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'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.
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U.S. FDA Approves Ziihera® (zanidatamab-hrii) with and without Tislelizumab plus Chemotherapy in First-Line HER2+ Advanced Gastroesophageal Adenocarcinoma

Ziihera plus tislelizumab and chemotherapy approved for first-line treatment of all HER2+ GEA patients (IHC 3+ and IHC

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NiagaraFallsReview.ca broke the news in Niagara Falls, Canada on Tuesday, August 25, 2026.
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