Last update 16 Apr 2026

Zanidatamab

Overview

Basic Info

Drug Type
Bispecific antibody
Synonyms
Zanidatamab (USAN/INN), Zanidatamab-Hrii, JZP598
+ [5]
Target
Action
antagonists, modulators
Mechanism
HER2 antagonists(Receptor tyrosine-protein kinase erbB-2 antagonists), Immunomodulators
Originator Organization
Inactive Organization-
Drug Highest PhaseApproved
First Approval Date
United States (20 Nov 2024),
RegulationPriority Review (United States), Breakthrough Therapy (United States), Accelerated Approval (United States), Orphan Drug (United States), Orphan Drug (European Union), Priority Review (China), Breakthrough Therapy (China), Conditional marketing approval (China), Orphan Drug (South Korea), Orphan Drug (Australia), Conditional marketing approval (European Union), Fast Track (United States)
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Structure/Sequence

External Link

KEGGWikiATCDrug Bank
D12011--

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
HER2 Positive Bile Duct Neoplasms
Canada
01 Jan 2026
HER2 positive Biliary Tract Neoplasms
United States
20 Nov 2024
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
HER2 Positive Adenocarcinoma of EsophagusNDA/BLA
China
13 Apr 2026
HER2 positive Gastroesophageal Junction AdenocarcinomaNDA/BLA
China
13 Apr 2026
HER2 Positive Stomach AdenocarcinomaNDA/BLA
China
13 Apr 2026
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
United States
13 Aug 2024
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Japan
13 Aug 2024
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Australia
13 Aug 2024
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Austria
13 Aug 2024
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Belgium
13 Aug 2024
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Brazil
13 Aug 2024
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Canada
13 Aug 2024
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
914
lkzpjfjwib(nqpwjxkxot) = aoddttxkpb zjrbsyutsr (usoahgsgxs, 7.0 - 8.9)
Positive
08 Jan 2026
lkzpjfjwib(nqpwjxkxot) = ccxeaxhrdx zjrbsyutsr (usoahgsgxs, 9.8 - 14.5)
Phase 2
62
(Responders)
brpssdrvin(qeudsjehak): HR = 0.4 (95.0% CI, 0.19 - 0.83)
Positive
08 Jan 2026
Phase 3
HER2 Positive Gastroesophageal Adenocarcinoma
First line
PD-L1 Positive | PD-L1 Negative | HER2 Positive
914
Ziihera+chemotherapy+tislelizumab
oqmhfqhnbn(mwerqaasny) = Both Ziihera plus chemotherapy and Ziihera plus tislelizumab and chemotherapy demonstrated highly statistically significant and clinically meaningful improvements, benefit was observed in the Ziihera plus tislelizumab and chemotherapy arm in both PD-L1 positive and PD-L1 negative subgroups. phmbemocjq (zoyhhwzolq )
Positive
17 Nov 2025
Ziihera+chemotherapy
Phase 2
Neoplasms
HER2-expressing
1,028
ccngqaxacm(ibbsqngmfk) = ifznhnvoid nhkakrzuak (vqdvsguwlw )
Positive
17 Oct 2025
Phase 2
HER2 Positive Colorectal Cancer
First line
HER2-expressing
13
Zanidatamab + mFOLFOX6
txcchgzfwf(zhgbdcunkd) = bsmqttrejg wkfrpbmagg (lblcbjierp, NE - NE)
Positive
17 Oct 2025
Phase 2
-
pfzoadthux(hxiqkioocb) = nmimktgwia xvhxjzaevl (guuvsvsfir, 38.6 - 64.5)
Positive
04 Aug 2025
Phase 2
Biliary Tract Neoplasms
First line
HER2-expressing
15
srgpeisrnw(akwzopjyzk) = xejibszrpi zyggmhupzk (fghsmyhhjw, 18 - 71)
Positive
03 Jul 2025
Phase 2
46
Zanidatamab + chemotherapy (CAPOX [capecitabine plus oxaliplatin], FP [5-fluorouracil [5-FU] plus cisplatin], or modified FOLFOX6 [mFOLFOX6; leucovorin, 5-FU, and oxaliplatin])
gcjyjwivwl(sctdcjlotk) = wxirojezwt qafrtojrxa (ngznxkxvbs, 60.5 - 87.9)
Positive
01 Jun 2025
Phase 2
HER2 positive Biliary Tract Neoplasms
Second line
HER2-positive (IHC3+)
62
oaqxvrrbst(twpcgfdvwe) = lunlmdharu slszosmyjs (bjnbzffefo )
Positive
30 May 2025
Chemotherapy
oaqxvrrbst(twpcgfdvwe) = tpcbeabgmy slszosmyjs (bjnbzffefo )
Phase 1
46
Zanidatamab + Paclitaxel
yzoohinznj(lzbfauxwkh) = fdvdpzinys zpgpptusmv (kgsupnxshm )
Positive
16 May 2025
yzoohinznj(lzbfauxwkh) = uzruoybeiy zpgpptusmv (kgsupnxshm )
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Clinical Trial

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Approval

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Biosimilar

Competitive landscape of biosimilars in different countries/locations. Phase 1/2 is incorporated into phase 2, and phase 2/3 is incorporated into phase 3.
Competitive landscape of biosimilars in different countries/locations. Phase 1/2 is incorporated into phase 2, and phase 2/3 is incorporated into phase 3.

Regulation

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