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LABELS · 0ba12e0b-78b7-4ef0-b8fd-5127f0b16581

BIZENGRI

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Preserved label snapshot, not confirmation of a current approved indication. Approval/withdrawal status must be checked for the exact disease, setting and regimen.

Label effective date
2025-01-17
Captured
2026-09-09T23:37:39.774134+00:00
Current indication reconciliation
Not reconciled
Boxed warning in this label
  1. WARNING: EMBRYO-FETAL TOXICITY Embryo-Fetal Toxicity: Exposure to BIZENGRI during pregnancy can cause embryo-fetal harm. Advise patients of this risk and the need for effective contraception [see Warnings and Precautions ( 5.4 ), Use in Specific Populations ( 8.1 , 8.3 )]. WARNING: EMBRYO-FETAL TOXICITY See full prescribing information for complete boxed warning. Embryo-Fetal Toxicity: Exposure to BIZENGRI during pregnancy can cause embryo-fetal harm. Advise patients of this risk and the need for effective contraception [see Warnings and Precautions ( 5.4 ), Use on Specific Populations ( 8.1 , 8.3 )].

Indications and usage: exact source text

  1. 1 INDICATIONS AND USAGE BIZENGRI® is a bispecific HER2- and HER3-directed antibody indicated for the treatment of: Adults with advanced, unresectable or metastatic non-small cell lung cancer (NSCLC) harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.* ( 1.1 ) Adults with advanced, unresectable or metastatic pancreatic adenocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.* ( 1.2 ) *This indication is approved under accelerated approval based on overall response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s). 1.1 Advanced Unresectable or Metastatic NRG1 Fusion-Positive Non-Small Cell Lung Cancer BIZENGRI is indicated for the treatment of adults with advanced unresectable or metastatic non-small cell lung cancer (NSCLC) harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy. This indication is approved under accelerated approval based on overall response rate and duration of response [see Clinical Studies ( 14.1 )]. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s). 1.2 Advanced Unresectable or Metastatic NRG1 Fusion-Positive Pancreatic Adenocarcinoma BIZENGRI is indicated for the treatment of adults with advanced unresectable or metastatic pancreatic adenocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy. This indication is approved under accelerated approval based on overall response rate and duration of response [see Clinical Studies ( 14.2 )] . Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s).
Full extracted label fields
application numbers
  1. BLA761352
boxed warning exact
  1. WARNING: EMBRYO-FETAL TOXICITY Embryo-Fetal Toxicity: Exposure to BIZENGRI during pregnancy can cause embryo-fetal harm. Advise patients of this risk and the need for effective contraception [see Warnings and Precautions ( 5.4 ), Use in Specific Populations ( 8.1 , 8.3 )]. WARNING: EMBRYO-FETAL TOXICITY See full prescribing information for complete boxed warning. Embryo-Fetal Toxicity: Exposure to BIZENGRI during pregnancy can cause embryo-fetal harm. Advise patients of this risk and the need for effective contraception [see Warnings and Precautions ( 5.4 ), Use on Specific Populations ( 8.1 , 8.3 )].
brand names
  1. BIZENGRI
current indication status
not_reconciled
dailymed set url
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=2a33e782-fc75-4dba-b77c-a44536ac13a5
generic names
  1. ZENOCUTUZUMAB
id
0ba12e0b-78b7-4ef0-b8fd-5127f0b16581
indications and usage exact
  1. 1 INDICATIONS AND USAGE BIZENGRI® is a bispecific HER2- and HER3-directed antibody indicated for the treatment of: Adults with advanced, unresectable or metastatic non-small cell lung cancer (NSCLC) harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.* ( 1.1 ) Adults with advanced, unresectable or metastatic pancreatic adenocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.* ( 1.2 ) *This indication is approved under accelerated approval based on overall response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s). 1.1 Advanced Unresectable or Metastatic NRG1 Fusion-Positive Non-Small Cell Lung Cancer BIZENGRI is indicated for the treatment of adults with advanced unresectable or metastatic non-small cell lung cancer (NSCLC) harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy. This indication is approved under accelerated approval based on overall response rate and duration of response [see Clinical Studies ( 14.1 )]. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s). 1.2 Advanced Unresectable or Metastatic NRG1 Fusion-Positive Pancreatic Adenocarcinoma BIZENGRI is indicated for the treatment of adults with advanced unresectable or metastatic pancreatic adenocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy. This indication is approved under accelerated approval based on overall response rate and duration of response [see Clinical Studies ( 14.2 )] . Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s).
indications and usage tables exact
    is original packager
    1. true
    manufacturer names
    1. Merus US, Inc.
    matched search terms
    1. cancer
    package ndcs
    1. 83077-100-01
    2. 83077-100-02
    product ndcs
    1. 83077-100
    product types
    1. HUMAN PRESCRIPTION DRUG
    recent major changes exact
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      complete_spl_indications_section_candidate
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      1. INTRAVENOUS
      rxcuis
      1. 2699594
      2. 2699601
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      meta
      disclaimer
      Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.
      last updated
      2026-09-09
      results
      limit
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      sha256
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      url
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      source url
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      spl effective date
      2025-01-17
      spl effective time
      20250117
      spl set id
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      spl version
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      substance names
      1. ZENOCUTUZUMAB
      uniis
      1. AE72RB1W1X
      verification flags
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      Drugs@FDA application source records
      1. application number
        BLA761352
        payload
        all indexed label documents
        1. Appl No
          761352
          Application Docs Date
          2024-12-04 00:00:00
          Application Docs ID
          80507
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          1
          Submission Type
          ORIG
        2. Appl No
          761352
          Application Docs Date
          2026-05-18 00:00:00
          Application Docs ID
          85948
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          10
          Submission Type
          SUPPL
        all submission records
        1. Appl No
          761352
          Review Priority
          PRIORITY
          Submission Class Code ID
          2
          Submission No
          10
          Submission Status
          AP
          Submission Status Date
          2026-05-08 00:00:00
          Submission Type
          SUPPL
          Submissions Public Notes
        2. Appl No
          761352
          Review Priority
          STANDARD
          Submission Class Code ID
          3
          Submission No
          1
          Submission Status
          AP
          Submission Status Date
          2025-01-31 00:00:00
          Submission Type
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          Submissions Public Notes
        3. Appl No
          761352
          Review Priority
          PRIORITY
          Submission Class Code ID
          7
          Submission No
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          Submission Status
          AP
          Submission Status Date
          2024-12-04 00:00:00
          Submission Type
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          Submissions Public Notes
        application number
        BLA761352
        approval interpretation
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        current indication status
        not_reconciled
        has approved submission record
        true
        latest approved submission date
        2026-05-08
        latest label selection rule
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        latest posted label documents
        1. Appl No
          761352
          Application Docs Date
          2026-05-18 00:00:00
          Application Docs ID
          85948
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          10
          Submission Type
          SUPPL
        official application record
        Appl No
        761352
        Appl Public Notes
        Appl Type
        BLA
        Sponsor Name
        MERUS N.V.
        openfda application present
        true
        products
        1. Active Ingredient
          ZENOCUTUZUMAB-ZBCO
          Appl No
          761352
          Drug Name
          BIZENGRI
          Form
          INJECTION;SOLUTION
          Product No
          001
          Reference Drug
          0
          Reference Standard
          0
          Strength
          375MG/18.75ML
          marketing status
          1. Prescription

      Source passages and status connections

      Passage classifications are automated and are not treatment recommendations. Connections apply only to their recorded indication scope.

      Passage 1 · positive indication candidate
      application numbers
      1. BLA761352
      brand names
      1. BIZENGRI
      classification reasons
      1. explicit_positive_indication_predicate
      2. tumor_or_malignant_hematology_words_in_positive_statement
      clinical review status
      pending
      content role
      positive_indication_candidate
      context span
      end
      514
      end exclusive
      true
      exact text
      1 INDICATIONS AND USAGE BIZENGRI® is a bispecific HER2- and HER3-directed antibody indicated for the treatment of: Adults with advanced, unresectable or metastatic non-small cell lung cancer (NSCLC) harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.* ( 1.1 ) Adults with advanced, unresectable or metastatic pancreatic adenocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.* ( 1.2 ) *This in
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      1. ZENOCUTUZUMAB
      id
      ind-span-b33c38f27945131a5ae3
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      true
      exact text
      is a bispecific HER2- and HER3-directed antibody indicated
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      qualifier mentions
      1. context exact
        and HER3-directed antibody indicated for the treatment of: Adults with advanced, unresectable or metastatic non-small cell lu
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        polarity
        not_inferred
        span
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        121
        end exclusive
        true
        exact text
        Adults
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      2. context exact
        1 INDICATIONS AND USAGE BIZENGRI® is a bispecific HER2- and HER3-directed antibody indicated for the treatment of: Adults with advanced, unresectable or m
        kind
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        polarity
        not_inferred
        span
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        94
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        exact text
        HER2- and HER3-directed antibody indicated f
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      3. context exact
        for the treatment of: Adults with advanced, unresectable or metastatic non-small cell lung cancer (NSCLC) harboring a neuregulin 1 ( NRG1 ) gene fusion with diseas
        kind
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        exact text
        metastatic non-small cell lung cancer (NSCL
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      4. context exact
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        true
        exact text
        advanced
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      5. context exact
        ibody indicated for the treatment of: Adults with advanced, unresectable or metastatic non-small cell lung cancer (NSCLC) harboring a neuregulin 1 ( NRG1 ) gene fusion
        kind
        stage_or_setting
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        end exclusive
        true
        exact text
        unresectable or metastatic non-small cell lung
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      6. context exact
        1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.* ( 1.1 )
        kind
        prior_therapy_or_line
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        not_inferred
        span
        end
        304
        end exclusive
        true
        exact text
        prior systemic therapy
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      regulatory links
        schema version
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        source batch sha256
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        source defined aliases
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          definition exact
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          definition span
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          198
          end exclusive
          true
          exact text
          non-small cell lung cancer (NSCLC)
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        exact text
        1 INDICATIONS AND USAGE BIZENGRI® is a bispecific HER2- and HER3-directed antibody indicated for the treatment of: Adults with advanced, unresectable or metastatic non-small cell lung cancer (NSCLC) harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.* ( 1.1 )
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        source url
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        spl effective date
        2025-01-17
        spl set id
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        spl version
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        structured fields status
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        age
        Source null
        approval pathway
        Source null
        biomarker and test
        Source null
        disease stage
        Source null
        limitations
        Source null
        line
        Source null
        prior therapy
        Source null
        regimen
        Source null
        tumor histology
        Source null
        use intent
        tumor_directed_candidate
        Passage 2 · approval contingency
        application numbers
        1. BLA761352
        brand names
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        classification reasons
        1. approval_contingency_words
        clinical review status
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        end exclusive
        true
        exact text
        Adults with advanced, unresectable or metastatic non-small cell lung cancer (NSCLC) harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.* ( 1.1 ) Adults with advanced, unresectable or metastatic pancreatic adenocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.* ( 1.2 ) *This indication is approved under accelerated approval based on overall response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s). 1.1 Advanced Unresectable or Metastatic NRG1 Fusion-Positive
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        label id
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        positive predicate support span
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        1. context exact
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        2. context exact
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          metastatic pancreatic adenocarcinoma harbor
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        3. context exact
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        4. context exact
          Adults with advanced, unresectable or metastatic pancreatic adenocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with dis
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          not_inferred
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          exact text
          unresectable or metastatic pancreatic adenocarc
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        5. context exact
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                          1.2 Advanced Unresectable or Metastatic NRG1 Fusion-Positive Pancreatic Adenocarcinoma BIZENGRI is indicated for the treatment of ad
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                          1.2 Advanced Unresectable or Metastatic NRG1 Fusion-Positive Pancreatic Adenocarcinoma BIZENGRI is indicated for the treatment of adults with advanced unresectable or metastatic pancreatic adenocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.
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                          fda indication exact
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                          Read indication-specific status → · whole_fda_indication_text_present

                          Passage 8 · approval contingency
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                                end exclusive
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                              Passage 9 · approval contingency
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                              true
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                                    198
                                    end exclusive
                                    true
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                                  source span
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                                  exact text
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                                  source url
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                                  Source null
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                                  biomarker and test
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                                  disease stage
                                  Source null
                                  limitations
                                  Source null
                                  line
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                                  Source null
                                  regimen
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                                  Preserved source evidence · Not medical advice