FDA Leaves Door Open For Further Discussions With Agenus Over BOT/BAL

The biotech company surprised observers when it announced the agency advised against filing for accelerated approval of the CTLA-4/PD-1 combination.

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Agenus Inc. got an unwelcome surprise from the US Food and Drug Administration as the agency recommended against the company filing for accelerated approval for the combination of its CTLA-4-targeting monoclonal antibody botensilimab and the PD-1-targeting balstilimab (BOT/BAL) in relapsed/refractory microsatellite-stable colorectal cancer (MSS CRC) with no active liver metastases.

The biotech company said 18 July that it had an end-of-Phase-II meeting with the FDA in which it presented data from the Phase II study that was consistent with a Phase I study of the combination

Key Takeaways
  • Agenus said that in an end-of-Phase-II meeting, the FDA recommended against filing for accelerated approval of BOT/BAL in a type of colorectal cancer based on Phase II results.

  • The announcement came as a surprise for analysts, given that the combination had shown a clear ORR advantage over the control arm

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