A Study of Zidesamtinib (NVL-520) for ROS1-Positive Cancers

This study is testing a drug called zidesamtinib (NVL-520) in people with advanced solid tumors, including non-small cell lung cancer (NSCLC), that have a specific genetic change called a ROS1 rearrangement. Zidesamtinib is a type of kinase inhibitor. The study aims to find the safest and most effective dose of zidesamtinib and see how well it shrinks tumors. To join, you must have a ROS1 rearrangement in your tumor. The study is looking for about 359 participants aged 12 and older. The study's success will be measured by how many patients experience their tumors shrinking or disappearing (Objective Response Rate). The current status of the study is unclear.

Study design
This is a Phase 1/2 study, meaning it will first find the right dose and then test its effectiveness. It is designed to enroll approximately 359 participants.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Objective Response Rate will be measured 2-3 years after the first patient is dosed in Phase 2.

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NCT05118789

A Study of Zidesamtinib (NVL-520) in Patients With Advanced NSCLC and Other Solid Tumors Harboring ROS1 Rearrangement (ARROS-1)

Recruiting
PHASE1Ages 12+InterventionalTreatment
Nuvalent Inc.
~359 participants
Updated 2025-10-24 on ClinicalTrials.gov
What's tested:Zidesamtinib (NVL-520)

At a glance

Recruiting sites
62 of 63 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Maximum Tolerated Dose (MTD) (Phase 1)
Measured over Within 28 days of last patient dosed during dose escalation
+2 more outcomes measured
Locally Advanced Solid Tumor
Metastatic Solid Tumor
63 sites across 31 states
Italy7
Japan7
Spain6
France4
South Korea4
California3
Taiwan3
Massachusetts2
  • Vivek Upadhyay, MD, MBI · STUDY_DIRECTOR · Nuvalent Inc.

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  • Maximum Tolerated Dose (MTD) (Phase 1)Within 28 days of last patient dosed during dose escalation

    Highest dose with dose-limiting toxicity (DLT) rate ≤ 25%

  • Recommended Phase 2 Dose (RP2D)Within 28 days of last patient dosed during dose escalation.

    To determine the RP2D

  • Objective Response Rate (ORR) (Phase 2)2-3 years after first patient dosed.

    To determine ORR as assessed by BICR