Published 12 hours ago • loading... • Updated 39 minutes ago
'Practice-Changing' Data Expand Zanidatamab's Approval to Gastroesophageal Cancer
The approval is based on Phase 3 data showing Ziihera regimens improved progression-free and overall survival versus trastuzumab plus chemotherapy, with median OS reaching 26.4 months.
On Tuesday, the FDA approved Jazz Pharmaceuticals' Ziihera for first-line treatment of HER2-positive gastroesophageal adenocarcinoma, available in combination with chemotherapy alone or with Tevimbra immunotherapy.
Approximately 20% of patients with GEA, the fifth most common cancer globally, have HER2-positive disease and face high mortality rates, creating urgent need for new treatment options.
The Phase 3 HERIZON-GEA-01 trial showed Ziihera-containing regimens reduced disease progression or death risk by 35%, achieving median overall survival of 26.4 months versus 19.2 months with trastuzumab plus chemotherapy.
According to RBC Capital Markets analyst Leonid Timashev, the clearance opens a market opportunity exceeding $1.5 billion; Jazz earned $250 million upfront with $1.3 billion in potential milestones.
Dr. Geoffrey Ku, associate attending physician at Memorial Sloan Kettering Cancer Center, noted the regimen benefits patients regardless of PD-L1 status, emphasizing HER2 testing at diagnosis remains critical for treatment selection.