Black Diamond Therapeutics Announces Positive Phase 2 Results for Silevertinib in Frontline NSCLC Patients with EGFR Non-Classical Mutations
Rhea-AI Summary
Black Diamond Therapeutics (Nasdaq: BDTX) reported positive Phase 2 results for silevertinib in frontline NSCLC patients with EGFR non-classical mutations.
Key data include preliminary mPFS of 15.2 months, ORR of 60%, DCR of 91%, CNS ORR of 86%, and no de novo brain metastases observed.
Safety data showed a dose-dependent, manageable AE profile, supporting 150 mg once daily for pivotal development.
Positive
- Preliminary mPFS of 15.2 months (95% CI: 10.8; NE) in 1L NSCLC
- Objective Response Rate of 60% and Disease Control Rate of 91%
- CNS Objective Response Rate of 86% with no de novo brain metastases
- Median duration of response not reached at 11.2 months median follow-up
- Variant allele frequency reduction across 25 unique EGFR-NCMs, including PACC mutations
- Safety and efficacy data support 150 mg once-daily dose for pivotal development
Negative
- Treatment-emergent adverse events > Grade 3 occurred in 28% of patients after dose reduction
- Phase 2 dataset remains preliminary, with 43 enrolled patients and 11.2 months median follow-up
News Market Reaction – BDTX
In the May 22 session, BDTX declined 35.77%, reflecting a significant negative market reaction. Argus tracked a peak move of +5.0% during that session. Argus tracked a trough of -40.2% from its starting point during tracking. Our momentum scanner triggered 74 alerts that day, indicating high trading interest and price volatility. Trading volume was very high at 4.8x the daily average, suggesting heavy selling pressure.
Data tracked by StockTitan Argus on the day of publication.
Key Figures
Previous Clinical trial Reports
| Date | Event | Sentiment | 24h Move | Catalyst |
|---|---|---|---|---|
| May 19 | Clinical webcast notice | Neutral | +16.3% | Announcement of investor webcast to review updated Phase 2 silevertinib data. |
| Apr 21 | ASCO data presentations | Positive | +3.3% | Multiple ASCO presentations planned for Phase 2 silevertinib data in NSCLC and GBM. |
| Dec 03 | Preliminary Phase 2 data | Positive | -22.0% | Preliminary Phase 2 frontline NSCLC data with 60% ORR and 86% CNS ORR. |
| Dec 02 | Webcast announcement | Neutral | -22.0% | Planned webcast to present silevertinib Phase 2 results and program update. |
| Sep 23 | Initial Phase 2 data | Positive | -5.5% | Initial Phase 2 data for BDTX-1535 in recurrent EGFRm NSCLC at 200 mg dose. |
24h Move is the share-price change in the day after each event; other market factors may also have contributed.
Clinical trial headlines have often seen weak or negative moves, with notable selloffs after positive silevertinib updates. The recent May webcast announcement was a rare strong upside outlier.
Over the past two years, Black Diamond has repeatedly highlighted Phase 2 progress for silevertinib in NSCLC, including initial data with 60% ORR, 86% CNS ORR, and 91% DCR and multiple ASCO-focused announcements. Market reactions to these clinical updates were mixed, including sharp selloffs in Dec 2025 despite positive efficacy signals. Today’s detailed Phase 2 readout with mPFS and durability metrics builds directly on those earlier preliminary results and ASCO presentation plans.
Key Terms
mPFS medical
mDOR medical
CNS medical
ORR medical
RECIST 1.1 medical
variant allele frequency medical
AI-generated analysis. How Rhea-AI works. Not financial advice.
- Preliminary mPFS of 15.2 months; mDOR not reached
- Robust CNS activity, with
86% CNS ORR; no patients developed de novo brain metastases - ORR
60% in patients with a broad spectrum of EGFR-NCMs, including PACC - Dose dependent and manageable AE profile, no new safety signals observed
- Webcast on Thursday, May 21, 2026 at 5:30 pm EDT
CAMBRIDGE, Mass., May 21, 2026 (GLOBE NEWSWIRE) -- Black Diamond Therapeutics, Inc. (Nasdaq: BDTX), a clinical-stage oncology company developing MasterKey therapies that target families of oncogenic mutations in patients with cancer, today announced positive results from its Phase 2 trial of silevertinib in frontline (1L) non-small cell lung cancer (NSCLC) patients with epidermal growth factor receptor (EGFR) non-classical mutations (NCMs). These data will be presented by Julia Rotow, M.D., Clinical Director, Lowe Center for Thoracic Oncology at the Dana-Farber Cancer Institute, at the 2026 American Society of Clinical Oncology® (ASCO®) Annual Meeting on Saturday, May 30, 2026, 1:15 PM-2:45 PM CDT.
“Silevertinib continues to demonstrate potential to become a practice changing frontline therapy for NSCLC patients with EGFR-NCMs, delivering robust preliminary mPFS that far exceeds historical data for currently available therapies” said Sergey Yurasov, M.D., Ph.D., Chief Medical Officer of Black Diamond Therapeutics. “Importantly, silevertinib prevented the development of de novo brain metastases in this patient population, where progression via CNS metastases frequently occurs. We look forward to meeting with the FDA later this year to discuss our pivotal development plan.”
“Patients with EGFR non-classical mutations represent a meaningful and underserved subset of NSCLC, with historically poor progression-free survival on available frontline TKIs,” added Dr. Rotow. “The activity we are seeing with silevertinib across the full NCM spectrum, combined with its CNS activity, is highly encouraging, and I look forward to sharing these data with the oncology community at ASCO next week.”
Silevertinib 1L NSCLC Phase 2 Results Summary
Results as of an April 11, 2026 data cutoff date include:
- 43 patients with 1L NSCLC were enrolled at a 200 mg once daily dose of silevertinib
- Patients presented with a broad spectrum of EGFR-NCMs, including compound and P-Loop and C-Helix Compressing (PACC) mutations
- 19 patients with brain metastases, 7 of whom had measurable central nervous system (CNS) target lesions
- 11.2 months median follow-up
- Durability
- Preliminary median Progression-free Survival (mPFS) is 15.2 months (
95% CI: 10.8; NE) - Median duration of response (DOR) had not been reached (
95% CI: 7.0, NE) - 23 of 43 patients (
53% ) remain on therapy, with longest at 23.5 months
- Preliminary median Progression-free Survival (mPFS) is 15.2 months (
- CNS Activity
- No patients developed de novo brain metastases
- Previously disclosed CNS Objective Response Rate (ORR by RANO-BM) remained at
86%
- ORR and DCR
- Previously disclosed Objective Response Rate (ORR by RECIST 1.1) and Disease Control Rate (DCR) remained at
60% and91% , respectively - Variant allele frequency (VAF) reduction observed in all evaluable patients across 25 unique EGFR-NCMs, including PACC
- Previously disclosed Objective Response Rate (ORR by RECIST 1.1) and Disease Control Rate (DCR) remained at
- Safety
- No new safety signals were observed
- The rate of TRAEs > Grade 3 was reduced to
28% following dose reduction - Patients maintained or deepened clinical responses after dose reduction
- Safety and efficacy data support 150 mg QD for pivotal development
ASCO Abstract: 8519
Title: Safety and efficacy results of the phase 2 study of silevertinib (BDTX-1535) in treatment-naïve patients with non-small cell lung cancer with non-classical EGFR mutations
Presenter: Julia Rotow, M.D., Clinical Director, Lowe Center for Thoracic Oncology at Dana-Farber Cancer Institute
Date and Time: May 30, 2026, 1:15 PM-2:45 PM CDT (slides will be available at the time of the presentation on the Black Diamond website)
Company Webcast Information
Black Diamond will hold a webcast for investors on Thursday, May 21, 2026 at 5:30 p.m. EDT. The webcast can be accessed under “Events and Presentations” on the Investors section of the Black Diamond website at www.blackdiamondtherapeutics.com.
About Silevertinib
Silevertinib is an investigational oral, covalent, brain-penetrant fourth-generation tyrosine kinase inhibitor (TKI) that selectively targets classical and more than 50 non-classical EGFR mutations in NSCLC. It is also designed to potently inhibit key EGFR alterations seen in GBM, including EGFRvIII, while avoiding the paradoxical EGFR activation reported with reversible TKIs. To date, over 200 patients with EGFR‑mutant NSCLC or EGFR‑altered GBM have been treated with silevertinib.
In addition to the ongoing Phase 2 trial of silevertinib in patients with EGFRm NSCLC, the Company also initiated a randomized Phase 2 trial of silevertinib in patients with newly diagnosed EGFRvIII-positive GBM (NCT07326566) in May 2026.
About Black Diamond Therapeutics
Black Diamond Therapeutics is a clinical-stage oncology company developing MasterKey therapies that target families of oncogenic mutations in patients with cancer. The Company’s MasterKey therapies are designed to address a broad spectrum of genetically defined tumors, overcome resistance, minimize wild-type mediated toxicities, and be brain penetrant to treat central nervous system disease. The Company is advancing silevertinib, an investigational brain-penetrant fourth-generation EGFR MasterKey inhibitor targeting EGFR-mutant NSCLC and GBM. For more information, please visit www.blackdiamondtherapeutics.com.
From time to time, we may use our website or our LinkedIn profile at www.linkedin.com/company/black-diamond-therapeutics to distribute material information. Our financial and other material information is routinely posted to and accessible on the Investors section of our website, available at www.blackdiamondtherapeutics.com. Investors are encouraged to review the Investors section of our website because we may post material information on that site that is not otherwise disseminated by us. Information that is contained in and can be accessed through our website or our LinkedIn page is not incorporated into, and does not form a part of, this press release.
Forward-Looking Statements
Statements contained in this press release regarding matters that are not historical facts are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Because such statements are subject to risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements. Such statements include, but are not limited to, statements regarding: the continued development and advancement of silevertinib, including the ongoing Phase 2 clinical trials and the timing of clinical updates for silevertinib in patients with NSCLC and in patients with GBM, the potential of silevertinib to address the unmet medical need for newly diagnosed GBM patients and newly diagnosed NSCLC patients with non-classical EGFR mutations and benefit patients with NSCLC across multiple lines of therapy, the potential future development plans for silevertinib in NSCLC and GBM, and the competitive landscape and market for silevertinib or any of the Company’s other current or future product candidates, including statements relating to the estimated percentage of newly diagnosed NSCLC patients with non-classical EGFR mutations and the potential addressable patient population. Any forward-looking statements in this press release are based on management’s current expectations of future events and are subject to a number of risks and uncertainties that could cause actual results to differ materially and adversely from those set forth in or implied by such forward-looking statements. Risks that contribute to the uncertain nature of the forward-looking statements include those risks and uncertainties set forth in its Annual Report on Form 10-K for the year ended December 31, 2025, filed with the United States Securities and Exchange Commission and in its subsequent filings filed with the United States Securities and Exchange Commission. All forward-looking statements contained in this press release speak only as of the date on which they were made. The Company undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made.
Contact
For Investors:
investors@bdtx.com
For Media:
media@bdtx.com
