Agilent gains FDA approval for PD-L1 diagnostic for OPDIVO treatments
Agilent Technologies secured FDA approval for its PD-L1 IHC 28-8 pharmDx assay to identify patients with esophageal and gastric carcinomas eligible for OPDIVO therapies. The diagnostic, used exclusively with the Agilent Autostainer Link 48, detects PD-L1 expression via a Combined Positive Score. This approval is supported by clinical data from CheckMate-648 and CheckMate-649 studies showing improved survival rates.

*this image is generated using AI for illustrative purposes only.
Agilent Technologies received FDA approval for its PD-L1 IHC 28-8 pharmDx assay as a companion diagnostic to identify patients with esophageal squamous cell carcinoma (ESCC), gastric, gastroesophageal junction (GEJ), and esophageal adenocarcinoma who may be eligible for treatment with OPDIVO or OPDIVO QVANTIG. The approval allows for the use of the diagnostic to detect PD-L1 expression, specifically with a Combined Positive Score (CPS) of 1 or higher, in these tumor types. This development is critical for guiding treatment decisions in precision oncology for patients facing these specific cancers.
The PD-L1 IHC 28-8 pharmDx, Code SK005, is approved for exclusive use with the Agilent Autostainer Link 48 advanced staining solution. The assay determines PD-L1 expression by measuring staining in tumor and immune cells relative to the total number of viable tumor cells. This diagnostic aid was developed by Agilent in partnership with Bristol Myers Squibb as part of the clinical development program supporting OPDIVO.
Clinical studies CheckMate-648 and CheckMate-649 demonstrated improvements in overall survival and progression-free survival in patients with ESCC, gastric, GEJ, and esophageal adenocarcinoma treated with OPDIVO and OPDIVO QVANTIG. These therapies are PD-1-targeted immunotherapeutic agents developed by Bristol Myers Squibb.
Gastric and esophageal cancers represent a significant global health burden with high mortality rates. Esophageal cancer is the 11th most common cancer worldwide with over 510,000 new cases and is the seventh leading cause of cancer mortality, accounting for over 445,000 cancer deaths each year. Patients with esophageal cancer have an overall five-year survival of 22%. Gastric cancer is the fifth most common cancer worldwide with around 968,000 new cases and is the fifth leading cause of cancer mortality, accounting for approximately 660,000 cancer deaths each year. Patients with gastric cancer have an overall 5-year survival of 38%.
Key Cancer Statistics
| Cancer Type | Global Rank (New Cases) | Annual New Cases | Annual Deaths | 5-Year Survival |
|---|---|---|---|---|
| Esophageal Cancer | 11th | > 510,000 | > 445,000 | 22% |
| Gastric Cancer | 5th | ~ 968,000 | ~ 660,000 | 38% |
"This FDA approval highlights the critical role of validated diagnostics in advancing precision oncology," said Majken Nielsen, vice president and general manager of Agilent’s Clinical Diagnostics Division. "By expanding the indications for PD-L1 IHC 28-8 pharmDx, we are supporting pathologists and clinicians with an FDA-approved test designed to help guide treatment decisions for patients with gastric and esophageal cancers. This milestone reflects Agilent’s ongoing commitment to delivering high-quality diagnostics that enable confidence in patient care."
How will this FDA approval impact Agilent's market share in the companion diagnostics space for gastrointestinal cancers?
What are the potential barriers to global adoption of the PD-L1 IHC 28-8 pharmDx assay, particularly in regions with high gastric and esophageal cancer burdens?
Could this partnership with Bristol Myers Squibb pave the way for expanded diagnostic collaborations for other immunotherapy treatments?





























