Status:

RECRUITING

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

Lead Sponsor:

Nuvalent Inc.

Conditions:

Locally Advanced Solid Tumor

Metastatic Solid Tumor

Eligibility:

All Genders

12+ years

Phase:

PHASE1

PHASE2

Brief Summary

Phase 1/2, dose escalation and expansion study designed to evaluate the safety and tolerability of neladalkib (NVL-655), determine the recommended phase 2 dose (RP2D), and evaluate the antitumor activ...

Detailed Description

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-gener...

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.

Key Trial Info

Start Date :

June 9 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2028

Estimated Enrollment :

840 Patients enrolled

Trial Details

Trial ID

NCT05384626

Start Date

June 9 2022

End Date

January 1 2028

Last Update

October 30 2025

Active Locations (74)

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Page 1 of 19 (74 locations)

1

University of California Irvine Medical Center

Orange, California, United States, 92868

2

University of California, Davis Comprehensive Cancer Center

Sacramento, California, United States, 95817

3

Stanford Cancer Institute

Stanford, California, United States, 94305

4

University of Colorado Cancer Center

Aurora, Colorado, United States, 80045