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Black Diamond Plunges Despite Positive Phase 2 Results For Silevertinib In 1L NSCLC

By Gayathry Prakash   ✉  | Published:  | Google News Follow Us  | Join Us

Black Diamond Therapeutics, Inc. (BDTX), a clinical-stage oncology company, announced positive results with 15.2 months of median Progression-free Survival from its Phase 2 trial of Silevertinib in frontline or 1L non-small cell lung cancer (NSCLC) patients with epidermal growth factor receptor (EGFR) non-classical mutations (NCMs).

Despite the news, BDTX is down 6.20% at $3.33 in the overnight market.

Company Details

Black Diamond Therapeutics develops therapies that target families of oncogenic mutations in patients with cancer.

The company is advancing Silevertinib, an investigational oral, covalent, brain-penetrant tyrosine kinase inhibitor (TKI) targeting EGFR-mutant NSCLC and glioblastoma (GBM).

The firm's development pipeline also includes BDTX-4933 and BDTX-4876.

Key Findings From Phase 2 Trial

43 patients with 1L NSCLC were enrolled in a 200 mg once-daily dose of Silevertinib, with a median follow-up of 11.2 months. Results as of an April 11, 2026, data cutoff date include the following,

-Preliminary median Progression-free Survival (mPFS) is 15.2 months and Median duration of response (DOR) has not yet been reached.

-More than half of patients (53%) remained on treatment, with the longest ongoing treatment duration reaching 23.5 months.

-Under CNS activity, the Objective Response Rate (ORR) by RANO-BM remained at 86%.
ORR by RECIST 1.1 and Disease Control Rate (DCR) remained at 60% and 91%, respectively.

-Although no new safety signals were observed, the firm noted that the rate of Treatment-Related Adverse Events (TRAEs) of Grade 3 or greater decreased to 28% following dose reduction, and patients maintained clinical responses.

-Notably, safety and efficacy data support 150 mg once daily for pivotal development.

In addition to the ongoing Phase 2 trial of Silevertinib in patients with EGFRm NSCLC, the firm has also initiated a randomised Phase 2 trial of Silevertinib in patients with newly diagnosed EGFRvIII-positive GBM in May 2026.

BDTX has traded between $1.93 and $4.94 over the last year. The stock closed Thursday's trade at $3.55, down 1.39%.

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