Study of NVL-520 for Patients with Advanced Lung Cancer and Other Solid Tumors with ROS1 Rearrangement

Sponsor: Nuvalent Inc.

Sponsor score: 60

ClinicalTrials ID:NCT05118789

This clinical trial is testing a new drug, NVL-520, to see if it is safe and effective for treating advanced lung cancer and other solid tumors that have a specific genetic change called ROS1 rearrangement.

Patient Parameters

Program Overview

The study is divided into two phases. Phase 1 will focus on finding the safest dose of NVL-520 for patients with advanced solid tumors that have the ROS1 rearrangement. Phase 2 will evaluate how well the drug works in shrinking tumors in patients with advanced lung cancer and other solid tumors that are ROS1-positive. Researchers will also look at how long the treatment works, how quickly it starts to work, and overall survival rates.

Description

In Phase 2 of the study, patients will be divided into five groups based on their previous treatments:

  • Group 2a: Patients with ROS1-positive lung cancer who have not received any Tyrosine Kinase Inhibitor (TKI) therapy and have had up to one prior chemotherapy or immunotherapy.
  • Group 2b: Patients with ROS1-positive lung cancer who have been treated with one ROS1 TKI but no chemotherapy or immunotherapy.
  • Group 2c: Patients with ROS1-positive lung cancer who have been treated with one ROS1 TKI and one platinum-based chemotherapy, with or without immunotherapy.
  • Group 2d: Patients with ROS1-positive lung cancer who have been treated with two or more ROS1 TKIs and up to one prior chemotherapy or immunotherapy.
  • Group 2e: Patients with ROS1-positive solid tumors other than lung cancer who have progressed after any prior therapy.

Eligibility Criteria

Inclusion Criteria

  • Must be 18 years or older (for Group 2e, patients can be 12 years or older and weigh more than 40 kg).
  • Must have a confirmed diagnosis of advanced or metastatic solid tumor with ROS1 rearrangement.
  • For Phase 2, must have advanced or metastatic lung cancer with ROS1 rearrangement (Groups 2a, 2b, 2c, 2d) or another solid tumor with ROS1 rearrangement (Group 2e).
  • Must have had prior cancer treatment, except for Group 2a.
  • Must have measurable disease according to specific medical criteria.
  • Must have adequate organ function and bone marrow health.

Exclusion Criteria

  • Cancer has a known genetic change other than ROS1.
  • Known allergy to ingredients in NVL-520.
  • Major surgery within four weeks before starting the study drug.
  • Currently receiving other cancer treatments.
  • Participating in another clinical study with active treatment.

Locations

FACILITYZIPCITYSTATE
UCI Medical Center92868OrangeCalifornia
Stanford Medicine94305Palo AltoCalifornia
UC Davis Comprehensive Cancer Center95817SacramentoCalifornia
University of Colorado Cancer Center80045DenverColorado
Georgetown University Medical Center20007WashingtonDistrict of Columbia
University of Miami33146Coral GablesFlorida
University of Chicago60637ChicagoIllinois
Mass General Hospital02114BostonMassachusetts
Dana-Farber Cancer Institute02215BostonMassachusetts
Henry Ford Cancer Institute48202DetroitMichigan

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