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LABELS · 777005ee-d019-4976-abb4-b998cf68e05f

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
2026-05-19
Captured
2026-09-09T23:37:51.659493+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 in 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 ) Adults with advanced, unresectable or metastatic cholangiocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy. ( 1.3 ) *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). 1.3 Advanced Unresectable or Metastatic NRG1 Fusion-Positive Cholangiocarcinoma BIZENGRI is indicated for the treatment of adults with advanced unresectable or metastatic cholangiocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.
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 in 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=203daea4-fc87-40a4-a92f-ba2351b16de1
generic names
  1. ZENOCUTUZUMAB
id
777005ee-d019-4976-abb4-b998cf68e05f
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 ) Adults with advanced, unresectable or metastatic cholangiocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy. ( 1.3 ) *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). 1.3 Advanced Unresectable or Metastatic NRG1 Fusion-Positive Cholangiocarcinoma BIZENGRI is indicated for the treatment of adults with advanced unresectable or metastatic cholangiocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.
indications and usage tables exact
    is original packager
    1. true
    manufacturer names
    1. Partner Therapeutics, Inc.
    matched search terms
    1. cancer
    package ndcs
    1. 71837-1000-1
    2. 71837-1000-2
    product ndcs
    1. 71837-1000
    product types
    1. HUMAN PRESCRIPTION DRUG
    recent major changes exact
    1. Indications and Usage ( 1.3 ) 05/2026
    record type
    complete_spl_indications_section_candidate
    routes
    1. INTRAVENOUS
    rxcuis
    1. 2699594
    2. 2699601
    source batch
    file
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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
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    sha256
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    url
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    source url
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    spl effective date
    2026-05-19
    spl effective time
    20260519
    spl set id
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    spl version
    3
    substance names
    1. ZENOCUTUZUMAB
    uniis
    1. AE72RB1W1X
    verification flags
    1. oncology_keyword_candidate_not_clinically_classified
    2. spl_text_not_verified_identical_to_latest_approved_label
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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
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        Submission No
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        Submission Type
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      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
        SUPPL
        Submissions Public Notes
      3. Appl No
        761352
        Review Priority
        PRIORITY
        Submission Class Code ID
        7
        Submission No
        1
        Submission Status
        AP
        Submission Status Date
        2024-12-04 00:00:00
        Submission Type
        ORIG
        Submissions Public Notes
      application number
      BLA761352
      approval interpretation
      Application linkage and approved submission are not indication-level current approval verification
      current indication status
      not_reconciled
      has approved submission record
      true
      latest approved submission date
      2026-05-08
      latest label selection rule
      max FDA ApplicationDocsDate, including all ties; posting date is not approval date and latest indexed document may be incomplete
      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 ) Adults w
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    duplicate text group
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    extraction review status
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    generic names
    1. ZENOCUTUZUMAB
    id
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    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
      kind
      age
      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
      end exclusive
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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
      biomarker
      polarity
      not_inferred
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      end exclusive
      true
      exact text
      metastatic non-small cell lung cancer (NSCL
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    4. context exact
      rected antibody indicated for the treatment of: Adults with advanced, unresectable or metastatic non-small cell lung cancer (NSC
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      not_inferred
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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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      not_inferred
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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
      polarity
      not_inferred
      span
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      304
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      true
      exact text
      prior systemic therapy
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    regulatory links
      schema version
      0.1.0
      source batch sha256
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      source defined aliases
      1. abbreviation
        NSCLC
        definition exact
        non-small cell lung cancer
        definition span
        end
        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
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      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 · positive indication candidate
      application numbers
      1. BLA761352
      brand names
      1. BIZENGRI
      classification reasons
      1. inherited_predicate_from_same_label_section_requires_review
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      705
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      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 ) Adults with advanced, unresectable or metastatic cholangiocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy. ( 1.3 ) *This indication
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      generic names
      1. ZENOCUTUZUMAB
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      is a bispecific HER2- and HER3-directed antibody indicated
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      qualifier mentions
      1. context exact
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        kind
        age
        polarity
        not_inferred
        span
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        321
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        true
        exact text
        Adults
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      2. context exact
        Adults with advanced, unresectable or metastatic pancreatic adenocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progres
        kind
        biomarker
        polarity
        not_inferred
        span
        end
        396
        end exclusive
        true
        exact text
        metastatic pancreatic adenocarcinoma harbor
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      3. context exact
        Adults with advanced, unresectable or metastatic pancreatic adenocarcinoma harbo
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        stage_or_setting
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        not_inferred
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        end exclusive
        true
        exact text
        advanced
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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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        stage_or_setting
        polarity
        not_inferred
        span
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        end exclusive
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        exact text
        unresectable or metastatic pancreatic adenocarc
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                                      Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s).
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                                      1. BIZENGRI
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                                      te 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). 1.3 Advanced Unresectable or Metastatic NRG1 Fusion-Positive Cholangiocarcinoma BIZENGRI is indicated for the treatment of adults with advanced unresectable or metastatic cholangiocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.
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                                      is indicated
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                                        olangiocarcinoma BIZENGRI is indicated for the treatment of adults with advanced unresectable or metastatic cholangiocarcinoma
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                                        1.3 Advanced Unresectable or Metastatic NRG1 Fusion-Positive Cholangiocarcinoma BIZENGRI is indicated for the treatment of adults wi
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                                        Metastatic NRG1 Fusion-Positive Cholangioca
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                                        1.3 Advanced Unresectable or Metastatic NRG1 Fusion-Positive Cholangiocarcinoma BIZENGRI is indicated for t
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                                        1.3 Advanced Unresectable or Metastatic NRG1 Fusion-Positive Cholangiocarcinoma BIZENGRI is indicated for the treatment of adults with advanced unresectable or metastatic cholangiocarcinoma harboring a neuregulin 1 ( NRG1 ) gene fusion with disease progression on or after prior systemic therapy.
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                                        Preserved source evidence · Not medical advice