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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.
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Reuters broke the news in London, United Kingdom on Thursday, August 6, 2026.
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