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

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorNuvalent Inc.

About this trial

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).

Eligibility criteria

Qualifiers

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)

Disqualifiers

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

Trial design

Treatments tested in this trial

  • Neladalkib (NVL-655)
  • Alectinib

Treatment groups

450 Participants
are divided into 2 treatment groups

Sponsors and collaborators