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The U.S. Food and Drug Administration (FDA) will deliver several closely watched decisions over the next two weeks, with Roche (RHHBY) awaiting rulings on two potential label expansions and Viatris (VTRS) and Opus Genetics (IRD) facing decisions on an eye-care treatment.
Roche is awaiting FDA decisions on expanding Tecentriq for certain patients with stage III colon cancer and Enspryng for thyroid eye disease. Viatris and Opus Genetics also face an FDA decision on MR-141 for Presbyopia.
A PDUFA date is the target deadline by which the FDA aims to complete its review of a drug application. The agency can approve the application or issue a Complete Response Letter (CRL) rejecting it.
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Genentech, a wholly owned unit of Roche, is seeking approval for Tecentriq and its injectable formulation Tecentriq Hybreza, used with chemotherapy after surgery in patients with stage III colon cancer. The FDA decision is expected on October 9.
The FDA has already granted the application Priority Review. The application is based on the Phase 3 ATOMIC study, which enrolled 712 patients. Adding Tecentriq to FOLFOX6 chemotherapy reduced the risk of cancer recurrence or death by 50% compared with chemotherapy alone. At 36 months, 86% of patients on the Tecentriq combination remained disease-free versus 76% in the chemotherapy group.
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Roche has another FDA catalyst on October 15, when the agency is expected to decide whether to expand Enspryng to thyroid eye disease.
Thyroid eye disease is an autoimmune condition that can cause swelling around the eyes, bulging eyes and double vision. If approved, Roche said Enspryng could become the first at-home subcutaneous treatment for the disease.
In the Phase 3 SatraGO-2 trial, 53% of patients treated with Enspryng achieved the main goal of improvement in eye bulging, compared with 23% on placebo. A second study, SatraGO-1, showed a numerical benefit but did not reach statistical significance on its primary endpoint.
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On October 17, the FDA is expected to rule on MR-141, from Viatris and Opus Genetics, for Presbyopia, the age-related loss of near focusing ability.
The companies are working under a global licensing agreement signed in 2022, under which Viatris has the rights to develop and commercialize the eye drop, including exclusive U.S. commercialization rights, while Opus retains an economic stake in the program.
The treatment is already sold as Ryzumvi for reversing pupil dilation. The new application seeks to expand its use to Presbyopia and is backed by the Phase 3 VEGA-2 and VEGA-3 trials, both of which met their primary and key secondary endpoints.
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The application could expand into a much larger market, with Viatris estimating that the condition affects about 90% of U.S. adults over age 45.
The FDA was scheduled to decide on Merck and Daiichi Sankyo’s Ifinatamab Deruxtecan in previously treated extensive-stage small cell lung cancer on October 10. However, the companies withdrew the application on September 25 following discussions with the regulator, which said that the available data, including results from the Phase 2 IDeate-Lung01 trial, were not sufficient to support accelerated approval for the indication.
Apart from VTRS, whose retail sentiment on Stocktwits was ‘neutral,’ retail sentiment for the three stocks on the platform trended in the ‘bearish’ territory.
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Among the stocks mentioned above, Opus Genetics has been the standout performer year-to-date, surging about 116%, while Viatris and Merck have gained roughly 41% and 36%, respectively. Roche has largely lagged the group, with shares up only about 0.5%.
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