Nuvalent Presents Pivotal Data from ARROS-1 Clinical Trial of Zidesamtinib for TKI Pre-treated Patients with Advanced ROS1-positive NSCLC at WCLC 2025
Nuvalent (Nasdaq: NUVL) presented pivotal data for zidesamtinib, its novel ROS1-selective inhibitor, for treating TKI pre-treated patients with advanced ROS1-positive NSCLC at WCLC 2025. The data, initially announced in June 2025, supports the company's ongoing rolling NDA submission to the FDA.
The FDA has accepted the NDA for the AG真人官方-Time Oncology Review (RTOR) program, enabling earlier submission of efficacy and safety results. Nuvalent expects to complete the rolling NDA submission in Q3 2025 and is exploring potential line-agnostic expansion opportunities with the FDA.
The drug aims to address unmet needs in ROS1-positive NSCLC patients, particularly those intolerant to current TKIs or experiencing disease progression with brain metastases or resistance mutations.
Nuvalent (Nasdaq: NUVL) ha presentato dati pivotali su zidesamtinib, il suo nuovo inibitore selettivo di ROS1, per il trattamento di pazienti con NSCLC ROS1-positivo avanzato precedentemente trattati con TKI al WCLC 2025. I dati, annunciati originariamente a giugno 2025, supportano la sottomissione in corso della NDA a scaglioni presso la FDA.
La FDA ha accettato la NDA per il programma AG真人官方-Time Oncology Review (RTOR), consentendo la presentazione anticipata dei risultati di efficacia e sicurezza. Nuvalent prevede di completare la sottomissione rolling della NDA nel terzo trimestre 2025 e sta valutando con la FDA potenziali espansioni line-agnostiche.
Il farmaco mira a colmare bisogni insoddisfatti nei pazienti con NSCLC ROS1-positivo, in particolare quelli intolleranti agli attuali TKI o che presentano progressione di malattia con metastasi cerebrali o mutazioni di resistenza.
Nuvalent (Nasdaq: NUVL) present贸 datos pivotales sobre zidesamtinib, su nuevo inhibidor selectivo de ROS1, para el tratamiento de pacientes con CPNM avanzado ROS1-positivo pretratados con TKI en el WCLC 2025. Los datos, anunciados inicialmente en junio de 2025, respaldan la presentaci贸n continua de la NDA por fases ante la FDA.
La FDA ha aceptado la NDA para el programa AG真人官方-Time Oncology Review (RTOR), lo que permite una entrega anticipada de los resultados de eficacia y seguridad. Nuvalent espera completar la presentaci贸n rolling de la NDA en el tercer trimestre de 2025 y est谩 explorando con la FDA posibles ampliaciones line-agn贸sticas.
El f谩rmaco pretende abordar necesidades no cubiertas en pacientes con CPNM ROS1-positivo, especialmente aquellos intolerantes a los TKI actuales o que presentan progresi贸n de la enfermedad con met谩stasis cerebrales o mutaciones de resistencia.
Nuvalent (雮橃姢雼�: NUVL)鞚 WCLC 2025鞐愳劀 zidesamtinib鞐� 雽頃� 欷戨寑頃� 雿办澊韯�(頂茧炒韮� 雿办澊韯�)毳� 氚滍憸頄堨姷雼堧嫟. zidesamtinib電� ROS1 靹犿儩鞝� 鞁犾暯鞙茧, 鞚挫爠鞐� TKI搿� 旃橂氚涭潃 歆勴枆靹� ROS1 鞏戩劚 牍勳唽靹疙彫韽愳晹(NSCLC) 頇橃瀽毳� 鞙勴暅 旃橂鞝滌瀰雼堧嫟. 鞚� 雿办澊韯半姅 2025雲� 6鞗旍棎 觳橃潓 氚滍憸霅橃棃鞙茧┌, 須岇偓鞚� FDA鞐� 雽頃� 靾滌皑鞝�(NDA 搿る) 鞝滌稖鞚� 霋冯皼旃暕雼堧嫟.
贵顿础电� AG真人官方-Time Oncology Review(RTOR) 頂勲攴鸽灗 雽靸侅瀽搿� NDA毳� 鞝戩垬頃橃棳 須姤 氚� 鞎堨爠靹� 瓴瓣臣毳� 臁瓣赴 鞝滌稖頃� 靾� 鞛堦矊 頄堨姷雼堧嫟. Nuvalent電� 2025雲� 3攵勱赴 雮挫棎 NDA 搿る 鞝滌稖鞚� 鞕勲頃� 鞓堨爼鞚措┌, FDA鞕 頃粯 霛检澑 牍勴姽鞝�(line-agnostic) 頇曥灔 臧電レ劚霃� 瓴韱� 欷戩瀰雼堧嫟.
鞚� 鞎诫鞚 韸鬼瀳 順勳灛鞚� TKI毳� 瓴敎 靾� 鞐嗞卑雮� 雵� 鞝勳澊 霕愲姅 鞝頃劚 霃岇棸氤鞚措 歆堧硲鞚� 歆勴枆霅� ROS1 鞏戩劚 NSCLC 頇橃瀽霌れ潣 氙胳订臁� 靾橃殧毳� 頃搓舶頃橂姅 瓴冹潉 氇╉憸搿� 頃╇媹雼�.
Nuvalent (Nasdaq: NUVL) a pr茅sent茅 des donn茅es pivots sur zidesamtinib, son nouvel inhibiteur s茅lectif de ROS1, pour le traitement de patients atteints de NSCLC ROS1-positif avanc茅 pr茅alablement trait茅s par TKI lors du WCLC 2025. Les donn茅es, annonc茅es initialement en juin 2025, soutiennent la soumission progressive (rolling) du NDA de la soci茅t茅 aupr猫s de la FDA.
La FDA a accept茅 la NDA dans le cadre du programme AG真人官方-Time Oncology Review (RTOR), permettant une soumission anticip茅e des r茅sultats d鈥檈fficacit茅 et de s茅curit茅. Nuvalent pr茅voit de compl茅ter la soumission rolling du NDA au T3 2025 et 茅tudie avec la FDA des opportunit茅s d鈥檈xtension ind茅pendantes de la ligne th茅rapeutique (line-agnostic).
Le m茅dicament vise 脿 r茅pondre aux besoins non satisfaits des patients atteints de NSCLC ROS1-positif, en particulier ceux intol茅rants aux TKI actuels ou pr茅sentant une progression de la maladie avec m茅tastases c茅r茅brales ou mutations de r茅sistance.
Nuvalent (Nasdaq: NUVL) stellte auf dem WCLC 2025 schl眉sseldaten zu zidesamtinib vor, seinem neuartigen ROS1-selektiven Inhibitor zur Behandlung von TKI-vorbehandelten Patienten mit fortgeschrittenem ROS1-positivem NSCLC. Die Daten, die urspr眉nglich im Juni 2025 angek眉ndigt wurden, st眉tzen die laufende gestaffelte NDA-Einreichung bei der FDA.
Die FDA hat die NDA f眉r das AG真人官方-Time Oncology Review (RTOR)-Programm akzeptiert, was eine fr眉here Einreichung von Wirksamkeits- und Sicherheitsdaten erm枚glicht. Nuvalent erwartet, die rolling NDA-Einreichung im 3. Quartal 2025 abzuschlie脽en und pr眉ft mit der FDA m枚gliche line-agnostische Erweiterungsm枚glichkeiten.
Das Medikament zielt darauf ab, ungedeckte Bed眉rfnisse von Patienten mit ROS1-positivem NSCLC zu adressieren, insbesondere bei Patienten, die aktuelle TKIs nicht vertragen oder bei denen die Erkrankung mit Hirnmetastasen oder Resistenzmutationen fortschreitet.
- FDA acceptance of NDA for RTOR program, enabling faster review process
- On track for completing rolling NDA submission in Q3 2025
- Potential for line-agnostic expansion being discussed with FDA
- Drug shows promise for patients intolerant to current TKIs and those with brain metastases
- None.
Insights
Nuvalent's zidesamtinib shows promise for ROS1+ NSCLC patients, with rolling FDA submission on track for Q3 2025.
Nuvalent has presented pivotal data from its ARROS-1 Phase 1/2 trial for zidesamtinib, a novel ROS1-selective inhibitor targeting patients with ROS1-positive non-small cell lung cancer (NSCLC) who have previously received tyrosine kinase inhibitor (TKI) therapy. This data presentation at the prestigious Presidential Symposium of WCLC 2025 represents a significant milestone in addressing an important unmet need.
The FDA's acceptance of Nuvalent's rolling New Drug Application (NDA) under the AG真人官方-Time Oncology Review (RTOR) program is particularly noteworthy. This accelerated review pathway allows for earlier submission and evaluation of critical efficacy and safety data, potentially expediting the approval timeline. The company remains on track to complete this submission in Q3 2025.
What makes zidesamtinib potentially valuable is its targeted approach to ROS1-positive NSCLC patients with specific challenges: those who cannot tolerate existing TKIs and those whose cancer progresses with brain metastases or resistance mutations. ROS1 gene fusions occur in approximately 1-2% of NSCLC cases, making this a relatively rare but clinically important molecular subtype.
While specific efficacy and safety data points weren't disclosed in this press release, the company indicated positive outcomes with a "generally safe and well-tolerated safety profile." The company is also pursuing discussions with the FDA about potential "line-agnostic expansion," which could broaden zidesamtinib's indication beyond just TKI pre-treated patients to potentially include first-line treatment.
For ROS1-positive NSCLC patients with limited options after TKI failure or intolerance, zidesamtinib represents a promising targeted therapy advancing through the regulatory process with potential approval on the horizon.
Rolling NDA submission for zidesamtinib in TKI pre-treated advanced ROS1-positive NSCLC initiated under FDA's RTOR program, with completion on track for the third quarter of 2025
The pivotal data presented today, , serve as the foundation for the company's ongoing rolling New Drug Application (NDA) submission to the
"There remains a clear need for new treatment options for patients with ROS1-positive NSCLC, particularly those who are unable to tolerate the currently available TKIs, and those whose disease progresses with brain metastases or resistance mutations," said Christopher Turner, M.D., Chief Medical Officer at Nuvalent. "We are encouraged by the data presented today, which we believe highlight the potential of zidesamtinib to deliver meaningful outcomes with a generally safe and well-tolerated safety profile. These data represent important progress toward our goal of offering a new standard of care for this patient community. Congratulations to the entire Nuvalent team and our collaborators for the achievement of this important milestone."
About Zidesamtinib and the ARROS-1 Phase 1/2 Clinical Trial
Zidesamtinib is a novel brain-penetrant ROS1-selective inhibitor created with the aim to overcome limitations observed with currently available ROS1 inhibitors. Zidesamtinib is designed to remain active in tumors that have developed resistance to currently available ROS1 inhibitors, including tumors with treatment-emergent ROS1 mutations such as G2032R. In addition, zidesamtinib is designed for central nervous system (CNS) penetrance to improve treatment options for patients with brain metastases, and to avoid inhibition of the structurally related tropomyosin receptor kinase (TRK) family. Together, these characteristics have the potential to avoid TRK-related CNS adverse events seen with dual TRK/ROS1 inhibitors and to drive deep, durable responses for patients across all lines of therapy. Zidesamtinib has received breakthrough therapy designation for the treatment of patients with ROS1-positive metastatic non-small cell lung cancer (NSCLC) who have been previously treated with 2 or more ROS1 tyrosine kinase inhibitors and orphan drug designation for ROS1-positive NSCLC.
Zidesamtinib is currently being investigated in the ARROS-1 trial (), a first-in-human Phase 1/2 clinical trial for patients with advanced ROS1-positive NSCLC and other solid tumors. The completed Phase 1 portion enrolled ROS1-positive NSCLC patients who previously received at least one ROS1 TKI, or patients with other ROS1-positive solid tumors who had been previously treated. The Phase 1 portion of the trial was designed to evaluate the overall safety and tolerability of zidesamtinib, with additional objectives including determination of the recommended Phase 2 dose (RP2D), characterization of the pharmacokinetic profile, and evaluation of preliminary anti-tumor activity. The ongoing global, single arm, open label Phase 2 portion is designed with registrational intent for TKI-na茂ve and TKI pre-treated patients with advanced ROS1-positive NSCLC.
About Nuvalent
Nuvalent, Inc. (Nasdaq: NUVL) is a clinical-stage biopharmaceutical company focused on creating precisely targeted therapies for patients with cancer, designed to overcome the limitations of existing therapies for clinically proven kinase targets. Leveraging deep expertise in chemistry and structure-based drug design, we develop innovative small molecules that have the potential to overcome resistance, minimize adverse events, address brain metastases, and drive more durable responses. Nuvalent is advancing a robust pipeline with investigational candidates for ROS1-positive, ALK-positive, and HER2-altered non-small cell lung cancer, and multiple discovery-stage research programs.
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, implied and express statements regarding Nuvalent's strategy, business plans, and focus; the expected timing of data announcements and NDA submissions; the clinical development program for zidesamtinib; the potential benefits and effects of Nuvalent's product development candidates; the design of Nuvalent's clinical trials, including for the ARROS-1 trial its intended pivotal registration-directed design; the potential of Nuvalent's pipeline programs, including zidesamtinib; Nuvalent's research and development programs for the treatment of cancer; and risks and uncertainties associated with drug development. The words "may," "might," "will," "could," "would," "should," "expect," "plan," "anticipate," "aim," "goal," "intend," "believe," "expect," "estimate," "seek," "predict," "future," "project," "potential," "continue," "target" or the negative of these terms and similar words or expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Drug development and commercialization involve a high degree of risk, and only a small number of research and development programs result in commercialization of a product. You should not place undue reliance on these statements or the scientific data presented.
Any forward-looking statements in this press release are based on management's current expectations and beliefs and are subject to a number of risks, uncertainties, and important factors that may cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this press release, including, without limitation: risks that Nuvalent may not fully enroll its clinical trials or that enrollment will take longer than expected; unexpected concerns that may arise from additional data, analysis, or results obtained during preclinical studies or clinical trials; the risk that results of earlier clinical trials may not be predictive of the results of later-stage clinical trials; the risk that data from our clinical trials may not be sufficient to support registration and that Nuvalent may be required to conduct one or more additional studies or trials prior to seeking registration of our product candidates; the occurrence of adverse safety events; risks that the FDA may not approve our potential products on the timelines we expect, or at all; risks of unexpected costs, delays, or other unexpected hurdles; risks that Nuvalent may not be able to nominate drug candidates from its discovery programs; the direct or indirect impact of public health emergencies or global geopolitical circumstances on the timing and anticipated timing and results of Nuvalent's clinical trials, strategy, and future operations; the timing and outcome of Nuvalent's planned interactions with regulatory authorities; and risks related to obtaining, maintaining, and protecting Nuvalent's intellectual property. These and other risks and uncertainties are described in greater detail in the section entitled "Risk Factors" in Nuvalent's Quarterly Report on Form 10-Q for the quarter ended June 30, 2025, as well as any prior and subsequent filings with the Securities and Exchange Commission. In addition, any forward-looking statements represent Nuvalent's views only as of today and should not be relied upon as representing its views as of any subsequent date. Nuvalent explicitly disclaims any obligation to update any forward-looking statements.
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