Clinical Trials /

A Dose Escalation and Cohort Expansion Study of KB-0742 in Participants With Relapsed or Refractory Solid Tumors or Non-Hodgkin Lymphoma

NCT04718675

Description:

Part 1: Dose Escalation. The primary objective of Part 1 of this study is to evaluate the safety and tolerability of KB-0742 in participants with relapsed or refractory (R/R) solid tumors or non-Hodgkin lymphoma (NHL). Part 2: Cohort Expansion. The primary objective of Part 2 of this study is to further evaluate the safety and tolerability of KB-0742 in defined participant cohorts.

Related Conditions:
  • Malignant Solid Tumor
  • Non-Hodgkin Lymphoma
  • Soft Tissue Sarcoma
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Dose Escalation and Cohort Expansion Study of KB-0742 in Participants With Relapsed or Refractory Solid Tumors or Non-Hodgkin Lymphoma
  • Official Title: Phase 1, First-in-human, Open-label Dose Escalation and Cohort Expansion Study of KB-0742 in Patients With Relapsed or Refractory Solid Tumors or Non-Hodgkin Lymphoma

Clinical Trial IDs

  • ORG STUDY ID: KB-0742-1001
  • NCT ID: NCT04718675

Conditions

  • Relapsed Solid Tumors
  • Refractory Solid Tumors
  • Non-Hodgkin Lymphoma

Interventions

DrugSynonymsArms
KB-0742Part 1: Dose Escalation

Purpose

Part 1: Dose Escalation. The primary objective of Part 1 of this study is to evaluate the safety and tolerability of KB-0742 in participants with relapsed or refractory (R/R) solid tumors or non-Hodgkin lymphoma (NHL). Part 2: Cohort Expansion. The primary objective of Part 2 of this study is to further evaluate the safety and tolerability of KB-0742 in defined participant cohorts.

Trial Arms

NameTypeDescriptionInterventions
Part 1: Dose EscalationExperimentalSequential cohorts of participants will receive escalating doses of KB-0742.
  • KB-0742
Part 2: Cohort ExpansionExperimentalFollowing identification of the maximally tolerated dose (MTD) / recommended Phase 2 dose (RP2D) in Part 1, the following expansion cohorts will be enrolled: Cohort A: Relapsed or refractory (R/R) solid tumors with evidence of MYC amplication/overexpression. Cohort B: Relapsed or refractory (R/R) soft tissue sarcomas with evidence of transcription factor dysregulation.
  • KB-0742

Eligibility Criteria

        Inclusion Criteria:

          -  Males or females ≥ 18 years old (Parts 1 and 2A); males or females ≥ 16 years old
             (Part 2B)

          -  Willing and able to provide consent (and assent for patients between the ages of
             16-18)

          -  Part 1: Histologically or cytologically confirmed solid tumors or non-Hodgkin
             lymphoma, which have failed, are intolerant to or are considered ineligible for
             standard-of-care anti-cancer treatments

          -  Part 2A: Histologically or cytologically confirmed solid tumors which have failed, are
             intolerant to or are considered ineligible for standard-of-care anti-cancer
             treatments; documentation of MYC genomic amplification/overexpression is required

          -  Part 2B: Histologically or cytologically confirmed soft tissue sarcomas with defined
             transcription factor oncogenic drivers

          -  Access to a tumor sample for central laboratory testing

          -  Eastern Cooperative Oncology Group Performance Status (ECOG PS) 0 or 1

          -  Evaluable or measurable disease, per Response Evaluation Criteria in Solid Tumors
             (RECIST) 1.1 for solid tumors or the Lugano Classification for non-Hodgkin lymphoma

          -  Adequate bone marrow and organ function

          -  Recovery from treatment-related toxicities from prior therapies to National Cancer
             Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Grade ≤ 1 or to
             baseline level

          -  Must agree to use highly effective birth control during the trial and for at least 3
             months after the last dose of study drug; female participants cannot be pregnant or
             breastfeeding

        Exclusion Criteria:

          -  Any other anti-cancer therapies including chemotherapy, immunotherapy, or hormonal
             therapy within 4 weeks or 5 half-lives (whichever is shorter)

          -  History of surgery (except for diagnostic purposes) or non-palliative radiotherapy
             within 4 weeks

          -  History of allogeneic transplantation within 6 months

          -  Active central nervous system (CNS) involvement by the underlying malignancy;
             previously treated CNS metastatic disease is permitted with magnetic resonance imaging
             (MRI) documentation of stable disease for at least 3 months prior to study start

          -  History of stroke or intracranial hemorrhage within ≤6 months

          -  Active infections requiring systemic antibiotic, antiviral or antifungal therapy

          -  Known active coronavirus disease 2019 (COVID-19)

          -  Clinically significant heart disease

          -  Uncontrolled hypertension

          -  Prolongation of QT interval at baseline

          -  Known human immunodeficiency virus (HIV), hepatitis B, or hepatitis C infection

          -  Significant concurrent, uncontrolled medical condition including, but not limited to,
             renal, hepatic, hematologic, gastrointestinal, endocrine, pulmonary, neurological,
             cerebral or psychiatric disease
      
Maximum Eligible Age:N/A
Minimum Eligible Age:16 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Part 1 and Part 2: Incidence of Adverse Events (AEs)
Time Frame:Cycle 1 Day 1 up to 30 days after the last dose, where each cycle is up to 28 days (up to approximately 38 months)
Safety Issue:
Description:Type, incidence, severity, causality and outcome of adverse events (AEs), including serious AEs and AEs at Grade 3 or above, based on National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0.

Secondary Outcome Measures

Measure:Part 1: Maximal Plasma Concentration (Cmax) of KB-0742
Time Frame:Cycle 1 Day 1 through Cycle 2 Day 1, where a cycle is up to 28 days
Safety Issue:
Description:
Measure:Part 2: Maximal Plasma Concentration (Cmax) of KB-0742
Time Frame:Cycle 1 Day 1 and Cycle 1 Day 10, where a cycle is up to 28 days
Safety Issue:
Description:
Measure:Part 1: Time to Maximal Plasma Concentration (Tmax) of KB-0742
Time Frame:Cycle 1 Day 1 through Cycle 2 Day 1, where a cycle is up to 28 days
Safety Issue:
Description:
Measure:Part 2: Time to Maximal Plasma Concentration (Tmax) of KB-0742
Time Frame:Cycle 1 Day 1 and Cycle 1 Day 10, where a cycle is up to 28 days
Safety Issue:
Description:
Measure:Part 1: Area Under The Plasma Concentration x Time Curve From Hour 0 to The Last Measurable Time Point (AUC0-last) of KB-0742
Time Frame:Cycle 1 Day 1 through Cycle 2 Day 1, where a cycle is up to 28 days
Safety Issue:
Description:
Measure:Part 2: Trough Concentration (Ctrough) of KB-0742
Time Frame:Cycle 1 Day 1 and Cycle 1 Day 10, where a cycle is up to 28 days
Safety Issue:
Description:
Measure:Part 1 and Part 2: Progression Free Survival (PFS)
Time Frame:Cycle 1 Day 1 up to 30 days after the last dose, where each cycle is up to 28 days (up to approximately 38 months)
Safety Issue:
Description:
Measure:Part 1 and Part 2: Disease Control Rate
Time Frame:Cycle 1 Day 1 up to 30 days after the last dose, where each cycle is up to 28 days (up to approximately 38 months)
Safety Issue:
Description:
Measure:Part 1 and Part 2: Duration of Disease Control
Time Frame:Cycle 1 Day 1 up to 30 days after the last dose, where each cycle is up to 28 days (up to approximately 38 months)
Safety Issue:
Description:
Measure:Part 1 and Part 2: Overall Response Rate (ORR)
Time Frame:Cycle 1 Day 1 up to 30 days after the last dose, where each cycle is up to 28 days (up to approximately 38 months)
Safety Issue:
Description:
Measure:Part 1 and Part 2: Duration of Response (DOR)
Time Frame:Cycle 1 Day 1 up to 30 days after the last dose, where each cycle is up to 28 days (up to approximately 38 months)
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Kronos Bio

Trial Keywords

  • KB-0742
  • Relapsed Solid Tumors
  • Refractory Solid Tumors
  • Non-Hodgkin Lymphoma
  • CDK9 Inhibitor

Last Updated

June 16, 2021