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OncoMatch/Clinical Trials/NCT06228326

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

Is NCT06228326 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including KB707 and Pembrolizumab (KEYTRUDA®) for lung cancer, non-small cell.

Phase 1/2RecruitingKrystal Biotech, Inc.NCT06228326Data as of May 2026

Treatment: KB707 · Pembrolizumab (KEYTRUDA®) · Chemotherapy · DocetaxelThe 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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Extracted eligibility criteria

Cancer type

Non-Small Cell Lung Carcinoma

Tumor Agnostic

Biomarker criteria

Allowed: EGFR genomic alteration

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.

Allowed: KRAS genomic alteration

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.

Allowed: ALK genomic alteration

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.

Allowed: ROS1 genomic alteration

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.

Disease stage

Required: Stage III, IV (AJCC 8th edition)

stage 3 or 4 NSCLC, as per American Joint Committee on Cancer (AJCC) staging system (8th edition)

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: immune checkpoint inhibitor

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.

Must have received: platinum-based chemotherapy

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.

Must have received: approved targeted therapy

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.

Cannot have received: anti-PD-1/PD-L1 therapy

Exception: if prior anti-PD-1/PD-L1 therapy was intolerable and required discontinuation of treatment

Prior anti-PD-1/PD-L1 therapy was intolerable and required discontinuation of treatment

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • XCancer Research Network/Dothan Hematology & Oncology · Dothan, Alabama
  • HonorHealth Research Institute · Scottsdale, Arizona
  • Precision NextGen Oncology · Beverly Hills, California
  • Emad Ibrahim MD Inc · Redlands, California
  • BRCR Global · Weston, Florida

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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