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NCT Number: NCT06228326

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

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.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

XCancer Research Network/Dothan Hematology & Oncology, Dothan, Alabama, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Age 18 years or older at the time of informed consent
  • Life expectancy >12 weeks
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Have at least one measurable lung lesion per RECIST v1.1 at Screening
  • 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.
  • 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:
  • 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.
  • 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.

Key Exclusion Criteria:

  • Not fully recovered from prior surgery or radiotherapy, including all radiation-related toxicities
  • 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)
  • Cohorts 5, 6, and 7 only:
  • Subject has a known additional malignancy that is progressing or requires active treatment
  • Subject has active brain metastases or leptomeningeal metastases
  • Prior anti-PD-1/PD-L1 therapy was intolerable and required discontinuation of treatment
  • Subject has active, known, or suspected autoimmune disease requiring systemic treatment
  • Subject has known acute or chronic hepatitis
  • Subject has active pneumonitis or history of ICI-induced pneumonitis that required steroids

Treatment and study plan

KB707

Biological

Genetically modified herpes simplex type 1 virus

Pembrolizumab (KEYTRUDA®)

Drug

PD-1 immune checkpoint inhibitor

Chemotherapy

Drug

SOC chemotherapy

docetaxel

Drug

SOC chemotherapy

Primary outcomes

  1. To evaluate the safety and tolerability of inhaled KB707 based upon assessment of adverse events (AE)

    Time frame: up to 36 months

    Percentage of subjects with treatment-related AEs as assessed by NCI-CTCAE v5

Secondary outcomes

  1. To evaluate whether the proposed dose ranges include the maximum tolerated dose of KB707 as determined by incidence of dose limiting toxicities (DLTs)

    Time frame: up to 36 months

    Incidence of dose limiting toxicity (DLT) by dose cohorts

  2. To evaluate the preliminary efficacy of inhaled KB707 as determined by overall response rate (ORR)

    Time frame: up to 36 months

    Percentage of ORR for all participants

Study contacts

Contact information is provided by the study sponsor or research team.

Brittani Agostini, RN, CCRC

CONTACT

[email protected]

412-586-5830

David Chien, MD

CONTACT

[email protected]

412-586-5830

Sponsors and collaborators

Lead sponsor

Krystal Biotech, Inc.

Industry

Registry information

Official study title

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

Acronym: KYANITE-1

Important dates

Study start
2024
Primary completion
2027
Study completion
2028
First posted
Jan 29, 2024
Registry last updated
Oct 24, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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