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

Primary Purpose

Cancer, Melanoma Stage III, Melanoma Stage IV

Status
Not yet recruiting
Phase
Early Phase 1
Locations
Study Type
Interventional
Intervention
KB707
Sponsored by
Krystal Biotech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cancer

Eligibility Criteria

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

Key Inclusion Criteria: 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. Age 18 years or older at the time of informed consent Life expectancy >12 weeks ECOG performance status of 0 or 1 Have at least one measurable and injectable tumor that is accessible by transcutaneous administration Key Exclusion Criteria: Prior oncology therapy (chemotherapy, immunotherapy, biological therapy) or use of an investigational agent or an investigational device within 21 days or 5 half-lives before administration of first dose of KB707, whichever is shorter 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)

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Dose escalation of KB707 by intratumoral (IT) injection in solid tumors

    Dose expansion of KB707 by IT injection

    Arm Description

    Dose escalation of single-agent KB707 in 3 cohorts by IT injection

    Dose escalation of single-agent KB707 in superficial and deep/visceral solid tumors

    Outcomes

    Primary Outcome Measures

    Percentage of adverse events (AEs)
    Percentage of subjects with adverse events (AEs)
    Percentage of serious adverse events (SAEs)
    Percentage of subjects with serious adverse events (SAEs)

    Secondary Outcome Measures

    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
    Percentage of overall response rate (ORR)
    Percentage of ORR

    Full Information

    First Posted
    July 24, 2023
    Last Updated
    July 24, 2023
    Sponsor
    Krystal Biotech, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05970497
    Brief Title
    A Study Assessing KB707 for the Treatment of Locally Advanced or Metastatic Solid Tumors
    Official Title
    A Phase 1, Open-Label, Multi-Center, Dose Escalation and Expansion Study of KB707 in Subjects With Locally Advanced or Metastatic Solid Tumor Malignancies
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    July 2023 (Anticipated)
    Primary Completion Date
    July 2026 (Anticipated)
    Study Completion Date
    July 2026 (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
    No

    5. Study Description

    Brief Summary
    KB707-01 is a Phase 1, open-label, multicenter, dose escalation and expansion study to 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. In this study, patients will receive KB707 via direct intratumoral (IT) injection into solid tumors to assess the safety and tolerability as well preliminary efficacy of KB707 monotherapy treatment.
    Detailed Description
    KB707 is a genetically modified herpes simplex type 1 virus that is designed to stimulate an anti-tumor immune response through the production of cytokines. This is a first-in-human (FIH) clinical study to evaluate the safety and tolerability, biodistribution, shedding, and preliminary efficacy of KB707 in adult subjects with advanced and/or refractory solid tumors. The study will include a dose escalation portion for single agent KB707 and an expansion portion to further evaluate single agent KB707 at a dose determined by preliminary data in the dose escalation phase.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Cancer, Melanoma Stage III, Melanoma Stage IV, Cutaneous Melanoma, Osteosarcoma, Carcinoma, Squamous Cell, Carcinoma, Basal Cell

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Dose escalation of KB707 by intratumoral (IT) injection in solid tumors
    Arm Type
    Experimental
    Arm Description
    Dose escalation of single-agent KB707 in 3 cohorts by IT injection
    Arm Title
    Dose expansion of KB707 by IT injection
    Arm Type
    Experimental
    Arm Description
    Dose escalation of single-agent KB707 in superficial and deep/visceral solid tumors
    Intervention Type
    Biological
    Intervention Name(s)
    KB707
    Intervention Description
    Genetically modified herpes simplex type 1 virus
    Primary Outcome Measure Information:
    Title
    Percentage of adverse events (AEs)
    Description
    Percentage of subjects with adverse events (AEs)
    Time Frame
    up to 36 months
    Title
    Percentage of serious adverse events (SAEs)
    Description
    Percentage of subjects with serious adverse events (SAEs)
    Time Frame
    up to 36 months
    Secondary Outcome Measure Information:
    Title
    Maximum tolerated dose (MTD)
    Description
    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
    Title
    Percentage of overall response rate (ORR)
    Description
    Percentage of ORR
    Time Frame
    up to 36 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Key Inclusion Criteria: 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. Age 18 years or older at the time of informed consent Life expectancy >12 weeks ECOG performance status of 0 or 1 Have at least one measurable and injectable tumor that is accessible by transcutaneous administration Key Exclusion Criteria: Prior oncology therapy (chemotherapy, immunotherapy, biological therapy) or use of an investigational agent or an investigational device within 21 days or 5 half-lives before administration of first dose of KB707, whichever is shorter 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)
    Central Contact Person:
    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
    David Chien, MD
    Organizational Affiliation
    Senior Vice President of Clinical Development
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

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

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