Checkpoint Inhibitor Deals: Searching For IO Combinations To Unlock Cancer’s Black Box

Merck and Bristol-Myers Squibb's market-dominating checkpoint inhibitors are competing to find the next combination therapy to treat more cancer patients, in more types of cancers. Recent failures and new regulatory pressure, however, may have a cooling effect, even as researchers come full circle with PD-l/PD-L1 and CTL-4 combinations. The race is also on to pull new combinations from emerging cell therapy and precision oncology drug candidates.

IV2003_Checkpoint inhibitors_642118657_1200.jpg
3D RENDERING OF PEMBROLIZUMAB MONOCLONAL ANTIBODY • Source: Shutterstock

Immunotherapy treatments for cancer, and the potential synergistic effects of combining established PD-1/PD-L1 checkpoint inhibitors with other experimental candidates and mechanisms, will continue to drive oncology deal-making in 2020. As of November 2019, there were 2,251 active PD-1/PD-L1 combination therapy trials testing 295 different targets, according to the Cancer Research Institute, a non-profit that supports research and development of immunotherapy treatments for cancer. Clinical successes, however, have slowed from the heady days of the early and mid-2000s, when it seemed as though checkpoint inhibitors might become the cancer cures patients and pharmaceutical companies hoped would beat back the disease once and for all.

Almost 10 years have passed since the initial FDA approval of Bristol-Myers Squibb Co.’s cancer drug Yervoy (ipilipumab), an...

More from Deal-Making

Deals Shaping The Industry, June 2025

 
• By 

An interactive look at pharma, medtech and diagnostics deals made during June 2025. Data courtesy of Biomedtracker.

Behind The Buyout: Dispatches From The Dealmaking Table

 
• By 

In a challenging funding environment for biopharma, strategic dealmaking has become a critical growth engine. In Vivo explores what it truly takes to navigate high-stakes acquisitions and partnerships, drawing on insights from seasoned industry leaders.

Deals Shaping The Industry, May 2025

 
• By 

An interactive look at pharma, medtech and diagnostics deals made during May 2025. Data courtesy of Biomedtracker.

Bringing Israeli Medical Device Candidates To The Right Partners In The US

 
• By 

Despite regional unrest, it is business as usual for medtech innovators and investors in Israel as evidenced by continued high-value M&A of locally developed technologies. Irit Yaniv, co-chair of the medtech session at the upcoming BioMed Israel 2025, explained the unique dynamics of Israeli medtech innovation.

More from In Vivo

Titans Of Pharma: Lilly’s Ricks Tops Big Pharma Pay Chart

 

The big pharma CEO with the highest-valued compensation in 2024 was David Ricks of Eli Lilly, while Pfizer and J&J executives slipped into third and fourth place behind AbbVie's now retired chief Richard Gonzalez. European firms brought up the rear.

Thinking Outside The BIOX: Bioxodes Takes Novel Approach To Intracerebral Hemorrhage

 
• By 

Although intracerebral hemorrhage accounts for only 13% of all strokes, it is responsible for approximately 40% of stroke-related deaths. A Belgian biotech is looking in unusual places to rectify this situation, namely in a tick’s mouth.

Podcast: ADDF’s Karen Harris On Investing In Alzheimer’s Like A VC

 
• By 

A discussion with Karen Harris, CFO of the Alzheimer's Drug Discovery Foundation, about the foundation's investment strategy, biotech and investor sentiment at the recent BIO conference and what innovations give her hope for Alzheimer's patients.