Table of Contents UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-Q (Mark One) ☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 2025 OR ☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from _____________ to _____________ Commission File Number: 001-40671 NUVALENT, INC. (Exact name of registrant as specified in its charter) Delawa ...

Exhibit 99.1 Nuvalent Highlights Pipeline and Business Achievements, Reiterates Key Anticipated Milestones, and Reports Second Quarter 2025 Financial Results Initiated rolling NDA submission for zidesamtinib for TKI pre-treated patients with advanced ROS1-positive NSCLC, with target completion in the third quarter of 2025 Initiated ALKAZAR Phase 3 randomized, controlled trial of neladalkib for front-line ALK-positive NSCLC Topline pivotal data for neladalkib for TKI pre-treated patients with advanced ALK-po ...

Initiated rolling NDA submission for zidesamtinib for TKI pre-treated patients with advanced ROS1-positive NSCLC, with target completion in the third quarter of 2025Initiated ALKAZAR Phase 3 randomized, controlled trial of neladalkib for front-line ALK-positive NSCLCTopline pivotal data for neladalkib for TKI pre-treated patients with advanced ALK-positive NSCLC expected by year-end 2025Preliminary data for neladalkib in patients with ALK-positive solid tumors beyond NSCLC to be presented at the ESMO Congre ...

Core Viewpoint - Nuvalent, Inc. has initiated the ALKAZAR Phase 3 trial to evaluate neladalkib for TKI-naïve patients with advanced ALK-positive non-small cell lung cancer (NSCLC), comparing it to the standard of care, ALECENSA® [1][2] Group 1: Clinical Trial Details - The ALKAZAR trial aims to enroll approximately 450 TKI-naïve patients, with a 1:1 randomization to receive either neladalkib or alectinib [2] - The primary endpoint of the trial is progression-free survival (PFS) assessed by Blinded Independent Central Review (BICR), with several secondary endpoints including overall survival and intracranial response metrics [2][3] Group 2: Neladalkib Profile - Neladalkib is designed to address treatment limitations of existing ALK inhibitors, particularly for patients with brain metastases and resistance mutations [5] - The drug has received breakthrough therapy designation for patients with locally advanced or metastatic ALK-positive NSCLC previously treated with two or more ALK tyrosine kinase inhibitors [5] Group 3: Company Overview - Nuvalent, Inc. focuses on developing targeted therapies for cancer, leveraging expertise in chemistry and structure-based drug design [6][7] - The company is advancing a pipeline that includes investigational candidates for ROS1-positive, ALK-positive, and HER2-altered NSCLC, along with multiple discovery-stage research programs [7]

Pipeline Programs and Milestones - Nuvalent is advancing parallel lead programs for ROS1+ and ALK+ NSCLC in global clinical development, with potential for first FDA approval in 2026[4] - The company plans to report pivotal data for TKI pre-treated ROS1+ NSCLC from the ARROS-1 trial in 1H 2025 and complete rolling NDA submission in Q3 2025[14] - Topline pivotal data for TKI pre-treated ALK+ NSCLC from the ALKOVE-1 trial is anticipated by year-end 2025, with ALKAZAR Phase 3 trial for TKI-naïve ALK+ NSCLC planned to initiate in early 2H 2025[14, 205] - NVL-330 for HER2-altered NSCLC is in Phase 1a/1b investigation, with additional discovery research programs ongoing[12, 205] Zidesamtinib (NVL-520) for ROS1+ NSCLC - In TKI pre-treated ROS1+ NSCLC patients, the ORR was 44% (51/117), with 78% (95% CI: 62, 88) DOR ≥ 12 months and 62% (95% CI: 28, 84) DOR ≥ 18 months[73] - In patients with prior crizotinib or entrectinib only ± chemotherapy, the ORR was 51% (28/55), with 93% (95% CI: 74, 98) DOR ≥ 12 months and 93% (95% CI: 74, 98) DOR ≥ 18 months[80] - Zidesamtinib demonstrated CNS activity, with an IC-ORR of 48% (27/56) in any prior ROS1 TKI ± chemotherapy and 85% (11/13) in prior crizotinib only ± chemotherapy[90] - The safety profile of zidesamtinib was generally well-tolerated, with peripheral edema reported in 36% of patients, constipation in 17%, blood CPK increased in 16%, fatigue in 16%, and dyspnea in 15%[96] - In TKI-naïve patients with ROS1+ NSCLC, the ORR was 89% (31/35), with 96% (95% CI: 76, 99) DOR ≥ 6 months and 96% (95% CI: 76, 99) DOR ≥ 12 months[103] Neladalkib (NVL-655) for ALK+ NSCLC - In a heavily pre-treated ALK+ solid tumor population, 51% had any secondary ALK mutation, 26% had a compound ALK mutation, and 56% had a history of CNS metastasis[140, 141] - In all NSCLC response evaluable patients, across all doses, the ORR was 38% (39/103), with a mDOR of 144 months and 78% DOR > 6 months[149] - In patients with any ALK resistance mutation at RP2D, the ORR was 55% (12/22), with a mDOR not reached and 100% DOR > 6 months[158] - The preliminary safety profile of neladalkib was consistent with its ALK-selective design, with ALT increased in 34% of patients, AST increased in 30%, constipation in 16%, dysgeusia in 13%, and nausea in 12%[166] Market Overview - The combined worldwide sales for ALK and ROS1 TKIs in 2024 were approximately $31 billion[27]

Summary of Nuvalent Conference Call Company Overview - **Company**: Nuvalent - **Focus**: Development of targeted therapies for cancer, specifically for ROS1 positive non-small cell lung cancer (NSCLC) with their product candidate, Zydastantinib [2][5][6] Industry Context - **Industry**: Oncology, specifically targeting ROS1 positive non-small cell lung cancer - **Current Landscape**: Four FDA approved therapies exist for ROS1 positive NSCLC, each with limitations such as inadequate CNS penetrance and resistance mutations [10][11] Key Points and Arguments Product Development and Clinical Trials - **Zydastantinib**: First and only ROS1 selective compound designed to address key medical needs, including CNS penetrance and resistance mutations [12][8] - **ARRIS-one Trial**: Ongoing clinical trial evaluating Zydastantinib, with a focus on heavily pretreated patients [12][13] - **Enrollment**: As of September 2023, enrollment in the Phase II portion began, targeting both TKI pretreated and naive patients [13][14] Clinical Data Highlights - **Efficacy**: - Overall response rate (ORR) in TKI pretreated patients was 44%, with a duration of response (DOR) rate of 62% at 18 months [17][18] - In patients who received prior crizotinib only, ORR was 68% with no progression events among responders [21][43] - In TKI naive patients, ORR was 89% with a DOR rate of 96% at 12 months [27][28] - **CNS Activity**: - Intracranial ORR was 48% in patients with measurable CNS lesions, with a complete response (CR) rate of 20% [23][24] - In patients who received crizotinib only, intracranial ORR was 85% [24][49] Safety Profile - **Adverse Events**: Zydastantinib was generally well tolerated, with low rates of dose modifications (10%) and discontinuations (2%) due to adverse events [25][26] - **Common Adverse Events**: Peripheral edema (36%), constipation (17%), and fatigue (16%) were the most frequently reported [25] Regulatory and Commercial Strategy - **NDA Submission**: Planned rolling submission for Zydastantinib in July 2025, targeting TKI pretreated patients [29] - **FDA Engagement**: Participation in the Real Time Oncology Review (RTOR) pilot program to expedite the review process [29] - **Commercial Readiness**: Preparations for a potential launch in 2026, including building commercial teams and identifying key prescribers [30] Future Directions - **Broader Portfolio**: Nuvalent is advancing additional programs for ALK positive NSCLC and HER2 altered NSCLC, with pivotal data expected later in 2025 [31][32][33] - **Clinical Development Speed**: Rapid enrollment and execution of the ARRIS-one study, reflecting strong interest and support from the medical community [78] Additional Important Insights - **Market Opportunity**: The unique design of Zydastantinib aims to address unmet needs in the ROS1 NSCLC space, potentially leading to a compelling commercial opportunity [30][31] - **Comparative Advantage**: Zydastantinib's selective design aims to minimize off-target effects and improve patient tolerability compared to existing therapies [60][61] This summary encapsulates the critical aspects of Nuvalent's conference call, highlighting the company's innovative approach to treating ROS1 positive NSCLC and the promising data emerging from their clinical trials.

Core Insights - Nuvalent, Inc. announced positive pivotal data for zidesamtinib, a novel ROS1-selective inhibitor, in TKI pre-treated patients with advanced ROS1-positive non-small cell lung cancer (NSCLC) from the global ARROS-1 Phase 1/2 clinical trial [1][2] Group 1: Clinical Trial Progress - The company completed a pre-New Drug Application (NDA) meeting with the FDA and plans to initiate a rolling NDA submission in July 2025, targeting completion in the third quarter of 2025 [2][4] - Zidesamtinib demonstrated an overall response rate (ORR) of 44% in 117 TKI pre-treated patients, with a durability of response of 78% at 12 months and 62% at 18 months [4][10] - In a subset of 55 patients treated with one prior ROS1 TKI, the ORR was 51% with a durability of response of 93% at both the 12- and 18-month landmarks [4][12] Group 2: Efficacy and Safety - Zidesamtinib showed intracranial responses and activity against tumors with a ROS1 G2032R resistance mutation, with a well-tolerated safety profile [4][17] - The most frequent treatment-emergent adverse events (TEAEs) included peripheral edema (36%), constipation (17%), and fatigue (16%) [18][20] - Dose reductions due to TEAEs occurred in 10% of patients, and only 2% discontinued treatment due to TEAEs [20] Group 3: Future Development - The company is advancing clinical startup activities for the ALKAZAR Phase 3 trial, which will evaluate neladalkib, a novel ALK-selective inhibitor, against alectinib in TKI-naïve ALK-positive NSCLC patients [5][27] - Zidesamtinib has received breakthrough therapy designation for ROS1-positive metastatic NSCLC and orphan drug designation for ROS1-positive NSCLC [25][28] - The ongoing ARROS-1 trial is designed to evaluate zidesamtinib in both TKI-naïve and TKI pre-treated patients with advanced ROS1-positive NSCLC [26][30]

Core Viewpoint - Nuvalent, Inc. is set to discuss pivotal data for zidesamtinib, a novel ROS1-selective inhibitor, in a conference call on June 24, 2025, focusing on its application in advanced ROS1-positive non-small cell lung cancer patients [1] Group 1: Company Overview - Nuvalent, Inc. is a clinical-stage biopharmaceutical company dedicated to developing targeted therapies for cancer, specifically aimed at overcoming limitations of existing treatments for kinase targets [5] - The company is advancing a robust pipeline that includes investigational candidates for ROS1-positive, ALK-positive, and HER2-altered non-small cell lung cancer, along with multiple discovery-stage research programs [5] Group 2: Zidesamtinib and Clinical Trials - Zidesamtinib is designed to be a brain-penetrant ROS1-selective inhibitor, addressing resistance seen with current ROS1 inhibitors and targeting tumors with treatment-emergent ROS1 mutations [3] - The ARROS-1 trial is a first-in-human Phase 1/2 clinical trial evaluating zidesamtinib in patients with advanced ROS1-positive non-small cell lung cancer and other solid tumors, focusing on safety, tolerability, and preliminary anti-tumor activity [4] - Zidesamtinib has received breakthrough therapy designation for ROS1-positive metastatic non-small cell lung cancer patients previously treated with two or more ROS1 tyrosine kinase inhibitors, as well as orphan drug designation for ROS1-positive NSCLC [3]

CAMBRIDGE, Mass., June 18, 2025 /PRNewswire/ -- Nuvalent, Inc. (Nasdaq: NUVL), a clinical-stage biopharmaceutical company focused on creating precisely targeted therapies for clinically proven kinase targets in cancer, today announced the appointment of Christy Oliger to its Board of Directors."Christy's proven success in delivering new therapies to patients living with cancer strengthens our Board as we evolve from a development-stage company toward potential commercialization," said James Porter, Ph.D., C ...

Summary of Nuvalent (NUVL) FY Conference Call - May 27, 2025 Company Overview - **Company**: Nuvalent (NUVL) - **Industry**: Oncology, specifically focusing on targeted therapies for ROS1 and ALK non-small cell lung cancer Key Points and Arguments ROS1 Program 1. **Upcoming Data Release**: Nuvalent is preparing to release pivotal data for TKI pretreated ROS1 patients in the first half of 2025, with plans for a standalone press release and full data at a future medical meeting [4][20] 2. **Zidosanthanib Profile**: The drug aims to address limitations of existing therapies like crizotinib, particularly in brain penetrance and ROS1 resistance mutations, offering a selective treatment option for ROS1 patients [5][35] 3. **Patient Enrollment**: As of December 2024, 430 patients were enrolled in the study, with 330 in the phase two cohorts, indicating strong interest from investigators and patients [6][7] 4. **Data Strategy**: The initial dataset will focus on previously treated ROS1 patients, with plans to follow up with data from TKI naive patients [9][12] 5. **Safety and Efficacy**: The company emphasizes the importance of a well-tolerated safety profile to keep patients on therapy longer, which is a significant differentiator from existing treatments [12][15] Market Opportunity 6. **Commercial Potential**: The market for ROS1 lung cancer treatments is significant, with crizotinib generating approximately $400 million in sales, but Nuvalent believes it can outperform crizotinib due to its limitations [33][35] 7. **Competitive Landscape**: Nuvalent acknowledges the challenges faced by other drugs in the ROS1 space but believes zidosanthanib's differentiated profile will allow it to capture market share [36][37] ALK Program 8. **Regulatory Strategy**: Nuvalent is developing a program for ALK non-small cell lung cancer, aiming to create a drug that can work in the third-line setting where current options are limited [41][45] 9. **Clinical Development**: The ALK program is designed to address both second and third-line treatment needs, with a focus on achieving better durability and response rates than existing therapies like lorlatinib [52][53] 10. **Study Design**: The company plans to conduct a randomized study comparing its ALK drug to the standard of care, alectinib, to establish its efficacy [53][60] HER2 Program 11. **Emerging HER2 Program**: Nuvalent is also developing NVL-330 for HER2 exon 20 lung cancer, focusing on creating a drug with high brain penetrance to address unmet needs in this area [62][66] 12. **Current Status**: The HER2 program is in the dose escalation phase, with no specific timeline for data release yet provided [67] Additional Important Insights - **Regulatory Engagement**: Nuvalent is committed to maintaining open dialogue with regulators to expedite the approval process for its drugs [30][31] - **Market Perception**: There is a growing recognition of the potential in the ROS1 market, with Nuvalent emphasizing the importance of addressing patient needs to create commercial opportunities [32][33] - **Pricing Strategy**: While it is too early to comment on pricing, Nuvalent will consider precedents in the market when determining the price for zidosanthanib [40] This summary encapsulates the key discussions and insights from the Nuvalent conference call, highlighting the company's strategic focus on developing innovative therapies for ROS1 and ALK non-small cell lung cancer, as well as its emerging HER2 program.