Recruiting
Phase 1

KB407

Sponsor:

Krystal Biotech, Inc.

Code:

NCT05504837

Conditions

Cystic Fibrosis

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

KB407 (Nebulization)

Study Details

Brief summary:

This study will evaluate safety and tolerability of ascending doses of nebulized KB407 in adults with cystic fibrosis.

Conditions

Cystic Fibrosis

Study ID

NCT05504837

Start date

Jun 30, 2023

Status verified date

May, 2026

Completion date

Mar, 2027

Anticipated

Primary completion date

Dec, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

1. The subject must have read, understood, and signed an Institutional Review Board/Ethics Committee (IRB/IEC) approved Informed Consent Form and must be able to and willing to follow study procedures and instructions
2. Subjects aged 18 years or older at the time of Informed Consent
3. A confirmed diagnosis of CF as defined by clinical signs and symptoms of CF and at least one of the following:

  • A historical sweat chloride value >60 mmol/L
  • Two copies of a disease causing mutation in the CFTR gene
4. Clinically stable in the opinion of the Investigator
5. Percent predicted FEV1 ≥40% and ≤90% of the predicted normal for age, gender, and height at Screening
6. Resting oxygen saturation ≥92% on room air at Screening

Exclusion Criteria:

1. Initiation of any new chronic therapy (eg, CFTR modulator, hypertonic saline, inhaled antibiotic) or any change in chronic therapy (excluding pancreatic enzyme replacement therapy) within 28 days prior to the first dose
2. Hospitalization, sinopulmonary infection, CF exacerbation, or other clinically significant infection or illness 14 days prior to the first dose that, in the opinion of the Investigator, may confound study results
3. Treatment for Mycobacterium abscessus within 3 months prior to the first dose or more than two pulmonary exacerbations with a history of Burkholderia cenocepacia infection within 6 months prior to the first dose
4. Participation in another clinical study or treatment with an investigational agent 30 days or 5 half-lives, whichever is longer, prior to the first dose
5. History of or listed for solid organ transplantation
6. Any condition (including a history or current evidence of substance abuse or dependence, uncontrolled asthma, or is considered to be immunocompromised) that, in the opinion of the Investigator, would impact a subject's ability to complete all study-related procedures and/or poses an additional risk to the assessment of safety of KB407
7. An active oral herpes infection 30 days prior to the first dose
8. Women who are pregnant or nursing
9. Subject who is unwilling to comply with contraception requirements per protocol
10. Clinically significant abnormalities of hematology or chemistry testing at Screening that the Investigator believes may interfere with the assessment of safety and/or efficacy of the study treatment
11. Subject has a known hypersensitivity to inhaled glycerol
12. Subject is known to be noncompliant or is unlikely to comply with the requirements of the study protocol in the opinion of the Investigator
13. Bronchoscopy participants only: Unable to tolerate bronchoscopy procedure and airway sampling, in the opinion of the Investigator
14. Cohort 4 participants only: Subjects who are ineligible for, do not tolerate, or do not benefit from modulator therapy

Study Design

Enrollment

20 participants

Anticipated

Allocation

Non randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Cohort 1 (open label)

A single administration of KB407

experimental: Cohort 2 (open label)

Two administrations of KB407

experimental: Cohort 3 (open label)

Four administrations of KB407

experimental: Cohort 4 (open label)

Four consecutive administrations of KB407 followed by weekly administration for up to 6 months

Interventions

KB407 (Nebulization)

Nebulized solution of KB407, a replication-defective HSV-1 expressing full length human CFTR

Primary outcome measure

  • To evaluate safety and tolerability of KB407 based upon assessment of adverse events (frequency, severity, relatedness), and changes from baseline in physical examinations, vital signs, ECG, and clinical laboratory test results [ Time Frame: 6 months ]

Central Contacts and Locations

Central contacts

Locations

University of Florida, Gainesville

Recruiting

Gainesville, Florida, United States, 32610

Contacts

Principal Investigator:

Jorge Lascano, MD

St. Lukes CF Center of Idaho

Recruiting

Boise, Idaho, United States, 83712

Contacts

Principal Investigator:

Karen Miller, MD

The Cystic Fibrosis Institute

Recruiting

Northfield, Illinois, United States, 60093

Contacts

Principal Investigator:

Steven Boas, MD

New York Medical College/ Boston Children's Health Physicians

Recruiting

Hawthorne, New York, United States, 10532

Contacts

Principal Investigator:

John Welter, MD

Northwell Health Physicians

Recruiting

New York, New York, United States, 10028

Contacts

Principal Investigator:

Maria Berdella, MD

Atrium Health Wake Forest Baptist Medical Center

Recruiting

Winston-Salem, North Carolina, United States, 27157

Contacts

Principal Investigator:

Chad R Marion, DO, PhD

More Information

Sponsor

Krystal Biotech, Inc.

Last update posted

May 7, 2026

Last verified

May, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-10-16. This information was provided to ClinicalTrials.gov by Krystal Biotech, Inc. on 2026-05-07. Recruitment status is synced daily from ClinicalTrials.gov and may not reflect the sponsor's current status. Confirm during your call.