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

Last updated: March 5, 2025
Sponsor: Nuvalent Inc.
Overall Status: Active - Recruiting

Phase

1/2

Condition

Neoplasms

Treatment

NVL-520

Clinical Study ID

NCT05118789
NVL-520-01
  • Ages > 12
  • All Genders

Study Summary

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.

Eligibility Criteria

Inclusion

Inclusion Criteria:

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

  2. Disease Criteria:

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

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

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

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

  7. 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.

  8. Adequate baseline organ function and bone marrow reserve.

Exclusion

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 anothertherapeutic clinical study.

Study Design

Total Participants: 359
Treatment Group(s): 1
Primary Treatment: NVL-520
Phase: 1/2
Study Start date:
January 04, 2022
Estimated Completion Date:
October 31, 2026

Study Description

In Phase 2, study patients will be enrolled into 5 distinct expansion cohorts:

  • Cohort 2a: ROS1-positive NSCLC naïve to Tyrosine Kinase Inhibitor (TKI) therapy and up to 1 prior chemotherapy and/or immunotherapy.

  • Cohort 2b: ROS1-positive NSCLC treated with 1 prior ROS1 TKI and no prior chemotherapy or immunotherapy.

  • Cohort 2c: ROS1-positive NSCLC treated with 1 prior ROS1 TKI and 1 prior platinum-based chemotherapy with or without immunotherapy.

  • Cohort 2d: ROS1-positive NSCLC treated with ≥2 prior ROS1 TKIs and up to 1 prior chemotherapy and/or immunotherapy.

  • Cohort 2e: ROS1-positive solid tumor and progressed on any prior therapy.

Connect with a study center

  • Chris O'Brien Lifehouse

    Camperdown, New South Wales 2050
    Australia

    Active - Recruiting

  • Peter MacCallum Cancer Centre

    Melbourne, Victoria 3000
    Australia

    Active - Recruiting

  • University Hospital Leuven

    Leuven, 3000
    Belgium

    Active - Recruiting

  • Cross Cancer Institute

    Edmonton, Alberta T6G 1Z2
    Canada

    Active - Recruiting

  • Princess Margaret Cancer Research

    Toronto, Ontario M5GG 1L7
    Canada

    Active - Recruiting

  • Centre Legon Berard

    Lyon, 69008
    France

    Active - Recruiting

  • CHU de Nantes

    Nantes, 44000
    France

    Active - Recruiting

  • Claudius Regaud Institute

    Toulouse, 31300
    France

    Active - Recruiting

  • Hospital Center University De Toulouse

    Toulouse, 31300
    France

    Active - Recruiting

  • Institute Gustave Roussy

    Villejuif, 94805
    France

    Active - Recruiting

  • Cologne University Hospital

    Cologne,
    Germany

    Active - Recruiting

  • Università Politecnica Marche

    Ancona, 60121
    Italy

    Active - Recruiting

  • IRCCS Istituto Tumori Giovanni Paolo II

    Bari, 70124
    Italy

    Active - Recruiting

  • Istituto Europeo di Oncologia

    Milan, 20141
    Italy

    Active - Recruiting

  • Fondazione IRCCS Istituto Nazionale dei Tumori

    Milano, 20133
    Italy

    Active - Recruiting

  • Istituto Oncologico Veneto

    Padova, 35128
    Italy

    Active - Recruiting

  • Ospedale Santa Maria delle Croci

    Ravenna, 48121
    Italy

    Active - Recruiting

  • Istituto Nazionale Tumori Regina Elena

    Rome, 00128
    Italy

    Active - Recruiting

  • Shizuoka Cancer Center

    Nagaizumi, 411-8777
    Japan

    Active - Recruiting

  • Okayama University Hospital

    Okayama, 700-8558
    Japan

    Active - Recruiting

  • Kindai University

    Osaka, 577-8502
    Japan

    Active - Recruiting

  • Japanese Foundation for Cancer Research

    Tokyo, 135-0063
    Japan

    Active - Recruiting

  • National Cancer Center Hospital

    Tokyo, 104-0045
    Japan

    Active - Recruiting

  • Wakayama Medical University Hospital

    Wakayama, 641-0012
    Japan

    Active - Recruiting

  • Kanagawa Cancer Center

    Yokohama, 241-8515
    Japan

    Active - Recruiting

  • National Cancer Center

    Gyeonggi-do, 10408
    Korea, Republic of

    Active - Recruiting

  • Samsung Medical Center

    Seoul,
    Korea, Republic of

    Active - Recruiting

  • Seoul National University Hospital

    Seoul, 03080
    Korea, Republic of

    Active - Recruiting

  • Yonsei University Health System

    Seoul, 03722
    Korea, Republic of

    Active - Recruiting

  • Netherlands Cancer Institute

    Amsterdam, 1066
    Netherlands

    Active - Recruiting

  • University Medical Centre Groningen

    Groningen,
    Netherlands

    Active - Recruiting

  • National Cancer Centre Singapore

    Singapore, 168583
    Singapore

    Active - Recruiting

  • National University Hospital Singapore

    Singapore, 119074
    Singapore

    Active - Recruiting

  • UOMI Cancer Center - Clinica Tres Torres

    Barcelona, 08017
    Spain

    Active - Recruiting

  • Vall d'Hebron University Hospital

    Barcelona, 08035
    Spain

    Active - Recruiting

  • University Hospital of A Coruña

    Coruna, 15006
    Spain

    Active - Recruiting

  • Gregorio Marañón Hospital

    Madrid, 28007
    Spain

    Active - Recruiting

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Active - Recruiting

  • Hospital Universitario HM Sanchinarro

    Madrid, 28050
    Spain

    Active - Recruiting

  • Chung Shan Medical University Hospital

    Taichung, 40201
    Taiwan

    Active - Recruiting

  • National Cheng Kung University Hospital

    Tainan, 704017
    Taiwan

    Active - Recruiting

  • National Taiwan University Hospital

    Taipei, 10002
    Taiwan

    Active - Recruiting

  • Royal Marsden Hospital

    London, SW3 6JJ
    United Kingdom

    Active - Recruiting

  • Christie NHS Foundation Trust

    Manchester, M20 4BX
    United Kingdom

    Active - Recruiting

  • UCI Medical Center

    Orange, California 92868
    United States

    Active - Recruiting

  • Stanford Medicine

    Palo Alto, California 94305
    United States

    Active - Recruiting

  • UC Davis Comprehensive Cancer Center

    Sacramento, California 95817
    United States

    Active - Recruiting

  • University of Colorado Cancer Center

    Denver, Colorado 80045
    United States

    Active - Recruiting

  • Georgetown University Medical Center

    Washington, District of Columbia 20007
    United States

    Active - Recruiting

  • University of Miami

    Coral Gables, Florida 33146
    United States

    Active - Recruiting

  • University of Chicago

    Chicago, Illinois 60637
    United States

    Active - Recruiting

  • Dana-Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Active - Recruiting

  • Mass General Hospital

    Boston, Massachusetts 02114
    United States

    Active - Recruiting

  • Henry Ford Cancer Institute

    Detroit, Michigan 48202
    United States

    Active - Recruiting

  • Washington University School of Medicine

    Saint Louis, Missouri 63110
    United States

    Active - Recruiting

  • Memorial Sloan Kettering Cancer Center

    New York, New York 10065
    United States

    Active - Recruiting

  • NYU Langone Health

    New York, New York 10016
    United States

    Active - Recruiting

  • Atrium Health Levine Cancer Institute

    Charlotte, North Carolina 28204
    United States

    Active - Recruiting

  • Ohio State University

    Columbus, Ohio 43210
    United States

    Active - Recruiting

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania 19111
    United States

    Active - Recruiting

  • Sarah Cannon

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • Sarah Cannon Research Institute

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • NEXT Oncology - Virginia Cancer Specialists

    Fairfax, Virginia 22031
    United States

    Active - Recruiting

  • University of Washington / Fred Hutchinson Cancer Center

    Seattle, Washington 98109
    United States

    Active - Recruiting

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