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

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Trial ID: NCT05384626

Purpose

Phase 1/2, dose escalation and expansion study designed to evaluate the safety and tolerability of 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 NVL-655 and will determine the RP2D and, if applicable, the MTD of NVL-655 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 NVL-655 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-655 in patients with advanced ALK-positive NSCLC and other solid tumors.

Official Title

A Phase 1/2 Study of the Selective Anaplastic Lymphoma Kinase (ALK) Inhibitor NVL-655 in Patients With Advanced NSCLC and Other Solid Tumors (ALKOVE-1)

Stanford Investigator(s)

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

Associate Professor of Medicine (Oncology)

Eligibility


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.

Intervention(s):

drug: NVL-655

Recruiting

I'm Interested

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Lariza Benavides
larizab@stanford.edu

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