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항목
AntibodyCurated CoreFDAApproved
durvalumab (Imfinzi, MEDI4736)
AstraZeneca·PD-L1
750 trials·t½ ~21 days (10 mg/kg q2w historical; flat mg dosing per current label)
AntibodyCurated CoreFDAApproved
zanidatamab (Ziihera, ZW25, zanidatamab-hrii)
Jazz Pharmaceuticals / Zymeworks·HER2 (biparatopic)
35 trials·t½ ~7 days
Overview
Program
Imfinzi (durvalumab)Ziihera (zanidatamab)
Overview
Company
AstraZenecaJazz Pharmaceuticals / Zymeworks
Overview
Modality
ANTIBODYANTIBODY
Overview
Target
PD-L1HER2 (biparatopic)
Overview
Indication
NSCLC (Stage III consolidation), SCLC, biliary tract, HCCFirst-line HER2-positive gastric, GEJ, or esophageal adenocarcinoma; previously treated HER2-positive biliary tract cancer
Overview
Phase
APPROVEDAPPROVED
Overview
Status
APPROVEDAPPROVED
Overview
Content status
Curated CoreCurated Core
Overview
Data Confidence
Data Confidence · HighData Confidence · High
Overview
Development Signal
Development Signal · EstablishedDevelopment Signal · Established
Overview
Approval status
FDA approvedFDA approved
Positioning
Key differentiator
novel small molecule A 2A R antagonist which inhibits downstream signaling and increases T cell function as well as a novel mDual-epitope binding drives receptor clustering, faster internalization, and stronger signaling blockade than either monoclonal alone. In GEA the label splits IHC 3+ (chemo doublet) from IHC 3+ or 2+/ISH+ (chemo + Tevimbra).
Positioning
Known limitation
escape detection by the immune systemHER2 heterogeneity, PI3K pathway activation, and bypass RTK signaling.
Positioning
Development positioning
Challenges the ToGA trastuzumab-chemo backbone in 1L HER2+ GEA; still the only HER2 agent with a dedicated BTC indication.
MoA
Mechanism
Durvalumab inhibits PD-L1 binding to PD-1 and CD80 (B7.1), counteracting tumor immune evasion and enhancing cytotoxic T-lymphocyte activity.Simultaneous binding of two non-overlapping HER2 epitopes crosslinks adjacent receptors, causing receptor clustering, internalization, and degradation alongside ADCC and complement activity.
MoA
Biomarker
Unresectable Stage III NSCLC post-cCRT (PACIFIC); PD-L1 in other tumors.GEA: PATHWAY 4B5 IHC and VENTANA Dual ISH. IHC 3+ for chemo doublet; IHC 3+ or IHC 2+/ISH+ when Tevimbra is added. BTC: HER2 IHC 3+.
PK/PD
Half-life
~21 days (10 mg/kg q2w historical; flat mg dosing per current label)~7 days
PK/PD
Species
Mouse, OS and PFS benefit in PACIFIC, pCR rates in neoadjuvant trialsCynomolgus monkey, Human, OS and PFS in GEA, ORR and DOR in BTC
PK/PD
Animal (cat.)
Mouse, In vitroHuman, NHP, In vitro
PK/PD
Experiment
PDpd
Toxicology
Species
Cynomolgus monkey, Macaque, MouseHuman
Toxicology
Major finding
Immune-related AEs consistent with PD-(L)1 class; radiation pneumonitis overlap monitoring in Stage III NSCLC.Embryo-fetal toxicity warning. Diarrhea, infusion-related reactions, and left ventricular dysfunction require monitoring, as with the HER2 antibody class.
Toxicology
CRS
N/AN/A
Clinical
Safety signal
Immune-related AEs consistent with PD-(L)1 class; radiation pneumonitis overlap monitoring in Stage III NSCLC.Embryo-fetal toxicity warning. Diarrhea, infusion-related reactions, and left ventricular dysfunction require monitoring, as with the HER2 antibody class.
Clinical
Selected reported efficacy
ORR 52%
Clinical
Reported ORR
0%52%
Clinical
Reported PFS
~5.5 mo
Clinical
Reported OS
15.54
Clinical
Result source
ClinicalTrials.gov NCT04372927HERIZON-BTC-01 (NCT04466891)
Clinical
Program phase
APPROVEDAPPROVED
Clinical
Trial activity
No active/completed countsNo active/completed counts
Clinical
Trial ref
NCT04372927NCT04466891
Preclinical
Animal (cat.)
Unknown