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FDA clears Orca’s blood cancer therapy to reduce stem cell transplant complications

By Thomson Reuters Jun 30, 2026 | 5:03 PM

By Kunal Das and Kamal Choudhury

June 30 (Reuters) – The U.S. Food and Drug Administration said on Tuesday it has approved Orca Bio’s therapy for the ​treatment of certain blood cancers, which also aims ‌to lower the risk of stem cell transplant complications.

The therapy, called Orca-T, brand name Tregzi, aims to treat patients with blood cancers including acute myeloid leukemia, acute lymphoblastic leukemia and myelodysplastic syndromes.

Orca-T is ‌designed ​to rebuild a patient’s damaged blood ⁠and immune system using healthy ⁠blood-forming and immune cells from a matched donor, while reducing serious complications associated with conventional donor stem cell transplants.

The privately held biotech’s CEO, Nate Fernhoff, told Reuters ​the therapy will have an acquisition cost of $428,000 for wholesalers, adding that the company expects it to be ⁠available for orders by the ⁠end of July.

Fernhoff said Orca-T’s key benefit ​is improving survival free from chronic graft-versus-host disease, or GvHD, calling ​it a “more fully restorative treatment” for blood cancer ‌patients.

The approval was based on a late-stage trial in which 78% of patients who received Orca-T were alive and free from moderate-to-severe chronic GvHD at one year, compared with ⁠38% of those who received a conventional transplant.

GvHD is a transplant complication in which donor immune cells attack the patient’s healthy ⁠tissues. It can ‌damage organs, require long-term immune-suppressing drugs, ⁠increase infection risk and can be fatal.

The therapy ​is ‌made by separating donor blood into specific ​cell types, ⁠including regulatory T cells to control graft-versus-host disease, stem cells to rebuild the blood and immune system, and conventional T cells to help fight infections and cancer relapse.

(Reporting by Kunal Das, Kamal Choudhury and Puyaan Singh in Bengaluru; Editing ​by Sahal Muhammed)