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FDA Finally OKs Twice-Rejected Melanoma Drug
The accelerated approval hinges on a confirmatory Phase 3 trial after a single-arm study found about 25% of patients responded.
On Thursday, the Food and Drug Administration granted accelerated approval to Replimune's Tudriqev in combination with Opdivo for adult patients with unresectable or metastatic melanoma who progressed on prior anti-PD-1-based therapy.
The approval follows two previous rejections, a third resubmission, and a 10-3 favorable vote from the FDA's Cellular, Tissue, and Gene Therapies Advisory Committee on July 30, 2026.
Engineered as an oncolytic virus, Tudriqev destroys cancer cells while triggering immune responses; clinical trial data showed a 24% objective response rate with a median response duration of 14.1 months.
Karim Mikhail, Acting Director of the FDA's Center for Biologics Evaluation and Research , said the milestone gives oncologists a "meaningful new tool" and more patients a "fighting chance."
Continued licensure depends on the success of an ongoing Phase 3 trial, while Leerink Partners analyst Daina Graybosch predicted the drug could achieve $618 million in peak annual sales.