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.
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
Drug | Synonyms | Arms |
---|
KB-0742 | | Part 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
Name | Type | Description | Interventions |
---|
Part 1: Dose Escalation | Experimental | Sequential cohorts of participants will receive escalating doses of KB-0742. | |
Part 2: Cohort Expansion | Experimental | Following 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. | |
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