FDA granted accelerated approval to zanidatamab (Ziihera®) for advanced bile duct and other HER2-high biliary tract cancers resistant to chemotherapy. Co-led by Dr. James Harding, the clinical trial showed 41.3% objective responses and 18% significant side effects. Zanidatamab, a bispecific antibody, targets HER2 in two places, blocking growth signals and degrading the protein, also alerting the immune system. Rob, a trial participant, saw his cancer shrink and later switched to trastuzumab deruxtecan, showing no signs of disease.