Recruiting PHASE3 Non-small Cell Lung Cancer

New treatment option for Non-small Cell Lung Cancer

Official title Neladalkib (NVL-655) for TKI-naive Patients With Advanced ALK-Positive NSCLC

ClinicalTrials.gov ID: NCT06765109

What this study is testing

What is Neladalkib (NVL-655)?

Neladalkib (NVL-655) is an investigational medicine, given as a pill taken by mouth, being studied as a potential treatment for non-small cell lung cancer.

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
Multicenter, randomized, controlled, open-label, Phase 3 study designed to demonstrate that neladalkib (NVL-655) is superior to alectinib in prolonging progression-free survival (PFS) in patients with treatment-naïve, Anaplastic Lymphoma Kinase (ALK) positive, advanced Non-Small Cell Lung Cancer (NSCLC).
  • Phase 3: a large, late-stage study
  • Which group you join is decided by chance.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Histologically or cytologically confirmed locally advanced (not amenable for multimodality treatment) or metastatic Non-small Cell Lung Cancer (NSCLC)
  • Documented Anaplastic Lymphoma Kinase (ALK) rearrangement via testing of tissue or blood
  • No prior systemic anticancer treatment for NSCLC (adjuvant/neoadjuvant chemotherapy allowed if 12 months prior to randomization; prior ALK tyrosine...
  • Measurable disease (1 or more target lesions per Response Evaluation Criteria in Solid Tumors [RECIST] 1.1)
  • Pretreatment tumor tissue

You likely can't join if

  • Patient's cancer has a known oncogenic driver alteration other than ALK.
  • Known allergy/hypersensitivity to excipients of neladalkib or alectinib.
  • Ongoing or recent radiotherapy as per protocol-specified timeframes prior to randomization
  • Major surgery within 4 weeks prior to randomization
  • Uncontrolled clinically relevant infection requiring systemic therapy
  • Known active tuberculosis, or active Hepatitis B or C
See the full eligibility criteria
Who can join
  • Histologically or cytologically confirmed locally advanced (not amenable for multimodality treatment) or metastatic Non-small Cell Lung Cancer (NSCLC)
  • Documented Anaplastic Lymphoma Kinase (ALK) rearrangement via testing of tissue or blood
  • No prior systemic anticancer treatment for NSCLC (adjuvant/neoadjuvant chemotherapy allowed if 12 months prior to randomization; prior ALK tyrosine kinase inhibitor [TKI] such as alectinib is not allowed in any setting)
  • Measurable disease (1 or more target lesions per Response Evaluation Criteria in Solid Tumors [RECIST] 1.1)
  • Pretreatment tumor tissue
What rules you out
  • Patient's cancer has a known oncogenic driver alteration other than ALK.
  • Known allergy/hypersensitivity to excipients of neladalkib or alectinib.
  • Ongoing or recent radiotherapy as per protocol-specified timeframes prior to randomization
  • Major surgery within 4 weeks prior to randomization
  • Uncontrolled clinically relevant infection requiring systemic therapy
  • Known active tuberculosis, or active Hepatitis B or C
  • QT corrected for heart rate by Fridericia's formula (QTcF) \> 470 msec on repeated assessments
  • Clinically significant cardiovascular disease
  • Brain metastases associated with progressive neurological symptoms or requiring increasing doses of corticosteroids to control CNS disease
  • Active malignancy requiring therapy within 2 years prior to randomization

The study team makes the final eligibility decision.

Where it's taking place

  • Glendale, Arizona, United States
  • Newport Beach, California, United States
  • Orange, California, United States
  • Boulder, Colorado, United States
  • Miami, Florida, United States
  • Orlando, Florida, United States
  • Tampa, Florida, United States
  • Atlanta, Georgia, United States
  • Boston, Massachusetts, United States
  • Detroit, Michigan, United States
  • St Louis, Missouri, United States
  • New York, New York, United States
  • Westbury, New York, United States
  • Charlotte, North Carolina, United States
  • Durham, North Carolina, United States
  • Cincinnati, Ohio, United States
  • Columbus, Ohio, United States
  • Sellersville, Pennsylvania, United States
  • Nashville, Tennessee, United States
  • Fairfax, Virginia, United States

+ 114 more site(s).

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Glendale, Arizona, United States; Newport Beach, California, United States; Orange, California, United States; Boulder, Colorado, United States; Miami, Florida, United States; Orlando, Florida, United States and 128 more location(s). Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.