A Study of NVL-520 in Patients With Advanced NSCLC and Other Solid Tumors Harboring ROS1 Rearrangement (ARROS-1)

Not Recruiting

Trial ID: NCT05118789

Purpose

Phase 1/2, dose escalation and expansion study designed to evaluate the safety and tolerability of NVL-520, determine the recommended phase 2 dose (RP2D), and evaluate the antitumor activity in patients with advanced ROS1-positive (ROS1+) NSCLC and other advanced ROS1-positive solid tumors. Phase 1 will determine the RP2D and, if applicable, the maximum tolerated dose (MTD) of NVL-520 in patients with advanced ROS1-positive solid tumors. Phase 2 will determine the objective response rate (ORR) as assessed by Blinded Independent Central Review (BICR) of NVL-520 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 NVL-520 in patients with advanced ROS1-positive NSCLC and other solid tumors.

Official Title

A Phase 1/2 Study of the Highly Selective ROS1 Inhibitor NVL-520 in Patients With Advanced NSCLC and Other Solid Tumors (ARROS-1)

Stanford Investigator(s)

Joel Neal, MD, PhD
Joel Neal, MD, PhD

Associate Professor of Medicine (Oncology)

Eligibility


Inclusion Criteria:

   1. Age ≥18 years (Cohort 2e only: Age ≥12 years and weighing>40 kg).

   2. Disease Criteria:

      1. Phase 1: Histologically or cytologically confirmed locally advanced or metastatic
      solid tumor with documented ROS1 rearrangement.

      2. Phase 2: Cohorts 2a, 2b, 2c and 2d: Histologically or cytologically confirmed
      locally advanced or metastatic NSCLC with ROS1 rearrangement.

      3. Phase 2: Cohort 2e: Histologically or cytologically confirmed locally advanced or
      metastatic solid tumor (other than NSCLC) with ROS1 rearrangement.

   3. Prior anticancer treatment (except cohort 2a).

   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 baseline organ function and bone marrow reserve.

Exclusion Criteria:

   1. Patient's cancer has a known oncogenic driver alteration other than ROS1.

   2. Known allergy/hypersensitivity to excipients of NVL-520.

   3. Major surgery within 4 weeks of first dose of study drug.

   4. Ongoing anticancer therapy.

   5. Actively receiving systemic treatment or direct medical intervention on another
   therapeutic clinical study.

Intervention(s):

drug: NVL-520

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Tomas Gonzalez
tomasgo@stanford.edu

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