Nuvalent Overview October 30, 2025 Use eyedropper tool to select colors from the expanded color palette: CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS This presentation 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 period over which Nuvalent estimates its cash, cash equivalents and marketable securitie ...

Accessibility StatementSkip Navigation Completed rolling NDA submission for zidesamtinib in TKI pre-treated advanced ROS1-positive NSCLC On track to report topline pivotal data for neladalkib in TKI pre-treated advanced ALK-positive NSCLC by year-end 2025 Strong financial position with operating runway anticipated into 2028 CAMBRIDGE, Mass., Oct. 30, 2025 /PRNewswire/ -- Nuvalent, Inc. (Nasdaq: NUVL), a clinical-stage biopharmaceutical company focused on creating precisely targeted therapies for clinicall ...

Core Insights - Nuvalent, Inc. announced pivotal data for zidesamtinib, a novel ROS1-selective inhibitor, targeting advanced ROS1-positive non-small cell lung cancer (NSCLC) patients, which will be presented at the IASLC 2025 World Conference on Lung Cancer [1][2] - The company has initiated a rolling NDA submission for zidesamtinib, with the FDA agreeing to accept the NDA for the Real-Time Oncology Review pilot program, aiming for completion in Q3 2025 [2][3] Company Overview - Nuvalent, Inc. is a clinical-stage biopharmaceutical company focused on developing targeted therapies for cancer, specifically for clinically proven kinase targets [5][6] - The company leverages expertise in chemistry and structure-based drug design to create innovative small molecules that address treatment resistance and minimize adverse events [6] Product Details - Zidesamtinib is designed to be a brain-penetrant ROS1-selective inhibitor, effective against tumors that have developed resistance to existing ROS1 inhibitors, including those with treatment-emergent mutations [3][4] - The ARROS-1 Phase 1/2 clinical trial is investigating zidesamtinib in patients with advanced ROS1-positive NSCLC, with the Phase 1 portion focusing on safety and tolerability [4]

Core Insights - Nuvalent, Inc. has initiated a rolling NDA submission for zidesamtinib targeting TKI pre-treated patients with advanced ROS1-positive NSCLC, aiming for completion in Q3 2025 [1][5] - The company has also started the ALKAZAR Phase 3 trial for neladalkib in TKI-naïve advanced ALK-positive NSCLC, with pivotal data expected by year-end 2025 [1][4] - Financial results for Q2 2025 show a net loss of $99.7 million, with R&D expenses at $80.9 million and G&A expenses at $23.7 million [10][15] Pipeline Achievements - The NDA submission for zidesamtinib is based on positive data from the ARROS-1 Phase 1/2 trial, which included 104 patients as of June 16, 2025 [5] - The ALKAZAR trial will randomize patients 1:1 to receive either neladalkib or alectinib, reflecting input from physician-scientists and regulatory agencies [4] - Preliminary data for neladalkib in ALK-positive solid tumors will be presented at the ESMO Congress 2025 [1][9] Business Updates - Jason Waters has been promoted to Senior Vice President, Commercial, to enhance the company's commercial strategy [2][10] - The company has a strong cash position of $1.0 billion as of June 30, 2025, expected to fund operations into 2028 [10][15] - Christy Oliger has been appointed to the board of directors, bringing over 30 years of experience in the pharmaceutical industry [10]

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]

Core Insights - Nuvalent, Inc. is focused on advancing its pipeline of targeted therapies for cancer, with pivotal data for zidesamtinib and neladalkib expected in 2025 to support New Drug Application submissions [1][2][5] Pipeline and Business Highlights - The company anticipates pivotal data for zidesamtinib in TKI pre-treated ROS1-positive NSCLC in the first half of 2025, with an NDA submission expected by mid-2025 [1][5] - The ALKAZAR Phase 3 trial for neladalkib is set to begin in the first half of 2025, targeting front-line ALK-positive NSCLC [1][6] - Pivotal data for neladalkib in TKI pre-treated ALK-positive NSCLC is expected by the end of 2025 [1][5] Leadership Promotions - Nuvalent has strengthened its leadership team with key promotions: Ruth Adams to Senior Vice President of Clinical Operations, Dr. Joshua Horan to Senior Vice President of Chemistry, and Jessie Lin to Senior Vice President of Corporate Strategy and Portfolio Management [2][12] Financial Results - As of March 31, 2025, the company reported cash, cash equivalents, and marketable securities totaling $1.1 billion, sufficient to fund operations into 2028 [13][19] - Research and development expenses for Q1 2025 were $74.4 million, while general and administrative expenses were $20.4 million, resulting in a net loss of $84.6 million for the quarter [13][18]