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Not yet recruitingNCT07880353Updated Oct 19, 2026

Real-World Outcomes of Sevabertinib in HER2-Mutant Advanced NSCLC: A Bidirectional Cohort Study

An observational study in HER2-mutant Advanced Non-Small Cell Lung Cancer, sponsored by Ruijin Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-19.

Sponsored by Ruijin Hospital · Observational

Updated Oct 19, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
16
Ages
18 Years and older
Sex
All
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Study summary

This is a single-center, observational, bidirectional cohort study evaluating the real-world effectiveness, safety, and quality of life associated with sevabertinib in Chinese adults with HER2-mutant advanced non-small cell lung cancer receiving sevabertinib as second-line or later-line therapy. The study will include both retrospectively identified patients and prospectively enrolled patients. The primary objective is to evaluate real-world progression-free survival. Additional assessments include tumor response, overall survival, safety, and patient-reported quality of life.

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Conditions studied

  • HER2-mutant Advanced Non-Small Cell Lung Cancer

Keywords

  • HER2-mutant
  • NSCLC
  • Sevabertinib
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In context

Lead sponsor

Ruijin Hospital is the lead sponsor of 667 studies on the registry; 376 are open to participants now.

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

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Who can participate

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

Study population

Adult Chinese patients with unresectable locally advanced or metastatic non-squamous NSCLC harboring a documented HER2 (ERBB2) TKD activating mutation who receive sevabertinib as second-line or later-line therapy in routine clinical practice. The study includes both retrospectively identified patients and prospectively enrolled patients.

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

  1. Age ≥18 years at the index date.
  2. Unresectable locally advanced or metastatic non-squamous non-small cell lung cancer (NSCLC).
  3. Documented HER2 (ERBB2) tyrosine kinase domain (TKD) activating mutation.
  4. Received at least one prior systemic therapy for advanced NSCLC. Prior HER2-targeted antibody-drug conjugate (ADC) therapy is permitted, whereas prior HER2-targeted tyrosine kinase inhibitor (TKI) therapy is not permitted.
  5. For retrospectively included participants, sufficient baseline clinical, treatment, and prior follow-up data are available.
  6. Sevabertinib treatment has been determined by the treating physician based on clinical practice, or the participant has already initiated sevabertinib at screening.

Exclusion criteria

Exclusion Criteria:

  1. History of Grade 3 or higher interstitial lung disease (ILD), or evidence of any clinically active ILD.
  2. Uncontrolled comorbid diseases or conditions, including but not limited to decompensated respiratory, cardiac, hepatic, or renal disease; ongoing or active infection, including active clinical tuberculosis; renal transplantation; or psychiatric/social conditions that may limit study compliance.
  3. Unstable brain metastases.
  4. Inability to comply with the study for any reason.
  5. Receipt of another unapproved investigational drug or non-drug treatment within 30 days before the index date or during the observation period.
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Study design

Observational model
Cohort
Time perspective
Other
Enrollment
16 participants (estimated)
Patient registry
No

Groups and cohorts

  • Sevabertinib-Treated Cohort

    Adult Chinese patients with HER2-mutant advanced non-small cell lung cancer receiving sevabertinib as second-line or later-line therapy in routine clinical practice. Treatment with sevabertinib is determined by the treating physician and is not assigned by the study protocol.

    Drug: Sevabertinib

Interventions

  • Sevabertinib is administered as part of routine clinical care, generally at a dose of 20 mg orally twice daily with food until disease progression or unacceptable toxicity, according to the treating physician's clinical judgment. Treatment is not assigned by the study protocol.

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What researchers measure

Primary outcomes

  1. Real-World Progression-Free Survival (rwPFS)

    rwPFS is defined as the time from the first dose of sevabertinib to the first documented disease progression or death from any cause, whichever occurs first.

    Time frame: From the first dose of sevabertinib until the first documented disease progression or death from any cause, whichever occurs first, assessed up to 12 months.

Secondary outcomes

  1. Investigator-Assessed Real-World Objective Response Rate (rwORR)

    rwORR is defined as the proportion of evaluable participants whose best overall response is complete response (CR) or partial response (PR), as assessed by the investigator according to RECIST version 1.1.

    Time frame: From the first dose of sevabertinib through the last available tumor response assessment, up to 12 months.

  2. Investigator-Assessed Real-World Disease Control Rate (rwDCR)

    rwDCR is defined as the proportion of evaluable participants who achieve CR, PR, or stable disease (SD). Confirmed and unconfirmed best overall responses will be analyzed separately.

    Time frame: From the first dose of sevabertinib through the last available tumor response assessment, up to 12 months.

  3. 6-Month and 12-Month Progression-Free Survival Rates

    The probabilities of participants being alive and free from disease progression at 6 months and 12 months after the first dose of sevabertinib.

    Time frame: At 6 months and 12 months after the first dose of sevabertinib.

  4. Incidence of Treatment-Related Adverse Events

    The incidence of treatment-related adverse events of any grade and Grade 3 or higher will be assessed. Adverse events will be graded according to the Common Terminology Criteria for Adverse Events (CTCAE), version 6.0.

    Time frame: From the first dose of sevabertinib through the last available safety assessment, up to 12 months.

  5. Change From Baseline in EORTC QLQ-C30 Scores

    The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) assesses cancer-related quality of life. Scores for each scale range from 0 to 100. Higher functional and global health status/quality-of-life scores indicate better functioning or quality of life, whereas higher symptom scores indicate worse symptoms.

    Time frame: Baseline and at follow-up assessments through 12 months after the first dose of sevabertinib.

  6. Change From Baseline in NSCLC-SAQ Total Score

    The Non-Small Cell Lung Cancer Symptom Assessment Questionnaire (NSCLC-SAQ) assesses NSCLC-related symptoms. The total score ranges from 0 to 20, with higher scores indicating greater symptom severity.

    Time frame: Baseline and at follow-up assessments through 12 months after the first dose of sevabertinib.

  7. Change From Baseline in EQ-5D-5L Index Score

    The EuroQol 5-Dimension 5-Level (EQ-5D-5L) assesses overall health status across five dimensions. Using the Chinese value set, index scores range from -0.391 to 1.000, with higher scores indicating better health status.

    Time frame: Baseline and at follow-up assessments through 12 months after the first dose of sevabertinib.

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Study locations

1 site
  • Ruijin-Hainan Hospital, Shanghai Jiao Tong University School of Medicine (Hainan Boao Research Hospital)
    Qionghai, Hainan 571400, China
08

References and documents

Individual participant data

Plan to share: No — Individual participant data (IPD) are not planned to be shared with external researchers because the study uses sensitive clinical data derived from medical records and follow-up. Study data are de-identified and managed under applicable confidentiality, privacy, and institutional data security requirements, with access restricted to authorized study personnel.

No publications or documents are linked to this record.

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Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Sep 2026; primary completion for Sep 2028, 24 months later.

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

Registered
Sep 27, 2026
First posted
Oct 19, 2026
StartEst.
Sep 30, 2026
Primary completionEst.
Sep 30, 2028
CompletionEst.
Sep 30, 2028
Last update
Oct 19, 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.
Registered
First appeared on the registry. No changes since
Oct 19, 2026
Show all 1 update
  1. Oct 19, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

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Registry details

Key details

Study ID
NCT07880353
Lead sponsor
Ruijin Hospital
Collaborators
Ruijin-Hainan Hospital Shanghai Jiao Tong University School Of Medicine
Responsible party
Sponsor
First posted
Oct 19, 2026
Start date
Sep 30, 2026 (estimated)
Primary completion
Sep 30, 2028 (estimated)
Completion
Sep 30, 2028 (estimated)
Last update
Oct 19, 2026

Study contacts

Yi XIANG
Contact
xiangyiht@163.com
+86-13816967846

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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