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Incyte Announces Positive CHMP Opinion for Zynyz® (retifanlimab) for First-Line Treatment of Advanced Squamous Cell Carcinoma of the Anal Canal (SCAC)

Key Takeaway: Incyte announced a positive opinion from the CHMP recommending Zynyz (retifanlimab) for first-line treatment of advanced squamous cell carcinoma of the anal canal. This recommendation is based on the results of the Phase 3 POD1UM-303 trial, which demonstrated significant efficacy in reducing the risk of disease progression. The opinion is now under review by the European Commission for final approval.
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POSITIVE FACTORS

  • Positive CHMP opinion for Zynyz in treating advanced SCAC.
  • Potential to become a new standard-of-care for SCAC patients.
  • Statistically significant reduction in progression or death risk.

CONCERNS & RISKS

  • Serious adverse reactions occurred in 47% of patients.
  • Common serious adverse reactions include sepsis and pulmonary embolism.

BiopharmaWatch Analysis

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+44%
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Lead asset
INCB013739
Phase 2 · Type 2 Diabetes

Full Press Release Details

MORGES, Switzerland--(BUSINESS WIRE)--Incyte (Nasdaq:INCY) today announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has issued a positive opinion recommending the approval of Zynyz®(retifanlimab) in combination with carboplatin and paclitaxel (platinum-based chemotherapy) for the first-line treatment of adult patients with metastatic or with inoperable locally recurrent squamous cell carcinoma of the anal canal (SCAC).
"Today’s positive CHMP opinion is an important step towards addressing the urgent need for new treatment options for patients in Europe with advanced SCAC, a disease which has seen limited innovation for decades,” said Lee Heeson, Head Incyte Intnl.
“Today’s positive CHMP opinion is an important step towards addressing the urgent need for new treatment options for patients in Europe with advanced SCAC, a disease which has seen limited innovation for decades,” said Lee Heeson, Executive Vice President and Head of Incyte International. “If approved, Zynyz in combination with platinum-based chemotherapy has the potential to become a new standard-of-care for patients living with this rare and difficult-to-treat cancer.”
The positive CHMP opinion was based on data from the Phase 3 POD1UM-303/InterAACT2 trial evaluating Zynyz in combination with (platinum-based chemotherapy) in adult patients with metastatic or inoperable locally recurrent SCAC not previously treated with systemic chemotherapy.5
Results from POD1UM-303/InterAACT2 (NCT04472429) published inThe Lancetshowed a statistically significant 37% reduction in the risk of progression or death (P=0.0006).4Patients in the Zynyz and (platinum-based chemotherapy) combination group achieved a median progression-free survival (PFS) of 9.3 months compared to 7.4 months for patients in the placebo combination group.4No new safety signals were identified. Serious adverse reactions occurred in 47% of patients receiving Zynyz in combination with chemotherapy.4The most frequent serious adverse reactions (≥ 2% of patients) were sepsis, pulmonary embolism, diarrhoea and vomiting.4
SCAC is the most common type of anal cancer, accounting for approximately 85% of all anal cancer cases.6Globally, the prevalence of SCAC is estimated at around 1 or 2 cases per 100,000 people, with a higher incidence in women than in men.1,2,3
The CHMP opinion is now being reviewed by the European Commission, which has the authority to grant approval for all centrally authorized products in the EU.
About Squamous Cell Carcinoma of the Anal Canal (SCAC)Worldwide, SCAC is the most common type of anal cancer, making up 85% of cases.6It is a rare disease for which the incidence increases approximately 3% per year.7,8,9,10About 90% of cases are associated with human papillomavirus (HPV) infection—the number one risk factor for anal cancer.10HIV is an important amplifier of anal cancer, as people with HIV are 25 to 35 times more likely to develop it.11,12Anal cancer shares many of the same symptoms as non-cancerous conditions, such as hemorrhoids—including pain, itching, a lump or mass and changes in bowel movements—and as a result can go undetected leading to the majority of patients presenting with locally advanced disease.13
About POD1UMThe POD1UM (PD1 Clinical Program in Multiple Malignancies) clinical trial program for retifanlimab includes POD1UM-303, POD1UM-202 and several other Phase 1, 2 and 3 studies for patients with solid tumors.
For more information about the study, please visithttps://clinicaltrials.gov/study/NCT04472429.
About Zynyz®(retifanlimab)Zynyz®(retifanlimab) is a humanized monoclonal antibody targeting programmed death receptor-1 (PD-1), indicated in combination with carboplatin and paclitaxel (platinum-based chemotherapy) for the first-line treatment of adult patients with inoperable locally recurrent or metastatic squamous cell carcinoma of the anal canal (SCAC) in the U.S. and Japan and as a single agent for the treatment of adult patients with locally recurrent or metastatic SCAC with disease progression or intolerance to platinum-based chemotherapy in the U.S.
Zynyz is also indicated as monotherapy for the first-line treatment of adult patients with metastatic or recurrent locally advanced Merkel cell carcinoma (MCC) in the U.S, EU, Canada, and Switzerland.
Zynyz is marketed by Incyte in the U.S. In 2017, Incyte entered into an exclusive collaboration and license agreement with MacroGenics, Inc. for global rights to retifanlimab.
Zynyz is a registered trademark of Incyte.
For more information, see theZynyz SmPC.
About IncyteA global biopharmaceutical company on a mission toSolve On,Incyte follows science to find solutions for patients with unmet medical needs. Through the discovery, development, and commercialization of proprietary therapeutics, Incyte has established a portfolio of first-in-class medicines for patients and a strong pipeline of products in Hematology, Oncology and Inflammation & Autoimmunity. Headquartered in Wilmington, Delaware, Incyte has operations in North America, Europe, and Asia.
For additional information on Incyte, please visitIncyte.comor follow us on social media:LinkedIn,X,Instagram,Facebook,YouTube.
Forward-Looking StatementsExcept for the historical information set forth herein, the matters set forth in this press release, including statements regarding whether and when Zynyz might provide a successful treatment option or become the standard-of-care for patients in Europe with advanced SCAC, contain predictions, estimates, and other forward-looking statements.
These forward-looking statements are based on Incyte's current expectations and are subject to risks and uncertainties that may cause actual results to differ materially, including unanticipated developments in and risks related to: unanticipated delays; further research and development and the results of clinical trials possibly being unsuccessful or insufficient to meet applicable regulatory standards or warrant continued development; the ability to enroll sufficient numbers of subjects in clinical trials; determinations made by the European Commission, the U.S. FDA and other regulatory authorities; the efficacy or safety of Incyte’s partners' products; the acceptance of Incyte and its partners' products in the marketplace; market competition; sales, marketing, manufacturing and distribution requirements; and other risks detailed from time to time in Incyte's reports filed with the Securities and Exchange Commission, including its annual report on Form 10-K and its report on Form 10-Q for the quarter ended September 30, 2025. Incyte disclaims any intent or obligation to update these forward-looking statements.
1National Cancer Institute. Cancer stat facts: anal cancer. Available at:https://seer.cancer.gov/statfacts/html/anus.html. Accessed January 20262Mignozzi S., Santucci C., Malvezzi M., et al. (2024) Global trends in anal cancer incidence and mortality.Eur J Cancer Prev, 33:77-86. Link to source (https://pubmed.ncbi.nlm.nih.gov/38047709/)3English K.J. (2024) Anal carcinoma - exploring the epidemiology, risk factors, pathophysiology, diagnosis, and treatment.World J Exp Med,14:98525. Link to source (https://pubmed.ncbi.nlm.nih.gov/39312693/)4Rao S., Samalin-Scalzi E., Evesque L., et al. (2025) Retifanlimab with carboplatin and paclitaxel for locally recurrent or metastatic squamous cell carcinoma of the anal canal (POD1UM-303/InterAACT-2): a global, phase 3 randomised controlled trial.Lancet, 405(10495):2144-52. Link to source (https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)00631-2/fulltext)5Clinical Trials.Gov. Carboplatin-paclitaxel with retifanlimab or placebo in participants with locally advanced or metastatic squamous cell anal carcinoma (POD1UM-303/​InterAACT 2). Available at:https://clinicaltrials.gov/study/NCT04472429. Accessed January 20266Symer M.M., Yeo H.L. (2018) Recent advances in the management of anal cancer.F1000Research, 7:F1000 Faculty Rev-1572. Link to source (https://pubmed.ncbi.nlm.nih.gov/30345012/)7Islami F., Ferlay J., Lortet-Tieulent J., et al. (2017) International trends in anal cancer incidence rates.Int J Epidemiol,46:924–938. Link to source (https://pubmed.ncbi.nlm.nih.gov/27789668/)8Giuliano A.R., Nyitray A.G., Kreimer A.R., et al. (2015) EUROGIN 2014 roadmap: differences in human papillomavirus infection natural history, transmission and human papillomavirus-related cancer incidence by gender and anatomic site of infection.Int J Cancer, 136:2752-2760. Link to source (https://pubmed.ncbi.nlm.nih.gov/25043222/)9Morris V., Eng C. (2016) Strengthening the immunotherapy paradigm in anal cancer. Available at:https://c.peerview.com/live/programs/150210387-1/downloads/PVI_slides_SCAC-SF25.pdf?ProjectNumber=150210387_1. Accessed Janaury 202610U.S. Centers for Disease Control and Prevention. Cancers linked with HPV each year. Available at:https://www.cdc.gov/cancer/hpv/cases.html. Accessed January 202611Wang C.C.J., Sparano J., Palefsky J.M. (2017) Human immunodeficiency virus/AIDS, human papillomavirus, and anal cancer.Surg Oncol Clin N Am,26:17-31. Link to source (https://pubmed.ncbi.nlm.nih.gov/27889034/)12NCCN clinical practice guidelines in oncology: cancer in people with HIV. Version 1.2021. 202113Anal Cancer Foundation. Anal cancer: signs, symptoms, causes & treatment. Available at:https://www.analcancerfoundation.org/what-is-anal-cancer/. Accessed January 2026

Frequently Asked Questions

What is Zynyz used for?

Zynyz is used for the first-line treatment of advanced squamous cell carcinoma of the anal canal.

What did the CHMP opinion recommend?

The CHMP recommended the approval of Zynyz in combination with chemotherapy for SCAC.

What were the trial results for Zynyz?

The trial showed a 37% reduction in the risk of progression or death.

What are common serious adverse reactions?

Common serious adverse reactions include sepsis, pulmonary embolism, diarrhea, and vomiting.

Who conducted the POD1UM-303 trial?

The POD1UM-303 trial was conducted to evaluate Zynyz's efficacy in treating SCAC.

Last updated: Jan 30, 2026