CClinicalTrials.gg
RecruitingNCT06581432Updated Sep 29, 2026

Beamion PANTUMOR-1: A Study to Test Whether Zongertinib Helps People With Advanced Cancers With HER2 Alterations

A Phase 2 interventional study of Zongertinib in Solid Tumours, sponsored by Boehringer Ingelheim. Recruiting at 92 sites in 16 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by Boehringer Ingelheim · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
588
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a study for people with advanced cancer for whom previous treatment was not successful. Adults aged 18 and over with advanced cancer with HER2 alterations can join the study. The purpose of this study is to find out whether a medicine called zongertinib helps people with advanced cancers with HER2 alterations. HER2 alterations can cause cancer. Zongertinib inhibits HER2.

Participants are put into groups based on the type of advanced cancer they have, the type of HER2 alterations they have, and the dose of zongertinib they receive. Depending on the group they are in, participants take 1 of 2 different doses of zongertinib each day. Participants can continue the treatment as long as they benefit from it and can tolerate it.

Participants visit the study site regularly. During many of the visits, the doctors check the size of the tumour and whether it has spread to other parts of the body. During all the visits, the doctors check participants' health and take note of any unwanted effects.

02

Conditions studied

  • Solid Tumours
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients aged ≥18 years
  • Documented Human epidermal growth factor receptor 2 (HER2)-positive status or known activating HER2 mutations (by local testing)
  • Histologically or cytologically confirmed locally advanced, unresectable, or metastatic solid tumours
  • Disease progression following prior treatment in the metastatic setting (including treatment with antibody-drug conjugates (ADCs)) and no suitable standard of care treatment options
  • Availability of archival tumour tissue sample to confirm HER2 status
  • Presence of ≥1 measurable lesion outside the central nervous system (CNS) according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 (investigator assessed)
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Further inclusion criteria apply.

Exclusion criteria

Exclusion criteria:

  • Diagnosis of HER2-positive (overexpressed/amplified) metastatic breast cancer or metastatic gastroesophageal adenocarcinoma
  • Diagnosis of HER2-mutant non-small cell lung cancer (NSCLC)
  • Previous treatment with any HER2 tyrosine kinase inhibitors (TKIs)
  • Previous or concomitant malignancies other than the one treated in this trial within the previous 3 years except the following effectively treated cancers: nonmelanoma skin cancers, carcinoma in situ of the cervix, ductal carcinoma in situ of the breast, localized prostate cancer on watchful waiting or active surveillance, and other effectively treated malignancies that are considered cured by local treatment
  • Uncontrolled or symptomatic brain or subdural metastases during screening
  • Known diagnosis of leptomeningeal disease
  • Intake of restricted medications or any drug considered likely to interfere with the trial being conducted in a safe mannerFurther exclusion criteria apply.
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
588 participants (estimated)

Study arms

  • Experimental
    Zongertinib treatment

    Drug: Zongertinib

Interventions

  • DrugZongertinib

    Zongertinib

    Also known as: BI 1810631, Hernexeos®

05

What researchers measure

Primary outcomes

  1. Proportion of patients with objective response (OR)

    according to Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 by central independent review, and it will be summarised descriptively as absolute and relative frequencies

    Time frame: Up to 51 months

Secondary outcomes

  1. Duration of objective response (DOR)

    Duration of objective response (DOR) is defined as the time from first documented Objective response (OR) according to RECIST 1.1 until the earliest date of disease progression or death among patients with confirmed OR, assessed by central independent review.

    Time frame: Up to 51 months

  2. Progression-Free Survival (PFS)

    PFS is defined as the time from treatment start until the earliest date of tumour progression according to RECIST 1.1 assessed by central independent review, or death from any cause, whichever occurs first.

    Time frame: Up to 51 months

  3. Disease control (DC)

    Disease control (DC) is defined as best overall response (BOR) of complete response (CR) or partial response (PR) or stable disease (SD) where BOR is defined according to RECIST 1.1 from first treatment administration until the earliest of disease progression, death, or last evaluable tumour assessment before the start of subsequent anti-cancer therapy, or treatment discontinuation, as assessed by central independent review.

    Time frame: Up to 51 months

  4. Occurrence of treatment-emergent Adverse Events (AEs)

    Time frame: Up to 51 months

  5. Change from baseline to Week 48 or progressive disease (PD) by central independent review, if earlier, of the EORTC QLQ-C30, which includes IL-19, the physical functioning scale

    QLQ-C30 incorporates both multi-items scales and single-item measures. These include 1 global health status/QoL scale, 5 functional scales, 3 symptoms scales and 6 single items to assess dyspnoea, insomnia, appetite loss, constipation, diarrhoea, and financial difficulties. Each of the multi-item scales includes a different set of items - no item occurs in more than one scale. European Organisation for Research and Treatment of Cancer, quality-of-life questionnaire (EORTC QLQ-C30) does not produce a single overall summary score by default. Scores can be reported via domain-specific scores or summary score (since 2016) ranging from 0 to 100 with higher scores representing a better QoL.

    Time frame: At baseline and up to 48 weeks

  6. Overall survival (OS)

    OR is defined as the time from start of treatment to death from any cause

    Time frame: Up to 51 months

06

Study locations

79 of 92 sites recruiting
  • Alaska Oncology and Hematology, LLC
    Anchorage, Alaska 99508, United States
    Recruiting
  • University of Arizona Comprehensive Cancer Center
    Tucson, Arizona 85719, United States
    Completed
  • Precision NextGen Oncology
    Beverly Hills, California 90212, United States
    Recruiting
  • Scripps Cancer Center Torrey Pines
    La Jolla, California 92037, United States
    Recruiting
  • Valkyrie Clinical Trials
    Los Angeles, California 90067, United States
    Recruiting
  • Yale University School of Medicine
    New Haven, Connecticut 06511, United States
    Recruiting
  • BRCR Global - Tamarac
    Tamarac, Florida 33321, United States
    Recruiting
  • Illinois Cancer Specialists
    Arlington Heights, Illinois 60005, United States
    Recruiting
  • Community MD Anderson Cancer Center - East Medical Oncology
    Indianapolis, Indiana 46219, United States
    Recruiting
  • Maryland Oncology Hematology, Columbia
    Columbia, Maryland 21044, United States
    Recruiting
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
    Completed
  • Presbyterian Healthcare Services
    Albuquerque, New Mexico 87110, United States
    Recruiting
  • Icahn School of Medicine at Mount Sinai
    New York, New York 10029, United States
    Recruiting
  • Memorial Sloan-Kettering Cancer Center
    New York, New York 10065, United States
    Recruiting
  • Taylor Cancer Research Center
    Maumee, Ohio 43537, United States
    Recruiting
  • Alliance Cancer Specialists, PC, Wynnewood
    Wynnewood, Pennsylvania 19096, United States
    Recruiting
  • Sarah Cannon Research Institute at Mary Crowley
    Dallas, Texas 75230, United States
    Recruiting
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
    Recruiting
  • Texas Oncology - Plano West
    Plano, Texas 75093, United States
    Recruiting
  • Virginia Cancer Specialists, PC
    Fairfax, Virginia 22031, United States
    Recruiting
  • Macquarie University
    Macquarie Park, New South Wales 2109, Australia
    Recruiting
  • GenesisCare North Shore
    St Leonards, New South Wales 2065, Australia
    Recruiting
  • Princess Alexandra Hospital
    Woolloongabba, Queensland 4102, Australia
    Recruiting
  • Cancer Research South Australia
    Adelaide, South Australia 5000, Australia
    Recruiting
  • St John of God Subiaco Hospital
    Subiaco, Western Australia 6008, Australia
    Recruiting
  • Cliniques Universitaires Saint-Luc
    Brussels, 1200, Belgium
    Recruiting
  • Universitair Ziekenhuis Antwerpen
    Edegem, 2650, Belgium
    Recruiting
  • Cross Cancer Institute (University of Alberta)
    Edmonton, Alberta T6G 1Z2, Canada
    Recruiting
  • BC Cancer Agency - Vancouver
    Vancouver, British Columbia V5Z 4E6, Canada
    Recruiting
  • Princess Margaret Cancer Centre
    Toronto, Ontario M5G 2M9, Canada
    Recruiting
  • Centre Hospitalier de l'Universite de Montreal (CHUM)
    Montreal, Quebec H2X 0A9, Canada
    Recruiting
  • McGill University Health Centre (MUHC)
    Montreal, Quebec H4A 3J1, Canada
    Completed
  • Peking University First Hospital
    Beijing, 100034, China
    Recruiting
  • Hunan Province Tumor Hospital
    Changsha, 410013, China
    Not yet recruiting
  • Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine
    Hangzhou, 310016, China
    Recruiting
  • Anhui Provincial Cancer Hospital
    Hefei, 230001, China
    Recruiting
  • The First Affiliated Hospital of Nanchang University
    Nanchang, 330006, China
    Recruiting
  • Nanjing Drum Tower Hospital
    Nanjing, 210008, China
    Not yet recruiting
  • Shanghai East Hospital
    Shanghai, 200120, China
    Recruiting
  • Shanghai GoBroad Cancer Hospital
    Shanghai, 200131, China
    Recruiting
  • Union Hospital Tongji Medical College Huazhong University of Science and Technology
    Wuhan, 430022, China
    Recruiting
  • Tongji Hospital Affiliated Tongji Medical College Huazhong University of S & T
    Wuhan, 430030, China
    Not yet recruiting
  • Henan Cancer Hospital
    Zhengzhou, 450008, China
    Recruiting
  • INS Bergonie
    Bordeaux, 33000, France
    Recruiting
  • CTR Georges-François Leclerc
    Dijon, 21079, France
    Recruiting
  • CTR Leon Berard
    Lyon, 69373, France
    Completed
  • HOP Timone
    Marseille, 13385, France
    Recruiting
  • HOP la Milétrie
    Poitiers, 86000, France
    Recruiting
  • Institut Gustave Roussy
    Villejuif, 94805, France
    Recruiting
  • Charité - Universitätsmedizin Berlin
    Berlin, 12203, Germany
    Recruiting
  • Justus-Liebig Universität Gießen
    Giessen, 35392, Germany
    Recruiting
  • Asklepios Kliniken GmbH & Co. KGaA
    Hamburg, 22763, Germany
    Recruiting
  • Universität Leipzig
    Leipzig, 04103, Germany
    Recruiting
  • Universitätsklinikum Mannheim GmbH
    Mannheim, 68167, Germany
    Recruiting
  • Klinikum rechts der Isar der Technischen Universität München
    München, 81675, Germany
    Recruiting
  • Az. Ospedaliere Umberto I di Ancona
    Ancona, 60020, Italy
    Recruiting
  • Centro di riferimento Oncologico
    Aviano (PN), 33081, Italy
    Not yet recruiting
  • Istituto Scientifico Romagnolo
    Meldola (FC), 47014, Italy
    Recruiting
  • ASST Grande Ospedale Metropolitano Niguarda
    Milan, 20162, Italy
    Recruiting
  • AOU Università degli Studi della Campania Luigi Vanvitelli
    Naples, 80131, Italy
    Recruiting
  • Fondazione Policlinico Universitario Campus Bio-medico
    Rome, 00128, Italy
    Recruiting
  • Aichi Cancer Center Hospital
    Aichi, Nagoya, 464-8681, Japan
    Recruiting
  • National Cancer Center Hospital East
    Chiba, Kashiwa, 277-8577, Japan
    Recruiting
  • Kyushu University Hospital
    Fukuoka, Fukuoka, 812-8582, Japan
    Recruiting
  • Hokkaido University Hospital
    Hokkaido, Sapporo, 060-8648, Japan
    Recruiting
  • Okayama University Hospital
    Okayama, Okayama, 700-8558, Japan
    Not yet recruiting
  • Osaka International Cancer Institute
    Osaka, Osaka, 541-8567, Japan
    Recruiting
  • Shizuoka Cancer Center
    Shizuoka, Sunto-gun, 411-8777, Japan
    Recruiting
  • National Cancer Center Hospital
    Tokyo, Chuo-ku, 104-0045, Japan
    Recruiting
  • Japanese Foundation for Cancer Research
    Tokyo, Koto-ku, 135-8550, Japan
    Recruiting
  • Nederlands Kanker Instituut
    Amsterdam, 1066 CX, Netherlands
    Recruiting
  • Radboud Universitair Medisch Centrum
    Nijmegen, 6525 GL, Netherlands
    Recruiting
  • Oslo Universitetssykehus HF, Radiumhospitalet
    Oslo, N-0379, Norway
    Recruiting
  • Pan American Center for Oncology Trials, LLC
    Rio Piedras, 00935, Puerto Rico
    Recruiting
  • National Cancer Centre Singapore
    Singapore, 168583, Singapore
    Recruiting
  • Seoul National University Hospital
    Seoul, 03080, South Korea
    Recruiting
  • Severance Hospital
    Seoul, 03722, South Korea
    Recruiting
  • Asan Medical Center
    Seoul, 05505, South Korea
    Recruiting
  • Samsung Medical Center
    Seoul, 135-710, South Korea
    Recruiting
  • Complejo Hospitalario Universitario A Coruña
    A Coruña, 15006, Spain
    Recruiting
  • Hospital Germans Trias i Pujol
    Badalona, 08916, Spain
    Not yet recruiting
  • Hospital del Mar
    Barcelona, 08003, Spain
    Recruiting
  • Hospital Universitari Vall d'Hebron
    Barcelona, 08035, Spain
    Recruiting
  • Hospital Duran i Reynals
    Barcelona, 08908, Spain
    Not yet recruiting
  • Clínica Universidad de Navarra - Madrid
    Madrid, 28027, Spain
    Recruiting
  • Hospital Clínico San Carlos
    Madrid, 28040, Spain
    Recruiting
  • Clínica Universidad de Navarra
    Pamplona, 31008, Spain
    Recruiting
  • Hospital Virgen del Rocio
    Seville, 41013, Spain
    Recruiting
  • Hospital Clinico De Valencia (INCLIVA)
    Valencia, 46010, Spain
    Not yet recruiting
  • Ninewells Hospital & Medical School
    Dundee, DD1 9SY, United Kingdom
    Recruiting
  • Hammersmith Hospital
    London, W12 0HS, United Kingdom
    Not yet recruiting
  • The Christie Hospital
    Manchester, M20 4BX, United Kingdom
    Recruiting
07

References and documents

Publications

  • Schram AM, Park JJ, Italiano A, Kitano S, Guo Y, Li J, Bedard PL, van Marcke C, Ko R, Lunger L, Klotz DM, Hussain J, Maier D, Erzen D, Planchard D, Prenen H, Clay TD, Park JO, Kim HD, Hernando-Calvo A, Maruki Y, Ponz-Sarvise M, Dumbrava E. Beamion PANTUMOR-1: rationale and design of a Phase II trial of zongertinib in HER2-overexpressed/amplified or HER2-mutant solid tumors. Future Oncol. 2026 Mar;22(7):795-803. doi: 10.1080/14796694.2026.2637740. Epub 2026 Mar 4. PubMed 41777164 ↗

Related links

Individual participant data

Plan to share: Yes — Once the criteria in section 'time frame' are fulfilled, researchers can use the following link hhttps://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.

Supporting information: Study protocol, Sap, Csr

08

Registry details

Key details

Study ID
NCT06581432
Lead sponsor
Boehringer Ingelheim
Responsible party
Sponsor
First posted
Sep 3, 2024
Start date
Oct 11, 2024
Primary completion
Nov 30, 2028 (estimated)
Completion
Dec 29, 2028 (estimated)
Last update
Sep 29, 2026

Study contacts

Boehringer Ingelheim
Contact
clintriage.rdg@boehringer-ingelheim.com
1-800-243-0127

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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