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Zongertinib Achieves Breakthrough in Treating HER2-Mutant Lung Cancer

Updated clinical trial data presented at AACR 2025 reveal unprecedented response rates, durable outcomes, and a favorable safety profile for the oral HER2-targeted therapy.

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Overview

  • Zongertinib demonstrated a 71% objective response rate, with a median duration of response of 14.1 months and progression-free survival of 12.4 months, in HER2-mutant NSCLC patients.
  • The therapy is a once-daily oral HER2-selective tyrosine kinase inhibitor that spares EGFR, resulting in reduced adverse effects compared to less selective treatments.
  • Grade three or higher adverse events occurred in only 17% of patients, with no reported cases of interstitial lung disease, a common concern with current treatments.
  • The FDA granted zongertinib breakthrough therapy designation and priority review based on earlier trial results, and Phase II trials and first-line studies are now underway.
  • Zongertinib offers a targeted and more convenient alternative to the intravenous antibody-drug conjugate trastuzumab deruxtecan, addressing significant unmet needs in this patient population.