RecruitingPhase 3NCT07154706

Phase 3 Study of Taletrectinib vs Placebo as an Adjuvant Therapy in ROS1 Positive NSCLC (TRUST-IV)

A Phase 3 Multicenter Double-blind Randomized Study of Taletrectinib Versus Placebo in Patients With ROS1-Fusion Positive Stage IB-IIIA Non-Small Cell Lung Cancer Who Have Undergone Complete Tumor Resection


Sponsor

Nuvation Bio Inc.

Enrollment

180 participants

Start Date

Aug 21, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this phase 3 multicenter double-blind randomized study is to assess the use of taletrectinib in the early-stage non-small cell lung cancer (NSCLC). The study compares taletrectinib (study drug) versus placebo (sugar pill) in patients with ROS1-fusion positive stage IB, II, IIIA NSCLC. The study will evaluate if taletrectinib is better than placebo at preventing the participant's disease from coming back after the participant's lung tumor was removed.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This Phase 3 study is testing taletrectinib as an adjuvant (post-surgery) treatment for people with early-stage non-small cell lung cancer (NSCLC) whose tumors have a ROS1 rearrangement — a specific genetic change that makes the cancer sensitive to this targeted drug. **You may be eligible if...** - You are 18 or older - You have stage IB, II, or IIIA lung cancer confirmed by pathology with a ROS1 gene rearrangement - You have had curative surgery to remove the cancer with clear margins - You have recovered from surgery and any prior chemotherapy side effects - Your overall health is good (ECOG score 0 or 1) **You may NOT be eligible if...** - You have had radiation therapy for this lung cancer after surgery - You have received more than 4 cycles of adjuvant chemotherapy or other targeted therapies for this cancer - You have EGFR or ALK gene mutations alongside the ROS1 rearrangement - You have active hepatitis B or C, or HIV - You have a history of interstitial lung disease requiring steroid treatment - You have significant heart disease or irregular heart rhythm - You have had another cancer within the past 3 years (with some exceptions) Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGTaletrectinib

Intervention Label: Taletrectinib Intervention Name: Taletrectinib Dosage Formulation: Capsule Unit Dose Strength(s): 200 mg Dosage Level (s): 400 mg QD Route of Administration: Oral Use: Experimental IMP and NIMP/AxMP : IMP Former Name(s) or Alias(es): AB-106.

DRUGPlacebo

Intervention Label: Placebo Intervention Name: Placebo Type: Drug Dosage Formulation: Capsule Unit Dose Strength(s): 200 mg Dosage Level(s): 400 mg QD Route of Administration: Oral Use: Placebo Comparator IMP and NIMP/AxMP: IMP Former Name(s) or Alias(es): Placebo


Locations(29)

UCLA

Los Angeles, California, United States

UCI Chao Family Comprehensive Cancer Center

Orange, California, United States

Georgetown University Medical Cener (GUMC)

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

Saint Alphonsus Health System

Boise, Idaho, United States

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Mayo Clinic

Rochester, Minnesota, United States

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Sarah Cannon Research Institute (SCRI) - Texas Oncology-Central South

Austin, Texas, United States

MD Anderson

Houston, Texas, United States

Virginia Cancer Specialists

Fairfax, Virginia, United States

Princess Margaret Cancer Centre-University Health Network

Toronto, Ontario, Canada

McGill University

Montreal, Quebec, Canada

Peking University People's Hospital

Beijing, Beijing Municipality, China

Beijing Cancer Hospital

Beijing, Beijing Municipality, China

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Guangxi Medical University Cancer Hospital

Nanning, Guangxi, China

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Tongji Hospital Tongji Medical College of HUST

Wuhan, Hubei, China

Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China

Nantong Tumor Hospital

Nantong, Jiangsu, China

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, Shaanxi, China

Cancer Hospital of Shandong First Medical University

Jinan, Shandong, China

Linyi Cancer Hospital

Linyi, Shandong, China

Zhongshan Hospital, Fudan University

Shanghai, Shanghai Municipality, China

Shanghai East Hospital

Shanghai, Shanghai Municipality, China

Shanghai Pulmonary Hospital

Shanghai, Shanghai Municipality, China

West China Hospital of Sichuan University

Chengdu, Sichuan, China

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

View Full Details on ClinicalTrials.gov

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NCT07154706


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