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Clinical Trials List

Protocol NumberNVL-655-01
NCT Number(ClinicalTrials.gov Identfier)NCT05384626
Active

2023-04-01 - 2025-12-31

Phase I/II

Recruiting3

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)

  • Trial Applicant

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/02/01

Investigators and Locations

Principal Investigator Gee-chen Chang Division of Thoracic Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Chia-Chi Lin Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Chien-Chung Lin

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Locally Advanced Solid Tumor、 Metastatic Solid Tumor

Objectives

• Primary: Phase 1: (1) Assess the overall safety and tolerability of NVL-655 (2) Determine the recommended Phase 2 dose (RP2D) and (if applicable) maximum tolerated dose (MTD) of NVL-655 for patients with ALK-positive advanced solid tumors Phase 2: Assess the efficacy of NVL-655 at RP2D in patients with ALK-positive advanced NSCLC (including those with ALK resistance mutations) and other solid tumors • Secondary: Phase 1: (1) Determine the pharmacokinetic profile of NVL-655 (2) Assess the preliminary antitumor activity of NVL-655 in patients with ALK-positive advanced solid tumors Phase 2: (1) Assess additional clinical efficacy endpoints in patients with ALK-positive NSCLC (including those with ALK resistance mutations) and other solid tumors (2) Assess the intracranial antitumor activity of NVL-655 at RP2D in patients with ALK-positive advanced NSCLC and other solid tumors (3) (4) Understand the safety and tolerability of NVL-655 during RP2D (5) Confirm the pharmacokinetic profile of NVL-655 during RP2D (6) Assess treatment-related symptoms and overall health status in patients receiving NVL-655 treatment using a validated patient-reported outcomes (PRO) questionnaire.

Test Drug

膜衣錠

Active Ingredient

NVL-655

Dosage Form

116

Dosage

50 mg

Endpoints

• Phase 1:

(1) Incidence and severity of treatment-emergent adverse events (TEAEs) and clinically significant changes in laboratory parameters during treatment

(2) RP2D and (if applicable) MTD, determined based on the incidence of dose-limiting toxicities (DLTs) during cycle 1, overall safety profile, pharmacodynamics, and preliminary efficacy

• Phase 2: Objective response rate (ORR): defined as the percentage of patients assessed as CR or PR by blinded independent central review (BICR) according to RECIST 1.1

Inclution Criteria

Inclusion Criteria:

Age ≥18 years, Phase 2 Cohort 2f only: Age ≥12 years and weighing >40 kg.
Phase 1: Histologically or cytologically confirmed locally advanced or metastatic solid tumor with a documented ALK rearrangement or activating ALK mutation.
Phase 2

Phase 2 Cohorts except 2f: Histologically or cytologically confirmed locally advanced or metastatic NSCLC with a documented ALK rearrangement
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.
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
Adequate organ function and bone marrow reserve

Exclusion Criteria

Exclusion criteria:

Patient's cancer has a known oncogenic driver alteration other than ALK.
Known allergy/hypersensitivity to excipients of NVL-655.
Major surgery within 4 weeks of the study entry
Ongoing or anticancer therapy
Actively receiving systemic treatment or direct medical intervention on another therapeutic clinical study.

The Estimated Number of Participants

  • Taiwan

    23 participants

  • Global

    840 participants