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'Practice-Changing' Data Expand Zanidatamab's Approval to Gastroesophageal Cancer
The approval was based on Phase 3 data showing a 35% lower risk of progression or death and a 28% lower risk of death, the company said.
On Tuesday, August 25, 2026, the FDA approved Ziihera regimens for first-line treatment of HER2-positive gastroesophageal adenocarcinoma, Jazz Pharmaceuticals announced. The approval covers advanced disease regardless of PD-L1 status.
Results from the Phase 3 HERIZON-GEA-01 trial showed Ziihera-containing regimens significantly improved outcomes. Patients achieved median overall survival of 26.4 months, the longest reported in a Phase 3 trial for this setting.
Ziihera-Based treatments reduced the risk of disease progression or death by 35% and lowered the risk of death by 28% compared to Herceptin plus chemotherapy. Benefits remained consistent across prespecified subgroups including PD-L1 status.
Approximately 12,000 U.S. patients may now be eligible for treatment, RBC Capital Markets analyst Leonid Timashev noted. Timashev wrote the clearance creates a market opportunity north of $1.5 billion, with expectations for relatively quick uptake.
Jazz Pharmaceuticals continues developing Ziihera for other HER2-expressing cancers, including potential settings for breast tumors. The company acquired most rights through a 2022 deal with Zymeworks, positioning it to expand the drug's clinical footprint.