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| Stem definition | Drug id | CAS RN |
|---|---|---|
| antitumor, monoclonal antibodies | 5841 | None |
| Molecule | Description |
|---|---|
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Synonyms:
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Zanidatamab-hrii is a humanized, IgG-like, bispecific HER2-directed antibody that binds to two extracellular sites on HER2. Binding of zanidatamab-hrii with HER2 results in internalization leading to a reduction of the receptor on the tumor cell surface. Zanidatamab-hrii induces complement-dependent cytotoxicity (CDC), antibody-dependent cellular cytotoxicity (ADCC) and antibody-dependent cellular phagocytosis (ADCP). These mechanisms result in tumor growth inhibition and cell death in vitro and in vivo.
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| Nov. 20, 2024 | FDA | Jazz Pharmaceuticals | |
| June 27, 2025 | EMA | Jazz Pharmaceuticals Ireland Limited |
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| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Diarrhoea | 61.82 | 59.03 | 24 | 52 | 460825 | 42160434 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Diarrhoea | 100.12 | 67.25 | 42 | 122 | 1139463 | 109449672 |
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| Source | Code | Description |
|---|---|---|
| ATC | L01FD07 | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS ANTINEOPLASTIC AGENTS MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES HER2 (Human Epidermal Growth Factor Receptor 2) inhibitors |
| FDA EPC | N0000194137 | Bispecific HER2-directed Antibody |
| FDA MoA | N0000194138 | HER2-directed Antibody Interactions |
| CHEBI has role | CHEBI:35610 | antineoplastic agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Unresectable or metastatic HER2-positive biliary tract cancer | indication | 363415003 | DOID:4607 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Receptor tyrosine-protein kinase erbB-2 | Kinase | ANTIBODY BINDING | Kd | 9.13 | DRUG LABEL | DRUG LABEL |
| ID | Source |
|---|---|
| CHEMBL4650256 | ChEMBL_ID |
| DB15471 | DRUGBANK_ID |
| 4043591 | VANDF |
| 4043592 | VANDF |
| C5966244 | UMLSCUI |
| CHEBI:758162 | CHEBI |
| 2169946-15-8 | SECONDARY_CAS_RN |
| 390804 | MMSL |
| 43473 | MMSL |
| d10233 | MMSL |
| 13627 | IUPHAR_LIGAND_ID |
| 10997 | INN_ID |
| 2698198 | RXNORM |
| C000726995 | MESH_SUPPLEMENTAL_RECORD_UI |
| D12011 | KEGG_DRUG |
| Z20OC92TDI | UNII |
| 019929 | NDDF |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| ZIIHERA | HUMAN PRESCRIPTION DRUG LABEL | 1 | 68727-950 | INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | 50 mg | INTRAVENOUS | BLA | 26 sections |