Recruiting
Phase 1
Phase 2

KB707 & Opdualag

Sponsor:

Krystal Biotech, Inc.

Code:

NCT05970497

Conditions

Cancer

Melanoma Stage III

Melanoma Stage IV

Cutaneous Melanoma

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

KB707

Opdualag

KEYTRUDA ®( Pembrolizumab)

Study Details

Brief summary:

KB707-01 is a Phase 1/2, open-label, multicenter, dose escalation and expansion study. The study will evaluate the safety and tolerability of KB707 in adults with locally advanced or metastatic solid tumors who have progressed on standard of care therapy, cannot tolerate standard of care therapy, refused standard of care therapy, or for whom there is no standard of care therapy as well as the safety, tolerability, preliminary efficacy, and immunologic effect of KB707 administered in combination with Opdualag to subjects with unresectable or metastatic melanoma.

Subjects in dose escalation (Cohorts 1 through 3) and dose expansion (Cohort 4) will receive intratumoral injections of KB707 approximately every three weeks. Cohorts 1 through 4 are closed to new enrollment. Dose expansion Cohort 5 and Cohort 6 will evaluate subjects with advanced melanoma. Subjects in Cohort 5 will receive intratumoral injections of KB707 biweekly (q2w), delivered in combination with Opdualag (dosed every q4w per prescribing information). Subjects in Cohort 6 will receive intratumoral injections of KB707 biweekly (q2w), delivered in combination with Keytruda (dosed every q6w per prescribing information). All subjects will be treated until disease 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.

Conditions

Cancer

Melanoma Stage III

Melanoma Stage IV

Cutaneous Melanoma

Study ID

NCT05970497

Start date

Oct 31, 2023

Status verified date

May, 2025

Completion date

Jul, 2027

Anticipated

Primary completion date

Jul, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

  • Life expectancy >12 weeks
  • ECOG performance status of 0 or 1
  • Have measurable disease per RECIST v1.1 at Screening
  • Cohorts 1-4 only: Histologically confirmed diagnosis of a locally advanced or metastatic solid tumor and the individual has progressed on standard of care therapy, cannot tolerate standard of care therapy, refused standard of care therapy, or there is no standard of care therapy.
  • Cohorts 5 and 6 only: Histologically confirmed stage III (unresectable) or stage IV melanoma, as per American Joint Committee on Cancer (AJCC) staging system (8th edition; AJCC 2017) and

1. Subject has previously failed one prior anti-PD-1/PD-L1 treatment (as monotherapy or in combination with other checkpoint inhibitors such as anti-LAG-3 or anti-CTLA-4); and
2. If proto-oncogene B-Raf (BRAF) V600 mutation-positive, subject previously failed a BRAF inhibitor or BRAF inhibitor in combination with mitogen-activated extracellular signal-regulated kinase (MEK) inhibitor
  • Cohort 5 only: Age 12 years or older at the time of informed consent
  • Cohort 6 only: Age 18 years or older at the time of informed consent

Key Exclusion Criteria:

  • Prior surgery or radiation therapy must be fully recovered, including all radiation -related toxicities and subject does not require systemic corticosteroids
  • 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 and 6 only:

1. Subject has a known additional malignancy that is progressing or requires active treatment.
2. Subject has uveal/ocular melanoma.
3. The subject has active brain metastases or leptomeningeal metastases
4. Subject has received more than 2 lines of systemic therapy for unresectable or metastatic melanoma
5. Prior anti-LAG-3 and/or anti-PD-1 therapy was intolerable and required discontinuation of treatment

Study Design

Enrollment

240 participants

Anticipated

Allocation

Non randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Cohorts 1 through 4

Dose escalation and expansion cohorts: KB707 monotherapy in subjects with solid tumors.

experimental: Cohort 5

Dose expansion cohort: KB707 administered in combination with Opdualag in approximately 100 subjects with advanced melanoma.

experimental: Cohort 6

Dose expansion cohort: KB707 administered in combination with Keytruda in approximately 100 subjects with advanced melanoma.

Interventions

KB707

Genetically modified herpes simplex type 1 virus

Opdualag

Dual immunotherapy (PD-1 and LAG-3 immune checkpoint inhibitors)

KEYTRUDA ®( Pembrolizumab)

Immunotherapy (PD-1 immune checkpoint inhibitor)

Primary outcome measure

  • Percentage of adverse events (AEs) [ Time Frame: up to 36 months ]
  • Percentage of serious adverse events (SAEs) [ Time Frame: up to 36 months ]

Central Contacts and Locations

Central contacts

Locations

UCLA Health

Recruiting

Los Angeles, California, United States, 90095

Contacts

Mission Dermatology Center

Recruiting

Rancho Santa Margarita, California, United States, 92688

Contacts

Shireen Guide, MD, FAAD

admin@missiondermatology.com

BRCR Global

Recruiting

Weston, Florida, United States, 33326

Contacts

IU Simon Comprehensive Cancer Center

Recruiting

Indianapolis, Indiana, United States, 46202

Contacts

Henry Ford Cancer Institute

Recruiting

Detroit, Michigan, United States, 48202

Contacts

Meghan Gauronskas, RN

313-693-5904mgauron1@hfhs.org

Lisa Lange CCTRO Director

313-556-8106llange3@hfhs.org

University of Nebraska Medical Center

Recruiting

Omaha, Nebraska, United States, 68198

Contacts

Morristown Medical Center / Atlantic Health System

Recruiting

Morristown, New Jersey, United States, 07960

Contacts

Weill Cornell Medicine-New York-Presbyterian Hospital

Recruiting

New York, New York, United States, 10065

Contacts

Anna C Pavlick, DO

646-962-6444

Gabrail Cancer Center Research

Recruiting

Canton, Ohio, United States, 44718

Contacts

Cleveland Clinic

Recruiting

Cleveland, Ohio, United States, 44195

Contacts

Cancer Answer Line

216-444-7923

UPMC Hillman Cancer Center

Recruiting

Pittsburgh, Pennsylvania, United States, 15232

Contacts

Sarah Cannon Research Institute

Recruiting

Nashville, Tennessee, United States, 37203

Contacts

Renovatio Clinical - El Paso

Recruiting

El Paso, Texas, United States, 79915

Contacts

MD Anderson Cancer Center

Recruiting

Houston, Texas, United States, 77030

Contacts

Renovatio Clinical - The Woodlands

Recruiting

The Woodlands, Texas, United States, 77380

Contacts

More Information

Sponsor

Krystal Biotech, Inc.

Last update posted

May 18, 2025

Last verified

May, 2025

Keywords

  • Krystal Biotech
  • cancer
  • melanoma

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Krystal Biotech, Inc. on 2025-05-18.