Clinical trial Recruiting at 1 site Phase 1 Interventional

NXP900 with Lorlatinib in ALK-positive NSCLC

Official title: A Phase 1b Clinical Study of NXP900 in Combination With Lorlatinib in Subjects With Advanced, ALK-positive, Non-Small Cell Lung Cancer

Run by Nuvectis Pharma, Inc. · NCT07784959 · Data updated 2026-11-12

This study tests whether adding NXP900 to lorlatinib helps people with ALK-positive non-small cell lung cancer who have already received prior therapy.

Quick facts

PhasePhase 1
Study typeInterventional
SexAll
Enrollment54 (estimated)
SponsorNuvectis Pharma, Inc.
Industry-sponsored
Drugs / interventionslorlatinib, chemotherapy
Locations1 site (Fairfax, Virginia)
StatusRecruiting
StartedAugust 17, 2026
Main results expectedAugust 2027
Study endsFebruary 2028
Registry record updatedAugust 25, 2026
Trial IDNCT07784959 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 years and older with unresectable, metastatic, or locally advanced ALK-positive NSCLC who have previously received lorlatinib and may have had one prior chemotherapy regimen.

Probably not a fit

Patients whose tumors do not respond to lorlatinib or who experience intolerable toxicity from the combination may not benefit from this treatment.

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 multicenter, open-label Phase 1b study evaluating the safety and feasibility of combining NXP900 with lorlatinib in adults with unresectable, metastatic, or locally advanced ALK-positive NSCLC. Eligible participants have previously received lorlatinib and may have had one prior chemotherapy regimen. Participants will receive NXP900 in combination with lorlatinib at a dose level under exploration to assess tolerability and preliminary activity. The study is conducted at a single site, NEXT Virginia, under the lead sponsorship of Nuvectis Pharma, with no listed collaborators. Results will inform future dosing and potential signals of efficacy for this combination.

Why it matters

Potential benefit: If successful, the combination could provide a new treatment option that enhances disease control for ALK-positive NSCLC patients who have progressed on lorlatinib.

How similar studies have gone: Early-phase studies in similar ALK-targeted combinations have shown manageable safety and signals of activity, but this specific NXP900-lorlatinib combination is investigational.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 18 years old or older
* Unresectable, metastatic or locally advanced ALK-positive NSCLC.
* Must have received lorlatinib as first or second line TKI
* One prior line of systemic chemotherapy is permitted
* Must have tolerated the dose level of lorlatinib actively being explored in the study or a higher dose

Exclusion Criteria:

* Known single or compound ALK domain mutations that cause resistance to lorlatinib, or known actionable oncogenic driver alterations other than ALK with approved targeted therapies available, such as, MET or EGFR mutations or HER2 overexpression
* Any contraindications to treatment with lorlatinib according to the lorlatinib United States Prescribing Information (USPI)

Where it's running

  • NEXT Virginia
    Fairfax, Virginia, United States
    Recruiting

Study contacts

  • Principal investigator: Christine Lovly, MD, PhD — City of Hope Medical Center
  • Study coordinator: Erin Belshaw
  • Email: ebelshaw@nuvectis.com
  • Phone: 2016278129

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.