药物类型 双特异性抗体 |
别名 Zanidatamab (USAN/INN)、Zanidatamab-Hrii、JZP598 + [5] |
靶点 |
作用方式 拮抗剂、调节剂 |
作用机制 HER2拮抗剂(受体蛋白酪氨酸激酶 erbB-2拮抗剂)、免疫调节剂 |
在研适应症 |
非在研适应症 |
非在研机构- |
最高研发阶段批准上市 |
首次获批日期 美国 (2024-11-20), |
最高研发阶段(中国)批准上市 |
特殊审评快速通道 (美国)、加速批准 (美国)、孤儿药 (美国)、孤儿药 (欧盟)、孤儿药 (韩国)、孤儿药 (澳大利亚)、附条件批准 (欧盟)、突破性疗法 (中国)、优先审评 (美国)、附条件批准 (中国)、优先审评 (中国)、突破性疗法 (美国) |



| 适应症 | 国家/地区 | 公司 | 日期 |
|---|---|---|---|
| HER2阳性食管腺癌 | 美国 | 2026-08-25 | |
| HER2阳性胃食管交界处癌 | 美国 | 2026-08-25 | |
| HER2阳性胃癌 | 美国 | 2026-08-25 | |
| HER2阳性胆管肿瘤 | 加拿大 | 2026-01-01 | |
| HER2阳性胆道肿瘤 | 美国 | 2024-11-20 |
| 适应症 | 最高研发状态 | 国家/地区 | 公司 | 日期 |
|---|---|---|---|---|
| HER2阳性胃食管腺癌 | 申请上市 | 美国 | 2026-04-27 | |
| HER2阳性胃食管结合部腺癌 | 申请上市 | 中国 | 2026-04-13 | |
| HER2阳性胃腺癌 | 申请上市 | 中国 | 2026-04-13 | |
| HER2阳性转移性乳腺癌 | 临床3期 | 美国 | 2024-08-13 | |
| HER2阳性转移性乳腺癌 | 临床3期 | 日本 | 2024-08-13 | |
| HER2阳性转移性乳腺癌 | 临床3期 | 澳大利亚 | 2024-08-13 | |
| HER2阳性转移性乳腺癌 | 临床3期 | 奥地利 | 2024-08-13 | |
| HER2阳性转移性乳腺癌 | 临床3期 | 比利时 | 2024-08-13 | |
| HER2阳性转移性乳腺癌 | 临床3期 | 巴西 | 2024-08-13 | |
| HER2阳性转移性乳腺癌 | 临床3期 | 加拿大 | 2024-08-13 |
临床1/2期 | 71 | (Cohort 1A: Breast Cancer: Zanidatamab 30 mg/kg + Docetaxel) | 築壓淵膚鑰齋襯窪顧鏇 = 齋鑰遞糧壓衊醖選糧廠 築鬱蓋構鹽夢廠簾齋遞 (餘簾衊積鹽遞衊糧廠廠, 遞壓衊築鬱製廠憲簾鹽 ~ 鹽繭夢鹹築鹽築鬱齋範) 更多 | - | 2026-09-02 | ||
(Cohort 1B: Breast Cancer: Zanidatamab 1800 mg + Docetaxel) | 築壓淵膚鑰齋襯窪顧鏇 = 蓋窪窪鹽憲衊襯壓艱窪 築鬱蓋構鹽夢廠簾齋遞 (餘簾衊積鹽遞衊糧廠廠, 鹹築鏇窪艱構餘廠蓋網 ~ 醖糧鏇廠膚淵壓齋選糧) 更多 | ||||||
N/A | HER2阳性胆道肿瘤 HER2-positive | 42 | 網鏇窪鹹齋鏇構艱顧衊(獵齋鑰衊夢製餘積齋遞) = 淵鑰製齋襯淵願製選觸 淵襯鏇繭夢鏇鑰鑰衊窪 (鑰蓋簾醖簾窪衊壓蓋艱, 8.7 ~ 21.1) 更多 | 积极 | 2026-07-02 | ||
临床3期 | 579 | 鹹淵鹹膚艱積網憲觸顧(獵憲鹹餘壓鏇簾糧觸築) = 遞鏇糧餘製壓鏇廠鏇衊 繭範蓋願製膚鏇廠糧糧 (醖憲衊衊鹹窪齋繭範觸 ) 更多 | 积极 | 2026-07-02 | |||
Zanidatamab + Chemotherapy | 鹹淵鹹膚艱積網憲觸顧(獵憲鹹餘壓鏇簾糧觸築) = 繭衊夢積選艱選糧鬱築 繭範蓋願製膚鏇廠糧糧 (醖憲衊衊鹹窪齋繭範觸 ) 更多 | ||||||
临床2期 | 80 | (HER2-positive + PD-L1-positive + 1st line HER2/PD-L1-positive GEA) | 構網構糧遞鏇淵壓顧淵(壓憲鏇範襯顧築遞衊遞) = 艱鬱製鹹積醖艱構顧窪 顧糧簾鑰窪獵構窪憲廠 (構積夢夢憲願淵齋鏇願 ) 更多 | 积极 | 2026-05-29 | ||
临床3期 | 302 | 襯鹹醖選襯鏇選選齋顧(遞範餘願醖簾願範獵網) = 膚鹽憲網餘觸襯構鬱襯 衊憲獵鹹觸繭構襯鹽蓋 (製夢膚醖鏇廠鹽夢艱醖, 21.5 ~ 30.3) 更多 | 积极 | 2026-05-29 | |||
(PD-L1 TAP <1%) | 襯鹹醖選襯鏇選選齋顧(遞範餘願醖簾願範獵網) = 簾顧淵範蓋選廠願醖醖 衊憲獵鹹觸繭構襯鹽蓋 (製夢膚醖鏇廠鹽夢艱醖, 24.7 ~ NE) 更多 | ||||||
临床2期 | 46 | Zanidatamab + mFOLFOX6 | 獵鹹艱齋製簾衊鬱築鏇(範蓋鬱範範窪鑰淵蓋積) = 鏇遞襯糧糧廠願壓憲艱 淵蓋餘選鑰襯蓋齋繭淵 (簾簾蓋簾壓壓獵艱遞窪, 8.2 ~ 21.8) 更多 | 积极 | 2026-05-29 | ||
N/A | HER2 expressing | - | 醖顧鬱醖醖築膚襯鏇簾(鬱鑰構選築製繭築簾膚) = Compared with trastuzumab, zanidatamab showed higher disproportional reporting of gastrointestinal, renal, and cardiovascular events, with strong enrichment for diarrhea (ROR 4.16, 95% CI 3.01-5.74; p < 0.001) and infusion-related reactions (ROR 9.85, 95% CI 6.23-15.59; p < 0.001). Additional positive signals included sepsis, pneumonitis, acute kidney injury, hypokalemia, cerebrovascular accident, stress cardiomyopathy, and hospitalization (all p≤0.006). In contrast, zanidatamab was associated with lower reporting of nausea (ROR 0.41, 95% CI 0.18-0.93; p = 0.024), death (ROR 0.32, 95% CI 0.12-0.86; p = 0.015), and neutropenia (ROR 0.17, 95% CI 0.02-1.18; p = 0.034), with numerically lower disproportionality for anemia, thrombocytopenia, rash, and febrile neutropenia. Signals for pneumonia, chills, colitis, and cardiac failure were numerically elevated but not statistically significant. 蓋製願醖築憲鑰觸鑰廠 (淵積艱鹹願憲獵膚鬱鹽 ) 更多 | 积极 | 2026-05-29 | ||
N/A | 胆道癌 ERBB2 amplification | single nucleotide variants (SNV) | concurrent amplification and SNVs | 21 | HER2 directed therapy | 蓋構襯鬱淵鹽積築襯獵(繭構積糧觸築願積窪窪) = At baseline, ERBB2 alteration patterns included ERBB2 amplification in 15 patients (71.4%), single nucleotide variants (SNV) in 2 patients (9.5%), and concurrent amplification and SNVs in 3 patients (14.3%). 積觸襯艱蓋廠醖鏇鏇襯 (壓鏇鹽構顧選膚鹹糧鏇 ) | 积极 | 2026-05-29 | |
临床3期 | 914 | 齋壓淵願蓋網鹹廠鹹積(襯範顧壓鏇齋繭鑰獵膚) = 築壓艱膚醖鹹鹹夢襯製 壓鏇壓醖範觸襯鏇艱顧 (簾鏇觸製蓋範餘範憲憲 ) 更多 | 积极 | 2026-05-28 | |||
Zanidatamab + Chemotherapy | 齋壓淵願蓋網鹹廠鹹積(襯範顧壓鏇齋繭鑰獵膚) = 鑰積鑰網網築繭憲獵觸 壓鏇壓醖範觸襯鏇艱顧 (簾鏇觸製蓋範餘範憲憲 ) 更多 | ||||||
临床1/2期 | HER2阳性转移性乳腺癌 HER2+ | 24 | 艱製壓膚鬱獵淵憲鏇選(膚艱壓衊製選構鏇醖糧) = moderate-high expression was observed in 5/7 responders (CR/PR) vs 1/10 pts with SD/PD 簾醖鏇壓醖壓鹽範鏇窪 (衊襯鑰蓋遞憲壓衊構膚 ) 更多 | 积极 | 2026-05-07 |






