RecruitingNon-small Cell Lung CancerAnaplastic Lymphoma Kinase-positive
Neladalkib (NVL-655) for TKI-naive Patients With Advanced ALK-Positive NSCLC
Eligible age
18+ yrs
Accepts
All genders
Locations
15 states
Healthy volunteers
No
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About this study
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).
Sponsor: Nuvalent Inc.
You may qualify if…
- ✓ 1. Histologically or cytologically confirmed locally advanced (not amenable for multimodality treatment) or metastatic Non-small Cell Lung Cancer (NSCLC)
- ✓ 2. Documented Anaplastic Lymphoma Kinase (ALK) rearrangement via testing of tissue or blood
- ✓ 3. 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)
- ✓ 4. Measurable disease (1 or more target lesions per Response Evaluation Criteria in Solid Tumors \[RECIST\] 1.1)
- ✓ 5. Pretreatment tumor tissue
You may not qualify if…
- ✕ 1. Patient's cancer has a known oncogenic driver alteration other than ALK.
- ✕ 2. Known allergy/hypersensitivity to excipients of neladalkib or alectinib.
- ✕ 3. Ongoing or recent radiotherapy as per protocol-specified timeframes prior to randomization
- ✕ 4. Major surgery within 4 weeks prior to randomization
- ✕ 5. Uncontrolled clinically relevant infection requiring systemic therapy
- ✕ 6. Known active tuberculosis, or active Hepatitis B or C
- ✕ 7. QT corrected for heart rate by Fridericia's formula (QTcF) \> 470 msec on repeated assessments
- ✕ 8. Clinically significant cardiovascular disease
Where it's recruiting
Arizona
Glendale
California
Newport Beach · Orange
Colorado
Boulder
Florida
Miami · Orlando · Tampa
Georgia
Atlanta
Massachusetts
Boston
Michigan
Detroit
Missouri
St Louis
New York
New York · Westbury
North Carolina
Charlotte · Durham
Ohio
Cincinnati · Columbus
Pennsylvania
Sellersville
Source: ClinicalTrials.gov · NCT06765109 · last updated 2026-08-25