Natera Submits Signatera to Japan PMDA
Analysis based on 7 articles · First reported Aug 05, 2026 · Last updated Aug 05, 2026
The submission expands Natera's regulatory footprint in Japan, a key market for its Signatera test, potentially driving future revenue growth. Positive trial data and prior approvals strengthen Natera's competitive position in the MRD diagnostics market, likely supporting its stock price.
Natera announced that it has submitted an application to Japan's Japan — Pharmaceuticals and Medical Devices Agency (PMDA) for approval of its Signatera test as a companion diagnostic (CDx) in muscle-invasive bladder cancer (MIBC). The submission is supported by data from the IMvigor011 Phase 3 trial, which showed that patients receiving adjuvant atezolizumab (Tecentriq) had nearly double the disease-free survival compared to placebo (9.9 vs 4.8 months) and improved overall survival. This follows the PMDA's approval of Signatera in colorectal cancer in June, making it the first PMDA-approved molecular residual disease (MRD) test in Japan. The MIBC application also builds on recent milestones including the U.S. FDA's approval of Signatera as a companion diagnostic for adjuvant atezolizumab and a Category 1 recommendation from the National Comprehensive Cancer Network (NCCN) for Signatera MRD-guided adjuvant atezolizumab in bladder cancer guidelines. Natera's shares rose slightly in pre-market trading following the announcement.
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