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NCT05118789RecruitingPhase 1/2

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

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

Source: ClinicalTrials.gov · Last updated 24 Sept 2026

Brief summary (registry, in English)

Phase 1/2, dose escalation and expansion study designed to evaluate the safety and tolerability of zidesamtinib (NVL-520), determine the recommended phase 2 dose (RP2D), and evaluate the antitumor activity in patients with advanced ROS1-positive (ROS1+) NSCLC and other advanced ROS1-positive solid tumors. Phase 1 will determine the RP2D and, if applicable, the maximum tolerated dose (MTD) of zidesamtinib in patients with advanced ROS1-positive solid tumors. Phase 2 will determine the objective response rate (ORR) as assessed by Blinded Independent Central Review (BICR) of zidesamtinib at the RP2D. Secondary objectives will include the duration of response (DOR), time to response (TTR), progression-free survival (PFS), overall survival (OS), and clinical benefit rate (CBR) of zidesamtinib in patients with advanced ROS1-positive NSCLC and other solid tumors.

Status (registry)
Recruiting
Phase (registry)
Phase 1/2
Study type
Interventional
Enrollment
359 (estimated)
First submitted
19 Oct 2021
Start date
4 Jan 2022
Primary completion date
31 Dec 2027
Lead sponsor
Nuvalent Inc.
NCT number
NCT05118789
EU CT number
2024-511793-71-00
EudraCT number
2021-002477-26

What you commit to

  • Study type: Interventional · Phase 1/2
  • Planned participants: 359
  • From 4 Jan 2022 to the primary completion date, 31 Dec 2027
  • 63 sites in 14 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Major surgery within 4 weeks of first dose of study drug.
  • Ongoing anticancer therapy.
  • Actively receiving systemic treatment or direct medical intervention on another therapeutic clinical study.

Other illness

  • Patient's cancer has a known oncogenic driver alteration other than ROS1.
  • Known allergy/hypersensitivity to excipients of NVL-520.

Who the study is looking for

  • Age ≥18 years (Cohort 2e only: Age ≥12 years).
  • Disease Criteria:
    • Phase 1: Histologically or cytologically confirmed locally advanced or metastatic solid tumor with documented ROS1 rearrangement.
    • Phase 2: Cohorts 2a, 2b, 2c and 2d: Histologically or cytologically confirmed locally advanced or metastatic NSCLC with ROS1 rearrangement.
    • Phase 2: Cohort 2e: Histologically or cytologically confirmed locally advanced or metastatic solid tumor (other than NSCLC) with ROS1 rearrangement.
  • Prior anticancer treatment (except cohort 2a).
  • Phase 1: Must have evaluable disease (target or nontarget) according to RECIST 1.1. Phase 2: Must have measurable disease according to RECIST 1.1.
  • Adequate baseline organ function and bone marrow reserve.

Age in the registry: 12 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (63)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Chris O'Brien Lifehouse
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CamperdownAustraliaRecruiting
Peter MacCallum Cancer Centre
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MelbourneAustraliaRecruiting
UZ Leuven
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LeuvenBelgiumRecruiting
Cross Cancer Institute
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EdmontonCanadaRecruiting
Princess Margaret Cancer Research
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TorontoCanadaRecruiting
University Hospital Cologne AöR
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CologneGermanyRecruiting
Complexo Hospitalario Universitario A Coruña
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A CoruñaSpainRecruiting
Hospital Universitari Vall d'Hebron
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BarcelonaSpainRecruiting
Micancer Center S.L.P.
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BarcelonaSpainRecruiting
Hospital Universitario 12 de Octubre
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MadridSpainRecruiting
Hospital General Universitario Gregorio Marañón
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MadridSpainRecruiting
Hospital Universitario HM Sanchinarro
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MadridSpainRecruiting
Centre Leon Berard
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LyonFranceRecruiting
Centre Hospitalier Universitaire de Nantes
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NantesFranceRecruiting
Institut Claudius Regaud / Oncopole / CHU Toulouse
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TOULOUSEFranceRecruiting
Institut Gustave Roussy
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VillejuifFranceRecruiting
Royal Marsden Hospital
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LondonUnited KingdomRecruiting
Christie NHS Foundation Trust
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ManchesterUnited KingdomCompleted
Azienda Ospedaliero-Universitaria delle Marche
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AnconaItalyRecruiting
Istituto Tumori Bari Giovanni Paolo II
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BariItalyRecruiting
Istituto Europeo di Oncologia s.r.l
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MilanItalyRecruiting
Fondazione IRCCS - Istituto Nazionale dei Tumori
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MilanItalyRecruiting
Istituto Oncologico Veneto
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PadovaItalyRecruiting
Azienda Unità Sanitaria Locale della Romagna
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RavennaItalyRecruiting
I.F.O. Istituti Fisioterapici Ospitalieri
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RomeItalyRecruiting
Kanagawa Cancer Center
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KanagawaJapanRecruiting
Okayama University Hospital
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OkayamaJapanRecruiting
Kindai University Hospital
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OsakaJapanRecruiting
Shizuoka Cancer Center
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ShizuokaJapanCompleted
National Cancer Center Hospital
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TokyoJapanRecruiting
The Cancer Institute Hospital of JFCR
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TokyoJapanRecruiting
Wakayama Medical University Hospital
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WakayamaJapanRecruiting
National Cancer Center
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Gyeonggi-doSouth KoreaRecruiting
Seoul National University Hospital
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SeoulSouth KoreaRecruiting
Yonsei University Health System
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SeoulSouth KoreaRecruiting
Samsung Medical Center
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SeoulSouth KoreaRecruiting
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
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AmsterdamNetherlandsRecruiting
Universitair Medisch Centrum Groningen
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GroningenNetherlandsRecruiting
National University Hospital Singapore
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SingaporeSingaporeActive, not recruiting
National Cancer Centre Singapore
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SingaporeSingaporeRecruiting
Chung Shan Medical University Hospital
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TaichungTaiwanRecruiting
National Cheng Kung University Hospital
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TainanTaiwanRecruiting
National Taiwan University Hospital
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TaipeiTaiwanRecruiting
Dana-Farber Cancer Institute
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BostonUnited StatesRecruiting
Mass General Hospital
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BostonUnited StatesRecruiting
Atrium Health Levine Cancer Institute
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CharlotteUnited StatesRecruiting
University of Chicago
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ChicagoUnited StatesRecruiting
Ohio State University
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ColumbusUnited StatesRecruiting
University of Miami
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Coral GablesUnited StatesRecruiting
University of Colorado Cancer Center
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DenverUnited StatesRecruiting
Henry Ford Cancer Institute
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DetroitUnited StatesRecruiting
NEXT Oncology - Virginia Cancer Specialists
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FairfaxUnited StatesRecruiting
MD Anderson Cancer Center
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HoustonUnited StatesActive, not recruiting
Sarah Cannon Research Institute
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NashvilleUnited StatesRecruiting
Memorial Sloan-Kettering Cancer Center
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New YorkUnited StatesRecruiting
NYU Langone Health
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New YorkUnited StatesRecruiting
UCI Medical Center
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OrangeUnited StatesRecruiting
Stanford Medicine
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Palo AltoUnited StatesRecruiting
Fox Chase Cancer Center
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PhiladelphiaUnited StatesRecruiting
UC Davis Comprehensive Cancer Center
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SacramentoUnited StatesRecruiting
University of Washington Fred Hutchinson Cancer Center
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SeattleUnited StatesRecruiting
Washington University School of Medicine
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St LouisUnited StatesRecruiting
Georgetown University Medical Center
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Washington D.C.United StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.