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Documentary record · ACCELERATED APPROVAL — INDICATION EXPANSION

Sevabertinib (Hyrnuo) accelerated approval expanded to first-line HER2-mutant non-squamous lung cancer

ACCELERATED APPROVAL EXPANDED — CONFIRMATORY TRIAL ONGOING

Event date

September 9, 2026

Jurisdiction

United States

Issuing body

U.S. Food and Drug Administration

Action type

ACCELERATED APPROVAL — INDICATION EXPANSION

Lifecycle state

ACCELERATED APPROVAL EXPANDED — CONFIRMATORY TRIAL ONGOING

Verification date

15 September 2026

An expansion of an existing accelerated approval, not a new drug approval. Continued approval may depend on the confirmatory SOHO-02 trial.

What this establishes

  • FDA granted accelerated approval to sevabertinib for adults with locally advanced or metastatic non-squamous NSCLC with HER2 (ERBB2) tyrosine-kinase-domain activating mutations detected by an FDA-authorized test, removing the earlier requirement of prior systemic therapy.
  • Sevabertinib first received accelerated approval in November 2025 for previously treated patients.
  • The expansion rests on 69 treatment-naïve patients in SOHO-01 (confirmed objective response rate 75%).

What this does not establish

  • A survival benefit, which the confirmatory trial is designed to test.
  • Coverage.

Why it matters

A single-arm response rate now supports first-line use. That is exactly the evidentiary trade-off accelerated approval is built to make, and to revisit.

Primary source

Register: the record store · record id fda-sevabertinib-first-line-2026-09-09.

Documentary record · verification date 15 September 2026 · this revision pending review by Kanwar Partap Singh Gill, MD.