RECRUITING

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

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Phase 1/2, dose escalation and expansion study designed to evaluate the safety and tolerability of zidesamtinib (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 zidesamtinib 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 zidesamtinib 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 zidesamtinib in patients with advanced ROS1-positive NSCLC and other solid tumors.

Official Title

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

Quick Facts

Study Start:2022-01-04
Study Completion:2026-10-31
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05118789

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:12 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:CHILD, ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. 1. Age ≥18 years (Cohort 2e only: Age ≥12 years and weighing\>40 kg).
  2. 2. Disease Criteria:
  3. 1. Phase 1: Histologically or cytologically confirmed locally advanced or metastatic solid tumor with documented ROS1 rearrangement.
  4. 2. Phase 2: Cohorts 2a, 2b, 2c and 2d: Histologically or cytologically confirmed locally advanced or metastatic NSCLC with ROS1 rearrangement.
  5. 3. Phase 2: Cohort 2e: Histologically or cytologically confirmed locally advanced or metastatic solid tumor (other than NSCLC) with ROS1 rearrangement.
  6. 3. Prior anticancer treatment (except cohort 2a).
  7. 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.
  8. 5. Adequate baseline organ function and bone marrow reserve.
  1. 1. Patient's cancer has a known oncogenic driver alteration other than ROS1.
  2. 2. Known allergy/hypersensitivity to excipients of NVL-520.
  3. 3. Major surgery within 4 weeks of first dose of study drug.
  4. 4. Ongoing anticancer therapy.
  5. 5. Actively receiving systemic treatment or direct medical intervention on another therapeutic clinical study.

Contacts and Locations

Study Contact

Nuvalent
CONTACT
857-357-7000
clinicaltrials@nuvalent.com

Principal Investigator

Vivek Upadhyay, MD, MBI
STUDY_DIRECTOR
Nuvalent Inc.

Study Locations (Sites)

UCI Medical Center
Orange, California, 92868
United States
Stanford Medicine
Palo Alto, California, 94305
United States
UC Davis Comprehensive Cancer Center
Sacramento, California, 95817
United States
University of Colorado Cancer Center
Denver, Colorado, 80045
United States
Georgetown University Medical Center
Washington, District of Columbia, 20007
United States
University of Miami
Coral Gables, Florida, 33146
United States
University of Chicago
Chicago, Illinois, 60637
United States
Mass General Hospital
Boston, Massachusetts, 02114
United States
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
United States
Henry Ford Cancer Institute
Detroit, Michigan, 48202
United States
Washington University School of Medicine
Saint Louis, Missouri, 63110
United States
NYU Langone Health
New York, New York, 10016
United States
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
United States
Atrium Health Levine Cancer Institute
Charlotte, North Carolina, 28204
United States
Ohio State University
Columbus, Ohio, 43210
United States
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
United States
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
United States
MD Anderson Cancer Center
Houston, Texas, 77030
United States
NEXT Oncology - Virginia Cancer Specialists
Fairfax, Virginia, 22031
United States
University of Washington / Fred Hutchinson Cancer Center
Seattle, Washington, 98109
United States

Collaborators and Investigators

Sponsor: Nuvalent Inc.

  • Vivek Upadhyay, MD, MBI, STUDY_DIRECTOR, Nuvalent Inc.

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2022-01-04
Study Completion Date2026-10-31

Study Record Updates

Study Start Date2022-01-04
Study Completion Date2026-10-31

Terms related to this study

Additional Relevant MeSH Terms

  • Locally Advanced Solid Tumor
  • Metastatic Solid Tumor