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
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Nuvalent Inc. Industry-sponsored |
| Locations | 21 sites (Irvine, California and 20 other locations) |
| Status | Recruiting |
| Started | July 18, 2024 |
| Main results expected | January 2027 |
| Study ends | February 2027 |
| Registry record updated | October 20, 2026 |
| Trial ID | NCT06521554 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
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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
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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
- Study coordinator: Lisa Morelli
- Email: clinicaltrials@nuvalent.com
- Phone: 857-357-7000
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.