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A Study of Neladalkib (NVL-655) in Patients With Advanced NSCLC and Other Solid Tumors Harboring ALK Rearrangement or Activating ALK Mutation (ALKOVE-1)

NCT05384626 · Nuvalent Inc.
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Official title
A Phase 1/2 Study of the Selective Anaplastic Lymphoma Kinase (ALK) Inhibitor NVL-655 in Patients With Advanced NSCLC and Other Solid Tumors (ALKOVE-1)
About this study
In Phase 2, study patients will be enrolled into 6 distinct cohorts: * Cohort 2a: Patients with locally advanced or metastatic NSCLC harboring an ALK rearrangement who have received 1 prior 2nd-generation ALK TKI (ceritinib, alectinib, or brigatinib). Up to 2 prior lines of chemotherapy and/or immunotherapy are allowed. * Cohort 2b: Patients with locally advanced or metastatic NSCLC harboring an ALK rearrangement, who have received 2-3 prior ALK TKIs (crizotinib, ceritinib, alectinib, brigatinib, or lorlatinib). Up to 2 prior lines of chemotherapy and/or immunotherapy are allowed. * Cohort 2c: Patients with locally advanced or metastatic NSCLC harboring an ALK rearrangement, who have received lorlatinib as the only prior ALK TKI therapy. Up to one prior line of chemotherapy and/or immunotherapy received prior to lorlatinib is allowed. * Cohort 2d: Patients with locally advanced or metastatic NSCLC harboring an ALK rearrangement, who are naïve to ALK TKI therapy. Up to one prior line of chemotherapy and/or immunotherapy is allowed. * Cohort 2e: Patients with locally advanced or metastatic NSCLC harboring an ALK rearrangement, not eligible for other Phase 2 cohorts. * Cohort 2f: Patients with other solid tumors harboring an ALK rearrangement or activating ALK mutation, who have received ≥1 prior systemic anticancer therapy, or for whom no satisfactory standard therapy exists.
Eligibility criteria
Inclusion Criteria: 1. Age ≥18 years, Phase 2 Cohort 2f only: Age ≥12 years and weighing \>40 kg. 2. Phase 1: Histologically or cytologically confirmed locally advanced or metastatic solid tumor with a documented ALK rearrangement or activating ALK mutation. 3. Phase 2 1. Phase 2 Cohorts except 2f: Histologically or cytologically confirmed locally advanced or metastatic NSCLC with a documented ALK rearrangement 2. Phase 2 Cohort 2f: Histologically or cytologically confirmed locally advanced or metastatic solid tumor with a documented ALK rearrangement or activating ALK mutation detected by certified assay. 4. Phase 1: Must have evaluable disease (target or nontarget) according to RECIST 1.1 Phase 2: Must have measurable disease according to RECIST 1.1 5. Adequate organ function and bone marrow reserve Exclusion criteria: 1. Patient's cancer has a known oncogenic driver alteration other than ALK. 2. Known allergy/hypersensitivity to excipients of NVL-655. 3. Major surgery within 4 weeks of the study entry 4. Ongoing or anticancer therapy 5. Actively receiving systemic treatment or direct medical intervention on another therapeutic clinical study.
Study design
Enrollment target: 840 participants
Allocation: non_randomized
Masking: none
Age groups: child, adult, older_adult
Timeline
Starts: 2022-06-09
Estimated completion: 2028-01
Last updated: 2025-10-30
Interventions
Drug: Neladalkib (NVL-655)
Primary outcomes
  • Dose limiting toxicities (DLTs) (Phase 1) (Within the first 21 days of the first neladalkib (NVL-655) dose)
  • Recommended Phase 2 Dose (RP2D) (Phase 1) (Within 21 days of last patient dosed during escalation)
  • Objective Response Rate (ORR) (Phase 2) (2-3 years after first patient dosed.)
Sponsor
Nuvalent Inc. · industry
Contacts & investigators
ContactNuvalent Clinical Trial · contact · clinicaltrials@nuvalent.com · 857-357-7000
InvestigatorViola Zhu, MD, PHD · study_director, Nuvalent Inc.
All locations (74)
University of California Irvine Medical CenterRecruiting
Orange, California, United States
University of California, Davis Comprehensive Cancer CenterRecruiting
Sacramento, California, United States
Stanford Cancer InstituteRecruiting
Stanford, California, United States
University of Colorado Cancer CenterRecruiting
Aurora, Colorado, United States
Georgetown University Medical CenterRecruiting
Washington D.C., District of Columbia, United States
University of Miami; Sylvester Cancer CenterRecruiting
Miami, Florida, United States
Winship Cancer Institute, Emory UniversityRecruiting
Atlanta, Georgia, United States
University of Chicago Medical CenterRecruiting
Chicago, Illinois, United States
John Hopkins UniversityRecruiting
Baltimore, Maryland, United States
Massachusetts General HospitalRecruiting
Boston, Massachusetts, United States
Dana Farber Cancer InstituteRecruiting
Boston, Massachusetts, United States
Henry Ford Cancer InstituteRecruiting
Detroit, Michigan, United States
Washington University School of Medicine Siteman Cancer CenterRecruiting
St Louis, Missouri, United States
Laura & Isaac Perlmutter Cancer Center at NYU Langone HealthRecruiting
New York, New York, United States
Memorial Sloan Kettering Cancer CenterRecruiting
New York, New York, United States
Duke University Medical CenterRecruiting
Durham, North Carolina, United States
OSU Brain & Spine HospitalRecruiting
Columbus, Ohio, United States
University of Pennsylvania, Abramson Cancer CenterRecruiting
Philadelphia, Pennsylvania, United States
Sarah CannonRecruiting
Nashville, Tennessee, United States
MD Anderson Cancer CenterActive Not Recruiting
Houston, Texas, United States
Fred Hutchinson Cancer CenterRecruiting
Seattle, Washington, United States
Royal North Shore HospitalRecruiting
Sydney, New South Wales, Australia
Princess Alexandra HospitalRecruiting
Woolloongabba, Queensland, Australia
Peter MacCallum Cancer CentreRecruiting
Melbourne, Victoria, Australia
Universitair Ziekenhuis Antwerpen (UZA)Recruiting
Antwerp, Belgium
Universitaire Ziekenhuizen Leuven Campus GastthuisbergRecruiting
Leuven, Belgium
Cross Cancer InstituteRecruiting
Edmonton, Alberta, Canada
BC Cancer CenterRecruiting
Vancouver, British Columbia, Canada
The Ottawa Hospital Cancer CenterRecruiting
Ottawa, Ontario, Canada
Princess Margaret Cancer CentreRecruiting
Toronto, Ontario, Canada
Centre Leon BerardRecruiting
Lyon, France
Chu De NantesRecruiting
Nantes, France
Institut Claudius RegaudRecruiting
Toulouse, France
Institute Gustave RoussyRecruiting
Villejuif, France
Universitatsklinikum Koln - University Hospital CologneRecruiting
Cologne, Germany
Universitätsklinikum FrankfurtRecruiting
Frankfurt, Germany
LungenClinic Grosshansdorf GmbHRecruiting
Großhansdorf, Germany
Universkitatsklinikum Heidelberg - University Hospital HeidelbergRecruiting
Heidelberg, Germany
Azienda Ospedaliera Universitaria Ospedali Riuniti UmbertoRecruiting
Ancona, Italy
IRCCS Istituto Tumori "G. Paolo II"Recruiting
Bari, Italy
Fondazione IRCCS Istituto Nazionale dei TumoriRecruiting
Milan, Italy
Instituto Europeo di OncologiaRecruiting
Milan, Italy
Instituto Oncologico VenetoRecruiting
Padova, Italy
Ospedale Santa Maria delle CrociRecruiting
Ravenna, Italy
Regina Elena Institute for Cancer ResearchRecruiting
Rome, Italy
Kanagawa Cancer CenterRecruiting
Kanagawa, Japan
Okayama University HospitalRecruiting
Okayama, Japan
Kindai University HospitalRecruiting
Osaka, Japan
Shizuoka Cancer CenterRecruiting
Shizuoka, Japan
National Cancer Center HospitalRecruiting
Tokyo, Japan
Cancer Institute Hospital of JFCRRecruiting
Tokyo, Japan
Wakayama Medical University HospitalRecruiting
Wakayama, Japan
The Netherlands Cancer InstituteRecruiting
Amsterdam, Netherlands
University Medical Center Groningen (UMCG)Recruiting
Groningen, Netherlands
National University HospitalRecruiting
Singapore, Singapore, Singapore
National Cancer Centre SingaporeRecruiting
Singapore, Singapore, Singapore
National Cancer CenterRecruiting
Goyang-si, Gyeonggi-do, South Korea
Seoul National University HospitalRecruiting
Seoul, South Korea
Severance Hospital Yonsei University Health SystemRecruiting
Seoul, South Korea
Samsung Medical CenterRecruiting
Seoul, South Korea
Complejo Hospitalario Universitario de A CorunaRecruiting
A Coruña, Spain
UOMI Cancer CenterRecruiting
Barcelona, Spain
Vall d'HebronRecruiting
Barcelona, Spain
Hospital General Universitario Gregorio MaranonRecruiting
Madrid, Spain
Hospital Universitario 12 de OctubreRecruiting
Madrid, Spain
Istituto Oncologico Svizzera ItalianaRecruiting
Bellinzona, Switzerland
Luzerner KantonsspitalRecruiting
Lucerne, Switzerland
Chung-Shan Medical University HospitalRecruiting
Taichung, Taiwan
National Cheng Kung University HospitalRecruiting
Tainan, Taiwan
National Taiwan University HospitalRecruiting
Taipei, Taiwan
Royal Marsden HospitalRecruiting
Sutton, Surrey, United Kingdom
Edinburgh Cancer CentreRecruiting
Edinburgh, United Kingdom
The Royal Marsden - ChelseaRecruiting
London, United Kingdom
The Christie NHS Foundation TrustRecruiting
Manchester, United Kingdom
A Study of Neladalkib (NVL-655) in Patients With Advanced NSCLC and Other Solid Tumors Harboring ALK Rearrangement or Activating ALK Mutation (ALKOVE-1) · TrialPath