Actively Recruiting

Phase 1
Phase 2
Age: 12Years +
All Genders
NCT05384626

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

Led by Nuvalent Inc. · Updated on 2025-10-30

840

Participants Needed

74

Research Sites

290 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

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 activity in patients with advanced ALK- positive (ALK+) NSCLC and other solid tumors. Phase 1 will evaluate the overall safety and tolerability of neladalkib and will determine the RP2D and, if applicable, the maximum tolerated dose (MTD) of neladalkib in patients with advanced ALK+ solid tumors. Phase 2 will determine the objective response rate (ORR) as assessed by Blinded Independent Central Review (BICR) of neladalkib at the RP2D. Secondary objectives will include the duration of response (DOR), time to response (TTR), progression-free survival (PFS), overall survival (OS), and clinical benefit rate (CBR) of neladalkib in patients with advanced ALK-positive NSCLC and other solid tumors.

CONDITIONS

Official Title

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

Who Can Participate

Age: 12Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older; for Phase 2 Cohort 2f, age 12 years or older and weighing more than 40 kg
  • Phase 1: Confirmed locally advanced or metastatic solid tumor with ALK rearrangement or activating ALK mutation
  • Phase 2 Cohorts except 2f: Confirmed locally advanced or metastatic NSCLC with ALK rearrangement
  • Phase 2 Cohort 2f: Confirmed locally advanced or metastatic solid tumor with ALK rearrangement or activating ALK mutation detected by certified assay
  • Phase 1: Must have evaluable disease per RECIST 1.1
  • Phase 2: Must have measurable disease per RECIST 1.1
  • Adequate organ function and bone marrow reserve
Not Eligible

You will not qualify if you...

  • Cancer with oncogenic driver alteration other than ALK
  • Known allergy or hypersensitivity to neladalkib (NVL-655) excipients
  • Major surgery within 4 weeks before study entry
  • Ongoing anticancer therapy
  • Actively receiving systemic treatment or medical intervention in another therapeutic clinical study

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 74 locations

1

University of California Irvine Medical Center

Orange, California, United States, 92868

Actively Recruiting

2

University of California, Davis Comprehensive Cancer Center

Sacramento, California, United States, 95817

Actively Recruiting

3

Stanford Cancer Institute

Stanford, California, United States, 94305

Actively Recruiting

4

University of Colorado Cancer Center

Aurora, Colorado, United States, 80045

Actively Recruiting

5

Georgetown University Medical Center

Washington D.C., District of Columbia, United States, 20007

Actively Recruiting

6

University of Miami; Sylvester Cancer Center

Miami, Florida, United States, 33136

Actively Recruiting

7

Winship Cancer Institute, Emory University

Atlanta, Georgia, United States, 30322

Actively Recruiting

8

University of Chicago Medical Center

Chicago, Illinois, United States, 60637

Actively Recruiting

9

John Hopkins University

Baltimore, Maryland, United States, 21224

Actively Recruiting

10

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

11

Dana Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

12

Henry Ford Cancer Institute

Detroit, Michigan, United States, 48202

Actively Recruiting

13

Washington University School of Medicine Siteman Cancer Center

St Louis, Missouri, United States, 63310

Actively Recruiting

14

Laura & Isaac Perlmutter Cancer Center at NYU Langone Health

New York, New York, United States, 10016

Actively Recruiting

15

Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10065

Actively Recruiting

16

Duke University Medical Center

Durham, North Carolina, United States, 27705

Actively Recruiting

17

OSU Brain & Spine Hospital

Columbus, Ohio, United States, 43210

Actively Recruiting

18

University of Pennsylvania, Abramson Cancer Center

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

19

Sarah Cannon

Nashville, Tennessee, United States, 37203

Actively Recruiting

20

MD Anderson Cancer Center

Houston, Texas, United States, 77030

Active, Not Recruiting

21

Fred Hutchinson Cancer Center

Seattle, Washington, United States, 98109

Actively Recruiting

22

Royal North Shore Hospital

Sydney, New South Wales, Australia, 2065

Actively Recruiting

23

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia, 4102

Actively Recruiting

24

Peter MacCallum Cancer Centre

Melbourne, Victoria, Australia, 3000

Actively Recruiting

25

Universitair Ziekenhuis Antwerpen (UZA)

Antwerp, Belgium, 2650

Actively Recruiting

26

Universitaire Ziekenhuizen Leuven Campus Gastthuisberg

Leuven, Belgium, 3000

Actively Recruiting

27

Cross Cancer Institute

Edmonton, Alberta, Canada, T6G 1Z2

Actively Recruiting

28

BC Cancer Center

Vancouver, British Columbia, Canada, VZ 4E6

Actively Recruiting

29

The Ottawa Hospital Cancer Center

Ottawa, Ontario, Canada, K1H 8L6

Actively Recruiting

30

Princess Margaret Cancer Centre

Toronto, Ontario, Canada, M5G 0A3

Actively Recruiting

31

Centre Leon Berard

Lyon, France, 69373

Actively Recruiting

32

Chu De Nantes

Nantes, France, 44093

Actively Recruiting

33

Institut Claudius Regaud

Toulouse, France, 31059

Actively Recruiting

34

Institute Gustave Roussy

Villejuif, France, 94805

Actively Recruiting

35

Universitatsklinikum Koln - University Hospital Cologne

Cologne, Germany, 50937

Actively Recruiting

36

Universitätsklinikum Frankfurt

Frankfurt, Germany, 60590

Actively Recruiting

37

LungenClinic Grosshansdorf GmbH

Großhansdorf, Germany, 22927

Actively Recruiting

38

Universkitatsklinikum Heidelberg - University Hospital Heidelberg

Heidelberg, Germany, 69126

Actively Recruiting

39

Azienda Ospedaliera Universitaria Ospedali Riuniti Umberto

Ancona, Italy, 60126

Actively Recruiting

40

IRCCS Istituto Tumori "G. Paolo II"

Bari, Italy, 70124

Actively Recruiting

41

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, Italy, 20133

Actively Recruiting

42

Instituto Europeo di Oncologia

Milan, Italy, 20141

Actively Recruiting

43

Instituto Oncologico Veneto

Padova, Italy, 35128

Actively Recruiting

44

Ospedale Santa Maria delle Croci

Ravenna, Italy, 48100

Actively Recruiting

45

Regina Elena Institute for Cancer Research

Rome, Italy, 00144

Actively Recruiting

46

Kanagawa Cancer Center

Kanagawa, Japan, 2418515

Actively Recruiting

47

Okayama University Hospital

Okayama, Japan, 7008558

Actively Recruiting

48

Kindai University Hospital

Osaka, Japan, 5898511

Actively Recruiting

49

Shizuoka Cancer Center

Shizuoka, Japan, 4118777

Actively Recruiting

50

National Cancer Center Hospital

Tokyo, Japan, 1040051

Actively Recruiting

51

Cancer Institute Hospital of JFCR

Tokyo, Japan, 1358550

Actively Recruiting

52

Wakayama Medical University Hospital

Wakayama, Japan, 6418510

Actively Recruiting

53

The Netherlands Cancer Institute

Amsterdam, Netherlands, 1066 CX

Actively Recruiting

54

University Medical Center Groningen (UMCG)

Groningen, Netherlands, 9713 GZ

Actively Recruiting

55

National University Hospital

Singapore, Singapore, Singapore, 119074

Actively Recruiting

56

National Cancer Centre Singapore

Singapore, Singapore, Singapore, 168583

Actively Recruiting

57

National Cancer Center

Goyang-si, Gyeonggi-do, South Korea, 10408

Actively Recruiting

58

Seoul National University Hospital

Seoul, South Korea, 03080

Actively Recruiting

59

Severance Hospital Yonsei University Health System

Seoul, South Korea, 03722

Actively Recruiting

60

Samsung Medical Center

Seoul, South Korea, 06351

Actively Recruiting

61

Complejo Hospitalario Universitario de A Coruna

A Coruña, Spain, 15006

Actively Recruiting

62

UOMI Cancer Center

Barcelona, Spain, 08017

Actively Recruiting

63

Vall d'Hebron

Barcelona, Spain, 08035

Actively Recruiting

64

Hospital General Universitario Gregorio Maranon

Madrid, Spain, 28009

Actively Recruiting

65

Hospital Universitario 12 de Octubre

Madrid, Spain, 28041

Actively Recruiting

66

Istituto Oncologico Svizzera Italiana

Bellinzona, Switzerland, 6500

Actively Recruiting

67

Luzerner Kantonsspital

Lucerne, Switzerland, 6000

Actively Recruiting

68

Chung-Shan Medical University Hospital

Taichung, Taiwan, 402306

Actively Recruiting

69

National Cheng Kung University Hospital

Tainan, Taiwan, 70403

Actively Recruiting

70

National Taiwan University Hospital

Taipei, Taiwan, 10002

Actively Recruiting

71

Royal Marsden Hospital

Sutton, Surrey, United Kingdom, SM2 5PT

Actively Recruiting

72

Edinburgh Cancer Centre

Edinburgh, United Kingdom, EH4 2XU

Actively Recruiting

73

The Royal Marsden - Chelsea

London, United Kingdom, SM2 5PT

Actively Recruiting

74

The Christie NHS Foundation Trust

Manchester, United Kingdom, M20 4BX

Actively Recruiting

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Research Team

N

Nuvalent Clinical Trial

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

7

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