Zanidatamab-hrii

(Ziihera®)

Ziihera®

Drug updated on 12/11/2024

Dosage FormInjection (intravenous; 300mg)
Drug ClassBispecific HER2-directed antibodies
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • Indicated for the treatment of adults with previously treated, unresectable or metastatic HER2-positive (IHC 3+) biliary tract cancer (BTC), as detected by an FDA-approved test.

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Summary
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  • This summary is based on the review of one randomized controlled trial. [1]
  • In the HERIZON-BTC-01 trial, zanidatamab demonstrated a confirmed Objective Response Rate (ORR) of 41.3% (95% confidence interval (CI): 30.4–52.8) in Cohort 1, which included 80 patients with Human Epidermal Growth Factor Receptor 2 (HER2)-positive (Immunohistochemistry [IHC] 2+ or 3+) biliary tract cancer, with 33 of these patients achieving a confirmed objective response.
  • The study population for Cohort 1 had a median age of 64 years (interquartile range (IQR): 58–70), with a gender distribution of 56% female and 44% male and an ethnic composition of 65% Asian patients.
  • Grade 3 Treatment-Related Adverse Events (TRAEs) were observed in 16 patients (18%), with diarrhea reported in 4 patients (5%) and decreased ejection fraction in 3 patients (3%). No Grade 4 TRAEs or treatment-related deaths were reported.
  • Population Types and Subgroup Considerations: Cohort 1 included 80 patients (56% females, 44% males), with 65% identified as Asian, median age 64 years (IQR 58–70). Cohort 2 included 7 patients (71% males, 29% females), with 71% identified as Asian, median age 62 years (IQR 58–77). No clinically significant differences in safety or effectiveness outcomes were observed between subgroups.

Product Monograph / Prescribing Information

Document TitleYearSource
Ziihera (zanidatamab-hrii) Prescribing Information.2024Jazz Pharmaceuticals Ireland Limited Dublin, Ireland

Randomized Controlled Trials

Clinical Practice Guidelines