Lung Cancer, Non-squamous, Non-small CellPhase 3NCT06151574
Beamion LUNG-2: A Study to Test Whether Zongertinib (BI 1810631) Helps People With Advanced Non-small Cell Lung Cancer With HER2 Mutations Compared With Standard Treatment
A Phase 3 study testing zongertinib, pembrolizumab and cisplatin in people with Lung Cancer, Non-squamous, Non-small Cell, run by Boehringer Ingelheim at 163 sites in 26 countries.
Trial summary
This study is open to adults 18 years and older with advanced or metastatic non-small cell lung cancer. People can join the study if they have tumours with HER2 mutations and have not yet received any systemic therapy including chemotherapy for advanced or metastatic lung cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lung Cancer, Non-squamous, Non-small Cell
- What is being tested?
- zongertinib, pembrolizumab and cisplatin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 428 participants
- Where
- 163 sitesin 26 countries
- Study dates
- 9 Feb 2024to 28 Jan 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed and dated written informed consent form (ICF) in accordance with International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use - Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial.
- Patients ≥18 years of age or over the legal age of consent in countries where that is greater than 18 years at the time of signature of the ICF.
- Histologically or cytologically confirmed diagnosis of an advanced and/or metastatic non-squamous Non-small cell lung cancer (NSCLC).
- Documented Human epidermal growth factor receptor 2 (HER2) mutation in the Tyrosine kinase domain (TKD) as per local lab results.
- An archival tumor tissue sample must be submitted to the central laboratory after inclusion of the patient to retrospectively confirm the HER2 status. If no archival tissue is available, this may be acceptable in exceptional cases after written agreement with the sponsor.
- Patients who have not received any systemic treatment for unresectable, locally advanced or metastatic disease and are not eligible for curative therapy.
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- Presence of at least one measurable lesion according to Response evaluation criteria in solid tumors (RECIST) 1.1, as determined by the local site investigator/radiology assessment.
- Eligible to receive treatment with the selected platinum-based doublet-chemotherapy (i.e. cisplatin/pemetrexed or carboplatin/pemetrexed) and pembrolizumab in accordance with the Summaries of Product Characteristics (SmPC)/Product Information.
- Further inclusion criteria apply.
Who cannot join
- Previous or concomitant malignancies other than the one treated in this trial within the last 5 years, except;
- effectively treated non-melanoma skin cancers
- effectively treated carcinoma in situ of the cervix
- effectively treated ductal carcinoma in situ
- other effectively treated malignancy that is considered cured by local treatment
- Tumors with targetable alterations with approved available therapy.
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- Lung-specific intercurrent clinically significant severe illness based on investigators assessment.
- 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.
- Major surgery (major according to the investigator's assessment) performed within 4 weeks prior to randomization or planned within 6 months after screening, e.g. hip replacement.
- Any history of or concomitant condition that, in the opinion of the investigator, would compromise the patient's ability to comply with the trial or interfere with the evaluation of the safety and efficacy of the test drug.
- History or presence of cardiovascular abnormalities such as uncontrolled hypertension, congestive heart failure New York Heart Association (NYHA) classification of ≥ III or IV, unstable angina or poorly controlled arrhythmia which are considered as clinically relevant by the investigator. Myocardial infarction, stroke, or pulmonary embolism within 6 months prior to randomization.
- Any clinically important abnormalities (as assessed by the investigator) in rhythm, conduction, or morphology of resting electrocardiograms, e.g. complete left bundle branch block, third degree heart block.
- Further exclusion criteria apply.
Trial locations and contacts
163 sites in 26 countries.
163 sites in 26 countries
United States22 sites
Precision NextGen Oncology
Beverly Hills, California, 90212
St. Louis Cancer Care, LLP
Bridgeton, Missouri, 63044
Pioneer Research Center - Bullhead City
Bullhead City, Arizona, 86442
Gabrail Cancer Center
Canton, Ohio, 44718
Swedish Cancer Institute
Edmonds, Washington, 98026
Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031
ClinRé 001-022 (Premier Cancer Care and Infusion Center)
Fresno, California, 93710
OPN Healthcare, Inc.
Glendale, California, 91203
Clearview Cancer Institute
Huntsville, Alabama, 35805
Swedish Cancer Institute
Issaquah, Washington, 98029
Scripps Green Hospital
La Jolla, California, 92037
Northwell Health
Lake Success, New York, 11042
Valkyrie Clinical Trials
Los Angeles, California, 90067
SCRI Oncology Partners
Nashville, Tennessee, 37203
Cancer Care Specialists
Reno, Nevada, 89511
Carolina Blood and Cancer Care Associates, PA
Rock Hill, South Carolina, 29732
Huntsman Cancer Institute
Salt Lake City, Utah, 84112
Sharp Memorial Hospital
San Diego, California, 92123
Swedish Cancer Institute
Seattle, Washington, 98104
Oncology Hematology Associates
Springfield, Missouri, 65807
Montefiore Medical Center
The Bronx, New York, 10461
Regional Medical Oncology Center
Wilson, North Carolina, 27893
Japan20 sites
Aichi Cancer Center Hospital
Aichi, Nagoya, 464-8681
Hirosaki University Hospital
Aomori, Hirosaki, 036-8563
National Cancer Center Hospital East
Chiba, Kashiwa, 277-8577
Shikoku Cancer Center
Ehime, Matsuyama, 791-0280
Kyushu University Hospital
Fukuoka, Fukuoka, 812-8582
Hakodate Goryoukaku Hospital
Hokkaido, Hakodate, 040-8611
Hokkaido Cancer Center
Hokkaido, Sapporo, 003-0804
Kanazawa University Hospital
Ishikawa, Kanazawa, 920-8641
St. Marianna University Hospital
Kanagawa, Kawasaki, 216-8511
Kanagawa Cancer Center
Kanagawa, Yokohama, 241-8515
University Hospital Kyoto Prefectural University of Medicine
Kyoto, Kyoto, 602-8566
Tohoku University Hospital
Miyagi, Sendai, 980-8574
Okayama University Hospital
Okayama, Okayama, 700-8558
Osaka International Cancer Institute
Osaka, Osaka, 541-8567
Shizuoka Cancer Center
Shizuoka, Sunto-gun, 411-8777
Juntendo University Hospital
Tokyo, Bunkyo-ku, 113-8431
Komagome Hospital
Tokyo, Bunkyo-ku, 113-8677
National Cancer Center Hospital
Tokyo, Chuo-ku, 104-0045
Japanese Foundation for Cancer Research
Tokyo, Koto-ku, 135-8550
Wakayama Medical University Hospital
Wakayama, Wakayama, 641-8510
China16 sites
Cancer Hospital of Chinese Academy of Medical Science
Beijing, 1000021
Beijing Cancer Hospital
Beijing, 100142
West China Hospital, Sichuan University
Chengdu, 610042
Fujian Cancer Hospital
Fuzhou, 350014
Guangdong Provincial People's Hospital
Guangzhou, 510080
The First Affiliated Hospital, Zhejiang University
Hangzhou, 310003
Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine
Hangzhou, 310016
Zhejiang Cancer Hospital
Hangzhou, 310022
Harbin Medical University Cancer Hospital
Harbin, 150081
Fudan University Shanghai Cancer Center
Shanghai, 200032
Zhongshan Hospital Affiliated to Fudan University
Shanghai, 200032
Taizhou Hospital of Zhejiang Province
Taizhou, 317099
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, 325000
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, 430022
First Affiliated Hospital of Xiamen University
Xiamen, 361003
Henan Cancer Hospital
Zhengzhou, 450008
Spain13 sites
Complejo Hospitalario Universitario A Coruña
A Coruña, 15006
Hospital General Universitario de Alicante
Alicante, 03010
Hospital Santa Creu i Sant Pau
Barcelona, 08026
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Duran i Reynals
Barcelona, 08908
Hospital de Basurto
Bilbao, 48013
Hospital General Universitario Gregorio Marañón
Madrid, 28009
Hospital Universitario Ramon Y Cajal
Madrid, 28034
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario La Paz
Madrid, 28046
Hospital Regional Universitario de Malaga
Málaga, 29010
Hospital Virgen del Rocio
Seville, 41013
Hospital Clinico Universitario de Valencia
Valencia, 46010
France9 sites
Hopital Louis Pradel
Bron, 69677
CTR Leon Berard
Lyon, 69373
HOP Nord
Marseille, 13015
HOP Tenon
Paris, 75020
INS Curie
Paris, 75248
HOP Pontchaillou
Rennes, 35000
HOP Civil
Strasbourg, 67091
Hôpital Larrey - CHU de Toulouse
Toulouse, 31059
Institut Gustave Roussy
Villejuif, 94805
Germany8 sites
Universitätsklinikum Augsburg
Augsburg, 86156
Gemeinschaftskrankenhaus Havelhöhe gGmbH
Berlin, 14089
Universitätsklinikum Köln (AöR)
Cologne, 50937
Universitätsklinikum Carl Gustav Carus Dresden
Dresden, 01307
Justus-Liebig Universität Gießen
Giessen, 35392
Thoraxklinik-Heidelberg gGmbH am Universitätsklinikum Heidelberg
Heidelberg, 69126
Pius-Hospital, Oldenburg
Oldenburg, 26121
Universitätsklinikum Tübingen
Tübingen, 72076
South Korea8 sites
Chungbuk National University Hospital
Cheongiu, 28644
National Cancer Center
Goyang, 10408
Gachon University Gil Medical Center
Incheon, 21565
Kangbuk Samsung Hospital
Seoul, 03181
Severance Hospital
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
The Catholic University of Korea, St.Vincent's Hospital
Suwon, 16247
Brazil7 sites
Associacao Dr. Bartholomeu Tacchini
Bento Gonçalves, 95700-084
Hospital do Câncer de Londrina
Londrina, 86015-520
Hospital Sao Lucas da PUCRS
Porto Alegre, 90610-000
OncoClinicas Rio de Janeiro
Rio de Janeiro, 22250-905
CEPHO - Centro de Estudos e Pesquisas em Hematologia e Oncologia
Santo André, 09060-650
Fundaçao Faculdade Regional de Medicina de Sao Jose do Rio Preto
São José do Rio Preto, 15090-000
ICESP - Instituto do Cancer do Estado de Sao Paulo
São Paulo, 01246-000
Italy7 sites
Istituto Tumori Giovanni Paolo II
Bari, 70124
Istituto Di Candiolo
Candiolo (TO), 10060
Azienda Ospedaliero-Universitaria Policlinico G. Rodolico-San Marco Di Catania
Catania, 95123
Istituto Nazionale IRCCS Tumori Fondazione Pascale
Naples, 80131
Azienda Ospedaliera Unversitaria di Parma
Parma, 43100
AOU Policlinico Umberto I
Roma, 00161
A. O. Ospedale Circolo Fond. Macchi
Varese, 21100
Argentina5 sites
Clinica Adventista Belgrano
CABA, 1430
Instituto Medico Especializado Alexander Fleming
Ciudad Autónoma de Bs As, C1426ANZ
Instituto Oncologico de Cordoba
Córdoba, X5000
Centro Oncologico Riojano Integral (CORI)
La Rioja, F5300COE
Instituto Medico de la Fundacion Estudios Clinicos
Rosario, S2000DEJ
Australia5 sites
Austin Health
Heidelberg, Victoria, 3084
Prince of Wales Hospital-Randwick-66496
Randwick, New South Wales, 2031
Royal North Shore Hospital-St Leonards-20807
St Leonards, New South Wales, 2065
St John of God Subiaco Hospital
Subiaco, Western Australia, 6008
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Taiwan5 sites
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 83301
Chung Shan Medical University Hospital
Taichung, 404
National Taiwan University Hospital
Taipei, 100
National Taiwan University Cancer Center
Taipei, 106
Chang Gung Memorial Hospital, Linkou
Taoyuan, 330
United Kingdom5 sites
Western General Hospital
Edinburgh, EH4 2XU
Leicester Royal Infirmary
Leicester, LE1 5WW
Guy's Hospital
London, SE1 9RT
The Royal Marsden Hospital, Chelsea
London, SW3 6JJ
The Royal Marsden Hospital, Sutton
Sutton, SM2 5PT
Israel4 sites
Rambam Medical Center
Haifa, 3109601
Meir Medical Center
Kfar Saba, 4428164
Rabin Medical Center Beilinson
Petah Tikva, 49100
Sourasky Medical Center
Tel Aviv, 6423906
Mexico4 sites
Centro Oncologico Personalizado
México, 06760
Instituto Nacional de Cancerologia
México, 14080
Health Pharma Professional Research S.A. de C.V.
Mexico City, 03100
FAICIC S de RL de C.V.
Veracruz, 91900
Poland4 sites
Polish Mother's Memorial Hospital - Research Institute
Lodz, 93-338
Greater Poland Center of Pulmonology and Thoracic Surgery
Poznan, 60-569
Med Polonia Sp. z o.o
Poznan, 60693
Oncology Center-Maria Sklodowska-Curie Institute
Warsaw, 02-781
Belgium3 sites
Brussels - HOSP Jules Bordet
Anderlecht, 1070
Universitair Ziekenhuis Gent
Ghent, 9000
UZ Leuven
Leuven, 3000
Hong Kong3 sites
Queen Elizabeth Hospital-Hong Kong-51727
Hong Kong, 51727
Princess Margaret Hospital
Hong Kong, 999077
Queen Mary Hospital
Hong Kong, 999077
Portugal3 sites
Hospital CUF Tejo
Lisbon, 1350-352
Centro Hospitalar Lisboa Norte Hospital Pulido Valente
Lisbon, 1769-001
Hospital CUF Porto
Porto, 4100-180
Austria2 sites
Krems University Hospital
Krems, 3500
Clinic Floridsdorf
Vienna, 1210
Netherlands2 sites
Nederlands Kanker Instituut - Antoni van Leeuwenhoek Amsterdam (METC AVL)
Amsterdam, 1066 CX
Maastricht University Medisch Centrum
Maastricht, 6229 HX
Norway2 sites
Vestre Viken HF, Drammen Sykehus
Drammen, N-3004
Oslo Universitetssykehus HF, Radiumhospitalet
Oslo, 0379
Singapore2 sites
National University Hospital-Singapore-22806
Singapore, 119228
National Cancer Centre Singapore
Singapore, 168583
Sweden2 sites
Sahlgrenska Universitetsjukhuset
Gothenburg, 413 45
Karolinska Universitetssjukhuset Solna
Stockholm, 171 76
Puerto Rico1 site
Pan American Center for Oncology Trials, LLC
Rio Piedras, 00935
About this study
Official title: Beamion LUNG 2: A Phase III, Open-label, Randomized, Active-controlled, Multi-centre Trial Evaluating Orally Administered Zongertinib (BI 1810631) Compared With Standard of Care as First-line Treatment in Patients With Unresectable, Locally Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer Harbouring HER2 Tyrosine Kinase Domain Mutations
This study is open to adults 18 years and older with advanced or metastatic non-small cell lung cancer. People can join the study if they have tumours with HER2 mutations and have not yet received any systemic therapy including chemotherapy for advanced or metastatic lung cancer. The purpose of this study is to find out whether a medicine called zongertinib (BI 1810631) can slow down the worsening of advanced non-small cell lung cancer better than the standard treatment available. Zongertinib may slow cancer cell growth by inhibiting HER2. This would prolong cancer re-occurrence and increase survival. Current standard treatment is pembrolizumab plus platinum-pemetrexed chemotherapy.
Participants are put into 2 groups by chance. One group receives zongertinib at regular times throughout the study and the other group receives infusions of pembrolizumab, pemetrexed and cisplatin or carboplatin (pembrolizumab plus platinum-pemetrexed chemotherapy) into a vein.
Participants may be in the study up to a maximum of 70 months. During this time, they visit the study site about every 3 weeks for study procedures. Some visits may be conducted remotely later in the study if approved by the study doctor. The doctors regularly check the size of the tumour with a CT or MRI scan, at the beginning of the study and every 6 weeks. After 18 months they check the tumour size every 12 weeks. Doctors regularly check whether the cancer has spread to other parts of the body. The doctors also regularly check participants' health and take note of any unwanted effects. The time it takes for the cancer to worsen is compared between the 2 groups to see whether the treatment works. The participants also fill in questionnaires about their symptoms and quality of life.
- Being tested
- zongertinib, pembrolizumab, cisplatin, carboplatin, pemetrexed
- Medical subject headings
- Lung Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
zongertinibDrug
Also called BI 1810631, Hernexeos®
zongertinib
pembrolizumabDrug
Also called Keytruda®
pembrolizumab
cisplatinDrug
platinum-pemetrexed chemotherapy
carboplatinDrug
platinum-pemetrexed chemotherapy
pemetrexedDrug
platinum-pemetrexed chemotherapy
| Study group | Role | What they receive |
|---|---|---|
| Experimental treatment arm | Experimental | zongertinib only Receives: Drug: zongertinib |
| Comparator arm | Active comparator | pembrolizumab plus platinum-pemetrexed chemotherapy Receives: Drug: pembrolizumab; Drug: cisplatin; Drug: carboplatin; Drug: pemetrexed |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival (PFS) according to Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 determined by blinded central independent review
PFS is defined as the time from randomization until tumor progression according to RECIST 1.1 or death from any cause, whichever occurs earlier.
Measured: up to 4 years and 5 months
Secondary outcomes (15)
Key secondary endpoint: Overall Response (OR) according to RECIST 1.1 determined by blinded central independent review
OR is defined as confirmed best overall response of complete response (CR) or partial response (PR), where best overall response is determined according to RECIST 1.1 from date of randomization until the earliest of disease progression, death, or last evaluable tumor assessment before start of subsequent anti-cancer therapy, loss to follow-up or withdrawal of consent.
Measured: up to 53 months
Key secondary endpoint: Change from baseline to Week 25 of Non-small cell lung cancer Symptom Assessment Questionnaire (NSCLC-SAQ) total score
The NSCLC-SAQ is a 7-item patient-reported outcome measure for use in adults to assess symptoms of advanced NSCLC.
It contains five domains and accompanying items that were identified as symptoms of NSCLC: cough (1 item), pain (2), dyspnea (1), fatigue (2), and appetite (1).
The (total) lowest score possible is 0, and the highest (total) score possible is 20. Higher scores indicate more severe symptoms.
Measured: at baseline, at week 25
Key secondary endpoint: Overall Survival (OS)
OS is defined as the time from randomization until death from any cause.
Measured: up to 53 months
Duration of response (DoR), determined by blinded central independent review
DoR is defined as the time from first documented complete response (CR) or partial response (PR) until the earliest of disease progression or death among patients with objective response.
Measured: up to 53 months
PFS determined by blinded central independent review
PFS is defined as the time from randomization until tumor progression or death from any cause, whichever occurs earlier.
Measured: up to 53 months
Bi-compartmental PFS, determined by blinded central independent review
Bi-compartmental PFS is defined as the time from randomization until tumor progression according to RECIST 1.1 or death from any cause, whichever occurs earlier.
Measured: up to 53 months
OR determined by blinded central independent review
OR is defined as confirmed best overall response of CR or PR, from date of randomization until the earliest progression, death, or last evaluable tumor assessment before start of subsequent anti-cancer therapy, loss to follow-up or withdrawal of consent.
Measured: up to 53 months
Change from baseline to Week 25 in the NSCLC-SAQ pain domain score
The individual NSCLC-SAQ items use a five-point verbal rating scale from "No <symptom> At All" to "Very severe <symptom>" or from "Never to Always," corresponding to an (item) score of 0 to 4. A higher score indicates more severe symptoms.
Measured: at baseline, at week 25
Change from baseline to Week 25 in the NSCLC-SAQ dyspnea domain score
Measured: at baseline, at week 25
Change from baseline to Week 25 in the NSCLC-SAQ cough domain score
Measured: at baseline, at week 25
Change from baseline to Week 25 in the NSCLC-SAQ appetite domain score
Measured: at baseline, at week 25
Change from baseline to Week 25 in the NSCLC-SAQ fatigue domain score
Measured: at baseline, at week 25
Change from baseline to Week 25 in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) physical functioning domain score
The EORTC QLQ-C30 is a quality of life questionnaire. It ranges from 0 to 100, higher scores equal worse outcome.
Measured: at baseline, at week 25
Occurrence of adverse events (AEs) during the on-treatment period, graded according to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0
Measured: up to 53 months
Occurrence of serious AEs (SAEs) during the on-treatment period, graded according to CTCAE version 5.0
Measured: up to 53 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Nov 2023
- Study start9 Feb 2024
- Primary completion10 Dec 2026 (estimated)
- Study completion28 Jan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Lung Cancer, Non-squamous, Non-small CellStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 428 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06151574
- Sponsor's protocol ID
- 1479-0008
- Other IDs
- 2023-504308-27-00, U1111-1294-1407, 2023
- Status last verified
- Sep 2026
- First submitted
- 22 Nov 2023
- Last updated
- 1 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Once the criteria in section "Time Frame" are fulfilled, researchers can use the following link https://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.
Publications
Puri S, Ismaila N, Azar IH, Freeman-Daily J, Furuya N, Kuruvilla S, Roof L, Velazquez AI, Wang Y, Wheatley Price P, Leighl NB. Therapy for Stage IV Non-Small Cell Lung Cancer With Driver Alterations: ASCO Living Guideline, Version 2026.3.2. J Clin Oncol. 2026 Sep 10;44(26):e127-e139. doi: 10.1200/JCO-26-01479. Epub 2026 Jun 29.
PubMed 42372216
Study at a glance
From the registry record, last updated by the sponsor on 1 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Beamion LUNG 2: A Phase III, Open-label, Randomized, Active-controlled, Multi-centre Trial Evaluating Orally Administered Zongertinib (BI 1810631) Compared With Standard of Care as First-line Treatment in Patients With Unresectable, Locally Advanced or Metastatic Non-squamous Non-small Cell Lung Cancer Harbouring HER2 Tyrosine Kinase Domain Mutations
- ClinicalTrials.gov ID
- NCT06151574
- Acronym / sponsor ID
- 1479-0008
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 428 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- 9 Feb 2024 (actual)
- Primary completion
- 10 Dec 2026 (estimated)
- Study completion
- 28 Jan 2028 (estimated)
- First posted
- 30 Nov 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is open to adults 18 years and older with advanced or metastatic non-small cell lung cancer. People can join the study if they have tumours with HER2 mutations and have not yet received any systemic therapy including chemotherapy for advanced or metastatic lung cancer. The purpose of this study is to find out whether a medicine called zongertinib (BI 1810631) can slow down the worsening of advanced non-small cell lung cancer better than the standard treatment available. Zongertinib may slow cancer cell growth by inhibiting HER2. This would prolong cancer re-occurrence and increase survival. Current standard treatment is pembrolizumab plus platinum-pemetrexed chemotherapy.
Participants are put into 2 groups by chance. One group receives zongertinib at regular times throughout the study and the other group receives infusions of pembrolizumab, pemetrexed and cisplatin or carboplatin (pembrolizumab plus platinum-pemetrexed chemotherapy) into a vein.
Participants may be in the study up to a maximum of 70 months. During this time, they visit the study site about every 3 weeks for study procedures. Some visits may be conducted remotely later in the study if approved by the study doctor. The doctors regularly check the size of the tumour with a CT or MRI scan, at the beginning of the study and every 6 weeks. After 18 months they check the tumour size every 12 weeks. Doctors regularly check whether the cancer has spread to other parts of the body. The doctors also regularly check participants' health and take note of any unwanted effects. The time it takes for the cancer to worsen is compared between the 2 groups to see whether the treatment works. The participants also fill in questionnaires about their symptoms and quality of life.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental treatment arm | Experimental | Drug: zongertinibzongertinib only |
| Comparator arm | Active comparator | Drug: pembrolizumab, Drug: cisplatin, Drug: carboplatin, Drug: pemetrexedpembrolizumab plus platinum-pemetrexed chemotherapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Signed and dated written informed consent form (ICF) in accordance with International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use - Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial.
- Patients ≥18 years of age or over the legal age of consent in countries where that is greater than 18 years at the time of signature of the ICF.
- Histologically or cytologically confirmed diagnosis of an advanced and/or metastatic non-squamous Non-small cell lung cancer (NSCLC).
- Documented Human epidermal growth factor receptor 2 (HER2) mutation in the Tyrosine kinase domain (TKD) as per local lab results.
- An archival tumor tissue sample must be submitted to the central laboratory after inclusion of the patient to retrospectively confirm the HER2 status. If no archival tissue is available, this may be acceptable in exceptional cases after written agreement with the sponsor.
Key exclusion criteria (13 listed)
- Previous or concomitant malignancies other than the one treated in this trial within the last 5 years, except;
- Tumors with targetable alterations with approved available therapy.
- Lung-specific intercurrent clinically significant severe illness based on investigators assessment.
- 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.
- Major surgery (major according to the investigator's assessment) performed within 4 weeks prior to randomization or planned within 6 months after screening, e.g. hip replacement.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| zongertinibAlso: BI 1810631, Hernexeos®zongertinib | Drug | Experimental treatment arm |
| pembrolizumabAlso: Keytruda®pembrolizumab | Drug | Comparator arm |
| cisplatinplatinum-pemetrexed chemotherapy | Drug | Comparator arm |
| carboplatinplatinum-pemetrexed chemotherapy | Drug | Comparator arm |
| pemetrexedplatinum-pemetrexed chemotherapy | Drug | Comparator arm |
Primary outcome
Progression-free survival (PFS) according to Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 determined by blinded central independent review
Time frame: up to 4 years and 5 months
PFS is defined as the time from randomization until tumor progression according to RECIST 1.1 or death from any cause, whichever occurs earlier.
15 secondary outcomes
Key secondary endpoint: Overall Response (OR) according to RECIST 1.1 determined by blinded central independent review
Time frame: up to 53 months
Key secondary endpoint: Change from baseline to Week 25 of Non-small cell lung cancer Symptom Assessment Questionnaire (NSCLC-SAQ) total score
Time frame: at baseline, at week 25
Key secondary endpoint: Overall Survival (OS)
Time frame: up to 53 months
Duration of response (DoR), determined by blinded central independent review
Time frame: up to 53 months
PFS determined by blinded central independent review
Time frame: up to 53 months
Bi-compartmental PFS, determined by blinded central independent review
Time frame: up to 53 months
OR determined by blinded central independent review
Time frame: up to 53 months
Change from baseline to Week 25 in the NSCLC-SAQ pain domain score
Time frame: at baseline, at week 25
Change from baseline to Week 25 in the NSCLC-SAQ dyspnea domain score
Time frame: at baseline, at week 25
Change from baseline to Week 25 in the NSCLC-SAQ cough domain score
Time frame: at baseline, at week 25
Change from baseline to Week 25 in the NSCLC-SAQ appetite domain score
Time frame: at baseline, at week 25
Change from baseline to Week 25 in the NSCLC-SAQ fatigue domain score
Time frame: at baseline, at week 25
Change from baseline to Week 25 in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) physical functioning domain score
Time frame: at baseline, at week 25
Occurrence of adverse events (AEs) during the on-treatment period, graded according to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0
Time frame: up to 53 months
Occurrence of serious AEs (SAEs) during the on-treatment period, graded according to CTCAE version 5.0
Time frame: up to 53 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Oct 2026.
- Derived from this study: PubMed 42372216Puri S, Ismaila N, Azar IH, Freeman-Daily J, Furuya N, Kuruvilla S, Roof L, Velazquez AI, Wang Y, Wheatley Price P, Leighl NB. Therapy for Stage IV Non-Small Cell Lung Cancer With Driver Alterations: ASCO Living Guideline, Version 2026.3.2. J Clin Oncol. 2026 Sep 10;44(26):e127-e139. doi: 10.1200/JCO-26-01479. Epub 2026 Jun 29.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Once the criteria in section "Time Frame" are fulfilled, researchers can use the following link https://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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
163 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing zongertinib, pembrolizumab and cisplatin in people with Lung Cancer, Non-squamous, Non-small Cell, run by Boehringer Ingelheim at 163 sites in 26 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 1 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 163 sites in United States, Japan, China, Spain, France and 21 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free survival (PFS) according to Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 determined by blinded central independent review (time frame: up to 4 years and 5 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06151574, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Oct 2026.