Last updated 18 days ago

Beamion LUNG-3: Adjuvant Zongertinib vs Standard Treatment in People With Completely Resected Stage II-IIIB NSCLC Harboring Activating HER2 TKD Mutations

400 patients around the world
Available in Chile, Brazil, Argentina, United States, Mexico
This is a global, randomized, open-label, Phase 3 study designed to assess the efficacy and safety of zongertinib as adjuvant therapy in participants with completely resected Stage II-IIIB NSCLC and HER2 TKD-activating mutations. Participants must have undergone complete resection and received perioperative systemic therapy consistent with current standards, including either neoadjuvant platinum-based chemotherapy with or without immunotherapy, or adjuvant platinum-based chemotherapy. After completing surgery and required systemic treatment, eligible participants are randomized 1:1 to receive either Zongertinib taken orally once daily for up to 3 years, or standard treatment, which may include an approved adjuvant immunotherapy agent administered according to its label, or observation, depending on local clinical practice and patient status. The primary objective is to evaluate whether zongertinib improves disease-free survival (DFS) compared with standard treatment. Secondary objectives include overall survival (OS), safety, tolerability, and patient-reported outcomes.
Boehringer Ingelheim
19Research sites
400Patients around the world

This study is for people with

Lung cancer
Non-small cell lung carcinoma

Requirements for the patient

From 18 Years
All Gender

Medical requirements

Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial.
Patients must be ≥18 years old or over the legal age of consent in their country.
Male or female patients.
Women of childbearing potential (WOCBP) must be ready and able to use dual highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly.
A list of contraception methods meeting these criteria is provided in the patient information and in the study protocol.
HER2 mutation: Documented Tyrosine kinase domain (TKD) activating Human epidermal growth factor receptor 2 (HER2) mutations.
Histology and tumor sample: Histologically confirmed diagnosis of primary NSCLC.
An archival tumor tissue sample must be submitted to the central laboratory after inclusion of the patient to retrospectively confirm the HER2 status.
Staging: Pretherapeutic classification not exceeding Stage IIIB.
Performance status and organ function.
Eastern Cooperative Oncology Group (ECOG) score of 0 or 1.
Adequate organ function based on laboratory values.
Diagnosis of NSCLC with mixed histology/positive neuroendocrine markers (synaptophysin/CD56).
Major surgery (major according to the investigator's assessment) performed within 4 weeks prior to randomization.
Treatment with radiation therapy for primary NSCLC.
Co-occurring actionable mutation with approved targeted therapy (e.g. Epidermal growth factor receptor (EGFR) or Anaplastic lymphoma kinase (ALK)).
Any investigational drug within 5 half-lives of the compound or any of its related material, if known.
History or presence of.
Active or known pre-existing or history of non-infectious interstitial lung disease/pneumonitis.
Active infectious disease requiring systemic therapy.
Uncontrolled gastrointestinal disorders affecting drug intake/absorption.
Previous or concomitant malignancies within the last 3 years, except certain effectively treated cancers.
Significant and/or uncontrolled cardiovascular abnormalities, QT interval corrected for heart rate by Fridericia formula (QTcF) >470 msec, or ejection fraction <50%.

Sites

Hospital Británico de Buenos Aires - CABA
Hospital Británico de Buenos Aires - CABA
Recruiting
Perdriel 74, CABA, Buenos Aires
Instituto de Investigaciones Clínicas Mar del Plata
Instituto de Investigaciones Clínicas Mar del Plata
Recruiting
Av. Colón 3456, Mar del Plata, Buenos Aires
Clínica Adventista Belgrano - CABA - Buenos Aires
Clínica Adventista Belgrano - CABA - Buenos Aires
Recruiting
Estomba 1710, CABA, Buenos Aires
Centro Oncológico Korben
Centro Oncológico Korben
Recruiting
Cdad. de La Paz 353, C1426 CABA, Argentina
Fundación CENIT para la Investigación en Neurociencias
Recruiting
Juncal 2222, C1125 CABA, Argentina
Instituto Médico Especializado Alexander Fleming - CABA, Buenos Aires
Av. Crámer 1180, CABA, Buenos Aires
Diagnóstico Médico - Centro de Investigaciones Médicas y Desarrollo LC S.R.L. - CABA
Recruiting
Junín 1023, C1113AAE Cdad. Autónoma de Buenos Aires, Argentina
AC Camargo Cancer Center
São Paulo, 01509-001
Hospital de Câncer de Barretos - Fundação PIO XII (Hospital de AMOR)
Recruiting
Rua Antenor Duarte Villela 1331 - Barretos, Sao Paulo, 14784-400
Centro Gaucho Integrado de Oncologia, Hematologia, Ensino e Pesquisa - Mãe de Deus Hospital
Porto Alegre, 90110-270
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