Alteogen Licenses ALT‑B4 Hyaluronidase to Tesaro for $285M Subcutaneous Dostarlimab Deal

Alteogen Inc. (KOSDAQ: 196170) announced an exclusive license agreement with Tesaro, a GSK subsidiary, granting worldwide rights to use ALT‑B4, Alteogen’s novel hyaluronidase utilizing Hybrozyme technology, for developing and commercializing a subcutaneous formulation of dostarlimab, a PD‑1 blocking antibody.

Transaction Overview

ItemDetail
LicensorAlteogen Inc. (KOSDAQ: 196170)
LicenseeTesaro (GSK subsidiary)
**AssetALT‑B4 (hyaluronidase using Hybrozyme technology)
ApplicationSubcutaneous formulation of dostarlimab (PD‑1 inhibitor)
**MechanismTemporarily hydrolyzes hyaluronan in extracellular matrix to enable large‑volume subcutaneous administration
**Upfront PaymentUSD 20 million
**Milestone PaymentsUp to USD 265 million (development, regulatory, sales)
**RoyaltiesTiered royalties on commercial sales
**Supply ResponsibilityAlteogen to supply ALT‑B4 for clinical and commercial use

Technology & Strategic Value

  • Hybrozyme Technology: ALT‑B4 is a novel hyaluronidase that degrades hyaluronic acid in the subcutaneous space, increasing drug dispersion and absorption
  • Clinical Advantage: Enables large‑volume biologics (e.g., antibodies) to be administered subcutaneously instead of intravenous infusion, improving patient convenience and reducing healthcare costs
  • Subcutaneous Dostarlimab: Would be the first PD‑1 inhibitor with subcutaneous dosing for endometrial and solid tumors, differentiating from Keytruda, Opdivo, and Jemperli (IV only)
  • Market Expansion: Addresses home‑administration trend and reduced infusion center burden

Market Opportunity & Competitive Landscape

ParameterDostarlimab MarketSubcutaneous PD‑1 Market
Global PD‑1 Market (2026E)$38 billion$45 billion (including subcutaneous shift)
Dostarlimab Revenue (2025)$420 million
Subcutaneous PD‑1 Penetration<5%15% by 2030
ALT‑B4 Addressable Market$1.2 billion (2030E)
Royalty Revenue (Alteogen, 2032E)$120‑180 million

Key Competitors:

  • Halozyme Enhanze (rHuPH20) – Market‑leading hyaluronidase, used with Herceptin, Rituxan but not yet paired with a PD‑1
  • XOMA (PEGPH20) – Discontinued due to toxicity concerns
  • ALT‑B4First Hybrozyme‑enabled PD‑1 subcutaneous formulation; novel enzyme with potentially improved safety profile

Financial Implications & Supply Chain

  • Near‑Term Revenue: $20 million upfront provides non‑dilutive funding for Alteogen’s clinical‑stage pipeline (ALT‑B4 for trastuzumab, bevacizumab)
  • Milestone Timeline:
  • Phase I/II initiation: Q2 2026
  • Regulatory approval: 2028‑2029
  • Sales milestones: 2030‑2032
  • Manufacturing: Alteogen’s Songdo biologics facility (capacity 20,000 L) will produce clinical and commercial ALT‑B4; GMP certification completed 2025

Forward‑Looking Statements
This brief contains forward‑looking statements regarding clinical development timelines, regulatory approvals, and royalty forecasts for ALT‑B4. Actual results may differ due to competitive responses, manufacturing scale‑up, and dostarlimab clinical outcomes.-Fineline Info & Tech