Merck's $588 million deal for LaNova Medicines' LM-299, a PD-1/VEGF bispecific antibody, aims to replace Keytruda's revenue post-2028 patent expiration. LM-299, in early clinical development, could bring LaNova up to $2.7 billion in milestone payments. Bispecific antibodies targeting PD-1 and VEGF are gaining traction, with BioNTech's $800 million acquisition of Biotheus and its PD-L1/VEGF bispecific antibody highlighting the trend.