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Sevabertinib

Phase 3

Advanced Non-small Cell Lung Cancer, HER2 Mutation | Small molecule | Oncology |Bayer AG|Last Updated: Aug 19, 2026

Target and mechanism

Target class-Tinib (Kinase)
ModalitySmall molecule

Also known as Sevabertinib (BAY 2927088)

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment444

FDA Designations

No designations recorded

Clinical trial landscape

Sevabertinib · 3 trials · 6 indications

Phase 3 1Phase 1 2
NCT06452277A Study to Learn More About How Well Sevabertinib Works and How Safe it is Compared With Standard Treatment, in Participants Who Have Advanced Non-small Cell Lung Cancer (NSCLC) With Mutations of the Human Epidermal Growth Factor Receptor 2 (HER2)Advanced Non-small Cell Lung Cancer, HER2 Mutation
RECRUITING444 Analytics
PHASE3RECRUITING
A Study to Learn More About How Well Sevabertinib Works and How Safe it is Compared With Standard Treatment, in Participants Who Have Advanced Non-small Cell Lung Cancer (NSCLC) With Mutations of the Human Epidermal Growth Factor Receptor 2 (HER2)
Advanced Non-small Cell Lung Cancer, HER2 MutationUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression free survival (PFS) per RECIST 1.1 as assessed by BICR
Up to approximately 2 years

RECIST 1.1 = Response Evaluation Criteria in Solid Tumors, version 1.1; BICR = blinded independent central review (BICR)

AUC (Area Under the Curve) of metformin
Relative to metformin administration on Study Day 1 un until Study Day 4

Assessed for metformin with and without sevabertinib (Metformin alone vs Metformin + sevabertinib).

AUC(0-tlast) (Area Under the Curve from time 0 to tlast) of metformin
Relative to metformin administration on Study Day 1 un until Study Day 4

Assessed for metformin with and without sevabertinib (Metformin alone vs Metformin + sevabertinib).

Cmax (Maximum Plasma Concentration) of metformin
Relative to metformin administration on Study Day 1 un until Study Day 4

Assessed for metformin with and without sevabertinib (Metformin alone vs Metformin + sevabertinib).

Area under plasma concentration-time curve (AUC) of sevabertinib
0-96 hours post-dose

To assess the influence of hepatic impairment on sevabertinib exposure. AUC from time zero to the last data point larger than the lower limit of quantification (LLOQ) (AUC(0-tlast) and the unbound AUC(0-tlast) will be used as the main parameters if AUC cannot be reliably determined in all participants.

Unbound area under plasma concentration-time curve AUC (AUCu) of sevabertinib
0-96 hours post-dose

To assess the influence of hepatic impairment on sevabertinib exposure. AUC from time zero to the last data point larger than the lower limit of quantification (LLOQ) (AUC(0-tlast) and the unbound AUC(0-tlast) will be used as the main parameters if AUC cannot be reliably determined in all participants.

Maximum observed drug concentration (Cmax) of sevabertinib in plasma
0-96 hours post-dose

To assess the influence of hepatic impairment on sevabertinib exposure.

Unbound Cmax (Cmax,u) of sevabertinib in plasma
0-96 hours post-dose

To assess the influence of hepatic impairment on sevabertinib exposure.

Secondary Endpoints

Overall survival (OS)
Up to approximately 4 years.
Objective response rate (ORR) per RECIST 1.1 as assessed by BICR
Up to approximately 4 years
Progression free survival (PFS) per RECIST 1.1 as assessed by the investigator
Up to approximately 4 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SevabertinibEXPERIMENTALParticipants will receive sevarbetinib 20 mg BID until disease progression per RECIST v1.1, unacceptable toxicity, or until any other withdrawal criteria.
Standard of care (SoC)ACTIVE_COMPARATORParticipants will receive SoC (pembrolizumab in combination with platinum-based chemotherapy, in 21-day cycles per the approved labels) until disease progression per RECIST v1.1, unacceptable toxicity, or until any other withdrawal criteria. Participants in the SoC arm will have the opportunity to crossover to receive sevabertinib when they experience disease progression.
Metformin + SevabertinibEXPERIMENTALSingle 500 mg oral dose of metformin on Day 1 (Intervention Period 1) in healthy participants. Sevabertinib pre-treatment period (days -4 to -1) when sevabertinib is administered alone. Single 500 mg oral dose of metformin co-administered during ongoing sevabertinib 20 mg BID regimen on Day 1 of Intervention Period 2; sevabertinib continued on Day 2
Arm A: Moderate Hepatic ImpairmentEXPERIMENTALApproximately 10 participants with moderate impaired hepatic function (Child-Pugh B) to achieve approximately 8 evaluable participants
Arm B: Normal Hepatic FunctionEXPERIMENTALApproximately 10 matched control participants for Arm A with normal hepatic function

Interventions

NameTypeDescription
SevabertinibDRUGTablet, oral
PembrolizumabDRUGIntravenous (IV) infusion
CisplatinDRUGIV infusion
CarboplatinDRUGIV infusion
PemetrexedDRUGIV infusion
MetforminDRUGImmediate-release tablet, 500 mg; administered as a single 500 mg oral dose in Intervention Period 1 (Day 1) and as a single 500 mg oral dose in Intervention Period 2 (Day 1 of the combination phase, after sevabertinib pre-treatment)
Sevabertinib (BAY 2927088)DRUGFilm-coated tablet, 10 mg; administered as 20 mg BID (oral) pre-treatment in Intervention Period 2 and continued 20 mg BID during co-administration with metformin
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites270

Inclusion Criteria: * Participant must be ≥18 years of age or over the legal age of consent in countries where that is greater than 18 years at the time of signing the informed consent. * Documented histologically or cytologically confirmed locally advanced non-squamous NSCLC, not suitable for defi...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChinaCzechiaDenmarkFinlandFranceGermanyGreeceHong KongHungaryIsraelItalyJapanMalaysiaMexicoNetherlandsPolandPortugalRomaniaSingaporeSlovakiaSouth KoreaSpainSwedenSwitzerlandTaiwanTurkey (Türkiye)UkraineUnited Kingdom
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Recent Changes (Last 90 Days)

LOWAug 19, 2026NCT06452277lastUpdatePostDate: changed
LOWAug 19, 2026NCT06452277lastUpdatePostDate: changed
LOWAug 7, 2026NCT07753252NEW_TRIAL: changed
LOWAug 7, 2026NCT07753252NEW_TRIAL: changed
LOWJul 6, 2026NCT06452277lastUpdatePostDate: changed
LOWJul 6, 2026NCT06452277lastUpdatePostDate: changed

Frequently asked questions about Sevabertinib

What is Sevabertinib used for?

Sevabertinib is an investigational small molecule being studied for advanced non-small cell lung cancer (NSCLC) with HER2 mutations. It is also being evaluated in clinical trials for hepatic insufficiency and in healthy participants for pharmacokinetic studies. The drug is in Phase 3 development for the NSCLC indication.

What does Sevabertinib target?

Sevabertinib is a kinase inhibitor, as indicated by its -tinib suffix. It is being studied in patients with HER2-mutant advanced non-small cell lung cancer, meaning it targets the HER2 receptor tyrosine kinase. The drug is designed to interfere with signaling pathways driven by HER2 mutations.

Who makes Sevabertinib?

Sevabertinib is being developed by Bayer AG, a multinational pharmaceutical company. Bayer's stock is traded over-the-counter under the ticker symbol BAYRY. The company is conducting clinical trials to evaluate the drug's safety and efficacy in various patient populations.

What phase is Sevabertinib in?

Sevabertinib is in Phase 3 clinical development for advanced non-small cell lung cancer with HER2 mutations. It is also being studied in earlier-phase trials for hepatic impairment and drug interaction assessments. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is Sevabertinib in?

Sevabertinib is being evaluated in a Phase 3 trial (NCT06452277) comparing it to standard treatment in 444 patients with HER2-mutant advanced NSCLC. Additional trials include a Phase 1 hepatic impairment study (NCT07102095) and a Phase 1 drug interaction study with metformin (NCT07753252).

Is Sevabertinib the same as BAY 2927088?

Yes, Sevabertinib is also known as BAY 2927088. Both names refer to the same investigational drug developed by Bayer AG. The compound is being studied primarily for its potential role in treating HER2-mutant non-small cell lung cancer.