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A Study Assessing KB407 for the Treatment of Cystic Fibrosis

Primary Purpose

Cystic Fibrosis

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
KB407 (Nebulization)
Sponsored by
Krystal Biotech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cystic Fibrosis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. The subject must have read, understood, and signed an Institutional Review Board/Ethics Committee (IRB/IEC) approved Informed Consent Form and must be able to and willing to follow study procedures and instructions
  2. Subjects aged 18 years or older at the time of Informed Consent
  3. A confirmed diagnosis of CF as defined by clinical signs and symptoms of CF and at least one of the following:

    • A historical sweat chloride value >60 mmol/L
    • Two copies of a disease causing mutation in the CFTR gene
  4. Clinically stable in the opinion of the Investigator
  5. Percent predicted FEV1 ≥50% and ≤100% of the predicted normal for age, gender, and height at Screening
  6. Resting oxygen saturation ≥92% on room air at Screening

Exclusion Criteria:

  1. Initiation of any new chronic therapy (eg, CFTR modulator, hypertonic saline, inhaled antibiotic) or any change in chronic therapy (excluding pancreatic enzyme replacement therapy) within 28 days prior to the first dose
  2. Cohort 3 only: Receiving treatment with a CFTR modulator (eg, ivacaftor, lumacaftor/ivacaftor, tezacaftor/ivacaftor, elexacaftor/tezacaftor/ivacaftor). Patients with a prior history of treatment with CFTR modulator therapy are eligible to participate if treatment has been discontinued for medically indicated reasons, at least 28 days prior to the first dose
  3. Hospitalization, sinopulmonary infection, CF exacerbation, or other clinically significant infection or illness 14 days prior to the first dose that, in the opinion of the Investigator, may confound study results
  4. Treatment for Burkholderia cenocepacia, Burkholderia dolosa, or Nontuberculosis Mycobacteria infection within 3 months prior to the first dose
  5. Participation in another clinical study or treatment with an investigational agent 30 days or 5 half-lives, whichever is longer, prior to the first dose
  6. History of or listed for solid organ transplantation
  7. Any condition (including a history or current evidence of substance abuse or dependence, uncontrolled asthma, or is considered to be immunocompromised) that, in the opinion of the Investigator, would impact a subject's ability to complete all study-related procedures and/or poses an additional risk to the assessment of safety of KB407
  8. An active oral herpes infection 30 days prior to the first dose
  9. Has received a vaccine within 72 hours prior to the first dose or has a planned vaccination during the treatment period
  10. Women who are pregnant or nursing
  11. Subject who is unwilling to comply with contraception requirements per protocol
  12. Clinically significant abnormalities of hematology or chemistry testing at Screening that the Investigator believes may interfere with the assessment of safety and/or efficacy of the study treatment
  13. Subject has a known hypersensitivity to inhaled glycerol
  14. Subject is known to be noncompliant or is unlikely to comply with the requirements of the study protocol in the opinion of the Investigator

Sites / Locations

  • Yale University School of Medicine
  • The Cystic Fibrosis InstituteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Cohort 1 (open label)

Cohort 2 (open label)

Cohort 3 (open label)

Arm Description

A single administration of KB407

Two administrations of KB407

Four administrations of KB407

Outcomes

Primary Outcome Measures

To evaluate safety and tolerability of KB407 based upon assessment of adverse events (frequency, severity, relatedness), and changes from baseline in physical examinations, vital signs, ECG, and clinical laboratory test results
Number of adult subjects with treatment related adverse events as assessed by NCI-CTCAE v5

Secondary Outcome Measures

To evaluate the effects of KB407 on pulmonary function, as measured by change from baseline in absolute and percent predicted FEV1
Assessment of forced expiratory volume, in one second (FEV1,) will be assessed by spirometry as compared to baseline

Full Information

First Posted
August 15, 2022
Last Updated
August 15, 2023
Sponsor
Krystal Biotech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05504837
Brief Title
A Study Assessing KB407 for the Treatment of Cystic Fibrosis
Official Title
KB407-02 A Phase 1 Study of Inhaled KB407, a Replication-Defective, Non-Integrating Vector Expressing Human Cystic Fibrosis Transmembrane Conductance Regulator, for the Treatment of Cystic Fibrosis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 30, 2023 (Actual)
Primary Completion Date
July 2024 (Anticipated)
Study Completion Date
July 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Krystal Biotech, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study will evaluate safety and tolerability of ascending doses of nebulized KB407 in adults with cystic fibrosis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cystic Fibrosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1 (open label)
Arm Type
Experimental
Arm Description
A single administration of KB407
Arm Title
Cohort 2 (open label)
Arm Type
Experimental
Arm Description
Two administrations of KB407
Arm Title
Cohort 3 (open label)
Arm Type
Experimental
Arm Description
Four administrations of KB407
Intervention Type
Biological
Intervention Name(s)
KB407 (Nebulization)
Intervention Description
Nebulized solution of KB407, a replication-defective HSV-1 expressing full length human CFTR
Primary Outcome Measure Information:
Title
To evaluate safety and tolerability of KB407 based upon assessment of adverse events (frequency, severity, relatedness), and changes from baseline in physical examinations, vital signs, ECG, and clinical laboratory test results
Description
Number of adult subjects with treatment related adverse events as assessed by NCI-CTCAE v5
Time Frame
2 months
Secondary Outcome Measure Information:
Title
To evaluate the effects of KB407 on pulmonary function, as measured by change from baseline in absolute and percent predicted FEV1
Description
Assessment of forced expiratory volume, in one second (FEV1,) will be assessed by spirometry as compared to baseline
Time Frame
2 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The subject must have read, understood, and signed an Institutional Review Board/Ethics Committee (IRB/IEC) approved Informed Consent Form and must be able to and willing to follow study procedures and instructions Subjects aged 18 years or older at the time of Informed Consent A confirmed diagnosis of CF as defined by clinical signs and symptoms of CF and at least one of the following: A historical sweat chloride value >60 mmol/L Two copies of a disease causing mutation in the CFTR gene Clinically stable in the opinion of the Investigator Percent predicted FEV1 ≥50% and ≤100% of the predicted normal for age, gender, and height at Screening Resting oxygen saturation ≥92% on room air at Screening Exclusion Criteria: Initiation of any new chronic therapy (eg, CFTR modulator, hypertonic saline, inhaled antibiotic) or any change in chronic therapy (excluding pancreatic enzyme replacement therapy) within 28 days prior to the first dose Hospitalization, sinopulmonary infection, CF exacerbation, or other clinically significant infection or illness 14 days prior to the first dose that, in the opinion of the Investigator, may confound study results Treatment for Burkholderia cenocepacia, Burkholderia dolosa, or Nontuberculosis Mycobacteria infection within 3 months prior to the first dose Participation in another clinical study or treatment with an investigational agent 30 days or 5 half-lives, whichever is longer, prior to the first dose History of or listed for solid organ transplantation Any condition (including a history or current evidence of substance abuse or dependence, uncontrolled asthma, or is considered to be immunocompromised) that, in the opinion of the Investigator, would impact a subject's ability to complete all study-related procedures and/or poses an additional risk to the assessment of safety of KB407 An active oral herpes infection 30 days prior to the first dose Has received a vaccine within 72 hours prior to the first dose or has a planned vaccination during the treatment period Women who are pregnant or nursing Subject who is unwilling to comply with contraception requirements per protocol Clinically significant abnormalities of hematology or chemistry testing at Screening that the Investigator believes may interfere with the assessment of safety and/or efficacy of the study treatment Subject has a known hypersensitivity to inhaled glycerol Subject is known to be noncompliant or is unlikely to comply with the requirements of the study protocol in the opinion of the Investigator Bronchoscopy participants only: Unable to tolerate bronchoscopy procedure and airway sampling, in the opinion of the Investigator
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hubert Chen, MD
Phone
412-586-5830
Email
hchen@krystalbio.com
First Name & Middle Initial & Last Name or Official Title & Degree
Brittani Agostini, RN, CCRC
Phone
412-586-5830
Email
bagostini@krystalbio.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hubert Chen, MD
Organizational Affiliation
Senior Vice President of Clinical Development
Official's Role
Study Director
Facility Information:
Facility Name
Yale University School of Medicine
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06520
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Claire Cochrane
First Name & Middle Initial & Last Name & Degree
Jonathan Koff, MD
Facility Name
The Cystic Fibrosis Institute
City
Northfield
State/Province
Illinois
ZIP/Postal Code
60093
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Karolina Roszko
Email
research@wecare4lungs.com
First Name & Middle Initial & Last Name & Degree
Steven Boas, MD

12. IPD Sharing Statement

Learn more about this trial

A Study Assessing KB407 for the Treatment of Cystic Fibrosis

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