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항목
AntibodyCurated CoreFDAstaleApproved
zanidatamab (Ziihera, ZW25, zanidatamab-hrii)
Jazz Pharmaceuticals / Zymeworks·HER2 (biparatopic)
35 trials
Overview
Program
Ziihera (zanidatamab)
Overview
Company
Jazz Pharmaceuticals / Zymeworks
Overview
Modality
ANTIBODY
Overview
Target
HER2 (biparatopic)
Overview
Indication
First-line HER2-positive gastric, GEJ, or esophageal adenocarcinoma; previously treated HER2-positive biliary tract cancer
Overview
Phase
APPROVED
Overview
Status
APPROVED
Overview
Content status
Curated Core
Overview
Data Confidence
Editorial scope · Curated Core
Overview
Development Signal
Development Signal · Established
Overview
Approval status
FDA approved
Positioning
Key differentiator
Dual-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
HER2 heterogeneity, PI3K pathway activation, and bypass RTK signaling.
Positioning
Development positioning
1L GEA with fluoropyrimidine-platinum ± Tevimbra; 2L+ BTC monotherapy
MoA
Mechanism
Simultaneous binding of two non-overlapping HER2 epitopes crosslinks adjacent receptors, causing receptor clustering, internalization, and degradation alongside ADCC and complement activity.
MoA
Biomarker
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+.
Toxicology
Major finding
Embryo-fetal toxicity warning. Diarrhea, infusion-related reactions, and left ventricular dysfunction require monitoring, as with the HER2 antibody class.
Toxicology
CRS
N/A
Clinical
Safety signal
Embryo-fetal toxicity warning. Diarrhea, infusion-related reactions, and left ventricular dysfunction require monitoring, as with the HER2 antibody class.
Clinical
Program phase
APPROVED
Clinical
Trial activity
No active/completed counts