next-generation menin inhibitor designed to overcome all known resistance mutations.

We also have additional undisclosed preclinical programs on the way that will continue to fuel our future pipeline. In summary, we have built a hematology portfolio defined by durability, differentiation, and depth, positioning BeOne for sustained impact well beyond our current leadership areas.

With that, let me turn to solid tumors. Previously, our solid tumor focus was largely on immuno-oncology.

Over the last two years, we have fundamentally re-engineered the portfolio, shifting towards critical oncogenic signaling pathways across breast, gynecological, lung, and gastrointestinal cancers, using multiple therapeutic modalities. As you can see on the slide, we now have more than 20 assets across this focused disease areas.

Among them, five programs have achieved proof of concept in 2025. Now, I will walk you through these key assets now.

First, based on strong emerging efficacy and safety data from Phase 1 expansion cohorts, we plan to initiate a Phase 3 trial in frontline hormone receptor-positive breast cancer in the first half of 2026. The safety profile suggests potentially best-in-class hematological safety, with manageable gastrointestinal toxicity.

The Phase 3 study will compare BGB-43395 against a physician's choice of CDK4/6 inhibitor in combination with letrozole, with progression-free survival by central radiology review as the primary endpoint. Beyond CDK4, we have four additional solid tumor programs advancing rapidly towards registration, all supported by compelling and evolving clinical data.

B7-H4 ADC, encouraging activity in gynecological cancers and triple-negative breast cancer. A Phase 3 study is expected to start within one year.

GPC3/4-1BB bispecific, the strength of the positive data from this program has been a pleasant surprise, showing very exciting monotherapy signals in PD-1-pretreated HCC patients in its first-in-human study. A pivotal trial will be initiated before year-end.

Pan-KRAS inhibitor, this asset stands out with potentially best-in-class potency, selectivity, and brain penetration. Based on emerging Phase 1 data, we're accelerating this program into frontline non-small cell lung cancer.

CEA ADC, we are seeing promising monotherapy activity in heavily pretreated patients and are planning for pivotal trials. It is important to note that all four assets have been in the clinic for less than two years and three for less than 18 months.

This is a level of focus, efficiency, and execution we aim to deliver across the portfolio. Together, these five POC assets represent a step-change in BeOne's solid tumor impact.

With multiple modalities, rapid clinical execution, and a clear path to registration, we are no longer building a pipeline, we are building a solid tumor franchise. This is only the beginning.

To complement our growing portfolio, we have also invested heavily in clinical execution capability. We now call this our global clinical development superhighway, designed to deliver industry-leading speed, quality, and reliability.

Let me give you a few examples. Over the past two years, we have completed around 200 dose-escalation cohorts across multiple first-in-human studies, with a median of just 1.5 months per cohort.

The industry norm is roughly three months. In late-stage development, last year, we completed enrollment of a slash-year TNCL study with around 700 CL patients across 20 countries and more than 200 sites in just 14 months.

As CL is not an easy indication to enroll. On the regulatory side, our most recent NDA filing, sonro's initial filing with the FDA in mantle cell lymphoma, was completed within one month of top-line data.

Industry standard are typically four to six months. Finally, we are equipping this superhighway with AI and automation.

Today, we can already deliver near-real-time data analysis and insights across all early-stage clinical trials. Over the next two to three years, we expect AI and automation to unlock even greater gains in speed, quality, and decision-making.

This global clinical superhighway is a core competitive advantage for BeOne. We look forward to sharing continued progress in future updates.

Very quickly, on 2026 catalysts, I have touched on most of them already, let me highlight a few key ones I haven't mentioned yet. First, we just initiated a global Phase 3 study of ZS versus AV in treatment-naive CLL, directly comparing two all-oral fixed-duration regimens.

Second, in the first half of this year, we expect to file tislelizumab for HER2-positive gastric cancer in combination with zanidatamab and chemo. Finally, in immunology, we anticipate multiple proof-of-concept readouts this year, including BTK CDAC in CSU and IRAK4 CDAC in RA.

I will now turn it back to John.

John V. Oyler

Thank you so much, Lai, for the comments. Really appreciate it.

I think with that, we're going to jump to Q&A. Operator, please limit the number of questions to ensure we have time to hear from as many attendees as possible, but please go ahead.

Operator

Thank you. 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.

Our first question comes from Michael Schmidt at Guggenheim Partners. Please unmute your line and ask your question.

Michael Schmidt

Hey, guys. Good morning, and thanks for taking our questions.

I had a commercial question around the BTK inhibitor market and BRUKINSA. Specifically, could you comment somewhat on how you think about potential net pricing development in the BTK inhibitor market longer term, especially as we see your competitor products enter the CMS drug price negotiation program this year and next?

Thanks so much.

John V. Oyler

Thank you. Nice to hear from you.

I think from the perspective in this space, as we've tried to lay out, this is a very differentiated value proposition with BRUKINSA versus any of the current therapies that are on the market, whether it's a safety profile or whether it's just the long-term PFS and overall survival. This is, in our mind, a best-in-class product that has demonstrated the translation of its mechanism of action into real clinical results.

I think at this point, certainly there are challenges for those other products, but we're just standing by the value that the products are creating for patients. It's there.

That's why we're showing it to you. Could we jump to the next question, please?

Operator

Yes, of course. Our next question comes from Yaron Werber with Cowen.

Please unmute your line and ask your question.

Yaron Werber

Great. Thanks so much, and congrats on really a lot of progress.

I have a question that I think a lot of us have been getting. In the guidance, what are you assuming in terms of competition from AV or Jaypirca is probably sort of late, late in the year?

Then maybe secondly, in terms of sonro for MCL both in China and in the US, can you just help us think through a little bit, kind of what's the initial opportunity? Thank you.

John V. Oyler

Matt, perhaps you can answer about a little bit, and then we can jump to Xiaobin.

Matt Shaulis

Sure, yeah. I can provide some perspective on AMPLIFY and then Jaypirca as well.

As AVO was not approved. As we've discussed before, AV, while approved, was studied only in a very young and very fit patient population, which had a median age of around 61.

We think those are some natural limitations there. Moreover, I think that we continue to be very confident in the clinical profile of BRUKINSA.

We've outlined, as you heard from John, the importance of meeting some criteria for treatment in CLL: deep and durable remissions, PFS, safety, and convenience. We see that AV doesn't live up to that standard, certainly on MRD and PFS, very straightforward, with safety and tolerability.

I think that situation holds true. Then the convenience is still tied to some of the cumbersome nature of ven utilization.

Now, as for Jaypirca, we have seen some data back at ASH, and overall that body of evidence doesn't yield the level of compelling data that we think is going to really change a treatment paradigm in the earlier lines of therapy. Particularly, we continue to hear from clinicians that that evidence does not rise to the level of burning a line of therapy with a continuous BTK and that they will continue to position Jaypirca after the continuous BTKs.

Obviously, in our case, that bodes really well for BRUKINSA.

Xiaobin Wu

China, sonro approved beginning of this year, 2026. We launched so quickly after that approval.

Since launch, this is about six weeks. The reaction in the market has been very positive.

We medicated, or doctor prescribed for over 300 patients. The approved indication is relapsed/refractory mantle cell lymphoma and CLL.

Far, the safety profile has been also very good, no major safety concern observed. That's very positive experience from all the major China hematology centers.

It looks like very positive. We are aiming definitely to be a market leader for the BCL2 market going forward.

This is two approved BCL2 in China. One is the Venclexta, and another one is China local Lisa.

Great.

John V. Oyler

Thanks so much, Xiaobin. Can we jump to the next question, please?

Operator

Our next question comes from Zhi Chen with Goldman Sachs. Please unmute your line and ask your question.

Zhihong Chen

Thank you so much and congrats on the results. I got a one question on the immunology pipeline you mentioned.

I think this is probably the first time during the earnings briefing you mentioned about immunology is going to be the next thing out of the four pillars you are going to be working on. Lai mentioned about there are going to be one or two cornerstone therapies that you could potentially pursue and move into pivotal studies for immunology.

Could you elaborate a little bit more about what's going to be the strategy for the immunology beyond hematology and solid tumor that BeOne already being very strong at? Over next few years, what's going to be the pass at a journey towards becoming some meaningful player in the immunology?

John V. Oyler

Great. Please, Lai.

Thanks for the question.

Lai Wang

Yeah. Thanks for the question.

In our preclinical pipeline, we have roughly about 20% of our assets are focused on immunology. We acknowledge we're still a young player in the immunology space.

For us, we're going to be optimistic, looking for potential opportunities to be the first-in-class or best-in-class. Our goal is in the next about two to three years to identify one or two molecules which we feel like can be a cornerstone assets for us to build around.

We're looking forward to share with you the updates in the upcoming additional earnings calls, but there are some very exciting molecules we're really developing at this moment. Some of that is already in the clinical stage.

John V. Oyler

Thanks so much. Can we have another question, please?

Operator

Yes. The next question comes from Yigal Nochomovitz from Citi.

Please unmute your line and ask your question.

Yigal Nochomovitz

Hi, great. Can you hear me?

Yes. Hi, John.

You made some excellent arguments regarding the fixed duration and the inferior options today versus continuous BTK. I just wonder if you could just clarify if ZS does become the fixed-duration regimen of choice and the standard of care in treatment-naive, could you just clarify how you're not going to sacrifice the long-duration revenues with continuous BRUKINSA?

I think that would be helpful to understand a bit better, please. Thank you.

Aaron Rosenberg

Sure.

John V. Oyler

Aaron's going

Aaron Rosenberg

to jump into that. Thanks for the question, Yigal.

You've seen the different forms of the pie chart that John shared in his slides. In the current dynamics, that's a view on the US, the dynamics aren't too dissimilar outside the US, although fixed-dose treatment for BTK/BCL2 combinations are a bit more mature in Europe.

About half the market is receiving fixed-dose treatment, half's receiving continuous use. As you saw in that view, we're currently getting about 50% on a new patient basis for BRUKINSA.

What we're trying to state really clearly there is the combination of sonro plus zanubrutinib opens up 50% of the market where we don't play at all today. From that dimension, and as we continue to mature candidly in our market share within the continuous-use class alone with BRUKINSA, we view this as very market expanding.

Yigal Nochomovitz

Thanks.

John V. Oyler

I think the promise is there, and we're hopeful that the data translates as positively as we've seen so far. It really could fulfill the promise and the story that's being told now about fixed duration.

Were that to happen, that would be a really wonderful thing, and it would place us in a truly, truly unique position. I think regardless of that, for this 50% of the population that is already on fixed duration, if we're anywhere near the data we're showing at this moment, it's just on every one of those boxes, checking what would be required to be a best-in-class medicine.

We're really, really excited about this opportunity.

Aaron Rosenberg

We just need to wait a little bit for a little more data to mature from that perspective.

Yigal Nochomovitz

Thank you.

Operator

Thank you. Our next question comes from Reni Benjamin at Citizens JMP.

Please unmute your line and ask your question.

Reni Benjamin

Hey, good morning, guys. Thanks for taking the questions and congratulations on a great year and the guidance that's provided.

I guess my question is regarding the BTK degrader. You had some pretty encouraging data that was presented at ASH.

I thought that there was the potential for an accelerated approval in the first half of this year. I think it's been pushed out to the second half.

Can you just kind of confirm that I'm reading that right, and can you provide some color as to what's causing the push out and how we should be thinking about the first approval? Thank you.

John V. Oyler

Great question. Amit, will you please respond?

Amit Aggarwal

Thank you for the question, Reni. I don't think there's been a change in terms of the timing and kind of how we're thinking about this.

Obviously, this is a single-arm approach. In terms of what we're looking at there is based on a single-arm trial.

We're following that data and look forward to having the interactions with the FDA mid-year and file based on our interactions with the FDA. There's really no change in terms of the timing there.

Reni Benjamin

Got it. Thank you.

John V. Oyler

Next question, please.

Operator

Our next question comes from Sean Laaman at Morgan Stanley. Please unmute your line and ask your question.

Sean? Sean, can you please unmute your line and ask your question?

Sean Laaman

Good morning, John and team. Sorry about that.

Thank you for taking my question. Just trying to understand a bit better the longer runway of growth potential for BRUKINSA here.

You did $3.9 billion, I think, for the year at around 40% growth. I think they did double-digit growth to get to $3.5 billion, and Imbruvica's growing negative mid-teens, but still did $2 billion.

That's about $3.5 billion where BRUKINSA is not operating, if you like. Clearly winning the battle against Imbruvica, but given the compelling data that you have to show best-in-class, what's the tipping point or what's the wrestle here to really start eating into that Calquence share?

John V. Oyler

Aaron, would you like to answer that?

Aaron Rosenberg

Thanks, Sean. As we've been talking, we certainly feel very confident in the totality of the evidence for BRUKINSA and ultimately the dynamics you're describing in terms of our performance in the marketplace.

It's the data that's resonating and ultimately translating to the growth that you've described. As you look at the market share slide that we showed in the deck, on a new patient share, we're currently getting about 50% of the continuous-use BTK market.

We are the global market leader, but we're not quite at 50% yet because we continue to mature into that profile. As you think about the growth for our business, it's to continue maturation into our growth profile.

Certainly, we believe having the best-in-class medicine in the continuous-use BTK space, there's more than ample opportunity to continue to grow share over time.

John V. Oyler

I think our challenge is really just get people to look at the data. It speaks for itself.

That is a portion of the data that we're sharing on this call, whether it's the long-term data, whether it's the head-to-head data, whether it's the combination data versus their combination data. Every place you look, the story is the same.

There's work being done in real-world data from that perspective, too, but I just think it's this overwhelming body of evidence. That's the challenge.

Of course, we're the only person that wants to share that information. The rest of the industry, it may not be in their best interest, but it's really, really important that we share it for patients so that they're getting the best medicine.

Sean Laaman

Thank you.

John V. Oyler

Can we jump to a new question?

Operator

Our next question comes from Chen Chen with UBS. Please unmute your line and ask your question.

Chen Chen

Thank you for taking my question. My question is on B7-H4 ADC, and actually, I think this is not in the model or in the valuation right now, but I heard that you are going to initiate Phase 3 within the next 12 months.

May I know the clinical trial would be initiated in the first half or the second half? Also, it has showed some promising efficacy and safety in gynecology and some breast cancers.

May we know in which indication are you going to initiate Phase 3 trial? Also, I think the B7-H4 ADC is roughly at least 12 months later than our peers' B7-H4 ADC.

What are the differentiation of this molecule? Thanks.

John V. Oyler

Thanks for the question. Mark, could you address that, please?

Mark Lanasa

Thank you very much for the question. We're really pleased with the progress that's been made with our B7-H4 targeting ADC.

This has progressed swiftly through Phase 1 dose escalation, and as you heard from Lai, we are planning to disclose efficacy and safety data for the dose escalation in the first half of the year at a major medical congress. We recognize that there are a number of competing molecules both within B7-H4 and more broadly within the topo 1 conjugated ADC space, particularly in breast and gynecologic malignancies, which is why we're moving with urgency.

I think that we will be able to speak in more detail regarding the differentiation of our compound once we've disclosed the data, but suffice to say we're very happy with the emerging efficacy data and think that we also have a nice safety profile with no target-mediated toxicities beyond what one would expect for a topo 1 conjugated ADC, and a good hematologic safety profile. It's checking all the boxes to be on a path for a Phase 3 study start as soon as possible.

Again, we'll be able to share more details about first indication for Phase 3 versus subsequent indications for Phase 3 as we disclose data throughout the year.

John V. Oyler

Thanks, Mark. Could we take two more questions, please?

Operator

Yes. Our next question comes from Leonid Timashev with RBC Capital Markets.

Please unmute your line and ask your question.

Leonid Timashev

Hi, guys. Thanks for taking my question.

I wanted to ask on the BTK degrader development pathway, specifically on the Phase 3s. I guess given you're going to have a potential accelerated approval and you're running three Phase 3 studies, I guess what's the incremental value of each of those studies?

I guess do you need ultimately all three to fully realize the opportunity, or do you think you're still going to have rapid uptake, as the data starts to flow in over time? Thanks.

John V. Oyler

Thank you. Amit, would you like to answer that question?

Amit Aggarwal

Thank you for that question. I think from a BTK degrader perspective, again, we're very encouraged by the data that we've seen so far.

We do think that this is going to really be a foundational treatment as a BTK asset for the future. In terms of the Phase 3, I think we're answering important questions with the Phase 3 studies that we have right now, particularly with the two global Phase 3 studies.

I think one is in a slightly later line with an investigator's choice as a control arm, and then the other study is really a head-to-head study against pirtobrutinib. We do see incremental value, especially from that pirtobrutinib study, to be able to show that as far as that population is concerned, BTK degrader has a really sort of clear role in terms of the monotherapy.

Then beyond that, we're obviously, as Lai showed, working on a BTK degrader plus sonro combination as well, and so you'll continue to see us generate more data there.

John V. Oyler

Thanks, Amit. Are there any more questions, or should we wrap up now?

Operator

We have one more question from Rebecca Liang from Bernstein. Please unmute your line and ask your question.

Hi.

Rebecca Liang

Congratulations on the great results, and thank you for taking my question. You showed a very interesting chart on the patient share between fixed duration and continuous therapies.

I'm wondering how you see the future development between BRUKINSA and sonro after sonro plus BRUKINSA becomes a viable option. Given that now the fixed-duration therapy has half the patient share, but obviously much lower commercial sales.

Venclexta, for example, only selling around $2 to $3 billion versus the whole BTK market at around $10 billion because of the limitation of fixed duration in treatment duration. How do you see the future sales split between the two products, even if there's maybe no immediate guidance for the long-term peak sales, but qualitatively the split between the two products?

Thank you.

John V. Oyler

I would clarify that although half the patients in CLL in that pie chart are listed as fixed duration, they're not all getting ven. There's all sorts of other things, even chemo, surprisingly, that is still being given to patients.

As we move into that segment of the class, I think ven has been very limited by its usability, especially in the community setting. I think that having a fixed-duration treatment that can replace, I don't know, I'd say some of these less evidence-based fixed-duration treatments in that half that are being used broadly in the community center, I think is a huge, huge value to patients.

We would expect with the quality of the early data from that that this really could be a unique product combination within that 50% of the market for sure. To be clear, there's lots of patients that have different prognosis in CLL.

If we jump back to that, you have deletion 17p and unmutated patients. You also have mutated patients.

About half of them are high-risk factor patients, and those patients are hard to handle for sure, and they're very hard for the current fixed-duration therapies to address. I don't have the slide number, maybe someone will flash it to me, but when you go back to the slide that showed on the left-hand side the infection rates associated with VO, on the right-hand side, you could look at the numbers there.

When you look at unmutated patients and deletion 17p patients, really the outcomes are not good at all. That's because this is a harder disease to fight.

Our hope is it would be great if our SZ doublet, which is all-oral and easy to use and seems pretty safe, can treat all patients indefinitely, and that's truly, truly a cure. We don't have long-term follow-up yet on that.

I think the early data makes it appear this is going to be better than any fixed-duration evidence-based therapy that you've seen to date, but we need time for that all to mature. Although it could be possible that this therapy even in the highest-risk patients is very compelling and can be as efficacious as continuous-use BRUKINSA, it's a high bar.

It's a really high bar. We just go back and look on that scatterplot where VO is on the scatterplot versus continuous ibrutinib, which is the comparison that's made in CLL17.

That's not the relevant comparison. The relevant comparison is continuous BRUKINSA, which, of course, has much better looking six-year data from a patient and physician perspective.

We need to see how the thing evolves, but it will take time. It'll take more than six years to understand and establish for those high-risk patients.

Is this really something that's as good as and competitive with long-term continuous BRUKINSA use? Be great if it is, but nobody can be sure of that.

At any rate, thank you so much for the question. I'd like to thank everybody for today's discussion.

It really marks the close of a strong fourth quarter and it's a pivotal few year for BeOne. I think, as you just heard, 2025 was defined by really flawless commercial execution and accelerated R&D momentum across our whole business.

I do believe that our performance reflects what truly differentiates BeOne as a company. It's our commitment to scientific excellence, our exceptional speed, our relentless focus on developing the best long-term outcomes for all patients.

On behalf of everyone here, I really want to thank the broader oncology community, the patients and families who inspire our work, the clinicians who partner with us every day, and our almost 12,000 employees all around the world who continue to raise the bar. I truly believe that together we're how the world stops cancer.

As we enter 2026, we're more confident than ever in the opportunity ahead of us. Thank you again everyone for your time today, and have a wonderful week.