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DRUG:

Ziihera (zanidatamab-hrii)

i
Other names: ZW25, ZW 25, ZW-25, JZP-598, JZP 598, JZP598
Company:
BeOne Medicines, Jazz, Zymeworks
Drug class:
HER2 inhibitor
Related drugs:
2d
Beamion BCGC-1: A Study to Find a Suitable Dose of Zongertinib Used Alone and in Combination With Other Treatments to Test Whether it Helps People With Different Types of HER2+ Cancer That Has Spread (clinicaltrials.gov)
P1/2, N=768, Recruiting, Boehringer Ingelheim | N=582 --> 768 | Trial completion date: Sep 2029 --> Jan 2029 | Trial primary completion date: Sep 2029 --> Jan 2029
Enrollment change • Trial completion date • Trial primary completion date
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5-fluorouracil • Kadcyla (ado-trastuzumab emtansine) • Enhertu (fam-trastuzumab deruxtecan-nxki) • capecitabine • oxaliplatin • leucovorin calcium • Ziihera (zanidatamab-hrii) • Hernexeos (zongertinib)
4d
HERIZON-GEA-01: A Study of Zanidatamab in Combination With Chemotherapy Plus or Minus Tislelizumab in Patients With HER2-positive Advanced or Metastatic Gastric and Esophageal Cancers (clinicaltrials.gov)
P3, N=920, Active, not recruiting, Jazz Pharmaceuticals | Trial completion date: May 2026 --> Jul 2027 | Trial primary completion date: Dec 2025 --> Jul 2026
Trial completion date • Trial primary completion date
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 positive • HER-2 expression
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Herceptin (trastuzumab) • cisplatin • 5-fluorouracil • Tevimbra (tislelizumab-jsgr) • capecitabine • oxaliplatin • Ziihera (zanidatamab-hrii)
9d
New P2 trial
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Ziihera (zanidatamab-hrii)
18d
Phase 1b/2 Study of Zanidatamab in Combination with Tislelizumab and Chemotherapy in First-Line HER2-Positive Gastric/Gastroesophageal Junction Adenocarcinoma. (PubMed, Clin Cancer Res)
Zanidatamab, in combination with tislelizumab and CAPOX, demonstrated clinically meaningful antitumor activity with a manageable safety profile as first-line therapy for patients with HER2+ GC/GEJC. These results support further development of zanidatamab and tislelizumab with chemotherapy in this patient population in the ongoing phase 3 HERIZON-GEA-01 trial (NCT05152147).
P1/2 data • Journal
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HER-2 (Human epidermal growth factor receptor 2)
|
HER-2 positive
|
Tevimbra (tislelizumab-jsgr) • capecitabine • oxaliplatin • Ziihera (zanidatamab-hrii)
21d
Enrollment closed
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Ziihera (zanidatamab-hrii)
1m
Zanidatamab in combination with docetaxel in first-line HER2-positive breast cancer: results from an open-label, multicenter, phase Ib/II study. (PubMed, ESMO Open)
Zanidatamab demonstrated efficacy and a manageable and tolerable safety profile with docetaxel as first-line treatment in patients with HER2-positive breast cancer. These data support the further development of zanidatamab in this patient population.
P1/2 data • Journal
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 positive • EGFR positive
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docetaxel • Ziihera (zanidatamab-hrii)
2ms
Neoadjuvant Zanidatamab + Tislelizumab + Gemcitabine/Cisplatin for Selective Bladder Preservation in HER2-Positive MIBC (ChiCTR2500110562)
P2, N=25, Not yet recruiting, Fujian Medical University Union Hospital; Fujian Medical University Union Hospital
New P2 trial
|
HER-2 positive
|
cisplatin • gemcitabine • Tevimbra (tislelizumab-jsgr) • Ziihera (zanidatamab-hrii)
2ms
Trial completion
|
HER-2 positive • HER-2 overexpression • HER-2 amplification • HER-2 positive + HER-2 overexpression
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Ziihera (zanidatamab-hrii) • evorpacept (ALX148)
2ms
Opportunities and Approaches to Optimising Advanced Cholangiocarcinoma Outcomes in the Era of Targeted Therapies: A Narrative Review. (PubMed, Oncol Ther)
If the tumour is unresectable, the recommended first-line treatment is cisplatin + gemcitabine + durvalumab a programmed cell death ligand 1 [PD-L1] inhibitor or pembrolizumab a programmed cell death protein 1 [PD-1] inhibitor. The development of targeted therapies has led to these treatments being recommended as second- or third-line therapy for patients with actionable gene alterations, while 5-fluorouracil-based chemotherapy is recommended for those without. Robust data support the use of ivosidenib in patients with IDH1 mutations (phase 3), and phase 2 trials showed efficacy of pemigatinib and futibatinib for patients with FGFR2 gene fusions, trastuzumab deruxtecan and zanidatamab for patients with HER2 overexpression/amplification, and dabrafenib + trametinib for patients with BRAFV600E mutations. It is hoped that wider dissemination of the content from this meeting will improve outcomes of patients with CCA by encouraging earlier referral, increasing the use of early molecular testing, an MDT approach, and maximising the use of targeted therapies. Continued efforts to raise awareness, implement education outreach opportunities, and involve patient advocacy groups are encouraged to improve CCA outcomes.
Review • Journal • PD(L)-1 Biomarker • IO biomarker
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HER-2 (Human epidermal growth factor receptor 2) • FGFR2 (Fibroblast growth factor receptor 2) • IDH1 (Isocitrate dehydrogenase (NADP(+)) 1)
|
BRAF V600E • HER-2 overexpression • HER-2 amplification • BRAF V600 • IDH1 mutation • FGFR2 mutation • FGFR2 fusion • IDH mutation + BRAF V600E
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Keytruda (pembrolizumab) • Mekinist (trametinib) • cisplatin • Tafinlar (dabrafenib) • Imfinzi (durvalumab) • gemcitabine • 5-fluorouracil • Enhertu (fam-trastuzumab deruxtecan-nxki) • Lytgobi (futibatinib) • Pemazyre (pemigatinib) • Tibsovo (ivosidenib) • Ziihera (zanidatamab-hrii)
2ms
Enrollment open
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Herceptin (trastuzumab) • carboplatin • paclitaxel • docetaxel • Perjeta (pertuzumab) • Ziihera (zanidatamab-hrii)