Clinical trial Recruiting at 20 sites Phase 1 Interventional Ages 18 and up

Evaluating NVL-330 for advanced HER2-altered lung cancer

Official title: A Phase 1a/1b Study of the Selective Tyrosine Kinase Inhibitor NVL-330 in Patients With Advanced or Metastatic HER2-altered NSCLC (HEROEX-1)

Run by Nuvalent Inc. · NCT06521554 · Data updated 2026-11-12

This study is testing a new treatment called NVL-330 to see if it can safely help people with advanced lung cancer that has changes in the HER2 gene.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorNuvalent Inc.
Industry-sponsored
Locations21 sites (Irvine, California and 20 other locations)
StatusRecruiting
StartedJuly 18, 2024
Main results expectedJanuary 2027
Study endsFebruary 2027
Registry record updatedOctober 20, 2026
Trial IDNCT06521554 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older with confirmed advanced or metastatic HER2-altered NSCLC who have evaluable or measurable disease.

Probably not a fit

Patients with known oncogenic driver alterations other than HER2 or those currently receiving other anticancer therapies may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 1a/1b clinical trial designed to assess the safety, tolerability, and antitumor activity of NVL-330 in patients with advanced or metastatic HER2-altered non-small cell lung cancer (NSCLC). The trial consists of a dose escalation phase to determine the recommended Phase 2 dose (RP2D) and an expansion phase to further evaluate the safety and efficacy of the selected dose. Patients will be monitored for safety and disease response according to established criteria.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced HER2-altered NSCLC.

How similar studies have gone: While this approach is novel in targeting HER2 alterations in NSCLC, similar studies have shown promise in other cancers with HER2 mutations.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Age ≥ 18 years
2. Histologically or cytologically confirmed locally advanced or metastatic NSCLC
3. Documented HER2 status as follows:

   1. Phase 1a: Documented oncogenic HER2 mutation such as HER2 exon20 insertion mutations or single nucleotide variants or HER2 amplification.
   2. Phase 1b: Documented oncogenic HER2 mutation.
4. Identification of lesions as follows:

   1. Phase 1a: Must have evaluable disease (target or nontarget) according to RECIST 1.1.
   2. Phase 1b: Must have measurable disease, defined as ≥ 1 radiologically measurable target lesion according to RECIST 1.1.
5. Adequate organ function and bone marrow reserve

Exclusion Criteria:

1. Participant's cancer has known oncogenic driver alteration other than HER2
2. Known allergy/hypersensitivity to excipients of NVL-330
3. Major surgery within 4 weeks of the first dose of study drug
4. Ongoing or recent anticancer therapy
5. Actively receiving systemic treatment or direct medical intervention on another therapeutic clinical study

Where it's running

  • City of Hope - Lennar
    Irvine, California, United States
    Recruiting
  • University of California, Davis Comprehensive Cancer Center
    Sacramento, California, United States
    Recruiting
  • Stanford Cancer Institute
    Stanford, California, United States
    Recruiting
  • Sarah Cannon Research Institute at HealthONE
    Denver, Colorado, United States
    Recruiting
  • Georgetown University Medical Center
    Washington D.C., District of Columbia, United States
    Recruiting
  • Sibley Memorial Hospital
    Washington D.C., District of Columbia, United States
    Recruiting
Show 15 more locations
  • Sylvester Comprehensive Cancer Center
    Miami, Florida, United States
    Recruiting
  • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Bayview Medical Center
    Baltimore, Maryland, United States
    Recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Henry Ford Cancer Center
    Detroit, Michigan, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center
    New York, New York, United States
    Recruiting
  • OSU Brain and Spine Hospital
    Columbus, Ohio, United States
    Recruiting
  • SCRI Oncology Partners
    Nashville, Tennessee, United States
    Recruiting
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • NEXT Virginia
    Fairfax, Virginia, United States
    Recruiting
  • Fred Hutchinson Cancer Center
    Seattle, Washington, United States
    Recruiting
  • Chris O'Brien Lifehouse
    Camperdown, New South Wales, Australia
    Recruiting
  • North Shore Health Hub
    Saint Leonards, New South Wales, Australia
    Recruiting
  • Cross Cancer Institute
    Edmonton, Alberta, Canada
    Recruiting
  • Princess Margaret Cancer Center - University Health Network
    Toronto, Ontario, Canada
    Recruiting
  • Washington University
    St Louis, Missouri, United States
    Completed

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.