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临床试验/2024-517553-26-00
2024-517553-26-00招募中3 期

A Phase 3 Study of the Selective Anaplastic Lymphoma Kinase (ALK) Inhibitor NVL-655 Compared to Alectinib in First-Line Treatment of Patients With ALK-Positive Advanced Non-Small Cell Lung Cancer (ALKAZAR)

Nuvalent Inc.68 个研究点 分布在 10 个国家目标入组 233 人开始时间: 2025年6月2日最近更新:

试验速览

阶段
3 期
状态
招募中
发起方
Nuvalent Inc.
入组人数
233
试验地点
68
主要终点
Progression-free survival (PFS)

研究概览

简要总结

To evaluate the efficacy of NVL-655 compared to alectinib in patients with treatment-naïve ALK-positive advanced NSCLC

研究设计

分配方式
Not Applicable
主要目的
End of Trial (EOT)
盲法
None

入排标准

年龄范围
18 years 至 65+ years(18-64 Years, 65+ Years)
接受健康志愿者

入选标准

  • Patients must meet all of the following criteria to be eligible to enroll in the study:
  • 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)
  • Pretreatment tumor tissue (archived or a fresh biopsy)

排除标准

  • Patient’s cancer has a known oncogenic driver alteration other than ALK.
  • Known allergy/hypersensitivity to excipients of NVL-655 or alectinib.
  • Major surgery within 4 weeks prior to randomization
  • Ongoing or recent radiotherapy as per protocol-specified timeframes prior to randomization
  • Uncontrolled clinically relevant infection requiring systemic therapy
  • Known active tuberculosis, known active Hepatitis B or C
  • QT corrected for heart rate by Fridericia’s formula (QTcF) > 470 msec on repeated assessments
  • Clinically significant cardiovascular disease
  • Brain metastases associated with progressive neurological symptoms or requiring increasing doses of corticosteroids to control CNS disease
  • Active malignancy requiring therapy within 2 years prior to randomization

结局指标

主要结局

Progression-free survival (PFS)

Progression-free survival (PFS)

次要结局

  • 1) - Overall survival (OS) - Progression-free survival (PFS) per investigator assessment - Time to intracranial progression per blinded independent central review (BICR) - Intracranial objective response rate (IC-ORR) - Intracranial duration of response (IC-DOR) - Objective response rate (ORR) - Duration of response (DOR) - Time to intracranial progression, IC-ORR, IC-DOR, ORR, and DOR
  • 2) Incidence and severity of treatment-emergent adverse events (TEAEs) and changes in clinically relevant laboratory parameters
  • 3) Changes in patient-reported outcomes (PROs)

研究者

发起方
Nuvalent Inc.
申办方类型
Pharmaceutical company
责任方
Principal Investigator
主要研究者

Medical

Scientific

Nuvalent Inc.

研究点 (68)

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