NCT06581432

Brief Summary

This is a study for people with advanced cancer for whom previous treatment was not successful. Adults aged 18 and over with advanced cancer with HER2 alterations can join the study. The purpose of this study is to find out whether a medicine called zongertinib helps people with advanced cancers with HER2 alterations. HER2 alterations can cause cancer. Zongertinib inhibits HER2. Participants are put into groups based on the type of advanced cancer they have, the type of HER2 alterations they have, and the dose of zongertinib they receive. Depending on the group they are in, participants take 1 of 2 different doses of zongertinib each day. Participants can continue the treatment as long as they benefit from it and can tolerate it. Participants visit the study site regularly. During many of the visits, the doctors check the size of the tumour and whether it has spread to other parts of the body. During all the visits, the doctors check participants' health and take note of any unwanted effects.

Trial Health

88
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
430

participants targeted

Target at P75+ for phase_2

Timeline
31mo left

Started Oct 2024

Typical duration for phase_2

Geographic Reach
16 countries

88 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress40%
Oct 2024Dec 2028

First Submitted

Initial submission to the registry

August 30, 2024

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 3, 2024

Completed
1 month until next milestone

Study Start

First participant enrolled

October 11, 2024

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2027

Expected
12 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 29, 2028

Last Updated

June 9, 2026

Status Verified

June 1, 2026

Enrollment Period

3.2 years

First QC Date

August 30, 2024

Last Update Submit

June 8, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Proportion of patients with objective response (OR)

    according to Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 by central independent review, and it will be summarised descriptively as absolute and relative frequencies

    Up to 51 months

Secondary Outcomes (6)

  • Duration of objective response (DOR)

    Up to 51 months

  • Progression-Free Survival (PFS)

    Up to 51 months

  • Disease control (DC)

    Up to 51 months

  • Occurrence of treatment-emergent Adverse Events (AEs)

    Up to 51 months

  • Change from baseline to Week 48 or progressive disease (PD) by central independent review, if earlier, of the EORTC QLQ-C30, which includes IL-19, the physical functioning scale

    At baseline and up to 48 weeks

  • +1 more secondary outcomes

Study Arms (1)

Zongertinib treatment

EXPERIMENTAL
Drug: Zongertinib

Interventions

Zongertinib

Also known as: BI 1810631, Hernexeos®
Zongertinib treatment

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Signed and dated written informed consent in accordance with International Council for Harmonisation-Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial.
  • Patients ≥18 years old or over the legal age of consent in countries where that is greater than 18 years at the time of signature of the Informed consent form (ICF).
  • Documented (previously established by local testing) Human epidermal growth factor receptor 2 (HER2) status of:
  • HER2 amplification
  • Known activating HER2 mutations
  • Availability and willingness to provide a sample of archival formalin-fixed paraffin embedded (FFPE) tumour tissue material
  • Patient with histologically or cytologically confirmed locally advanced unresectable or metastatic solid tumour who has had at least one prior line of therapy for metastatic disease. In the opinion of the Investigator, patients must be unlikely to tolerate or derive clinically meaningful benefit from further standard of care therapy known to prolong survival.

You may not qualify if:

  • Diagnosis of HER2 mutant Non-small cell lung cancer (NSCLC)
  • Previous or concomitant malignancies other than the 1 treated in this trial within the previous 3 years except:
  • effectively treated non-melanoma skin cancers
  • effectively treated carcinoma in situ of the cervix
  • effectively treated ductal carcinoma in situ of the breast
  • localised prostate cancer on watchful waiting or active surveillance
  • other effectively treated malignancy that is considered cured by local treatment.
  • Patients who must or wish to continue the intake of restricted medications or any drug considered likely to interfere with the safe conduct of the trial

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (88)

Alaska Oncology and Hematology, LLC

Anchorage, Alaska, 99508, United States

RECRUITING

University of Arizona Comprehensive Cancer Center

Tucson, Arizona, 85719, United States

NOT YET RECRUITING

Precision NextGen Oncology

Beverly Hills, California, 90212, United States

RECRUITING

Scripps Cancer Center Torrey Pines

La Jolla, California, 92037, United States

NOT YET RECRUITING

Valkyrie Clinical Trials

Los Angeles, California, 90067, United States

RECRUITING

Yale University School of Medicine

New Haven, Connecticut, 06511, United States

RECRUITING

BRCR Global

Tamarac, Florida, 33321, United States

RECRUITING

Illinois Cancer Specialists

Arlington Heights, Illinois, 60005, United States

NOT YET RECRUITING

Community MD Anderson Cancer Center - East Medical Oncology

Indianapolis, Indiana, 46219, United States

RECRUITING

Maryland Oncology Hematology, Columbia

Columbia, Maryland, 21044, United States

NOT YET RECRUITING

Karmanos Cancer Institute

Detroit, Michigan, 48201, United States

NOT YET RECRUITING

Presbyterian Healthcare Services

Albuquerque, New Mexico, 87110, United States

NOT YET RECRUITING

Icahn School of Medicine at Mount Sinai

New York, New York, 10029, United States

RECRUITING

Memorial Sloan-Kettering Cancer Center

New York, New York, 10065, United States

RECRUITING

Taylor Cancer Research Center

Maumee, Ohio, 43537, United States

NOT YET RECRUITING

Alliance Cancer Specialists, PC, Wynnewood

Wynnewood, Pennsylvania, 19096, United States

NOT YET RECRUITING

Sarah Cannon Research Institute at Mary Crowley

Dallas, Texas, 75230, United States

NOT YET RECRUITING

The University of Texas MD Anderson Cancer Center

Houston, Texas, 77030, United States

RECRUITING

Texas Oncology - Plano West

Plano, Texas, 75093, United States

NOT YET RECRUITING

Virginia Cancer Specialists, PC

Fairfax, Virginia, 22031, United States

RECRUITING

Macquarie University

Macquarie Park, New South Wales, 2109, Australia

RECRUITING

GenesisCare North Shore

St Leonards, New South Wales, 2065, Australia

RECRUITING

Princess Alexandra Hospital

Woolloongabba, Queensland, 4102, Australia

RECRUITING

St John of God Subiaco Hospital

Subiaco, Western Australia, 6008, Australia

RECRUITING

Cancer Research South Australia

Adelaide, Australia

NOT YET RECRUITING

Cliniques Universitaires Saint-Luc

Brussels, 1200, Belgium

RECRUITING

Edegem - UNIV UZ Antwerpen

Edegem, 2650, Belgium

RECRUITING

Cross Cancer Institute (University of Alberta)

Edmonton, Alberta, T6G 1Z2, Canada

RECRUITING

BC Cancer Agency - Vancouver

Vancouver, British Columbia, V5Z 4E6, Canada

NOT YET RECRUITING

Princess Margaret Cancer Centre

Toronto, Ontario, M5G 2M9, Canada

RECRUITING

Centre Hospitalier de l'Universite de Montreal (CHUM)

Montreal, Quebec, H2X 0A9, Canada

NOT YET RECRUITING

McGill University Health Centre (MUHC)

Montreal, Quebec, H4A 3J1, Canada

NOT YET RECRUITING

Peking University First Hospital

Beijing, 100034, China

NOT YET RECRUITING

Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine

Hangzhou, 310016, China

NOT YET RECRUITING

Anhui Provincial Cancer Hospital

Hefei, 230001, China

NOT YET RECRUITING

The First Affiliated Hospital of Nanchang University

Nanchang, 330006, China

RECRUITING

Shanghai East Hospital

Shanghai, 200120, China

RECRUITING

Shanghai GoBroad Cancer Hospital

Shanghai, 200131, China

NOT YET RECRUITING

Wuhan Union Hospital

Wuhan, 430022, China

NOT YET RECRUITING

Henan Cancer Hospital

Zhengzhou, 450008, China

RECRUITING

INS Bergonie

Bordeaux, 33000, France

RECRUITING

CTR Georges-François Leclerc

Dijon, 21079, France

RECRUITING

CTR Leon Berard

Lyon, 69373, France

NOT YET RECRUITING

HOP Timone

Marseille, 13385, France

RECRUITING

HOP la Milétrie

Poitiers, 86000, France

RECRUITING

Institut Gustave Roussy

Villejuif, 94805, France

RECRUITING

Charité - Universitätsmedizin Berlin

Berlin, 12203, Germany

NOT YET RECRUITING

Justus-Liebig Universität Gießen

Giessen, 35392, Germany

RECRUITING

Asklepios Kliniken GmbH & Co. KGaA

Hamburg, 22763, Germany

RECRUITING

Universität Leipzig

Leipzig, 04103, Germany

RECRUITING

Universitätsklinikum Mannheim GmbH

Mannheim, 68167, Germany

RECRUITING

Klinikum rechts der Isar der Technischen Universität München

München, 81675, Germany

NOT YET RECRUITING

Az. Ospedaliere Umberto I di Ancona

Ancona, 60020, Italy

RECRUITING

Centro di riferimento Oncologico

Aviano (PN), 33081, Italy

NOT YET RECRUITING

Istituto Scientifico Romagnolo

Meldola (FC), 47014, Italy

RECRUITING

ASST Grande Ospedale Metropolitano Niguarda

Milan, 20162, Italy

RECRUITING

AOU Università degli Studi della Campania Luigi Vanvitelli

Naples, 80131, Italy

RECRUITING

Fondazione Policlinico Universitario Campus Bio-medico

Rome, 00128, Italy

NOT YET RECRUITING

Aichi Cancer Center Hospital

Aichi, Nagoya, 464-8681, Japan

RECRUITING

National Cancer Center Hospital East

Chiba, Kashiwa, 277-8577, Japan

RECRUITING

Kyushu University Hospital

Fukuoka, Fukuoka, 812-8582, Japan

NOT YET RECRUITING

Hokkaido University Hospital

Hokkaido, Sapporo, 060-8648, Japan

NOT YET RECRUITING

Okayama University Hospital

Okayama, Okayama, 700-8558, Japan

NOT YET RECRUITING

Osaka International Cancer Institute

Osaka, Osaka, 541-8567, Japan

RECRUITING

Shizuoka Cancer Center

Shizuoka, Sunto-gun, 411-8777, Japan

RECRUITING

National Cancer Center Hospital

Tokyo, Chuo-ku, 104-0045, Japan

RECRUITING

Japanese Foundation for Cancer Research

Tokyo, Koto-ku, 135-8550, Japan

RECRUITING

Nederlands Kanker Instituut

Amsterdam, 1066 CX, Netherlands

RECRUITING

Radboud Universitair Medisch Centrum

Nijmegen, 6525 GL, Netherlands

RECRUITING

Oslo Universitetssykehus HF, Radiumhospitalet

Oslo, N-0379, Norway

RECRUITING

Pan American Center for Oncology Trials, LLC

Rio Piedras, 00935, Puerto Rico

RECRUITING

National Cancer Centre Singapore

Singapore, 168583, Singapore

NOT YET RECRUITING

Seoul National University Hospital

Seoul, 03080, South Korea

RECRUITING

Severance Hospital

Seoul, 03722, South Korea

RECRUITING

Asan Medical Center

Seoul, 05505, South Korea

RECRUITING

Samsung Medical Center

Seoul, 135-710, South Korea

RECRUITING

Complejo Hospitalario Universitario A Coruña

A Coruña, 15006, Spain

RECRUITING

Hospital Germans Trias i Pujol

Badalona, 08916, Spain

NOT YET RECRUITING

Hospital del Mar

Barcelona, 08003, Spain

RECRUITING

Hospital Universitari Vall d'Hebron

Barcelona, 08035, Spain

RECRUITING

Hospital Duran i Reynals

Barcelona, 08908, Spain

NOT YET RECRUITING

Clínica Universidad de Navarra - Madrid

Madrid, 28027, Spain

RECRUITING

Hospital Clínico San Carlos

Madrid, 28040, Spain

RECRUITING

Clínica Universidad de Navarra

Pamplona, 31008, Spain

RECRUITING

Hospital Virgen del Rocío

Seville, 41013, Spain

RECRUITING

Hospital Clinico De Valencia (INCLIVA)

Valencia, 46010, Spain

NOT YET RECRUITING

Ninewells Hospital & Medical School

Dundee, DD1 9SY, United Kingdom

NOT YET RECRUITING

The Christie Hospital

Manchester, M20 4BX, United Kingdom

NOT YET RECRUITING

Related Publications (1)

  • Schram AM, Park JJ, Italiano A, Kitano S, Guo Y, Li J, Bedard PL, van Marcke C, Ko R, Lunger L, Klotz DM, Hussain J, Maier D, Erzen D, Planchard D, Prenen H, Clay TD, Park JO, Kim HD, Hernando-Calvo A, Maruki Y, Ponz-Sarvise M, Dumbrava E. Beamion PANTUMOR-1: rationale and design of a Phase II trial of zongertinib in HER2-overexpressed/amplified or HER2-mutant solid tumors. Future Oncol. 2026 Mar;22(7):795-803. doi: 10.1080/14796694.2026.2637740. Epub 2026 Mar 4.

Related Links

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 30, 2024

First Posted

September 3, 2024

Study Start

October 11, 2024

Primary Completion (Estimated)

December 31, 2027

Study Completion (Estimated)

December 29, 2028

Last Updated

June 9, 2026

Record last verified: 2026-06

Data Sharing

IPD Sharing
Will share

Once the criteria in section 'time frame' are fulfilled, researchers can use the following link hhttps://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
One year after the approval has been granted by major Regulatory Authorities and after the primary manuscript has been accepted for publication, or after termination of the development program.
Access Criteria
For study documents -upon signing of a 'Document Sharing Agreement'.For study data -1. after the submission and approval of the research proposal (checks will be performed by the sponsor and/or the independent review panel, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a legal agreement.
More information

Locations