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Zymeworks Shifts to Royalty Model After Ziihera’s Phase 3 Win in HER2‑Positive Gastroesophageal Cancer

Jazz targets a first‑half 2026 sBLA after statistically significant efficacy gains in HER2‑positive GEA.

Overview

  • Topline Phase 3 HERIZON‑GEA‑01 results showed Ziihera plus chemotherapy improved progression‑free survival versus trastuzumab plus chemotherapy, while the addition of Tevimbra delivered a statistically significant overall survival benefit.
  • The Ziihera plus chemotherapy arm showed a clinically meaningful overall survival effect with a strong trend toward significance, with another OS interim analysis planned for mid‑2026.
  • Benefits were observed across PD‑L1 subgroups, with higher objective response rate and duration of response for both Ziihera regimens, and no new safety signals reported in the topline release.
  • Jazz plans a full data presentation in Q1 2026, peer‑review publication, and submission for rapid inclusion in NCCN guidelines, followed by an sBLA filing in the first half of 2026.
  • Following the readout, Zymeworks adopted a partnership‑focused strategy centered on milestones and royalties, pointing to up to about $440 million in potential near‑term payments as shares rallied alongside Jazz.