Zongertinib

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Zongertinib, sold under the brand name Hernexeos, is an anti-cancer medication used for the treatment of non-small cell lung cancer.[1][2] Zongertinib is a kinase inhibitor of human epidermal growth factor receptor 2 (HER2).[1][3][4] It is taken by mouth.[1]

Zongertinib was approved for medical use in the United States in August 2025.[5]

Medical uses

Zongertinib is indicated for the treatment of adults with unresectable or metastatic non-squamous non-small cell lung cancer whose tumors have HER2 (ERBB2) tyrosine kinase domain activating mutations, as detected by an FDA-approved test, and who have received prior systemic therapy.[1][5]

Adverse effects

The US Food and Drug Administration prescribing information includes warnings and precautions for hepatotoxicity, left ventricular dysfunction, interstitial lung disease/pneumonitis, and embryo-fetal toxicity.[1][5]

History

Efficacy was evaluated in participants with unresectable or metastatic, non-squamous non-small cell lung cancer with HER2 (ERBB2) TKD mutations who had received prior systemic therapy and received zongertinib in Beamion LUNG-1 (NCT04886804), an open-label, multi-center, multi-cohort trial.[5] The major efficacy outcome measures were objective response rate (ORR) and duration of response (DOR) determined by blinded independent central review per RECIST v1.1.[5]

The US Food and Drug Administration granted the application for zongertinib priority review, breakthrough therapy, and fast track designations.[5]

Society and culture

Zongertinib was approved for medical use in the United States in August 2025.[2][6]

Names

Zongertinib is the international nonproprietary name[7] and the United States Adopted Name.[8]

Zongertinib is sold under the brand name Hernexeos.[2][6]

References

  1. 1.0 1.1 1.2 1.3 1.4 Cite error: Invalid <ref> tag; no text was provided for refs named Hernexeos FDA label
  2. 2.0 2.1 2.2 "Novel Drug Approvals for 2025". 8 August 2025. https://www.fda.gov/drugs/novel-drug-approvals-fda/novel-drug-approvals-2025.  Public Domain This article incorporates text from this source, which is in the public domain.
  3. "HER2 in Non-Small Cell Lung Cancer (NSCLC): Evolution of the Therapeutic Landscape and Emerging Drugs-A Long Way to the Top". Molecules (Basel, Switzerland) 30 (12): 2645. June 2025. doi:10.3390/molecules30122645. PMID 40572608. 
  4. "HER2 alterations in non-small cell lung cancer (NSCLC): from biology and testing to advances in treatment modalities". Frontiers in Oncology 15. 2025. doi:10.3389/fonc.2025.1624124. PMID 40620714. 
  5. 5.0 5.1 5.2 5.3 5.4 5.5 "FDA grants accelerated approval to zongertinib for non-squamous NSCLC with HER2 TKD activating mutations". 8 August 2025. https://www.fda.gov/drugs/resources-information-approved-drugs/fda-grants-accelerated-approval-zongertinib-non-squamous-nsclc-her2-tkd-activating-mutations.  Public Domain This article incorporates text from this source, which is in the public domain.
  6. 6.0 6.1 "U.S. FDA grants accelerated approval to Boehringer's Hernexeos as first orally administered targeted therapy for previously treated patients with HER2-mutant advanced NSCLC" (Press release). Boehringer Ingelheim. 8 August 2025. Retrieved 10 August 2025 – via GlobeNewswire.
  7. "International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 90". WHO Drug Information 37 (3). 2023. 
  8. "Zongertinib". https://searchusan.ama-assn.org/finder/usan/search/MN-24/relevant/1/. 




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