A Study Assessing KB707 for the Treatment of Locally Advanced or Metastatic Solid Tumors

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorKrystal Biotech, Inc.

About this trial

KB707-01 is a Phase 1/2, open-label, multicenter, dose escalation and expansion study. The study will evaluate the safety and tolerability of KB707 in adults with locally advanced or metastatic solid tumors who have progressed on standard of care therapy, cannot tolerate standard of care therapy, refused standard of care therapy, or for whom there is no standard of care therapy as well as the safety, tolerability, preliminary efficacy, and immunologic effect of KB707 administered in combination with Opdualag to subjects with unresectable or metastatic melanoma.

Subjects in dose escalation (Cohorts 1 through 3) and dose expansion (Cohort 4) will receive intratumoral injections of KB707 approximately every three weeks. Cohorts 1 through 4 are closed to new enrollment. Dose expansion Cohort 5 and Cohort 6 will evaluate subjects with advanced melanoma. Subjects in Cohort 5 will receive intratumoral injections of KB707 biweekly (q2w), delivered in combination with Opdualag (dosed every q4w per prescribing information). Subjects in Cohort 6 will receive intratumoral injections of KB707 biweekly (q2w), delivered in combination with Keytruda (dosed every q6w per prescribing information). All subjects will be treated until disease 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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Life expectancy >12 weeks

ECOG performance status of 0 or 1

Have measurable disease per RECIST v1.1 at Screening

Cohorts 1-4 only: Histologically confirmed diagnosis of a locally advanced or metastatic solid tumor and the individual has progressed on standard of care therapy, cannot tolerate standard of care therapy, refused standard of care therapy, or there is no standard of care therapy.

Disqualifiers

Prior surgery or radiation therapy must be fully recovered, including all radiation -related toxicities and subject does not require systemic corticosteroids

The subject is pregnant, nursing, or plans to become pregnant during study treatment and through three months after the last dose of KB707

Have known history of positive human immunodeficiency virus (HIV 1/2)

Subject has a known additional malignancy that is progressing or requires active treatment.

Trial design

Design model

Sequential

Treatments tested in this trial

  • KB707

    Biological/Vaccine

    Genetically modified herpes simplex type 1 virus

  • Opdualag

    Drug

    Dual immunotherapy (PD-1 and LAG-3 immune checkpoint inhibitors)

  • KEYTRUDA ®( Pembrolizumab)

    Drug

    Immunotherapy (PD-1 immune checkpoint inhibitor)

Treatment groups

240 Participants
are divided into 3 treatment groups
Group A: Cohorts 1 through 4Experimental treatment 1 intervention
Group B: Cohort 5Experimental treatment 2 interventions
Group C: Cohort 6Experimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Percentage of adverse events (AEs)

Percentage of subjects with adverse events (AEs)

Time frame
up to 36 months
2

Percentage of serious adverse events (SAEs)

Percentage of subjects with serious adverse events (SAEs)

Time frame
up to 36 months

Secondary outcomes

1

Maximum tolerated dose (MTD)

Assess whether the tested doses include the maximum tolerated dose (MTD) of KB707 based on the safety and response data collected during the dose escalation portion of the study

Time frame
up to 36 months
2

Percentage of overall response rate (ORR)

Percentage of ORR

Time frame
up to 36 months

Other outcomes

Sponsors and contacts

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