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NCT06521554PHASE1Recruiting

A Study of NVL-330 in Patients With Advanced or Metastatic HER2-altered NSCLC (HEROEX-1)

Nuvalent Inc.

Start Date

7/18/2024

Completion Date

2/1/2027

Summary

Phase 1a/1b dose escalation and expansion study designed to evaluate the safety and tolerability of NVL-330, determine the recommended Phase 2 dose (RP2D), and evaluate the antitumor activity in participants with advanced or metastatic human epidermal growth factor receptor 2 (HER2) -altered non-small lung cancer (NSCLC). Phase 1a dose escalation is designed to assess the safety and tolerability of NVL-330 and to select the candidate RP2D(s) and, if applicable, the MTD. Phase 1b expansion is designed to further evaluate the overall safety and tolerability of the candidate RP2D(s) of NVL-330 and to determine the RP2D of NVL-330 in participants with advanced or metastatic HER2 mutant NSCLC.

Detailed Description

The planned Phase 1a/1b first-in-human study is designed as a two-part clinical trial to investigate NVL-330 in pre-treated participants with advanced or metastatic HER2-altered NSCLC. The dose escalation phase of the trial is designed to enroll a set number of participants per cohort at protocol defined dose levels. After the initial participants are treated at a given dose level and monitored for at least 28 days, available data will be reviewed, and initiation of the next dosing group will proceed with consideration given to the overall safety profile. The expansion phase of the trial is designed to further evaluate safety and activity and to confirm the RP2D(s).

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: 1. Age ≥ 18 years 2. Histologically or cytologically confirmed locally advanced or metastatic NSCLC 3. Documented HER2 status as follows: 1. Phase 1a: Documented oncogenic HER2 mutation such as HER2 exon20 insertion mutations or single nucleotide variants or HER2 amplification. 2. Phase 1b: Documented oncogenic HER2 mutation. 4. Identification of lesions as follows: 1. Phase 1a: Must have evaluable disease (target or nontarget) according to RECIST 1.1. 2. Phase 1b: Must have measurable disease, defined as ≥ 1 radiologically measurable target lesion according to RECIST 1.1. 5. Adequate organ function and bone marrow reserve Exclusion Criteria: 1. Participant's cancer has known oncogenic driver alteration other than HER2 2. Known allergy/hypersensitivity to excipients of NVL-330 3. Major surgery within 4 weeks of the first dose of study drug 4. Ongoing or recent anticancer therapy 5. Actively receiving systemic treatment or direct medical intervention on another therapeutic clinical study

Interventions

DRUG

NVL-330

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Conditions

Locally Advanced Solid TumorMetastatic Solid Tumor

Locations

City of Hope - Lennar

Irvine, California 92618

United States

University of California, Davis Comprehensive Cancer Center

Sacramento, California 95817

United States

Stanford Cancer Institute

Stanford, California 94305

United States

Sarah Cannon Research Institute at HealthONE

Denver, Colorado 80218

United States

Georgetown University Medical Center

Washington D.C., District of Columbia 20007

United States

Sibley Memorial Hospital

Washington D.C., District of Columbia 20016

United States

Sylvester Comprehensive Cancer Center

Miami, Florida 33136

United States

Johns Hopkins Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Bayview Medical Center

Baltimore, Maryland 21224

United States

Massachusetts General Hospital

Boston, Massachusetts 02114

United States

Henry Ford Cancer Center

Detroit, Michigan 48242

United States

Washington University

St Louis, Missouri 63110

United States

Memorial Sloan Kettering Cancer Center

New York, New York 10065

United States

OSU Brain and Spine Hospital

Columbus, Ohio 43210

United States

SCRI Oncology Partners

Nashville, Tennessee 37203

United States

The University of Texas MD Anderson Cancer Center

Houston, Texas 77030

United States

NEXT Virginia

Fairfax, Virginia 22031

United States

Fred Hutchinson Cancer Center

Seattle, Washington 98109

United States

Chris O'Brien Lifehouse

Camperdown, New South Wales NSW 2050

Australia

North Shore Health Hub

Saint Leonards, New South Wales 2065

Australia

Cross Cancer Institute

Edmonton, Alberta T6G 1Z2

Canada

Princess Margaret Cancer Center - University Health Network

Toronto, Ontario M5G 1L7

Canada