Tracking HER2 mutations and treatment patterns in advanced non-small cell lung cancer in Italy
Official title: HER2 in Advanced NSCLC: an Observational, Prospective, Multi-centric Study Exploring HER2 Mutations Incidence and Therapeutic Management in Italy. The HEROS Study - GOIRC-01-2022
Run by Gruppo Oncologico Italiano di Ricerca Clinica · NCT07356544 · Data updated 2026-11-12
This project will see how people in Italy with advanced NSCLC and HER2 mutations are diagnosed and treated over a one-year follow-up period.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Gruppo Oncologico Italiano di Ricerca Clinica Academic / other |
| Locations | 22 sites (Bari, BA and 21 other locations) |
| Status | Recruiting |
| Started | August 12, 2025 |
| Main results expected | January 31, 2027 |
| Study ends | January 31, 2027 |
| Registry record updated | March 5, 2026 |
| Trial ID | NCT07356544 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) in Italy with newly diagnosed locally advanced (IIIC) or metastatic (IV) NSCLC who are enrolled in the ATLAS project, and specifically those with confirmed HER2 mutations and available tissue for the biomarker subset, are ideal candidates.
✕Probably not a fit
Patients without HER2 mutations, those not enrolled in the ATLAS network, or those unable to provide tissue samples or consent are unlikely to derive direct benefit from this project's findings.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
HEROS is a prospective, multicenter observational effort nested within the Italian ATLAS project that will use aggregated ATLAS data to quantify the prevalence of HER2 mutations among newly diagnosed advanced NSCLC patients from September 2024 to September 2025. Approximately 100 HER2-mutated patients will be examined for treatment patterns and outcomes, while a subset of about 25 centers will enroll patients for prospective biomarker analyses on available tissue and blood samples. Data collection spans initial diagnosis through a 12-month follow-up window and leverages the ATLAS database covering roughly 59 centers and ~5,000 new advanced NSCLC cases per year. No interventional treatments are assigned; the work documents real-world diagnostic and therapeutic management.
Why it matters
Potential benefit: If successful, the project could help improve detection and treatment choices for patients with HER2-mutated advanced NSCLC by clarifying real-world practices and outcomes.
How similar studies have gone: Targeted therapies for HER2-mutant NSCLC have shown promising efficacy in clinical trials, but comprehensive, multicenter real-world descriptions of diagnostic and therapeutic practice in Italy remain relatively limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Cohort 1 (Prevalence study population) 1. Male or female, aged at least 18 years. 2. Pathologically confirmed diagnosis of NSCLC from September 2024 to September 2025. 3. Locally advanced (IIIC), not amenable to multimodal approach (chemo-radiotherapy), or metastatic (IV) NSCLC according to TNM VIII edition. 4. Enrolled in ATLAS project. Cohort 2 (HER2 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 informed consent (HEROS project) must be obtained before any study-related procedure. Exclusion Criteria: \-
Where it's running
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Istituto Oncologico Veneto IRCCS
Padova, Pd, Italy Recruiting -
Azienda Ospedaliera - Universitaria di Parma
Parma, Pr, Italy Recruiting -
IRCCS "Giovanni Paolo II"
Bari, Ba, Italy Active not recruiting -
Istituto Romagnolo per lo Studio dei Tumori IRST "Dino Amadori"
Meldola, Fc, Italy Not yet recruiting -
Arcispedale Sant'Anna
Ferrara, Fe, Italy Not yet recruiting -
Ospedale Policlinico San Martino
Genova, Ge, Italy Not yet recruiting
Show 16 more locations
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Ospedale Versilia
Lido di Camaiore, Lu, Italy Active not recruiting -
Azienda Sanitaria Toscana Nord - Ovest
Lucca, Lu, Italy Active not recruiting -
IRCCS San Gerardo dei Tintori
Monza, Mb, Italy Not yet recruiting -
IRCCS Ospedale San Raffaele
Milan, Mi, Italy Not yet recruiting -
ASST Grande Ospedale Metropolitano Niguarda
Milan, Mi, Italy Not yet recruiting -
Istituto Clinico Humanitas IRRCS
Rozzano, Mi, Italy Not yet recruiting -
Azienda Ospedaliero - Universitaria di Modena
Modena, Mo, Italy Active not recruiting -
Azienda Ospedaliera di Perugia
Perugia, Pg, Italy Active not recruiting -
Centro di Riferimento Oncologico IRCCS di Aviano
Aviano, Pn, Italy Not yet recruiting -
Fondazione IRCCS Policlinico S. Matteo
Pavia, Pv, Italy Not yet recruiting -
Azienda Ospedaliero - Universitaria di Reggio Emilia
Reggio Emilia, Re, Italy Active not recruiting -
Istituto Nazionale dei Tumori Regina Elena IRCCS - IFO
Roma, Rm, Italy Not yet recruiting -
Azienda Ospedaliera San Camillo Forlanini
Roma, Rm, Italy Active not recruiting -
AOU San Luigi Orbassano
Orbassano, To, Italy Not yet recruiting -
Azienda Sanitaria Universitaria Friuli Centrale (ASU FC)
Udine, Ud, Italy Not yet recruiting -
Azienda Ospedaliera Universitaria Integrata Verona
Verona, Vr, Italy Not yet recruiting
Study contacts
- Study coordinator: Marcello Tiseo, MD, PhD
- Email: goirc-heros@goirc.org
- Phone: +390521704465
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.