Lilly’s Phase 1 Tibulizumab Shows <5% Immunogenicity, Zura Launches 225-Patient Phase 2

LLYLLY

Eli Lilly licensed tibulizumab to Zura Bio in 2023, leveraging tabalumab’s BAFF program and Taltz’s CDRs to engineer a bispecific IL-17A/BAFF antibody with drug-like properties. Lilly’s Phase 1 data in 78 subjects showed under 5% immunogenicity, supporting Zura’s expansion to a 225-patient Phase 2 in HS and SSc.

1. Licensing and Antibody Design

Eli Lilly licensed tibulizumab to Zura Bio in 2023, providing sequences from its tabalumab BAFF program and CDRs from ixekizumab to engineer a bispecific IL-17A/BAFF antibody with optimized drug-like properties.

2. Phase 1 Immunogenicity Data

Lilly’s Phase 1 trials in 78 subjects across healthy volunteers and autoimmune cohorts reported under 5% treatment-emergent anti-drug antibodies, indicating low immunogenicity for the bispecific molecule.

3. Phase 2 Trial Expansion

Zura Bio has expanded its hidradenitis suppurativa Phase 2 trial to 225 biologic-naïve patients with abscess and nodule count as the primary endpoint, with results expected in Q4 2026 and systemic sclerosis data due in 1H 2027.

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