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

  • Inclusion Criteria:
  • Age ≥18 years, Phase 2 Cohort 2f only: Age ≥12 years and weighing \>40 kg.
  • Phase 1: Histologically or cytologically confirmed locally advanced or metastatic solid tumor with a documented ALK rearrangement or activating ALK mutation.
  • Phase 2
  • Phase 2 Cohorts except 2f: Histologically or cytologically confirmed locally advanced or metastatic NSCLC with a documented ALK rearrangement
  • 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.
  • 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
  • Adequate organ function and bone marrow reserve
  • Exclusion criteria:
  • Patient's cancer has a known oncogenic driver alteration other than ALK.
  • Known allergy/hypersensitivity to excipients of NVL-655.
  • Major surgery within 4 weeks of the study entry
  • Ongoing or anticancer therapy
  • Actively receiving systemic treatment or direct medical intervention on another therapeutic clinical study.

Exclusion

    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