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临床试验/NL-OMON53810
NL-OMON53810招募中2 期

A Phase 1/2 Study of the Highly Selective ROS1 Inhibitor NVL-520 in Patients with Advanced NSCLC and Other Solid Tumors (ARROS-1) - NVL-520-01

uvalent, Inc.0 个研究点目标入组 14 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
14

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
16 至 64(—)

入选标准

  • 1. Age >=18 years a. Phase 2 Cohort 2e only: Age >=12 years and weighing > 40 kg.
  • (Patients ages 12 to 17 will only be enrolled in countries and at sites where
  • regulations allow.) 2. Disease criteria a. Phase 1: Histologically or
  • cytologically confirmed locally advanced or metastatic solid tumor with
  • documented ROS1 rearrangement, determined by testing in a Clinical Laboratory
  • Improvement Amendments (CLIA) laboratory in the US or equivalently accredited
  • diagnostic lab outside the United States (US) and using a local diagnostic test
  • or a commercial test or by a regulatory agency approved test, such as
  • fluorescence in situ hybridization (FISH) or next generation sequencing (NGS)
  • or reverse transcription polymerase chain reaction (RT-PCR). The report from
  • this test is required to be submitted for eligibility. b. Cohorts 2a, 2b, 2c
  • and 2d: Histologically or cytologically confirmed locally advanced or
  • metastatic NSCLC with ROS1 rearrangement as determined by testing in a CLIA or
  • equivalently accredited diagnostic lab using a local diagnostic test or a
  • commercial test or by a regulatory agency approved test, such as FISH or NGS or
  • RT-PCR. The report from this test is required to be submitted for eligibility.
  • c. Cohort 2e: Histologically or cytologically confirmed locally advanced or
  • metastatic solid tumor (including NSCLC not eligible for Cohorts 2a-2d) with
  • ROS1 rearrangement as determined by testing in a CLIA or equivalently
  • accredited diagnostic lab using a local diagnostic test or a commercial test or
  • by a regulatory agency approved test, such as FISH or NGS or RT-PCR. The report
  • from this test is required to be submitted for eligibility. 3. Prior anticancer
  • treatment a. Phase 1: Patients with ROS1 fusion-positive NSCLC must have
  • previously received at least 1 prior ROS1 TKI, while those with other
  • ROS1-positive solid tumors must have progressed on any prior therapy (includes,
  • but is not limited to, patients whohave progressed on prior ROS1 TKIs). Any
  • number of prior platinum-based chemotherapies with or without immunotherapy is
  • allowed. b. Cohort 2a: Must be nai*ve to TKI therapy and up to one prior
  • platinum-based chemotherapy (with or without immunotherapy). c. Cohort 2b: Must
  • have received 1 prior ROS1 TKI therapy (either crizotinib or entrectinib) and
  • no prior platinum-based chemotherapy or immunotherapy. d. Cohort 2c: Must have
  • received 1 prior ROS1 TKI therapy (either crizotinib or entrectinib) and 1
  • prior platinum-based chemotherapy (with or without immunotherapy). e. Cohort
  • 2d: Must have received at least 2 prior ROS1 TKI therapies and up to 1 prior
  • platinum-based chemotherapy (with or without immunotherapy). f. Cohort 2e: Must
  • have progressed on any prior therapy (includes, but is not limited to, patients
  • who have progressed on prior ROS1 TKIs). 4. Phase 1: Must have evaluable
  • disease (target or nontarget) according to RECIST 1.1 (Eisenhauer et al, 2009;
  • Appendix 3). Phase 2: Must have measurable disease, defined as >=1
  • radiologically measurable target lesion according to RECIST 1.1. Note: Patients
  • with CNS-only disease are eligible, provided that the disease is evaluable
  • (Phase 1) or measurable (Phase 2) and does not meet Exclusion Criterion #11. 5.
  • Pre-treatment tumor tissue (archived, if available, or a fresh biopsy)
  • submitted for central analysis. It is

排除标准

  • 1. Patient*s cancer has a known oncogenic driver alteration other than ROS1.
  • For example, NSCLC with a targetable mutation in EGFR, ALK, MET, RET, or BRAF;
  • colorectal with an oncogenic KRAS, NRAS, or BRAF mutation. Investigators should
  • discuss enrollment with the Sponsor regarding co-mutations. 2. Known
  • allergy/hypersensitivity to excipients of NVL-520. 3. Major surgery within 4
  • weeks of first dose of study drug. Minor surgical procedures (eg, port
  • insertion) are permitted, but with sufficient time for wound healing as deemed
  • clinically appropriate. 4. Ongoing or recent anticancer therapy within the
  • following timeframe prior to first dose of study drug (NVL-520 may be started
  • within limits for prior TKI or chemotherapy if considered by the Investigator
  • to be safe and within the best interest of the patient, with prior approval
  • from the Sponsor): a.TKI or other anticancer therapy not listed below in
  • exclusion criteria 4b or 4c: <5 half-lives or <7 days, whichever is longer b.
  • Chemotherapy, antibody-drug conjugates (ADCs), or other antibodies: <21 days.
  • c. Immunotherapy or cellular therapy <28 days 5. Ongoing or recent radiation
  • therapy within the following timeframe prior to first dose of study drug: a.
  • Radiation therapy (except palliative radiation to relieve bone pain) <14 days.
  • b. Palliative radiation to relieve bone pain <48 hours. c. Stereotactic or
  • small field brain irradiation <7 days. d. Whole brain radiation <14 days. 6.
  • Prior high-dose chemotherapy requiring stem cell rescue. 7. Uncontrolled
  • clinically relevant bacterial or fungal infection requiring systemic therapy.
  • 8. Has known active tuberculosis or active Hepatitis B or C. Active Hepatitis B
  • is defined as a known positive HBsAg result and known quantitative HBV DNA
  • results greater than the lower limits of detection of the assay. Active
  • Hepatitis C is defined by a known positive Hep C Ab result and known
  • quantitative HCV RNA results greater than the lower limits of detection of the
  • assay. 9. Patient has a QTcF >450 msec (repeated demonstration on more than one
  • assessment). Patient has a history of prolonged QT syndrome or Torsades de
  • pointes. 10. Patients with clinically significant cardiovascular disease as

研究者

发起方
uvalent, Inc.

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