RecruitingPhase 1NCT06521554

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

A Phase 1a/1b Study of the Selective Tyrosine Kinase Inhibitor NVL-330 in Patients With Advanced or Metastatic HER2-altered NSCLC (HEROEX-1)


Sponsor

Nuvalent Inc.

Enrollment

200 participants

Start Date

Jul 18, 2024

Study Type

INTERVENTIONAL

Conditions

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.


Eligibility

Min Age: 18 Years

Inclusion Criteria9

  • Age ≥ 18 years
  • Histologically or cytologically confirmed locally advanced or metastatic NSCLC
  • Documented HER2 status as follows:
  • Phase 1a: Documented oncogenic HER2 mutation such as HER2 exon20 insertion mutations or single nucleotide variants or HER2 amplification.
  • Phase 1b: Documented oncogenic HER2 mutation.
  • Identification of lesions as follows:
  • Phase 1a: Must have evaluable disease (target or nontarget) according to RECIST 1.1.
  • Phase 1b: Must have measurable disease, defined as ≥ 1 radiologically measurable target lesion according to RECIST 1.1.
  • Adequate organ function and bone marrow reserve

Exclusion Criteria5

  • Participant's cancer has known oncogenic driver alteration other than HER2
  • Known allergy/hypersensitivity to excipients of NVL-330
  • Major surgery within 4 weeks of the first dose of study drug
  • Ongoing or recent anticancer therapy
  • Actively receiving systemic treatment or direct medical intervention on another therapeutic clinical study

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Interventions

DRUGNVL-330

Oral Tablet of NVL-330


Locations(21)

City of Hope - Lennar

Irvine, California, United States

University of California, Davis Comprehensive Cancer Center

Sacramento, California, United States

Stanford Cancer Institute

Stanford, California, United States

Sarah Cannon Research Institute at HealthONE

Denver, Colorado, United States

Georgetown University Medical Center

Washington D.C., District of Columbia, United States

Sibley Memorial Hospital

Washington D.C., District of Columbia, United States

Sylvester Comprehensive Cancer Center

Miami, Florida, United States

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

Baltimore, Maryland, United States

Massachusetts General Hospital

Boston, Massachusetts, United States

Henry Ford Cancer Center

Detroit, Michigan, United States

Washington University

St Louis, Missouri, United States

Memorial Sloan Kettering Cancer Center

New York, New York, United States

OSU Brain and Spine Hospital

Columbus, Ohio, United States

SCRI Oncology Partners

Nashville, Tennessee, United States

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

NEXT Virginia

Fairfax, Virginia, United States

Fred Hutchinson Cancer Center

Seattle, Washington, United States

Chris O'Brien Lifehouse

Camperdown, New South Wales, Australia

North Shore Health Hub

Saint Leonards, New South Wales, Australia

Cross Cancer Institute

Edmonton, Alberta, Canada

Princess Margaret Cancer Center - University Health Network

Toronto, Ontario, Canada

View Full Details on ClinicalTrials.gov

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NCT06521554


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