New Reference: Zenocutumab for NRG1-Fusion Positive Cholangiocarcinoma

Zenocutuzumab demonstrated clinically meaningful and durable antitumor activity in patients with advanced NRG1-fusion positive cholangiocarcinoma, with an objective response rate of 36.8% and median progression-free survival of 9.2 months. The drug had a favorable safety profile, with most treatment-related adverse events being grade 1 or 2, and no patients discontinuing treatment due to adverse events.

  • Study

    Single-arm, phase 2 study [eNRGy]
    Advanced NRG1-fusion positive cholangiocarcinoma (n=22)
    Zenocutuzumab every 2 weeks



  • Efficacy

    ORR: 36.8% (95% CI, 16.3 to 61.6)
    mDOR: 7.4 mos (95% CI, 4.6 to NE)
    mPFS: 9.2 mos (95% CI, 3.9 to 11.1)
    mOS: Not reached (95% CI, 16.1 mos to NE)
    12-month OS: 82.6% (95% CI, 55.2 to 94.1)
    24-month OS: 54.2% (95% CI, 16.5 to 81.2)



  • Safety

    Grade >=3 TRAEs: anemia (4.5%)
    No patients discontinued treatment due to an AE


  • J Clin Oncol. Published online July 1, 2026

    Cleary JM, Springfeld C, Arnold D Efficacy and Tolerability of Zenocutuzumab in Advanced NRG1-Fusion Positive Cholangiocarcinoma: Results From the eNRGy Phase II Trial

    http://doi.org/10.1200/JCO-25-03128

    Reviewed by Ulas D. Bayraktar, MD on Aug 13, 2026

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