Trastuzumab rezetecan: HER2-mutated non-small cell lung cancerAfter HER2-mutated lung cancer progresses,
focus the next step on that target.

If lung cancer progresses after previous treatment and carries a HER2-activating mutation, China has a matched trastuzumab rezetecan ADC pathway. Lu Shun's team at Shanghai Chest Hospital led related research and has reported clinical prescribing experience. Enquire about treatment, lung toxicity monitoring and costs; actual appointment availability must be confirmed.

Free initial service consultation · Understand your options and budget before you travel

HORIZON-Lung: phase II single-arm study
Independently reviewed objective response rate
73%(69/94)
Interstitial lung disease among serious adverse events
5 patients, approximately 5% (serious events only, not the all-grade lung disease incidence)

2025 paper, data cut-off 2024-06-14; single-arm design and short follow-up cannot establish superiority to other HER2 medicines. View the evidence

HORIZON-Lung was a single-arm phase II study with relatively short follow-up; response rate is not cure rate. Drug costs use Tungwah's published prices on 2026-06-26, not current international patient quotes or full treatment costs. View sources

Target a HER2-activating mutation with a new option for previously treated lung cancer

China approved trastuzumab rezetecan in May 2025 for eligible previously treated lung cancer, allowing patients with HER2-activating mutations to discuss a matched ADC as their next step.

Find a matching pathway from the full genetic report

The key is a HER2 (ERBB2)-activating mutation, not merely HER2 expression or amplification. Patients must also meet the adult advanced lung cancer criteria after at least one systemic treatment.

Consult a Shanghai lung cancer team familiar with this drug

Lu Shun's team at Shanghai Chest Hospital led HORIZON-Lung and has reported clinical prescriptions for the drug. You can enquire about suitability and monitoring; actual appointment availability must be confirmed.

View approval, research and price sources for this page

Example for 60kg: RMB 10,350 per administration; budget for subsequent infusions

Estimated for fully self-funded foreign patients without Chinese health insurance or free-drug assistance. Include weight-based drug costs together with infusions, blood tests, chest imaging and supportive care in the ongoing budget.

100mg × 1 vial
RMB 3,450
Example: 60kg at 4.8mg/kg
288mg requires 3 vials, costing RMB 10,350 per administration
Infusions, blood tests, chest imaging and supportive care
Hospital quote needed

Published by Tungwah on 2026-06-26; not an international patient quote. Calculated using whole vials every 3 weeks as in the study; actual prescriptions, delays and dose reductions affect costs.

View approval, research and price sources for this page

Finding treatment that fits you
starts with the reports you already have.

Clarifying your disease type and previous treatment helps establish whether this option could form part of a plan for you.

  • Approval criteriaAdults with unresectable locally advanced or metastatic NSCLC with a HER2 (ERBB2)-activating mutation after at least one systemic treatment.
  • Evidence populationPatients in the paper had received platinum-based chemotherapy and PD-1/PD-L1 treatment; equivalent benefit cannot be guaranteed for other treatment histories.
  • Lung safetyPrevious interstitial lung disease, radiation pneumonitis or persistent breathlessness requires particular attention.

Seek tumour shrinkage with lung toxicity monitoring in place

The single-arm HORIZON-Lung study observed tumour responses and toxicities requiring careful management. Follow-up was relatively short. The probability of tumour shrinkage is not proof of longer survival or superiority to other HER2 medicines.

Grade 3–4 neutropenia
40%
Treatment-related serious adverse events
23%
Interstitial lung disease among serious adverse events
5 patients, approximately 5%
Patients treated
94 patients
Median follow-up
8.7 months
Study scope
HORIZON-Lung was a phase II study conducted at 35 hospitals in China.

73% is an objective response rate, not a cure rate. The 5% refers only to lung disease recorded as serious adverse events, not the all-grade lung disease incidence.

View approval, research and price sources for this page

In Shanghai, let specialist experience
help inform your next step.

Explore Shanghai teams whose research and clinical focus relate to your condition and may warrant further discussion.

Lu Shun and the lung cancer team

Lu Shun and the lung cancer team

HORIZON-Lung lead team

Shanghai Chest Hospital

Lu Shun's team at Shanghai Chest Hospital led HORIZON-Lung, with Lu Shun as corresponding author. Hengrui's website records the team's clinical prescribing experience. You can enquire about HER2 mutation matching and subsequent monitoring; actual appointment availability must be confirmed.

Learn about this Shanghai team

Published research and clinical information can inform hospital selection; specific doctors, drug availability, international clinic charges and appointment dates are subject to confirmation by the hospital.

You do not need to book flights first.
Clarify treatment and costs before you travel.

Tell us your diagnosis, previous treatments and main concerns. We help you communicate about Shanghai consultation requirements, budgets and travel arrangements.

  • Bring lung cancer pathology and the complete HER2/ERBB2 genetic report to confirm an activating mutation
  • Organise previous medicines, responses and reasons for stopping to assess whether the evidence matches your treatment history
  • Provide recent original chest CT images and pneumonitis history for lung toxicity risk assessment
  • Prepare blood counts, liver and kidney tests and current medicines to plan safety monitoring

Start the first conversation with the records you already have.

You do not need to arrange new tests yourself for an initial consultation.

Download the records checklist

Get answers to the questions that matter to you
before you travel.

Costs, potential benefit and further treatment deserve specific answers before departure.

Does a HER2-positive report mean I can use this medicine?

Not necessarily. This lung cancer indication requires a HER2 (ERBB2)-activating mutation, confirmed through a complete molecular report. Positive staining or amplification is not equivalent to an activating mutation.

Does a 73% response rate represent my chance of a cure?

No. In a single-arm study of 94 patients, 69 achieved an objective response, with median follow-up of 8.7 months. This is not a cure rate, does not establish superiority to other HER2 drugs and cannot guarantee individual benefit.

Can cough or breathlessness after an infusion wait until my next visit?

Do not decide to wait on your own. Contact the medical team immediately for new or worsening cough, breathlessness or fever to assess lung toxicity. A history of interstitial lung disease or radiation pneumonitis requires particular attention.

Can treatment finish during a short stay in China?

Ongoing assessment of response and toxicity is needed, with repeated infusions, blood tests and imaging. Study dosing was every 3 weeks; actual prescriptions, delays or dose reductions affect costs. Arrange drug supply and monitoring before returning home.

Let your genetic report guide a concrete next treatment step.

Starting with your condition and budget, we help communicate about consultations and treatment arrangements in Shanghai.

The initial service consultation is free; the treating doctor assesses your specific medical plan.

Sources and image credits

Information is compiled from public approval documents, studies and prices and does not replace an individual medical assessment. Research and cost figures each have a defined scope; published prices are not personal international patient quotes. Costs are discussed on a self-funded basis without Chinese health insurance or free-drug assistance.

  1. Hengrui: trastuzumab rezetecan approval scope and clinical prescribing team · 2025-06-18
  2. The Lancet Oncology: original phase II HORIZON-Lung paper · 2025-02-25
  3. Dongguan Tungwah Hospital drug price publication (original official table) · 2026-06-26
  4. Hengrui: 2026 product information and approved lung cancer indication · 2026-03-23
  5. Shanghai Jiao Tong University: Lu Shun profile and source of the portrait reused locally · 2024-06-04

Portraits and hospital images come from the cited public sources or existing project assets. Public accessibility does not constitute a commercial image licence.

Back to all treatments
Ask about this treatment