RECRUITING

A Study Assessing KB707 for the Treatment of Advanced Solid Tumor Malignancies Affecting the Lungs

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The Sponsor is developing KB707, a replication-defective, non-integrating herpes simplex virus type 1 (HSV-1)-derived vector designed to stimulate an anti-tumor immune response through the production of cytokines within the local tumor microenvironment in the lungs. KB707 is administered via nebulization, delivering the therapy directly through the airways to the lungs of subjects with advanced solid tumor malignancies. This is a Phase 1/2, open-label, multicenter, dose escalation and expansion study designed to evaluate the safety, tolerability, preliminary efficacy, and immunologic effect of KB707. Monotherapy KB707 dose escalation and expansion cohorts enrolled adults with advanced solid tumor malignancies affecting the lungs who had progressed on standard of care therapy, cannot tolerate standard of care therapy, or refused standard of care therapy. The dose escalation phase (Cohorts 1 and 2) evaluated KB707 monotherapy using a standard 3+3 design, followed by a dose expansion phase (Cohort 4) to further evaluate the selected dose. Subjects received inhaled KB707 weekly for three weeks, then every three weeks. The dose escalation portion of the study is now complete, and the selected dose is being evaluated in the expansion phase. Combination regimens with a selected (fixed) dose of KB707 are being evaluated in subjects with advanced or metastatic non-small cell lung cancer (NSCLC). Subjects in Cohorts 5 and 6 are receiving inhaled KB707 once every 2 weeks (q2w), delivered in combination with Keytruda once every 6 weeks. Subjects in Cohort 7 are receiving inhaled KB707 in combination with docetaxel once every 3 weeks. All subjects will be treated until tumor progression, death, unacceptable toxicity, symptomatic deterioration, achievement of maximal response, subject choice, Investigator decision to discontinue treatment, or the Sponsor determines to terminate the study.

Official Title

KB707-02: A Phase 1/2 Study of Inhaled KB707 in Patients With Advanced Solid Tumor Malignancies Affecting the Lungs

Quick Facts

Study Start:2024-04-17
Study Completion:2028-07
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06228326

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Age 18 years or older at the time of informed consent
  2. * Life expectancy \>12 weeks
  3. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  4. * Have at least one measurable lung lesion per RECIST v1.1 at Screening
  5. * Cohorts 1 through 4 only: Histologically confirmed diagnosis of advanced solid tumor malignancy affecting the lungs and the individual has progressed on standard of care therapy, cannot tolerate standard of care therapy, refused standard of care therapy, or has no standard of care therapy.
  6. * Cohorts 5, 6, and 7 only: (1) Histologically or cytologically confirmed diagnosis of stage 3 or 4 NSCLC, as per American Joint Committee on Cancer (AJCC) staging system (8th edition) and (2) Subject must meet the following criteria of prior lines of therapy:
  7. 1. Subject has previously received no more than one line of prior immune checkpoint inhibitor (ICI) with or without platinum-based chemotherapy, or no more than two prior lines of therapy when given the ICI and platinum-based chemotherapy sequentially as two separate lines.
  8. 2. Subjects with an actionable mutation (e.g., EGFR, KRAS, ALK, or ROS1 genomic alteration), are permitted to have received one additional line of approved targeted therapy.
  1. * Not fully recovered from prior surgery or radiotherapy, including all radiation-related toxicities
  2. * The subject is pregnant, nursing, or plans to become pregnant during study treatment and through three months after the last dose of KB707
  3. * Have known history of positive human immunodeficiency virus (HIV 1/2)
  4. * Cohorts 5, 6, and 7 only:
  5. 1. Subject has a known additional malignancy that is progressing or requires active treatment
  6. 2. Subject has active brain metastases or leptomeningeal metastases
  7. 3. Prior anti-PD-1/PD-L1 therapy was intolerable and required discontinuation of treatment
  8. 4. Subject has active, known, or suspected autoimmune disease requiring systemic treatment
  9. 5. Subject has known acute or chronic hepatitis
  10. 6. Subject has active pneumonitis or history of ICI-induced pneumonitis that required steroids

Contacts and Locations

Study Contact

David Chien, MD
CONTACT
412-586-5830
dchien@krystalbio.com
Brittani Agostini, RN, CCRC
CONTACT
412-586-5830
bagostini@krystalbio.com

Principal Investigator

David Chien, MD
STUDY_DIRECTOR
Senior Vice President of Clinical Development

Study Locations (Sites)

XCancer Research Network/Dothan Hematology & Oncology
Dothan, Alabama, 36303
United States
HonorHealth Research Institute
Scottsdale, Arizona, 85258
United States
Precision NextGen Oncology
Beverly Hills, California, 90212
United States
Emad Ibrahim MD Inc
Redlands, California, 92373
United States
BRCR Global
Weston, Florida, 33326
United States
IU Simon Comprehensive Cancer Center
Indianapolis, Indiana, 46202
United States
Ochsner/MD Anderson Cancer Center
New Orleans, Louisiana, 70121
United States
Henry Ford Health
Detroit, Michigan, 48202
United States
Gabrail Cancer Center Research
Canton, Ohio, 44718
United States
Cleveland Clinic
Cleveland, Ohio, 44195
United States
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
United States
Sarah Cannon Research Institute
Nasville, Tennessee, 37203
United States
Renovatio Clinical
El Paso, Texas, 79915
United States
Renovatio Clinical
The Woodlands, Texas, 77380
United States

Collaborators and Investigators

Sponsor: Krystal Biotech, Inc.

  • David Chien, MD, STUDY_DIRECTOR, Senior Vice President of Clinical Development

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-04-17
Study Completion Date2028-07

Study Record Updates

Study Start Date2024-04-17
Study Completion Date2028-07

Terms related to this study

Keywords Provided by Researchers

  • cancer
  • Krystal Biotech
  • lung cancer

Additional Relevant MeSH Terms

  • Lung Cancer, Non-small Cell
  • Lung Cancer Metastatic
  • Solid Tumor, Adult
  • Advanced Cancer
  • Lung Cancer (NSCLC)