Zongertinib — Investigational Agent

EGFR Inhibitor · Phase 2/3 · Boehringer Ingelheim

Mechanism of Action

Zongertinib is a potent and highly selective oral tyrosine kinase inhibitor that targets the kinase domain of HER2 while sparing wild-type EGFR. It binds covalently to the ATP-binding site of both wild-type HER2 and various HER2 mutations, including exon 20 insertions. By inhibiting HER2 phosphorylation, it disrupts downstream signaling pathways such as MAPK and PI3K/AKT, leading to cell cycle arrest and apoptosis in HER2-dependent tumor cells. Its selectivity profile is designed to minimize EGFR-related toxicities like rash and diarrhea.

Investigational Indications

Key Trials