Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT07195695

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

Led by Boehringer Ingelheim · Updated on 2026-05-06

400

Participants Needed

197

Research Sites

554 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

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.

CONDITIONS

Official Title

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

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed and dated informed consent before joining the trial
  • Age 18 years or older or over legal age of consent in your country
  • Male or female; women able to use two effective birth control methods if of childbearing potential
  • Documented activating HER2 tyrosine kinase domain mutation
  • Confirmed diagnosis of primary non-small cell lung cancer
  • Archival tumor tissue sample submitted for HER2 confirmation
  • Cancer staged no higher than Stage IIIB before treatment
  • ECOG performance status of 0 or 1
  • Adequate organ function based on lab tests
  • Additional inclusion criteria apply
Not Eligible

You will not qualify if you...

  • NSCLC with mixed histology or positive neuroendocrine markers
  • Major surgery within 4 weeks before randomization
  • Radiation therapy for primary NSCLC
  • Co-occurring actionable mutations with approved targeted therapy (e.g., EGFR, ALK)
  • Use of investigational drugs within 5 half-lives prior to study
  • History or presence of active or past non-infectious interstitial lung disease or pneumonitis
  • Active infectious disease requiring systemic treatment
  • Uncontrolled gastrointestinal disorders affecting drug absorption
  • Previous or other cancers within last 3 years except certain treated cancers
  • Significant or uncontrolled heart problems, QTcF >470 msec, or ejection fraction <50%
  • Additional exclusion criteria apply

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 197 locations

1

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

Fresno, California, United States, 93710

Actively Recruiting

2

OPN Healthcare, Inc.

Glendale, California, United States, 91203

Actively Recruiting

3

University of California Irvine

Irvine, California, United States, 92697

Not Yet Recruiting

4

Sutter Health

Roseville, California, United States, 95661

Not Yet Recruiting

5

University of California San Francisco

San Francisco, California, United States, 94143

Not Yet Recruiting

6

Sarcoma Oncology Center

Santa Monica, California, United States, 90403

Not Yet Recruiting

7

University of California Los Angeles

Santa Monica, California, United States, 90404

Actively Recruiting

8

Northern California Kaiser Permanente

Vallejo, California, United States, 94589

Not Yet Recruiting

9

George Washington University Cancer Center

Washington D.C., District of Columbia, United States, 20037

Not Yet Recruiting

10

Mid Florida Hematology and Oncology Center

Orange City, Florida, United States, 32763

Actively Recruiting

11

Piedmont Cancer Institute

Atlanta, Georgia, United States, 30318

Actively Recruiting

12

Northwest Georgia Oncology Centers

Marietta, Georgia, United States, 30060

Actively Recruiting

13

Saint Alphonsus Regional Medical Center - Boise

Boise, Idaho, United States, 83706

Not Yet Recruiting

14

Northwestern University

Chicago, Illinois, United States, 60611

Not Yet Recruiting

15

University of Illinois Hospital and Health Sciences System

Chicago, Illinois, United States, 60612

Actively Recruiting

16

Duly Health and Care - Lisle

Lisle, Illinois, United States, 60532

Not Yet Recruiting

17

Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

18

Cancer Care Specialists

Reno, Nevada, United States, 89511

Actively Recruiting

19

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States, 03756

Not Yet Recruiting

20

Laura & Isaac Perlmutter Cancer Center at NYU Langone Health

New York, New York, United States, 10016

Actively Recruiting

21

Memorial Sloan-Kettering Cancer Center

New York, New York, United States, 10065

Actively Recruiting

22

Levine Cancer Institute

Charlotte, North Carolina, United States, 28204

Not Yet Recruiting

23

Durham VA Health Care System

Durham, North Carolina, United States, 27705

Not Yet Recruiting

24

Providence Cancer Institute

Portland, Oregon, United States, 97213

Actively Recruiting

25

Hendrick Health

Abilene, Texas, United States, 79601

Actively Recruiting

26

Community Cancer Trials of Utah

Ogden, Utah, United States, 84405

Actively Recruiting

27

Virginia Cancer Specialists, PC

Fairfax, Virginia, United States, 22031

Not Yet Recruiting

28

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

CABA, Argentina, 1185

Actively Recruiting

29

Hospital Britanico de Buenos Aires

CABA, Argentina, 1280AEB

Actively Recruiting

30

Centro Oncologico Korben

CABA, Argentina, 1426

Actively Recruiting

31

Clinica Adventista Belgrano

CABA, Argentina, 1430

Actively Recruiting

32

Instituto Medico Especializado Alexander Fleming

Capital Federal, Argentina, C1426ANZ

Not Yet Recruiting

33

Royal North Shore Hospital

Sydney, New South Wales, Australia, 2065

Not Yet Recruiting

34

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia, 4102

Not Yet Recruiting

35

Flinders Medical Centre

Bedford Park, South Australia, Australia, 5042

Not Yet Recruiting

36

Austin Health

Heidelberg, Victoria, Australia, 3084

Not Yet Recruiting

37

St John of God Subiaco Hospital

Subiaco, Western Australia, Australia, 6008

Actively Recruiting

38

Medical University of Innsbruck

Innsbruck, Austria, A-6020

Not Yet Recruiting

39

Clinic Floridsdorf

Vienna, Austria, 1210

Not Yet Recruiting

40

Edegem - UNIV UZ Antwerpen

Edegem, Belgium, 2650

Actively Recruiting

41

UZ Leuven

Leuven, Belgium, 3000

Actively Recruiting

42

Centre Hospitalier Universitaire de Liège

Liège, Belgium, 4000

Not Yet Recruiting

43

Hospital de Amor

Barretos, Brazil, 14784-400

Actively Recruiting

44

NewData Clinical Research - Maceió

Maceió, Brazil, 57020-360

Not Yet Recruiting

45

Centro de Pesquisa Oncology Natal

Natal, Brazil, 59020-400

Actively Recruiting

46

Centro Gaúcho Integrado de Oncologia, Hematologia, Ensino e Pesquisa

Porto Alegre, Brazil, 90110-270

Not Yet Recruiting

47

CEPHO - Centro de Estudos e Pesquisas em Hematologia e Oncologia

Santo André, Brazil, 09060-650

Actively Recruiting

48

ICESP - Instituto do Cancer do Estado de Sao Paulo

São Paulo, Brazil, 01246-000

Not Yet Recruiting

49

A.C. Camargo

São Paulo, Brazil, 01509-010

Not Yet Recruiting

50

Cross Cancer Institute (University of Alberta)

Edmonton, Alberta, Canada, T6G 1Z2

Not Yet Recruiting

51

Princess Margaret Cancer Centre

Toronto, Ontario, Canada, M5G 2M9

Not Yet Recruiting

52

Centro de Estudios Clinicos SAGA

Providencia, Chile, 7500653

Not Yet Recruiting

53

Bradford Hill- Centro de Investigación Clínica

Recoleta, Chile, 8420383

Not Yet Recruiting

54

China-Japan Friendship Hospital

Beijing, China, 100029

Actively Recruiting

55

Beijing Chest Hospital, Capital Medical University

Beijing, China, 101149

Actively Recruiting

56

The First Hospital of Jilin University

Changchun, China, 130000

Actively Recruiting

57

Xiangya Hospital, Central South University

Changsha, China, 410008

Not Yet Recruiting

58

Hunan Province Tumor Hospital

Changsha, China, 410013

Not Yet Recruiting

59

Sichuan Cancer Hospital

Chengdu, China, 610041

Actively Recruiting

60

West China Hospital, Sichuan University

Chengdu, China, 610041

Not Yet Recruiting

61

The First Affiliated Hospital,Sun Yat-sen University

Guangzhou, China, 510080

Actively Recruiting

62

The First Affiliated Hospital, Zhejiang University

Hangzhou, China, 310003

Not Yet Recruiting

63

Zhejiang Cancer Hospital

Hangzhou, China, 310022

Not Yet Recruiting

64

Harbin Medical University Cancer Hospital

Harbin, China, 150081

Actively Recruiting

65

Shandong Cancer Hospital

Jinan, China, 250117

Actively Recruiting

66

Yunnan Provincial Tumor Hospital

Kunming, China, 650118

Not Yet Recruiting

67

Linyi Cancer Hospital

Linyi, China, 276034

Not Yet Recruiting

68

The First Affiliated Hospital of Nanchang University

Nanchang, China, 330006

Actively Recruiting

69

Nanjing Drum Tower Hospital

Nanjing, China, 210008

Actively Recruiting

70

Ningbo Second Hospital

Ningbo, China, 315010

Actively Recruiting

71

Shanghai East Hospital

Shanghai, China, 200121

Actively Recruiting

72

Shanghai Pulmonary Hospital

Shanghai, China, 200433

Actively Recruiting

73

Hebei Provincial Tumor Hospital

Shijiazhuang, China, 050035

Not Yet Recruiting

74

The First Affiliated Hospital of Soochow University

Suzhou, China, 215006

Actively Recruiting

75

Taizhou Hospital of Zhejiang Province

Taizhou, China, 317099

Actively Recruiting

76

Tianjin Cancer Hospital

Tianjin, China, 300060

Actively Recruiting

77

Tianjin Medical University General Hospital

Tianjin, China, 30052

Actively Recruiting

78

Wuhan Union Hospital

Wuhan, China, 430056

Actively Recruiting

79

Affiliated Hospital, Xuzhou Medical college

Xuzhou, China, 221009

Actively Recruiting

80

Northern Jiangsu People's Hospital

Yangzhou, China, 225001

Actively Recruiting

81

Henan Cancer Hospital

Zhengzhou, China, 450008

Not Yet Recruiting

82

Sjællands Universitetshospital

Roskilde, Denmark, 4000

Not Yet Recruiting

83

Hôpital Louis Pradel

Bron, France, 69677

Actively Recruiting

84

HOP Nord

Marseille, France, 13915

Actively Recruiting

85

HOP Nord Laennec

Nantes, France, 44093

Actively Recruiting

86

HOP Tenon - One AP-HP

Paris, France, 75970

Not Yet Recruiting

87

HOP Pontchaillou

Rennes, France, 35033

Actively Recruiting

88

Centre Régional de Lutte Contre le Cancer Paul Stauss

Strasbourg, France, 67200

Not Yet Recruiting

89

Hôpital Larrey - CHU de Toulouse

Toulouse, France, 31059

Actively Recruiting

90

Institut Gustave Roussy

Villejuif, France, 94805

Not Yet Recruiting

91

Universitätsklinikum Köln (AöR)

Cologne, Germany, 50937

Not Yet Recruiting

92

Klinikum Esslingen

Esslingen am Neckar, Germany, 73730

Actively Recruiting

93

Varisano LungenZentrum (VLZ)

Frankfurt, Germany, 65929

Not Yet Recruiting

94

Asklepios Fachkliniken München-Gauting

Gauting, Germany, 82131

Not Yet Recruiting

95

LungenClinic Grosshansdorf GmbH

Großhansdorf, Germany, 22927

Actively Recruiting

96

Thoraxklinik-Heidelberg gGmbH am Universitätsklinikum Heidelberg

Heidelberg, Germany, 69126

Not Yet Recruiting

97

Pius-Hospital, Oldenburg

Oldenburg, Germany, 26121

Actively Recruiting

98

Universitätsklinikum Würzburg AÖR

Würzburg, Germany, 97078

Not Yet Recruiting

99

Henry Dunant Hospital, Athens

Athens, Greece, 11526

Not Yet Recruiting

100

Chest Hospital of Athens "Sotiria"

Athens, Greece, 11527

Not Yet Recruiting

101

University General Hospital Attikon

Athens, Greece, 12462

Not Yet Recruiting

102

Queen Elizabeth Hospital-Hong Kong-51727

Hong Kong, Hong Kong, 51727

Not Yet Recruiting

103

Prince of Wales Hospital-Hong Kong-20715

Hong Kong, Hong Kong, 999077

Actively Recruiting

104

Princess Margaret Hospital

Hong Kong, Hong Kong, 999077

Not Yet Recruiting

105

Queen Mary Hospital

Hong Kong, Hong Kong

Actively Recruiting

106

Rambam Health Care Campus

Haifa, Israel, 3109601

Not Yet Recruiting

107

Shaare Zedek Medical Center, Jerusalem 91031

Jerusalem, Israel, 9103102

Not Yet Recruiting

108

Meir Medical Center

Kfar Saba, Israel, 44281

Not Yet Recruiting

109

Sheba Medical Center

Ramat Gan, Israel, 5262000

Not Yet Recruiting

110

Sourasky Medical Center

Tel Aviv, Israel, 6093246

Not Yet Recruiting

111

Istituto Tumori Giovanni Paolo II

Bari, Italy, 70124

Not Yet Recruiting

112

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, Italy, 20133

Not Yet Recruiting

113

Humanitas Istituto Clinico Catanese S.p.A.

Misterbianco (CT), Italy, 95045

Not Yet Recruiting

114

Istituto Nazionale IRCCS Tumori Fondazione Pascale

Naples, Italy, 80131

Actively Recruiting

115

AOU San Luigi Gonzaga

Orbassano (TO), Italy, 10043

Not Yet Recruiting

116

Istituti Fisioterapici Ospitalieri

Roma, Italy, 00144

Actively Recruiting

117

Istituto Clinico Humanitas

Rozzano (MI), Italy, 20089

Not Yet Recruiting

118

Azienda Ospedaliera Universitaria Integrata Verona

Verona, Italy, 37126

Not Yet Recruiting

119

Aichi Cancer Center Hospital

Aichi, Nagoya, Japan, 464-8681

Actively Recruiting

120

Fujita Health University Hospital

Aichi, Toyoake, Japan, 470-1192

Actively Recruiting

121

National Cancer Center Hospital East

Chiba, Kashiwa, Japan, 277-8577

Not Yet Recruiting

122

Kyushu University Hospital

Fukuoka, Fukuoka, Japan, 812-8582

Actively Recruiting

123

Hospital of the University of Occupational and Environmental Health

Fukuoka, Kitakyushu, Japan, 807-8556

Actively Recruiting

124

Hiroshima University Hospital

Hiroshima, Hiroshima, Japan, 734-8551

Actively Recruiting

125

Hokkaido Cancer Center

Hokkaido, Sapporo, Japan, 003-0804

Actively Recruiting

126

Kitasato University Hospital

Kanagawa, Sagamihara, Japan, 252-0375

Actively Recruiting

127

Kanagawa Cancer Center

Kanagawa, Yokohama, Japan, 241-8515

Actively Recruiting

128

Sendai Kousei Hospital

Miyagi, Sendai, Japan, 981-0914

Actively Recruiting

129

Niigata Cancer Center Hospital

Niigata, Niigata, Japan, 951-8566

Actively Recruiting

130

Okayama University Hospital

Okayama, Okayama, Japan, 700-8558

Actively Recruiting

131

Kansai Medical University Hospital

Osaka, Hirakata, Japan, 573-1191

Not Yet Recruiting

132

Osaka International Cancer Institute

Osaka, Osaka, Japan, 541-8567

Actively Recruiting

133

Kindai University Hospital

Osaka, Sakai, Japan, 590-0197

Actively Recruiting

134

National Hospital Organization Kinki-Chuo Chest Medical Center

Osaka, Sakai, Japan, 591-8555

Actively Recruiting

135

Saitama Medical University International Medical Center

Saitama, Hidaka, Japan, 350-1298

Actively Recruiting

136

Saitama Cancer Center

Saitama, Kitaadachi-gun, Japan, 362-0806

Actively Recruiting

137

Shizuoka Cancer Center

Shizuoka, Sunto-gun, Japan, 411-8777

Actively Recruiting

138

Jichi Medical University Hospital

Tochigi, Shimotsuke, Japan, 329-0498

Not Yet Recruiting

139

Juntendo University Hospital

Tokyo, Bunkyo-ku, Japan, 113-8431

Not Yet Recruiting

140

National Cancer Center Hospital

Tokyo, Chuo-ku, Japan, 104-0045

Not Yet Recruiting

141

Japanese Foundation for Cancer Research

Tokyo, Koto-ku, Japan, 135-8550

Actively Recruiting

142

Tokyo Medical University Hospital

Tokyo, Shinjuku-ku, Japan, 160-0023

Actively Recruiting

143

Wakayama Medical University Hospital

Wakayama, Wakayama, Japan, 641-8510

Actively Recruiting

144

Centro Oncologico Internacional

Jalisco, Mexico, 45640

Not Yet Recruiting

145

Centro de Infusion Profesional Integral (CIPI)

Mexico City, Mexico, 14210

Not Yet Recruiting

146

Centro Oncologico Personalizado

México, Mexico, 06760

Not Yet Recruiting

147

Instituto Nacional de Cancerologia

México, Mexico, 14080

Not Yet Recruiting

148

Centro Medico Zambrano Hellion

Monterrey, Mexico, 66278

Not Yet Recruiting

149

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

Amsterdam, Netherlands, 1066CX

Not Yet Recruiting

150

Hospital CUF Tejo

Lisbon, Portugal, 1350-352

Actively Recruiting

151

Hospital da Luz

Lisbon, Portugal, 1500-650

Not Yet Recruiting

152

Hospital CUF Porto

Porto, Portugal, 4100-180

Actively Recruiting

153

IPO Porto Francisco Gentil, EPE

Porto, Portugal, 4200-072

Not Yet Recruiting

154

Lotus Med

Bucharest, Romania, 012292

Actively Recruiting

155

Memorial Healthcare International

Bucharest, Romania, 013823

Actively Recruiting

156

Ovidius Clinical Hospital S.R.L

Ovidiu, Romania, 905900

Actively Recruiting

157

Polaris Medical S.A.

Suceagu/ Cluj Napoca, Romania, 407062

Not Yet Recruiting

158

National Cancer Centre Singapore

Singapore, Singapore, 168583

Actively Recruiting

159

National Cancer Center

Goyang, South Korea, 10408

Not Yet Recruiting

160

Seoul National University Bundang Hospital

Seongnam, South Korea, 13620

Actively Recruiting

161

Seoul National University Hospital

Seoul, South Korea, 03080

Actively Recruiting

162

Severance Hospital

Seoul, South Korea, 03722

Actively Recruiting

163

Asan Medical Center

Seoul, South Korea, 05505

Actively Recruiting

164

Samsung Medical Center

Seoul, South Korea, 06351

Actively Recruiting

165

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

Suwon, South Korea, 16247

Actively Recruiting

166

Ajou University Hospital

Suwon, South Korea, 16499

Actively Recruiting

167

Hospital del Mar

Barcelona, Spain, 08003

Actively Recruiting

168

Hospital Universitari Vall D Hebron

Barcelona, Spain, 08035

Actively Recruiting

169

Hospital Universitario De Burgos

Burgos, Spain, 09006

Actively Recruiting

170

Hospital General Universitario de Elche

Elche, Spain, 03203

Not Yet Recruiting

171

Hospital Jerez de la Frontera

Jerez de la Frontera, Spain, 11407

Actively Recruiting

172

Hospital Duran i Reynals

L'Hospitalet de Llobregat, Spain, 08908

Not Yet Recruiting

173

Hospital Universitario Ramon Y Cajal

Madrid, Spain, 28034

Actively Recruiting

174

Fundación Jiménez Díaz

Madrid, Spain, 28040

Actively Recruiting

175

Hospital Universitario 12 de Octubre

Madrid, Spain, 28041

Actively Recruiting

176

Hospital Puerta de Hierro

Majadahonda, Spain, 28222

Not Yet Recruiting

177

Hospital Universitario Virgen de la Victoria

Málaga, Spain, 29010

Actively Recruiting

178

Complejo Hospitalario de Navarra

Pamplona, Spain, 31008

Actively Recruiting

179

Salut Sant Joan de Reus

Reus, Spain, 43204

Actively Recruiting

180

Hospital Virgen del Rocío

Seville, Spain, 41013

Actively Recruiting

181

Hospital Clinico Universitario de Valencia

Valencia, Spain, 46010

Not Yet Recruiting

182

Sahlgrenska Universitetsjukhuset

Gothenburg, Sweden, 413 46

Actively Recruiting

183

Karolinska Universitetssjukhuset Solna

Stockholm, Sweden, 171 76

Not Yet Recruiting

184

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, Taiwan, 807

Actively Recruiting

185

China Medical University Hospital

Taichung, Taiwan, 40447

Actively Recruiting

186

National Taiwan University Hospital

Taipei, Taiwan, 10048

Actively Recruiting

187

Taipei Veterans General Hospital

Taipei, Taiwan, 11217

Actively Recruiting

188

Tri-Service General Hospital

Taipei, Taiwan, 114

Not Yet Recruiting

189

Chang Gung Memorial Hospital, Linkou

Taoyuan City, Taiwan, 333

Actively Recruiting

190

Sağlık Bilimleri Üniversitesi Gülhane Eğitim ve Araştırma Hastanesi

Ankara, Turkey (Türkiye), 06018

Not Yet Recruiting

191

Medeniyet University

Istanbul, Turkey (Türkiye), 34862

Not Yet Recruiting

192

Velindre Cancer Centre

Cardiff, United Kingdom, CF14 2TL

Not Yet Recruiting

193

Western General Hospital

Edinburgh, United Kingdom, EH4 2XU

Not Yet Recruiting

194

Guy's Hospital

London, United Kingdom, SE1 9RT

Not Yet Recruiting

195

The Royal Marsden Hospital, Chelsea

London, United Kingdom, SW3 6JJ

Not Yet Recruiting

196

The Christie

Manchester, United Kingdom, M20 4BX

Actively Recruiting

197

The Royal Marsden Hospital, Sutton

Sutton, United Kingdom, SM2 5PT

Not Yet Recruiting

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Research Team

B

Boehringer Ingelheim

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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