Evidence map›Paper›PMID 40572608›Full record

ReviewMolecules (Basel, Switzerland)2025

HER2 in Non-Small Cell Lung Cancer (NSCLC): Evolution of the Therapeutic Landscape and Emerging Drugs-A Long Way to the Top.

Pamela Trillo Aliaga, Gianluca Spitaleri, Ilaria Attili, Carla Corvaja, Elena Battaiotto, Panagiotis Agisilaos Angelopoulos, Ester Del Signore, Antonio Passaro, Filippo de Marinis

Registry-linked trialAbstract readReview
In one paragraph

Review in Molecules (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07781202 (A Multicenter, Single-Arm, Prospective Phase II Clinical Study of Trastuzumab Rezetecan Combined With Radiotherapy in Patients With HER2-Mutated Oligoprogressive Advanced Non-Small Cell Lung Cancer), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07781202 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Multicenter, Single-Arm, Prospective Phase II Clinical Study of Trastuzumab Rezetecan Combined With Radiotherapy in Patients With HER2-Mutated Oligoprogressive Advanced Non-Small Cell Lung Cancer

TypeinterventionalSponsorUnion Hospital, Tongji Medical College, Huazhong University of Science and TechnologyRan2026 to 2029Enrolled30ConditionsHER2-mutated Advanced Non-small Cell Lung Cancer With OligoprogressionArmsTrastuzumab Rezetecan combined with radiotherapy
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. International journal of molecular sciences · 2026
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. HER2 expression andMediastinum (Hong Kong, China) · 2026
    Review
  15. Review
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Pamela Trillo AliagaDivision of Thoracic Oncology, IEO-European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.ORCID 0000-0002-4341-003X
Gianluca SpitaleriDivision of Thoracic Oncology, IEO-European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.ORCID 0000-0003-3742-9962
Ilaria AttiliDivision of Thoracic Oncology, IEO-European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.ORCID 0000-0003-1333-6622
Carla CorvajaDivision of Thoracic Oncology, IEO-European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.
Elena BattaiottoDivision of New Drugs and Early Drug Development for Innovative Therapies, European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.
Panagiotis Agisilaos AngelopoulosDivision of New Drugs and Early Drug Development for Innovative Therapies, European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.
Ester Del SignoreDivision of Thoracic Oncology, IEO-European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.ORCID 0000-0002-5286-7285
Antonio PassaroDivision of Thoracic Oncology, IEO-European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.ORCID 0000-0002-7575-3870
Filippo de MarinisDivision of Thoracic Oncology, IEO-European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141 Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-small-cell lung cancer (NSCLC) can harbour different HER2 alterations: HER2 protein overexpression (2-35%), HER2 gene amplification (2-20%), and gene mutations (1-4%). The discovery of the HER2 gene in the 1980s raised great expectations for the treatment of several tumours. However, it was only in 2004 that HER2 mutations were identified, and they currently represent a key druggable target in NSCLC. Despite numerous strengths, there is only one FDA/EMA-approved targeted therapy, an antibody-drug conjugate (ADC) called trastuzumab deruxtecan for pretreated patients with HER2 mutant NSCLC. In the first-line treatment, the standard of care (SoC) remains chemotherapy with or without immunotherapy. In the past, pan-HER tyrosine kinase inhibitors (TKIs) were extensively studied with poor results. But, two newly developed HER2-specific TKIs with low EGFR WT inhibition (BAY2927088 and zongertinib) reported encouraging results and received the breakthrough therapy designation from the FDA. Ongoing clinical trials are investigating new agents. This review focuses on HER2 alterations. Additionally, the anti-HER2 therapies explored so far will be discussed in detail, including the following: HER2 inhibitors (pan-inhibitors and selective inhibitors), monoclonal antibodies (mAbs), and ADCs. A section of this paper is dedicated to the role of immunotherapy in HER2-altered NSCLC. The last section of this paper focuses on the drugs under development and their challenges.

Indexed as

Antineoplastic AgentsCarcinoma, Non-Small-Cell LungErb-b2 Receptor Tyrosine KinasesLung NeoplasmsProtein Kinase InhibitorsHumansImmunoconjugatesImmunotherapyMolecular Targeted TherapyMutationAntineoplastic AgentsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesImmunoconjugatesProtein Kinase InhibitorsADCadenocarcinomaantibody–drug conjugateERBB2HER2immunotherapyNSCLCtargeted therapytyrosine kinase inhibitor

Identifiers

PMID40572608
PMCPMC12195848

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.