Clinical Trials

Multiple clinical trials across Phase I through Phase III evaluate the efficacy, safety, and pharmacokinetics of zongertinib (BI 1810631), primarily sponsored by Boehringer Ingelheim in collaboration with organizations such as MedSIR. Key indications under investigation include non-small cell lung cancer, advanced breast cancer, HER2-mutated solid tumors, gastroesophageal adenocarcinomas, colorectal cancer, and pharmacokinetic profiles in healthy subjects and individuals with liver disease. Recruitment statuses span from completed pharmacokinetic evaluations to actively recruiting Phase II and Phase III studies, including trials within the Beamion program.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07195695 RECRUITING
Non-small Cell Lung Cancer
Boehringer Ingelheim
2026-01-16 PHASE3
NCT06324357 RECRUITING
Metastatic Breast Cancer; Metastatic Gastric Adenocarcinoma; Gastroesophageal Junction Adenocarcinoma; Esophageal Adenocarcinoma; Colorectal Cancer
Boehringer Ingelheim
2024-06-28 PHASE1; PHASE2
NCT06581432 RECRUITING
Solid Tumours
Boehringer Ingelheim
2024-10-11 PHASE2
NCT07619066 NOT_YET_RECRUITING
Advanced Breast Cancer; Hormone Receptor Positive / HER2-negative Breast Cancer; HER2 Mutation
MedSIR
2026-10-04 PHASE2
NCT07486817 RECRUITING
Lung Cancer, Non-squamous, Non-small Cell
Boehringer Ingelheim
2026-06-04 PHASE2
NCT04886804 ACTIVE_NOT_RECRUITING
Neoplasm Metastasis; Non-Small Cell Lung Cancer
Boehringer Ingelheim
2021-07-02 PHASE1
NCT07789028 NOT_YET_RECRUITING
Healthy
Boehringer Ingelheim
2026-09-09 PHASE1
NCT06151574 ACTIVE_NOT_RECRUITING
Lung Cancer, Non-squamous, Non-small Cell
Boehringer Ingelheim
2024-02-09 PHASE3
NCT07649941 COMPLETED
Healthy
Boehringer Ingelheim
2026-06-22 PHASE1
NCT06692322 COMPLETED
Liver Diseases; Healthy
Boehringer Ingelheim
2025-01-15 PHASE1
NCT06494761 COMPLETED
Healthy
Boehringer Ingelheim
2024-07-30 PHASE1
NCT06504862 COMPLETED
Healthy
Boehringer Ingelheim
2024-08-20 PHASE1
NCT06360081 COMPLETED
Healthy
Boehringer Ingelheim
2024-04-30 PHASE1
NCT06075277 COMPLETED
Healthy
Boehringer Ingelheim
2023-10-19 PHASE1
NCT06028464 COMPLETED
Healthy
Boehringer Ingelheim
2023-09-11 PHASE1
NCT05879991 COMPLETED
Healthy
Boehringer Ingelheim
2023-08-10 PHASE1
NCT05833139 COMPLETED
Healthy
Boehringer Ingelheim
2023-04-14 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-09-03)

Check the Zongertinib (BI 1810631) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Zongertinib selectively and covalently binds to the kinase domain of human HER2, including wild-type receptors and exon 20 insertion mutations, while sparing wild-type EGFR signaling to suppress downstream oncogenic tyrosine phosphorylation cascades. This targeted covalent inhibition induces tumor cell growth arrest and apoptosis, providing a mechanistic rationale for its clinical activity against HER2-aberrant non-small cell lung cancer and advanced solid tumors.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.