The FDA granted accelerated approval to zenocutuzumab-zbco (Bizengri, Merus N.V.) for adults with advanced, unresectable, or metastatic NSCLC or pancreatic adenocarcinoma harboring an NRG1 gene fusion, marking the first systemic therapy approval for these conditions. Efficacy was assessed in the eNRGy study, showing ORR of 33% for NSCLC and 40% for pancreatic adenocarcinoma, with median DOR of 7.4 months and range of 3.7 to 16.6 months, respectively. Common adverse reactions include diarrhea, musculoskeletal pain, and fatigue. The recommended dose is 750 mg IV every 2 weeks.