TheraRadar
Data updated: May 26, 2026

VYLOY (zolbetuximab-clzb)

Claudin 18.2-directed Antibody Interactions
First-in-Class Orphan Drug Priority Review Fast Track
Oncology Approved 2024-10-18

Vyloy (zolbetuximab-clzb) is a claudin 18.2-directed cytolytic antibody indicated for the first-line treatment of adults with locally advanced unresectable or metastatic gastric or gastroesophageal junction (GEJ) adenocarcinoma. It is used specifically for patients whose tumors are human epidermal growth factor receptor 2 (HER2)-negative and claudin (CLDN) 18.2 positive as determined by an FDA-approved test. The medication is administered in combination with fluoropyrimidine- and platinum-containing chemotherapy.

Source: FDA Label • ASTELLAS • Claudin 18.2-directed Cytolytic Antibody

How VYLOY Works

Zolbetuximab-clzb is a cytolytic antibody that targets claudin 18.2 (CLDN18.2) on the surface of tumor cells. It depletes these CLDN18.2-positive cells by triggering antibody-dependent cellular cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC). Research in tumor models indicates that combining zolbetuximab-clzb with chemotherapy results in greater antitumor activity than using either agent individually.

2
Indications
--
Phase 3 Trials
1
Priority Reviews
1
Years on Market

Details

Status
Prescription
First Approved
2024-10-18
Patent Cliff
2031

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Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: ZOLBETUXIMAB-CLZB

VYLOY Approval History

2025
2026
Original
New Indication
New Form
Label Update
2 FDA actions from 2024 to 2025 · 1 indication expansions
Jun 2025 SUPPL
Efficacy
Oct 2024 ORIGINAL Priority
New Drug · Type 1 - New Molecular Entity

What VYLOY Treats

2 indications

VYLOY is approved for 2 conditions since its original approval in 2024. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Gastric Adenocarcinoma
  • Gastroesophageal Junction Adenocarcinoma
Source: FDA Label

VYLOY Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications VYLOY treats. First-in-class if their pivotal trials read out positive.

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Active Pipeline

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

VYLOY FDA Label Details

Indications & Usage

FDA Label (PDF)

VYLOY is indicated for the treatment of Gastric Adenocarcinoma; Gastroesophageal Junction Adenocarcinoma.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.