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FDA Grants Breakthrough Device Designation to Acrivon's ACR-368 OncoSignature Test for Endometrial Cancer

• The FDA has awarded Breakthrough Device designation to Acrivon Therapeutics' ACR-368 OncoSignature assay, designed to identify endometrial cancer patients most likely to respond to ACR-368 treatment.

• In a Phase II trial, the ACR-368 OncoSignature assay demonstrated impressive results, with OncoSignature-positive endometrial cancer patients showing a 62.5% confirmed overall response rate.

• The multiplex immunofluorescence assay is expected to enhance treatment effectiveness for life-threatening conditions, marking a significant advancement in precision oncology.

Acrivon Therapeutics (NASDAQ: ACRV) has achieved a significant milestone as the U.S. Food and Drug Administration (FDA) granted Breakthrough Device designation to its ACR-368 OncoSignature assay, a diagnostic tool designed for endometrial cancer patient selection.
The multiplex immunofluorescence assay serves as a companion diagnostic tool for ACR-368, Acrivon's lead drug candidate. This innovative diagnostic approach aims to identify patients who are most likely to benefit from ACR-368 therapy, representing a step forward in precision medicine for gynecologic cancers.

Clinical Evidence Supporting Breakthrough Status

The FDA's decision was supported by compelling clinical data from an ongoing registrational-intent Phase IIb trial. The study demonstrated particularly promising results in endometrial cancer patients, with ACR-368 OncoSignature-positive (BM+) patients achieving a confirmed overall response rate of 62.5%. This remarkable response rate underscores the potential of the biomarker-driven patient selection strategy.

Significance of Breakthrough Device Designation

The Breakthrough Device designation is reserved for medical devices that demonstrate potential to provide more effective treatment or diagnosis for life-threatening or irreversibly debilitating conditions. This designation may expedite the development and regulatory review process, potentially accelerating patient access to this precision medicine approach.

Clinical Trial Progress

The ACR-368 OncoSignature assay is currently being evaluated in a registrational-intent Phase IIb trial, which includes patients with locally advanced or metastatic, recurrent endometrial cancer, along with other tumor types. The trial's design reflects the growing trend toward biomarker-guided patient selection in oncology clinical development.
This development represents a significant advance in the field of precision oncology, potentially offering a more targeted approach to treating endometrial cancer, a condition that often presents significant therapeutic challenges in its advanced stages.
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Acrivon Therapeutics announces FDA granted BDD for ACR-368
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[5]
Acrivon Therapeutics Announces FDA has Granted Breakthrough - GlobeNewswire
globenewswire.com · Feb 5, 2025

Acrivon Therapeutics' ACR-368 OncoSignature assay, developed using the AI-driven AP3 platform, predicts endometrial canc...

[9]
Acrivon Therapeutics:FDA Grants Breakthrough Device Designation For ACR-368 ...
markets.businessinsider.com · Feb 5, 2025

Acrivon Therapeutics received FDA Breakthrough Device designation for its ACR-368 OncoSignature assay, aimed at identify...

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