Pennsylvania Republican candidates for the midterm elections trail their Democratic opponents even as voters overwhelmingly disapprove of President Joe Biden, a Wednesday poll shows.

Television host Dr. Mehmet Oz, the state’s Republican Senate nominee, has 37% of the vote — trailing Pennsylvania Lt. Governor and Democratic Senate nominee John Fetterman, who has 46% of the vote, according to the USA Today Network and Suffolk University poll. Meanwhile, 13% of respondents have not made up their minds.

“Despite expressing pessimism over their state’s economic prospects and dissatisfaction with President Biden’s job performance, Pennsylvania voters continue to support the Democratic candidate in a key race that could tip the balance of power in the US Senate,” Suffolk reported.

Oz narrowly prevailed over David McCormick, a former Bush administration official and hedge fund executive, after the latter conceded a recount. The two candidates finished within 1,000 votes of one another in the primary election. Fetterman decisively defeated U.S. Congressman Conor Lamb in his party’s race, despite suffering a stroke days before ballots were cast.