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LABELS · 6bb3d11b-6f9e-408c-a957-b7bacaf9e175

Trazimera

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Preserved label snapshot, not confirmation of a current approved indication. Approval/withdrawal status must be checked for the exact disease, setting and regimen.

Label effective date
2026-04-10
Captured
2026-09-09T23:37:51.659493+00:00
Current indication reconciliation
Not reconciled
Boxed warning in this label
  1. WARNING: CARDIOMYOPATHY, INFUSION REACTIONS, EMBRYO-FETAL TOXICITY, and PULMONARY TOXICITY WARNING: CARDIOMYOPATHY, INFUSION REACTIONS, EMBRYO-FETAL TOXICITY, and PULMONARY TOXICITY See full prescribing information for complete boxed warning Cardiomyopathy: Trastuzumab products can result in subclinical and clinical cardiac failure manifesting as CHF, and decreased LVEF, with greatest risk when administered concurrently with anthracyclines. Evaluate cardiac function prior to and during treatment. Discontinue TRAZIMERA for cardiomyopathy. ( 2.5 , 5.1 ) Infusion Reactions, Pulmonary Toxicity: Discontinue TRAZIMERA for anaphylaxis, angioedema, interstitial pneumonitis, or acute respiratory distress syndrome. ( 5.2 , 5.4 ) Embryo-Fetal Toxicity: Exposure to trastuzumab products during pregnancy can result in oligohydramnios, in some cases complicated by pulmonary hypoplasia and neonatal death. Advise patients of these risks and the need for effective contraception. ( 5.3 , 8.1 , 8.3 ) Cardiomyopathy Administration of trastuzumab products can result in sub-clinical and clinical cardiac failure. The incidence and severity was highest in patients receiving trastuzumab with anthracycline-containing chemotherapy regimens. Evaluate left ventricular function in all patients prior to and during treatment with TRAZIMERA. Discontinue TRAZIMERA treatment in patients receiving adjuvant therapy and withhold TRAZIMERA in patients with metastatic disease for clinically significant decrease in left ventricular function [see Dosage and Administration (2.5) and Warnings and Precautions (5.1) ] . Infusion Reactions; Pulmonary Toxicity Administration of trastuzumab products can result in serious and fatal infusion reactions and pulmonary toxicity. Symptoms usually occur during or within 24 hours of administration of trastuzumab products. Interrupt TRAZIMERA infusion for dyspnea or clinically significant hypotension. Monitor patients until symptoms completely resolve. Discontinue TRAZIMERA for anaphylaxis, angioedema, interstitial pneumonitis, or acute respiratory distress syndrome [see Warnings and Precautions (5.2 , 5.4 )] . Embryo-Fetal Toxicity Exposure to trastuzumab products during pregnancy can result in oligohydramnios and oligohydramnios sequence manifesting as pulmonary hypoplasia, skeletal abnormalities, and neonatal death. Advise patients of these risks and the need for effective contraception [see Warnings and Precautions (5.3) and Use in Specific Populations (8.1 , 8.3 )].

Indications and usage: exact source text

  1. 1 INDICATIONS AND USAGE TRAZIMERA is a HER2/neu receptor antagonist indicated in adults for: • The treatment of HER2-overexpressing breast cancer. ( 1.1 , 1.2 ) • The treatment of HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma. ( 1.3 ) Select patients for therapy based on an FDA-approved companion diagnostic for a trastuzumab product. ( 1 , 2.2 ) 1.1 Adjuvant Breast Cancer TRAZIMERA is indicated in adults for adjuvant treatment of HER2-overexpressing node positive or node negative (ER/PR negative or with one high risk feature [see Clinical Studies (14.1) ] ) breast cancer • as part of a treatment regimen consisting of doxorubicin, cyclophosphamide, and either paclitaxel or docetaxel • as part of a treatment regimen with docetaxel and carboplatin • as a single agent following multi-modality anthracycline based therapy. Select patients for therapy based on an FDA-approved companion diagnostic for a trastuzumab product [see Dosage and Administration (2.2) ] . 1.2 Metastatic Breast Cancer TRAZIMERA is indicated in adults: • In combination with paclitaxel for first-line treatment of HER2-overexpressing metastatic breast cancer • As a single agent for treatment of HER2-overexpressing breast cancer in patients who have received one or more chemotherapy regimens for metastatic disease. Select patients for therapy based on an FDA-approved companion diagnostic for a trastuzumab product [see Dosage and Administration (2.2) ]. 1.3 Metastatic Gastric Cancer TRAZIMERA is indicated in adults, in combination with cisplatin and capecitabine or 5-fluorouracil, for the treatment of patients with HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma who have not received prior treatment for metastatic disease. Select patients for therapy based on an FDA-approved companion diagnostic for a trastuzumab product [see Dosage and Administration (2.2) ].
Full extracted label fields
application numbers
  1. BLA761081
boxed warning exact
  1. WARNING: CARDIOMYOPATHY, INFUSION REACTIONS, EMBRYO-FETAL TOXICITY, and PULMONARY TOXICITY WARNING: CARDIOMYOPATHY, INFUSION REACTIONS, EMBRYO-FETAL TOXICITY, and PULMONARY TOXICITY See full prescribing information for complete boxed warning Cardiomyopathy: Trastuzumab products can result in subclinical and clinical cardiac failure manifesting as CHF, and decreased LVEF, with greatest risk when administered concurrently with anthracyclines. Evaluate cardiac function prior to and during treatment. Discontinue TRAZIMERA for cardiomyopathy. ( 2.5 , 5.1 ) Infusion Reactions, Pulmonary Toxicity: Discontinue TRAZIMERA for anaphylaxis, angioedema, interstitial pneumonitis, or acute respiratory distress syndrome. ( 5.2 , 5.4 ) Embryo-Fetal Toxicity: Exposure to trastuzumab products during pregnancy can result in oligohydramnios, in some cases complicated by pulmonary hypoplasia and neonatal death. Advise patients of these risks and the need for effective contraception. ( 5.3 , 8.1 , 8.3 ) Cardiomyopathy Administration of trastuzumab products can result in sub-clinical and clinical cardiac failure. The incidence and severity was highest in patients receiving trastuzumab with anthracycline-containing chemotherapy regimens. Evaluate left ventricular function in all patients prior to and during treatment with TRAZIMERA. Discontinue TRAZIMERA treatment in patients receiving adjuvant therapy and withhold TRAZIMERA in patients with metastatic disease for clinically significant decrease in left ventricular function [see Dosage and Administration (2.5) and Warnings and Precautions (5.1) ] . Infusion Reactions; Pulmonary Toxicity Administration of trastuzumab products can result in serious and fatal infusion reactions and pulmonary toxicity. Symptoms usually occur during or within 24 hours of administration of trastuzumab products. Interrupt TRAZIMERA infusion for dyspnea or clinically significant hypotension. Monitor patients until symptoms completely resolve. Discontinue TRAZIMERA for anaphylaxis, angioedema, interstitial pneumonitis, or acute respiratory distress syndrome [see Warnings and Precautions (5.2 , 5.4 )] . Embryo-Fetal Toxicity Exposure to trastuzumab products during pregnancy can result in oligohydramnios and oligohydramnios sequence manifesting as pulmonary hypoplasia, skeletal abnormalities, and neonatal death. Advise patients of these risks and the need for effective contraception [see Warnings and Precautions (5.3) and Use in Specific Populations (8.1 , 8.3 )].
brand names
  1. Trazimera
current indication status
not_reconciled
dailymed set url
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=b9c5e894-27d2-4245-a653-df986fed3c56
generic names
  1. TRASTUZUMAB-QYYP
id
6bb3d11b-6f9e-408c-a957-b7bacaf9e175
indications and usage exact
  1. 1 INDICATIONS AND USAGE TRAZIMERA is a HER2/neu receptor antagonist indicated in adults for: • The treatment of HER2-overexpressing breast cancer. ( 1.1 , 1.2 ) • The treatment of HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma. ( 1.3 ) Select patients for therapy based on an FDA-approved companion diagnostic for a trastuzumab product. ( 1 , 2.2 ) 1.1 Adjuvant Breast Cancer TRAZIMERA is indicated in adults for adjuvant treatment of HER2-overexpressing node positive or node negative (ER/PR negative or with one high risk feature [see Clinical Studies (14.1) ] ) breast cancer • as part of a treatment regimen consisting of doxorubicin, cyclophosphamide, and either paclitaxel or docetaxel • as part of a treatment regimen with docetaxel and carboplatin • as a single agent following multi-modality anthracycline based therapy. Select patients for therapy based on an FDA-approved companion diagnostic for a trastuzumab product [see Dosage and Administration (2.2) ] . 1.2 Metastatic Breast Cancer TRAZIMERA is indicated in adults: • In combination with paclitaxel for first-line treatment of HER2-overexpressing metastatic breast cancer • As a single agent for treatment of HER2-overexpressing breast cancer in patients who have received one or more chemotherapy regimens for metastatic disease. Select patients for therapy based on an FDA-approved companion diagnostic for a trastuzumab product [see Dosage and Administration (2.2) ]. 1.3 Metastatic Gastric Cancer TRAZIMERA is indicated in adults, in combination with cisplatin and capecitabine or 5-fluorouracil, for the treatment of patients with HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma who have not received prior treatment for metastatic disease. Select patients for therapy based on an FDA-approved companion diagnostic for a trastuzumab product [see Dosage and Administration (2.2) ].
indications and usage tables exact
    is original packager
    1. true
    manufacturer names
    1. Pfizer Laboratories Div Pfizer Inc
    matched search terms
    1. cancer
    package ndcs
    1. 0069-0305-01
    2. 0069-0306-01
    3. 0069-0307-01
    4. 0069-0308-01
    product ndcs
    1. 0069-0305
    2. 0069-0308
    product types
    1. HUMAN PRESCRIPTION DRUG
    recent major changes exact
    1. Dosage and Administration, Evaluation and Testing Before Initiating TRAZIMERA ( 2.1 ) 8/2025
    record type
    complete_spl_indications_section_candidate
    routes
    1. INTRAVENOUS
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    4. 2472794
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    meta
    disclaimer
    Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.
    last updated
    2026-09-09
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    substance names
    1. TRASTUZUMAB
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    Drugs@FDA application source records
    1. application number
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      payload
      all indexed label documents
      1. Appl No
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        Application Docs Date
        2019-03-11 00:00:00
        Application Docs ID
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        Application Docs Date
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        Application Docs ID
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        Application Docs Title
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        Application Docs Type ID
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        Submission No
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        Submission Class Code ID
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        Submission No
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        Submission Status
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        Submission Status Date
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        Submissions Public Notes
      2. Appl No
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        Review Priority
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        Submission No
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        Submission Status Date
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      3. Appl No
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        Submission Class Code ID
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        Submission Status Date
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        Submission Type
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        Submissions Public Notes
      4. Appl No
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        Submissions Public Notes
      application number
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      1. Appl No
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        Application Docs Date
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        Application Docs ID
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        Application Docs Title
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        Submission No
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      Appl No
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      Appl Public Notes
      Appl Type
      BLA
      Sponsor Name
      PFIZER INC
      openfda application present
      true
      products
      1. Active Ingredient
        TRASTUZUMAB-QYYP
        Appl No
        761081
        Drug Name
        TRAZIMERA
        Form
        INJECTABLE;INJECTION
        Product No
        001
        Reference Drug
        0
        Reference Standard
        0
        Strength
        420MG
        marketing status
        1. Prescription

    Source passages and status connections

    Passage classifications are automated and are not treatment recommendations. Connections apply only to their recorded indication scope.

    Passage 1 · positive indication candidate
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    1 INDICATIONS AND USAGE TRAZIMERA is a HER2/neu receptor antagonist indicated in adults for: • The treatment of HER2-overexpressing breast cancer. ( 1.1 , 1.2 ) • The treatment of HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma. ( 1.3 ) Select patients for
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        1 INDICATIONS AND USAGE TRAZIMERA is a HER2/neu receptor antagonist indicated in adults for: • The treatment of HER2-overexpressing breast cancer. ( 1.1 , 1.2 ) • The treatment of HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma. ( 1.3 ) Select patients for therapy based on an FDA-approved companion diagnostic
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            1 INDICATIONS AND USAGE TRAZIMERA is a HER2/neu receptor antagonist indicated in adults for: • The treatment of HER2-overexpressing breast cancer. ( 1.1 , 1.2 ) • The treatment of HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma. ( 1.3 ) Select patients for therapy based on an FDA-approved companion diagnostic for a trastuzu
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                                                                                  tumor_directed_candidate
                                                                                  Passage 17 · unclassified context
                                                                                  application numbers
                                                                                  1. BLA761081
                                                                                  brand names
                                                                                  1. Trazimera
                                                                                  classification reasons
                                                                                  1. no_unambiguous_positive_indication_predicate
                                                                                  clinical review status
                                                                                  pending
                                                                                  content role
                                                                                  unclassified_context
                                                                                  context span
                                                                                  end
                                                                                  1924
                                                                                  end exclusive
                                                                                  true
                                                                                  exact text
                                                                                  or 5-fluorouracil, for the treatment of patients with HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma who have not received prior treatment for metastatic disease. Select patients for therapy based on an FDA-approved companion diagnostic for a trastuzumab product [see Dosage and Administration (2.2) ].
                                                                                  label id
                                                                                  6bb3d11b-6f9e-408c-a957-b7bacaf9e175
                                                                                  offset unit
                                                                                  unicode_code_points
                                                                                  source array index
                                                                                  0
                                                                                  source field
                                                                                  indications_and_usage_exact
                                                                                  source text sha256
                                                                                  f4ce2a57f411bec2f03c7dbd37d7dd7be1501e9a35db55528d656798afead66c
                                                                                  start
                                                                                  1585
                                                                                  current approval status
                                                                                  not_reconciled
                                                                                  duplicate text group
                                                                                  dup-74fdcae0c2d1ff4edafb
                                                                                  extraction review status
                                                                                  automated_candidate_pending_source_review
                                                                                  generic names
                                                                                  1. TRASTUZUMAB-QYYP
                                                                                  id
                                                                                  ind-span-315b590e90fdcb90cfd3
                                                                                  label id
                                                                                  6bb3d11b-6f9e-408c-a957-b7bacaf9e175
                                                                                  positive predicate support span
                                                                                  Source null
                                                                                  qualifier mentions
                                                                                    regulatory links
                                                                                      schema version
                                                                                      0.1.0
                                                                                      source batch sha256
                                                                                      a4bef6778baed183e5bcf581938b0b23d3576dfd9eb6150f2904934a750c5fef
                                                                                      source defined aliases
                                                                                        source span
                                                                                        end
                                                                                        1924
                                                                                        end exclusive
                                                                                        true
                                                                                        exact text
                                                                                        Select patients for therapy based on an FDA-approved companion diagnostic for a trastuzumab product [see Dosage and Administration (2.2) ].
                                                                                        label id
                                                                                        6bb3d11b-6f9e-408c-a957-b7bacaf9e175
                                                                                        offset unit
                                                                                        unicode_code_points
                                                                                        source array index
                                                                                        0
                                                                                        source field
                                                                                        indications_and_usage_exact
                                                                                        source text sha256
                                                                                        f4ce2a57f411bec2f03c7dbd37d7dd7be1501e9a35db55528d656798afead66c
                                                                                        start
                                                                                        1785
                                                                                        source url
                                                                                        https://api.fda.gov/drug/label.json?search=id%3A%226bb3d11b-6f9e-408c-a957-b7bacaf9e175%22
                                                                                        spl effective date
                                                                                        2026-04-10
                                                                                        spl set id
                                                                                        b9c5e894-27d2-4245-a653-df986fed3c56
                                                                                        spl version
                                                                                        9
                                                                                        structured fields status
                                                                                        not_extracted_no_values_inferred_from_mentions
                                                                                        structured indication
                                                                                        age
                                                                                        Source null
                                                                                        approval pathway
                                                                                        Source null
                                                                                        biomarker and test
                                                                                        Source null
                                                                                        disease stage
                                                                                        Source null
                                                                                        limitations
                                                                                        Source null
                                                                                        line
                                                                                        Source null
                                                                                        prior therapy
                                                                                        Source null
                                                                                        regimen
                                                                                        Source null
                                                                                        tumor histology
                                                                                        Source null
                                                                                        use intent
                                                                                        unclear

                                                                                        Preserved source evidence · Not medical advice