ClinicalTrials.gg
RecruitingNCT07356544HEROSUpdated Mar 5, 2026

Observational, Prospective, Multi-centric Study Exploring HER2 Mutations Incidence and Therapeutic Management in aNSCLC

An observational study in NSCLC (Advanced Non-small Cell Lung Cancer) and HER2, sponsored by Gruppo Oncologico Italiano di Ricerca Clinica. Recruiting at 22 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-05.

Sponsored by Gruppo Oncologico Italiano di Ricerca Clinica · Observational

From the registry’s dates

  • Started Aug 2025; still recruiting 1 year 2 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Ages
18 Years and older
Sex
All
01

Study summary

The HEROS study is an Italian observational multicenter prospective study aimed to investigate the current diagnostic and therapeutical approach towards HER2 mutated NSCLC in clinical practice. The enrolment will start in September 2024 until September 2025. A 12-months follow-up window will be performed.

Read the detailed description

The HEROS study will be conducted in partnership with ATLAS project: all patients prospectively enrolled in ATLAS project will be used to fulfil primary and secondary objectives. Information will be obtained by querying ATLAS database (59 centers) in aggregated manner. ATLAS project is a multi-centric retrospective/prospective Italian study aimed to describe prevalence of different oncogene alterations in all new diagnosed advanced NSCLC patients (5,000 patients/year). In particular, prevalence of HER2-mutated patients will be calculated on all patients enrolled in ATLAS project. Approximately 100 HER2 mutated patients enrolled in ATLAS study will be studied for secondary and explorative objectives. Moreover, a subset of centers (25 centers) will enrol patients also for Prospective Biomarker Analysis in order to perform exploratory analysis on blood and tissue samples according to the availability of tissue specimens from the primary tumor or metastatic sites. All centers that will participate for Prospective Biomarker Analysis necessarily will be included into ATLAS project.

02

Conditions studied

  • NSCLC (Advanced Non-small Cell Lung Cancer)
  • HER2

Keywords

  • HER2 mutated
03

In context

Carcinoma, Non-Small-Cell Lung

7,620 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,838 are open to participants now.

This study's planned enrollment of 50 is below the median of 160 across 1,148 observational studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Gruppo Oncologico Italiano di Ricerca Clinica is the lead sponsor of 28 studies on the registry; 12 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with HER2-mutated advanced non-small cell lung cancer

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Cohort 1 (Prevalence study population)

  1. Male or female, aged at least 18 years.
  2. confirmed diagnosis of NSCLC from September 2024 to September 2025.
  3. Locally advanced (IIIC), not amenable to multimodal approach (chemo-radiotherapy), or (IV) NSCLC according to TNM VIII edition.
  4. Enrolled in ATLAS project. Cohort 2 ( mutations study population)
  5. Included in Cohort 1.
  6. Presence of HER2 mutation.
  7. Enrolled in ATLAS project. Cohort 3 (Prospective Biomarker Analysis population)
  8. Included in Cohort 2.
  9. Availability of tissue sample from the first 50 patients enrolled in cohort 2.
  10. Written (HEROS project) must be obtained before any study-related procedure.

Exclusion criteria

Exclusion Criteria:

-

Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna
06

What researchers measure

Primary outcomes

  1. Prevalence of HER2 mutation

    Percentage of advanced NSCLC with HER2 mutations in Italy clinical practice.

    Time frame: 1 year

07

Study locations

2 of 22 sites recruiting
  • IRCCS "Giovanni Paolo II"
    Bari, BA 70124, Italy
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Istituto Romagnolo per lo Studio dei Tumori IRST "Dino Amadori"
    Meldola, FC 47014, Italy
    Not yet recruiting
    • Kalliopi Andrikou, MD · Contact
  • Arcispedale Sant'Anna
    Ferrara, FE 44124, Italy
    Not yet recruiting
    • Luana Calabrò, MD · Contact
  • Ospedale Policlinico San Martino
    Genova, GE 16132, Italy
    Not yet recruiting
    • Carlo Genova, MD · Contact
  • Ospedale Versilia
    Lido di Camaiore, LU 55041, Italy
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Azienda Sanitaria Toscana Nord - Ovest
    Lucca, LU 55100, Italy
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • IRCCS San Gerardo dei Tintori
    Monza, MB 20900, Italy
    Not yet recruiting
    • Diego Luigi Cortinovis, MD · Contact
  • IRCCS Ospedale San Raffaele
    Milan, MI 20132, Italy
    Not yet recruiting
    • Alessandra Bulotta, MD · Contact
  • ASST Grande Ospedale Metropolitano Niguarda
    Milan, MI 20162, Italy
    Not yet recruiting
    • Giulio Cerea, MD · Contact
  • Istituto Clinico Humanitas IRRCS
    Rozzano, MI 20089, Italy
    Not yet recruiting
    • Luca Toschi, MD · Contact
  • Azienda Ospedaliero - Universitaria di Modena
    Modena, MO 41125, Italy
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Istituto Oncologico Veneto IRCCS
    Padova, PD 35128, Italy
    Recruiting
    • Giulia Pasello, MD · Contact
  • Azienda Ospedaliera di Perugia
    Perugia, PG 06129, Italy
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Centro di Riferimento Oncologico IRCCS di Aviano
    Aviano, PN 33081, Italy
    Not yet recruiting
    • Brigida Stanzione, MD · Contact
  • Azienda Ospedaliera - Universitaria di Parma
    Parma, PR 43126, Italy
    Recruiting
    • Alessandro Leonetti, MD · Contact
  • Fondazione IRCCS Policlinico S. Matteo
    Pavia, PV 27100, Italy
    Not yet recruiting
    • Francesco Augustoni, MD · Contact
  • Azienda Ospedaliero - Universitaria di Reggio Emilia
    Reggio Emilia, RE 42122, Italy
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Istituto Nazionale dei Tumori Regina Elena IRCCS - IFO
    Roma, RM 00144, Italy
    Not yet recruiting
    • Federico Cappuzzo, MD · Contact
  • Azienda Ospedaliera San Camillo Forlanini
    Roma, RM 00152, Italy
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • AOU San Luigi Orbassano
    Orbassano, TO 10043, Italy
    Not yet recruiting
    • Silvia Novello, MD · Contact
  • Azienda Sanitaria Universitaria Friuli Centrale (ASU FC)
    Udine, UD 33100, Italy
    Not yet recruiting
    • Giacomo Pelizzari, MD · Contact
  • Azienda Ospedaliera Universitaria Integrata Verona
    Verona, VR 37126, Italy
    Not yet recruiting
    • Sara Pilotto, MD · Contact
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2025 (actual). Primary completion is estimated for Jan 2027, 17 months after the start.

Of 355 non-industry observational studies under Carcinoma, Non-Small-Cell Lung, half reached primary completion within 58 months of starting (the median), counting those still running; a quarter within 36 and three quarters within 126. This study's planned 17 months is below that.

Counting every sponsor, half of 497 studies reached it within 55 months; a quarter within 35 and three quarters within 83.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 14, 2025
First posted
Jan 21, 2026
StartActual
Aug 12, 2025
Primary completionEst.
Jan 31, 2027
CompletionEst.
Jan 31, 2027
Last update
Mar 5, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07356544
Lead sponsor
Gruppo Oncologico Italiano di Ricerca Clinica
Collaborators
AstraZeneca
Responsible party
Sponsor
First posted
Jan 21, 2026
Start date
Aug 12, 2025
Primary completion
Jan 31, 2027 (estimated)
Completion
Jan 31, 2027 (estimated)
Last update
Mar 5, 2026

Study contacts

Marcello Tiseo, MD, PhD
Contact
goirc-heros@goirc.org
+390521704465
Alessandro Leonetti, MD, PhD
Contact
info@goirc.org
Marcello Tiseo, MD, PhD
study director · Gruppo Oncologico Italiano di Ricerca Clinica

Oversight

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

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