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Ziihera Beats Standard in Phase 3 for First-Line HER2+ GEA With Survival Benefit for PD-1 Combo

A Q1 2026 data reveal sets up an H1 FDA filing and a mid-year survival update.

Overview

  • Topline results from HERIZON-GEA-01 show Ziihera plus chemotherapy and Ziihera plus Tevimbra plus chemotherapy both delivered statistically significant, clinically meaningful progression-free survival gains versus trastuzumab plus chemotherapy.
  • The triple regimen with Tevimbra achieved a statistically significant overall survival improvement, while the chemotherapy-only Ziihera arm showed a clinically meaningful effect with a strong trend toward significance pending a planned mid-2026 OS interim analysis.
  • Efficacy for the triple regimen was observed in both PD-L1–positive and PD-L1–negative subgroups, and both Ziihera arms improved objective response rate and duration of response compared with control.
  • Companies reported safety as consistent with known profiles for the agents and said no new safety signals emerged in the study.
  • Jazz plans to present full data at a major medical meeting in Q1 2026 and submit a supplemental BLA in the first half of 2026; shares of Zymeworks and Jazz rose roughly 29% and about 20% respectively, with BeOne also higher on the news.