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Prescription medicine

Zongertinib Brand names: Hernexeos

Zongertinib (Hernexeos) is a prescription medicine with an FDA approval on record since 2025. No generic is listed in FDA's NDC Directory.

  • No generic listed

Check it at the source: the zongertinib FDA label on DailyMed (effective August 13, 2026, Boehringer Ingelheim Pharmaceuticals, Inc.); the NDA 219042 record on Drugs@FDA; every zongertinib label on DailyMed.

Highlights of the record

FDA label of August 13, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Used for

From the label: indications and usage

HERNEXEOS is indicated for the treatment of adult patients with unresectable or metastatic non-squamous non-small cell lung cancer (NSCLC) whose tumors have HER2 (ERBB2) tyrosine kinase domain activating mutations, as detected by an FDA-authorized test [see Dosage and Administration (2.1) ].

Forms and strengths

  • 60 mg

Film-coated tablet.

On the market

Earliest approval on file
August 8, 2025 Hernexeos, Boehringer Ingelheim; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included
Last listed patent
July 21, 2041 Hernexeos tablets; not a generic launch date

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
124 through July 30, 2026

What is zongertinib used for?

From the label: indications and usage

HERNEXEOS is indicated for the treatment of adult patients with unresectable or metastatic non-squamous non-small cell lung cancer (NSCLC) whose tumors have HER2 (ERBB2) tyrosine kinase domain activating mutations, as detected by an FDA-authorized test [see Dosage and Administration (2.1) ]. This indication is approved under accelerated approval based on objective response rate and duration of response [see Clinical Studies (14) ]. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial. […]

Conditions named in the indications of zongertinib's FDA labels, with every medicine labeled for each:

FDA pharmacologic class: Kinase Inhibitor.

Source: FDA drug label (HERNEXEOS), Boehringer Ingelheim Pharmaceuticals, Inc., effective August 13, 2026 (SPL set d3fabf12-354e-4e5c-b5de-20fdb579b783), via openFDA; the full label on DailyMed

Is there a generic for zongertinib (Hernexeos)?

No generic zongertinib is approved (Drugs@FDA, October 8, 2026).

The Orange Book lists 2 patents for Hernexeos tablets: the compound patent runs to July 21, 2041. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2025 earliest approval on file
  • 2041 last listed patent

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do FAERS reports show for zongertinib?

The FDA Adverse Event Reporting System holds 124 reports that list zongertinib among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 17 are coded as a death and 31 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

The most reported reactions

  • Diarrhoea (named in the label)36
  • Disease Progression (a use or a product term, not a reaction)20
  • Malignant Neoplasm Progression17
  • Metastases To Central Nervous System10
  • Nausea (named in the label)8
  • Rash (named in the label)8
  • Hepatic Function Abnormal7
  • Death (an outcome recorded in the report)6

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What else is labeled for the same conditions as zongertinib?

26 other medicines are given the same way (oral) and in the same FDA class as zongertinib or labeled mainly for the same use (lung cancer), the same class first. Lung cancer lists all 55 medicines labeled for it, by any route. The first 8 are below. They are listed as records, not as substitutes: whether one can replace another is a prescriber's decision.

MedicineShared indicationGeneric labelers (oral)Pharmacy costShortage
ErlotinibLung cancer10 labelersn/aNo current entry
AfatinibLung cancer1 labelern/aNo current entry
SelpercatinibLung cancernone listedn/aNo current entry
CrizotinibLung cancernone listedn/aNo current entry
GefitinibLung cancer4 labelersn/aNo current entry
BrigatinibLung cancernone listedn/aNo current entry
DabrafenibLung cancernone listedn/aNo current entry
LorlatinibLung cancernone listedn/aA presentation being discontinued

Every medicine labeled for the same conditions as zongertinib

Source: FDA drug labels (indications), NDC Directory, NADAC of October 7, 2026, FDA shortages (October 8, 2026)

What next?

Alternatives to zongertinib
26 medicines for the same use
Other kinase inhibitors
the pharmacologic class, with prices and generics
Zongertinib side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other