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US FDA declines to approve Summit lung cancer drug after trial misses key survival goal

By Thomson Reuters Nov 15, 2026 | 6:59 AM

Nov 15 (Reuters) – The US Food and Drug Administration on Sunday declined to approve Summit ​Therapeutics’ lung cancer drug ‌ivonescimab, a setback for efforts to expand treatment for patients whose cancer has progressed after earlier therapies.

In its so-called ‌complete ​response letter, the ⁠FDA cited a ⁠late-stage trial showing that, while ivonescimab significantly delayed disease progression, it did not demonstrate a ​statistically significant improvement in overall survival.

The decision follows the drug’s ⁠failure to achieve ⁠statistical significance on overall ​survival, a key measure of long-term ​treatment benefit, in a late-stage ‌study that formed part of Summit’s marketing application.

The agency concluded that the progression-free survival benefit ⁠alone did not support a favorable benefit-risk profile for approval.

Summit has argued that longer ⁠follow-up ‌supports the drug’s benefit, ⁠citing updated analyses that ​pointed ‌to a lower risk ​of death ⁠across Western and Asian patient subgroups.

(Reporting by Padmanabhan Ananthan, Mariam Sunny, and Rishabh Jaiswal in Bengaluru; Editing by Tasim Zahid and ​Christina Fincher)