RecruitingPhase 3NCT07195695

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

Beamion LUNG-3: A Randomized, Controlled, Multi-center Trial Evaluating Zongertinib as an Adjuvant Monotherapy Compared With Standard of Care in Patients With Early-stage, Resectable Non-small Cell Lung Cancer (Stage II-IIIB) Harboring Tyrosine Kinase Domain Activating HER2 Mutations


Sponsor

Boehringer Ingelheim

Enrollment

400 participants

Start Date

Jan 16, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

Beamion LUNG-3 study evaluates whether zongertinib, an oral HER2-targeted treatment, can improve outcomes compared with standard adjuvant treatment in adults with completely resected Stage II-IIIB non-small cell lung cancer (NSCLC) whose tumors have activating HER2 tyrosine kinase domain (TKD) mutations. Eligible participants must have undergone curative-intent surgery and received guideline-appropriate perioperative systemic therapy, either neoadjuvant platinum-based chemotherapy with or without immunotherapy, or adjuvant platinum-based chemotherapy. Participants are randomized 1:1 to receive zongertinib or standard of care, which may consist of approved adjuvant immunotherapy or active surveillance, based on local practice guidelines. The main purpose of the study is to determine whether zongertinib can prolong disease-free survival compared to standard treatment. Safety and patient-reported outcomes are also assessed.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This trial (Beamion LUNG-3) is testing whether a targeted drug called zongertinib — which blocks a mutated protein called HER2 — helps prevent non-small cell lung cancer (NSCLC) from coming back after surgery, compared to standard of care treatment, in patients whose cancer has a HER2 mutation. **You may be eligible if...** - You are 18 years of age or older - You have been diagnosed with HER2-mutant non-small cell lung cancer (specifically an activating mutation in the HER2 tyrosine kinase domain) - Your lung cancer has been surgically removed - You meet the histology and performance requirements of the study - Women of childbearing potential must use highly effective contraception during the study **You may NOT be eligible if...** - You do not have a confirmed HER2 tyrosine kinase domain mutation - Your lung cancer has not been surgically removed - You have conditions that make zongertinib unsafe for you - You are unable to use adequate contraception if applicable Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGZongertinib

Zongertinib

DRUGPembrolizumab

Pembrolizumab

DRUGAtezolizumab

Atezolizumab

DRUGDurvalumab

Durvalumab

DRUGNivolumab

Nivolumab


Locations(197)

ClinRé 001-022 (Premier Cancer Care and Infusion Center)

Fresno, California, United States

OPN Healthcare, Inc.

Glendale, California, United States

University of California Irvine

Irvine, California, United States

Sutter Health

Roseville, California, United States

University of California San Francisco

San Francisco, California, United States

Sarcoma Oncology Center

Santa Monica, California, United States

University of California Los Angeles

Santa Monica, California, United States

Northern California Kaiser Permanente

Vallejo, California, United States

George Washington University Cancer Center

Washington D.C., District of Columbia, United States

Mid Florida Hematology and Oncology Center

Orange City, Florida, United States

Piedmont Cancer Institute

Atlanta, Georgia, United States

Northwest Georgia Oncology Centers

Marietta, Georgia, United States

Saint Alphonsus Regional Medical Center - Boise

Boise, Idaho, United States

Northwestern University

Chicago, Illinois, United States

University of Illinois Hospital and Health Sciences System

Chicago, Illinois, United States

Duly Health and Care - Lisle

Lisle, Illinois, United States

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Cancer Care Specialists

Reno, Nevada, United States

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Laura & Isaac Perlmutter Cancer Center at NYU Langone Health

New York, New York, United States

Memorial Sloan-Kettering Cancer Center

New York, New York, United States

Levine Cancer Institute

Charlotte, North Carolina, United States

Durham VA Health Care System

Durham, North Carolina, United States

Providence Cancer Institute

Portland, Oregon, United States

Hendrick Health

Abilene, Texas, United States

Community Cancer Trials of Utah

Ogden, Utah, United States

Virginia Cancer Specialists, PC

Fairfax, Virginia, United States

Centro de Investigaciones Médicas y Desarrollo LC S.R.L. (LC Investigación)

CABA, Argentina

Hospital Britanico de Buenos Aires

CABA, Argentina

Centro Oncologico Korben

CABA, Argentina

Clinica Adventista Belgrano

CABA, Argentina

Instituto Medico Especializado Alexander Fleming

Capital Federal, Argentina

Royal North Shore Hospital

Sydney, New South Wales, Australia

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia

Flinders Medical Centre

Bedford Park, South Australia, Australia

Austin Health

Heidelberg, Victoria, Australia

St John of God Subiaco Hospital

Subiaco, Western Australia, Australia

Medical University of Innsbruck

Innsbruck, Austria

Clinic Floridsdorf

Vienna, Austria

Edegem - UNIV UZ Antwerpen

Edegem, Belgium

UZ Leuven

Leuven, Belgium

Centre Hospitalier Universitaire de Liège

Liège, Belgium

Hospital de Amor

Barretos, Brazil

NewData Clinical Research - Maceió

Maceió, Brazil

Centro de Pesquisa Oncology Natal

Natal, Brazil

Centro Gaúcho Integrado de Oncologia, Hematologia, Ensino e Pesquisa

Porto Alegre, Brazil

CEPHO - Centro de Estudos e Pesquisas em Hematologia e Oncologia

Santo André, Brazil

ICESP - Instituto do Cancer do Estado de Sao Paulo

São Paulo, Brazil

A.C. Camargo

São Paulo, Brazil

Cross Cancer Institute (University of Alberta)

Edmonton, Alberta, Canada

Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Centro de Estudios Clinicos SAGA

Providencia, Chile

Bradford Hill- Centro de Investigación Clínica

Recoleta, Chile

China-Japan Friendship Hospital

Beijing, China

Beijing Chest Hospital, Capital Medical University

Beijing, China

The First Hospital of Jilin University

Changchun, China

Xiangya Hospital, Central South University

Changsha, China

Hunan Province Tumor Hospital

Changsha, China

Sichuan Cancer Hospital

Chengdu, China

West China Hospital, Sichuan University

Chengdu, China

The First Affiliated Hospital,Sun Yat-sen University

Guangzhou, China

The First Affiliated Hospital, Zhejiang University

Hangzhou, China

Zhejiang Cancer Hospital

Hangzhou, China

Harbin Medical University Cancer Hospital

Harbin, China

Shandong Cancer Hospital

Jinan, China

Yunnan Provincial Tumor Hospital

Kunming, China

Linyi Cancer Hospital

Linyi, China

The First Affiliated Hospital of Nanchang University

Nanchang, China

Nanjing Drum Tower Hospital

Nanjing, China

Ningbo Second Hospital

Ningbo, China

Shanghai East Hospital

Shanghai, China

Shanghai Pulmonary Hospital

Shanghai, China

Hebei Provincial Tumor Hospital

Shijiazhuang, China

The First Affiliated Hospital of Soochow University

Suzhou, China

Taizhou Hospital of Zhejiang Province

Taizhou, China

Tianjin Cancer Hospital

Tianjin, China

Tianjin Medical University General Hospital

Tianjin, China

Wuhan Union Hospital

Wuhan, China

Affiliated Hospital, Xuzhou Medical college

Xuzhou, China

Northern Jiangsu People's Hospital

Yangzhou, China

Henan Cancer Hospital

Zhengzhou, China

Sjællands Universitetshospital

Roskilde, Denmark

Hôpital Louis Pradel

Bron, France

HOP Nord

Marseille, France

HOP Nord Laennec

Nantes, France

HOP Tenon - One AP-HP

Paris, France

HOP Pontchaillou

Rennes, France

Centre Régional de Lutte Contre le Cancer Paul Stauss

Strasbourg, France

Hôpital Larrey - CHU de Toulouse

Toulouse, France

Institut Gustave Roussy

Villejuif, France

Universitätsklinikum Köln (AöR)

Cologne, Germany

Klinikum Esslingen

Esslingen am Neckar, Germany

Varisano LungenZentrum (VLZ)

Frankfurt, Germany

Asklepios Fachkliniken München-Gauting

Gauting, Germany

LungenClinic Grosshansdorf GmbH

Großhansdorf, Germany

Thoraxklinik-Heidelberg gGmbH am Universitätsklinikum Heidelberg

Heidelberg, Germany

Pius-Hospital, Oldenburg

Oldenburg, Germany

Universitätsklinikum Würzburg AÖR

Würzburg, Germany

Henry Dunant Hospital, Athens

Athens, Greece

Chest Hospital of Athens "Sotiria"

Athens, Greece

University General Hospital Attikon

Athens, Greece

Queen Elizabeth Hospital-Hong Kong-51727

Hong Kong, Hong Kong

Prince of Wales Hospital-Hong Kong-20715

Hong Kong, Hong Kong

Princess Margaret Hospital

Hong Kong, Hong Kong

Queen Mary Hospital

Hong Kong, Hong Kong

Rambam Health Care Campus

Haifa, Israel

Shaare Zedek Medical Center, Jerusalem 91031

Jerusalem, Israel

Meir Medical Center

Kfar Saba, Israel

Sheba Medical Center

Ramat Gan, Israel

Sourasky Medical Center

Tel Aviv, Israel

Istituto Tumori Giovanni Paolo II

Bari, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, Italy

Humanitas Istituto Clinico Catanese S.p.A.

Misterbianco (CT), Italy

Istituto Nazionale IRCCS Tumori Fondazione Pascale

Naples, Italy

AOU San Luigi Gonzaga

Orbassano (TO), Italy

Istituti Fisioterapici Ospitalieri

Roma, Italy

Istituto Clinico Humanitas

Rozzano (MI), Italy

Azienda Ospedaliera Universitaria Integrata Verona

Verona, Italy

Aichi Cancer Center Hospital

Aichi, Nagoya, Japan

Fujita Health University Hospital

Aichi, Toyoake, Japan

National Cancer Center Hospital East

Chiba, Kashiwa, Japan

Kyushu University Hospital

Fukuoka, Fukuoka, Japan

Hospital of the University of Occupational and Environmental Health

Fukuoka, Kitakyushu, Japan

Hiroshima University Hospital

Hiroshima, Hiroshima, Japan

Hokkaido Cancer Center

Hokkaido, Sapporo, Japan

Kitasato University Hospital

Kanagawa, Sagamihara, Japan

Kanagawa Cancer Center

Kanagawa, Yokohama, Japan

Sendai Kousei Hospital

Miyagi, Sendai, Japan

Niigata Cancer Center Hospital

Niigata, Niigata, Japan

Okayama University Hospital

Okayama, Okayama, Japan

Kansai Medical University Hospital

Osaka, Hirakata, Japan

Osaka International Cancer Institute

Osaka, Osaka, Japan

Kindai University Hospital

Osaka, Sakai, Japan

National Hospital Organization Kinki-Chuo Chest Medical Center

Osaka, Sakai, Japan

Saitama Medical University International Medical Center

Saitama, Hidaka, Japan

Saitama Cancer Center

Saitama, Kitaadachi-gun, Japan

Shizuoka Cancer Center

Shizuoka, Sunto-gun, Japan

Jichi Medical University Hospital

Tochigi, Shimotsuke, Japan

Juntendo University Hospital

Tokyo, Bunkyo-ku, Japan

National Cancer Center Hospital

Tokyo, Chuo-ku, Japan

Japanese Foundation for Cancer Research

Tokyo, Koto-ku, Japan

Tokyo Medical University Hospital

Tokyo, Shinjuku-ku, Japan

Wakayama Medical University Hospital

Wakayama, Wakayama, Japan

Centro Oncologico Internacional

Jalisco, Mexico

Centro de Infusion Profesional Integral (CIPI)

Mexico City, Mexico

Centro Oncologico Personalizado

México, Mexico

Instituto Nacional de Cancerologia

México, Mexico

Centro Medico Zambrano Hellion

Monterrey, Mexico

Nederlands Kanker Instituut - Antoni van Leeuwenhoek Amsterdam (METC AVL)

Amsterdam, Netherlands

Hospital CUF Tejo

Lisbon, Portugal

Hospital da Luz

Lisbon, Portugal

Hospital CUF Porto

Porto, Portugal

IPO Porto Francisco Gentil, EPE

Porto, Portugal

Lotus Med

Bucharest, Romania

Memorial Healthcare International

Bucharest, Romania

Ovidius Clinical Hospital S.R.L

Ovidiu, Romania

Polaris Medical S.A.

Suceagu/ Cluj Napoca, Romania

National Cancer Centre Singapore

Singapore, Singapore

National Cancer Center

Goyang, South Korea

Seoul National University Bundang Hospital

Seongnam, South Korea

Seoul National University Hospital

Seoul, South Korea

Severance Hospital

Seoul, South Korea

Asan Medical Center

Seoul, South Korea

Samsung Medical Center

Seoul, South Korea

The Catholic University of Korea, St.Vincent's Hospital

Suwon, South Korea

Ajou University Hospital

Suwon, South Korea

Hospital del Mar

Barcelona, Spain

Hospital Universitari Vall D Hebron

Barcelona, Spain

Hospital Universitario De Burgos

Burgos, Spain

Hospital General Universitario de Elche

Elche, Spain

Hospital Jerez de la Frontera

Jerez de la Frontera, Spain

Hospital Duran i Reynals

L'Hospitalet de Llobregat, Spain

Hospital Universitario Ramon Y Cajal

Madrid, Spain

Fundación Jiménez Díaz

Madrid, Spain

Hospital Universitario 12 de Octubre

Madrid, Spain

Hospital Puerta de Hierro

Majadahonda, Spain

Hospital Universitario Virgen de la Victoria

Málaga, Spain

Complejo Hospitalario de Navarra

Pamplona, Spain

Salut Sant Joan de Reus

Reus, Spain

Hospital Virgen del Rocío

Seville, Spain

Hospital Clinico Universitario de Valencia

Valencia, Spain

Sahlgrenska Universitetsjukhuset

Gothenburg, Sweden

Karolinska Universitetssjukhuset Solna

Stockholm, Sweden

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, Taiwan

China Medical University Hospital

Taichung, Taiwan

National Taiwan University Hospital

Taipei, Taiwan

Taipei Veterans General Hospital

Taipei, Taiwan

Tri-Service General Hospital

Taipei, Taiwan

Chang Gung Memorial Hospital, Linkou

Taoyuan City, Taiwan

Sağlık Bilimleri Üniversitesi Gülhane Eğitim ve Araştırma Hastanesi

Ankara, Turkey (Türkiye)

Medeniyet University

Istanbul, Turkey (Türkiye)

Velindre Cancer Centre

Cardiff, United Kingdom

Western General Hospital

Edinburgh, United Kingdom

Guy's Hospital

London, United Kingdom

The Royal Marsden Hospital, Chelsea

London, United Kingdom

The Christie

Manchester, United Kingdom

The Royal Marsden Hospital, Sutton

Sutton, United Kingdom

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NCT07195695


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