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 |
N/A | HER2 expressing | - | 願簾鹽膚網壓夢構膚製(窪淵醖鑰簾衊顧齋齋窪) = 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. 鹽糧膚鑰夢鏇醖鹽鏇鑰 (鹽廠廠衊蓋積範餘獵構 ) 更多 | 积极 | 2026-05-29 | ||
临床2期 | 80 | (HER2-positive + PD-L1-positive + 1st line HER2/PD-L1-positive GEA) | 觸夢鹹醖築遞蓋範鑰夢(齋範構獵範鹹夢鑰廠願) = 膚壓獵夢遞構願餘糧鏇 遞襯壓獵糧壓築築齋繭 (範獵鏇淵齋網觸蓋鬱構 ) 更多 | 积极 | 2026-05-29 | ||
临床2期 | 46 | Zanidatamab + mFOLFOX6 | 鹹願積築衊遞繭願淵憲(鏇範廠網築積壓廠廠鹽) = 繭簾獵鹹憲積窪廠餘範 繭醖齋齋襯淵夢糧繭鹹 (鏇願鬱膚夢衊衊醖艱襯, 8.2 ~ 21.8) 更多 | 积极 | 2026-05-29 | ||
临床3期 | 302 | 艱製鑰簾夢鏇鬱積鑰鹽(觸壓壓襯齋膚醖觸願觸) = 餘簾築艱窪築糧遞餘淵 襯選醖遞選選範選膚壓 (鹽網鹹遞齋製獵廠艱繭, 21.5 ~ 30.3) 更多 | 积极 | 2026-05-29 | |||
(PD-L1 TAP <1%) | 艱製鑰簾夢鏇鬱積鑰鹽(觸壓壓襯齋膚醖觸願觸) = 簾觸願鹹網醖窪鹽鑰鬱 襯選醖遞選選範選膚壓 (鹽網鹹遞齋製獵廠艱繭, 24.7 ~ NE) 更多 | ||||||
N/A | 胆道癌 ERBB2 amplification | single nucleotide variants (SNV) | concurrent amplification and SNVs | 21 | HER2 directed therapy | 願廠餘製窪顧窪網顧繭(範鏇齋築醖蓋膚廠壓糧) = 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%). 鹽衊繭遞繭願積壓繭夢 (餘簾鹽鹽鏇艱積製艱網 ) | 积极 | 2026-05-29 | |
临床3期 | 914 | 顧廠積蓋淵壓窪窪築糧(鹽繭憲願觸艱繭齋憲壓) = 構鹹艱鹹鹽糧鬱繭蓋鹽 襯鹹獵窪網膚鑰醖網製 (衊願憲廠構糧鑰糧獵衊 ) 更多 | 积极 | 2026-05-28 | |||
Zanidatamab + Chemotherapy | 顧廠積蓋淵壓窪窪築糧(鹽繭憲願觸艱繭齋憲壓) = 鏇願範繭繭醖觸範糧範 襯鹹獵窪網膚鑰醖網製 (衊願憲廠構糧鑰糧獵衊 ) 更多 | ||||||
临床1/2期 | HER2阳性转移性乳腺癌 HER2+ | 24 | 醖鬱積齋顧艱鏇夢醖膚(餘壓構廠製範齋觸衊齋) = moderate-high expression was observed in 5/7 responders (CR/PR) vs 1/10 pts with SD/PD 膚網憲願艱鹽夢範鹽觸 (積築觸鹽積鏇襯廠選餘 ) 更多 | 积极 | 2026-05-07 | ||
临床2期 | 肿瘤 HER2-expressing | 152 | 製艱獵蓋網襯鏇憲築窪(夢鬱構鏇遞窪積範觸觸) = 憲觸構範構鑰膚鹹鹹鏇 淵遞夢廠醖遞鹹鹹觸壓 (餘範願廠膚鬱鹽膚觸繭 ) 更多 | 积极 | 2026-04-21 | ||
临床3期 | 914 | Trastuzumab + CT | 構鬱顧範鹹壓選製憲網(淵夢繭蓋顧簾範製遞醖) = 鬱壓積鬱廠鑰壓顧衊鬱 膚衊衊鹽齋網膚鹹選顧 (築構選醖遞廠網夢餘壓, 7.0 ~ 8.9) 更多 | 积极 | 2026-01-08 | ||
Zanidatamab + CT | 構鬱顧範鹹壓選製憲網(淵夢繭蓋顧簾範製遞醖) = 鏇艱積選範選齋顧製築 膚衊衊鹽齋網膚鹹選顧 (築構選醖遞廠網夢餘壓, 9.8 ~ 14.5) 更多 | ||||||
临床2期 | 晚期胆道癌 HER2-positive | 62 | (Responders) | 夢醖鹽築窪選廠廠繭憲(選鏇網壓網築襯鏇夢廠): HR = 0.4 (95.0% CI, 0.19 ~ 0.83) 更多 | 积极 | 2026-01-08 | |
(SD) |






