CClinicalTrials.gg
RecruitingNCT06695845Updated Jul 10, 2026

A Phase 2 Study of Zanidatamab in Patients With HER2-expressing Tumors

A Phase 2 interventional study of Zanidatamab in Breast Cancer, Gastric Cancer and Esophageal Cancer, sponsored by Jazz Pharmaceuticals. Recruiting at 28 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-10.

Sponsored by Jazz Pharmaceuticals · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2025; still recruiting 1 year 8 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
200
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of zanidatamab for the treatment of participants with previously treated solid tumors that have Human Epidermal Growth Factor Receptor 2 (HER2) Immunohistochemistry (IHC) 3+ overexpression.

02

Conditions studied

  • Breast Cancer
  • Gastric Cancer
  • Esophageal Cancer
  • Gastroesophageal Cancer
  • Colorectal Cancer
  • Endometrial Cancer
  • Non-small Cell Lung Cancer
  • Ovarian Cancer
  • Urothelial Carcinoma
  • Salivary Gland Cancer
  • Pancreatic Cancer
  • HER-2 Protein Overexpression

Keywords

  • JZP598
  • ZW25
  • HER2 IHC 3+ Overexpression Solid Tumors
03

In context

Breast Neoplasms

12,547 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 200 is above the median of 72 across 9,305 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Jazz Pharmaceuticals is the lead sponsor of 167 studies on the registry; 20 are open to participants now.

Of its 39 completed or terminated interventional studies of FDA-regulated products, 28 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Is at least 18 years of age inclusive at the time of signing the informed consent
  2. Participants with locally advanced, unresectable, or metastatic solid tumors (except Biliary Tract Cancer (BTC), defined as gallbladder cancer or cholangiocarcinoma) who have progressed following at least 1 prior systemic treatment for metastatic or advanced disease and have no available treatment options that have confirmed benefit. Prior treatment with HER2-targeted therapy is not permitted (Cohort 1 only). For participants with breast cancer (Cohort 2) or GEA (Cohort 3), prior HER2-targeted therapy is permitted and prior therapy with trastuzumab deruxtecan (T-DXd) is required.
  3. HER2 overexpression (IHC 3+) must be determined by a sponsor designated central laboratory.
  4. All participants must have adequate tumor sample for submission to allow central HER2 testing.
  5. Presence of at least 1 measurable lesion as assessed by Independent Central Review (ICR) based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
  6. Has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  7. Has a life expectancy of at least 3 months, in the opinion of the investigator.
  8. Participants with history of treated and stable CNS metastases are eligible, provided the following criteria are met:

    1. Participants also have measurable metastatic disease with HER2 overexpression (IHC 3+) outside the CNS.
    2. Participants with treated CNS metastases that are no longer symptomatic may be included in the study if they recovered to \< Grade 1 (CTCAE Version 5.0 or higher) or baseline from the acute toxic effect associated with the treatment > 7 days prior to Cycle 1 Day 1.
    3. Prior stereotactic radiosurgery or stereotactic radiotherapy should be completed at least 7 days (≥ 7 days) before the first dose of study intervention.
  9. Adequate organ functions.
  10. Females of childbearing potential must have a negative pregnancy test result.
  11. Females of childbearing potential and males with a partner of childbearing potential must be willing to use 2 methods of birth control.

Exclusion criteria

Exclusion Criteria:

  1. Has known or suspected leptomeningeal disease and/or untreated brain metastasis.
  2. Has uncontrolled or significant cardiovascular disease
  3. Has ongoing toxicity related to prior cancer therapy
  4. Has uncontrolled infection or requiring IV antibiotics, antivirals, or antifungals.
  5. Has known Human Immunodeficiency Virus (HIV) infection.
  6. Has active hepatitis B or C infection.
  7. Has an active SARS-CoV-2 infection.
  8. Has a history of life-threatening hypersensitivity to monoclonal antibody (mAbs) or to recombinant proteins or excipients in the drug formulation of zanidatamab.
  9. Has any serious underlying medical or psychiatric condition that would impair the ability of the participant to receive or tolerate the planned treatment at the investigational site.
  10. Has any issue or condition that, in the opinion of the investigator, would contraindicate the participant's participation in the study or confound the results of the study.
  11. Prior treatment with HER2-targeted therapy (Cohort 1 only).
  12. Has a history of trauma or major surgery
  13. Was treated with systemic antineoplastic therapy, including hormonal therapies for breast cancer, or any investigational therapy within 4 weeks or 5 half-lives (whichever is longer) prior to Cycle 1 Day 1.
  14. Received zanidatamab at any time prior to the current study.
  15. Colorectal Cancer (CRC) participants with known KRAS/NRAS and BRAF mutations.
  16. Non-Small Cell Lung Cancer (NSCLC) participants with known ALK, EGFR mutations and ROS1 fusion.
  17. Female participants who are breastfeeding or pregnant, and female and male participants planning a pregnancy.
  18. Prior or concurrent invasive malignancy other than the disease under study, whose natural history or treatment has, in the opinion of the investigator or medical monitor, the potential to interfere with the safety or efficacy assessment of the investigational regimen.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Zanidatamab treatment arm

    Eligible participants receiving zanidatamab treatment

    Drug: Zanidatamab

Interventions

  • DrugZanidatamab

    Administered by intravenous (IV) infusion

    Also known as: ZW25, JZP598, ZIIHERA®

06

What researchers measure

Primary outcomes

  1. Confirmed Objective Response Rate (cORR) per RECIST Version 1.1, as assessed by ICR

    The Independent Central Review (ICR) assessed cORR is defined as the proportion of participants who had a best overall response of Complete Response (CR), or Partial Response (PR) based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)

    Time frame: Up to 2.5 years

Secondary outcomes

  1. Duration of Response (DOR) Per RECIST Version 1.1, as assessed by ICR

    ICR assessed DOR is defined as the time in months from the first objective response (CR or PR) that is subsequently confirmed to documented progressive disease (PD) per RECIST v1.1 or death from any cause.

    Time frame: Up to 2.5 years

  2. cORR by RECIST Version 1.1, as assessed by Investigator

    Investigator assessed cORR is defined as the proportion of participants who had a best overall response of Complete Response (CR), or Partial Response (PR) based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)

    Time frame: Up to 2.5 years

  3. Duration of Response (DOR) Per RECIST Version 1.1, as assessed by Investigator

    Investigator assessed DOR is defined as the time in months from the first objective response (CR or PR) that is subsequently confirmed to documented progressive disease (PD) per RECIST v1.1 or death from any cause.

    Time frame: Up to 2.5 years

  4. Time to Response (TTR), as assessed by ICR

    ICR assessed TTR is defined as the time from the first dosing date to the first objective response (CR or PR) per RECIST v1.1.

    Time frame: Up to 2.5 years

  5. Time to Response (TTR), as assessed by Investigator

    Investigator assessed TTR is defined as the time from the first dosing date to the first objective response (CR or PR) per RECIST v1.1.

    Time frame: Up to 2.5 years

  6. Disease control rate (DCR), as assessed by ICR

    ICR assessed DCR is defined as the proportion of participants whose best overall response (BOR) is confirmed CR, or PR, or stable disease using the RECIST version 1.1 criteria

    Time frame: Up to 2.5 years

  7. Disease control rate (DCR), as assessed by Investigator

    Investigator assessed DCR is defined as the proportion of participants whose best overall response (BOR) is confirmed CR, or PR, or stable disease using the RECIST version 1.1 criteria

    Time frame: Up to 2.5 years

  8. Progression Free Survival (PFS), as assessed by ICR

    PFS is defined as the time in months from the first dosing date to the date of first documented disease progression (as assessed by ICR according to RECIST v1.1) or death from any cause, whichever occurs first.

    Time frame: Up to 2.5 years

  9. Progression Free Survival (PFS), as assessed by Investigator

    PFS is defined as the time in months from the first dosing date to the date of first documented disease progression (as assessed by Investigator according to RECIST v1.1) or death from any cause, whichever occurs first.

    Time frame: Up to 2.5 years

  10. Overall Survival (OS)

    OS is defined as the time in months from randomization to the date of death due to any cause.

    Time frame: Up to 3.5 years

  11. Number of Participants Reporting Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) As Graded by NCI CTCAE Version 5.0

    Time frame: Up to 2.5 years

  12. Number of Participants With Dose Reductions

    Time frame: Up to 2.5 years

  13. Number of Participants Discontinuing Study Treatment Due to TEAEs

    Time frame: Up to 2.5 years

  14. Serum Concentrations of Zanidatamab

    Time frame: Up to 2.5 years

  15. Number of Participants Positive for Anti-drug Antibodies to Zanidatamab

    Time frame: Up to 2.5 years

  16. Number of participants reporting Symptomatic Adverse Events based on Patient-reported Outcome-Common Terminology Criteria for AEs (PRO-CTCAE)

    Time frame: Up to 2.5 years

  17. Number of participants reporting Symptomatic Adverse Events based on European Organisation for Research and Treatment of Cancer (EORTC) Item Library

    Time frame: Up to 2.5 years

  18. Percentage of all treated participants reporting overall side-effect bother on the Functional Assessment of Chronic Illness Therapy General Physical Item 5 (FACIT-GP5)

    Time frame: Up to 2.5 years

  19. Percentage of time when participants on treatment reported a high side-effect bother on the Functional Assessment of Chronic Illness Therapy General Physical Item 5 (FACIT-GP5)

    Time frame: Up to 2.5 years

07

Study locations

16 of 28 sites recruiting
  • Arizona Oncology Associates, PC - NAHOA
    Prescott, Arizona 86301, United States
    Withdrawn
  • Rocky Mountain Cancer Center
    Littleton, Colorado 80120, United States
    Recruiting
  • Florida Cancer Specialists - South
    Fort Myers, Florida 33901, United States
    Withdrawn
  • Florida Cancer Specialists - Lake Nona
    Orlando, Florida 32827, United States
    Active, not recruiting
  • Florida Cancer Specialists - North
    St. Petersburg, Florida 33705, United States
    Withdrawn
  • Florida Cancer Specialists - East
    West Palm Beach, Florida 33401, United States
    Withdrawn
  • Affiliated Oncologists
    Chicago Ridge, Illinois 60415, United States
    Withdrawn
  • Barbara Ann Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
    Withdrawn
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
    Recruiting
  • Alliance Cancer Specialists
    Horsham, Pennsylvania 19044, United States
    Withdrawn
  • Tennessee Cancer Specialists
    Knoxville, Tennessee 37909, United States
    Withdrawn
  • SCRI Oncology Partners
    Nashville, Tennessee 37203, United States
    Recruiting
  • Texas Oncology - West Texas
    Amarillo, Texas 79124, United States
    Withdrawn
  • Texas Oncology - DFW
    Dallas, Texas 75246, United States
    Recruiting
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
    Recruiting
  • Texas Oncology - San Antonio
    San Antonio, Texas 78217, United States
    Withdrawn
  • Blue Ridge Cancer Care
    Roanoke, Virginia 24014, United States
    Withdrawn
  • National Cancer Center Suwon
    Suwon, Gyeonggi-do 10408, South Korea
    Recruiting
  • The Catholic University of Korea St Vincent's Hospital
    Suwon, Gyeonggi-do 10408, South Korea
    Recruiting
  • Chonnam National University Hwasun Hospital
    Hwasun-Eup, Hwasun-Gun 58115, South Korea
    Recruiting
  • Samsung Medical Center
    Gangnam-gu, Seoul 06351, South Korea
    Recruiting
  • Korea University Guro Hospital
    Guro-gu, Seoul 04524, South Korea
    Recruiting
  • Seoul National University Hospital
    Jongno-gu, Seoul 03080, South Korea
    Recruiting
  • Severance Hospital
    Seodaemun-gu, Seoul 03722, South Korea
    Recruiting
  • The Catholic University of Korea Seoul St. Mary's Hospital
    Seoul, 04524, South Korea
    Recruiting
  • Asan Medical Center
    Seoul, 05505, South Korea
    Recruiting
  • Seoul National University Bundang Hospital
    Seoul, 13620, South Korea
    Recruiting
  • Hospital Regional Universitario de Malaga - Hospital General
    Málaga, 29010, Spain
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — In accordance with ICMJE requirements, Jazz Pharmaceuticals may provide qualified external researchers access to individual participant data (IPD) and clinical trial data that underlie the results of this trial upon request. Qualified researchers can submit a request on https://www.jazzpharma.com/science/clinical-trial-data-sharing/ as outlined. Jazz Pharmaceuticals reserves the right not to consider a request. For inquiries about Jazz's data sharing policy contact clinicaldatasharing@jazzpharma.com.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06695845
Lead sponsor
Jazz Pharmaceuticals
Collaborators
Jazz Pharmaceuticals Ireland Limited
Responsible party
Sponsor
First posted
Nov 19, 2024
Start date
Jan 14, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Jul 10, 2026

Study contacts

Clinical Trial Disclosure & Transparency
Contact
ClinicalTrialDisclosure@JazzPharma.com
215-832-3750

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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