Neladalkib (NVL-655) for ALK-Positive NSCLC

This study is testing a new drug called neladalkib (NVL-655) for people with advanced non-small cell lung cancer (NSCLC) that has a specific change called an ALK rearrangement. This study is for patients who have not yet received other treatments for their advanced NSCLC. Researchers want to see if neladalkib (NVL-655) is better than a standard treatment, alectinib, at preventing the cancer from growing or spreading. To join, you must have advanced NSCLC with an ALK rearrangement, confirmed by a tissue or blood test, and be at least 18 years old. The study's main goal is to measure how long patients live without their cancer getting worse.

Study design
This is a randomized, controlled, open-label study where about 450 participants will be split into two groups, with one group receiving neladalkib (NVL-655) and the other receiving alectinib.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for up to 5 years after the first patient receives their medication to see how long they live without their cancer progressing.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT06765109

Neladalkib (NVL-655) for TKI-naive Patients With Advanced ALK-Positive NSCLC

Recruiting
PHASE3Ages 18+InterventionalTreatment
Nuvalent Inc.
~450 participants
Updated 2026-08-25 on ClinicalTrials.gov
What's tested:Neladalkib (NVL-655)Alectinib

At a glance

Recruiting sites
157 of 158 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Progression-free survival (PFS) per blinded independent central review (BICR)
Measured over Up to 5 years after first patient dosed
Non-small Cell Lung Cancer
Anaplastic Lymphoma Kinase-positive
158 sites across 51 states
Italy12
France10
Spain10
Japan9
Brazil8
United Kingdom8
Mexico6
South Korea6
  • Kelly Curtis, MD · STUDY_DIRECTOR · Nuvalent Inc.

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  • Progression-free survival (PFS) per blinded independent central review (BICR)Up to 5 years after first patient dosed

    Time from randomization to BICR-assessed radiographic disease progression or death