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
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Sex | All |
| Enrollment | 54 (estimated) |
| Sponsor | Nuvectis Pharma, Inc. Industry-sponsored |
| Drugs / interventions | lorlatinib, chemotherapy |
| Locations | 1 site (Fairfax, Virginia) |
| Status | Recruiting |
| Started | August 17, 2026 |
| Main results expected | August 2027 |
| Study ends | February 2028 |
| Registry record updated | August 25, 2026 |
| Trial ID | NCT07784959 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.
-
Effectiveness and safety of Lorlatinib for untreated ALK-positive lung cancer patients in France
This study is testing if Lorlatinib is safe and effective for adults in France who have not yet received treatment for ALK-positive lung cancer.
-
First-line treatment with lorlatinib for advanced ALK+ lung cancer in China
This study is testing if lorlatinib can be an effective first treatment for people in China with advanced ALK-positive lung cancer.
-
Targeted alpha therapy for B7-H3 expressing solid tumors using AKY-2519
This phase 1b trial tests a radiolabeled drug (AKY-2519) to see if it's safe and tolerable in adults with B7-H3 positive advanced solid tumors, including NSCLC and SCLC, with imaging to help guide use.
-
SumMET: Targeted radioligand therapy for c-MET–positive solid tumors
This first‑in‑human study tests the safety and potential effectiveness of a radioligand therapy called [225Ac]Ac-FL-261 in adults with advanced or metastatic solid tumors that overexpress c-MET.
-
SI-B036 safety test in advanced and metastatic solid tumors
This early-phase study checks whether SI-B036 is safe and tolerable in adults with advanced or metastatic solid cancers who have had prior therapy.
-
YSCH-01 Nebulized Therapy for Lung Metastases in NSCLC and Advanced Solid Tumors
A first-in-human, early-phase study tests a nebulized therapy called YSCH-01 to see if it is safe and shows any signs of benefit for adults with NSCLC or other cancers that have spread to the lungs.
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.