Drug updated on 12/11/2024
Dosage Form | Injection (intravenous; 300mg) |
Drug Class | Bispecific 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.
Latest News
Summary
- 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 Title | Year | Source |
---|---|---|
Ziihera (zanidatamab-hrii) Prescribing Information. | 2024 | Jazz Pharmaceuticals Ireland Limited Dublin, Ireland |
Randomized Controlled Trials
Document Title | Sex Distribution | Year | Source |
---|---|---|---|
Zanidatamab for HER2-amplified, unresectable, locally advanced or metastatic biliary tract cancer (HERIZON-BTC-01): a multicentre, single-arm, phase 2b study | 87Subjects F: 54% M: 46% | 2023 | The Lancet Oncology |
Sex Distribution:
F:54%
M:46%
87Subjects
Year:
2023
Source:The Lancet Oncology
Clinical Practice Guidelines
Document Title | Year | Source |
---|---|---|
Pan-Asian adapted ESMO Clinical Practice Guidelines for the diagnosis, treatment and follow-up of patients with biliary tract cancer. | 2024 | ESMO Open |
NCCN Clinical Practice Guidelines in Oncology: Biliary Tract Cancers. Version 5.2024 — November 27, 2024 | 2024 | National Comprehensive Cancer Network |